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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.

Short-term Disability
Insurance (STD)

If you’re unable to work due to a non-work-related/non-motor vehicle accident, illness or injury, the DGC Benefits Plan may offer you important financial protection.

ELIGIBILITY

To be eligible for STD benefits, you must have worked to earn Level II or III coverage and have had contributions made to the DGC Benefits Plan — by either a Guild collective agreement or a participation agreement — within the 12 months before the date of your disability.

 

At each annual re-enrolment, your eligibility and benefit coverage is determined based on your producer contributions for the past two years. You cannot upgrade your coverage level to qualify for STD, or to increase the amount of your benefit coverage.

 

Examples:

  • If you qualified for Level II coverage and then upgraded to Level III, you will be covered for disability at Level II.
  • If you qualified for Level I coverage and then upgraded to Level II or III, you are not eligible for STD benefits.

The following are not eligible:

  • Members with Basic Coverage or Level I
  • Life Members, and members over age 75
  • Members on Honourable withdrawal
  • International members
  • Members’ dependants, at any coverage level

To qualify for disability benefit payments, you must be deemed totally disabled by Canada Life (as defined below). You must also be participating in:

  • an appropriate care and treatment program prescribed or performed by a licensed physician (including a certified specialist, where appropriate);
  • an approved addiction treatment program that is supervised by a qualified medical specialist (if alcohol, drug and/or substance abuse, or other addiction is a factor in your disability); or
  • a rehabilitation program recommended by Canada Life.

STD BENEFITS

After a 14-calendar-day waiting period, the plan provides the following benefits for up to 26 weeks:

Level II

$320 per week

Level III

Minimum $320,

up to $1,400 per week

Weekly benefits paid to disabled plan members in Level III will be limited to 100% of the member’s pre-disability average weekly earnings, with a minimum of $320. All payments from the STD plan are taxable as regular income.

Pre-disability average weekly earnings

=

Earnings during the previous 24-month period ending June 30 of the year before your disability, averaged over the number of weeks in that period (i.e., 104 weeks).

Example:

If you were injured on January 1, 2025, your gross earnings from July 1, 2022 to June 30, 2024 would be used. (Same period used to calculate your default coverage level.)

SCENARIO 1

Your gross earnings: $59,000

Benefit calculation: $59,000/104 weeks = $567.31 per week

SCENARIO 2

Your gross earnings: $146,000 or more

Benefit calculation: $146,000/104 weeks = $1,403.85 per week

Therefore, you would receive the maximum of $1,400 per week

If you begin a claim late in the year and your disability period extends into the new benefits plan year, the same coverage level for disability will continue until your disability claim is closed, even if your benefits coverage level changes for the new plan year.

You will be considered disabled if:

HOW THE STD PROCESS WORKS

If you have a disability claim, AGA and Canada Life will both help support you through the process. Here’s how it works.

  1. AGA Benefit Solutions will provide you with access to the disability application forms, including an Employee Statement which includes an Authorization Form and an Attending Physician Statement to take to your doctor for completion. Refer to How to Submit a Claim.
  2. AGA Benefit Solutions will provide a separate completed form for Canada Life to assist in the review of the claim and to confirm your eligibility to apply for this benefit.
  3. The completed forms provide the Canada Life Case Manager with information to help determine eligibility for financial support and the best way to approach your health condition.
  4. Your Case Manager will contact both you and AGA Benefit Solutions to discuss the disability management process and obtain any additional information Canada Life requires in order to complete their assessment.
  5. If approved, your Case Manager will remain in contact with you and your physician to clarify the expected recovery date and whether or not additional support is required to assist you in recovering your health and preparing to be work-ready.
  6. Additional support might include some of the following:
    • Consultation with your treating physician;
    • Independent evaluations to facilitate a clearer understanding of your health;
    • Facilitation of treatment support through a Medical Coordinator; or
    • Facilitation of return-to-work support through a Rehabilitation Consultant.

During a period of disability, you are expected to make reasonable efforts to:

  • Provide acceptable proof of your disability within 90 days of the date of disability;
  • Participate fully in the disability management process, in particular by seeking appropriate treatment and care;
  • Recover from your disability and be work-ready;
  • Maintain ongoing communication with the Canada Life Case Manager and AGA Benefit Solutions as required;
  • Advise the Case Manager if you return to work;
  • Advise the Case Manager if your medical condition changes; and
  • Be actively involved in plans to help you become work-ready.

Failure to make such reasonable efforts may result in benefits being modified, delayed, withheld, or discontinued.

RECURRING DISABILITIES OR NEW DISABILITY

There are a number of examples below that outline the claims process if you experience either a recurring disability or a new disability after receiving benefits for an initial claim. The examples are based on:

  1. Whether you received benefits for the full 26-week maximum for your initial claim, and
  2. Whether your recurring or new disability is within 30 days or after 30 days of returning to work (or being deemed ready by Canada Life to return to work, even if there is no available work), after the initial claim.

Examples to consider

  1. You applied for disability benefits and received payment for six weeks. You recover (may or may not return to work but cease being disabled) but then become disabled again due to the same or related cause within 30 days of the closure of the prior claim. Your prior claim may be re-opened with no waiting period and you may continue to receive benefits for the remaining 20 weeks (up to the 26-week maximum).
  2. You applied for disability benefits and received payment for six weeks. You recover but then become disabled again more than 30 days after the prior claim closed. Regardless if your illness or injury is the same or related to the first claim, you can only re-apply after you have worked for at least 14 days within 12 months after your original claim closes (assuming you continue to be eligible). If your claim is approved, you will need to satisfy a new 14-day waiting period and you may be entitled to receive benefits for up to 26 weeks.
  3. You applied for disability benefits and received payment for the full 26-week maximum. You recover but then become disabled again — due to the same or related cause — within 30 days of the closure of the original claim. Even though you’re within the 30-day recurrence period, you are not eligible for a continuation of the prior claim because the full 26 weeks were paid out and the claim is terminated.
  4. You applied for disability benefits and received payment for the 26-week maximum. You recover but then become disabled again more than 30 days after the prior claim is closed. Regardless if your illness or injury is the same or related to the first claim, you can only re-apply after you have worked for at least 14 days within 12 months after your original claim closes (assuming you continue to be eligible). If your claim is approved, you will need to satisfy a new 14-day waiting period and you may be eligible to receive benefits for up to 26 weeks.

Your medical information is confidential

Medical information is always considered confidential and will not be shared with the DGC. Throughout the disability process, Canada Life will provide status updates regarding your limitations and your ability to return to work — without sharing the medical details.


Medical information is used only by Canada Life to ensure a comprehensive understanding of your condition. You are asked to provide written consent (using the Authorization Form) allowing Canada Life to begin the process of assessing your claim, contacting your physician and/or providing status updates to AGA Benefit Solutions as appropriate.

Your options if a claim is declined

You have the right to appeal a denial of a claim with Canada Life. The declination letter will outline the necessary information that is required to review the appeal. It is recommended that you submit your appeal information to Canada Life as early as possible to ensure a timely decision. Contact AGA Benefit Solutions for help.

Benefit offsets

Disability benefits will be offset by:

  • any benefits you are entitled to receive on your own behalf (for the same disability) from the Canada/Quebec Pension Plan, Employment Insurance or similar government plans;
  • any retirement benefits you are entitled to receive from the Quebec Pension Plan because you are already receiving Quebec Pension Plan disability benefits; or
  • a plan in another country for which there is a reciprocal agreement with the Canada or Quebec Pension Plan.

If you do not receive a disability benefit reduction because it has not been awarded or received by you, Canada Life will have the right to estimate it according to the terms of any plans or legislation involved.

 

Disability benefits are also reduced by the earnings you receive from an approved rehabilitation plan.

LIMITATIONS AND EXCLUSIONS

Disability benefits will not be paid for any period before you are first treated by a legally licensed doctor of medicine, or for any period of employment, except in an approved rehabilitation plan or program.

 

Benefits will also not be paid if:

  • Your disability is the result of a motor vehicle accident;
  • You do not participate or cooperate in a reasonable and customary treatment program;
  • You are receiving unemployment, maternity, parental or compassionate care benefits under the Employment Insurance Act (except as required by provincial regulations, and/or if your disability is caused by a complication of pregnancy);
  • Your disability is the result of any accident or disease that is covered by Workers’ compensation programs;
  • You are lawfully imprisoned;
  • You are receiving disability benefits from elsewhere for a recurring disability;
  • Your disability is the result of war, insurrection or voluntary participation in a riot;
  • Your disability is the result of, or associated with, treatment performed for cosmetic purposes; or
  • Your disability occurs while committing or attempting to commit a criminal offense.

When Disability Payments Stop

Disability payments will stop at the earliest of:

  • Your recovery (when you are no longer deemed totally disabled, as defined above);
  • The end of the 26-week maximum benefit period;
  • You fail to participate or cooperate in a medical coordination program or rehabilitation plan or program that has been recommended or approved by Canada Life;
  • If you are receiving disability payments and work for even one day — unless the work time is part of an approved rehabilitation program with Canada Life;
  • Termination of your membership with the DGC; or
  • Your death.

When Disability Coverage Ends

Your disability coverage will end at the earliest of:
  • If you haven’t earned enough contributions to achieve Level II or III coverage for the plan year;
  • Termination of your membership with the DGC;
  • Your 75th birthday; or
  • Your death.

Keep in mind:

  • You will not receive disability payments during any leave of absence (except as required by provincial regulation).
  • If you have been on disability leave for more than three months, your DGC Benefits Plan coverage will be continued at the minimum level of your default coverage for up to two enrolment cycles.

    However: STD coverage will not be included as part of your guaranteed coverage unless you’ve worked and earned enough contributions to qualify for Level II or Level III.
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