Life Insurance

It is always difficult to think of losing a loved one, and impossible to attach a dollar value to that personal loss. But such losses do have financial ramifications and there is a certain comfort in knowing that you and your Dependents can count on a degree of protection in the event of a death.

Coverage provided by Manulife Insurance (effective March 1, 2021)

Basic Life Insurance

If a person dies while insured for the Benefit, Manulife Financial will pay the amount for which that person was insured at the time of the member’s death.

3 times your Annual Salary (to a maximum benefit of $600,000)

The life insurance amount is updated for Salary changes based on the Salary Calculation Forms received by ELCIC Group Services Inc. Retroactive Salary increases will only be applied to the insurance amount if the Employee was Actively Working at the time of the retroactive change and if the new Salary Calculation Form is received by ELCIC Group Services Inc. within 30 days of the effective date.

Total Disability Waiver

Waiver of Premiums

If an Employee becomes Totally Disabled while insured for this Benefit and prior to age 65, Manulife Financial will waive the premiums required to continue that Employee’s and his Dependents’ Life Insurance, provided the Employee meets Manulife Financial’s Entitlement Criteria.

Exception

If the Employee is not insured under this Policy for Employee Optional Life, this Waiver of Premiums provision will not apply to his Spouse’s Dependent Optional Life Insurance in effect under this Policy, unless:

a) at the time the Dependent Optional Life Insurance was applied for on his Spouse, the Employee provided Manulife Financial with evidence of insurability on himself, and

b) Manulife Financial approved the Employee’s evidence of insurability.

Entitlement Criteria

Manulife Financial will apply the following criteria in determining an Employee’s entitlement to Waiver of Premiums:

a) the Employee has been continuously Totally Disabled throughout the Qualifying Period. If the Employee ceases to be Totally Disabled during this period and then becomes Totally Disabled again within 3 weeks due to the same or related cause, the Qualifying Period will be extended by the number of days during which the Total Disability ceased;

b) Manulife Financial receives medical evidence documenting how the Employee’s illness or injury causes restriction or lack of ability, such that the Employee is prevented from performing the essential duties of:

i) his own occupation, during the Qualifying Period and the 2 years immediately following the Qualifying Period; and

ii) any occupation for which the Employee is qualified, or may reasonably become qualified by training, education or experience, after the 2 years specified in part i) or this provision.

c) the Employee is receiving from a Physician, regular, ongoing care and treatment appropriate for the disabling condition, as determined by Manulife Financial.

At any time, Manulife Financial may require the Employee to submit to a medical, psychiatric, psychological, functional, educational and/or vocational examination or evaluation by an examiner selected by Manulife Financial.

Termination of Waiver of Premium

Waiver of Premium will cease on the earliest of:

a) the date the Employee ceases to meet this Benefit’s definition of Totally Disabled.

b) the date the Employee does not supply Manulife Financial with appropriate medical evidence documenting how the Employee’s illness or injury causes restrictions or lack of ability, such that the Employee is prevented from performing the essential duties of:

i) his own occupation, during the Qualifying Period and the 2 years immediately following the Qualifying Period; and

ii) any occupation for which the Employee is qualified, or may reasonably become qualified by training, education or experience, after the 2 years specified in part i) of this provision.

c) the date the Employee is no longer receiving from a Physician, regular, ongoing care and treatment appropriate for the disabling condition, as determined by Manulife Financial.

d) the date the Employee does not attend a medical, psychiatric, psychological, functional, educational and/or vocational examination or evaluation by an examiner selected by Manulife Financial.

e) the date the Employee attains the age 65.

f) the date the Employee dies.

Recurrent Disability

Where an Employee becomes Totally Disabled again from the same or related causes as those for which premiums were waived under this Benefit and such Disability recurs within 6 months of cessation of the Waiver of Premiums, Manulife Financial will waive the Qualifying Period.

All such recurrences will be considered a continuation of the same Disability. The Employee’s amount of insurance on which premiums were previously waived will be reinstated.

If the same Disability recurs more than 6 months after cessation of the Waiver of Premiums such Disability will be considered a separate Disability.

Two Disabilities which are due to unrelated causes are considered separate Disabilities if they are separated by a return to work of at least one day.

First Premium Waived

If the Waiver of Premiums is approved, premiums will be waived from the premium due date coincident with or next following the end of the Qualifying Period.

Life Insurance Coverage Continued

While premiums are being waived, Life Insurance in force under this Policy on the Employee and on his Dependents will continue to be in force. The amount of such Life Insurance will be the amount of insurance that was in effect on the date of commencement of the Disability, subject to any age reduction or termination shown in the Policy at that time. This continuation of coverage is not affected by a subsequent termination of this Policy or of employment.

Conversion When Waiver Ceases

In an Employee is not eligible for Life Insurance under this Policy when the Waiver of Premiums ceases, that Employee and his Spouse may exercise the Conversion Privilege under this Benefit.

Conversion

Conversion Privilege

If an Employee’s or Spouse’s Life Insurance under this Policy terminates or reduces and the conditions outlined below are satisfied, that person will be eligible to continue all or part of the insurance by converting to an Individual Policy.

Conditions for Conversion

The insured person must satisfy the following conditions to be eligible for an Individual Policy:

a) application for the Individual Policy must be received by Manulife Financial, within 31 days after the insurance under the Group Policy terminates or reduces; and

b) the first premium must be enclosed with the application.

Maximum Amount

The maximum amount that may be converted is the lesser of:

  1. $200,000; or
  2. the amount of insurance that was terminated less the amount of insurance under any replacing Group Policy within 31 days of the termination.

The Maximum Amount refers to all amounts of group life insurance for which the Employee is insured with Manulife Financial.

Plan of Insurance

The Individual Policy may be:

  1. non-convertible term insurance to age 65;
  2. a permanent plan that Manulife Financial offers to the public at the time of conversion; or
  3. 1-year non-renewable term insurance which may be converted while it is in force to any plan described above.

Issue of Individual Policy

Manulife Financial will apply the following rules in issuing an Individual Policy:

  1. no evidence of insurability will be required;
  2. the premium will be based on Manulife Financial’s then current standard premium rates and will take into account the plan of insurance, the amount of insurance, the person’s sex and attained age;
  3. no Waiver of Premium Benefits will be included;
  4. the effective date of the Individual Policy will be the 32nd day after the date of termination of the Group Insurance under this Benefit; and
  5.  if the person elects to convert a lesser amount than that which he is entitled to convert, the Individual Policy cannot be less than the current minimum for which Manulife Financial will issue the Policy.

Death during Conversion Period

If a person dies within 31 days of the date his Group Insurance terminates, on receipt of due proof, Manulife Financial will pay the maximum amount the person was eligible to convert. This will be done even if the person did not apply for an Individual Policy. If the person had applied for the Individual Policy, any premium paid will be refunded.

Conversion for residents for Quebec

In accordance with the Quebec Regulation under the Act respecting Insurance (S.62,63,66), the Dependent, Minimum, Maximum and Death during Conversion Period provisions of the Life Insurance conversion privilege for Insured persons who reside in Quebec will be administered as outlined.

If a provision of the Policy is, in full or in part, contrary to the Regulation or any other law or regulation replacing it, that provision, or the part that is deemed to be contrary will be presumed to be amended to comply with the minimum requirements of the applicable laws and regulations.

Minimum/Maximum Amount

For a Group Policy of a person residing in Quebec, the minimum amount of the life insurance that may be converted is:

a) for Employees, $10,000

b) for Employee’s Spouse and/or Dependents $5,000

For a Group Policy of a person residing in Quebec, the maximum amount that may be converted is the lesser of:

a) $400,000;

b) the amount of insurance that terminated less the amount of insurance under any replacing Group Policy within 31 days of the termination if any.

Death during Conversion Period

If a person dies within 31 days of the date his Group Insurance terminates, on receipt of due proof, Manulife Financial will pay the amount of coverage under their terminated insurance. This will be done even if the person did not apply for an Individual Policy. If the person had applied for the Individual Policy, any premium paid will be refunded.

Compassionate Assistance Benefit

If Manulife Financial is furnished with proof that an Employee, prior to the age of 63, and while insured under this Policy, is diagnosed as terminally ill with a life expectancy, predicted and documented by two Physicians to be 24 months or less, Manulife Financial will advance a percentage of the Employee’s Basic Group Life Insurance Benefit.

Compassionate Assistance Benefit: 50% of the Employee’s Basic Group Life Insurance Amount to a maximum of $50,000.

Contact ELCIC Group Services for the application form for this Benefit.

The benefit will not be paid until the later of:

  • the Employee’s Basic Life Insurance premiums under this Policy are waived, and
  • Manulife Financial approves the Employee’s Living Assistance Application.

Manulife Financial will contact the Employee’s Physician(s), requesting medical evidence of the Employee’s condition.

Upon receipt by Manulife Financial of written notice and due proof that the death of the Employee occurred during the continuance of the Basic Group Life Insurance coverage under the Policy, Manulife Financial Life will pay:

  • the amount of the Basic Group Life Insurance benefit, less
  • the amount of the Compassionate Assistance benefit advanced to the Employee, less
  • the total amount of interest accrued on the amount of Compassionate Assistance benefit. Interest will be calculated from the date the Compassionate Assistance benefit was advanced using the current delay of settlement interest plus 1% of the amount of Compassionate Assistance benefit paid. The interest rate is subject to change.

Canada Revenue Agency may regard the Compassionate Assistance Benefit as a taxable benefit. Any tax payable will be the responsibility of the Employee or the Employee’s estate.

Dependent Life Insurance

The amount of insurance for which a Dependent is covered under this Policy shall be in accordance with the following schedule:

Spouse: $10,000

Each Child: $5,000

Please review the glossary to confirm eligibility of a child.

Optional Life Insurance

In addition to the amounts of Life Insurance provided under the Amount of Basic Insurance provision and the Dependent’s Insurance provision, an Employee and/or Spouse may apply to be insured for an additional amount of insurance in accordance with the following schedule:

Each Employee and/or each eligible Spouse: Units of $10,000 to a maximum of $200,000

Written application should be made to Manulife Financial on the forms provided by Manulife Financial and coverage shall not be effective until the date that Manulife Financial approved the application. Manulife Financial will be responsible for the cost of medical fees incurred in obtaining any medical information that Manulife Financial may require in order to proceed with the application. Premiums are payable the first day of the month following the date that the application is approved by Manulife Financial.

Termination of Optional Insurance

This Optional Coverage shall terminate on the occurrence of any of the following events:

  1. termination of the Basic Group Life Insurance as provided for under the Policy Termination provision of the Policy, or
  2. termination of this Optional Insurance provision, or
  3. the cessation of premium payments of the Optional Insurance, or
  4. attainment of the 65th birthday.

Exclusions

If death occurs as a result of suicide, the amount of Optional Life Insurance payable will be limited to the amount of Optional Life Insurance which has been in effect for one or more years.

Claims

Notice

Written notice of death upon which a claim may be based under this section must be given to Manulife Financial, within 180 days of the date Manulife Financial is liable.

Failure to give notice within this time shall not invalidate nor reduce any claim if it is shown not to have been reasonably possible to give notice and that notice was given as soon as was reasonably possible.

Forms

Please contact ELCIC Group Services for forms

Manulife Financial upon receipt of notice, will furnish the forms for Proof of Loss. If these forms are not furnished within 30 days of the receipt of notice, it shall be deemed that the claimant has complied with the Proof of Loss requirements of this Policy when written proof covering the occurrence, character and extent of loss for which a claim is made is submitted within the time fixed in this Policy for filing Proof of Loss.

Proof of Loss

Written Proof of Loss must be furnished to Manulife Financial. In the case of a claim, proof must be furnished within 180 days from the date Manulife Financial is liable and subsequent written proof of the continuance of Total Disability must be furnished to Manulife Financial at such intervals as Manulife Financial may reasonably require.

Failure to furnish proof within this time shall not invalidate nor reduce any claim if it is shown not to have been reasonably possible to furnish the proof and that the proof was furnished as soon as was reasonably possible, but in not event shall this be more than 12 months after becoming eligible.

Time of Payment

Subject to due Proof of Loss, benefits shall be paid as agreed to by Manulife Financial and the Policyholder during any period for which Manulife Financial is liable. Any balance remaining unpaid on the termination of this period will be paid immediately upon receipt of due proof. All other benefits, if any, provided in this Policy will be paid within 30 days of receipt of proof thereof.

Extension of Time

If any time limitation of this Policy with respect to giving notice of claim or furnishing Proof of Loss is less than that permitted by the law of the Province in which the insured Employee resides at the time of becoming insured under this Policy, such limitation is herby extended to agree with the minimum period permitted by law.

Medical Examination

Manulife Financial shall have the right and opportunity to conduct any investigations relating to applications or claims and to obtain independent medical or vocational assessments of any Covered Person, as often as it may reasonably require, and also the right and opportunity to make an autopsy in case of death where it is not prohibited by law.

Beneficiary

Subject to any legal restrictions, any Employee whose life is insured under this Policy may, at any time, designate a beneficiary or beneficiaries to receive the Amount of Insurance payable under this Policy. The Employee may change this designation at any time.

If an Employee has designated no beneficiary, the insurance on the life of the Employee shall be paid to the estate of that Employee.

Any amount of insurance payable under this Policy on the life of a Dependent shall be payable to the Employee.