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Private Health Services Plan (PHSP) Client Resources

PHSP - Olympia Trust (Forms)

PHSP Corporate Small Group – (1 to 5 employees in a corporation)
	Main application	(one per company)
	Employee Enrollment form	(one per employee – including shareholders)
	Exceptional Expense Coverage	(application)
	Travel insurance Rider	(application for Small Group)
	Back-date Letter	(to set plan date)
PHSP Corporate Large Group – (6 + employees in a corporation)
	Main application	(one per company)
	Employee Enrollment form	(one per employee – including shareholders)
	Opt Out Form
	PAC Form	(Monthly banking arrangement )
	Exceptional Expense Coverage	(application)
	Travel Insurance Rider	(application for Large Group)
Sole Proprietor
	Main application
	Exceptional Expense Coverage	(application)
	Travel insurance Rider	(application for Small Group)

You will need Adobe Acrobat Reader to open these files. If you do not have it installed on your computer, you can download a free copy by clicking

If you own a business; incorporated or not, you can start saving money now. Ask your accountant about a Private Health Services Plan (PHSP) and enroll today.

* Disclaimer

Please feel free to contact us with your questions about benefits, starting a new plan, or to arrange for a complimentary evaluation of your current plan.

Phone: 604.916-2383 Fax: 604 251-9542 info@benefitsbc.com