| Life Insurance & AD&D |
• Basic coverage: $50,000• Reduces to 50% at age 65• Terminates at age 70 or earlier retirement |
| • Dependent coverage: - Spouse: $10,000 - Child: $5,000 per child |
|
| Disability |
• Short Term: $10,000 |
| • Long Term: Not covered |
|
| Drug Plan |
• 80% coinsurance |
| • Pay-direct drug card |
|
| • Mandatory generic drugs |
|
| • $7,500 annual maximum |
|
| • No coverage for: - Fertility drugs - Smoking cessation - Vaccines |
|
| Major Medical |
• No deductible |
| • 80% coinsurance |
|
| • Semi-private hospital room (100%) |
|
| • Hearing aids: $500/5 years• Private duty nursing: $10,000/year |
|
| • Out of province/country: $5M lifetime maximum• 90-day trip duration limit |
|
| Paramedical Services |
• 80% coverage |
| • $300 per practitioner annually |
|
| • No doctor referral required |
|
| • Covered practitioners: - Acupuncturist - Chiropractor - Massage Therapist - Naturopath - Osteopath - Physiotherapist - Podiatrist/Chiropodist - Psychologist/Social Worker/Counsellor - Speech Therapist |
|
| Vision Care |
• 80% coverage |
| • $200 per 24 months for glasses/contacts |
|
| • Eye exams once per 24 months |
|
| Dental Care |
• 80% coverage for basic services |
| • $1,500 annual maximum |
|
| • No deductible• Recall exams every 6 months |
|
| • 8 units of scaling per year |
|
| • No major restorative or orthodontics coverage |
|
| Additional Options |
• Health Care Spending Account |
| • Virtual Medical Care (Dialogue): $3.40/certificate/month• Second Opinion (WorldCare ACCESS): $1.60/certificate/month |
|
| • Employee Assistance Program (Homewood Health): $3.30/certificate/month |
|
| Monthly Rates |
• Monthly Single Rate: $76.40 |
| • Monthly Family Rate: $185.34 |
|
| Total Monthly Premium: $983.08 |
|
| Financial Details |
• Rate guarantee: 16 months (health/dental), 28 months (pooled benefits) |
| • 15% rate cap on first renewal (health and dental) |
|
| • Target loss ratio: 79.2% |
|
| • Large Amount Pooling threshold: $15,000 per person |
|
| Eligibility Requirements |
• Must be permanent, full-time employee |
| • Minimum 20 hours/week (25 for Manulife) |
|
| • Must be actively working |
|
| • Must have provincial health insurance |
|
| Quote Details |
• Valid for 60 days |
| • Rates may be adjusted if demographics change >25% at enrollment |
|
| • Cost containment options available |
|
| • Plan design enhancements available upon request |
|