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TRANSCRIPT
December 2007
Canadian Postmasters and Assistants Association (CPAA) is committed to maintaining the security, privacy,and accuracy of members’ personal information. Member personal information is only collected,
stored, used, and disclosed in a manner that complies with the CPAA Privacy Policy.
National PresidentLeslie A. Schous
National Vice PresidentShirley L. Dressler
National Vice PresidentPierre Charbonneau
National Secretary-TreasurerDaniel L. Maheux
Support StaffSylvie DuguayLise DeschampsLucie ClermontMonia DenisPascal Leroux
EditorCPAA
Branch RepresentativesA complete listing is in this magazine.
The Canadian Postmasteris published two times a year by theCanadian Postmasters and AssistantsAssociation.
CHANGE OF ADDRESSIn order to maintain an accuratemailing list, please send addresschanges to our National Office assoon as possible.
2
Address inquiries, comments orcorrespondence to:
CPAA281 Queen Mary
Ottawa ON K1K 1X1
Tel. (613) 745-2095Fax (613) 745-5559
E-Mail: [email protected] site: www.cpaa-acmpa.ca
Agreement No. 40069832
ISSN/0008-4794
See on page 6 forNational Triennial Convention
Summary.
CPAA Union Representatives / Représentants syndicaux de l'ACMPA281 Queen Mary, Ottawa, Ontario K1K 1X1 [email protected]
Name and address / Nom et adresse Email / Courriel Tel. No. / n° de tél.Fax Off.-bureau Home-rés.
Mrs. Leslie A. Schous Nat. Pres. / Prés. Nat. [email protected] 613-745-5559 613-745-2095 613-747-6131Ms. Shirley L. Dressler Nat. Vice Pres. / Vice-prés. Nat. [email protected] 613-745-5559 613-745-2095 613-260-8870M. Pierre Charbonneau Nat. Vice Pres. / Vice-prés. Nat. [email protected] 613-745-5559 613-745-2095 819-772-2430Mr. Daniel L. Maheux Nat. Sec.-Treas. / Sec.-Trés. Nat. [email protected] 613-745-5559 613-745-2095 819-986-8325
Newfoundland and Labrador / Terre-Neuve et LabradorMrs. Louise Ade, Pres., Goulds A1S 1G2 709-834-1536 709-364-6888 709-834-4289Mrs. Kimberly V. Hunt, Vice Pres., 20 Dawes Place, Conception Bay S. A1X 6Z7 (Manuels) [email protected] 709-744-2546 709-834-8361 709-744-1945Mr. Norman J. Randell, Sec.-Treas., PO Box 293, Bishop's Falls A0H 1C0 [email protected] 709-257-1112 709-258-6555 709-257-4512Mr. William Dawe, Dir., PO Box 25, Coley's Point S A0A 1X0 [email protected] 709-786-9492 709-786-0466 709-786-3018Mr. Lester I. George, Dir., PO Box 161, Burnt Point A0A 1M0 [email protected] 709-584-3963 709-584-3803 709-584-3963Mrs. Nina Pye, Dir., General Delivery, Mary's Harbour A0K 3P0 [email protected] 709-921-6389 709-921-6240 709-921-6236
Maritime / MaritimesMrs. Karen E. MacDonald, Pres., 247 Walker, Summerside C1N 5S6 (Borden-Car.) [email protected] 902-436-0464 902-855-2400 902-888-2178Mrs. Catherine B. Léger, Vice Pres., 123 Coates Mills S Rd, Ste-Marie-De-Kent E4S 1P2 [email protected] 506-955-8193 506-955-3214 506-955-3296Mrs. Betty Ross, Sec.-Treas., 4823 Scotsburn Road RR 2, Scotsburn B0K 1R0 [email protected] 902-485-2591 902-485-6548 902-485-6198Mme Diane Bouchard, Dir., 6765 Route 134, McIntosh Hill E4S 5N4 (Saint Loui.) [email protected] 506-743-8004 506-876-3842 506-743-5233Mrs. Louise Harris, Dir., PO BOX 800, Kingston B0P 1R0 [email protected] 902-765-1031 902-765-2327 902-765-6582Mrs. Tonya M. Dort, Dir., 54 Sanctuary Drive, Debert B0M 1G0 [email protected] 902-662-3542 902-662-3203 902-662-3539
QuébecMme Jacinthe Turcotte, Prés., 40 rang de la Rivière, Maddington Falls G0Z 1C0 (St-Cyrill.) [email protected] 819-367-2441 819-397-2319 819-367-2081M. Bernard Choquette, Vice-prés., 973 rue Royale, Massueville J0G 1K0 (St-Aimé) [email protected] 450-788-2843 450-788-2977 450-788-2966M. Jacques Vézina, Sec.-Trés., C.P. 368, Neuville G0A 2R0 (St-Basile) [email protected] 418-876-2738 418-329-2595 418-876-2435Mme Joane DesAlliers, Dir., 446 St-Paul, Saint-Ubalde G0A 4L0 [email protected] 418-277-9072 418-277-2473 418-277-9367Mme Odette Desgagnés, Dir., 572 ch. du Quai, St-Joseph de la Rive G0A 3Y0 (Les Éboul.) [email protected] 418-635-1586 418-635-1180 418-635-2505Mme Chantal Guillemette, Dir., 69 Ross, Victoriaville G6P 0B3 (St Célest.) [email protected] 819-758-1067 819-229-3333 819-758-4825
OntarioMrs. Brenda McAuley, Pres., 2004 Sagebrush Place, Sudbury P3A 4X7 (Falconbridge) [email protected] 705-521-1888 705-693-3350 705-521-1117Mrs. Sandra L. Wilson, Vice Pres., 57 Pottinger Street, Lindsay K9V 3X9 (Little Britain) [email protected] 705-878-0384 705-786-2161 705-878-8306Mr. Doug Collison, Sec.-Treas., 334 Daniel Street, Peterborough K9K 1C5 (Millbrook) [email protected] 705-745-0291 705-932-2990 705-745-5326Mrs. Connie A. Burggraf, Dir., 132 Queen St., Angus L0M 1B0 [email protected] 705-424-3377 705-424-5653 705-424-2098Mme Rita Chartrand, Dir., 2 Pioneer Street W Box 203, Markstay P0M 2G0 [email protected] 705-853-1210 705-853-4356 705-853-1209 * *
ManitobaMr. Ray R. Moreton, Pres., PO Box 193, Miami R0G 1H0 [email protected] 204-435-2023 204-435-2618 204-435-2378Mrs. Hope M. Toporowski, Vice Pres., PO Box 21, Fork River R0L 0V0 [email protected] 204-657-2362 204-657-2453 204-657-2337Mrs. Eileen Soloway, Sec.-Treas., Box 10, Pine River R0L 1M0 [email protected] 204-263-5211 204-263-2604 204-263-5416Mrs. Julie Hughes, Dir., Box 11, Group 4, RR 1, Anola R0E 0A0 (Beausejour) [email protected] 204-866-3217 204-268-2731 204-866-3217Ms. Lynda A. Kolly, Dir., 2561 Knowles Ave, Winnipeg R2G 2K7 (East Selkirk) [email protected] 204-482-1237 204-482-1237 204-224-2931Mr. James G. Roszell, Dir., PO Box 1469, Russell R0J 1W0 [email protected] 204-773-3420 204-773-3283 204-773-3998
SaskatchewanMr. Darwin H. Hoimyr, Pres., PO Box 673, Carlyle S0C 0R0 [email protected] 306-453-2352 306-453-2301 306-453-6258Mrs. Pat L. Killian, Vice Pres., Box 250, Cupar S0G 0Y0 [email protected] 306-723-4777 306-723-4222 306-723-4927Mr. Glen A. Smith, Sec.-Treas., PO Box 292, Saltcoats S0A 3R0 [email protected] 306-744-2270 306-744-8100 306-744-2341Mrs. Sue A. Verhelst, Dir., PO Box 828, Radville S0C 2G0 [email protected] 306-869-2527 306-869-2433 306-869-2294Mrs. Trudy S. Labarowski, Dir., PO Box 183, Pennant Station S0N 1X0 [email protected] 306-626-3223 306-626-3235 306-626-3224Mrs. Brenda Fell, Dir., Box 651, Wilkie S0K 4W0 (Unity) [email protected] 306-228-3422 306-843-2513
Alberta, Northwest Territories and Nunavut / Alberta, Territoires du Nord-Ouest et NunavutMrs. Denice A. Pharis, Pres., PO Box 439, Thorsby T0C 2P0 [email protected] 780-789-2606 780-789-3600 780-789-3132Mrs. Lana R. Gilmore, Vice Pres., PO Box 625, Bashaw T0B 0H0 780-372-2441 780-372-3033 780-372-2441Mrs. Lynn C. Barrie, Sec.-Treas., 348 Highland Circle, Strathmore T1P 1V5 [email protected] 403-901-2018 403-934-3575 403-901-0869Mrs. Florence Henning, Dir., PO Box 71, Mayerthorpe T0E 1N0 [email protected] 780-785-4022 780-786-2122 780-785-3319 * * * *
British Columbia and Yukon / Colombie-Britannique et YukonMrs. Sonja J. Lemay, Pres., 3437 Lockhart Crescent, Armstrong V0E 1B8 [email protected] 250-546-0085 250-546-8274 250-546-8534Mrs. Barbara J. Lincoln, Vice Pres., 7519 Sechelt Inlet Road, Sechelt V0N 3A4 [email protected] 604-885-6006 604-885-2411 604-885-6006Mrs. Susan Argotoff, Sec.-Treas., RR1 S-2 C-16, Crescent Valley V0G 1H0 [email protected] 250-359-7544 250-359-7788 250-359-7523Mrs. Leslie O. Ainslie, Dir., 108-5460 Clements Cres., Peachland V0H 1X0 [email protected] 250-767-2251 250-767-2251 250-767-2979Mrs. Sabine E. Grigat, Dir., Box 1125, Valemount V0E 2Z0 [email protected] 250-566-4545 250-566-4788Mrs. Carolyn Elliott, Dir., 3711 Bosun Way RR 2, Pender Island V0N 2M2 [email protected] 250-629-3222 250-629-3133
2007-11-08/pl ** vacant position / poste vacant
National President’s Message
Greetings from the National Office. We have had a busy summer attending theBranch conventions, meetings with Canada Post and dealing with issuesbrought forth by, or on behalf of, our membership.
The Branch Conventions were very well run and for the most part well attended. We saw anumber of officers retiring from CPAA and we extend a big THANK YOU for the work anddedication they gave to this Association. Ten (10) new officers were elected, officers trainingtook place in July and we welcome these new officers to the realm of union representation.
The National Triennial Convention was held in Edmonton, Alberta on October 1, 2, and 3,2007. As usual, it was a very productive convention. Reports were presented, audits andbudgets approved and the business flowed smoothly. Minimal changes were made to theBy-laws. Once these amendments receive Ministerial approval, they will be sent to theprinters for publication. A new edition of the By-laws will be sent to the membership onceprinting is completed.
The National Triennial Convention also brought forth elections for the National Office.I thank the membership for the confidence they have shown me as I was acclaimed for a thirdterm as your National President. I also extend sincere congratulations to Shirley, Pierre andDaniel.
To our outgoing National Vice President, Pat Fagan: thank you Pat for your years ofdedication and hard work. On behalf of the members of CPAA, I extend our sincere bestwishes for a happy and healthy retirement.
On the home front at 281 Queen Mary, we continue to meet with Canada Post to discuss newand ongoing issues. We meet with our colleagues in other bargaining units as well, to discussissues of a common nature which may have an impact on our respective members. It is ourhopes that in the not too distant future some of the issues surrounding Health and SafetyRepresentatives, in offices where we have CPAA members as well as RSMC members, will beresolved through this venue.
The next three years will undoubtedly be as challenging as the last few, but I look forward tothe work ahead of us and working with my colleagues at National and across the country forthe betterment of our Association.
Leslie A. Schous
Post Triennial Messages
by Leslie A. Schous
It is with gratitude that I thank the members of CPAAfor the support and encouragement I received in myrecent re-election to the position of National Presidentfor my third term. I know that the next three years willbring us many challenges, but I am confident that thesechallenges will only enforce our resolve to work onbehalf of, and for the betterment of, the members ofCPAA.
To my colleagues, Shirley, Pierre and Daniel, mysincere congratulations. I look forward to working withyou over the next three years.
To Pat, my best wishes on your retirement! From myhusband Bill and I, we thank you and Paulette for thewonderful friendship. On behalf of CPAA, I extendmany thanks for the hard work and dedication youhave given to this Association. Enjoy that retirement!
by Pierre Charbonneau
I would sincerely like to thank the members of theAssociation for the trust and the support they haveshown me in giving me the opportunity to serve themfor the next three years.
Leslie, Shirley and Daniel, congratulations! I’mlooking forward to working with you. Pat, my bestwishes for your retirement and thank you for all thework you have done.
Thank you again for your support. I hope to be able todiscuss with many of you during the BranchConventions or any other union activities.
by Shirley L. Dressler
It is with great pleasure that I extend my sinceregratitude to the members for their support and theconfidence placed in me to serve as their National VicePresident (English language). It is an honor to be ableto continue to work for the members of CPAA.
Congratulations to my fellow National Officers. I lookforward to working with each of you over the nextthree years and to being part of the team dedicated toour Association.
To Pat, thank you for your many years of service andcontributions to CPAA. I wish you all the best in yourfuture retirement.
by Daniel L. Maheux
As we look back at yet another National TriennialConvention, I am pleased to be afforded thisopportunity to express my sincere gratitude to myCPAA sisters and brothers for the support that youhave shown me. I will work hard to ensure theAssociation has an effective and strong voice for allmembers.
I also look forward to working with my fellowNational Officers and congratulate them on theirre-election.
Thank you again for your support and for taking part inour electoral process. Our union can only be as strongas we make it. Your active participation is the cornerstone of our future successes.
To the outgoing officer, Pat, I wish you and Paulettethe very best and thank you for your work on behalf ofour sisters and brothers.
by Pat E. Fagan
It is with a sense of regret and a sense of excitementthat I write these last few words for this magazine.As most of you know by now, I did not seekre-election at the recent National Triennial Convention,as I will be retiring from Canada Post Corporationeffective January 5, 2008.
I have spent the last 32 years of my life as an electedofficer of CPAA and I can honestly say that it has beena great experience that I would not trade for anything.I have many great memories that I will cherish for therest of my life.
Paulette joins me in expressing our thanks to themembers across the country for the support,encouragement, hospitality and friendship that youhave shown us over the years. It still amazes me thatthere are so many people in this country, who arewilling to give of themselves for the betterment ofothers.
My best wishes go out to the officers of CPAA as youcontinue to look for ways to improve the lives of themembers of the Association. You have always showna willingness to meet the challenges that face you andI am sure that you will continue to do so.
Good luck to all.
National Triennial Convention Summary
by Daniel L Maheux
The 17th National Triennial Convention was held in Edmonton, Alberta on October 1, 2, and 3,2007.
A total of ninety-one (91) delegates elected from across Canada attended the convention. As well,CPAA welcomed forty (40) guests, four (4) Past Branch Presidents, our legal counsel Sean McGeeof Nelligan O’Brien Payne and five (5) support staff.
Sunday’s registration was followed by a social evening where delegates had the opportunity to meetand spend some time together.
The convention officially began on Monday morning. We were pleased to have Vivian Davis, PastBranch President of the B.C. and Yukon Branch, as our Parliamentarian, and Frank Gelling, PastBranch President of the Ontario Branch, as our Returning Officer. The following three (3) days werefilled with the business of the convention. On Monday the delegates were presented with the variousreports, as well as the proposed amendments to our By-laws. Monday evening, the Alberta , N.W.T.and Nunavut Branch hosted a wonderful tour at the Ukrainian Historic Village which ended witha delicious supper. Tuesday, voting on the amendments to the By-laws took place. That sameevening the candidates for National Executive positions hosted a hospitality evening where delegatesand guests mingled, socialized and questioned candidates on their platform.
On Wednesday morning an election was held for the National Secretary-Treasurer. NationalPresident Leslie Schous and National Vice President Pierre Charbonneau were re-elected byacclamation. Shirley Dressler was also elected by acclamation to the position of National VicePresident. The National Officers for the next three years are as follows:
National President – Leslie A. SchousNational Vice President (English language) – Shirley L. Dressler
National Vice President (French language) – Pierre CharbonneauNational Secretary-Treasurer – Daniel L. Maheux
The convention concluded with the President’s Banquet on Wednesday evening with Past BranchPresident of the Maritime Branch, Roger Boudreau as Master of Ceremonies. This was followed byan evening of dancing with music by the Pam Proud Band. The delegates extended their good wishesand expressions of appreciation to outgoing National Vice President Pat E. Fagan, and bid eachother farewell!
Overall, the convention was very successful, and we extend our appreciation to all delegates,convention officials, and the support staff for their efforts.
Statutory Holiday Pay
by Shirley L. Dressler
Soon the Holiday Season will be upon us and we will be anxious to have both Christmas Day andBoxing Day as days of rest.
The following explains what you may expect for Statutory Payment for these two days.
Group Postmasters
You will receive Statutory Payment for all hours you were normally scheduled to work. If thedesignated holiday falls on a non-scheduled working day, the holiday will be moved to the nextscheduled working day and you will receive pay for those hours.
Grade Postmasters and Full-Time Assistants
All regularly scheduled hours will be paid.
Part-Time Assistants and Continuous Terms
Employees must be employed for 30 calendar days to be entitled to statutory holiday pay.
If paid 54 hours or more in the last 30 calendar days, you are entitled to receive pay for the averageof the last five (5) days worked to a maximum of 8 hours OR your regularly scheduled hours for thatday, whichever is greater. (Clause 21.05 a) i) of the Collective Agreement)
If you were paid less than 54 hours in the last 30 calendar days, you must first determine thenumber of days you received pay:
– If you received pay for 15 days or more in the last calendar days, you will be paid your regularlyscheduled hours. (Canada Labour Code) OR if you do not have any regularly scheduled hourson that day, you will be paid the average of hours in the last 20 working days immediatelypreceding the holiday.
– If you have not received pay for at least 15 days in the last 30 calendar days, you will be paid1/20th of your earnings made in the last 30 calendar days (Canada Labour Code). If you havescheduled hours on the statutory holiday which are greater then the amount you will receivewith the 1/20th payment, then the difference of the scheduled hours and the number of hourspaid for the holiday will be rescheduled to ensure no loss of regular pay. (Clauses 21.05 a) ii)and 21.05 d) of the Collective Agreement)
All of us at the National Office wish this Holiday Seasonbrings you and your loved ones the gifts of
happiness, good health & joy!
Underpayment of Statutory Holiday Pay – Part-time Assistants
by Shirley L. Dressler
There have been numerous situations where it has been discovered that statutory holidaypayments have been incorrect for Part-time Assistants who were in an acting Postmasterassignment between December 2003 and April 2007.
In March 2007, the Corporation made the corrections necessary in SAP to prevent these errorsfrom continuing.
You should receive eight (8) hours of payment for a statutory holiday providing that you workedin that Acting Assignment the day before and the day following the statutory holiday. Workingyour regular schedule on a Saturday does not break your acting assignment.
If a review of your pay records indicates that you were improperly paid, please contact an officerof your CPAA Branch as soon as possible, to assist you in recovering your correct entitlements.
ACTING PAY / REPLACEMENT PAY
by Pierre Charbonneau
For further information, please refer to clauses 40.01 and 11.08 a) of the collective agreement,as well as the March 2007 edition of The Canadian Postmaster magazine. A copy of the magazineis available on the CPAA Web site (http://cpaa-acmpa.ca/).
The following grid is in effect for 2008.An update of this grid will be done every time there is an increase in the pay rates.
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In Memoriam
From February 1, 2007 to October 31, 2007
Mrs. Micheline GagnonSt-Ambroise-de-Chicoutimi, QC
Mrs. Sandra McGillivaryRipley, Ont.
Mrs. JoAnn R. CorniesLytton, B.C.
Mrs. Maryke VerhagenArmstrong, B.C.
Mrs. Janet LomendaStrathmore, Alb.
Mr. Marcel F. MarinHaywood, Man.
Mrs. Betty ThorsteinsonWestbourne, Man.
Our most sincere condolences to their relatives and friends.
Duncan Mitchell by Denice A. Pharis
Duncan Mitchell passed away on March 17, 2007. He was Director for one year andPresident of Alberta, N.W.T. and Nunavut Branch for ten (10) years. He retired in1983.
After retirement, Duncan still fought for CPAA. He was on the Canadian PostalCustomer Council from 1989 to 1997.
He was involved with Rural Dignity from 1987 and he was interviewed, as thePostmaster from Consort, Alberta for 32 years, by the National Postal Museum.
John Charles (Charlie) Linka
by Leslie A. Schous
It is with regret that we inform you that Mr. Charles Linka, better known as Charlie, passedaway on July 2, 2007.
Mr. Linka served on the Saskatchewan Branch Board of CPAA and held the followingpositions:
! Branch Secretary-Treasurer from 1957 to 1968! Branch President from 1969 to 1972
Mr. Linka served as Postmaster in Strongfield, Saskatchewan before moving to Broadview where he wasPostmaster for 30 years. Charlie retired in 1984.
CPAA is very grateful to Mr. Linka for the work he did for this Association. Mr. Linka was involved in theestablishment of the Association in its early years of development and we are very appreciative of the work hedid on our behalf. Our sincere sympathy is extended to the Linka family.
Gaston Meunier
by Pierre Charbonneau
It is with regret that we have learned that Mr. Gaston Meunier passed away onApril 10, 2007.
Mr. Meunier had a very long career in the mail service:! Part-time employee from 1939 to 1948.! Postmaster at Acton Vale, Quebec from 1948 to 1967.! First full-time National Secretary of CPAA in Ottawa. He was appointed in 1967
and served until 1975.! One of the founders and General Secretary of “L’Association Internationale
des Receveurs de la Poste” from 1975 to 1989.
He played an important role within the labour movement.
by Sonja J. Lemay
JoAnn Cornies – February 23, 1942 – May 9, 2007
JoAnn was Postmaster at Forest Grove, B.C. from October 16, 1978 to July 1995. She leftCPC for almost five (5) years, then returned as Postmaster at Forest Grove from February 23,2000 to April 30, 2002. She became the Postmaster at Lytton, B.C.; position she fulfilled fromMay 1, 2002 until May 9, 2007.
In 1986/87, JoAnn was very active in attending meetings to prevent Post Office closures.She was first elected as the B.C. and Yukon Branch Secretary-Treasurer from 1989 until1995. She was re-elected Secretary-Treasurer in 2001 and remained in that position until herdemise last May.
Group Life Insurance Plan
A S Life Insurance Benefit1. Commencing August 1, 2005, all active members of the
Association are insured for $10,000 Group Life Insurance inaccordance with the terms of Group Policy No. 158073,issued to the Association by The Great-West Life AssuranceCompany.
2. The above amount is subject to a periodical review.3. Such insurance will continue in force as long as the employee
is an active member of the Association.4. Such insurance will continue for as long as this policy is in
force.5. Such insurance will automatically terminate at the end of the
month in which the member celebrates his/her 70th birthday.6. New members are insured from the date on which active
membership to the Association begins.B S Total Disability Benefit1. This policy provides group insurance during continuous total
disability as long as the following conditions apply:a) you have been totally disabled for 6 months or more, prior
to your 65th birthday;b) the disability is such that you are unable to perform any
work of any kind;c) you remain an active member of the Association.
2. The coverage does not extend beyond your 65th birthday.3. If you cease to be a member while you are on disability and
before your 65th birthday, you must consider the conversionoutlined in item C below.
4. You applied for waiver of premium benefits within the contractprovisions.
C S Conversion Privilege1. This insurance can be converted into certain types of indi-
vidual life insurance plans, then issued by Great-West LifeAssurance Company.
2. To convert this policy, the following conditions must be ineffect:a) your active membership to the Association must terminate
on or before your 65th birthday;b) your application for conversion must be received by
Great-West Life within 31 days of termination of youractive membership.
3. Presently, the maximum coverage available is $10,000.4. Conversion is available regardless of your health.5. The privilege does not extend beyond 31 days following your
65th birthday, even though you may continue to work beyondthat date.
D S Beneficiary1. A form is provided below to enable you to register a benefi-
ciary in the event of your death.2. You may change your designated beneficiary any time.3. If no beneficiary is named, the insurance proceeds will be
paid through the administrator, executor, or assign(s) of yourestate upon your death.
4. If designating a beneficiary who is a minor or who lackslegal capacity, please check box below, (in beneficiaryform) and a Trustee Appointment form will be sent to youfor completion.
Certificate of Insurance1. The Great-West Life, certifies that the holder of this policy is
insured for the sum of $10,000, in accordance with the termsof Group Policy No. 158073:a) as long as he/she is an active member of the Canadian
Postmaster and Assistants Association; andb) as long as he/she is under age 70.
2. The insurance is payable on death from any cause to thebeneficiary last registered in writing with Great-West Life.
3. If no beneficiary is registered with Great-West Life, theinsurance is payable to the deceased's administrator,executor or assign(s).
4. The policy includes a Total Disability Benefit and aConversion Privilege.
5. The certificate and the descriptive literature above areprovided for information purposes only.
6. If any conflicts arise between the above and the terms ofGroup Policy No. 158073, the terms of the latter shall govern.
Should you need any additional information about yourinsurance plan, please contact:
Pierre A. Jeaurond, Administrator CPAA Group Life Insurance Plan
PO Box 189Cumberland ON K4C 1E6
613-833-2227 [email protected]
2007/02Retain the above for your records.
(Remove when completed, and forward this portion to the address above.)
Beneficiary Designation Form (PLEASE PRINT)
Important notice regarding Group Life Insurance Plan • Before completing this form, you must have signed an Association Member's File. • This form should only be completed once, unless you wish to amend it. (ex. change in beneficiary or name change) • When this form is completed by a member, he/she must have their signature witnessed by someone other than the named beneficiary.
• Minor beneficiary: YES G NO G • Language preference: English G French G Home phone #: (____)____________
I, ____________________________________________________________________________________ living in the Province of _______________________ Member's full name Office Name and insured under Group Policy No. 158073 declare that all proceeds payable under this policy at my death be paid to
______________________________________________________________ _____________________________________________________________ Beneficiary's full name Relationship of Beneficiary to Member
Dated at _________________________________________________ this _____________ day of _____________________________________ 20__________ City, Province
______________________________________________________________ _____________________________________________________________ Signature of Witness Signature of Member