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HOOPP Enrollment / Waiver Form

Permanent Part-Time & Casual Employees, and other Non-Full Time Individuals

 Enrollment into HOOPP remains optional for Permanent Part-Time & Casual
Employees, and other Non-Full time Individuals
 If you are currently eligible to join HOOPP, you are required to complete this form
 If you would like to join HOOPP at a later date, please complete this form then,
indicating that you would like to enroll
 Do not complete this form if you are: a Temporary Employee, a Post-Doctoral Fellow
or Clinical Fellow, or a Non-Paid Individual (i.e., Contractor, RNPA, Volunteer).

In accordance with the conditions set forth in the Healthcare of Ontario Pension Plan (HOOPP),

I,______________________________, employee ID number, ______________ hereby elect to:

□ a) Waive my option to join HOOPP (I understand that I can join HOOPP, if eligible, in the
future)

□ b) Join HOOPP

Dated on this day of , 20____

Signature

Important: If we do not receive this form indicating your option, we will assume that you
have declined the offer to enroll in HOOPP at this time.