Benefits Forms

Plan Summaries:

• Education Sector Plan Summary
• Public/Private Sector Plan Summary
• ASET Benefits Plan Summary
• AUMA/AMSC Benefits Plan Summary
• NEBS Benefits Plan Summary
• PROBUS Benefits Plan Summary
• SASTT Benefits Plan Summary
• Servus Credit Union Benefits Plan Summary

Change of Info & Miscellaneous Forms:

• Change Application for Health and Dental Plans
• Benefits Termination Form
• Automatic Banking Form
• Disabled Dependent Declaration Form
• Over-age Dependant Notification

• ARTA Extended Health Care Plan Text
  This document details the eligibility, coverage, limitations and procedures under the Extended Health Care Plan.
• ARTA Emergency Travel Insurance Contract
  This contract details the coverage, limitations, agreement, and length of term for ARTA’s Emergency Travel Insurance.
  • Emergency Out-of-Country Master Application Summary
    This document summarizes the Emergency Out-of-Country Medical Benefit coverage details.
• ARTA Dental Care Plan Text
  This document details the eligibility, coverage, limitations and procedures under the Dental Care Plan.
• Stand Alone Trip Cancellation/Interruption Plan
  This document details the coverage, limitations, exclusions, and claim instructions for the Stand Alone Trip Cancellation Plan. Note this plan is different and separate from the trip cancellation coverage included with the Total Health and Ultimate Health Emergency Travel trip cancellation coverage.