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Frequently Asked Questions
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Supplementary Health Plan
● Dental Plan
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Short- and Long-Term Disability
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Reports from the Consultative
Committee on Staff Benefits
The following information outlines most of the major health
benefits available to staff and long term contract employees
of the CBC. Further details are contained in the Collective
Agreement or can be obtained through your local Human
Resources office or the national Guild office.
If you work as a permanent employee of CBC or if you are
contracted to work 13 weeks or longer, you are eligible for
the full range of health benefits. (NOTE: If you work fewer
than 13 weeks or work on a casual basis you are entitled to
receive a payment of 12.5% of your base salary in lieu of
benefits.)
There are three basic kinds of benefits:
Supplementary Health Care: includes prescription
drugs, hospital care, eye glasses, hearing aids, ambulance
transportation and much more. In some cases the benefits
"top up" provincial medicare plans. In others it provides
coverage for items not covered under provincial plans.
Coverage is provided by Great West Life Assurance Company
and most of the cost is paid by the CBC. Employees pay some
deductibles.
Dental: 90% coverage for basic care ("drill and
fill"), including fillings, extractions, cleaning, and
inspection every nine-months. As well, there is 50% coverage
for such things as major restorative (bridges and crowns)
and orthodontia (braces), although there are annual and
lifetime limits on some of this coverage. The plan
represents 1% of your basic salary. There are no
employee-paid premiums; the salary scales reflect the cost
of this plan.
Short-Term and Long-Term Disability: covers wages
lost by employees who become ill or disabled. Short-Term
Disability (STD) is paid for by the CBC and covers the first
85 days of illness. Long Term Disability (LTD) covers all
periods of longer than 85 days and can be in place until an
employee retires or dies. It is paid for by employees. This
ensures that the benefits are non-taxable.
Supplementary health plan details
Prescription drugs are covered 100%, with a $5.00 deductible
for each prescription, to a maximum of $150.00 a year.
Semi-private hospital rooms and Outpatient Services are 100%
covered and there is no deductible charges for these
services.
Other benefits: You are re-imbursed for 100% of the cost of
the following items or services, but each employee pays an
annual deductible of $75.00 (single) or $100.00 (family).
Once you’ve paid the deductible there are no additional
charges for these items or services:
• Eyeglasses or contact lenses: up to $240.00 every 24-month
period for each insured person in the plan. (a family of 5
with everyone requiring glasses could claim $240 X 5)
• Hearing aids: up to $500.00 every 60-month period for each
insured person in the plan
• Private hospital accommodation: to a maximum of $12 a day
• Convalescent hospital: to a maximum of 120 days per
calendar year.
• Out of province medical services
• Private out of hospital nursing
• Ambulance transportation
• Paramedical services
• Diabetic equipment and supplies
• Alcohol and drug addiction treatments
• Physiotherapy
• Orthopedic shoes: to a maximum of one pair for each 12
month period for adults and where reasonable for dependent
children under 18 years of age.
• One eye exam a year: where it is not covered by provincial
plans
• Services provided by chiropractors, osteopaths,
podiatrists, acupuncturists, naturopaths and licensed
masseurs are covered up to $500.00 per insured person per
year.
• Crutches, casts and other prosthetic devices such as
artificial limbs or eyes, splints, trusses, braces with
rigid supports are covered after reimbursement from your
provincial plan
In addition, 90% of the cost of the following services is
covered:
• psychologists
• speech therapy, to an annual maximum of $500
Dental plan details
The dental plan is corporate-wide and covers all employees
covered by a collective agreement, working outside the
province of Quebec and Moncton, N.B. There is no premium for
full time employees or contract employees who work one year
or longer. It is paid for as a part of CBC’s payroll. The
plan covers most normal dental work (checkups, extractions,
fillings, exrays, etc.)
It also covers 50% of the cost of major restorative (bridges
and crowns) and orthodontia (braces). There is an annual
limit of $1200.00 and there are lifetime limits on major
restorative work and orthodontia.
Details
on Short- and Long-term disability
These are actually two separate plans. Short Term Disability
(STD) is provided by the CBC and covers all sick leave up to
85 days. Beyond that, employees are covered by Long Term
Disability (LTD), which pays lost wages from the 86th day up
to retirement or death. LTD is an insurance plan provided by
Great West Life and paid for by employees. The benefits
provide 60% of an employee's wage and are not taxable.
Payments for Pension, Life Insurance and Health Care
Benefits are also covered by LTD insurance. STD coverage
varies depending on length of service:
|
Length of service |
100% of basic pay |
Two-thirds pay |
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3 months to 1 year |
10 working days |
75 working days |
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1 to 2 years |
20 working days |
65 working days |
|
2 to 3 years |
30 working days |
55 working days |
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3 to 4 years |
40 working days |
45 working days |
|
4 to 5 years |
50 working days |
35 working days |
|
5 to 6 years |
60 working days |
25 working days |
|
6 to 7 years |
70 working days |
15 working days |
|
7 years or longer |
85 working days |
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Long Term Disability provides wage replacement for employees
who are disabled from performing "60% of their own job." The
benefit is equal to 60% of your regular wage, (up to a
maximum of $2,700.00 per month) but is not taxable because
the premium is entirely employee paid. A disabled employees
must apply for this coverage and that application must be
accompanied by supporting medical information...generally
from a specialist. After the first two years the definition
of disability changes.
In order to qualify for continuing benefits you must be
disabled from performing "any job" in which you can earn 60%
of your "pre-disability wages." In other words the ability
to perform your former job is no longer the determining
factor in deciding eligibility for benefits.
(NOTE: LTD and the rules concerning your eligibility for it
can sometimes be very complicated. If you are ill or are
diagnosed with an ailment which could lead to LTD, you
should ensure the proper documents are being provided. If
you are having any problems call your Guild representative)
Frequently Asked
Questions
Q - I need a significant amount of dental work; how can I
get the maximum benefit from the Dental Plan?
A - Depending on the type of treatment you require, you
should attempt to stagger your treatments over two calendar
years. In this way you can make the most of your "annual
maximums." (NOTE: Some coverage has "lifetime maximums.")
Also remember that all maximums are based on a per
individual basis. In other words, each family member has
her/his own maximum.
Q - I had a prescription filled several months ago but
I’ve lost it; can I still get it covered?
A - Yes, your pharmacist will give you a "copy" of your bill
and, if you haven’t claimed it previously, it will be
covered by the plan. There is, however, a six month limit to
coverage unless there are unusual circumstances. (NOTE:
Forms for all benefits under the Supplementary Health Care
Plan can be obtained through your local Human Resources
office.)
Q - I’ve been rejected for Long-Term Disability even
though my family doctor says I shouldn’t or can’t go back to
work; is there anything I can do?
A - Yes. It is not up to your doctor to decide if you
qualify for disability insurance. The insurance company
makes that decision based on the medical evidence provided
to it. Your doctor can provide additional information to
support your claim or can refer you to a specialist. You are
only considered disabled if you're are unable to perform 60%
of your job on an ongoing basis. If the insurance company
denies your application, you can have that decision
appealed. If it is still rejected and you still believe you
should be eligible for coverage, you can have your case
"adjudicated." This is a hearing conducted on your behalf by
a representative from the Guild. If you are denied LTD
benefits, you should contact the Guild office as soon as
possible. (NOTE: Make sure your application for LTD has been
submitted well before your Short Term Disability has ended).
Q - Does our plan cover eyeglasses or contacts?
A - Yes. Up to $240.00 every two years. (For each family
member if you have family coverage). Coverage includes both
lenses and frames.
Q - Do I have any life insurance at CBC?
A - Yes. Every employee has life insurance equal to their
annual wage. You can purchase up to an additional four times
your annual wage. There is also"term life" coverage
available, which is a good option if you have young children
because it provides more coverage, at a lower rate, when
it’s most needed. Also you can buy insurance for your spouse
(up to $15,000) and/or your children (up to $7,500).
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