CUPE Supplemental Fund -Application Form

CUPE 917 and 951 have set up a joint committee to distribute the CUPE Supplemental Fund as set out in the Letter of Agreements (CUPE 917 / LOU #12 and CUPE 951 / LOA #13).

Locals 917 and 951 have mutually agreed to use this fund to supplement the (Plan C) Orthodontics or Hearing Aids Health Benefit supplied by Pacific BlueCross (claimed once every 5 years) to a maximum of two-hundred, fifty dollars ($250) per member allotted on a first come, first served basis annually. It is not meant to replace the Health Benefit, rather to supplement it. The Joint committee comprised of two (2) CUPE 917 and two (2) CUPE 951 representatives appointed by the Union will administer the fund.

Please complete this form and email or deliver to the CUPE 917 office in
the HWB Room 218.

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