1 jan 2021 · Supplementary Health and Vision Coverage Summary Chart Sun Life Group # 16440 The following chart summarizes some of the frequently
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Revision Date: 2023/01/01 Page 1 of 6
HR.B406
Benefit Information Sheet - ATA
1. Supplementary Health and Vision Coverage Summary Chart
Sun Life
Group # 16440
The following chart summarizes some of the frequently used services covered under this plan:Service
% of CoverageDescription
Annual $25.00 deductible
(single/family)In-province hospitalization 100% Semi-private accommodation Out-of-province hospitalization 100% Semi-private accommodation Out-of-country hospitalization 100%
Emergency services only
For details, refer to the Medi-Passport
on the Sun Life members site Out-of-country physician fees 100% Prescription drugs 100% Pay-Direct Drug Plan Card is sent fromSun Life.
For details see the Benefit Booklets
on Insite Vision care 100% $400 per person in any 24 month period For details see the Benefit Booklet on Insite Hearing aids 80% $500.00 every five yearsAlberta Teachers Association
Benefit Information Sheet - ATA Life insurance and Accidental Death andDismemberment
Revision Date:
2023/01/01
Page 2 of 6
HR.B406
Service
% ofCoverage
Description
Ambulance 80% If medically necessary - response and transportation, including air Paramedical services 80% 80% of the costs to a maximum of $500.00 per person in each calendar year for each of the paramedical specialistsSome per visit maximums apply
Psychologist or
registered social worker 50% Up to $400.00 per person in each calendar yearPersonal Spending Account (PSA)
Health Spending Account (HSA) Max $750 every year
For expense eligibility visit:
Insite Career Benefits & Pension Overview Sun
Life In the left margin are links to details about both spending accounts.Health Spending Account (HSA)
Personal Spending Account (PSA)
2. Life insurance and Accidental Death and Dismemberment
Alberta School Employee Benefit Plan (ASEBP)
Service Description
Life insurance Coverage equal to two times your annual earnings to a maximum benefit of $800,000Accidental Death &
Dismemberment Coverage equal to two times your annual earnings to a maximum benefit of $800,000 Benefit Information Sheet - ATA Dental Cost Summary ChartRevision Date:
2023/01/01
Page 3 of 6
HR.B406
3. Dental Cost Summary Chart
Sun Life
Group # 25286
The following chart summarizes some of the frequently used dental care services (see the benefits booklet for additional information on yearly visit /service occurrence limits):Benefit Deductible
% ofReimbursement
Maximum
Diagnostic/
Preventive None 100% None
Restorative None 100% None
Orthodontic None 50% $1,500 per person maximum payable in a lifetimeOnly for covered dependent children
under age 19Periodontic None 100% None
Denture None 60%
$1 ,500 per person maximum payable for expenses incurred in a calendar year for you and your covered dependentsBridge None 60%
Crown None 60%
Endodontic None 100% None
Limits - the Calgary Board of Education is using the provincial Dental Fee Guide from the previous calendar year t o define maximum reimbursement for dental services rendered.Your dentist may charge you above these limits.
Charges over the fee guide are the responsibility of the employee. Benefit Information Sheet - ATA Sick Leave and Extended DisabilityRevision Date:
2023/01/01
Page 4 of 6
HR.B406
4. Sick Leave and Extended Disability
This is a brief summary that is not intended to cover all situations.Sick Leave Extended Disability
Upon commencement of employment under
contract, teachers have access to 20 school days of sick leave in their first year of employment.Sick leave is prorated when the contract is for
less than a full school year. After 90 calendar days of sick leave theExtended Disability Plan may apply.
The percentage of salary paid after the
elimination period is 70% of basic monthly earnings to a maximum benefit of $23,333 per month.Teachers, upon commencement of a second
year of employment under contract, shall haveaccess to 90 calendar days of sick leave. ASEBP is the insurance provider for your extended disability benefits
Teachers are to report all absences through
SmartFindExpress
Any absences longer than five working days
require a Certificate of Illness to be filled out.5. Retirement Plan
The Alberta Teachers' Retirement Fund (ATRF) is a defined benefit plan.Your pension at retirement will be based on:
Years in the plan
Your highest five-year average pensionable salary
A legislated benefit rate
Please refer to your
Collective Agreement
for specific details on sick leave with pay and theExtended Disability Plan.
Benefit Information Sheet - ATA Benefit BookletsRevision Date:
2023/01/01
Page 5 of 6
HR.B406
Summary of the ATRF pension
plan: You are eligible for a pension when you are 55 years of age or older and have: five years of pensionable service after August 31, 1992, or five years of pensionable service that includes a period of pensionable service in each of the 1991 -92 and 1992-93 school years, or ten years of pensionable service. If you are at least 65 years old when you leave the Plan, you are entitled to receive an immediate pension even if you don"t have five years of ATRF membership.The legislated benefit rate is:
1.4 per cent on your average highest pensionable salary up to the year's
maximum pensionable earnings (YMPE), multiplied by your years of pensionable service; and2 per cent on your average highest pensionable salary over the YMPE up to
the maximum allowed under the federal Income Tax Act, multiplied by your years of pensionable service For example: Assuming your highest 5 year average salary is $100,000 and the corresponding5 year average YMPE is $61,840, your annual pension benefit would be calculated as follows:
($61,840 x 1.4% x Years of ATRF service) + (($100,000 - $61,840) x 2% x Years of ATRF service)) = your annual pension benefit before tax6. Benefit Booklets
Further information on benefit coverage is available onInsite in the Sun Life Benefit
Booklets.
7. Contact Information
1. If you have questions about your coverage contact theEmployee Contact
Centre at:
403817
7333
2.