Rebate application for Medical Services Plan of British Columbia—January 2017

You may be entitled to a partial reimbursement if you (but not your employer) paid premiums directly to the Medical Services Plan of British Columbia (formerly British Columbia provincial health care plan) for 2016 coverage. The reimbursement is limited to the months during which you received a public service pension.

The application must be sent to the Government of Canada Pension Centre (Pension Centre) no later than June 30, 2017. Ensure to include your premium payment history or proof of payment such as receipts or any documents clearly indicating which individual months of coverage each payment covers with the application. Note that if you had provincial health care premiums deducted from your monthly pension, the government has already paid 50% of the premiums and no further rebate is applicable.

To avoid having to apply for a partial refund every year, you can request that your provincial health care premiums be deducted from your public service pension. You may contact the Government of Canada Pension Centre for more information (refer to the Contact Information in your Annual Pensioners’ Statement).

Name:
Address:
Pension number:
Telephone number:

Applicant's statement

I have personally paid the full amount of the premiums for which I am seeking reimbursement [see attached receipts for each month claimed]. I have not made a similar application as either an employee or recipient of pension benefits from the federal public service, the Canadian Forces, or the Royal Canadian Mounted Police. I understand that these benefits are taxable.

Signature
Date

Return the completed application with your premium payment history or other proof of payment to the following address:

Government of Canada Pension Centre
Mail Facility
PO Box 8000
Matane QC G4W 4T6