Group Benefit Plan - home

Employee Life Insurance
Short Term Disability Income Benefits
Long Term Disability Income Benefits
Health care
Dental Care
Commencement and Termination of Coverage
Survivor Benefits
Dependent Coverage
Employee Life Insurance
Short Term Disability (Std) Income Benefits
Long Term Disability (Ltd) Income Benefits
Health Care
Vision Care
Global Medical Assistance Program
Out-Of-Province Care
Dental Care
Coordination of Benefits


Great-West Life is a leading Canadian life and health insurer. Great- West Life’s financial security advisors work with our clients
from coast to coast to help them secure their financial future. We provide a wide range of retirement savings and income plans;
as well as life, disability and critical illness insurance for individuals and families. As a leading provider of employee benefits in Canada,
we offer effective benefit solutions for large and small employee groups.
 
Great-West Life Online
 
Information and details on Great-West Life’s corporate profile, our products and services, investor information,
news releases and contact information can all be found at our website
http://www.gwl.ca.
 
This web page describes the principal features of the group benefit plan sponsored by your employer, but Group Policy No. 154850
issued by Great-West Life is the governing document. If there are variations between the information in the booklet and the provisions
of the policy, the policy will prevail.
 
The Plan is underwritten by
THE Great-West Life ASSURANCE COMPANY

Protecting Your Personal Information
 
At
Great-West Life, we recognize and respect the importance of privacy. When you apply for coverage or benefits,
we establish a confidential file of personal information. We limit access to personal information in your file to
Great-West Life staff or persons authorized by Great-West Life who require it to perform their duties, to persons
to whom you have granted access, and to persons authorized by law.
 
We use the personal information to administer the group benefit plan under which you are covered.
This includes many tasks, such as:
 
• determining your eligibility for coverage under the plan
• enrolling you for coverage
• assessing your claims and providing you with payment
• managing your claims
• verifying and auditing eligibility and claims
• underwriting activities, such as determining the cost of the plan, and analyzing the design options of the plan
• preparing regulatory reports, such as tax slips
 
We may exchange personal information with your health care providers, your plan administrator, other insurance or
reinsurance companies, administrators of government benefits or other benefit programs, other organizations, or service
providers working with us when necessary to administer the plan.
 
All claims under this plan are submitted through you as plan member. We may exchange personal information about
claims with you and a person acting on your behalf when necessary to confirm eligibility and to mutually manage the claims.
For more information about our privacy guidelines, please ask for GreatWest Life’s Privacy Guidelines brochure.

Benefit Summary
 
This summary must be read together with the benefits described
in this booklet.
 
Employee Life Insurance
 
Effective May 1, 2003                                                               $82,000
Effective May 1, 2004                                                               $84,050
Effective May 1, 2005                                                               $85,750
Effective May 1, 2006                                                               $87,450
Effective May 1, 2007                                                               $89,200
 
Short Term Disability Income Benefits

Waiting Period *
 
Injury                                                                                       No waiting period
 
Disease/Sickness                                                                     3 days
 
1 day if the disease/sickness requires kidney analysis, chemotherapy, radiation or other similar recurring treatments
If you are hospitalized or have day surgery before the last day of the waiting period for disease/sickness, benefits will
begin on the day you are hospitalized or the surgery is performed
 
* You should consult your physician within the first five days of disability

Maximum Benefit Period                                                           52 weeks
 
Amount
 
Employees who earn less than $15.50 per hour                     $415
 
Employees who earn $15.50 per hour or more                       $420 plus an additional $5 for each additional $.25 of earnings you receive over $15.50


   
Maximum Weekly Benefit
 
Effective May 1, 2003                                                               $640
Effective May 1, 2004                                                               $655
Effective May 1, 2005                                                               $670
Effective May 1, 2006                                                               $685
Effective May 1, 2007                                                               $700

Long Term Disability Income Benefits
Waiting Period                                                                         52 weeks from original date of disability
 
Amount                                                                                    50% of your monthly earnings to a maximum benefit of $7,500
 
                                                                                                Any amount of LTD insurance over $3,500 is subject to approval of evidence of insurability

Health Care

Deductibles
 
Individual                                                                                $10 each calendar year
Family                                                                                      $25 each calendar year

The individual and family deductibles do not apply to In-province  Private Hospital, Chronic Care, Out-of-province Care and Global
Medical Assistance expenses
 
Reimbursement Levels

In-province Semi-Private Hospital,
Chronic Care, Out-of-province
Care and Global Medical
Assistance Expenses                                                               100%

All Other Expenses                                                                  80% until $4,000 of benefits have been paid to you and your
                                                                                                dependents in a calendar year and 100% for the remainder of the calendar year

Basic Expense Maximums

In-province Hospital                                                                 Private room
 
Convalescent Hospital                                                              Semi-private room
 
Home Nursing Care                                                                  720 hours each calendar year
 
Chronic Care                                                                            Semi-private room $25 per day
 
In-province Prescription Drugs                                                 Included
 
Hearing Aids                                                                            $600 every 3 years (for eligible children only)
 
In-province Ambulance                                                            $500 each calendar year

Custom-fitted Orthopedic Shoes                                              1 pair every 12 months for a maximum of $400 per pair
 
Custom-made Foot Orthotics                                                   $250 each calendar year
 
Myoelectric Arms                                                                      $10,000 per prosthesis
 
External Breast Prosthesis                                                      1 every 12 months

Surgical Brassieres                                                                  2 every 12 months
 
Mechanical or Hydraulic Patient Lifters                                     $2,000 per lifter once every 5 years
 
Outdoor Wheelchair Ramps                                                     $2,000 lifetime
 
Blood-glucose Monitoring Machines Included
Transcutaneous Nerve Stimulators                                          $700 lifetime
 
Extremity Pumps for Lymphedema                                           $1,500 lifetime
 
Custom-made Compression Hose                                            $100 each calendar year
 
Wigs or Hairpieces for Patients suffering from
Cancer or Alopecia                                                                   $500 lifetime
 
Intra-uterine Devices Included
 
Out-of-province
Non-emergency Care                                                               $50,000 lifetime
 
Out-of-province Care
(Emergency and Non-emergency combined)                            $1,000,000 lifetime
 
Paramedical Expense Maximums
 
Acupuncturists                                                                         $150 per person each calendar year
 
Chiropractors                                                                           $150 per person or $500 per family each calendar year
(including $10 per person for x-rays each calendar year)
 
Massage Therapists                                                                 $300 per person each calendar year
 
Naturopaths                                                                            $150 per person or $500 per family each calendar year
 
Osteopaths                                                                              $150 per person or $500 per family each calendar year
(including $10 per person for x-rays each calendar year)
 
Podiatrists                                                                               $150 per person or $500 per family each calendar year
(including $10 per person for x-rays each calendar year)

Physiotherapists                                                                      $300 per person each calendar year
 
Psychologists                                                                           $350 per person each calendar year
 
Speech Therapists                                                                   $100 per person each calendar year
 
Vision care Expense Maximum
 
Glasses and Contact Lenses                                                   $350 every 24 months
 
Lifetime Healthcare Maximum                                                   Unlimited
 
Dental Care
 
Payment Basis The dental fee guide in effect in your province of residence on the date treatment is rendered

Deductible                                                                                Nil
 
Reimbursement Levels
 
Basic Coverage                                                                        90%
Major Coverage                                                                       50%
Orthodontic Coverage                                                              50%
 
Plan Maximums
 
Orthodontic Treatment                                                            $3,500 lifetime
All Other Treatment                                                                 Unlimited

COMMENCEMENT AND TERMINATION OF COVERAGE
 
You are eligible to participate in the plan after 40 days of continuous employment. You are considered continuously employed
only if you satisfy the actively at work requirement throughout the eligibility waiting period.
 
• You and your dependents will be covered as soon as you become eligible.
   You may waive health and dental coverage if you are already covered for these benefits under your spouse’s plan.
   If your coverage under your spouse’s plan terminates, you must apply for coverage under this plan no later than 60 days
   after termination. After 60 days, you must provide evidence of insurability for you and your dependents before you can participate.
   Your dental benefits will be subject to certain restrictions.
 
• You must be actively at work when coverage takes effect, otherwise the coverage will not be effective until you return to work.
   Increases in your benefits while you are covered by this plan will not become effective unless you are actively at work.
 
• Temporary, part-time and seasonal employees may not join the plan.
   Your coverage terminates when your employment ends, you are no longer eligible, or the policy terminates, whichever is earliest.
 
• Your dependents’ coverage terminates when your insurance terminates or your dependent no longer qualifies, whichever is earlier.
 
• When your coverage terminates, you may be entitled to an extension of benefits under the plan. Your employer will provide you with details.

Survivor Benefits
 
If you die while your coverage is still in force, the health and dental benefits for your dependents will be continued for a period
of 12 months or until they no longer qualify, whichever happens first, provided they have no other coverage.
 
DEPENDENT COVERAGE

Dependent means:
 
• Your spouse, legal or common-law.
 
A common-law spouse is a person who has been living with you in a conjugal relationship for at least 12 months.
• Your unmarried children under age 21. Full-time students are covered without age limit.
   Children under age 21 are not covered if they are working more than 30 hours a week, unless they are full-time students.
   Children who are incapable of supporting themselves because of physical or mental disorder are covered without age limit if the
   disorder begins before they turn 21, or while they are students, and the disorder has been continuous since that time.

EMPLOYEE LIFE INSURANCE
 
You may name a beneficiary for your life insurance and change that beneficiary at any time by completing a form available from your
employer. On your death, your employer will explain the claim requirements to your beneficiary. Great-West Life will pay your life
insurance benefits to your beneficiary.
 
• You are entitled to waiver of premium benefits after you have been continuously disabled for 52 weeks from original date of disability.
   You will be considered disabled during the period you are entitled to receive Long Term Disability benefits.
 
• If any or all of your insurance terminates, you may be eligible to apply for an individual conversion policy without providing
   proof of your insurability. You must apply and pay the first premium no later than 31 days after your group insurance terminates.
   See your employer for details.
 
SHORT TERM DISABILITY (STD) INCOME BENEFITS
 
The plan provides you with benefits to replace income lost because of a disability due to disease/sickness or injury.
Benefits begin after the waiting period is over and continue until you are no longer disabled, until the end of the benefit
period, until you reach age 65 or retire, whichever comes first. However, if disability began prior to age 65, STD benefits
will continue until you have received at least 15 weeks of benefits, or until you are no longer disabled or retire, whichever comes first.
 
Check the Benefit Summary for the benefit amount, waiting period and benefit period.
 
• STD benefits are payable after the waiting period if disease/sickness or injury prevents you from doing your own job.
   You are not considered disabled if you can perform a combination of duties that regularly took at least 60% of your time to complete.
 
• Benefits will not be payable until after your first visit to the physician. However, if you consult your physician within the
   first five days of disability, benefits will be payable at the end of the waiting period.

• Separate periods of disability arising from the same disease/sickness or injury are considered to be one period of disability
   unless they are separated by at least 2 weeks of continuous full-time work.
 
• Because your employer contributes to the cost of STD coverage, benefits are taxable.

Other Income

Your STD benefit is reduced by other income you are entitled to receive
while you are disabled. Other income includes:
 
• disability benefits you or another member of your family is entitled to on the basis of your disability under the Canada or
   Quebec Pension Plan that are paid directly to you, except for increases that take effect after the benefit period starts
 
• benefits under any Workers’ Compensation Act or similar law
 
• benefits under a legislated automobile insurance plan where permitted by law
 
Earnings received from an approved rehabilitation plan or program are not used to reduce your STD benefit unless those earnings,
together with your income from this plan and the other income listed above, would exceed your weekly earnings before you
became disabled. If it does, your benefit is reduced by the excess amount.

Vocational Rehabilitation Benefits

Vocational rehabilitation involves a work related activity or training strategy that is designed to help you return to gainful employment
and a more productive lifestyle. A plan or program will be approved if it is appropriate for the expected duration of your disability and
it facilitates your earliest possible return to work.

Medical Coordination Benefits
 
Medical coordination is a process of early involvement to ensure that you are diagnosed quickly and receive appropriate treatment on a timely basis.
The goal is to enable you to return to work as early as possible and to prevent the disability from becoming long term or permanent.
 
Limitations
 
No benefits are paid for:
 
• Any period in which you do not participate or cooperate in a prescribed plan of medical treatment appropriate for your condition.
   Depending on the severity of the condition, you may be required to be under the care of a specialist.
   If substance abuse contributes to your disability, the treatment program must include participation in a recognized substance withdrawal program.
 
• The scheduled duration of a lay-off or leave of absence. However, if disability began prior to notice of lay-off, STD benefits
   will continue until you have received at least 15 weeks of benefits or until you are no longer disabled or retire, whichever comes first.
   This does not apply to any portion of a period of maternity leave during which you are disabled due to pregnancy.
 
• Any period of employment, except in an approved rehabilitation plan or program.
 
• Any period after you fail to participate or cooperate in an approved rehabilitation plan or program.

• Any period after you fail to participate or cooperate in a recommended medical coordination program.
 
• Disability due to or associated with cosmetic treatment.

• Any period of confinement in a prison or similar institution.

• Disability arising from war, insurrection or voluntary participation in a riot.

• Any claim submitted more than 90 days after the onset of your disability.
 
• Any period during which you are receiving long term disability benefits under the recurrence provision of your employer’s
   long term disability plan
 
How to Make a Claim
 
Notify your employer of your disability as soon as possible. Obtain an Employee Claim Submission Guide (form M5454) from
your employer and follow the guides instructions. Please ensure that your claim is submitted to Great-West Life within 10 days
after the onset of your disability for prompt assessment of your claim, but never more than 90 days after the onset of your disability.
 
LONG TERM DISABILITY (LTD) INCOME BENEFITS
 
The plan provides you with benefits to replace income lost because of a lengthy disability due to disease/sickness or injury.
Benefits begin after the waiting period is over and continue until you are no longer disabled as defined by the policy or you
reach age 60 (if you have less than 11 years of service) or age 65 (if you have 11 years or more of service), whichever comes first.
Check the Benefit Summary for the benefit amount and waiting period.
 
If disability is not continuous, the days you are disabled can be accumulated to satisfy the waiting period as long as no interruption
is longer than 2 weeks and the disabilities arise from the same disease/sickness or injury. If your STD benefits are still being paid
when the waiting period ends, the waiting period will be extended until the end of the STD benefit period, but not later than one
year after your disability started.

• LTD benefits are payable for the first 18 months following the waiting period if disease/sickness or injury prevents you from
  doing your own job. You are not considered disabled if you can perform a combination of duties that regularly took at least
  60% of your time to complete.
 
• After 18 months, LTD benefits will continue only if your disability prevents you from being gainfully employed in any job.
  Gainful employment is work you are medically able to perform, for which you have at least the minimum qualifications, and
   provides you with an income of at least 50% of your indexed monthly earnings before you became disabled.

• After the waiting period, separate periods of disability arising from the same disease/sickness or injury are considered to be
   one period of disability unless they are separated by at least 6 months.
 
• Because your employer contributes to the cost of LTD coverage, benefits are taxable.
 
• Your LTD insurance terminates when you reach age 65.
 
Other Income
 
Your LTD benefit is reduced by other income you are entitled to receive while you are disabled, but your LTD benefit will never be
lower than $25 per month. Your benefit is first reduced by:
 
• disability benefits you or another member of your family is entitled to on the basis of your disability under the Canada or
Quebec Pension Plan that are paid directly to you, except for increases that take effect after the benefit period starts
 
• retirement benefits under the Canada or Quebec Pension Plan, except for increases that take effect after the benefit period starts
 
• benefits under any Workers’ Compensation Act or similar law

There is a further reduction of your LTD benefit if the total of the income listed below exceeds 70% of your indexed monthly
earnings before you became disabled. If it does, your benefit is reduced by the excess amount.
 
• your income under this plan
 
• loss of income benefits available through legislation, except for Employment Insurance benefits, which you and any other
  member of your family are entitled to on the basis of your disability, including automobile insurance benefits where permitted by law
 
• disability benefits under a plan of insurance available through membership in an association
 
• employment income, disability benefits, or retirement benefits related to any employment except an approved rehabilitation plan or program
  (termination pay and severance benefits are included as employment income under this provision)
 
Earnings received from an approved rehabilitation plan or program are not used to reduce your LTD benefit unless those earnings,
together with your income from this plan and the other income listed above, including any increases in Canada or Quebec Pension
Plan benefits that take effect after the benefit period starts, would exceed your indexed monthly earnings before you became disabled.
If it does, your benefit is reduced by the excess amount.
 
Vocational Rehabilitation Benefits
 
Vocational rehabilitation involves a work related activity or training strategy that is designed to help you return to gainful employment
and a more productive lifestyle. A plan or program will be approved if it is appropriate for the expected duration of your disability and
it facilitates your earliest possible return to work.

Medical Coordination Benefits
 
Medical coordination is a process of early involvement to ensure that you are diagnosed quickly and receive appropriate treatment
on a timely basis. The goal is to enable you to return to work as early as possible and to prevent the disability from becoming long
term or permanent.
 
Limitations
 
No benefits are paid for:
 
• Disability arising from a disease/sickness or injury for which you received medical care before your insurance started.
   This limitation does not apply if your disability starts after you have been continuously insured for 1 year, or you have
   not had medical care for the disease/sickness or injury for a continuous period of 90 days ending on or after the date
   your insurance took effect.
 
• Any period in which you do not participate or cooperate in a prescribed plan of medical treatment appropriate for your condition.
 
Depending on the severity of the condition, you may be required to be under the care of a specialist.
 
If substance abuse contributes to your disability, the treatment program must include participation in a recognized substance
withdrawal program.

• The scheduled duration of a lay-off or leave of absence.
 
This does not apply to any portion of a period of maternity leave during which you are disabled due to pregnancy.
 
• Any period after you fail to participate or cooperate in an approved rehabilitation plan or program.
 
• Any period after you fail to participate or cooperate in a recommended medical coordination program.

• Any 12-month period in which you do not live in Canada for at least 6 months.
 
• Any period of confinement in a prison or similar institution.
 
• Disability arising from war, insurrection, or voluntary participation in a riot.

How to Make a Claim
 
Before the end of the short term disability benefit period, Great-West Life will ask your employer to provide information to begin
processing your LTD claim. All information must be submitted within 6 months of the request.
 
HEALTH CARE
 
A deductible may be applied before you are reimbursed. All expenses will be reimbursed at the level shown in the Benefit Summary.
Benefits may be subject to plan maximums and frequency limits. Check the Benefit Summary for this information.
 
The plan covers the following services and supplies if they are not covered under your provincial government plan and provincial
law permits the plan to cover them. All covered services and supplies must represent reasonable treatment. Treatment is
considered reasonable if it is accepted by the Canadian medical profession, it is proven to be effective and it is of a form, intensity,
frequency and duration essential to diagnosis or management of the disease/sickness or injury.

Covered Expenses
 
• Ambulance transportation to the nearest centre where adequate treatment is available

• Private room and board in a hospital in the province of residence
 
For out-of-province accommodation, any difference between the hospital’s standard ward rate and the government
authorized allowance in your home province is covered.
 
Great-West Life also covers the hospital facility fee related to dental surgery and any out-of-province hospital out-patient
charges not covered by the government health plan in your home province.
 
• Convalescent care for a condition that will significantly improve as a result of the care and follows a 3-day confinement
   for acute care. Confinement in a convalescent care hospital provided that it occurs within 48 hours following discharge
   from an active unit in a public hospital and is required for at least 5 consecutive days.
 
• The government authorized co-payment for accommodation in a nursing home. Residences established primarily
   for senior citizens or which provide personal rather than medical care are not covered.

• Home nursing services of a registered nurse, licensed practical nurse or registered nursing assistant who is not a
   member of your family, but only if the patient requires the specific skills of a trained nurse
 
You should apply for a pre-care assessment before home nursing begins

• Chronic care, provided in a hospital, nursing home or for home nursing care, for a condition where improvement or
   deterioration is unlikely within the next 12 months. Confinement in a chronic care hospital provided that it occurs within
  48 hours following discharge from an active unit in a public hospital and is required for at least 5 consecutive days.

• Drugs and medicines which require the written prescription of a physician or dentist and are dispensed by a licensed
   pharmacist, as well as certain life-sustaining drugs, injectable drugs and syringes for self-administered injections, when
   provided in the province of residence. Benefits for drug expenses outside the province of residence are payable only as
   provided under the out-of-province care provision.

For drugs eligible under a provincial drug plan, coverage is limited to the deductible amount and coinsurance you are
required to pay under that plan.
 
• Rental or, at Great-West Life’s discretion, purchase of certain medical supplies, appliances and prosthetic devices
  prescribed by a doctor

• Intra-Uterine Devices (I .U.D.’s)
 
• Custom-made foot orthotics and custom-fitted orthopedic shoes, including modifications to orthopedic footwear
 
• Hearing aids including batteries, tubing and ear molds provided at the time of purchase for eligible children only
 
• Diabetic supplies including insulin, syringes, Novolin pens, testing supplies and insulin infusion sets
 
• Blood-glucose monitoring machines
 
• Diagnostic x-rays and lab tests
 
• Treatment of injury to sound natural teeth. Treatment must start within 60 days after the accident unless
   delayed by a medical condition
 
A sound tooth is any tooth that did not require restorative treatment immediately before the accident.
A natural tooth is any tooth that has not been artificially replaced

No benefits are paid for:
 
- accidental damage to dentures
 
- dental treatment completed more than 12 months after the accident
 
- orthodontic diagnostic services or treatment
 
• Out-of-hospital services of a qualified acupuncturist
 
• Out-of-hospital treatment of muscle and bone disorders, including diagnostic x-rays, by a licensed chiropractor
 
• Out-of-hospital services of a qualified massage therapist
 
• Out-of-hospital services of a licensed naturopath
 
• Out-of-hospital services of a licensed osteopath, including diagnostic x-rays
 
• Out-of-hospital treatment of foot disorders, including diagnostic x-rays, by a licensed podiatrist
 
• Out-of-hospital treatment of movement disorders by a licensed physiotherapist
 
• Out-of-hospital treatment by a registered psychologist
 
• Out-of-hospital treatment of speech impairments by a qualified speech therapist
 
Vision Care
 
• Glasses and contact lenses required to correct vision when provided by a licensed ophthalmologist, optometrist or optician
 
For information on available discounts on eyewear and vision care services, refer to the Preferred Vision Services section of this
booklet following the Healthcare benefit.

Global Medical Assistance Program
 
This program provides medical assistance through a worldwide communications network which operates 24 hours a day.
The network locates medical services and obtains Great-West Life’s approval of covered services, when required as a result
of a medical emergency arising while you or your dependent is traveling for vacation, business or education. Coverage for
travel within Canada is limited to emergencies arising more than 500 kilometres from home. You must be covered by the
government health plan in your home province to be eligible for global medical assistance benefits.
The following services are covered, subject to Great-West Life’s prior approval:
 
• On-site hospital payment when required for admission, to a maximum of $1,000
 
• If suitable local care is not available, medical evacuation to the nearest suitable hospital while traveling in Canada.
   If travel is outside Canada, transportation will be provided to a hospital in Canada or to the nearest hospital outside
   Canada equipped to provide treatment
 
• Transportation and lodging for one family member joining a patient hospitalized for more than 7 days while traveling alone.
   Benefits will be paid for moderate quality lodgings up to $1,500 and for a round trip economy class ticket
 
• If you or a dependent is hospitalized while traveling with a companion, extra costs for moderate quality lodgings for the companion
   when the return trip is delayed due to your or your dependent’s medical condition, to a maximum of $1 ,500
 
• The cost of comparable return transportation home for you or a dependent and one traveling companion if prearranged, prepaid
   return transportation is missed because you or your dependent is hospitalized. Coverage is provided only when the return fare is
   not refundable. A rental vehicle is not considered prearranged, prepaid return transportation

• In case of death, preparation and transportation of the deceased home
 
• Return transportation home for minor children traveling with you or a dependent who are left unaccompanied because of your
   or your dependent’s hospitalization or death. Return or round trip transportation for an escort for the children is also covered
   when considered necessary
 
• Costs of returning your or your dependent’s vehicle home or to the nearest rental agency when illness or injury prevents you or
   your dependent from driving, to a maximum of $1 ,000. Benefits will not be paid for vehicle return if transportation reimbursement
   benefits are paid for the cost of comparable return transportation home
 
Benefits payable for moderate quality accommodation include telephone expenses as well as taxicab and car rental charges.
Meal expenses are not covered.
 
Out-Of-Province Care

• Emergency care
outside your home province is covered if it is required as a result of a medical emergency arising while
   you or your dependent is temporarily outside your home province for vacation, business or education purposes. To qualify
   for benefits, you must be covered by the government health plan in your home province.
 
   A medical emergency is either a sudden, unexpected injury, or a sudden, unexpected illness or acute episode of disease/sickness
   that could not have been reasonably anticipated based on the patient’s prior medical condition.
 
   Emergency care is covered medical treatment that is provided as a result of and immediately following a medical emergency.

If your condition permits a return to your home province, benefits are limited to the lesser of:
 
- the amount payable under this plan for continued treatment outside your home province, and
 
- the amount payable under this plan for comparable treatment in your home province plus the cost of return transportation.
 
No benefits are paid for:
 
- any further medical care related to a medical emergency after the initial acute phase of treatment. This includes
   non- emergency continued management of the condition originally treated as an emergency
 
- any subsequent and related episodes during the same absence from your home province
 
- expenses related to pregnancy and delivery, including infant care:
 
- after the 34th week of pregnancy, or
- at any time during the pregnancy if the patient’s medical history indicates a higher than normal risk of an early delivery or complications.
 
Non-emergency care outside your home province is covered for you and your dependents if:
 
- it is required as a result of a referral from your usual physician in your home province
 
- it is not available in your home province and must be obtained elsewhere for reasons other than waiting lists or scheduling difficulties

- you are covered by the government health plan in your home province for a portion of the cost, and
 
- a pre-authorization of benefits is approved by Great-West Life before you leave your home province for treatment.
 
No benefits will be paid for:
 
- investigational or experimental treatment
 
- transportation or accommodation charges.
 
The plan covers the following services and supplies when related to out- of -province care:
 
• treatment by a physician
 
• diagnostic x-ray and laboratory services
 
• hospital accommodation in a standard or semi-private ward or intensive care unit, if the confinement begins while you or
   your dependent is covered
 
• medical supplies provided during a covered hospital confinement
 
• paramedical services provided during a covered hospital confinement
 
• hospital out-patient services and supplies
 
• medical supplies provided out-of-hospital if they would have been covered in your home province

• drugs
 
• out-of-hospital services of a professional nurse

• for emergency care only:
 
- ambulance services by a licensed ambulance company to the nearest centre where essential treatment is available
- dental accident treatment if it would have been covered in your home province.
 
Limitations
 
No benefits are paid for:
 
• Expenses private insurers are not permitted to cover by law
 
• Services or supplies you are entitled to without charge by law or for which a charge is made only because you have insurance coverage
 
• The portion of the expense for services or supplies that is payable by the government health plan in your home province, whether or
   not you are actually covered under the government health plan
 
• Services or supplies that do not represent reasonable treatment
 
• Services or supplies associated with:
 
- treatment performed only for cosmetic purposes
 
- recreation or sports rather than with other daily living activities
 
- the diagnosis or treatment of infertility
 
- contraception, other than oral contraceptives and intra-uterine devices
 
• Services or supplies not listed as covered expenses
 
• Extra medical supplies that are spares or alternates
 
• Services or supplies received outside Canada except as listed under Out-of-province Care and Global Medical Assistance

• Services or supplies received out-of-province in Canada unless you are covered by the government health plan in your
   home province and Great-West Life would have paid benefits for the same services or supplies if they had been received
   in your home province
 
   This limitation does not apply to Global Medical Assistance
 
• Expenses arising from war, insurrection, or voluntary participation in a riot
 
• Visioncare services and supplies required by an employer as a condition of employment
 
• Any drug or item which does not have a drug identification number as defined by the Food and Drugs Act, Canada
 
• Proprietary or patent medicines registered under the Food and Drugs Act, Canada
 
• Homeopathic preparations, unless federal or provincial legislation requires a prescription for their sale
 
• Food products, weight-loss products and drugs prescribed for the treatment of obesity
 
• Vaccines used to prevent disease/sickness
 
• Smoking cessation products
 
• Fertility drugs, whether or not prescribed for a medical reason
 
• Drugs used to treat erectile dysfunction

How to Make a Claim
 
• Out-of-country claims (other than those for Global Medical Assistance expenses) should be submitted to Great-West Life as
soon as possible after the expense is incurred. It is very important that you send your claims to the Great-West Life Out-of-Country
Claims Department immediately as your Provincial Medical Plan has very strict time limitations.
 
Obtain form M5432 (Statement of Claim Out-of-Country Expenses form) from your employer. Residents of all provinces except
Manitoba and the Territories must also obtain the Government Assignment form and residents of British Columbia, Quebec and
Newfoundland & Labrador must also obtain the Special Government Claim form. The Great-West Life Out-of-Country Claims Department
will forward the appropriate government forms to your attention when required.
 
If you are a resident in the Territories or Manitoba, you must submit your out-of-country claims to your provincial or territorial
government for processing before submitting the claim to Great-West Life. When you receive your Explanation of Benefits back
from the province or territory, please send the following to the Great-West Life Out-of- Country Claims Department
(be sure to keep copies for your own records):
 
- a copy of the payment from your province or territory
 
- a completed Statement of Claim Out-of-Country Expenses form (form M5432)
 
- all required information
 
- copies of all original receipts
 
Residents of all other provinces should complete all applicable forms, making sure all required information is included.
Attach all original receipts and forward the claim to the Great-West Life Out-of Country Claims Department.
Be sure to keep a copy for your own records. The plan will pay all eligible claims including your Provincial Medical Plan portion.
Your Provincial Medical Plan will then reimburse the plan for the government’s share of the expenses.

Out-of-country claims must be submitted within a certain time period that varies by province. For the claims submission
period applicable in your province or territory or for any other questions or for assistance in completing any of the forms,
please contact Great- West Life’s Out-of-Country Claims Department at 1-800-957-9777.

• For all other Healthcare claims, obtain form M635D from your employer. Complete this form making sure it shows all required information.
 
Attach your receipts to the claim form and return it to the Great-West Life Benefit Payment Office as soon as possible, but no later than
15 months after you incur the expense.
 
PREFERRED VISION SERVICES (PVS)
 
Preferred Vision Services (PVS)
is a service provided by Great- West Life to its customers through Preferred Vision Services.
 
Preferred Vision Services (PVS) entitles you to a discount on a wide selection of quality eyewear and lens extras (scratch guarding, tints, etc.)
when you purchase these items from a PVS network optician or optometrist. You are eligible to receive the PVS discount through the network
whether or not you are enrolled for the healthcare coverage described in this booklet. You can use the PVS network as often as you wish to
purchase eyewear for yourself and your dependents at a reduced cost.
 
Shopping for eyewear through PVS:
 
• Call the PVS Information Hotline at 1-800-668-6444 or visit the PVS Web site at www.pvs.ca for information about PVS locations
  and the program
• Arrange for a fitting or eye examination, if needed

• Present your group benefit plan identification card to identify your preferred status as a PVS member through Great-West Life
   at the time of purchase
 
• Select your eyewear and pay the reduced PVS price, If you have vision care coverage, obtain a receipt and submit it with a
   claim form to your insurance carrier in the usual manner.
 
DENTAL CARE
 
All expenses will be reimbursed at the level shown in the Benefit Summary. Benefits may be subject to plan maximums
and frequency limits. Check the Benefit Summary for this information.
 
The plan covers reasonable and customary charges to the extent they do not exceed the dental fee guide level shown in the
Benefit Summary.
 
Treatment Plan
 
• Before incurring any large dental expenses, or beginning any orthodontic treatment, ask your dentist to complete a
   treatment plan and submit it to Great-West Life. Great-West Life will calculate the benefits payable for the proposed treatment,
   so you will know in advance the approximate portion of the cost you will have to pay.
 
Basic Coverage
 
The following expenses will be covered:
 
• Diagnostic services including:
 
- one complete oral examination every 36 months
 
- limited oral examinations twice every 12 months, except that only one limited oral examination is covered
  in any 12-month period that a complete oral examination is also performed
 
- limited periodontal examinations twice every 12 months

- complete series of x-rays every 36 months
 
- intra-oral x-rays to a maximum of 15 films every 36 months and a panoramic x-ray every 24 months.
  Services provided in the same 12 months as a complete series are not covered
 
• Preventive services including:
 
- polishing and topical application of fluoride each twice every 12 months
 
- scaling, limited to a maximum combined with periodontal root planing of 16 time units every 12 months
 
A time unit is considered to be a 15-minute interval or any portion of a 15-minute interval
 
- pit and fissure sealants on bicuspids and permanent molars once per tooth every 24 months
 
- space maintainers including appliances for the control of harmful habits
 
- finishing restorations
 
- interproximal disking
 
- recontouring of teeth
 
• Minor restorative services including:
 
- caries, trauma, and pain control
 
- amalgam and tooth-coloured fillings. Replacement fillings are covered only if the existing filling is at least 2 years old or
   the existing filling was not covered under this plan

- retentive pins and prefabricated posts for fillings
 
- prefabricated crowns for primary teeth
 
• Endodontics. Root canal therapy for permanent teeth will be limited to one course of treatment per tooth.
   Repeat treatment is covered only if the original treatment fails after the first 18 months
 
• Periodontal services including:
 
- root planing, limited to a maximum combined with preventive scaling of 16 time units every 12 months
 
- gingivectomy, limited to once every 5 years per site
 
- occlusal adjustment and equilibration, limited to a combined maximum of 8 time units every 12 months
 
A time unit is considered to be a 15-minute interval or any portion of a 15-minute interval
 
- periodontal appliances once every 5 years
 
• Denture maintenance, after the 3-month post-insertion care period, including:
 
- denture relines for dentures at least 6 months old, once every 24 months
 
- denture rebases for dentures at least 2 years old, once every 24 months
 
- resilient liner in relined or rebased dentures, once every 36 months
 
• Oral surgery
 
• Adjunctive services

Major Coverage
 
• Crowns. Coverage for crowns on molars is limited to the cost of metal crowns. Coverage for complicated crowns is limited to the
   cost of standard crowns
 
• Onlays. Coverage for tooth-coloured onlays on molars is limited to the cost of metal onlays
   Replacement crowns and onlays are covered when the existing restoration is at least 5 years old and cannot be made serviceable
 
• Standard complete dentures, standard cast or acrylic partial dentures or complete overdentures or bridgework when standard
   complete or partial dentures are not viable treatment options. Coverage for tooth-coloured retainers and pontics on molars is
   limited to the cost of metal retainers and pontics. Replacement appliances are covered only when:
 
- the existing appliance is a covered temporary appliance
 
- the existing appliance is at least 5 years old and cannot be made serviceable. If the existing appliance is less than 5 years old,
  a replacement will still be covered if the existing appliance becomes unserviceable as a result of the placement of an initial opposing
  appliance or the extraction of additional teeth.
 
If additional teeth are extracted but the existing appliance can be made serviceable, coverage is limited to the replacement of the
additional teeth
 
• Denture-related surgical services for remodeling and recontouring oral tissues

• Denture and bridgework maintenance following the 3-month post insertion period including:
 
- denture remakes, once every 36 months
 
- denture adjustments, once every 12 months
 
- denture repairs and additions, tissue conditioning and resetting of denture teeth
 
- repairs to covered bridgework
 
- removal and recementation of bridgework
 
Orthodontic Coverage
 
• Orthodontics are covered for persons age 6 or over when treatment starts
 
Limitations
 
No benefits are paid for:

• Duplicate x-rays, custom fluoride appliances, any oral hygiene instruction and nutritional counseling
 
• The following endodontic services - root canal therapy for primary teeth, isolation of teeth, enlargement of pulp chambers and endosseous
   intra coronal implants
 
• The following periodontal services - desensitization, topical application of antimicrobial agents, subgingival periodontal irrigation, charges
   for post surgical treatment and periodontal re-evaluations

• The following oral surgery services - implantology, surgical movement of teeth, services performed to remodel or recontour oral tissues
   (other than minor alveoloplasty, gingivoplasty and stomatoplasty) and alveoloplasty or gingivoplasty performed in conjunction with extractions.
   Services for remodelling and recontouring oral tissues will be covered under Major Coverage
 
• Hypnosis or acupuncture
 
• Veneers, recontouring existing crowns, and staining porcelain
 
• Crowns or onlays if the tooth could have been restored using other procedures. If crowns, onlays or inlays are provided, benefits will
   be based on coverage for fillings
 
• Overdentures or initial bridgework if provided when standard complete or partial dentures would have been a viable treatment option.
 
If overdentures are provided, coverage will be limited to standard complete dentures.
 
If initial bridgework is provided, coverage will be limited to a standard cast partial denture and restoration of abutment teeth when required
for purposes other than bridgework
 
If additional bridgework is performed in the same arch within 60 months, coverage will be limited to the addition of teeth to a denture
and restoration of abutment teeth when required for purposes other than bridgework
 
Benefits will be limited to standard dentures or bridgework when equilibrated and gnathological dentures, dentures with stress breaker,
precision and semi-precision attachments, dentures with swing lock connectors, partial overdentures and dentures and bridgework related
to implants are provided
 
• Expenses covered under another group plan’s extension of benefits provision

• Services or supplies covered under Healthcare. If the amount payable would be greater under this Dentalcare benefit, then benefits
   will be paid under Dentalcare and not Healthcare
 
• Expenses private plans are not permitted to cover by law
 
• Services and supplies the person is entitled to without charge by law or for which a charge is made only because the person has
   insurance coverage
 
• Services or supplies that do not represent reasonable treatment
 
• Treatment performed for cosmetic purposes only
 
• Congenital defects or developmental malformations in people 19 years of age or over, except orthodontics
 
• Temporomandibular joint disorders, vertical dimension correction or myofacial pain
 
• Expenses arising from war, insurrection, or voluntary participation in a riot
 
How to Make a Claim
 
Obtain form M445D from your employer. Have your dentist complete the form and return it to the Great-West Life Benefit Payment Office
as soon as possible, but no later than 15 months after the dental treatment.

COORDINATION OF BENEFITS
 
• Benefits for you or a dependent will be directly reduced by any amount payable under a government plan. If you or a dependent are entitled
to benefits for the same expenses under another group plan or as both an employee and dependent under this plan or as a dependent of both
parents under this plan, benefits will be co-ordinated so that the total benefits from all plans will not exceed expenses.
 
• You and your spouse should first submit your own claims through your own group plan. Claims for dependent children should be submitted
to the plan of the parent who has the earlier birth date in the calendar year (the year of birth is not considered). If you are separated or divorced,
the plan which will pay benefits for your children will be determined in the following order:
 
1. the plan of the parent with custody of the child;
2. the plan of the spouse of the parent with custody of the child;
3. the plan of the parent without custody of the child;
4. the plan of the spouse of the parent without custody of the child

 You may submit a claim to the plan of the other spouse for any amount which is not paid by the first plan.