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  • The Plan Sponsor is the Government of Canada
  • The Federal Public Service Health Care Plan (PSHCP) Administration Authority is the corporation charged with the administration of the PSHCP
  • The contracted Plan Administrator is The Canada Life Assurance Company (Canada Life)
  • Personal information, for the purposes of this Consent, means the personal information described in the PSHCP Privacy Statement

The Government of Canada collects, handles, and retains personal Information for the purpose of administering the PSHCP in accordance with Canada’s Privacy Act. The PSHCP Privacy Statement has been developed to comply with the Privacy Act.

As the contracted Plan Administrator, Canada Life has agreed to comply with the Privacy Act. Canada Life is subject to other applicable privacy legislation in jurisdictions where it operates. Canada Life posts its Privacy guidelines on its website. Where there is a difference between the Privacy Act and this other legislation, Canada Life will apply the most stringent requirements. Your personal information and that of any eligible dependants will be maintained securely and in a confidential manner. Your personal information is used to administer your coverage and as otherwise authorized or required by law.

Access to your personal information is limited to persons who require it to perform their duties, and to persons you have granted access. Your personal information may be disclosed to health care providers, other insurance or reinsurance companies, claims processing providers, technology suppliers, and other service providers referred to in the PSHCP Privacy Statement or Canada Life’s Privacy guidelines. Your personal information may also have to be disclosed to public and government authorities under applicable law in Canada or elsewhere. Your personal information may be collected or communicated outside of Canada or outside your province of residence as part of day-to-day business.

  1. I have read and I understand the PSHCP Privacy Statement and Canada Life Privacy guidelines.
  2. I agree the Plan Sponsor, the Federal PSHCP Administration Authority, Canada Life and its service providers, and other entities referred to above may collect, use and disclose personal information about me and my dependants for the administration of the PSHCP, including the adjudication of claims. This includes the use and disclosure with other persons and organizations who have, or require, the information for these purposes.
  3. I confirm my dependants over 18 years of age consent to their enrolment in the PSHCP and to the use and disclosure of their personal information for the above purposes.
  4. I agree to the use and disclosure of personal information about my dependants under 18 years of age to enrol them in the PSHCP and for the above purposes.
  5. I confirm all dependants I have identified meet the PSHCP eligibility requirements and the information I have provided is complete and accurate.
  6. I agree to review and keep up-to-date all my and my dependant’s information.
  7. I agree to validate and/or update my personal information and, where applicable, the information of my dependants through the completion of the biennial confirmation process. My failure to complete the biennial confirmation process may result in my dependant’s claims being suspended until it has been completed.
  8. I confirm all goods and services for which reimbursement is claimed by me or my dependant(s) will have been received by me or my dependant(s). In the case of overpayments and/or erroneous payments which I have not reimbursed to Canada Life, I agree that Canada Life may disclose this personal information to the Plan Sponsor, specifically the Treasury Board of Canada Secretariat. The Plan Sponsor/Treasury Board of Canada Secretariat may disclose this personal information to government institutions so that the overpayments and/or erroneous payments and associated interest (if applicable) can be deducted or set-off from any money due or payable to me by His Majesty.
  9. If banking information was provided, I authorize Canada Life to deposit claim payments directly to the account provided.
  10. If banking information was provided for Veterans Affairs Canada members for the purpose of contribution collection, I authorize Canada Life to withdraw from the identified bank account.