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Accidental Death & Dismemberment (AD&D):

Coverage Insurance that issues a lump sum payment, if the insured dies as a result of an accident or loses eyesight, hearing, or limbs as the result of an accident.

Activity:

A list of the types of transactions that have occured during the period displayed. To see further details, click on the applicable plan.

Acupuncture:

Services provided within their specialty by Acupuncturists authorized to practice acupuncture in Canada or in the province where the services are provided.

Aggregate:

When referring to a family deductible or out-of-pocket maximum, aggregate implies that the family charges may total up to the maximum, as long as one insured person meets the individual amount.

Alberta Health Care Insurance Plan:

The provincial health program for residents of Alberta that insure medically required services provided by the physicians and supplementary health care practitioners, laboratory services and diagnostic procedures.

Annual Maximum

The maximum amount any one insured individual may receive, per year, under an insurance contract.

Available amount

This amount reflects in-progress sales, however, it does not reflect in-progress purchases.

Available shares

Reflects in-progress sales, however, it does not reflect in-progress purchases.

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Basic Life Insurance:

Life insurance plan for Employee, offered either as a lump sum or in multiples of salary. In some plans, optional additional life coverage may be added to Basic Life Insurance to increase the coverage. See Optional Life Insurance.

Beneficiary(ies):

The person(s) designated by the insured to receive Basic Life and/or Accidental Death Benefits upon the death of the insured. See Estate as Beneficiary.

Benefit:

The amount payable by the insurance company to the holder, assignee or beneficiary of the insurance policy when a loss covered by the policy occurs. A benefit can also be a payment made to reimburse the Employee for health costs incurred.

Benefits Administrator:

Key contact person at the School District who is responsible for the administration of the benefits program.

Book value:

The actual cost of an asset recorded at the time of purchase.

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Canada Pension Plan (CPP):

Government plan that pays a monthly pension to eligible individuals. See Offsets.

Carrier:

The insurer who agrees to underwrite the group contract and provide certain types of coverage and service.

Chiropodist:

Person who is trained in the treatment of minor foot disorders and licensed by the appropriate provincial licensing authority.

Chiropractic:

Services provided by a member the Canadian Chiropractic Association or an affiliated provincial association (Chiropractor).

Claim:

A demand by the insured person to the insurer for the payment of benefits either directly by the person or through a third party. See Notice and Proof of Claim.

Claimant:

A plan beneficiary exercising their right to receive benefits.

Claims Specialist:

An individual assigned by the LTD carrier to be involved if the plan member is likely to become a LTD claimant. The Claims Specialist is responsible for ensuring that any required additional information is requested/received in a timely manner and that there is no delay in claim payment should a plan member’s absence evolve to a LTD claim.

Co-insurance:

This is a term used to indicate that the insured and the insurer share the cost of the claim within a specified ratio. For example, the insurer pays 80%, the insured pays 20% of the claim.

Common-Law Marriage:

Two persons, of the opposite or same sex, who have been cohabiting and residing with each other for a continuous period of at least 1year, and whose spousal relationship has been publicly recognized.

Consumer Price Index:

A price index produced by Statistics Canada that measures the percentage variation, over time, of the cost of purchasing a specific list of goods.

Contributory Plan:

A plan which requires the Employee to pay part of the cost for the benefit plan.

Convalescent Hospital:

A facility that provides rehabilitative care and is eligible under the provincial hospital insurance legislation.

Conversion:

An insured individual has the right to convert their group insurance coverage to an individual plan without presenting evidence of insurability, if converted within 31 days of termination of the Employee’s group coverage.

Co-ordination of Benefits:

A policy which will determine how benefits will be calculated and paid if the claimant is insured under several group contracts insuring the same event.

Couple:

The employee plus one dependent.

Coverage:

A classification of benefits provided under a group policy or the amount of insurance or benefits stated in the group policy for which an insured is eligible.

Customary charges:

The usual charge for providing a service or supply which does not exceed the general level of charges made by similar providers in the area. The term “area” means a region large enough to obtain a representative cross section of similar providers.

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Deductible

An amount of expenses that must be paid by the insured before any benefits become payable.

Definition of Disability

See Permanent Disability and Own Occupation.

Dependent

See Legal Spouse and Common-law Spouse and Dependent Children.

Dependent Children

To be eligible for coverage under the program, your natural, adopted or stepchild must be unmarried, be under age 21 (or other age as defined in your District’s plan) or under age 25 (or other age as defined in your District’s plan) if the child is a full-time student, not be employed on a full-time basis and not eligible for any other group life insurance. See Handicapped Child, Step Child, Grandchildren and Legal Ward. See Details for Dependent Children eligibility at your District.

Disability

Inability to perform all of the duties of one’s regular occupation for a period as defined in your District’s LTD plan, or the duties of any occupation thereafter for which the individual may become fitted due to education, training or experience. See Own Occupation.

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Earnings

As defined by agreement with your District, earnings used for benefits include regular pay, and could also include bonuses, shift differentials and other premiums.

Eligible Employees

Employees who have met the requirements to participate in the District’s benefits program.

Eligible Expense

Any claims that meet the criteria of the insurance policy and/or benefit plan for which the Employee and/or Dependents are covered by.

Elimination Period

A period of continuous disability, starting with the first day of disability, which the Employee must complete in order to qualify for disability benefits.

Evidence of Insurability

Proof presented through written statements on an application form, and/or through a medical examination, that an individual is eligible for a certain type of insurance coverage.

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Family

Two spouses who are legally married or living common-law, or one or two adults (legally married or living common-law) and their dependent children.

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Grandchildren

Grandchildren can be claimed as Dependent Children if legally adopted by the Employee, or are legal wards of the Employee. See Legal Ward.

Group Insurance

Insurance issued, usually without medical examination, on a group of people under a master contract. The individual members of the group hold certificates as evidence of their insurance.

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