Employee Benefits
We administer the day-to-day operations of employee benefits programs for employees in Parts 1, 2, 3 and 4 of the provincial government along with a number of quasi-public organizations. Find information regarding your employee benefits, including health, life, accidental death or dismemberment, travel, or dental insurance, or relating to long-term disability coverage, here.
Employers (EB)
Forms for All Employee Benefits
Active Employee Enrolment/Change Form
Beneficiary Designation/Change Form
Claim for Accidental Injury
Claim for Critical Illness Benefit
Claim for Death Benefits
Continuation of Employee Benefits Coverage (COEB) – LOWP/Lay Off
Continuation of Employee Benefits Coverage (COEB) – LOWP as the result of the GNB COVID-19 Vaccination Policy
Continuation of Employee Benefits Coverage (COEB) – LOWP for Nurses employed in Nursing Homes and Employees of WorkSafe NB
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
EB PCJ Forms
Active Employee Enrolment/Change Form
Beneficiary Designation/Change Form
Claim for Accidental Injury
Claim for Critical Illness Benefit
Claim for Death Benefits
Continuation of Employee Benefits Coverage (COEB) – LOWP
Continuation of Employee Benefits Coverage (COEB) – LOWP as the result of the GNB COVID-19 Vaccination Policy
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