Through the different Hiring Hall Collective Agreement arrangements money is paid by the employer from the members’ total wage package into an “operative welfare plan”. The operative health plan is administered by the Power Sector Benefit Trust (PSBT). The Trustees of the PSBT are charged with the fiduciary duty of ensuring the maintenance of the benefit plan in the most efficient and economical manner.
The PSBT benefit plan is carried by Great West Life, one of the major insurance companies in Canada.
Money remitted through the different Hiring Hall agreements for the health and welfare plan is used to purchase benefits for the members. The health and welfare benefits are mandatory for all Power Workers’ Union Hiring Hall members working through Appendix “A”.
For each hour a member of the Hiring Hall is paid (or works at OPG) a sum of money is forwarded to the PSBT at the end of each month. The current amount of $3.00 is part of the member’s total wage package and is deducted from pre-tax earnings. The money is placed in individual members accounts to purchase benefits on a monthly basis. The cost of benefits for members is $333.85 for family coverage and $225.69 for single coverage. These monthly fees are subject to change as the costs of services change.
A member will only be put on the plan when he/she has accumulated enough money in his/her account to purchase 2 months coverage. Money is received in the member’s name the month after it is earned (money earned in April is received by the PSBT from the employer in the middle of May and posted to the member’s account at the end of May). Members can pay directly to the PSBT for coverage if they are out of work and their account is running short.
A Long Term Disability (LTD) plan has been established as part of the benefit plan. The LTD plan pays 65% of wages up to $2,500.00 per month after a 119 day waiting period. The LTD benefit can only be purchased with money earned at work and remitted by your employer.
As part of the health and welfare benefits members have access to a Member Assistance Program with Homewood Health, a leading Canadian provider of professional counseling services. The program provides the following services; life coaching; work-life balance; stress management; legal assistance; child and elder care support; workplace concerns; addictions counseling; and health and nutrition advice. More information can be obtained from the Homewood Health website at www.homewoodhealth.com.
The rules of the Power Sector Benefit Trust allow for a refund in the specific circumstances below. The rules were established by the Trustees to ensure the Trust remains solvent and viable for all the members of the plan. It is a cost plus plan, meaning it is responsible for all costs of the plan plus an administrative service fee.
Flat amount of $100,000
Each Child: $5,000
Each member and spouse:
Flat amount of $50,000
70 percent of wages to a maximum of $2,500 per month. 119-day waiting period.
The maximum dispensing fee is $7.00 per prescription (Drug Identification number). All drugs requiring a prescription by law are covered plus certain drugs not requiring a prescription.
Payment is made based upon the current Ontario Dental Association Schedule of Fees for General Practitioners. There is no annual deductible. Reimbursement is 100% of covered charges. Coverage is for Basic and Preventive procedures and includes coverage for periodontal work (treatment of gum disease) and root canal treatment (endodontics). Repair and adjustment of dentures is also covered.