Disability insurance
EXCELLENCE,
your living benefits specialist
Superior Program
A partner you can trust.
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If You Lose Your Income
YOU
and Your Needs…
Have you ever wondered how you would pay your bills if an illness or an accident prevented you from working?
If you’re
If you’re an employee… Do you have group insurance that provides full coverage against loss of income due to disability?
If you’re relying on government plans to protect your lifestyle… Are you aware of what they actually provide? Let’s take a closer look:
Employment Insurance: only offers 119 days of benefits;
Canada Pension Plan (CPP) or Quebec Pension Plan (QPP): only for “severe” and “prolonged” physical or mental disability;
Workplace safety and workers’ compensation plans (e.g., WSIP, WCB, CSST): coverage only for disabilities resulting from a
A provincial auto insurance board: coverage only for disabilities resulting from road accidents.
When you become disabled, you not only lose your primary source of income, you also face unexpected expenses related to your
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Our Disability Coverage
You Are Eligible
if You...
are between the ages of 18 and 59 inclusively; work, at least:
−− 21 hours per week on a regular and continuous basis; or −− eight months per year totalling 1,050 hours per year;
meet the Insurer’s underwriting criteria;
are a Canadian citizen, or have lived in Canada for at least six months and meet certain criteria.
How Will You
Be Covered ?
Superior Program offers you, among other options, coverage for disability in the event of illness and accident or, if you prefer, in the event of accident only.
Monthly amount per |
Minimum |
Maximum |
$100 increment |
$500 |
$6,000 |
Benefit period |
2 years, 5 years or up to age 65 |
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Waiting period |
0 day (accident only) |
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14 days |
14 days + |
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30 days |
30 days + |
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60 days |
60 days + |
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90 days |
90 days + |
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119 days |
119 days + |
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In the event of day surgery or hospitalization for more than 18 hours, benefits are payable from the first day, except for a
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Tips from a Pro…
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You Are Considered
Totally Disabled if…
Total Disability
For the first 24 months, as the result of an illness or accident (or in the event of accident only), you are in a state of continuous incapacity that prevents you from performing the activities of your regular occupation and you are not performing any other work for which you are, or should be, paid.
As of the 25th month and for the remainder of the benefit period, you are considered totally disabled if that same state of continuous incapacity prevents you from exercising any reasonable occupation and you are not performing any other work for which you are, or should be, paid.
Also, to be considered totally disabled, you must:
have developed an illness or sustained an accident (or sustained an accident only) while the selected coverage was in effect;
be under the regular care of a physician according to the frequency required for your condition for the duration of your state of incapacity.
Regular occupation means any employment, job, occupation or profession for which you were receiving eligible income prior to the onset of your disability.
Any reasonable occupation means, regardless of whether such work is available, any employment, job, occupation or profession that is likely to provide you with suitable income compared with that earned prior to your total disability and that you are able to hold by virtue of the experience, education, training or knowledge you currently hold or may reasonably acquire.
Residual Disability
If you are returning to work after a period of total disability and your functional ability has declined, resulting in a drop of over 20% of your annual income, you are eligible for a monthly benefit proportional to your loss of income for a maximum of 12 months. The total disability must begin before your 60th birthday and must last at least as long as your waiting period.
Waiver
of Premiums
Payment of your premiums will automatically be waived for all coverages under your contract if you meet the definition of total disability and your disability begins before your 60th birthday. The waiver of premiums begins as soon as your waiting period expires, subject to a minimum of 30 days, and terminates when you are no longer eligible for Disability Insurance benefits.
Be Ready
for Anything!
Temporary Loss of Remunerative Work
If you lose your job, take a parental leave or stop working temporarily but have not retired, then your Disability Insurance
coverage will remain in effect under our Maintenance of Coverage when Remunerative Work Ceases clause for a period of 12 months as of the date your work ceases. Benefits payable in the event of total disability are subject to a minimum waiting period of 90 days and will be fully integrated.
For the purposes of applying this clause, you are totally disabled if, as the result of illness or accident, you are in a state of continuous incapacity that prevents you from performing any reasonable occupation and you are not performing any other work for which you are, or should be, paid.
Rehabilitation Program
You may benefit from all the professional services necessary to learn new duties based on a rehabilitation program that meets your needs and that has been approved by the Insurer. If you hold rehabilitative employment further to a total disability, you will receive a benefit equal to your full benefit less 50% of the income earned from your work for the duration of that employment, not to exceed 24 months. Benefits from all sources will be coordinated to ensure that your total income does not exceed the maximum amount of the available benefit.
Extension at Age 65
You may extend your Disability Insurance in the Event of Accident until age 75, without evidence of insurability, provided you are working
Organ Donation
If you become disabled as the result of organ donation, you will be eligible for a maximum benefit period of 12 months provided your contract has been in effect for at least 12 months before the onset of your disability.
Death
If you have been totally disabled for at least 12 consecutive months and you die as the result of that disability, an amount equal to three months of benefits will be paid to your beneficiary.
Additional Assistance Services
You may obtain information from experienced professionals regarding numerous legal or
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Choosing
Your Benefits
Your advisor will sit down with you to conduct a needs analysis in order to determine the amount of monthly benefits you will need in the event of total disability. The amount of your available coverage is established based on your eligible annual income (salary, net income, gross income, etc.). To ensure that you are properly covered, you may choose from several options:
Integrated Benefits
Integrated benefits will be reduced by the benefits paid by any other company or public body such that the sum of all benefits paid does not exceed the maximum available benefit.
Combination of
Under certain circumstances, combining both types of benefits is advantageous.
Guaranteed Benefit
In order to offset potential fluctuations in your income, you can guarantee the amount of your benefits by providing the Insurer with the appropriate financial evidence at the time of underwriting. This will ensure payment of the guaranteed benefit without verification of your actual annual income at the time of your disability.
Payment of the guaranteed benefit remains subject to the integration clause. Note that any amount in excess of the guaranteed amount must be justified by eligible income at the time of disability.
A coverage protecting your lifestyle
Automatic Increase in Benefits
This option allows you to increase your Disability Insurance benefits at each contract renewal, without evidence of insurability, provided you are under age 55 and working
Tips from a Pro…
Choosing
Your Premiums
Our premium rates are based on the coverages and conditions that you choose as well as your age, occupation, gender and status as a smoker or
Guaranteed Renewable Contract: Insuring You for the Long Term
We undertake to renew your contract from year to year until your 65th birthday, provided your renewal premiums are paid. However, the Insurer may adjust premiums based on program results and experience. Our goal is to ensure that premiums remain stable.
Whatever your financial capacity, we offer you two methods of payment to keep your contract in force:
Up to age 65; or
For consecutive
Occupational Class Enhancement
Based on certain criteria related to your type of employment, years of experience and income, your occupational class may be enhanced. An enhancement may mean that you’ll pay lower premiums for your Disability Insurance coverage.
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Are You a
Business Owner?
Overhead Expense Insurance
This coverage helps you pay the expenses necessary to run your business while benefiting from a tax deduction on the premiums for this coverage. If you become totally disabled due to an illness or accident, Overhead Expense Insurance will help you cover your business’s regular office expenses, such as:
heating, telephone, electricity; rent;
employee salaries (for businesses of three or fewer employees); accounting services;
subject to certain conditions, car or truck expenses when the vehicle is essential to performance of duties.
The maximum benefit period is two years subject to a waiting period of zero day (in the event of accident only), 30 days or 30 days +, as you choose. This coverage provides for monthly benefits ranging from $500 to $6,000.
Broaden Your Coverage
by Adding Riders
Term Life Insurance to Age 65
Accidental Death, Dismemberment or Loss of Use
Accidental Fracture and Extended Medical Care Further to an Accident Hospital Benefit
Critical Illness Insurance Travel Insurance
Extended Health Insurance and Dental Care Insurance (available only in Quebec)
As a Business Owner,
evaluate your annual income
With Superior Program, you have the flexibility to base your available monthly benefit on your gross or net income, based on your share in the business.
Net income |
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Gross income |
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Net business |
$ |
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Gross business |
$ |
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revenue: |
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revenue: |
- |
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Insured’s salary: |
$ |
= |
Cost of goods: |
$ |
- |
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Total : |
$ |
(1) |
Salaries: |
$ |
= |
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(except the Insured’s salary) |
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Total : |
$ |
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50% of total : |
$ |
(2) |
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Your annual income is the greater of (1) or (2) : |
$ |
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Limitations and Exclusions Applicable
to Disability Insurance and Overhead Expense Insurance
Limitations
The amount of the monthly benefit under your Disability Insurance coverage may be reduced by any sum received during your disability period as salary, bonuses, dividends, commissions, fees, net business earnings and/or gross business earnings after your date of disability. For the purposes of calculating the loss of income, the Insurer will use the same criteria as those used to calculate eligible income and the amount of monthly benefits.
Benefits under the Disability Insurance coverage are subject to the “Integration of Benefits” clause.
For the “Maintenance of Coverage when Remunerative Work Ceases” clause, the minimum waiting period is 90 days and the benefits payable will be fully integrated with any sums paid to you by any other company or public body. Also, if you are not totally disabled, entitlement to monthly benefits is suspended as of the 13th month with out remunerative work
General Exclusions
No benefit shall be payable for a disability resulting directly or indirectly from any of the following: active membership in the armed forces of any country;
suicide, attempted suicide or
injury sustained while the Primary Insured is actively participating in a riot, an insurrection or hostilities, or injury sustained during a war, whether declared or not;
commission or attempted commission of a criminal act by the Primary Insured;
participation by the Primary Insured in any type of flight or attempted flight while he or she is travelling aboard the craft other than as a passenger;
pregnancy, natural childbirth, childbirth by Cesarian section, or miscarriage;
the operating of a motor vehicle by the Primary Insured while impaired, under the influence of narcotics or alcohol or while your blood alcohol concentration exceeds the limit prescribed by law;
participation in a race, trial or speed contest for automobiles, motorcycles or any other motor vehicle; participation in any sport for compensation.
Additional exclusions for Disability Insurance in the Event of Accident:
illness or any form of disability or extended disability resulting from illness; any loss arising from an illness, even if the illness was contracted accidentally.
Specific Exclusions
For the “Maintenance of Coverage when Remunerative Work Ceases” clause, no benefit shall be payable for a disability resulting directly or indirectly from any nervous, psychological or psychiatric illness, any degenerative disease, a disease affecting your neurological system, or fibromyalgia.
If a Primary Insured receives disability benefits for the maximum period stipulated in the applicable “regular occupation” definition of total disability, no further benefits shall be payable for a same medical condition unless it is shown that he or she is unable to exercise any reasonable occupation. Under Overhead Expense Insurance, the maximum benefit period for a given medical condition is 24 months.
Overhead Expense Insurance does not apply to any disability period during which you or your associates no longer incur overhead expenses due to the sale, closure,
Interim Insurance Agreement
To benefit from the Interim Insurance Agreement, you must answer every question on the short Declaration of Health found in the application, then sign and return it to the Insurer along with the application and payment for the first premium.
Note
This documentation is a short summary of the coverages and conditons and conditions in your contract and is therefore incomplete. Please refer to your personal contract: it is important that you read and understand it.
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