Benefits Information
Dependent Life
Provides employee with a one time benefit in the event of loss of life of a spouse or child
Weekly Income (WI) or Short Term Disability (STD)
or Short Term Disability (STD) Provides a weekly benefit in the event of total disability (usually beginning at hospitilization or accident and after 7 days of illness and continues to 119 days.)
Long Term Disability (LTD)
Provides a monthly benefit in the event of total disability (usually beginning at 119 days and continues to age 65)
Extended Health Care
Supplements provincial health care plans to help cover costs such as; out of country travel, hospitalization, drugs, medical equipment, professional services, etc.
Dental Care
Provides coverage for initial dental care:
BASIC – preventative and restorative work
MAJOR – caps, crowns, onlays, dentures, bridges, etc.
ORTHO – braces for dependant children under 18
Life Insurance
Provides a one time benefit to the employee’s beneficiary in the event of loss of life.
Accidental Death and Dismemberment
Provides a one time benefit to the employee or employee’s beneficiary in the event of dismemberment or accidental death.
Administrative Services Only (ASO)
Administrative Services Only is an arrangement whereby an insurance company agrees to provide full administration and claim adjudication services to an employer but bears no liability arising from claims against those services. The employer self-insures the cost of providing the health and dental benefits.
Administrative Services Only arrangement is most often chosen where annual aggregate claims can be reliably estimated and the employer has the financial resources to assume the risk that claims will be higher than expected. Therefore, it is most suitable for large employers. By choosing an Administrative Services Only arrangement, the employer hopes to achieve economies of scale by outsourcing the administrative function while retaining the financial benefits of good claims experience. The employer also benefits from an insurers claims management, thereby controlling claim costs which comprise the most significant portion of overall benefits costs. (courtesy Wawanesa Life)
Non-Evidence Maximum (NEM) or Non-Evidence Limit (NEL)
The maximum amount of life or long-term disability you can obtain without providing proof of good health.
Mandatory Enrolment
All eligible staff (usually full-time permanent) must participate in the benefit plan (similar to a condition of employment).
How are life, WI (STD) & LTD rates shown?
Life rates are per $1,000 of coverage, LTD rates are per $100 of coverage, WI(STD) rates are per $10 of coverage
Critical Illness
Provides a one time benefit in the event that one of a list of “critical illnesses” is diagnosed.
