Prairie Teamsters Administration Services Ltd is pleased to be able to offer newly retired Teamster members with a voluntary option for retiree health coverage. As a Prairie Teamsters retired member, you have access to an exclusive benefits package not available to the general public, offered through Manitoba Blue Cross.

Participation in the Prairie Teamsters Retiree Health Plan is voluntary. To qualify, you must be a retiring member of Teamster Locals 979, 362 or 395 and coming off an existing employer or labour sponsored benefits program. Evidence of insurability is not required if you are coming off your previous program and enrolling in the retiree program within 60 days. This includes spouses and eligible dependent children.

For detailed information or to apply, members can click this link to Manitoba Blue Cross.

Members should be aware the provisions outlined herein are subject to change at any time and this information is not intended to be a guarantee of any coverage. This guide outlines the eligibility requirements and procedures to be followed when claims arise. A pdf version of the guide is available by clicking here.

This program is administered directly by Manitoba Blue Cross.  Premiums are to be paid monthly by an automated deduction from a registered financial institution, direct to Manitoba Blue Cross. You must enroll according to your true family status.


Forms

CategoryNameFile
362HWEnrollment Form
362HWChange of Information
DisabilityDirect Deposit
DisabilityEmployer LTD
DisabilityMember LTD
DisabilityPhysician LTD
DisabilityEmployer LTD Statement
DisabilityPhysician LTD Statement
DisabilityMember LTD Statement
Life-&-Accidental-DeathADD Claim Form
Life-&-Accidental-DeathLife Conversion Form
Life-&-Accidental-DeathLife Forms
MBCAmbulance Medical Transfer Claim Form
MBCDental Claim Form.pdf
MBCHealth Spending Account Claim Form
MBCMISHP EDS Form
MBCTravel Health Claim Form and Statement of Expenses
PTHWPrairie H&W Enrollment
PTHWPTHW Change of Information
Prairie-RetireePrairie Retiree Health Plan Application Form
Prairie-RetireePrairie Retiree Health Plan Retiree Booklet
RWDSURWDSU Beneficiay Designation
RWDSURWDSU Enrollment
RWDSURWDSU Pension Change of Information
T4PT4P Application to Re-Commence
T4PT4P Application to Suspend
T4PT4P Beneficiay Designation
T4PT4P-Enrollment-Form-fillable.pdf
T4PT4P-Pension-Change-of-Information-fillable.pdf