ELIGIBILITY
Subject to eligibility guidelines, all NLTA members and employees residing in Canada are eligible to participate in this plan. Spouses and eligible dependent children may also be insured.
If a member is initially insured for single coverage only, and later acquires a dependent, or has a change in marital status, their dependent will be enrolled in the Plan without medical evidence, providing the Plan Administrator, Johnson Inc., is notified within 31 days of the date you have such a change, in order to be eligible for family coverage.
Any NLTA member/employee may choose to remove him/herself from this plan by contacting the Plan Administrator, Johnson Inc., to complete an Opting Out form. If at a later date a member wishes to rejoin this plan, an application for coverage will be required providing evidence of medical insurability for the member and their dependents. This application will be subject to the approval of the insurance company.
CLAIM PROCEDURES
If an insured member or one of their dependents should die, the Plan Administrator, Johnson Inc., will provide the necessary claim form(s) to the beneficiary of the insurance benefit. Proof of death should be submitted within 6 months of the date of death.
The insurance benefit will be paid to the appointed beneficiary(ies). Payment of benefit and changes in beneficiary designation are subject to applicable government legislation. If the appointed beneficiary dies before the insured member or if there is no beneficiary designated, the benefit will be payable to the estate.
For the Dependent Life Benefit the member/employee is the beneficiary.
CONVERSION OPTION – BASIC LIFE
If individual coverage terminates or reduces, the insured member may convert their Group Life Insurance and that of their spouse to an individual life insurance policy, subject to a maximum amount of the lesser of:
- $400,000 for each benefit; and
- the amount of insurance that terminated, less the amount of insurance under any replacing group policy within 31 days following the date of termination.
The individual life insurance policy will be issued without proof of satisfactory health provided the completed application form is mailed to the underwriter within 31 days following the date of termination.
The conversion policy will not include disability, double indemnity, or accidental death and dismemberment provisions.
If the insured member or their spouse dies during the 31 day period in which they are eligible to make application for conversion, the amount of Group Life Insurance available for this purpose will be payable, upon application, whether or not the member applied for conversion.
Certain conversion rights are also available on policy termination. Details on conversions may be obtained from the Plan Administrator, Johnson Inc., or by contacting the underwriter.
TERMINATION OF INSURANCE
Insurance for the insured member and their dependents will cease on the earliest of the following events:
- Termination of employment, other than retirement under the provisions of the eligibility guidelines.
- On the date of death.
- On the day the insured member enters the armed forces of any country on a full-time basis.
- Termination of the policy or eligibility of coverage.
- On the date the insured member no longer pays the required premium towards the cost of insurance, where applicable.
- Dependent Life Insurance terminates when the retired member reaches age 65, or when dependent is no longer eligible as per the policy.
- For substitute teachers, on November 30th of the following school year if, during the preceding three months, the substitute teacher has not taught at least one day, and has not taught at least 10 days in the previous school year.
- For private school teachers, coverage terminates upon termination of the teaching contract.
SCHEDULE OF BENEFITS
Basic Life Benefit
- Active Member/NLTA Employee (Permanent/Term Contract)
Two times annual earnings, rounded to the next higher multiple of $1,000, if not already a multiple. The maximum benefit is $400,000. - Reduction
Retired Members/NLTA Employees under age 65.
Upon retirement, the amount of coverage will change to two times annual pension, rounded to the next higher multiple of $1,000, if not already a multiple. The maximum benefit is $400,000. The amount of insurance for teachers retired on disability pension is two times the salary last worked, until attaining age 60. At age 60, the benefit will change to two times annual pension. Teachers who became disabled prior to September 1, 1993 were eligible for waiver of premium under this policy. The amount of insurance for teachers on waiver of premium prior to September 1, 1993 is two times the salary last worked prior to going on waiver until attaining age 60. At age 60, the benefit changes to two times annual pension. The waiver of premium benefit is not available for teachers who became disabled after September 1, 1993. Retired Members/NLTA Employees who attain age 65 on or after September 1, 1985. The insurance benefit will change to $15,000 (member only). (Teachers on waiver of premium prior to September 1, 1993 maintain the Post-65 Life coverage in effect at the date of their disability.) - Dependents
The Dependent Life Insurance Benefit (not available under the substitute teachers’ plan):
Spouse $10,000
Each Eligible Child $5,000 - Substitute Teachers’ Plan
$15,000 member only - Replacement and Term Contract Teachers
The amount of insurance for term contract/replacement teachers is two times annual salary rounded to the next higher multiple of $1,000, if not already a multiple, for the term of their contract period to a maximum benefit of $400,000. After the end of the contract period, these teachers are eligible for $15,000 coverage as a substitute teacher until November 30 of the following year.
NOTE: Coverage is available for the benefits indicated above, provided eligibility requirements have been met.