VOLT CANADA INC.

Contingent/Temporary

Benefits At A Glance
June 1, 2016 – May 31, 2017
Benefit Plan Key Features
Extended Health Care Plan
The Extended Health Care Plan covers a variety of services that are not covered or are only partially covered by your provincial health plan.
Prescription drugs The Plan covers both eligible generic drugs and brand name drugs that do not have a generic
equivalent that require a written prescription by a physician or dentist and are dispensed by a
licensed pharmacist.
 80% reimbursement for eligible drugs
 $2,000 out-of-pocket maximum per calendar year per insured person1
 Per prescription deductibles equal to dispensing fee
 Life-sustaining drugs
 Fertility drugs, up to a $15,000 lifetime maximum per insured person
 Anti-smoking drugs, up to a $300 lifetime maximum per insured person
Drug annual deductible  NA

Paramedical coverage  Services of qualified practitioners, such as registered massage therapists, chiropractors,
naturopaths, psychologists, physiotherapists, speech therapists, osteopaths, podiatrists,
and acupuncturists up to a maximum of $500 per calendar year per practitioner.
 90% reimbursement
Vision Care  100% reimbursement
 Up to $200 during 2 calendar years
Ambulance  Charges for licensed ambulance service provided in the insured person’s province of
residence, including air ambulance, to transfer the patient to the nearest hospital where
adequate treatment is available.
Custom-made orthotics  Up to $400 per person every three calendar years (Manulife’s standard claims provisions
will apply).
Hearing aids  Up to $500 every 5 years
Orthopaedic shoes  Up to $150 per calendar year (Manulife’s standard claims provisions will apply).
Out-of-province/  Treatment required as a result of a medical emergency that occurs while temporarily
Out-of-Canada coverage outside the province of residence.
 Expenses are payable up to a lifetime maximum of $5,000,000.
 50% reimbursement for out-of-Canada referral services.
Private duty nursing  When recommended by a doctor, fees for medically necessary, out-of-hospital private
duty nursing by a registered nurse or registered nursing assistant (or equivalent
designation).
 50% reimbursement for out of country referral services
 $10,000 maximum per insured person, per year.
Medical equipment, supplies, and services  Charges to rent or purchase medically necessary supplies (e.g. medicated dressings,
surgical stockings, oxygen), mobility equipment (e.g. wheelchairs, crutches, walkers),
and durable medical equipment (e.g. manual hospital beds, respiratory and oxygen
equipment).
Supplementary hospital accommodation  The Plan will pay the difference in cost between standard ward accommodation (paid for
by your provincial health plan) and semi-private room accommodation.

1 Insured person refers to an employee as well as to his or her spouse and dependent children who are eligible for coverage under the Program.
June 2016
2011 Contingent/Temporary|
In-House | 2

Benefits At A Glance (continued)

Benefit Plan Key Features
Travel assistance program (ManuAssist) A variety of services provided as a result of a medical emergency that occurs while
temporarily outside the province of residence, including:
 Medical emergency assistance (e.g. referrals, monitoring, transportation, trip interruption,
meals and accommodation)
 Non-medical assistance (e.g. lost document and ticket replacement, legal referrals,
interpretation services)
Dental Plan
The Dental Plan helps you pay for many routine and emergency dental expenses that are incurred by you and your dependents and performed by
a licensed dentist or dental surgeon.
Check-up and routine recall services Twice per calendar year.
Dental expenses Includes:
 Deductible of $25 single/$50 family
 80% reimbursement for basic services (combined maximum
(preventative/diagnostic services) of $1,500 per calendar
 80% reimbursement for supplementary basic services year, per insured
 50% reimbursement for dentures person)
 50% reimbursement for major restorative services

Medical, Dental and Vision 2016/2017 Weekly Premium Rates

Single $16.11
Family $39.47

Basic Life and Accidental Death & Dismemberment (AD&D) Insurance

- Basic life provides a lump-sum payment to your beneficiary(ies) or estate in the event of your death.
- AD&D provides you with a lump-sum payment if you are injured in an accident that resulted in dismemberment. The lump sum will be paid to
your beneficiary(ies) or estate if you die as a result of the accident.
Benefit amount  Basic life insurance provides one times your annual earnings up to a maximum of
$100,000.
 AD&D provides up to one times your annual earnings up to a maximum of $100,000
Dependent Life Insurance
Provides you with a lump-sum payment in the event of the death of a dependent.
Benefit amount  Spousal life is provided at a level of $10,000;
 Child life benefit is $5,000.
Benefit 2015/2016 Weekly Premium Rates

Life Insurance $0.016 per $1,000 of benefit

Accidental Death and Dismemberment $0.008 per $1,000 of benefit

Dependent Life Insurance $0.23

Long-Term Disability (LTD) Plan

Provides you with monthly income if you remain totally disabled and are unable to return to your own job after 17 weeks of illness or injury.
If hired before June 1, 2014 If hired on or after June 1, 2014
Monthly benefit amount  60% of your monthly earnings  60% of your monthly earnings
Maximum benefit period  The duration of your total disability, until age  Earlier of age 65 or ten years
65.