Employee Dependent FAQ
Below are some of the most frequently asked questions about Benefits at Carleton.
Who qualifies as an eligible dependent?
- Employee’s Eligible Spouse
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The employee’s spouse is eligible if he or she is the employee’s legal spouse, common-law spouse, or former spouse when mandated by the family court. A common-law spouse is deemed eligible if they have been cohabitating for 12 consecutive months.
- Employee’s Eligible Children
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A child is eligible if he or she is the employee’s eligible spouse’s unmarried natural, legally-adopted, or step / foster child, for whom the employee or employee’s eligible spouse has been appointed legal guardians, and who are:
- under age 21,
- under age 25, if they are full-time students and depend on the employee for support, or
- of any age, if mentally or physically disabled and incapable of self-support, provided the disability began before they turned 21 or while they were full-time students under age 25, and the disability has been continuous since then, and
- natural children of the employee’s daughter, if she is under age 21 and meets the definition of a dependent as defined above.
Canada Life Admin
Coverage
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No. The plan pays 100% of the difference in cu_event_cost between standard ward and semi-private room accommodation in a hospital.
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Yes, except for members of CUPE 3778 and Visiting Scholars. For members who do have coverage, the eye examination fee is taken into consideration in the total amount payable under the Vision Care plan.
For members of CUPE 3778 and Visiting Scholars, if you are under age 20 or over age 64 you may be covered under the provincial health plan. To find out more, contact the provincial health plan organization in the province where you live.
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Initial placement of dentures is not covered under the plan. Repairs, rebasing and relining of dentures every twelve months are covered at 100%.
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The plan allows for two pairs of orthotics every twelve months. The plan will reimburse 80% of the cu_event_cost to a maximum of $450.00 every twelve months.
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You can contact Great-West Life directly at 1-800-957-9777. A representative will provide you with information regarding your coverage eligibility. Please note that you will be asked to provide your policy number and member ID.
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Charges for the services of a Registered Nurse (R.N.), Registered Nursing Assistant or Licensed Practical Nurse for private duty nursing are covered when provided in the home; provided such services are certified as medically necessary by the attending physician. Payment for such services shall exclude:
- Charges in excess of the fee level set by the largest nursing registry of Ontario
- Agency fees, commissions or overtime fees
- Charges by a nurse who is related to the patient by birth or marriage or who lives in the home of the covered person
- Charges for the services of a homemaker or any person who is not described above
- Charges incurred by any person while confined in a hospital
Travel
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If you are planning a trip outside your province of residence and you have a medical condition that required treatment or had a change in medication in the three months prior to your departure, be aware of the following.
Coverage may be denied if a problem related to that condition or change in medication arises while you are away.
You may want to contact Canada Life at 1-888-381-4401 to clarify coverage before traveling outside of the province.
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Out of Country Emergency Travel Insurance is included in your Extended Health Care Plan. You and your dependents registered under your policy will be covered up to 180 days. Coverage is for emergency care only.
Note: CUASA members and their eligible dependents traveling on university business or on sabbatical leave are not limited to the 180 day maximum.