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Plan Member Enrollment Form

Step 1 of 4 - Pension Plan Member Information

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Employer

SIN(Required)

Name(Required)

First Last

Gender(Required)

Date of Birth(Required)

Phone(Required)

Preferred Language

Address(Required)

Street Address City Province Postal Code

Email(Required)

Spouse Definition - Alberta

Under the Steelworkers Pension Plan, a “Spouse” is a person who:

Is married to you; or
Is not married to you, but is living together with you in a conjugal relationship for a continuous period of at least 3 years; or
Is not married to you, but is living together with you in a conjugal relationship of some permanence, if there is a child of the relationship by birth or adoption.

Based on this definition, I certify that:

Spouse Definition - British Columbia

Under the Steelworkers Pension Plan, a “Spouse” is a person who:

Is married to you or is party to a void marriage to you; or
Is not married to you but is cohabiting with you in a conjugal relationship, having so cohabited for at least 2 years.

Based on this definition, I certify that:

Spouse Definition - Manitoba

Under the Steelworkers Pension Plan, a “Spouse” is a person who:

Is married to you; or
Is not married to you, but with you registered a common-law relationship under the Vital Statistics Act; or
Is not married to you, but cohabits with you in a conjugal relationship for a period of:
1. at least three years, if either of you are married; or
2. at least one year, if neither of you are married.

Based on this definition, I certify that:

Spouse Definition - Nova Scotia

Under the Steelworkers Pension Plan, a “Spouse” is a person who:

Is married to you; or
Is married to you by a marriage that is voidable and has not been annulled by declaration of nullity; or
Has gone through a form of marriage with you, in good faith, that is void and is cohabiting with you or, if you have ceased to cohabit, cohabited with you within a twelve-month period; or
Is not married to you but is a domestic partner within the meaning of Section 52 of the Vital Statistics Act; or
Is not married to you, but cohabits with you in a conjugal relationship for:
1. a period of at least 3 years, if either of you are married; or
2. a period of at least 1 year, if neither of you are married.

Based on this definition, I certify that:

Spouse Definition - Ontario

Under the Steelworkers Pension Plan, a “Spouse” is a person who:

Is married to you; or
Is not married to you, but is living together in a conjugal relationship with you continuously for a period of not less than 3 years; or
Is not married to you, but is living together in a conjugal relationship with you in a relationship of some permanence, if together you are parents of a child as set out in s.4 of the Children’s Law Reform Act (Ontario).

Based on this definition, I certify that:

Spouse Definition - Federal

Under the Steelworkers Pension Plan, a “Spouse” is a person who:

Is married to you or is party to a void marriage to you; or
Is not married to you but is cohabiting with you in a conjugal relationship, having so cohabited for at least 1 year.

Based on this definition, I certify that:

** Attention **

Pension law automatically makes your Spouse the beneficiary of any death benefits that may become payable from the Plan upon your death. If you do not have a Spouse, or if your Spouse wishes to waive any entitlement and you want to designate someone else as your beneficiary, please contact WA Health to find out how to designate a beneficiary.

Spouse Certification(Required)

I have a Spouse

I do not have a Spouse

Name(Required)

First Last

Spouse's SIN(Required)

Date of Birth(Required)

Date of Marriage/Cohabit

Gender(Required)

Email(Required)

Phone(Required)

It is recommended that you designate a beneficiary. If no beneficiary is designated, any death benefits will generally be payable to your estate, subject to applicable law and the terms of the Plan.

If you have a Spouse, They are automatically your primary beneficiary. Its recommended that members designate one or more contingent beneficiaries. If no beneficiary is designated, any death benefits will generally be payable to your estate, subject to applicable law and the terms of the Plan.

Number of Beneficiaries

Beneficiary 1

Name

First Last

Date of Birth

Relation

Gender

Percentage

Email

Phone

Beneficiary 2

Name

First Last

Date of Birth

Relation

Gender

Percentage

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Phone

Beneficiary 3

Name

First Last

Date of Birth

Relation

Gender

Percentage

Email

Phone

Beneficiary 4

Name

First Last

Date of Birth

Relation

Gender

Percentage

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Phone

Beneficiary 5

Name

First Last

Date of Birth

Relation

Gender

Percentage

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Phone

Beneficiary 6

Name

First Last

Date of Birth

Relation

Gender

Percentage

Email

Phone