D.A. Townley & Associates Ltd.  -  Plan Administrators    
 

glossary

 
Glossary Photo
 
 
The following are commonly used terms in relation to the Group Insurance Plan and Pension Plan. If you have additional questions, please contact the Plan Administrator.
 
Administrator D.A. Townley & Associates. The Administrator co-ordinates enrolment into the Plans, claims payment, pension processing and answers all Member questions regarding the Group Insurance or Pension Plans.

Beneficiary The person(s)/Estate that you designate to receive Life Insurance, Accident Insurance and/or pension benefits upon your death.

Canada Pension Plan
 
The Canada Pension Plan is a contributory, earnings-related social insurance program. It ensures a measure of protection to a contributor and his or her family against the loss of income due to retirement, disability and death.
 
 
Co-Insurance The percentage paid by the Member for each eligible benefits expense.

Coordination of Benefits The ability to make a claim for Extended Health Care and/or Dental eligible expenses under your Benefits Plan and your spouse's benefits plan. This allows you to receive up to 100% reimbursement for an eligible Extended Health Care or Dental expense.

Deductible The amount of out-of-pocket expense that a Member must incur prior to being eligible for reimbursement on subsequent claims.

Defined Benefit Pension Plan The Plan is a Defined Benefit Pension Plan. This means that you earn a monthly benefit in the Plan, rather than accumulate contributions with interest. The Plan is registered with both the British Columbia Government under the BC Pension Benefit Standards Act and Canada Revenue Agency (CRA) under the Income Tax Act of Canada.
 
 
Dependent A dependent is defined as:

  • The person to whom you are married or a person with whom you reside and whom you represent as your husband or wife. Only one person may qualify at any one time.
  • Unmarried children under 21 years of age.
  • Unmarried children age 21 or over are also eligible provided they depend wholly upon you for support and maintenance and are full-time students in an educational institution.
  • Stepchildren, foster children and legally adopted children may be included the same as your own children, provided they depend upon you for support and maintenance.
  • A child who is physically or mentally incapable of self-support upon attaining age 21 may be continued under the Extended Health and Dental benefits while remaining incapacitated and unmarried, subject to your own coverage continuing in effect. This privilege also will apply to a child who has remained in the Insurance Plan beyond his or her twenty-first birthday if he or she later ceases to be a qualified dependent and is physically or mentally incapable of self-support and is not married.

 
Dispensing Fee The pharmacist's charge for filling a prescription (also see Professional Fee).

Lowest Cost Alternative Drug The lowest cost equivalent product that can be legally used to fill the prescription as listed in the Provincial Drug Formulary listing.
 
Old Age Security Government provided pension payable to all Canadians from age 65 based on your years of residence in Canada, and subject to claw-back if your retirement income after age 65 exceeds a certain level.

Paramedical Services provided by a licensed practitioner including: naturopath, physiotherapist, podiatrist, chiropractor, clinical psychologist or osteopath.

Pension Benefits The income that you will receive at retirement.

Self- Pay for Health & Welfare Premiums Mechanism that allows unemployed members to pay monthly premiums out of their pocket and continue to participate in the Benefits Plan for up to six months.
 
 
Self- Pay for Pension If you have at least 175 but less than 2400 hours of credits for a year, and are fully vested, you can self pay to top up to a maximum of 2400 hours at the current contribution rate.
 
  
Wage Indemnity A benefit that pays the maximum weekly payment provided under E.I., but not to exceed 85% of your pre-disability earnings, for up to 52 weeks if you are unable to work due to sickness or accident. See the Health Benefit Booklet for details on this benefit.



 
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