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Human
Resources
Preamble
Definitions
Eligibility
Membership
Coverage of a Spouse or Common Law Partner
Children's Coverage
Benefits
Contributions
General Provisions
Schedule 1 -Participating Agencies and Entities
Schedule 2 - Eligible Dental Services
Schedule 3 - Limitations on Covered Expenses for the Purposes of Rule 6(11)
Schedule 4 - Late Applications for Membership and Deferred Membership
Schedule 5 - Contribution Rates and Maximum Reimbursement Amounts
Other Related Documents
Alternate Format(s)
Printable Version

Pensioners' Dental Services Plan - Rules (April 1, 2006)

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Table of Contents

Preamble

Rule 1. Definitions

Rule 2. Eligibility

Eligible Persons
Other Eligible Persons
Persons not Eligible

Rule 3. Membership

Application for Membership
Category of Coverage
Effective Date of Membership
Termination of Membership
Voluntary Termination of Membership
Extenuating Circumstances
Re-instatement of Membership
Activation of Membership after Deferral

Rule 4. Coverage of a Spouse or Common Law Partner

Eligibility for Coverage of a Spouse or Common Law Partner
Termination of Eligibility for Coverage of a Spouse or Common Law Partner
Application for Coverage of Spouse or Common Law Partner
Effective Date of Spouse or Common Law Partner's Coverage
Termination of a Spouse or Common Law Partner's Coverage
Voluntary Termination of a Spouse or Common Law Partner's Coverage
Re-instatement of Coverage
Activation of Coverage after Deferral

Rule 5. Children's Coverage

Eligibility for Children's Coverage
Termination of Eligibility for Children's Coverage
Application for Coverage of Child
Effective Date of a Child's Coverage
Termination of a Child's Coverage
Voluntary Termination of Child's Coverage
Activation of Coverage after Deferral

Rule 6. Benefits

Eligible Dental Services
Specific Limitations with Respect to Major Services
Amount of Benefit
Table of Benefits
Treatment Plan Provision
Date an Expense is Incurred
Method of Payment
Extension of Benefits
Conditions for Benefit Payment
Co-ordination of Benefits
Covered Expenses Limitations

Rule 7. Contributions

Plan Cost
Member Share of Plan Cost
Government of Canada Share of Plan Cost

Rule 8. General Provisions

Amendments
Instructions
Non‑alienation of Benefits
Beneficiaries
Discretion
Delegation

Schedule 1—Participating Agencies and Entities

Schedule 2—Eligible Dental Services

Schedule 3—Limitations on Covered Expenses for the Purposes of Rule 6(11)

Schedule 4—Late Applications for Membership and Deferred Membership

Schedule 5—Contribution Rates and Maximum Reimbursement Amounts

 

 
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