Adriatic Insurance Brokers Ltd.  
Member of the Sorbara Group  
 
 




Summary of Benefits A comprehensive Employee Benefit Package designed specifically for the Self-Employed and Employers with one to five employees.
For companies with more than 5 employees, we have very competitive options available.


LIFE INSURANCE

The life insurance benefit will be paid to the employee's appointed beneficiary upon the death of the employee.

All Eligible Employees: $25,000 benefit

Benefit will reduce by 50% at age 65 and terminate at age 70 or retirement, whichever comes first.


DEPENDENT LIFE INSURANCE

The following amount of benefit will be paid to the employee upon the death of his/her eligible dependent, with coverage commencing at birth:

Spouse $5,000     Child $2,500


ACCIDENTAL DEATH, DISEASE &
DISMEMBERMENT

This benefit provides a lump sum cash payment equal to twice the life insurance benefit should the employee suffer an accidental death, 24 hours a day, on or off the job.

Payout percentage examples for Loss of:

  Both Hands or Both Feet 100.00%
  One Leg or One Arm 75.00%
  Either Hand or Foot 66.67%
  Thumb & Index Finger of Same Hand 33.33%

Payout percentage examples for Loss of Use of:

  Quadriplegia, Paraplegia or Hemiplegia 100.00%
  Both Hands or Both Arms 100.00%
  One Arm or One Leg 75.00%

REHABILITATION, REPATRIATION &
SPOUSAL RETRAINING
$10,000 max./benefit

EDUCATION $5,000 max./year

Pays child's education if employee dies
EXTENDED HEALTH CARE

The following expenses are covered* with no deductibles:

Benefit Co-Ins. Maximum
Paydirect Prescription Drugs 80% $1,500/yr./person
Private Duty Nursing 80% $10,000/lifetime
Paramedical Practitioners 80% $400/yr./practitioner

Osteopath, Naturopath, Podiatrist,
Chiropodist, Psychologist,
Physiotherapist,Acupuncturist
Speech and/or Massage Therapist

Chiropractor 80% $20/visit - $400/yr.
Eye Examination 80% 1 exam/24 mths. $50/max.
Orthopedic Shoes/Orthotics 80% $250/yr.
HearingAids 80% $400/5 yrs.
Cardiac Rehabilitation 80% $500/yr.
Prosthetics 80% $25,000/lifetime
Medical Supplies 80% unlimited
EmergencyAmbulance 80% unlimited
Accidental Dental 80% $2,000/lifetime

Anti-Smoking, Fertility Drugs & Treatments   excluded
Semi-Private Hospital   excluded

*All coverage subject to terms and conditions of the insurance policy.


OUT-OF-PROVINCE/COUNTRY
(included with Extended Health Care Coverage)

If the employee or an eligible dependent becomes ill or injured while travelling, emergency hospital and medical expenses will be paid at 100%, in excess of the amount paid by the Provincial Health Insurance Plan.

This benefit is subject to a $1,000,000.00 maximum and does not include referral coverage.

Eligible benefits are limited to a maximum of 60 days per trip, commencing with the date of departure from your province of residence. If you are hospitalized on the 60th day, benefits will be extended until the date of discharge.
DENTAL CARE (Optional)

This plan will pay 80% of basic covered expenses with no annual deductibles. Benefit payment is based on the current provincial fee schedule to a maximum of $1,000 per calendar year per insured.

Covered expenses:
- oral examinations, cleaning and polishing of teeth,
but not more than once every nine months
- fluoride applications
- x-rays
- fillings
- space maintainers
- extractions
- anaesthesia
- endodontics (root canal therapy)
- periodontics (treatment of gums & other tissue of the mouth)
- repairs or relining and rebasing of dentures


SURVIVOR BENEFIT

(Included at no additional cost)
If the insured dies, their Extended Health Care and Dental coverage will continue without premium payment for up to six months for all eligible dependents.

LONG TERM DISABILITY (Optional)

Pays the insured 60% of their gross insured earnings to a maximum monthly benefit of $1,500 if the employee is unable to work due to disability.

- The insured is required to complete a Medical
Questionnaire
- Benefit payment begins after 4 months of total disability
and continues to age 65 at which time benefits terminate
- Definition of Disability: One Year Own Occupation
- Primary CPP Integration offset
- 85%All-Source Maximum
- Inflation protection

Note: All Coverages
Coverage and actual premiums will be effective on the first of the month after approval by the insurer. This form is only a brief summary. The Master Policy contains the terms, conditions, limitations and exclusions. Premiums are subject to an additional 8% provincial tax.









Insurance Brokers Association Member


Copyright © 2000 - 2010 Adriatic Insurance Brokers Ltd. All rights reserved.