Pacific First Dental and Health Plans
Pacific First Dental and Health Plans
 
NEWS

Interested in the latest Income tax bulletins, guidelines, endorsements etc. Click here

 

FORMS

Some of our forms are available for download. Click here to see the list.

 

DSAI Coverage


Please print out the alumni enrolment and bank forms , fill out and mail them together with a void cheque and a cheque to cover the first month's premium. If your spouse is to be added, fill out a separate enrolment form. The spousal premium is the same as that for the member.

Mail to:
Pacific Rim Administration Services Ltd.
#6 - 1680 Gilmore Avenue
Burnaby, BC V5C 4T3


If you have any questions, please do not hesitate to call 1-800-345-5515 or, if you are in Vancouver, 604-293-1974 and ask for either Douglas Anderson or Leslie Crisp.

1. DSAI Proposal: PDF
2. DSAI Membership Letter: PDF
3. DSAI Alumni Card: PDF
4. DSAI Bank Form: PDF
5. DSAI Important Exclusion Notice (Please read): PDF

Pacific First Dental and Health Plans
 
 

Site designed and hosted by acciss.net
a division of KDI