GENERAL INFORMATION
WELFARE PLAN
  BENEFIT HIGHLIGHTS
  ELIGIBLE DEPENDENTS
  DESCRIPTION OF BENEFITS
  GENERAL EXCLUSIONS
  COORDINATION OF BENEFITS
  GENERAL INFORMATION
  PAY-DIRECT COVERAGE
  EXTENSION OF MAJOR MEDICAL AND DEATH BENEFITS ON AN EMPLOYEES' DEATH
  EXTENTION OF MAJOR MEDICAL AND DENTAL BEFEFITS IF SICK OR DISABLED
  NO BREAK IN SERVICE ARRANGEMENT
  DESIGNATION OF A BENEFICIARY
  BENEFITS PERTAINING TO PENSIONERS
  TERMINATED FORMER EMPLOYEES
  HOW TO SUBMIT CLAIMS
  TERMINATION OF WELFARE COVERAGE
  FUTURE OF THE PLAN
PENSION PLAN
MEMBER BENEFIT BOOKLET
 

 

WELFARE AND PENSION PLANS

Welfare Plan

HOW TO SUBMIT CLAIMS

 

(a)       Obtain the appropriate claim form from your Employer, Local Union Office or the Plan Administrator

(b)       Complete the form in accordance with the instructions shown at the top of each form

(c)       Medical and Dental Claims

  1. Have your health care practitioner complete any statement required to support your claim.  In the case of a dental claim the Dental Association procedure code must be given on the form in order for the claim to be processed.  Dental claims without such codes will be returned to the member so the dental code can be obtained from the dentist. 
  2. Attach to your form, receipts for payment of the services or supplies provided.
  3. Claims will be paid only for services rendered; no payment can be made towards planned treatment.
  4. If your dentist accepts assignment of your benefits payable, you must sign the appropriate section of the Standard Dental Claim form.  The Plan Administrator will then forward payment directly to your dentist.
  5. Claims must be submitted promptly, in any event, not later than December 31 of the year following the year in which expenses are incurred.
  6. Electronic Filing of Dental Claims

If your Dentist has access to Electronic Filing of Dental Claims, provide your Dentist with the plan number shown on your Benefit Card to verify that the Plan Administrator does accept electronic filing of dental claims.

Once your Dentist Office submits your claim to the Plan Administrator, the system will automatically verify eligibility and coverage amounts and will expedite reimbursement to you or your Dentist, if applicable.


(d)       Disability Claims

  1. For Weekly Indemnity benefits, all claims must be submitted to the Plan Administrator within 45 days of the date benefits are due to commence.  Please ensure all portions of the claim forms are fully completed and signed. Your Local Union Business Representative must also complete part of this form.
  2. For Long Term Disability benefits, all claims must be submitted to the Plan Administrator within 365 days after the total disability begins or within 30 days after the termination of this benefit, whichever is earlier.  

     Please ensure all parts of the claim form are fully completed and signed.

Please note:  It is important you apply for Long Term Disability benefits whether or not you are in receipt of any Workers’ Compensation benefits

(e)       All claims must be submitted directly to the Plan Administrator:

Manion Wilkins & Associates Ltd.
Claims Department
626 – 21 Four Seasons Place
Etobicoke, Ontario
M9B 0A5

Email: info@manionwilkins.com
Website: www.manionwilkins.com
Website: ceiwpp.ca

 

 

If you are not sure of your rights or benefits under the Plan, please communicate in writing with Manion, Wilkins & Associates Ltd.


 


 

   

READ CAREFULLY, BUT REMEMBER…

This is a general outline of the Plans and its purpose is to explain as briefly and clearly as possible each of the benefits to which you are entitled. The benefits outlined under the Plans are subject to the terms and conditions of the Plan documents and Group Master Policies. If there is any conflict between this outline and the Plan documents and Group Master Policies, the Plan documents and Group Master Policies will apply in all cases. Also remember that no benefits are guaranteed and that the benefits can be changed by the Trustees at any time.

 
FAQ's | Contacts | Table of Contents | Français