SD20 – Retirees

EXTENDED HEALTH CARE

Insurer: N/A

Policy Number: N/A

Reimbursement

N/A

Annual deductible

N/A

Lifetime maximum

N/A

Termination Age

N/A

Medical referral travel benefit

N/A

Survivor extension

N/A

Prescription Drugs

Drug formulary

N/A

Pay-direct drug card

N/A

Per prescription deductible

N/A

Sexual dysfunction

N/A

Oral Contraceptives

N/A

Fertility

N/A

Smoking cessation

N/A

Medical Services & Supplies

Medi-assist

N/A

Emergency out-of-province reimbursement

N/A

Emergency out-of-province maximum

N/A

Hospital

N/A

Private duty nursing (including in-home)

N/A

Hearing aids

N/A

Other services and supplies (subject to reasonable and customary limits as defined by insurer)

N/A

Othopedic shoes

N/A

Orthotics

N/A

Vision Care

Maximum

N/A

Eye exams

N/A

Prescription sunglasses

N/A

Paramedical Services

Massage therapist

N/A

Physiotherapy

N/A

Chiropractor

N/A

Psychology

N/A

Naturopath

N/A

Podiatry

N/A

Acupuncture

N/A

Speech therapy

N/A

Osteopath

N/A

Christian Science

N/A

DENTAL CARE

Insurer: N/A

Policy Number: N/A

Annual deductible

N/A

Dental fee guide

N/A

Specialist fee guide

N/A

Termination Age

N/A

Survivor extension

N/A

Basic Services

Reimbursement

N/A

Maximum

N/A

Adult check-up

N/A

Child check-up

N/A

Endodontic/Periodontic Services

Reimbursement

N/A

Maximum

N/A

Major Restorative Services

Reimbursement

N/A

Maximum

N/A

Orthodontic Services

Reimbursement

N/A

Maximum

N/A

Age limit

N/A

GROUP LIFE

Insurer: Pacific Blue Cross

Policy Number: 79520

Schedule

$25,000

Maximum

$25,000

Termination age

Age 65

Age reduction

N/A

Waiver of premium definition

Matches LTD

Optional life

N/A

GROUP ACCIDENT

Insurer: AIG Insurance Company of Canada

Policy Number: Basic – 9428791 | Optional – N/A

Principal sum

Matches Basic Life

Maximum

$25,000

Optional Accident

N/A