To Download a copy of the Asbestos Workers Insurance Benefit booklet click here

To Download a copy of Manulife Dental Care Expense form click here

To Download a copy of Manulife Health Care Expense form click here 

 Claim forms are also available on the Manulife Financial Plan Member secure site at




Please see the attached letter from our H&W Trustees regarding changes to the Plan. Changes are in effect for all claims incurred on and after June 1, 2018



Information Found On Your Manulife Script Card

Contract Number:  0080147

Member Certificate Number/Client I.D. Number: six digit number starting with 7

Carrier Code: 02. Your Pharmacist will require this information.

Manulife Financial Customer Service phone number: 1-800-268-6195 (this phone number is also found on your Manulife Script Card)

Manulife Financial Website:


Information to Remember When Filling Out Claim Forms

Policyholder name is Asbestos Workers Insurance Benefit Trust Fund of Alberta

Contract Number

Member Certificate Number

Check the box to authorize use of Health Care Spending Account

Include applicable receipts

Sign and date


Beneficiary Designations

Sometimes it seems like it would be easier to have ONE beneficiary card/form that would apply to ALL THREE plans at the Hall. So why don’t we do that?

Each plan runs independent of each other and the law requires us to make sure you know who you are naming as beneficiary for each plan. If we don’t meet the terms of the law, your beneficiary could be denied the benefits you wanted them to have. That’s why you must fill out a separate card/form for each of:

Local 110 Mortuary Plan
Asbestos Workers Insurance Benefit Trust Fund of Alberta
Asbestos Workers Pension Plan of Alberta

It is also important to review your beneficiaries with each plan after major life events such as: start or end of a relationship or death of a loved one.

In addition to beneficiary designations, it is important to keep the dependent information that is filed with the fund office up to date. When life events such as: marriage; start or end of a relationship, birth of a child, etc., occur it is very important that you contact the fund office so an enrollment form can be forwarded to you for completion. If your dependent information is not current and you submit a claim form to the Insurance Company, they will deny the claim for anyone where information is not on file.