Canada Benefits
Extended Health Care
Prescription Drugs
Lowest Price Equivalent: Reimbursement will be made for the cost of the lowest priced equivalent drug based on specific provincial regulations, unless your medical or dental practitioner has written that there is to be no substitution of the prescribed drug or medicine.
| Coinsurance | 90% |
| Maximum | Unlimited |
| Deductible | None |
| Drug Formulary | Lowest Priced Equivalent |
Lowest Priced Equivalent
Reimbursement will be made for the cost of the lowest priced equivalent drug based on specific provincial regulations, unless your medical or dental practitioner has written that there is to be no substitution of the prescribed drug or medicine.
Supplemental Health
|
Coinsurance |
90%; 100% for Hospital & Vision |
|
Hospital Accommodation |
Semi-Private |
|
Private DutyNursing |
$10,000 per person, per calendar year(s) |
|
ParamedicalPractitioners |
$500 per practitioner, per calendar year for the following practitioners: Acupuncturist, Massage Therapist, Occupational Therapist, Osteopath, Physiotherapist, Podiatrist/Chiropodist, Speech Therapist. $750 combined maximum, per calendar year, for the following practitioners: Psychologist/Social Worker/Clinical Counsellor/Psychotherapist |
|
Medical Equipment & Supplies |
Included – 80% coinsurance |
|
Custom Orthotic Inserts |
$175 per benefit year |
|
Orthopaedic Shoes |
$250 per benefit year |
|
HearingAids |
$500 per 5 benefit years |
|
Eye Exams |
1 exam, per 2 benefit years |
|
Vision |
$250 per person, per 2 benefit years |
|
Vaccines |
Included |
|
Fertility Drugs |
$2,400 per lifetime |
Dental Care
| Basic Services | 90% | $2,000 per person, per benefit year combined Basic and Major |
| Major Restorative | 50% | |
| Recall Exams | Once every 6 months | |
| Units of Scaling | 10 units (2 units for children under the age of 13) | |
| Fee Guide | Current | |
Out of Province/Country
| Emergency Travel | |
| Coinsurance | 100% |
| Maximum | $3,000,000 per lifetime |
| Number of Days Limited | 60 days per trip |
Short Term Disability
| Benefit Schedule |
66.7% of weekly earnings |
| Waiting Period |
1st day of total disability – 8th day illness or 1st day hospitalization. |
|
Maximum / |
$1,300 |
|
Maximum Benefit Period |
26 weeks |
|
Tax Status |
Taxable |
Long Term Disability
| Benefit Schedule |
66.7% of weekly earnings |
| Maximum |
$7,500 |
|
Non-Evidence Maximum |
$3,500 |
|
Elimination Period |
26 weeks |
|
Definition of Disability |
2 year own occupation; any occupation thereafter |
|
Tax Status |
Taxable |
Employee Basic Life and Accidental Death & Dismemberment
| Benefit Schedule |
2x annual salary |
| Maximum |
$750,000 |
|
Non-Evidence Maximum |
$150,000 |
|
Reduction Schedule |
50% at age 65 |
Dependent Life
| Spouse |
$10,000 |
| Child |
$5,000 |
When Coverage Ends
Your coverage ends on the earlier of:
- the date you retire, terminate employment or are no longer eligible to participate
- Employee Life; the date you turn age 70
- AD&D; the date you turn age 70
- Dependent Life; the date you turn age 70
- STD; the date you turn age 70
- LTD; the date you turn age 65
- Health and Dental; the date you turn 85
Eligibility
Plan Members are eligible the 1st of the month following date of hire, must be Canadian residents, permanent employees and actively at work:
Eligible dependents are:
- A spouse by marriage or other formal union recognized by law; or
- A partner of the same or opposite sex who is publicly represented as the plan member’s spouse; or
- A child who is not married or in any other formal union recognized by law and is under age 21; or is under age 25 (under age 26 in Quebec) if a full-time student and entirely dependent on the plan member.
Beneficiary Designation
You should review your beneficiary designation periodically to ensure that it reflects your current intentions. If no beneficiary has been designated your benefit will be payable to your estate and subject to additional taxes.
Coordination of Benefits
Coordination of benefits (COB) allows you to maximize your benefit coverage when coordinating between multiple plans.
Who pays first?
- If you are covered as a member under a plan, that plan will always pay before a plan that covers you as a dependent.
- When both parents have plans and their children are covered under both as dependents, the plan of the parents who birth month (and day, if born the same month) falls earliest on the calendar year.
Lumino Health Virtual Care’s Employee Assistance Program (Powered By Dialogue)
Fast, reliable family service
Live, virtual sessions within 24 hours or next business day
Family coverage for immediate family members and dependents
Personalized support and follow-ups after each session
Dialogue’s in-house multidisciplinary team to support majority of issues
24/7 immediate assistance for members
Can consult for an unlimited number of cases (a case is defined as a distinct issue)
Modern, digital platform
User-friendly application available Canada-wide via mobile and Web
Flexible, convenient access to Dialogue Care Team including live chat and video call
On-demand access to self-guided articles and tips for a variety of wellness topics
Key Benefits
- 100% seamless virtual care experience, all in one place
- provides support with mental health, family & relationships, legal services, financial services, and so much more for team members and their dependents
- 24/7 in-app access for immediate assistance
- easy access and in-app appointment booking
Breadth of support; Focused on Team Member needs
Mental Health
Work and Career
Family and Relationships
Legal and Financial
Child and Elder Care
Manager Consultation and Referral
Retirement Savings
Your Make Sense Team at Cowan Insurance Group provides a complimentary and confidential service to help you maximize your retirement savings through the Taboola Group Registered Retirement SavingsPlan (RRSP).
We can help you:
- Understand the plan
- Determine your investment goals
- Invest according to your personal timelines and risk tolerance
How to Access Retirement Savings
Access to your personalized Make Sense Team is as easy as calling 1-866-345-8256 (Mon-Fri, 8:30 am to 5 pm EST) or emailing makesense@cowangroup.ca.
It’s less expensive than you think to save for a comfortable retirement!
Retirement Savings Plan
|
Membership |
Membershipisvoluntary |
|
Eligibility |
60th day of employment |
|
Earnings |
Basicsalary; option to roll bonus to RRSP |
|
Employee Contributions |
Employees can make contributions into the RRSP up to their individual annual contribution limit |
|
Employer Contributions |
Kapitus will match employee contributions at a rate of 25% to a maximum employee contribution of 6% (maximum employer match of 1.5%) |
|
In-service Withdrawals |
Allowed; subject to withholding tax |
|
Default fund |
Target date fund at age 65 |