HOW TO ENROLL IN A PHSP

Setting up a Private Health Services Plan (PHSP) is a simple 4 step process:

1. Download the Enrolment Form. If you have additional employees other than yourself you should also download Appendix A. Click on these links to download the forms.

2. Print off and fill out the form (s). Be sure to sign it. This is your 3rd Party Contract of health benefit coverage. If required, use Appendix A to list the names of your Covered Employees.

3. Enclose a cheque drawn on your business bank account in Canada for the $100 Enrolment Fee made payable to Brock Health Administration.

4. Planholder mails the forms and cheque to:

Brock Health Administration Ltd.
150 Millrise Boulevard
PO Box 76095
Calgary, Alberta T2Y 2Z9

You can also submit your first claim along with your enrolment application. We will open your account and adjudicate your claim at the same time. We are committed to responding with your contract and payment within 5 business days of receiving your claim. You can download a Claim Form here.



You will need Adobe Acrobat Reader to open these files. If you do not have it installed on your computer, you can download a free copy by clicking