Use this form for all claims other than dental and prescription drugs.
The member's signature is required to process the claim.
Submit original invoices with the claim. Claims sent by fax can not
be processed, as the insurance company will only accept original receipts and paperwork.
Make all submissions to the Union Office.
Open Form
Use the standard dental claim form available at your dentist's office, or
download this one from Manulife. The member's signature is required to process the
claim. Make all submissions to the Union Office.
Please note that this is a two-page document. You need only print the first page.
Open Form
This form is required to file for Weekly Indemnity (Short Term Disability) benefit.
The form must be completed by the physician, signed by the member, and submitted to
the Union Office, along with the Member Statement, below.
Open Form
This form is required to file for Weekly Indemnity (Short Term Disability) benefit.
The form must be completed and signed by the member, and submitted to
the Union Office, along with the Physician's Statement, above.
Open Form
Use this form to submit prescription drug expenses for which you require reimbursement.
Please note that the Group # is 5881, and the Certificate Number
is the member's Social Insurance Number.
Open Form
Your Spouse and your unmarried Children, including adopted, foster and step-children, who
are less than 21 years of age, and who reside in Canada, are eligible.
Unmarried Children over the age of 21 who are full-time students and dependent upon you
for support are also eligible. You are required to complete the Claimsecure Over-Age Dependant
Form for each year of extended eligibility.
Submit the completed form to the Union Office. The $5.00 fee is only payable if the dependant
requires his/her own drug card.
Open Form
This form must be completed for drugs requiring special authorization. The completed form
must be faxed or mailed to Claimsecure, according to the instructions on the form.
Open Form
Effective August 1, 2008, the monthly Dollar Bank Drawdown and Pay Direct charge will be increased.
Currently an Active Member's Dollar Bank Draw Down is $310.00 per month.
Effective August 1st, 2008 the monthly Draw Down will be $350.00. This
increase partially takes into account the recent increase in the
Contribution Rate. The increase in the Contribution Rate also allows the
Member's Dollar Bank to continue to grow.
Effective August 1st, 2008 the maximum a Member can hold in his Health &
Welfare Dollar Bank will increase to $4,200.00
The current charge for Active Members who are on Pay Direct is $267.00, plus
taxes. Effective August 1st, 2008 the Pay Direct charge will be $275.00.
Provincial Sales Tax of $22.00 and $1.18 of Ontario Premium Tax will be
added to the monthly Pay Direct charge for a total monthly Pay Direct charge
of $298.18. Since this increase is effective for the benefit month of
August 2008 the first payment would be due September 10th, 2008.
The Trustees have decided to leave all other Pay Direct charges the same and
to continue to subsidize these costs out of the Unallocated Reserve.
If you have any questions regarding these changes you may contact Sue Artym
at the Union Office.
The results of the Health & Welfare vote held on February 28, 2008 are as follows:
Accept - 63
Reject - 43
Spoiled - 1
The motion to increase the Health & Welfare hourly contributions from $2.16 per hour to $2.66 per hour on
May 1, 2008 was carried.
The Health & Welfare Trustees are pleased to announce the dental benefit will be increasing from the year 2005 dental fee guide to the year 2006 dental fee guide effective with services received on or after January 1, 2008.
The monthly drawdown total for Benefits will be increased effective February 1st, 2007. Currently an Active Member’s drawdown is $297.00 per month. Effective February 1st, 2007 the monthly drawdown for an Active Member will be $310.00. The 8% Provincial Sales Tax and the 0.43% Premium Tax are paid by the contractors on monthly remittance reports. The monthly drawdown for members on Pay Direct will not increase. The Pay Direct will remain at $267.00, plus taxes. Effective February 1st, 2007 the maximum a member can hold in their Health & Welfare Dollar Bank will increase to $3,720.00. If you have any questions regarding these changes please contact Sue Artym at the Union Office.
The Health & Welfare Trustees are pleased to announce the dental benefit will increase to the year 2005 dental fee guide for claims incurred on or after January 1, 2007.
The Health and Welfare Trustees are pleased to inform you there are new revised “Member Information Cards”
available at the Union Office. These cards are used to record your beneficiary information for the Benefit Plan’s Life
Insurance coverage.
Please be aware the insurance company will not issue a cheque for life insurance to beneficiaries under the age of 18.
On the new “Member Information Cards” a member can name beneficiaries younger than 18 as long as they name a Trustee.
It would then be the Trustee named on the card that would receive the life insurance payment.
Also, if a member wishes, he/she may name a primary and a contingent beneficiary on the revised card. An example of this
would be to name the husband or wife as primary beneficiary and the children as contingent beneficiaries, and if husband
and wife both die at the same time, the contingent beneficiaries would receive the life insurance benefit.
If you wish to review or update your beneficiary information please contact Sue Artym at the Union Office.
The motion to increase the Health & Welfare hourly contributions by six ($0.06) cents per hour was voted on and passed at the General Meeting on July 27, 2006. The increase will take effect November 1, 2006. This increase will raise the Long Term Disability (LTD) Benefit from $1,500.00 to $2,000.00 per month.