Employee Benefit Funds Administration Ltd

Employee Benefit Funds Administration Ltd.


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Page updated: Apr 10, 2017

 

Health and Welfare Plan

 

Disclaimer

This very brief summary is intended to provide only an overview of the main features
of the Health & Welfare Plan. The amounts payable and all your rights under the
Health & Welfare Plan are governed by the actual wording of the Rules and
Regulations in the Electrical Industry Insurance Benefit Trust Fund of Alberta Health
& Welfare Plan Handbook
.

Eligibility

  • 300 hours reported by your employer to the Fund Office within 2-4 consecutive months
  • 1 month waiting period
  • Eligibility commences the first day of the month following the waiting period

Continuation

  • 120 hours per month deducted for one month of coverage

Hour Bank

  • The maximum bank of 1080 hours allows for nine months coverage in case of unemployment or leave of absence

Self Payments

  • Payments must be received in the Fund Office prior to losing your hour bank
  • Must be made continuously after your hour bank account expires

Years-Of-Service Bank

  • Contact the Fund Office to determine qualification at retirement

Summary of Benefits

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Life Insurance
  • Member  $ 150,000
  • Spouse   $   10,000
  • Child       $     2,000
  • Accidental Death $ 150,000 (Plan Member only)

Weekly Disability

  • $ 524 per week
  • Maximum of 50 weeks of disability, integrated with E.I.
  • E.I. sickness and accident benefit pays up to a 15 week maximum

Long Term Disability

  • $ 2,269 per month from 53rd week of disability
  • Accidental Injury - until no longer totally disabled, or until age 60, whichever occurs first
  • All other disabilities - until no longer totally disabled, or for 10 years, or until age 60, whichever occurs first
  • If requirements are met, a Plan Member who is younger than age 60, disabled and is receiving Long Term Disability benefits shall have 85 hours per month of Future Hours Credit contributed to the Electrical Industry Pension Trust Fund of Alberta

Hospitalization

  • Semi-Private room

Supplementary Health Expense

  • 100% of eligible covered expenses (e.g. epi-pens, smoking cessation aids, ambulance, artificial limbs, eye exams for medical purposes, orthopedic devices, physiotherapy, chiropractic, accupuncture, massage therapy, x-rays, certain maximums apply)

Prescription Drugs

  • 90% coverage

    Note: Calendar year limit of $10,000 for all eligible covered prescriptions drugs including the existing limit of $500 per person per calendar year for erectile dysfunction drugs. The Trustees reserve the right to modify this benefit.

Hearing Aids

  • $ 1,250 every 5 calendar years

Vision Care

  • Prescription glasses, contact lenses, or laser eye surgery, $ 500 every 2 calendar years for those 18 and over
  • $ 90 eye examination fee once every 2 calendar years
  • For insured under the age of 18 years the $ 500 is available each calendar year if required due to a prescription change
  • Exclusions - no allowances are provided for non-corrective lenses and repairs to glasses

Dental Care (Routine and Major Restorative)

  • 90% of the Schedule of Dental Fees, maximum $ 3,000 per calendar year
  • Oral Recall Examinations
  • Cleaning once per calendar year
  • Bitewing X-Rays
  • Extractions
  • Oral Surgery
  • Fillings
  • Anesthetic Oral Surgery
  • Root Canals
  • Pit & Fissure Sealants
  • Initial installation of removable partial or full denture
  • Replacement Denture once every 5 calendar years
  • Initial installation of fixed bridgework
  • Repair and Reline

Orthodontia

  • 90% of the Schedule of Dental Fees; separate $ 2,500 lifetime maximum per Plan Member or Dependent

Employee and Family Assistance

  • Voluntary and confidential short term counselling and advisory service that is available 24 hours a day, 7 days a week, 365 days a year
  • Call: 1-877-207-8833 (English)
    1-877-371-9978 (Hearing Impaired)
    1-877-307-1080 (French)


For more information, contact Employee Benefit Funds Administration Ltd.

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