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Frequently Asked Questions
Coverage will be available on the 1st day of the month following submission of completed application. Therefore, we recommend applying for the plan as early in the month as possible. NHPC applications should be submitted to:
Specialized Benefits Inc.
#15, 2016 Sherwood Drive
Sherwood Park, AB T8A 3X3
Yes, your will have to supply your NHPC Membership Number on the enrollment application. Should you cease to be a member of the NHPC after enrollment, your benefit plan will terminate.
You will select the plan best suited upon enrolment. You are then required to remain under that plan for a minimum of 12 months and can only change coverage options on the plan’s annual renewal date, being July 1st of each year.
- Example #1: If your plan is effective on June 1st, 2016 based on your preferred benefit needs and budget requirements, perhaps under the BRONZE plan, you must maintain that coverage for 12 months until May 31st, 2017, PLUS an additional month till the renewal date is reached on July 1st, 2017. You can then move to the SILVER plan at that time. This applies in reverse if you choose the SILVER first and wish to transfer to the BRONZE plan at a later date.
- Example #2: If you enroll in the plan November 2016 choosing the BRONZE plan and later decide you want to transfer to the SILVER plan, you will be required to satisfy the minimum 12 month period, plus the additional months until the next renewal date. In this example Nov 2016 – Nov 2017 (12 months), plus an additional 9 months until the July 2018 renewal.
Upon submission of your application, EFT banking information will be requested. Premiums are paid monthly via pre-authorized debit and will be due on the 10th of each month for that current month. Payment by cheque is not acceptable. You will receive a billing statement prior to the month due, so you will know in advance what will be withdrawn from your account on the 10th of each month.
Sirius Benefits' goal is to send out the drug/dental cards prior to the effective date of coverage. However, the timing of receipt will be determined by how early in the month your enrollment application is submitted.
Sirius Benefits has created a comprehensive copy of the NHPC plan benefit booklet. It is viewable via PDF document and once you register for your claims account thru eProfile, the booklet will be accessible online, and also on your smartphone.
Sirius Benefits' state of the art claims adjudication and payment systems are designed to efficiently adjudicate & pay claims for NHPC members.
Claim submission methods:
- eProfile web-based claims: NHPC members must register for a claims account thru “eProfile”. eProfile provides a complete suite of online services, most importantly allowing health and dental claims submission online.
The Sirius Benefits claims office is located in Winnipeg. Their contact information is:
1403 Kenaston Blvd
Winnipeg, MB R3P 2T5