SD43 – Continuing Ed Teachers

EXTENDED HEALTH CARE

Insurer: Pacific Blue Cross

Policy Number: 20043

Reimbursement

100%

Annual deductible

$25

Lifetime maximum

N/A

Termination Age

Retirement

Medical referral travel benefit

N/A

Survivor extension

Yes, to a maximum of 100 days after the date of the Member’s death.

Prescription Drugs

Drug formulary

Prescription Required

Pay-direct drug card

No

Per prescription deductible

$0

Sexual dysfunction

N/A

Oral Contraceptives

Covered

Fertility

$3,000 per lifetime

Smoking cessation

Not covered

Medical Services & Supplies

Medi-assist

Included

Emergency out-of-province reimbursement

Emergency Eligible Expenses: 100%
Non-emergence eligible expenses: 100% of the reasonable and customary charge as if the expense was incurred in the person’s province of residence subject to the deductible, in-province reimbursement percentage and maximums

Emergency out-of-province maximum

N/A

Hospital

Private or Semi-Private

Private duty nursing (including in-home)

Fees for a registered nurse for special duty nursing in an acute case when ordered by the attending physician

Hearing aids

$500/5 year period for Adults and Children

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

Covered

Othopedic shoes

One pair of Orthopedic shoes or orthotics per person on prescription by a physician/podiatrist. Replacements due to normal wear and tear only as necessary and pre-approved by PBC.

Orthotics

Yes. See Orthopedic shoes coverage details.

Vision Care

Maximum

$300 / every 2 calendar years

Eye exams

N/A

Prescription sunglasses

Covered

Paramedical Services

Massage therapist

Reasonable and Customary charges

Physiotherapy

Reasonable and Customary charges

Chiropractor

$200 per calendar year

Psychology

$100 per calendar year

Naturopath

$200 per calendar year

Podiatry

$200 per calendar year

Acupuncture

$100 per calendar year

Speech therapy

$100 per calendar year

Osteopath

N/A

Christian Science

N/A

DENTAL CARE

Insurer: Pacific Blue Cross

Policy Number: 20043

Annual deductible

N/A

Dental fee guide

PBC Schedule 2

Specialist fee guide

Fee Guide +10%

Termination Age

Retirement

Survivor extension

Yes, to a maximum of 100 days after the date of the Member’s death.

Basic Services

Reimbursement

100%

Maximum

N/A

Adult check-up

2 per year

Child check-up

2 per year

Endodontic/Periodontic Services

Reimbursement

100%

Maximum

N/A

Major Restorative Services

Reimbursement

100%

Maximum

N/A

Orthodontic Services

Reimbursement

100%

Maximum

N/A

Age limit

Covers adults and children

GROUP LIFE

Insurer: Pacific Blue Cross

Policy Number: 79543

Schedule

Teaching Staff without Dependents: $9,000, or if Employee elects 2.5 times Category 5 minimum salary stated in the Teacher’s salary scale; Teaching Staff with Dependents:
1) Basic Amount of Insurance – 2.5 times Category 5 minimum salary stated in the Teacher’s salary scale; Or if the employee elects
2) Optional Amount of Insurance – the percentage of the Employee’s annual basic earnings, shown below, the result subject to a maximum benefit of 600% of the Category 5 minimum salary stated in the Teacher’s salary scale.
Under age 35: 400% of annual earnings;
Age 35-40: 375% of annual earnings;
Age 41-45: 350% of annual earnings;
Age 46-50: 325% of annual earnings;
Age 51-55: 300% of annual earnings;
Age 56-60: 250% of annual earnings;
Age 61-65: 200% of annual earnings

Maximum

600% of the Category 5 minimum salary stated in the Teacher’s salary scale

Termination age

Earlier of age 65 or retirement.

Age reduction

Optional amount reduces as per above table

Waiver of premium definition

Matches LTD

Optional life

N/A

GROUP ACCIDENT

Insurer: N/A

Policy Number: N/A

Principal sum

N/A

Maximum

N/A

Optional Accident

N/A