Change Beneficiary

A Member may change their beneficiary at any time. The Member is required to complete the Pension Plan Appointment or Change of Beneficiary Card. This card is available from your employer, or administrative agent.

The following information must be identified on all change of beneficiary cards and returned to the administrative agent for processing.

 
  • Employer's name
  • Member information
    • Name
    • Social insurance number
    • Date of Birth
    • Gender
  • Beneficiary's information
    • Name
    • Social insurance number
    • Date of Birth
    • Relationship to Member
  • Current date, with your signature (front and back) along with that of a Witness (front)

Please note that all personal information is collected and maintained in accordance with the Personal Information Protection and Electronic Documents Act. (PIPEDA)

Insulators Local 95 Benefit Trust Fund c/o Benefit Plan Administrators 
90 Burnhamthorpe Road West, Suite 300 Mississauga, Ontario L5B 3C3