| Note: The following is for information purposes only. It is a summary of the provisions of the Group Policy. In the event of a discrepancy between this document and the Policy, the terms of the Group Policy will prevail. |
Core Benefits
- Group Life and Accidental Death & Dismemberment Insurance Benefits Summary
- You are eligible for Life Insurance coverage if you are an active full-time employee working at least 20 hours per week.
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Benefit Amounts All employees – Life and AD&D Benefit 1 times annual earnings to a maximum of $250,000 Non-Medical Life Maximum $250,000 Overall Life Maximum $250,000 Reduction Formula 50% at age 65, terminate at age 70 Waiver of Premium 120 days, 2 Year Own Occupation Definition Features:
Life Accelerated/Living Benefits Conversion Privilege Waiver of Premium 2 Year Rate Guarantee AD&D Paralysis Benefits: 200% not to exceed a maximum of $1,000,000 Waiver of Premium: prior to age 65 and must be total disabled for 120 days Continuation of Coverage: to end of month due to layoff or leave of absence (excludes strike) Conversion Privilege: up to a maximum of $100,000 Exposure & Disappearance: one year limit Education Benefit: lesser of 3% of principal sum or $5,000/year; maximum 4 years (lump sum of $1,000) Family Transportation: up to a maximum of $2,500 Rehabilitation Benefit: up to a maximum of $10,000 Repatriation Benefit: up to a maximum of $10,000 (minimum 50km) Spousal Retraining: up to a maximum of $10,000 Day Care Benefit: lesser of 5% of principal sum, or $5,000/year; maximum 4 years (lump sum of $1,000) Home Alteration/Vehicle Modification: up to a maximum of $10,000 Hospital Indemnity: daily benefit equal to 1/30th of principal sum; monthly maximum of $1,000; maximum of 12 months Exclusions: standard, including war, pilot/crew, owned, leased or operated aircraft Schedule of Losses Loss The benefit will be: Life the principal sum Both hands or both feet the principal sum Sight of both eyes the principal sum One hand and one foot the principal sum One hand or one foot and the sight of one eye the principal sum Speech and hearing in both ears the principal sum One leg or one arm 3/4 the principal sum Either hand or foot 2/3 the principal sum Speech or hearing in both ears 2/3 the principal sum Sight of one eye 2/3 the principal sum Thumb or index finger or four fingers of the same hand 1/3 the principal sum Hearing in one ear 1/6 the principal sum All toes of one foot 1/8 the principal sum Quadriplegia (total and irreversible paralysis of all four limbs) 2 times the principal sum Paraplegia (total and irreversible paralysis of both lower limbs) 2 times the principal sum Hemiplegia (total and irreversible paralysis of one arm and one leg on the same side of the body) 2 times the principal sum Loss of use of:
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| Both hands or arms: | the principal sum |
| One arm or one leg: | 3/4 the principal sum |
| One hand or one foot: | 2/3 the principal sum |
* Not more than one of these sums (the greater) will be paid for injuries resulting from the same accident. In addition, not more that the aggregate of the Principal sum will be paid for injuries resulting from the same accident.
- Group Dependent Life Insurance Benefits Summary
- You are eligible for Life Insurance coverage if you are an active full-time employee working at least 20 hours per week.
| Benefit Amounts | |
| Spouse | $10,000 |
| Child 14 days to 21 or 25 if student | $5,000 |
- Long Term Disability Income Protection Insurance
- You are eligible for Long Term Disability Income Protection Insurance if you are an active full-time employee working 20 hours per w
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Plan Details Monthly Benefit: The least of items 1, 2 or 3 below:
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- 66.6667% of the first $2,250 of pretax monthly earnings plus 50% of the next $3,500 of pretax monthly earnings, less 100% of direct and indirect deductible sources of income;
- If the monthly benefit is taxable, 85% of pretax monthly earnings, less 100% of direct and indirect deductible sources of income; or if the monthly benefit is nontaxable, 85% of post-tax monthly earnings, less 100% of direct and indirect deductible sources of income
- 40% to $7,000, the maximum monthly benefit
No Evidence Maximum (NEM):$7,000Definition of Disability:
| 2 Year Regular Occupation | |
| Partial Disability | |
| Work Incentive Benefit during the first 12 months of disability payments |
Elimination Period:
| 120 days | |
| 30 day accumulation feature |
Benefit Duration:To age 65, but not less than one yearCPP/QPP Integration:Primary only direct offsetsOptional Plan Features:Cost of living adjustment of 3% beginning after 1 year
| Plan Features | ||||||||||||||||||||||||||||||||||||||||||||
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| Coverage Exclusions | ||||||||||||||||||
*A Pre-Existing Condition means the insured employee:
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| Coverage Termination | ||||||||||||
An employee’s coverage under the plan will end on the earliest of:
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- LTD Coverage Highlights & Descriptions
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Group Long Term Disability Income Protection Benefits that recognize and support the realities of daily life are the true value to employees today, whether or not they have a disability. With this in mind, Group LTD Income Protection has been designed to match the full spectrum of employer needs more effectively than ever before. RBC Insurance’s Group LTD Income Protection Program offers these family focused benefits and support services: Work-life Balance Employee Assistance Program: provides access to a comprehensive employee assistance and work-life program for the insured employee and their family, to help manage workplace stress and deal more effectively with personal issues ranging from severe to everyday problems. As an additional feature, the program includes the OnClaim Support Service. Dependent Care Benefit: pays an additional $350 per dependent per month, to an overall family maximum of $1,000, to disabled employees who are receiving LTD payments while participating in the Rehab/Return to Work Assistance Program. Best Doctors® Best Doctors® provides employees with a unique combination of information and access to the best medical care when it matters most. If If diagnosed with a serious illness or injury, an employee can access a “second opinion” through a comprehensive medical evaluation performed by the Best Doctors® expert team of physicians.Using its global database of over 50,000 renowned physicians, Best Doctors® works directly with the employee’s treating physician to access and consult with the top medical experts to re-define or confirm an employee’s medical diagnosis and treatment protocol, as well as locate the most qualified specialists meeting their specific medical needs.Best Doctors® offers ongoing assistance with hospital admittance, medical appointments, cost estimates, billing review, as well as travel and lodging arrangements should the employee need to travel outside Canada for appropriate treatment.Finally, Best Doctors® will continue to monitor the treatment process to ensure the employee’s medical needs are being met.Refer to Best Doctors® brochure for a complete listing of covered illnesses and injuries. Rehabilitation & Return to Work Assistance Program Provides a rehabilitation and return to work assistance benefit for disabled employees who are receiving LTD payments, and who are medically able to participate. RBC Insurance will determine eligibility for this program. Cost of Living Adjustment (COLA) Provides a monthly cost of living adjustment after the insured has been disabled and receiving monthly payments for a defined period of time. The cost of living adjustment will be added to the monthly payment each month. Return to Work Program Development As part of RBC Insurance’s Return to Work program development, we provide a return-to-work prescription for the employer that is available online at no additional charge. Web-based www.WorkRx.com and user friendly, this service is a premier resource to enable the employer to develop their own return to work program, or improve an existing one.We also offer, for an additional fee, custom Return to Work program development services. This level of service is available to larger employers who desire to access the services of a senior Return-to-Work Program Developer. With purchase of this program, the employer can access: A comprehensive analysis of their present return to work capacity Program development services that create a unique and personalized return to work blueprint for their company Intensive program implementation services, first through a pilot and ultimately throughout their entire organization, and Leadership development and mentoring services to enable the ongoing maintenance of the benefits of their own return to work program.
- Employee Assistance Program
- Best Doctors®
Optional Benefits
- Health & Dental – Plan A
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Extended Health Care Benefit Description Deductible $50 Single, $100 Family per calendar year. N/A to Drugs, Hospital & Vision Co-Insurances 80% Hospital Semi-private Maximum Unlimited Convalescent Hospital $20/day, 120 day maximum Professional Services
Chiropractor, Osteopath, Naturopath, Podiatrist, Massage Therapist, Physiotherapist, Psychologist, Audiologist & Speech Therapist$300 per practitioner Vision Nil Hearing Aids $400 every 5 calendar years Orthopedic Shoes $200 every 2 calendar years Private Duty Nursing $25,000 every 3 calendar years Emergency Travel Assist Yes Plan Maximum $1,000,000 lifetime per person Termination Age 70 Drug Benefit Description Co-Insurance 80% Generic (or Brand Name if no Generic equivalent) Drug Card Pay Direct Card Maximum Unlimited Dental Benefit Description Deductible $50 Single, $100 Family Basic Services 80% Maximum per Individual $1,000 per year Major Services Nil Recall Every 6 months Termination Age 70
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- Health & Dental – Plan B
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Extended Health Care Benefit Description Deductible Nil Co-Insurances 80% Hospital Semi-private Maximum Unlimited Convalescent Hospital $20/day, 120 day maximum Professional Services
Chiropractor, Osteopath, Naturopath, Podiatrist, Massage Therapist, Physiotherapist, Psychologist, Audiologist & Speech Therapist$500 per practitioner Vision $300 every 2 calendar years Hearing Aids $400 every 5 calendar years Orthopedic Shoes $200 every 2 calendar years Private Duty Nursing $25,000 every 3 calendar years Emergency Travel Assist Yes Plan Maximum $1,000,000 lifetime per person Termination Age 70 Drug Benefit Description Co-Insurance 80% Generic (or Brand Name if no Generic equivalent) Drug Card Pay Direct Card Maximum Unlimited Dental Benefit Description Deductible Nil Basic Services 80% Maximum per Individual Combined with Major Services Major Services 50% Maximum per Individual $2,000 per year combined with Basic Services Recall Every 6 months Termination Age 70
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- Health & Dental – Plan C
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Extended Health Care Benefit Description Deductible Nil Co-Insurances 100% Hospital Semi-private Maximum Unlimited Convalescent Hospital $20/day, 120 day maximum Professional Services
Chiropractor, Osteopath, Naturopath, Podiatrist, Massage Therapist, Physiotherapist, Psychologist, Audiologist & Speech Therapist$750 per practitioner Vision $400 every 2 calendar years Hearing Aids $400 every 5 calendar years Orthopedic Shoes $300 every 2 calendar years Private Duty Nursing $25,000 every 3 calendar years Emergency Travel Assist Yes Plan Maximum $1,000,000 lifetime per person Termination Age 70 Drug Benefit Description Co-Insurance 100% Generic (or Brand Name if no Generic equivalent) Drug Card Pay Direct Card Maximum Unlimited Dental Benefit Description Deductible Nil Basic Services 100% Maximum per Individual Unlimited Major Services 50% Maximum per Individual $2,000 per year Recall Every 6 months Termination Age 70
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- Health & Dental – Side by Side Comparison
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Extended Health Care Benefit Plan A Plan B Plan C Deductible $50 Single, $100 Family per calendar year. N/A to Drugs, Hospital & Vision Nil Nil Co-Insurances 80% 80% 100% Hospital Semi-private Semi-private Semi-private Maximum Unlimited Unlimited Unlimited Convalescent Hospital $20/day, 120 day maximum $20/day, 120 day maximum $20/day, 120 day maximum Professional Services
Chiropractor, Osteopath, Naturopath, Podiatrist, Massage Therapist, Physiotherapist, Psychologist, Audiologist & Speech Therapist$300 per practitioner $500 per practitioner $750 per practitioner Vision Nil $300 every 2 calendar years $400 every 2 calendar years Hearing Aids $400 every 5 calendar years $400 every 5 calendar years $400 every 5 calendar years Orthopedic Shoes $200 every 2 calendar years $200 every 2 calendar years $300 every 2 calendar years Private Duty Nursing $25,000 every 3 calendar years $25,000 every 3 calendar years $25,000 every 3 calendar years Emergency Travel Assist Yes Yes Yes Plan Maximum $1,000,000 lifetime per person $1,000,000 lifetime per person $1,000,000 lifetime per person Termination Age 70 Age 70 Age 70 Drug Benefit Plan A Plan B Plan C Co-Insurance 80% Generic (or Brand Name if no Generic equivalent) 80% Generic (or Brand Name if no Generic equivalent) 100% Generic (or Brand Name if no Generic equivalent) Drug Card Pay Direct Card Pay Direct Card Pay Direct Card Maximum Unlimited Unlimited Unlimited Dental Benefit Plan A Plan B Plan C Deductible $50 Single, $100 Family Nil Nil Basic Services 80% 80% 100% Maximum per Individual $1,000 per year Combined with Major Services Unlimited Major Services Nil 50% 50% Maximum per Individual Nil $2,000 per year combined with Basic Services $2,000 per year Recall Every 6 months Every 6 months Every 6 months Termination Age 70 Age 70 Age 70
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- Emergency Travel Assistance (ManuAssist)
- Click here for information on emergency assistance when traveling outside of Canada.
Voluntary Benefits
- Voluntary Life Benefits
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Description of Benefits All active full-time employees working 20 hours a week are eligible to apply for Voluntary Life Insurance. You must submit an Evidence of Insurability form to purchase any Voluntary Life Insurance.RBC Insurance will review information provided in your Evidence of Insurability form and either approve or decline your request for Voluntary Life Insurance. Please visit the Forms section of the website to download the Voluntary Life Application form and Evidence of Insurability form. Employee Available in units of $10,000 to a maximum of $500,000 Spouse Available in units of $5,000 to a maximum of 50% of the Employee amount Each Child Available in units of $2,000 to a maximum of $10,000. Note: Child maximum amount is subject to 50% of the Employee amount and is limited to $10,000.
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- Voluntary Life Unit Rates
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Age Band Non-smoker per $10,000 Smoker per $10,000 Spouse per $5,000 0 to 24 0.43 0.74 0.26 25 to 29 0.38 0.68 0.26 30 to 34 0.45 0.82 0.31 35 to 39 0.69 1.21 0.48 40 to 44 0.90 1.97 0.82 45 to 49 1.34 2.99 1.35 50 to 54 2.36 5.10 2.16 55 to 59 3.82 7.82 3.00 60 to 64 6.61 12.19 4.28 65 to 69 14.18 22.76 6.38 70 to 74 25.47 38.65 10.63 75+ 53.52 67.21 25.95 Child – 0.22 per $2,000 of benefit.
Example Age
Life Volume Unit Volume
Unit Rate
Cost
Employee 24
=
$50,000 =
5
x
0.430
=
$2.15
Spouse 24
=
$25,000 =
5
x
0.260
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$1.30
Child(ren) 10
=
$4,000 =
2
x
0.220
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$0.44
Total per pay cheque cost $3.89
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- Voluntary Critical Illness
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Critical Illness Insurance Rates Guaranteed Acceptance Benefit $22.00 per month per employee Spouse $22.00 per month for spouse
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