Forms for All Employee Benefits

Continuation of Employee Benefits Coverage (COEB) – COST-SHARING AND NO COST-SHARING Continuation of Employee Benefits Coverage (COEB) – NO COST-SHARING Continuation of Employee Benefits Coverage (COEB) – COST-SHARING Continuation of Employee Benefits Coverage (COEB) – Nurses Employed in Nursing Homes and Employees of WorkSafe NB Active Employee Enrolment/Change Form Beneficiary Designation/Change Form Claim for Accidental Injury Claim for Critical Illness Benefit Claim for Death Benefits Employee Business Travel Application Form Group Life and Accidental Death and Dismemberment Insurance Request for Conversion Proposal Statement of Health Form (for Late Applicants only) Terminal Illness Claim Form