As you may be aware, effective April 1, 2006, there were a number of changes to the PSHCP. One of these changes included the collection of PSHCP contributions for employees on authorized LWOP. For more information on these changes, we have attached a copy of the PSHCP Bulletin #18 issued in March 2006.
Our files indicate that you are on LWOP. If you are currently covered by the PSHCP while on LWOP, you are required to complete and sign this agreement, to indicate your choice of payment options.
You may also take this opportunity to cancel your coverage should you wish to do so. However, coverage cannot be cancelled retroactively.
You are required to sign this agreement and return it to your compensation office within two weeks upon receipt of this notice. Coverage under the PSHCP continues while you are on LWOP unless you provide notice in writing stating that you opt out of the plan.
Please note that if you are not covered by the PSHCP while on LWOP, you should not complete this agreement.
I wish to continue my PSHCP coverage while on authorized LWOP.
Yes ______ No _______
Opting out of the plan while on LWOP is considered as a lapse in coverage only and will not require a new application nor a three-month waiting period when you are retaken on strength.
Depending upon the length and type of LWOP, you may be required to pay PSHCP contributions.
If you have indicated that you wish to continue PSHCP coverage while on LWOP, you must agree to pay all required PSHCP contributions.
In the event that you are required to pay PSHCP contributions, you must choose one of the following options.
Select one of the following payment options:
NOTE: If you cease to be employed for any reason, outstanding PSHCP contributions will first be taken off any termination payments payable to you, including severance pay, unpaid vacation leave, unpaid salary, and any other amount payable to you by the Crown.
If there are still outstanding PSHCP contributions to be paid, a lump sum payment will be required from you. You must provide a personal cheque payable to the "Receiver General for Canada" for the full outstanding amount that was not recovered from any monies owing upon your ceasing to be employed. If you are entitled to an immediate annuity, you may choose to have the full outstanding amount recovered from your pension payment. Please contact your compensation advisor to obtain the exact amount owing.
Please note that the following tax implications continue to apply:
I agree to all of the terms of the above PSHCP agreement:
__________________________________
Signature of employee
__________________________________
Date
Please forward this signed agreement immediately to your compensation advisor at the address below to ensure continuous coverage under the PSHCP.
(Compensation advisor's name)
(Compensation advisor's phone number)
(Departmental address)