This section will help you enter the following information in the appropriate boxes of the RL-22 slip (see courtesy translation RL-22-T):

• the year in which the individual was covered by the multi-employer insurance plan
• the letter corresponding to the type of slip
• the number of the RL slip you wish to amend
• the identification of the individual and plan administrator
• the total value of the individual's coverage
• the value of the individual's coverage (all types) under the private health services plan
• the periods of coverage in the year during which the individual was covered and received the value of a benefit