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SUMMARY
FOR
HOUR BANK PLAN
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| ELIGIBILITY:
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Effective
dates or changes occur on the first day of the second calendar month
for the following circumstances. |
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Benefits
Commence: On the first day of the calendar month after 300
hours are accumulated.
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Benefits
Terminate: After hour bank falls below 150 hours.
NOTE:
When your account has insufficient credits “Core” coverage can be
continued for up to six months, through a self pay option. |
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Benefits
Reinstated: If 150 hours are accumulated in an eight month period.
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Maximum
Hour Bank: 900 Hours
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COVERAGE:
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The
following summarizes coverage provided to member employees and eligible
dependants.
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Life
Insurance:
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Benefit
- $90,000
Payable on death from any cause.
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Accidental
Death and Dismemberment:
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$90,000 Payable on accidental death.
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Loss of limb schedule, Critical Disease Benefit, Transportation for family, home alteration and vehicle modification, repatriation benefits, continuing education for children in event of death..
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Dependant
Life:
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Spouse
- $10,000 |
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Each child - $5,000 |
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Short Term
Disability: |
Short Term disability is not part of the regular benefit plan - optional by employer, not employee.
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Flat weekly amount of $600 or 85% of employee's pre-disability earnings (if less) |
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Payable from the first day as a result of an accident, first day of hospitalization and the eighth day as a result of
illness |
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Payable for a maximum of 120 days |
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Employee must be "in benefit" and actively at
work * in order to be eligible for coverage |
*Actively at work means that
the employee was working for the employer on the last scheduled shift prior to becoming disabled.
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Employers providing Short Term Disability benefits may quality for an EI Premium Reduction
Credit |
ADDITIONAL COST: $0.10 per manhour
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Long Term
Disability:
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To be covered for Long Term Disability,
you must be actively at work (25 hours per week), AND
"In Benefit" under core plan.
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120 day waiting period
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$2,200 per month flat benefits, if still
disabled after two years then payment increases to $2,700 per month
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payable to age 65
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integrated with other income sources
to a maximum of 85% of gross or net pre-disability income depending
on tax status of disability benefits
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Extended
Health
Care:
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No deductible
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80% - Prescription Drugs (drug card will
be issued to employee)
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100% - Semi-private hospital room, convalescent care, home care, ambulance
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Out-of-Canada Services - $2,000,000 for 60 days
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Emergency ambulance
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Hearing aids $1000 maximum per 5 years
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$500 maximum per person per year, per paramedical
practitioner (acupuncturist, naturopaths, speech therapist, massuers, psychologist, chiropractor, osteopaths, podiatrists, chiropodists, dietician, smoking cessation
Physiotherapy up to $600 maximum per year
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$10,000 maximum per year private nursing
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Other medical services and supplies (oxygen, diabetic supplies, etc.) |
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Vision
Care:
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100%
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$300 maximum every 24 months, every
12 months for dependent children under age 18, PLUS $75 for eye
examinations.
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Covers lenses, frames or contact lenses.
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Employee
and Family Assistance Plan:
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Toll free 24 hours a day access to
confidential counseling services for employees and family members to
assist in resolution of personal problems or crises. |
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Dental
Care:
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No deductible
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80% - Basic Services:
- Check ups, cleanings: age 19 and over, one per calendar year: dependent
children under 19, every six months (fluoride treatment restricted to dependent
children).
- Extractions, fillings, endondontics and periodontics
- Complete oral examinations: one every five years
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50% - Major Services (dentures, crowns, & bridges).
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50% - Orthodontia for dependent children under 19
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$2,500 per person, calendar year maximum, for Basic and Major services
combined.
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$2,500 per dependent, lifetime maximum, for orthodontia.
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Current province of residence General Practitioners Fee Guide will be used for reimbursement, or the Specialist Dental Fee Guide will be used when dental services are provided by a specialist.
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COST:
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Benefit Plan Cost is $0.72 cents per hour worked by each hourly paid
employee. These costs may be distributed as follows: employee may pay up to 50% of the cost of core benefit plan premium
($0.60/hr), and up to 100% of Long Term Disability premium
($0.12/hr). The employer must pay the $.08/hr Participation/Membership Fee. Therefore total cost per hour per employee is $.80 per
manhour.
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This video provides a general description of all the benefits available under the Merit Contractors Association Hour Bank Benefit Plan.
Please note, not all Hour Bank employees will be eligible for all of the benefits shown.
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SUMMARY
FOR
OFFICE/SUPERVISORY PLAN
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Field employees must be enrolled in the Hourbank Benefit Plan
for Office Staff to be eligible for this plan.
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ELIGIBILITY:
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All
permanent part-time and full-time salaried employees, working at least
25 hours per week, for an employer participating in the Merit
Contractors Association - Salaried Employees plan and for whom
contributions are being made to the plan will be eligible.
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Waiting
Period:
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Will
be consistent with the probationary period of the member company
ranging from a no waiting period to six months from date of
employment.
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COVERAGE:
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The
following summarizes coverage provided to member office and supervisory employees and eligible
dependants.
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Life
Insurance:
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Benefit:
1,2,or 3x annual earnings (as elected by the employer)
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Overall maximum $300,000 (amounts in excess of $100,000 are subject
to approval of medical evidence.)
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Payable on death from any cause.
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Accidental
Death and Dismemberment:
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Benefit: Same as Life Insurance
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Overall maximum $300,000 (amounts in excess of $100,000 are subject
to approval of medical evidence)
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Payable on accidental death
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Schedule of losses for dismemberment
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Dependant
Life:
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Spouse
- $10,000
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Each Child - $5,000 (from live birth to age 21 years or age 25 years if
full-time student)
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| Short
Term Disability: |
SHORT TERM DISABILITY is not part of the regular benefit plan - optional by the employer, not employee.
Offers the following schedules:
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75% of the employee's weekly income to a maximum weekly benefit of $1,100 (if the
employer pays any portion of the Short Term Disability premium, making the benefit taxable); OR |
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67% of the first $900 of the employee's weekly income, plus 50% of the balance to a maximum weekly benefit of $1,100 (if the employee pays the entire premium, making the benefit non-taxable). |
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Payable from the first day as a result of an accident, first day of hospitalization and the eighth day as a result of illness. |
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Payable for a maximum of 120 days |
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Employers providing Short Term Disability benefits may quality for an EI Premium Reduction
Credit |
ADDITIONAL COST: $0.36/$10 of benefit
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Long Term Disability:
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75%
of monthly earnings if employer paid
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67% of monthly earning if employee paid
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Maximum monthly benefit $6000, or 85% of income
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Payable to age 65
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Two year own occupation definition of disability
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Medical evidence required for companies with 1 or 2 employees on the plan, or benefits in excess of $5,000/month |
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Extended Health Care:
Standard
Plan Coverage
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No deductible |
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100%:
- Semi-private hospital
- Out-of-Canada services
- Emergency ambulance
- Hearing aids $1,000 maximum per 5 years
- $500 maximum per year, per
paramedical practitioner
- $600 per year for Physio
- $10,000 maximum per year private
nursing
- Other medical services and supplies |
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80% or 100% (Employer Elected):
- Prescription drugs (Drug card is
supplied for immediate coverage) |
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Vision Care:
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No deductible |
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100%:
-$300 maximum every 2 calendar years, every calendar year for dependent children under age 18, PLUS $50 for eye
examinations.
- Covers lenses, frames, contact lenses or laser surgery.. |
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Employee and Family Assistance Plan:
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Toll free 24 hours a day access to
confidential counseling services for employees and family members to
assist in resolution of personal problems or crises.
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Dental Care:
Standard
Plan Coverage
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No deductible
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80% - Basic Services or 100% (Employer Elected):
- Check-ups, cleanings: age 19 and over,
one per calendar year: dependent children under 19, every six months
(fluoride treatment restricted to dependent children).
- Extractions, fillings, endondontics and
periodontics
- Complete oral examinations: once every
five years
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50% - Major Services (dentures, crowns, & bridges)
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50% - Orthodontia for dependent children under age 19
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$2,500 per person, calendar year
maximum, for Basic and Major services combined
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$2,500 per dependent, lifetime maximum,
for orthodontia.
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Current province of residence General
Practitioners Fee Guide, or where applicable the Specialist Dental Fee Guide when services are provided by a dental specialist.
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RATES:
(Effective November 1, 2009)
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BENEFIT
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RATE |
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Life
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$0.129
per $1,000 of benefit |
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Accidental Death
and Dismemberment
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$0.035
per $1,000 of benefit |
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Dependant Life
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$1.70/employee/month |
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Long Term Disability
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$0.67
per $100 of benefit |
Extended Health Care
- Single
- Family |
$42.05 ($56.77 - 100% option)
$115.64 ($156.12 - 100% option) |
Dental
- Single
- Family |
$19.94 ($25.92 - 100% option)
$54.83 ($71.28 - 100% option) |
Employee and
Family Assistance |
$1.65/employee/month
(plus GST) |
| Short Term Disability (Optional Benefit) |
$0.36/$10 of benefit are |
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FIRST
NATIONS PLAN
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| People
employed by Member Companies |
| ELIGIBILITY: |
This hour bank benefit package allows
Merit employers to provide a comprehensive package for First Nations
People without duplication of the Extended Health and Dental coverage
available through Health and Welfare Canada. |
| COVERAGE: |
Life Insurance:
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$90,000 for employee |
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$10,000 for spouse |
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$5,000 for each child |
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| Long Term Disability (LTD), Accidental Death and Dismemberment and
Employee and Family Assistance Program as per Hour Bank Benefit Plan. |
| COST: |
For each hour worked by eligible employees, the
contribution is $0.23 for the benefit premium (including $0.12 per
hour allocated to LTD), plus the employer must pay the $.08 Participation/Membership Fee for a total of $.31/hr. |
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OWNERS
AND SENIOR EXECUTIVES
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| Merit Contactors Association offers a plan designed
especially for owners and senior executives. |
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Medical Reimbursement Plan (MRP) - for tax purposes it may be
advantageous for owners and senior executives participate in the MRP, which is administered by Great West Life. Each company designates those individuals who will be eligible for MRP coverage (they may be on the Hourbank Plan or the Office/Supervisory Plan). Great West Life bills companies directly for all MRP claims incurred by their employees. Great West life charges an 8% administration fee. Contact
the Merit Office for more details. |
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SUMMARY
FOR
OWNER OPERATOR PLAN
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REQUIRED BENEFITS:
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The
following summarizes coverage provided to member owner operators and eligible
dependants.
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Life
Insurance and Accidental Death and Dismemberment:
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In the amount of $25,000.00
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Other schedules are also available - either one times or two times annual earnings
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Dependant
Life Insurance:
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Spouse
- $10,000
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Each Child - $5,000
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Extended Health Care Coverage: |
for yourself and your family. This benefit pays most items that B.C. Medical does not pay for, such as prescriptions, professional services (chiropractor, massage therapist, etc.), semi-private hospital rooms, other medical hardware - but most important of all it also provides De Lux travel either on business or pleasure. Prescriptions are paid for using a Pay Direct Drug Card. This plan also pays for Vision Care up to $100 per family member for each 24 months. Three options are available:
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Deluxe Benefit - zero deductible, 90% coinsurance |
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Cost Control- $100 deductible, 80% coinsurance |
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Basic Plan - $250 deductible, 70% coinsurance |
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Weekly Indemnity:
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is a benefit that pays a percentage of your earnings if you cannot work by reason of accident or illness. Benefits begin on the 15th day of either accident or illness and continue for up to 15 weeks (or earlier recovery) paying 662/3% of net weekly earnings (after business expenses are deducted.) |
| Long Term Disability:
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is provideis provided to help you replace your earnings should you be unable to work by reason of accident or illness. Benefits begin after you have been off work for 17 weeks, or when your Weekly Indemnity benefits expire (if you have chosen this benefit). For both the Weekly Indemnity and Long Term Disability plans, the income is usually set up to render the benefit tax-free at time of collection. d to help you replace your earnings should you be unable to work by reason of accident or illness. Benefits begin after you have been off work for 17 weeks, or when your Weekly Indemnity benefits expire (if you have chosen this benefit). For both the Weekly Indemnity and Long Term Disability plans, the income is usually set up to render the benefit tax-free at time of collection. |
| Dental Care:
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is available for yourself and your dependents. Three options are available as follows:
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"Starter" plan - 80% of all basic items such as cleaning, scaling, X-rays, fillings, extractions, periodontry, and endodontry up to a maximum of $1 ,250 per calendar year per individual or dependent.
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"Broad" plan - pays everything listed above, but then adds 50% of Major Restorative items such as Crowns, Inlays, Dentures, Bridgework, and extensive PeriodQntics are covered. The maximum benefit per individual is $1,250 per calendar year. Orthodontry for dependent children is covered at 50% reimbursement up to a lifetime maximum payout of $2,000 per child
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"Comprehensive" plan - pays everything listed in "b", except that the basic coverages are paid at 1 00% instead of 80%
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INTRODUCING A NEW MERIT BENEFIT PLAN FOR CONSTRUCTION SUPPLIERS AND CONSULTANTS
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The Construction Supplier Plan is a program designed to provide comprehensive, inexpensive insurance for small business that service the construction industry. This Plan opens new doors for broad levels of group insurance that until now has not been available. With two levels of coverage it provides the best possible insurance to the smallest companies at reasonable cost.
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COVERAGE
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STANDARD PLAN |
ENHANCED PLAN |
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Life
Insurance:
*for employees
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$50,000.00 |
$100,000.00 |
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Accidental
Death:
*for employees
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$50,000.00 |
$100,000.00 |
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Dependant
Life Insurance:
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*for spouses
* for each child (from 14 days)
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$10,000.00
$5,000.00
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$10,000.00
$5,000.00 |
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| No Deductible |
| 80% |
| 100% |
| 80% |
| 80% |
| unlimited |
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| No Deductible |
| 80% |
| 100% |
| 80% |
| 80% |
| unlimited |
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Vision:
| For employees and dependents |
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Maximum |
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Maximum for children under 18 |
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$50 eye exam fee in addition to maximum |
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| 80% |
| $200 / 24 months |
| $200 / 12 months |
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| 80% |
| $200 / 24 months |
| $200 / 12 months |
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| 80% of fee guide |
| 50% of fee guide |
$2,000 / calendar year
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50% of fee guide
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| $2,500 / lifetime |
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| 80% of fee guide |
| 50% of fee guide |
$2,000 / calendar year
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50% of fee guide
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| $2,500 / lifetime |
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Long Term Disability:
For owners / employees only to age 65 |
$2,500 / month
85% all source max. |
$5,000 / month
85% all source max. |
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$200.00 PER MONTH |
$260.00 PER MONTH |
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To be eligible for this plan you must belong to Merit Contractors Association as an associate member (no voting rights), where an annual fee will apply. This fee is prorated to the number of employees in your company. |
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