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OTIP Occasional and Casual Members (OCM) Benefits Plan



Eligibility Authorization Form

Fill out the form

(For members from AEFO, ETFO and OSSTF) 


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1-866-783-6847

Welcome to the OTIP Occasional and Casual Members (OCM) Benefits Plan

Here is some information about this plan:

  • Participation in the plan is voluntary for eligible members from AEFO, ETFO and OSSTF.
  • A portion of your premiums may be paid by your school board. To learn more about your funding arrangement, you can contact your school board.
  • If you enrol in the plan, you are required to stay in the plan for 12 months, from September 1 to August 31.
  • If you obtain a long-term occasional (LTO) position/contract, you have options. Be sure to review Obtaining an LTO at the start or during the school year section to determine the best option for you.

Benefits Plan Guide:
View a summary of the OTIP Occasional and Casual Members (OCM) Benefits Plan.

This plan is administered by OTIP.

 

Who is eligible

 

Eligibility for the OTIP OCM Benefits Plan is determined by your school board.

If you are eligible, you will receive an email invitation from OTIP in August/September.

 

How to participate

 

To have coverage under the plan, you must complete the following:

  1. You must complete and submit the Eligibility Authorization Form below by the date indicated in your invitation from OTIP. An email will be sent to you to confirm that we have received your form.
  2. You will receive an enrolment email within 10 days of submitting your form. If you do not complete the enrolment by the date outlined in the enrolment email, you will have no coverage.
 

Obtaining an LTO at the start or during the school year

 

If you obtain a long-term occasional (LTO) position/contract, you have options. We encourage you to review your plans and premiums to determine the best option for you.

 
  • Option 1: Stay in the OTIP OCM Benefits Plan and decline coverage under the Employee Life and Health Trust (ELHT) Benefits Plan
  • Option 2: Put the OTIP OCM Benefits Plan on hold and enrol in the ELHT Benefits Plan
  • Option 3: Stay in the OTIP OCM Benefits Plan and enrol in the ELHT Benefits Plan

NOTE: Whether you obtain an LTO or not, to participate in the OTIP OCM Benefits Plan, you must submit the Eligibility Authorization Form and complete your enrolment.

 

Stay in the OTIP OCM Benefits Plan and decline coverage under the Employee Life and Health Trust (ELHT) Benefits Plan

Why would you want to select this option?

Simplicity. You will have coverage under the OTIP OCM Benefits Plan from September 1 to August 31 with one benefits card and claims history in one location.

Stay in the OTIP OCM Benefits Plan

  • No change to your existing coverage.
  • You will continue to pay the monthly premium.
  • You will continue to use your existing OTIP ID for this plan.

Decline coverage under the ELHT Benefits Plan

  • You will have limited or no coverage under this plan.
  • You do not have to pay any monthly cost for the ELHT Benefits Plan (if applicable).
  • Even if you do not enrol in the ELHT Benefits Plan, you will get a new OTIP ID number.

Put the OTIP OCM Benefits Plan on hold and enrol in the ELHT Benefits Plan

Why would you want to select this option?

Funding. If your LTO full-time equivalent (FTE) is 1.0, your ELHT Benefits Plans may pay 100% of Basic Life, Basic AD&D, health and dental premiums. If your FTE is less than 1.0, funding for health and dental benefits are pro-rated.

Put your OTIP OCM Benefits Plan on hold:

You can put the OTIP OCM Benefits Plan on hold while you have coverage under the ELHT Benefits Plan.

  • It is important that you email us as soon as possible. Log in to OTIP’s secure member site, select My Claims and “send us a note.”.
  • Be sure to read the Important Notes to learn more about notifying us of your LTO.

Enrol in the ELHT Benefits Plan:

  • To enrol in the ELHT Benefits Plan, we will send you new enrolment instructions.
  • You may be required to pay a portion of your benefit costs as per the funding arrangement under your ELHT Benefits Plan.
  • Once enrolled, you will get a new benefits card. (Therefore, you will have two OTIP ID numbers and two benefit cards.)

Restart your OTIP OCM Benefits Plan after your LTO ends:

  • Your OTIP OCM Benefits Plan will restart the day after your LTO ends. You are required to stay in the plan for 12 months.
  • Premiums will be deducted from your bank account starting on the 10th of the following month.

IMPORTANT NOTES:

  1. If you obtain an eligible LTO that requires you to complete a waiting period for coverage (retroactive or current dated):
    • To put the OTIP OCM Benefits Plan on hold, you need to notify us before the start of your LTO.
    • If you do not notify us, premiums paid during your waiting period will not be refunded.

  2. If you notify us after your LTO starts:
    • Your OTIP OCM Benefits Plan will be on hold at the end of the month in which you notified us.
    • Premiums paid up to date will not be refunded.

  3. If you notify us in advance that your eligible LTO starts on a future date between the 1st and 15th of the month (e.g. October 2):
    • Coverage and premiums under the OTIP OCM Benefits Plan will be on hold the day your ELHT Benefits Plan becomes effective.
    • Premiums will not be deducted. If applicable, premiums under the ELHT Benefits Plan will begin on your coverage effective date.

      E.g. If your LTO starts on October 2, the October premium for the OTIP OCM Benefits Plan will not be deducted. If applicable, premiums under the ELHT Benefits Plan will begin in October.

  4. If you notify us in advance that your eligible LTO starts on a future date between the 16th and the end of the month (e.g. September 17):
    • Your OTIP OCM Benefits Plan will be on hold the last day of the month.
    • Premiums paid up to date will not be refunded. If applicable, premiums under the ELHT Benefits Plan will begin next month.

      E.g. If your LTO starts on September 17, you are responsible for paying the September premium under the OTIP OCM Benefits Plan. If applicable, premiums under the ELHT Benefits Plan will begin in October.

Stay in the OTIP OCM Benefits Plan and enrol in the ELHT Benefits Plan

Why would you want to select this option?

Co-ordination of benefits. You can submit claims to both benefits plans to get up to 100% of your money back for your health and dental costs. Simply submit your claims to your ELHT Benefits Plan first. If there is any portion that was not covered under the ELHT Benefits Plan, you can submit the unpaid portion to the OTIP OCM Benefits Plan.

Stay in the OTIP OCM Benefits Plan

  • No change to your existing coverage.
  • You will continue to pay the monthly premium.
  • You will continue to use your existing OTIP ID for this plan.

Enrol in the ELHT Benefits Plan

  • To enrol in the ELHT Benefits Plan, we will send you new enrolment instructions.
  • You may be required to pay a portion, or all your benefit costs as per the funding arrangement under your ELHT Benefits Plan.
  • Once enrolled, you will get a new benefits card. (Therefore, you will have two OTIP ID numbers and two benefit cards.)
  • To set up co-ordination of benefits between the two plans, please contact OTIP Benefits Services at1-866-783-6847.

If you want to put your OTIP OCM Benefits Plan on hold, please review Option #2.

 

Monthly premiums

 
Benefit Monthly cost
(including PST)
Monthly cost
(excluding PST)
  Single Family Single Family
Basic Life and AD&D $17.00 $17.00 $15.74 $15.74
Health $151.98 $379.95 $140.72 $351.81
Dental $74.04 $185.11 $68.56 $171.40
 

Notes:

  1. Premiums are subject to change and where indicated include provincial sales tax (PST) for residents of Ontario.
  2. Some portion of the premiums may be reimbursed on your behalf by your employer/board depending on your employer arrangement.
  3. Basic Life and AD&D are for members only. Must be purchased in order to purchase family Health and Dental.
 

Eligibility Authorization Form

All fields are mandatory.

Please enter the last name as reported by your employer/school board.Please enter the last name as reported by your employer/school board.
( ) -
Employee Payroll ID
  • Your Employee Payroll ID can be found on your pay stub
  • This information will be used to verify your information against the school board database.
Date of BirthThis information will be used to verify your information against the school board database.
Authorization:

I hereby apply for coverage under the group benefits plan issued by my plan sponsor and administered by OTIP.
I authorize OTIP and its insurer to collect, use, maintain, and disclose my personal information with my employer, plan sponsor and/or plan administrator, and agents retained by any of the aforementioned, for the purposes of determining my eligibility, plan administration, audit, assessment, investigation, claim management, underwriting and complying with various legal requirements.

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