Health & Wellness

ENROLLMENT FORMS

Active Member Form

70+/Retired member Form

Request for Common Law Coverage.pdf

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 HERE TO PRINT YOUR OWN STANDARD MEDICAL EXPENSE 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.