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Coverage and Plan Details

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.

Accident Insurance (AD&D)

For most of us, staying out of harm’s way is a top priority. But, despite our best efforts, accidents can happen. And when they do, it’s good to know that you have some extra protection.

 

The DGC Benefits Plan’s accident insurance pays a benefit if you’re injured or die because of an accident either on or off the job. Payments are tax-free to your beneficiary and are paid in addition to your life insurance.

Coverage Levels

Accident insurance coverage is based on your coverage level and age limits.

No evidence of insurability is required for coverage under the DGC Benefits Plan. In other words, you will not be required to provide proof of good health, complete a medical questionnaire or undergo any medical exams.

What’s Covered

The insurer will pay the benefit shown below if you suffer an injury which results in any one of the following specific losses within one year from the date of accident. Only one benefit (the largest) will be paid for a loss with respect to all injuries resulting from one accident.

FOR LOSS OF…

FOR LOSS OF
% OF COVERAGE
All toes of same foot
25%
Thumb and index finger of same hand
Use of thumb and index finger of same hand
Four fingers of same hand
Hearing in one ear
33%
One arm or one leg
Use of one arm or one leg
One hand or one foot
Entire sight of one eye
Use of one hand or one foot
Speech or hearing in both ears
75%
Life
Entire sight of both eyes
One hand and one foot
One hand and entire sight of one eye
One foot and entire sight of one eye
Loss of speech and hearing in both ears
Brain death
Coma
100%
Both arms, both hands, both legs or both feet
Use of both arms, both hands, both legs or both feet
Quadriplegia
Paraplegia
Hemiplegia
200%

OTHER ACCIDENT BENEFITS

In addition to cash payouts, the DGC Benefits Plan’s accident insurance may also help to cover some costs, for the following items. Please contact AGA Benefit Solutions for details on coverage.

  1. Repatriation;
  2. Rehabilitation;
  3. Family transportation;
  4. Spousal occupational training;
  5. Home alteration and vehicle modification;
  6. Day care;
  7. Special education;
  8. Bereavement;
  9. In-hospital confinement monthly income;
  10. Cosmetic disfigurement;
  11. Seat belt;
  12. Identification; and
  13. Exposure and disappearance.

What’s Not Covered

The DGC Benefits Plan does not cover loss caused by or resulting from any one or more of the following scenarios, including (but not limited to):

  • Intentionally self-inflicted injuries, suicide or any attempt thereat, while sane or insane;
  • Declared or undeclared war or any act thereof;
  • Losses occurring while the insured person is serving on full-time active duty in the Armed Forces of any country or international authority (any premium paid to be returned by the insurer pro-rata for any such period of full-time active duty); and
  • The plan does not apply to the extent that trade or economic sanctions or other laws or regulations prohibit the insurer from providing insurance, including, but not limited to, the payment of claims.

With respect to air travel, the insurance provided shall apply to loss caused by or resulting from travel or flight in any aircraft, or any other device for aerial navigation, including boarding or alighting there from, except:

  • While being used for any test or experimental purpose; or
  • While the insured person is operating, learning to operate or serving as a member of the crew thereof; or
  • While being operated by or for or under the direction of any military authority, other than transport type aircraft operated by the Canadian Armed Forces Air Transport Command or the similar air transport service of any other country; or
  • Any such aircraft or device which is owned or leased by or on behalf of the policyholder or any subsidiary or affiliate of such policyholder, or by an insured person or any member of his/her household; or
  • While being used for firefighting, pipeline inspection, power line inspection, aerial photography or exploration.

When Coverage Ends

If you have Levels I, II, III, Life Member or Enhanced Life Member coverage, your coverage will be reduced automatically to $20,000 when you turn age 80. If you have Basic Coverage, your coverage will remain at $10,000 when you turn age 80.

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