Human Resources

Human Resources

Human Resources

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Coverage Information for Active Employees

You can find specific details of your benefits plan on the Manulife secure website.  To log in to the secure website, use the new contract number, 120156, and your certificate number (your Queen’s ID without any leading zeros).

Benefits Eligibility

Your eligibility for benefits coverage depends on a number of factors:

  • the type and length of your appointment;
  • whether you are full-time or part-time and the number of hours per week you work, if you are part-time;
  • the terms of your collective agreement (unionized employees);
  • your age – if you are an employee working beyond your Normal Retirement Date
  • Are residing in Canada

Generic Drug Substitution

The implementation of the generic drug substitution provisions of the plan will start on October 1, 2020.  Generic drug substitution means that after October 1, the drug cost reimbursed by the plan will be based on the lowest-price alternative medication, which is typically a “generic drug”.  This process will happen automatically when you pick up your prescription at the pharmacy.

If you:​

  • Wish to remain on the brand-name drug, you will need to pay the difference between the brand-name drug and the generic version of the drug at the time the prescription is filled.​
  • Have a medical reason for remaining on the brand-name drug, ask your doctor to complete a Request for Approval for Brand-name Drug Form and submit directly to Manulife before October 1, 2020 for an exception.​
  • Miss the October 1, 2020 submission date, you will still be able to submit a Request for Approval for Brand-name Drug Form.  If Manulife approves the exception, the cost of the brand-name drug will be covered the next time you fill your prescription.  Also if the exception is approved, you will be able to submit a claim to be reimbursed for the difference if you filled the brand-name drug prescription between October 1 and submitting your application for that exception.
  • Want to know if the brand-name drug you are prescribed with has a generic equivalent, check out the lookup tool on the My Drug Plan Feature on the Manulife site.

Coverage Overview

Health

Health Insurance helps you manage routine and unexpected costs, protecting your budget.  Queen’s extended health insurance provides coverage for filling a prescription, getting new glasses, needing coverage for out-of-province or out-of-country coverage.  An overview of what is covered includes:

Prescription drugs

  • Pay Direct Drug Card (Benefits Card)
  • Generic drug substitution (effective October 1, 2020)
  • Dispensing fee – the plan covers up to a maximum $10 dispensing fee

Paramedical

  • Chiropractor
  • Naturopath
  • Speech Therapist
  • Osteopath
  • Physiotherapist
  • Registered Psychologists along with other mental health practitioners
  • Podiatrist
  • Chiropodist

Vision

  • Eye Examinations
  • Glasses, contact lenses, laser eye surgery

Medical Supplies and Services, such as

  • Private Duty Nursing
  • Hearing Aids
  • Wigs
  • Orthopaedic Shoes/Orthotics

Out-of-province/country coverage

Dental

Dental Insurance helps you manage routine and unexpected costs, protecting your budget.  Queen’s dental insurance provides coverage for:

  • Preventative Services
  • Basic Endodontic/Periodontic
  • Dentures/Bridges/Crowns
  • Recall Examination Frequency
  • Orthodontic

Income Protection

Income Protection insurance provides you with financial support through salary replacement for plan members who are unable to work due to injury or disease and financial support in the event of a death, critical illness or accidental dismemberment or death. Products include:

  • Long-Term Disability (LTD)
  • Life and Optional Life Insurance
  • Critical Illness (CI) Insurance
  • Accidental Death or Dismemberment (AD&D) Insurance

Find more information about your benefits coverage by logging into the Manulife secure website .

Definition of an Insurable Dependent

Covered dependents of an insured member include:

  • a legal spouse or common law spouse or partner* (which includes spouses covered by the terms of a separation agreement) or former spouse (divorced or ex-common-law spouses for whom continued insurance coverage is mandated by a court order);
  • unmarried natural, adopted, or step-children of the employee or the insured spouse or any other unmarried children for whom the employee or the insured spouse has been appointed guardian for all purposes by a court of competent jurisdiction; and
    • under 21 provided they rely fully upon the employee for support and maintenance;
    • unmarried children under 25 years of age and continuing to attend an accredited educational institution, college or university on a full-time basis provided they rely fully upon the employee for support and maintenance; and/or
    • upon approval by Great West Life, any mentally or physically disabled child past the maximum ages stated above (age 21 or age 25 if in school) provided they became disabled prior to the maximum ages and the disability has been continuous. The child, upon reaching the maximum age, must still be incapable of self-sustaining employment and be completely dependent on the employee for support and maintenance.

*A common-law spouse or partner means a person who is living with the employee in a common-law relationship. A common-law relationship is considered to exist where two persons have lived together in a conjugal relationship for at least 12 months.

Making Updates to Your Coverage

Go online within 31 days of:

  • Marital status change
  • Dependant child eligibility change (I.e., birth, adoption, legal guardianship, a stepchild)
  • Death of a spouse or child
  • Loss of spousal coverage
  • Over-age student status – add or extend – Tell Manulife if you have a dependant child who is a full-time student between the ages of 21 and 25 and going to college or university.  This way, they can still have benefits while they’re under 25 and still in school.  You need to inform Manulife each year that they’re in school.

If you do not submit a request to change your coverage within 31 days, you will have to submit a Late Application and/or be subject to late provisions under the benefits plan (I.e., reduced dental maximums for the first 24-months for added dependants)

Making Updates to Your Beneficiary Information

  • Verify your current elections using the online tool or by calling the Manulife Customer Care Centre at 1-800-268-6195, Monday to Friday from 8 am until 8 pm
  • If you have yet to designate a beneficiary or which to update your beneficiary information, complete the beneficiary form, sign and return it to Manulife by mail or upload via the secure site
  • Beneficiary forms can be found on the Manulife plan member site > Forms > Find a form

Premiums

Current premium rates are included on your coverage statement. Your coverage statement can be found on the Manulife secure website:

My benefits > Coverage details > Coverage statement

For More Information

If you need help navigating the online tool or have questions about your benefit coverage, you can call Manulife Customer Care Centre at 1-800-268-6195, Monday to Friday from 8 am until 8 pm or contact Queen’s Human Resource department.

You can also send questions regarding the transition to benefits.project@queensu.ca.