BENEFIT SUMMARY

Plan members and their dependents are eligible to be insured for the following benefits for the plan year April 1, 2007 to March 31, 2008. If you were a member on April 1st, you received correspondence confirming your benefit level. If you are a new member, you are eligible for benefit level 01. You may pay the cost of upgrading to benefit level 02. You may pay the cost of upgrading to benefit level 02 ninety (90) days after you become a plan member.

Each year the Board of Trustees will decide upon the benefits that members and their eligible dependents will receive for the 12 month plan year starting April 1st.

You will receive benefit coverage under this Plan as long as you are a member in good standing of I.A.T.S.E. Local 667 or Local 669. Your benefits will be based on the contribution balance and pay direct payments you make to the Plan.

BENFIT LEVEL 01 
You will receive this benefit if you are not eligible for Benefit 02, 03, 04.

Benefit Level 02 (default) 
You will receive this benefit if your contribution balance plus your pay direct payment, when applicable, totals at least $811.31 (8% sales tax must be paid on pay direct payments by Ontario and Quebec residents).

Benefit Level 03 (default) 
You will receive this benefit if your contribution balance plus your pay direct payment, when applicable,  totals at least $1,662.44 (8% sales tax must be paid on pay direct payments by Ontario and Quebec residents).

OR, you may wish to opt for:

Benefit Level 02 which will include an $850.00 health spending benefit (not available for purchase).

Benefit Level 04 (default)  
You will receive this benefit if your contribution balance plus your pay direct payment, when applicable,  totals at least $2,789.39 (8% sales tax must be paid on pay direct payments by Ontario and Quebec residents).

OR, you may wish to opt for:

Benefit Level 03 which will include an $1,100.00 health spending benefit (not available for purchase).  

Please Note:  

       For those members who have a contribution balance totaling at least $5,284.08 to $11,157.55,
      you will automatically qualify for Benefit 04 with an $1,100.00 health spending benefit (not available
      for purchase)
.

       For those members who have a contribution balance totaling $11,157.56,  you will automatically
      qualify for Benefit 04 with a $2,789.39 health spending benefit (not available for purchase).

Coverage By Benefit Level

Benefit

Plan Members

         Dependents

Life Insurance

01 

02 03 04

Accidental Death & Dismemberment Benefit

 

02 03 04

Critical Condition Benefit

02 03 04

Member & Family Assistance Program

01

02 03 04

01

02 03 04

Alcohol & Drug Counseling Program

01

02 03 04

01

02 03 04

Dental Benefit

02 03 04

 

02 03 04

Health Care Benefit

02 03 04

02 03 04

DENTAL BENEFIT

Benefit levels 02, 03, 04 for plan members & eligible family members.

The dental care benefit includes basic and restorative services as covered expenses.

Benefit levels 04 (default) & benefit level 04 with health spending benefit also includes major services & orthodontics (eligible dependants under the age of 19) as covered expenses.

MEDICAL BENEFIT

Benefit levels 02, 03, 04 for plan members & eligible family members. The medical benefit includes the following benefits as eligible expenses:

  • Hospital
  • Drugs
  • Medical Services and Supplies
  • Out of Province/Country and Emergency Travel Assistance 
  • Vision Care for benefit levels 03 (default), level 04 (default), level 03 with health spending benefit and level 04 with health spending benefit.

If you are a Canadian resident and incur any of the above eligible medical care expenses outside your province of residence, reimbursement will be based on the reasonable and customary charges for the area in which they are incurred.

The provincial medicare plan in your province of residence must reimburse any eligible expenses prior to reimbursement under the I.A.T.S.E. Health & Welfare Benefit Plan.

Please remember, in order to maintain eligibility for coverage, a Plan Member must maintain membership in good standing in I.A.T.S.E., Local 667 or Local 669 and subject to any age and residency requirements.

PLAN MEMBERS WHO RESIDE OUTSIDE OF CANADA

If you and your dependents are eligible to receive Benefit Level 01 coverage but you are a Plan Member who resides outside of Canada, your coverage includes:

Life Insurance

If you and your dependents are eligible to receive Benefit Level 02, 03, or 04 coverage but you are a Plan Member who resides outside of Canada, your coverage includes:

  • Life Insurance

  • Accidental Death & Dismemberment Insurance

  • Dental Benefits for services incurred in Canada, U.S.A., United Kingdom, Australia or New Zealand

  • Member & Family Assistance Counseling (Canada & U.S.A. only)

You and your dependents are not eligible to receive coverage for:

  • Critical Condition Benefits

  • Member and Family Assistance Program

  • Weekly Disability

  • Medical Care Benefits

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