Benefit Summary for Level 03 Members
This summary must be read together with the benefits described in this booklet.
| Life Insurance | $250,000, reducing to $20,000 at age 70 |
| Accidental Death, Dismemberment and Specific Loss (Principal Sum) | $75,000, reducing by 50% at the end of the plan year (March 31st), coinciding with or next following your 65th birthday and terminating when you reach age 70 |
| Weekly Disability Income Benefits | |
| Waiting Period | 14 days |
| Maximum Benefit Period | 26 weeks |
| Amount | $700 per week |
| Benefit Integration | Plan payments will be made for occupational disabilities only if the member is denied Workers Compensation Benefits |
| Termination | At the end of the plan year (March 31st) coinciding with or next following your 75th birthday |
If you become disabled, contact your Plan Administrator ASAP who will provide information concerning Weekly Disability benefit claims and required documentation. Satisfactory written proof of claim must be submitted within 6 months of the date you become disabled.
To be eligible for Weekly Disability Income Benefits, you must have been actively at, or available for work, or have been actively looking for work with a contributing employer. You must also have:
- worked for a contributing employer for a minimum of 5 days in the 30-day period immediately preceding the date of disability;
- worked for a contributing employer for a minimum of 10 days in the 60-day period immediately preceding the date of disability;
- become disabled within 30 days of the date you were scheduled to work for a contributing employer for either 5 days in the forthcoming 30 days or 10 days in the forthcoming 60 days (a written proof of such work commitment must be provided), or
- had patterns of employment with any of the contributing employers for specific calendar months or specific contributing employers during the 24 months immediately preceding the date of disability that demonstrates that you would have been working for a contributing employer if you had not been disabled, in which case your waiting period would begin on the date you would have been so scheduled to work.
NOTE: Members cannot voluntarily upgrade for Weekly Disability Benefit. This benefit is based on Producer Contributions only.
Healthcare
Covered expenses will not exceed reasonable and customary charges
| Deductibles | |
| In-Canada Prescription Drug Expenses | An amount equal to the dispensing fee portion of the drug charge |
| All Other Expenses | Nil |
| Reimbursement Levels | |
| Out-of-Country Emergency Care Expenses | 100% |
| Global Medical Assistance Expenses | 100% |
| All Other Expenses | 80% |
| Basic Expense Maximums | |
| Hospital | Semi-private room to a maximum of $10,000 each plan year |
| Home Nursing Care | $5,000 each plan year |
| Victorian Order of Nurses | $450 each plan year |
| Medical Travel in Canada | Included |
| Medical Cannabis | up to $2,500 per year has been included for the treatment of multiple sclerosis, cancer, HIV/AIDS and palliative care. In all cases, Canada Life will determine if you qualify based on diagnosis and will require dispensing from an authorized supplier. |
| In-Canada Prescription Drugs Vaccines – all vaccines approved by Health Canada |
Included Included |
| Smoking Cessation Products Fertility Drugs |
$500 lifetime or as otherwise required by law $5,000 lifetime or as otherwise required by law |
| Hearing Aids | $2,000 per ear every 5 plan years |
| Custom-fitted Orthopedic Shoes | $300 each plan year |
| Custom-made Foot Orthotics | $750 each plan year |
| Splints (including shoes attached to a splint) | Included |
| Orthopedic Equipment | Included |
| Mechanical or Hydraulic Patient Lifters | $2,000 per lifter once every 5 years |
| Outdoor Wheelchair Ramps | $2,000 lifetime |
| Blood-glucose Monitoring Machines Continuous Glucose Monitor and Flash Glucose Monitor for Type 1 diabetes only. Prior authorization by CL is required. |
1 every 4 years $3,000 / year |
| Transcutaneous Nerve Stimulators | $700 lifetime |
| Extremity Pumps for Lymphedema | $1,500 lifetime |
| Custom-made Compression Hose | 4 pairs each plan year |
| Incontinence Supplies | Included |
| Wigs or hairpieces for permanent hair loss as a result of an injury or disease, or temporary hair loss as result of medical treatment for any disease | $1000 every 3 plan years |
| Intrauterine Devices (IUDs) | 2 each plan year |
| Colostomy and Ileostomy Supplies, Oxygen, Medicated Dressings and Custom-made Burn Garments | Included |
| Prosthetic Equipment including: | |
| Myoelectric Arms | Included |
| External Breast Prosthesis | 1 every 12 months |
| Surgical Brassieres | 2 each plan year |
| All prosthetic equipment is limited to a lifetime maximum of $10,000 | |
| Paramedical Expense Maximums | |
| Acupuncturists | $700 each plan year |
| Audiologists | $700 each plan year |
| Chiropractors | $700 each plan year $25 for x-rays each plan year |
| Christian Science Practitioners | $700 each plan year |
| Dieticians | $700 each plan year |
| Registered Massage Therapists | $700 each plan year |
| Naturopaths | $700 each plan year |
| Osteopaths | $700 each plan year $25 for x-rays each plan year |
| Physiotherapists/Athletic Therapists | $700 each plan year combined |
| Occupational Therapists | $700 each plan year |
| Podiatrists | $700 each plan year $25 for x-rays each plan year |
| Chiropodists | $700 each plan year |
| Canadian Certified Counsellor
Certified Clinical Counsellor Certified Counsellor Clinical Counsellor Clinical Therapist Counselling Psychotherapist Counselling Therapist Licensed Counsellor Licensed Psychotherapist Marriage & Family Therapist Mental Health Therapist Psychoanalyst Psychoeducator Psychologists Psychotherapist Registered Clinical Counsellor Registered Counsellor Registered Professional Counsellor Registered Psychotherapist Registered Therapeutic Counsellor Sexologist Social Worker *(Includes Intensive Behavioral Intervention and Applied Behavior Analysis treatment for children on the autism spectrum disorder (must be supervised by a psychologist). |
$3,500 (combined) for each person per plan year |
| Speech Therapists/Speech Language Pathologists | $700 each plan year combined |
| Visioncare Expense Maximum | |
| Eye Examinations | Reasonable & Customary maximum every 24 months |
| Glasses, Contact Lenses, Vision Therapy and Laser Eye Surgery | |
| - for your spouse or a dependent child | $150 every 24 months |
| - for members | $500 every 24 months |
| Travel Assistance | Included |
| Teladoc | Included |
| Out-of-Country Emergency Care Expense Maximums | $1,000,000 lifetime |
| Healthcare Maximums | |
| - under age 70 | Unlimited |
| - age 70 and above | $5,000 each plan year |
| Plan year is April 1st to March 31st | |
| Dentalcare | |
| Covered expenses will not exceed reasonable and customary charges | |
| Payment Basis | The dental fee guide on the date treatment is rendered for the province in which treatment is rendered |
| Deductible | Nil |
| Reimbursement Levels | |
| Basic Coverage | 80% |
| Accidental Dental Injury Coverage | 80% |
| Plan Maximums | |
| Accidental Dental Injury Treatment | $5,000 per accident |
| Basic Treatment | $1,500 each plan year |
| Plan year is April 1st to March 31st | |
Other carriers' coverage not underwritten by Canada Life
| Member & Family Assistance | Counselling available through TELUS Health (formerly LifeWorks) for you and your family |
| Critical Condition Benefit (Members Only) | $50,000 for eligible members under age 65 (Underwritten by Medavie Blue Cross) |