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CETAM: the co-operative's territory in Montérégie and its jobs

The Coopérative des techniciens ambulanciers de la Montérégie: its six zones according to Santé Québec, the legal framework and the conditions to be hired there as a paramedic.

October 10, 2026 · Lire en français

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The CETAM is the Coopérative des techniciens ambulanciers de la Montérégie (the Montérégie paramedics' co-operative). It offers paramedic jobs in six ambulance zones of Montérégie, according to the official table from Santé Québec. This profile explains what it is, where it works and what it takes to get hired there. This text applies to women and men alike. It is neither an advertisement nor a recommendation.

What the CETAM is

The full name appears on the home page of its website: Coopérative des techniciens ambulanciers de la Montérégie (CETAM). It states there that it was founded in 1988. It presents itself as a co-operative in which all workers are members, on the principle of one member, one vote. The members elect the board of directors.

Santé Québec lists it under the same corporate name in the table of ambulance companies and co-operatives it released on September 14, 2026.

A worker co-operative, under the law

Section 222 of the Cooperatives Act (chapter C-67.2), up to date as of August 12, 2026, defines the worker co-operative. It brings together only natural persons who associate, as workers, to operate an enterprise, and its object is to provide work to its members and auxiliary members.

Section 224.2 of the same Act allows the co-operative, by by-law, to subject any worker to a probation period of no more than 250 working days. During that period, the worker is an auxiliary member.

The CETAM's six zones in Montérégie

The Santé Québec table has three columns: the health region, the corporate name and the zone. It answers an access request that covered companies and co-operatives holding a contract or an exclusive service area. The Coopérative des techniciens ambulanciers de la Montérégie takes up six lines, all in region 16, Montérégie.

Zone	Zone number	Health region
Châteauguay	16-653	16, Montérégie
Valleyfield	16-662	16, Montérégie
Ormstown	16-664	16, Montérégie
La Prairie	16-666	16, Montérégie
Rigaud-Dorion	16-692	16, Montérégie
Longueuil	16-695	16, Montérégie

Source: Santé Québec, response to access request 26-SQ-0001-412, September 14, 2026, pages 9 and 10 of the document.

The CETAM is not the only employer in the region. The same table lists in Montérégie Ambulances Demers inc., Dessercom inc., HRH Services préhospitaliers Inc., Les Ambulances Michel Crevier Inc. and Les services préhospitaliers Paraxion inc., each for other zones. Santé Québec states in its letter that the territorial limits of the zones are unchanged.

The permit and the service contract

The Act respecting pre-hospital emergency services (chapter S-6.2), up to date as of August 12, 2026, governs all ambulance services, co-operative or not. Section 46 sets two conditions to operate one: hold an operating permit issued by Santé Québec or by a regional body, and have entered into the section 9 contract with it.

Section 9: the service contract lasts five years and the permit holder undertakes to provide the agreed services according to the authorized schedules
Section 47: the permit is issued to a natural person or a legal person and states the region or zone of operation, as well as the number of ambulances
Section 51: the permit is issued for a maximum period of 48 months ending on a March 31

Section 47 says the permit holder operates its service in its zone "mainly but not exclusively".

This text summarizes laws and official pages. It is neither legal advice nor union advice.

The conditions to get hired

Section 63 of Act S-6.2 sets the conditions to work as a paramedic, at the CETAM as anywhere else:

have completed the recognized initial college training and passed the related exam, or hold training recognized as equivalent by the national medical director
be listed in the national workforce registry kept by Santé Québec
have obtained a paramedic status card

The CETAM posts its own requirements on the page for its primary care paramedic position, consulted on October 10, 2026. It asks for a DEC in Pre-Hospital Emergency Care, obtained or in progress. It asks that you have passed the Programme national d'intégration clinique (the national clinical integration program) or be about to enrol in it, for listing in the national registry. Finally, it asks for a valid Class 4A driver's licence, with a maximum number of demerit points on record.

Our articles Becoming a paramedic and the Class 4A licence detail these steps.

Where to apply

The co-operative's career page is at cetam.ca/postuler/carriere. It leads to the paramedic position and to a section on observation internships. The position page gives an email address for sending your application.

On October 10, 2026, this page names no other job to fill. It shows no wage rate.

Wages in the region

Since the CETAM posts no rate, the official benchmark is the median wage from the Government of Canada's Job Bank for paramedical occupations (NOC 32102). These wages were updated on November 19, 2025.

Area	Low	Median	High
Province of Quebec	$25.56	$35.00	$40.00
Montérégie region	$28.53	$36.97	$44.78

Source: Job Bank, hourly wages by region. These amounts apply to the whole occupation in the region, not to one employer.

Our article on paramedic salary gives the details.

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Frequently asked questions

Is the ambulance covered by the RAMQ?

No. The Régie de l'assurance maladie du Québec (RAMQ, Quebec's health insurance board) says so in its FAQ: "We do not cover the costs of ambulance transportation." It refers to Québec.ca for the cost of transportation and for government exemption measures. The bill for a transport by the CETAM follows the same rules as everywhere in Quebec.

What is a paramedic's salary in Quebec?

Job Bank gives a median wage of $35.00 an hour in Quebec, with a low wage of $25.56 and a high wage of $40.00. For the Montérégie region, the median is $36.97 an hour. These wages were updated on November 19, 2025.

What does an ambulance cost?

Québec.ca sets the pick-up fee at $125 and the travel fee to the hospital at $1.75 per kilometre. The page, updated on August 20, 2024, states that these rates may be indexed every year. The rate is the same whatever ambulance service does the transport.

What are the ambulance companies in Quebec?

The table released by Santé Québec on September 14, 2026 gives the corporate name of the employer for each zone, region by region. In Montérégie, it lists six names: Ambulances Demers inc., the Coopérative des techniciens ambulanciers de la Montérégie, Dessercom inc., HRH Services préhospitaliers Inc., Les Ambulances Michel Crevier Inc. and Les services préhospitaliers Paraxion inc. In Montreal and Laval, the employer is Urgences-santé (the ambulance service for Montreal and Laval). Our article on paramedic jobs explains how to read this table for the other regions.

How do you become a paramedic in Quebec?

You need the DEC in Pre-Hospital Emergency Care (181.A1), which takes about 36 months according to the Inforoute FPT. Next come the Class 4A driver's licence, the national clinical integration program and listing in the national workforce registry. The integration program must be passed within 2 years after the diploma. Our article Becoming a paramedic follows each step.

What is a paramedic's salary in Quebec in 2026?

The most recent official benchmark used here does not date from 2026. Job Bank updated its wages on November 19, 2025, for the 2023-2024 reference period: $25.56 an hour at the low end, $35.00 at the median and $40.00 at the high end. The CETAM showed no rate on its career page on October 10, 2026.