Resources for health professionals (external website)

• Important resources for health professionals including: ARPs, Bulletins, H-Link, NMS, Provider Registry, business forms and more.

Below are the forms you may need:

• Schedule of Medical Benefits Change Request form (Any physician can request a change through their section president.)
• Micro-Allocation Details form (This form is only completed by the section president and/or fees representative.)

Please note: Visit the AMA Health Benefits Trust Fund (AMA HBTF) section of the site for more information about joining these plans before completing these applications:
AMA Health Benefits Trust Fund (AMA HBTF)

The forms you may need:

Core Plan

• Core Plan Application
• Core Plan Benefit Change Form
• Core Plan Claim Form (Alberta Blue Cross)
• Participation Agreement

• Cost-Plus Plan Benefit Change Form
• Cost-Plus Plan online claim form  (For members only. Claims for physician's/clinic employees must be submitted using the Cost-Plus Plan Claim Form.)

The form you use, depends on which AMA group you belong to:

• Board and committees
• Representative Forum (login required)

Below are forms you may need:

Mac users: Please ensure to fill out the form using Adobe reader.

• Application for Insurance form (AMA disability, life, critical illness, professional overhead expense)
• Application for Accidental Death and Dismemberment Insurance form
• Beneficiary Designation forms:
  • Life Insurance (AMA policy #4328)
  • Accidental Death & Dismemberment (AMA policy # 50092201)
• Guaranteed Insurability Benefit(GIB) Rider forms (forms for physicians who have added the GIB rider):
  • GIB application form (for Disability Insurance)

Claim the benefit:

• Each eligible physician parent must complete an application form

• You must submit your application within 18 weeks of the delivery or adoption placement date.

• Apply online now

Alternatively, you may submit a PDF version of this form.

• If submitting PDF version of the form, please print and mail, fax or scan the form with a void cheque to Deanna Longmuir

To update banking details for AMA membership and/or negotiated benefits, log into the Member Dashboard to complete and return the payment request form with a void cheque.

Zone medical directors distribute the funding for this program. Start the application process by contacting your zone medical director:
Find your zone medical director

To apply for RRNP flat-fee payments:
Check with Alberta Health online (Scroll down the page to the Rural, Remote, Northern Program section.)