Benefits

Enrollment Forms

Active Member Form
70+/Retired member Form


Questions regarding your hour bank, Insurance Providers or Self Pay?
Please contact your administrator at;
The Belmont Financial Group NB Inc.
580 Main Street, Suite 110
Saint John NB
E2K 1J5
Ph 506 634 7050
Toll Free 1 800 565 7050

PLEASE CLICK ONE OF THE FOLLOWING LINKS TO PRINT YOUR OWN STANDARD MEDICAL EXPENSE FORMS.
FOR OTHER FORMS OR INFORMATION CLICK HERE. OTHER FORMS.


PLEASE CONSULT YOUR PLAN BOOKLET FOR SPECIFIC COVERAGE DETAILS.


Health Plan Trustees
Jean Marc Ringuette
David Stephen
Carl Randell
Nelson Getson
Tom Bass

IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT THE H&W ADMINISTRATOR, BELMONT FINANCIAL GROUP.

Member Website Instructions