My Plan

80% until $1,000 paid per person per calendar year, 100% thereafter

$50

N/A

Coverage will terminate on June 30th following the date the Member attains age 75, or earlier retirement.

Included;
Maximum for Meals and Accomodation: combined $40 per day for 3 days
Maximum for Mileage: $0.20 per KM

Yes, to a maximum of 24 months

Blue Rx

Yes

$0

Covered

Covered

$20,000 per lifetime

Not covered

Included

100%

N/A

Semi-Private

Room, board and normal nursing care provided in a licensed nursing home (for convalescent or chronic care, excluding custodial care) up to a maximum expense of $20 per day.

$3,500 every 48 months

Covered

$500 per calendar year

$500 per calendar year

$550 every 24 months

One eye exam per 24 months covered separately, subject to “Reasonable and Customary” limit

Covered

$900 per calendar year

$900 per calendar year

$900 per calendar year

$900 per calendar year

$900 per calendar year

$800 per calendar year

$900 per calendar year

$800 per calendar year

N/A

N/A

N/A

PBC Schedule 3

Fee Guide +10%

Earlier of age 70 or retirement

N/A

100%

N/A

2 per year

2 per year

100%

N/A

80%

$2,500 per calendar year

75%

$5,000/Lifetime

N/A

2 x annual earnings

$150,000

July 31st coincident with or next following the date you attain age 70 or the end of the month following the month in which you retire, whichever is earlier. Coverage will terminate on August 31st if transferring to another district.

50% at age 65

Matches LTD

N/A

$150,000

N/A

$150,000 (Active Employees & Spouses); $3,000 (Dependent Children)