To qualify for coverage you, and your eligible dependents, must be insured under a provincial health plan.  You will be eligible for coverage on the first day of the month for which your employer makes a contribution.

If you are absent from work because of disability due to illness or injury on the date your coverage, or any increase in your coverage, would otherwise become effective, such coverage will not become effective until the date you return to active full-time work for 1 full day.

Change of your Status

As advised in the website section entitled On the Importance of Being Registered, it is your responsibility to notify the administrator of any change of your status (married, separated, divorced, new dependents, etc.) to ensure that proper coverage is maintained.

As advised in the website section entitled On the Importance of Being Registered, it is your responsibility to notify the administrator of any change of your status (married, separated, divorced, new dependents, etc.) to ensure that proper coverage is maintained.

Definitions

Convalescent/Rehabilitation Hospital or Nursing Home: To be recognized as a convalescent/rehabilitation hospital or licensed nursing home, for insurance purposes, an institution must have a transfer arrangement with one or more hospitals and regularly provide skilled 24 hour nursing care during the convalescent or rehabilitation stage of an injury or disease, and its charges for ward care for the individual are reimbursed under a provincial hospital plan.  Unless they fully meet this definition, institutions, for rest, the aged, custodial care, drug addicts, or for the care of pulmonary tuberculosis, or mental illness do not qualify as convalescent/rehabilitation hospitals, or licensed nursing homes.
 
Hospital: To be recognized as a hospital for insurance purposes, an institution must keep patients regularly overnight, have full therapeutic facilities for the care of the injured, sick or chronically ill and be continuously staffed by licensed physicians, who are Physicians of medicine, and by registered graduate nurses.  Such institution must have facilities both for diagnosis and for major surgery.

The term hospital, as used in this policy, shall not include a rest home, nursing home, convalescent home, health spa, a place for custodial care, a home for the aged or an institution used primarily for the confinement or treatment of alcoholism or drug addiction, tuberculosis or mental illness.
 
Physician: The term physician means a person who is duly licensed to prescribe and administer any drugs or to perform surgical procedures.
 
Other Health Practitioner: Other Health Practitioners shall mean any of the following licensed, certified or registered health practitioners practicing within the scope of his or her profession: Chiropractor, Denturist, Optometrist, Chiropodist/Podiatrist, Osteopath, Massage Therapist, Physiotherapist, Speech Therapist, or Psychologist.  A Psychologist is considered licensed if certified or registered by the jurisdiction in which he or she practices.
 
Non-Occupational: With respect to injury, shall mean an injury that does not arise in the course of any employment for wage or profit.  With respect to disease, non occupational shall mean a disease where a person is not entitled to receive benefits under any Workplace Safety & Insurance Law or similar legislation.
 
Retirement: The date you commence collecting a pension benefit under any Pension Plan.