As an eligible employee, you are automatically covered under the 平特五不中 Accidental Death and Dismemberment Plan, providing听special benefits in the event of accidental death or serious injury. This coverage comes at听no cost to you, and any benefits you may receive are paid on top of any other available benefits. The coverage you receive depends on your age:
Insurance provider: SSQ Insurance
Policy number: 1T795
Customer service for claim inquiries: 1-888-651-8181
Coverage
| WHILE WORKING UNDER AGE 65 | IF WORKING AT AGE 65 OR OLDER听 |
|---|---|
|
1 times your annual salary* to a maximum of $100,000 平特五不中 pays the full cost of this coverage |
1 times your annual salary* to a maximum of $50,000 平特五不中 pays the full cost of this coverage |
| Salary* refers to your regular annualized salary, excluding any supplementary, sessional or overtime payments. | |
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What's covered
Loss and percentage of coverage
Depending on the nature and severity of your injury, you (or your beneficiaries in the case of accidental death) will receive a percentage of your coverage as outlined in the table below.
To qualify for payment under this plan, the loss must be incurred within 365 days of the accident. "Loss" means the actual severance of the body part in question through or above the respective joint or phalanges. "Loss of speech" means the inability to mutter intelligible sounds. "Loss of use" refers to the total and irrecoverable loss of function of an arm, hand, leg or foot. No benefit will be paid unless the loss has been continuous for at least 12 consecutive months.
The maximum benefit for multiple injuries sustained in a single accident is 200% of your coverage. Please note that this payment is entirely in addition to any benefits paid under the 平特五不中 Life Insurance or Disability Plans.
| Loss of | Percentage of your coverage |
|---|---|
|
Life |
100% |
|
Both hands |
100% |
|
Both feet |
100% |
|
Entire sight of both eyes |
100% |
|
One hand and one foot |
100% |
|
One hand and entire sight of one eye |
100% |
|
One foot and entire sight of one eye |
100% |
|
Use of both arms or both hands |
100% |
|
One arm |
75% |
|
One leg |
75% |
|
Use of one arm or one leg |
75% |
|
Speech or hearing听 |
66 2/3% |
|
One hand |
66 2/3% |
|
One foot |
66 2/3% |
|
Entire sight of one eye |
66 2/3% |
|
Use of one hand or one foot |
66 2/3% |
|
Thumb and index finger on same hand |
33 1/3% |
|
Four fingers of same hand听 |
33 1/3% |
|
Hearing in one ear |
16 2/3% |
|
All toes of the same foot听 |
12 1/2% |
|
Quadriplegia (complete and irreversible paralysis of both upper and lower limbs) |
200% |
|
Paraplegia (complete and irreversible paralysis of both lower limbs) |
200% |
|
Hemiplegia (complete and irreversible paralysis of both upper and lower limbs on one side of the body) |
200% |
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Exposure and disappearance
Any losses resulting from unavoidable exposure to the elements are also covered as outlined in the table above.
If your body is not found within one year of the disappearance, forced landing, stranding, sinking or wrecking of any conveyance (i.e., car, boat, plane or other means of transportation) in which you were riding at the time of the accident, you will be presumed to have died in the accident. Your beneficiary will receive a benefit equal to 100% of the coverage provided under the plan.
Additional coverage
In addition to the coverage听shown in the table above, the Accidental Death and Dismemberment Plan provides you and your family with a range of additional benefits. These benefits are summarized below:
| Benefit | Coverage |
|---|---|
|
Rehabilitation benefit |
The plan will cover reasonable and necessary expenses (to a maximum of $10,000) for special training you must undergo to become qualified for an occupation you wouldn't have pursued except for the injury. Expenses must be incurred within two years from the date of the accident. The plan does not cover room, board, or other ordinary living, travelling or clothing expenses. |
|
Repatriation benefit |
The plan will pay up to $10,000 to return your body if you die as the direct result of injuries sustained in an accident that occurs 50 kilometers or more from your normal place of residence. This repatriation must occur within 365 days of the accident. |
|
Family transportation benefit |
The plan will pay up to $10,000 for a member of your immediate family to travel the most direct route by a licensed common carrier to visit you in a hospital, provided:
"Member of the immediate family" means your spouse (legal or common-law), parent, grandparent, children over the age of 18, brother or sister. |
|
Spousal occupational training benefit |
If you die as the direct result of a covered accident, the plan will cover the cost associated with your spouse's completion of a formal occupational training program. The program must be undertaken specifically for qualifying your spouse to gain active employment in an occupation for which he or she would otherwise not have sufficient qualifications. Expenses must be incurred within 36 months of the date of your death. The maximum benefit payable under the plan is $10,000. |
|
Home alteration and vehicle modification benefit |
If you are confined to a wheelchair as the direct result of an injury covered under the 平特五不中 Accidental Death and Dismemberment Plan, the plan will also pay all reasonable and necessary expenses for:
The most that can be paid out under items 1 and 2 combined is $10,000. |
|
Daycare benefit |
If you die as the direct result of a covered accident, the plan will cover reasonable and necessary daycare expenses. The plan will provide up to 5% of your available coverage (to a maximum of $5,000 per year) on behalf of any eligible child under the age of 13 years who:
or
The daycare benefit will be paid each year for up to four consecutive years, provided the insurer receives satisfactory proof that the child is, in fact, enrolled in a legally licensed daycare centre. |
|
Continuing education benefit |
If you die as the direct result of a covered accident, the plan will provide up to $5,000 per year for the continuing education of any eligible child who, at the date of the accident is enrolled as a full-time student in any institution of higher learning beyond the 12th grade level. The special education benefit is payable annually for up to four consecutive years, but only if the eligible child continues his or her education as a full-time student in an institution of higher learning. |
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If you become disabled
Your coverage under the Accidental Death and Dismemberment Plan will continue while you are eligible to receive benefit payments under the 平特五不中 Long Term Disability Plan. Your coverage level will be based on the salary at the time your disability began.
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What's not covered
The plan does not cover any losses, fatal or non-fatal, resulting from the following:
- intentionally self-inflicted injuries, suicide or attempted suicide while sane or insane
- declared or undeclared war, or any act of war
- serving on full-time active duty in the armed forces of any country or international authority
- travelling in any vehicle or device for aerial navigation other than as a passenger on a commercial airline
When coverage ends
Your coverage under the plan will end when you:
- leave 平特五不中 for whatever reason
- retire
- no longer qualify as an eligible employee.
If you leave the university before retirement
If you leave 平特五不中 before retirement听and are under age 65, you may convert your group coverage to an individual policy. You must do so within 31 days of your termination.听 Contact the Human Resources Service Centre at 514-398-4747 or by hr.hr [at] mcgill.ca (email)听to obtain an application for Individual Accidental Death and Dismemberment Coverage.
