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How the Plan Works

Your DGC Benefits Plan provides you and your family with valuable, affordable mental and physical health coverage and financial protection if you experience an illness, injury or disability. In this section, we explain how the plan works and what’s covered under each level.

Determining Coverage Levels

Each year, you’ll receive an “automatic” coverage level based on the producer contributions made on your behalf during the prior 24 months (ending June 30). For the 2025 plan year, this means your producer contributions from July 1, 2022 to June 30, 2024 (including contributions made in the two years prior to becoming a member).

If you just joined the DGC and don’t have a contribution history, your automatic coverage level will be determined differently. It will be based on contributions received up to June 30 in the year you joined. 

 

You get at least Basic Coverage in the year you join and the following year. 

 

There are three automatic coverage levels. The higher the producer contributions, the higher (and more generous) your coverage level. The table below shows which level you will qualify for based on your producer contributions.

If your producer contributions for July 1, 2022 to June 30, 2024 total…

(All contributions are for the 2025 plan year)

$1,200.00 – $3,199.99
=
$3,200.00 – $5,299.99
=
$5,300.00 or more
=

If you have less than $1,200 in producer contributions in the last two years of membership, consideration will be given to the producer contributions in the last five years and, if they are at least $1,100, you will receive Basic Coverage.

 

It’s important to note that the producer contributions used to determine your automatic coverage level do not necessarily reflect the actual cost of your coverage level.

Upgrading your coverage

(For the 2025 plan year)

There are two times that you can upgrade your coverage level:

The table below shows what it would cost to upgrade, depending on your automatic coverage level and what level you want to upgrade to.

IF YOU QUALIFY FOR:
LEVEL I
$1,700
LEVEL II
$4,600*
LEVEL III
$7,600*
QUEBEC DRUGS ONLY
(UNDER AGE 65)
Single: $800
Family: $1,600
QUEBEC DRUGS ONLY
(AGE 65+)
Single: $1,000

Family: $2,200 ($1,600 family if spouse under 65)
LEVEL II
$2,900
LEVEL III
$5,900
QUEBEC DRUGS ONLY
(UNDER AGE 65)
Family: $950
QUEBEC DRUGS ONLY
(AGE 65+)
Family: $1,200
LEVEL III
$3,000
LEVEL I
LEVEL II
$3,600
LEVEL III
$6,300
ENHANCED LIFE MEMBER
$2,000
QUEBEC DRUGS ONLY
(UNDER AGE 65)
Family: $1,750
QUEBEC DRUGS ONLY
(AGE 65+)
Single: $1,000
Family: $2,200

*Dollar bank credits must cover the full upgrade cost. If you have Basic Coverage, you cannot make a personal payment to upgrade to Levels II or III.

 

Upgrade costs are subject to applicable provincial sales tax in Manitoba, Ontario and Quebec.

COSTS TO UPDGRADE IF YOU DO NOT QUALIFY FOR COVERAGE

(For the 2025 plan year)

If you do not qualify for any of the above coverage levels, the table below shows what it would cost to upgrade but only if you have sufficient credits in your dollar bank:

$2,000*
$4,900*
$7,900*
Single: $800*
Family: $1,750*
Single: $1,000*
Family: $2,200*

*Dollar bank credits must cover the full upgrade cost to Levels I, II, or III. If you have Basic Coverage, you cannot make a personal payment to upgrade to Levels II or III – you can only use credits from your dollar bank.
Upgrade costs are subject to applicable provincial sales tax in Manitoba, Ontario and Quebec.

If you make personal payments, you can pay them in full or on a quarterly basis. Personal payments can be made by major credit card. Your coverage upgrade will not take effect until your credit card payment has been processed.

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