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When your FSSBM plan coverage ends
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Coverage under your ELHT plan (health, dental, life and accidental death and dismemberment (AD&D)) ends effective 11:59 p.m. on your last day of work.
Examples:
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If you retire on March 31, your coverage will end at 11:59 p.m. on March 31.
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If your retirement date is June 30, your coverage will end at 11:59 p.m. on June 30.
CUPE, OCEW, Unifor extends coverage under your ELHT plan to the last day of the month.
No claims incurred after your last eligible day as a teacher will be paid after that date. If your benefits plan also covered any eligible dependents, their coverage will end on your retirement date as well.
TIP: Be sure to apply for retiree health and/or dental insurance before your last day of work. This way you have coverage when your benefits under the ELHT plan end.
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Submitting health and dental claims
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For plan members, you will have 90 days from the date your coverage ends to access your OTIP secure member site and submit any health and dental claims incurred up to and including your last day of coverage.
NOTE: Any claims received after 90 days from the date your coverage ends will be declined.
In some cases, a provider may be able to submit a claim electronically.
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Options to convert your group life insurance (if applicable)
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You may be eligible to convert your group life insurance policy to an individual policy, up to a $200,000 maximum, with the current carrier (i.e. Manulife) without having to provide proof of good health or undergo a medical exam, provided you do so within 31 days of your coverage ending.
You can learn more about your options and/or convert your group life insurance policy to an individual policy by reviewing the Group Benefits Life Conversion Options form available at otip.com/forms (found under Life Insurance forms). If you are interested in converting your policy, please follow the steps outlined on our website under the Life Insurance Forms section.
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