Get Notice Of Change To Alberta Health Care Insurance Plan Account. Application For Albertans To Change

Completing the Notice Of Change To Alberta Health Care Insurance Plan Account is essential for updating your personal information with Alberta Health. This guide offers a step-by-step approach to filling out the application efficiently and accurately.

Follow the steps to successfully fill out your application.

1. Click ‘Get Form’ button to obtain the form and open it in the document management system.
2. In Section A, provide the account holder's personal information, including your last name, first name, middle name, and personal health number. Ensure to check if there is a new mailing address and fill out the details accordingly.
3. Indicate if you are adding coverage for a spouse or partner and provide their personal details and citizenship status. Include their birthdate and previous last name if applicable.
4. If applicable, proceed to add dependants in Section B. Enter each dependant's last name, first name, middle name, citizenship status, birthdate, and reason for adding them.
5. If you need to delete a spouse, partner, or dependant, complete Section C or D respectively. Provide their names, personal health numbers, and reasons for deletion.
6. In Section D, both the applicant and the spouse or partner must sign the declaration. Confirm that all provided information is true and include necessary photocopies of required documentation.
7. After completing the form, you can save changes, download a copy for your records, print it if desired, or share it electronically.

Complete your document online today to ensure your health care account is up to date.