EQUIFLASH [ACE ANNOUNCES INSURANCE PLAN IMPROVEMENTS FOR EQUITY MEMBERS]

CAEA e-drive caea-l at list.web.net
Fri May 7 16:03:09 EDT 2010


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ACE ANNOUNCES INSURANCE PLAN IMPROVEMENTS FOR EQUITY MEMBERS
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Responding to members' input, the following Special Accident & Sickness Insurance Plan benefits are now in effect:

- Extra seven days to start paramedical coverage: Members receiving treatment within seven (7) days of the end of a contract are eligible for reimbursement of practitioner's charges relating to that medical condition, providing that the service is covered; as if treatment had commenced during their contract.

- Sickness disability extended to age 80 for Canadian residents: The sickness disability protection has been extended from age 70 to 80.

- Completing contract may not affect income replacement eligibility: Members disabled while under contract, but able to finish the contract through role or stage accommodations, can maintain their eligibility to apply for disability benefits if they see a physician within seven (7) days of the contract end and if they submit a disability claim form within 30 days.

- Athletic and sports therapists coverage: Registered athletic and sports therapies are now an option in lieu of physiotherapy.

- Enhanced plan weekly premiums reduced by 25%: Effective January 1, 2010, member premium rates for the Top Up plan went down.

- Maximums for paramedical fees have increased: The maximums payable per treatment for services like massage and chiropractic have been increased to reflect reasonable fees charged in each province.

- Time to order orthotics extended: While orthotics must still be initially prescribed while under contract, orthotics ordered within 15 days of the end of a work contract are eligible for reimbursement.

- Smoking cessation benefit added: Members will be reimbursed for 80% of the cost of smoking cessation prescription drugs up to a lifetime reimbursement of $400.00. Members will be required to pay 20% of this cost to help ensure a commitment to quitting. A member's savings on tobacco will more than offset the cost of this benefit.

- Target claims turnaround time established by Ace: ACE has established claim payment turnaround target of 10 business days or less, plus mail. ACE has assigned a dedicated claims examiner to Equity, a fully trained back-up examiner and implemented internal checks to monitor the targets. The examiner's priority is to pay Equity claims first.

Additional information regarding these improvements is available on EQUITYONLINE at http://www.caea.com.
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