Who is eligible?
If you have been hired as a permanent employee to work at least 40% of a regular work week, or, if you have been hired for a term (temporary) position for a period of no less than 12 months, to work at least 40% of a regular work week, you are entitled to coverage for you, your spouse and dependents.
Your spouse is defined as someone to whom you are married legally or common law (defined as having lived with your partner for 12 months or more). This includes a spouse of the same sex.
Your dependent child is defined as an employee's or spouse's child who:
- is either under age 21 or under age 26 and a full-time student at an accredited school, college, or university; and
- is unmarried (legally or common law); and
- is not employed on a full-time basis; and
- is not eligible for benefits as an employee under this or any other group plan.
A child who is incapable of employment due to a mental or physical condition that occurred before reaching the maximum age will continue to be covered if approved by the insurance company.
If you meet the eligibility requirements, you MUST participate in this benefit.
When will coverage begin?
Your Basic Life Insurance coverage starts three months from the date you become eligible, or as outlined in your letter of employment from your employer. You must be actively at work during the waiting period and on the effective date for coverage to begin.
Basic Life Insurance for your spouse and dependents starts when they meet the definition of spouse or dependent or when your Basic Life Insurance starts, whichever comes later.
When will coverage end?
Your Basic Life coverage ends when you are no longer eligible, reach age 70, or if your employment is terminated, whichever comes first. Please refer to the continuation of coverage section for information on options at retirement.
Basic Life Insurance coverage for your spouse and dependents ends when they no longer meet the definition of spouse or dependent, you reach 70, your employment is terminated, or at your retirement, whichever comes earlier.
What is covered?
You will receive Basic Life Insurance coverage equal to two times your guaranteed annual earnings, to a maximum of $1,000,000, until age 70. This benefit pays a lump sum to your beneficiary in the event of your death. If you do not name a beneficiary, your Life Insurance will be paid to your estate.
Under the Basic Life Insurance program, your spouse is insured for $10,000, and each eligible dependent child is insured for $5,000. You are the beneficiary(ies).
If you become terminally ill with a life expectancy of 24 months or less, you may apply for a loan under the Sun Life Living Benefits Loan Program. Under this program, you may receive an advance of up to 50% of the basic life coverage, to a maximum of $100,000. However, if you are within 5 years of a scheduled reduction of coverage (retirement) the advance you may receive cannot exceed 50% of the lowest reduced amount to a maximum of $100,000. If you are within 5 years of a termination of coverage (age 65 or older), you are not eligible for this loan.
The Sun Life Living Benefits Loan Program does not apply to spouse or dependent children.
What are the exceptions?
The employee must be actively at work on the coverage effective date in order for coverage to become effective.
How do I make a claim?
You may name a beneficiary(ies) for your Life Insurance. To do so, you must complete a Health Association Nova Scotia Beneficiary Form giving the full name of each beneficiary, date of birth, the person's relationship to you and the percentage amount allocation. If you do not name a beneficiary, your Life Insurance is paid to your estate.
At the time of claim your employer will begin the claim process with you or your beneficiary(ies).
Life Insurance claims (including claims for your spouse and/or dependent children) must be submitted as soon as reasonably possibly. All completed forms and supporting documentation must be returned to your Benefits Administrator (your employer) for signing. Your employer will forward all required paperwork to Health Association Nova Scotia.
CONTINUATION OF COVERAGE
What happens during a leave of absence?
If you take an approved paid leave of absence you must continue coverage.
If you take an approved unpaid leave of absence, you may continue for up to 12 months. If you take an approved maternity or parental leave, you may continue for the duration of the leave. If your leave is 12 months or less and you choose not to continue the benefits during your unpaid leave, coverage is reinstated when you return to work. For leaves longer than 12 months, you must satisfy a 3 month waiting period.
If you are on an approved sick leave you may continue benefits.
If you are approved for Health Association Nova Scotia Long Term Disability (LTD) benefits, coverage continues and your premiums may be waived for as long as you are receiving the LTD benefit.
If you are approved for disability under another program (e.g CPP Disability), please contact your employer for details on continuation of coverage and demonstration of proof, and complete an application for waiver.
What happens to coverage when I retire?
You are eligible for retiree benefits if you have at least 10 years of continuous service immediately prior to retirement and receive a pension from the Nova Scotia Health Employees’ Pension Plan or another pension plan sponsored by your employer. At retirement, you have the option to continue Basic Life Insurance coverage. Coverage reduces by approximately 20% each year, ending four years after your retirement, or at age 70, whichever happens first. If you retire after age 65, your coverage at retirement will reduce to the amount you would have had if you had retired at age 65. In no event will coverage be extended past age 70.
Can I convert coverage?
Any time you lose coverage (i.e. retirement, job change, or at age 70), you have the option to convert it to an individual policy within 31 days from the date coverage is lost.
Your spouse has the option to convert to an individual policy within 31 days from the date their coverage is lost. Your dependent children do not have a conversion option.