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Engineers Canada

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FAQs

Frequently asked questions related to Engineers Canada

Will my Term Life premiums increase with age?

Based on the current rate structure, premiums do increase with age every five years, specifically at ages 31, 36, 41, 46, 51 and so on.

When will disability benefits end?

Disability benefits could be paid out until age 70, and a disability due to an eligible accident or injury will not terminate at all during the lifetime of the insured.

When will the disability benefits be paid out?

Disability benefits could be paid after only 7 days or after an elimination period of 365 days. The longer you wait before beginning to receive disability benefits the lower the premium cost will be.

What's the difference between the Prime plan and the Professional retiree plan?

If you purchase the Prime plan, you will be purchasing the Dental Care coverage separately from the Extended Health Care coverage – so there are two quotes. However, when you purchase one of the three options of the new Professional Retiree plan, you get a quote for both Health and Dental combined. Also, the Prime plan lifetime maximum for claims outside Canada is reduced to $25,000 at age 65, while it remains the same under the new Professional Retiree plan.

What's the annual limit per practitioner for medical practitioners?

There is an annual limit of $500 for each practitioner

What's the annual limit per pracitioner?

For the Prime plan, there is a calendar year limit of $500 for each practitioner. Under the new Professional Retiree plans, the combined anniversary year maximums are $600 for the Base plan, $650 for the Bridge plan, and $700 for the Comprehensive plan.

What is elimination period?

The number of days during which no benefits are payable. After satisiying the  elimination period, monthly benefit will be payable to you.

What is "earned income"?

From your employment or profession, after business expenses but before income taxes. If you have fluctuating income, your average monthly earnings before disability is the greater of:

  1. your average monthly earnings during your last taxation year, or
  2. the average of the previous 24 months
What happens to my spouse's coverage if I die?

Under the Term Life Plan, if you die your insured spouse will be given the option to continue his or her coverage under the Plan.

Can I convert my Term Life coverage to an individual policy?

Yes. You may apply to convert your insurance to selected individual plans without an additional medical examination or extra health questions. You simply pay the rates for the individual plan that apply to your age at the time of conversion. Contact us for more information.

What are the limits per eligible expense, per person?
  • Eye exams – $50 every 24 months
  • Prescription eyewear – $200 every 24 months
  • Medical practitioner – $500 per practitioner, per calendar year
  • Private duty nursing – $10,000 for any one injury or sickness every 12 months
  • Hearing aids – $500 every 5 years
  • Orthotics and orthopedic shoes – $225 (combined) per calendar year
  • Glucometers – $500 per calendar year
  • Accidental dental – $750 per tooth
  • Prescribed vaccines (required for out-of-Canada travel) – $250 per calendar year
  • Repatriation – $15,000 per injury or sickness
  • Dental care – $1,500 per calendar year
What are the Critical Illness exclusions under this plan?
  • Cancer in situ;
  • T1A and T1B prostate cancer;
  • Any skin cancer, other than invasive malignant melanoma to a Breslow depth greater than 0.75mm;
  • Pre-malignant lesions, benign tumours or polyps;
  • Any tumour in the presence of any human immunodeficiency virus (HIV).
What are the pre-existing conditions not covered under this plan?
  • Active hepatitis
  • AIDS or AIDS-related disease
  • Alcohol abuse in the past five years
  • Alzheimer's disease
  • Any heart condition or heart trouble (excluding controlled hypertension)
  • Cancer – all cancer except basal cell skin cancer
  • Coronary artery bypass surgery
  • Diabetes
  • Heart attack
  • Huntington's chorea
  • Kidney disease – other than kidney stones or a history of kidney infection
  • Lou Gehrig's disease – amyotrophic lateral sclerosis (ALS)
  • Major organ transplant recipient
  • Multiple sclerosis
  • Permanent paralysis (paraplegia, quadriplegia) – other than Bell's Palsy
  • Pulmonary fibrosis
  • Stroke – cerebrovascular accident
  • Transient Ischemic Attack
What are the complete definitions of the covered conditions?

Life-threatening cancer: A tumor characterized by the uncontrolled growth and spread of malignant cells and the invasion of tissue as confirmed by histological examination of tissue samples.

Heart attack (myocardial infarction): The death of a portion of the heart muscle due to atherosclerotic heart disease. The diagnosis must be based on all of the following criteria occurring at the same time:

  • New episode of typical chest pain or equivalent symptoms; and
  • Resulting from the blockage of one or more coronary arteries; and
  • New electrocardiographic changes indicative of myocardial infarction; and
  • Biochemical evidence of myocardial necrosis including elevated cardiac enzymes and/or troponin.

Stroke: A cerebrovascular incident causing infarction of your brain tissue, due to intracranial hemorrhage, thrombosis or embolism, producing a new measurable permanent clinical neurological deficit persisting for at least thirty (30) days following the occurrence of the stroke.

Coronary artery bypass surgery: You have undergone heart surgery to correct narrowing or blockage of one or more coronary arteries with bypass grafts.

Kidney failure: End stage renal disease, due to whatever cause or causes, as a result of which you are undergoing peritoneal dialysis or hemodialysis on a regular basis or have received a transplanted human kidney.

Major organ transplant: You have undergone transplantation of a human heart, liver, lung or kidney due to irreversible failure of such organ, or you have received transplanted human bone marrow.

Blindness: Total and permanent loss of sight in both eyes, as confirmed by a doctor who is a certified ophthalmologist. The corrected visual acuity must be worse than 20/200 in both eyes, or the field of vision must be less than 20 degrees in both eyes.

Deafness: Total, permanent and profound loss of hearing in both ears, with an auditory threshold of 90 decibels or greater within the speech threshold of 500 to 3,000 cycles per second, as confirmed by a doctor who is a certified otolaryngologist, and such loss of hearing cannot be corrected by any hearing aid, implant or device.

Multiple sclerosis: The unequivocal diagnosis of definite multiple sclerosis by a doctor who is a certified neurologist. The diagnosis must be based on well-defined neurological abnormalities on physical examination persisting for a continuous period of at least one hundred and eighty (180) days and confirmed by imaging techniques.

Paralysis: Complete and permanent loss of use of two or more limbs for a continuous period of ninety days following the precipitating event, during which time there has been no sign of improvement.

Coma: A state of unconsciousness, with no reaction to external stimuli or response to internal needs, continuing for at least four (4) days.

Burns: Third degree burns covering at least 20% of the surface area of the body. The diagnosis must be confirmed by a certified plastic surgeon.

Loss of speech: Total and irreversible loss of the ability to speak as the result of physical injury or disease which loss continues for a continuous period of at least one hundred and eighty (180) days.

Loss of limbs: The irreversible severance of two or more limbs at or above a point that is proximal to the wrist or ankle joint as the result of an accident or medically required amputation.

Motor neuron disease: You receive an unequivocal diagnosis, by a doctor who is a certified neurologist, that you have one of the following: amyotrophic lateral sclerosis (A.L.S. or Lou Gehrig’s disease), primary lateral sclerosis, progressive spinal muscular atrophy, progressive bulbar palsy, or pseudo bulbar palsy, and limited to these entities. The diagnosis must be accompanied by typical progressive neurological findings on physical examination for at least one hundred and eighty (180) days.

Aortic surgery: The undergoing of surgery for disease of the thoracic or abdominal aorta, requiring excision of the diseased segment of the aorta and replacement of it with a graft.

Alzheimer’s disease: The definite diagnosis of Alzheimer’s disease, by a doctor who is a certified neurologist, with progressive degeneration of the brain, memory and the ability to reason and perceive. You must exhibit the loss of intellectual capacity involving impairment of memory and judgment, which results in such a significant reduction of mental and social functioning as to require continuous daily supervision.

Parkinson’s disease: The diagnosis, by a doctor who is a certified neurologist, of primary idiopathic Parkinson’s disease, characterized by two or more of the following clinical manifestations:

  • Muscle rigidity
  • Tremor
  • Bradykinesia (abnormal slowness of movement, sluggishness of physical and mental responses)
I only see rates to age 65. Does coverage end at 65?

Coverage under Extended Health Care can be maintained past age 65. Please contact us for the rates that apply to those over 65 years of age.

Still have questions?

Please contact our office and we'll be happy to address any questions you may have.

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