News and Updates


You called, we answered


In 2018, OTIP Benefits Services received over 565,000 calls from plan members. The top three reasons that plan members call OTIP Benefits Services are inquiries about coverage, claims and enrolment.
 
Here are some of the most popular questions that members ask about:

I have moved to a new home. How do I change my address? How long will this change take?

You will need to contact your employer to update this information. You will not be able to update your new address in My Benefits or My Claims. Since this new information will be sent to OTIP from your employer, this change may take up to 10 business days before it is updated in My Benefits and My Claims.
 
Need to update your name or date of birth? You can also contact your employer to update this information.

My family status has changed. How do I change my coverage?

If your family status has changed due to a life event, you may be eligible to enrol or change your benefits coverage. Here are the guidelines for changing your coverage based on the following scenarios:

Your coverage today

You want to change to

Life events eligible for coverage changes

Coverage change deadline

Single

Family

  • Marriage

  • Common-law spouses (can be added within 31 days of the one-year anniversary of co-habitation)

  • Birth of a baby

  • Adoption or legal custody of a child (Legal documents must be provided within 31 days of legal adoption before child has coverage)

  • Spouse loses their benefits coverage

You have 31 days from the life event to make changes to your coverage.
 
If you are adding a new family member:

  • Within 31 days of the life event, the new family member is covered as of the life event date (e.g. wedding day, day child is born or adopted).

  • More than 31 days after the life event, the family member is considered a “Late entrant” and will need proof of good health (evidence of insurability). Based on medical evidence, their coverage may be denied. If coverage is approved, the new family member is covered as of the date coverage was approved (NOT the life event date). They may be subject to limitations (e.g. limit of $200 for dental for the first year).

Family

Family
(no change)

  • Marriage

  • Common-law spouses (can be added within 31 days of the one-year anniversary of co-habitation)

  • Birth of a baby

  • Adoption or legal custody of a child (Legal documents must be provided within 31 days of legal adoption before child has coverage)

If you are making this change within 31 days, you can make a change to your benefits coverage by completing the steps below.
 
If you are making this change more than 31 days after the life event, please contact OTIP Benefits Services at 1‑866‑783‑6847. Proof of good health (evidence of insurability) may be required.

 Family

Single

  • Divorce

  • Death of a spouse/child

  • Spouse gains their benefits coverage

 

You are eligible to make the change at any time.
 
For life events such as a “Divorce” or “Spouse gains their benefit coverage,” you can make a change to your benefits coverage by completing the steps below.
 
For a death of a spouse or child, please contact OTIP Benefits Services at 1‑866‑783‑6847.

 
Important notes:

  • If your full-time equivalent (FTE) status has changed, you have 31 days to change your coverage (e.g. if your FTE increases from 0.5 to 0.6, 0.8 to 1.0, etc.).

  • If you are on leave or going on a leave, please contact OTIP Benefits Services at 1-866-783-6847 to find out if you are eligible to continue or suspend your coverage during your leave.

  • If you choose to stop your benefits coverage during your leave, you will not be able to reinstate it until you return to work.

To make a change to your benefits coverage:

  1. Go to otip.com and click on Log in.

  2. Select Health and Dental from the drop-down menu and log in.

  3. After you have successfully logged in, click on My Benefits.

  4. On My Benefits home page, click Enrol/Make Changes in the My Personal Info box. Scroll down to the Life Event heading and choose the event that is appropriate for your situation and complete the steps.

How do I check to see what is covered under my health and/or dental benefits?

To see what products and/or services are covered by your benefits plan, check your benefits booklet online. Your benefits booklet includes benefit plan terms and coverage details, and is updated on a regular basis to reflect any changes or updates to your plan.

To view your benefits booklet:

  1. Go to otip.com and click Log in.

  2. Select Health and Dental from the drop-down menu and log in to your account.

  3. After you have logged in, click My Claims.

  4. Click Benefits booklet under My benefits.

If you do not see it in the benefits booklet or need more information, you can contact OTIP Benefits Services at 1‑866‑783‑6847.


Related links:
Submitting your claim 101

  News and Updates

Planning a summer road trip through Canada on a budget

READ FULL ARTICLE

FAQ: Insuring recreational vehicles and seasonal properties

READ FULL ARTICLE

Ways to deal with everyday stress

READ FULL ARTICLE

Need help?
x
How can we help?