ALL ORIGINAL SIGNED FORMS MUSTBE SUBMITTED TO THE BENEFITS OFFICE.
NOTE: ORIGINAL SIGNED FORMS MUST BE SUBMITTED TO THE BENEFITS OFFICE. GROUP BENEFITS AND PENSION RELATED FORMS.
Employees with a one-year contract, working 20 hours/week must to be enrolled on the Benefits.
It is not by the employee’s choice whether they want to join or not.
If you are away from work due to illness or injury for 7 consecutive days (including weekends and statutory holidays), you must apply for the disability benefits. You must complete the EMPLOYEE STATEMENT and have your doctor to complete the PHYSICIAN STATEMENT
Please note that once you had submitted the scanned copy of the STD form(s), there’s no need to mail the original form(s).
Things to remember:
1)Decide if you want to take 12 months or 18 months leave (there’s no choices in between)
2)Decide if you want to keep or waive your *Group Benefits and Pension (as per Federal Law, employees can now waive their Group Benefits and/or **disability benefits while on Maternity. Employees can also choose to continue contributing on the match pension while on Maternity Leave)
3)Arrange the Maternity leave agreement with your employer/PEC
4)Request for your Record of Employment (ROE)
5)Apply for Employment Insurance (EI) Maternity and Parental Benefits***
6)Apply for Maternity STD Benefit**
7)If you are a teacher/principal, provide the Maternity Medical report to your school for top-up calculation
8)Add your baby under your plan (latest date that you can provide this information is 31 days after your child is born)
9)Prepare post-dated cheques to cover your Group Benefits and Pension employee contribution (if you are keeping your benefits and pension)
*You can keep your Life Insurance, AD&D, STD, LTD, and Critical Illness and just choose to waive the extended health and dental **You will not be eligible for the Maternity STD benefits if you choose to waive your Disability Benefits.
***You can start receiving maternity benefits as early as 12 weeks before your due date or the date you give birth. You cannot receive these benefits more than 17 weeks after your due date or the date you gave birth, whichever is later. (source: https://www.canada.ca/en/services/benefits/ei/ei-maternity-parental/eligibility.html)
These benefits are available to eligible employees and provide salary replacement (wage-loss) benefits for specified periods of time, to employees who are disabled due to injury or sickness. Once the applicable documents have been completed in full, please return them to the Benefits Administration Office.
NOTE: Please ATTACH a copy of your employee’s JOB DESCRIPTION together with the Employer Statement. This will help GWL in assessing the employee’s ability to return to work.
Mandatory for all eligible CISVA employees, Critical illness insurance alleviates some of the stress due to financial burden when an insured is diagnosed with a covered condition. In the occasion of a Critical Illness claim, please forward this completed document directly to the Benefits Administration Office. There are additional documents (including an Employer claim form) that need to accompany this attachment. Therefore, do not forward this claim directly to the Claims Department as indicated on the claim form.
Life Claim Form Employer Statement (To be completed by the Benefits Administration Office)
Mandatory for all eligible CISVA employees, Basic Group Life provides benefits to your designated beneficiary in the event of your death, for whatever cause. Spouses and dependent children are not covered under this plan In the occasion of a Life claim (including an Optional Life claim), please forward this completed document directly to the Benefits Administration Office. There are additional documents that need to accompany this attachment. Therefore, do not forward this claim directly to the Group Life Benefits Department as indicated on the claim form.
Accidental Death & Dismemberment (AD&D)
Accidental Death & Dismemberment (AD&D)Mandatory for all eligible CISVA employees, Accidental Death and Dismemberment (AD&D) coverage provides benefits should you be a victim of an accident that costs your life, limb, sight or hearing. In the occasion of an AD&D claim, please contact the Benefits Administration Office for the applicable form.
In the occasion that a member of the CISVA Registered Pension Plan dies, the attached document must be completed by the beneficiary and sent directly to the Benefits Administration Office. There are additional documents that need to accompany this attachment. Therefore, do not forward this claim directly to Great-West life, Group Retirement Services as indicated at the top of the claim form. Once this step has been completed, Great-West life, Group Retirement Services will contact the beneficiary to provide a summary of available options.
Extended Health Care covers you for some charges arising from physician-recommended and medically necessary services and supplies, beyond the scope of MSP. Even if you or your dependents are already enrolled under your spouse?s plan, you may also enroll in the CISVA plan, provided the other plan allows double coverage. Please refer to the Enrollment forms section should you wish to add/remove dependents from your current coverage (complete a Group Coverage Change form).
Assure Card Claim Form - for Prescription Drugs ONLY
The Assure Card is an electronic payment system that provides on-the-spot claims submission of prescription drug claims at almost any pharmacy in Canada. It?s a convenient, easy-to-use alternative to submitting claim forms. Plan members continue to pay 100% of the drug costs upfront; however, you simply present your Assure Card when having prescriptions filled. The pharmacist uses the card to confirm eligibility, drug coverage and remit your eligible drug claim directly to Assure for processing.
The Welcome Plan is a temporary supplementary group plan of insurance which provides essential basic healthcare coverage for temporary, new and returning Canadian residents and their family when they do not qualify for provincial health plan coverage in their province or territory. Welcome Plan benefits are available as long as the employee meets all eligibility requirements. To be eligible under the Welcome Plan the employee must be covered under the Extended Health plan, they must legally reside in a Canadian province or territory, and must not be eligible for coverage under a federal or provincial government health plan (ie: MSP) because they do not satisfy the residency requirement in their province or territory of residence.
The Dental Care plan provides coverage for a wide range of dental services, from your regular check-ups to major procedures such as root canals and crowns. Even if you, your spouse or dependent children are already enrolled under your spouse?s plan, you may also enroll in the CISVA plan, provided the other plan allows double coverage. Please refer to the Enrollment forms section should you wish to add/remove dependents from your current coverage (complete a Group Coverage Change form).
This document should be completed by those employees who (1) are new employees with the CISVA or (2) have exceeded the reinstatement period and must complete a new application form. PLEASE PRINT DOUBLE SIDED IF POSSIBLE
Group Coverage Change form (re: CURRENT participants of the benefits plan)
This document should be completed by those employees who have exceeded the time requirement (31 days) from the eligibility period to enroll for benefits. Benefits will not become available/active until approved by the insurance carriers. PLEASE PRINT DOUBLE SIDED IF POSSIBLE
Canada Life’s (Canada Life or CL formerly known as GWL) claims examiners carefully assess the dependent information reported on a claim and will verify if the dependent student is still eligible for benefits. To help ensure that claims are paid accurately and efficiently, the CISVA must notify CL if there are any dependents listed that are no longer attending school and should have their coverage terminated. For audit purposes, the Student Recertification form must be completed in full to support maintenance of benefits eligibility.
NOTE: Student (Age 22-24) coverage is extended for 6 months after the student’s last day in regular full-time school attendance. (i.e. last day in school is June 25th, dependent will be covered from June 25th – December 25th).
Welcome Plan Application (for employees who do not have the MSP coverage)
The Welcome Plan is a temporary supplementary group plan of insurance which provides essential basic healthcare coverage for temporary, new and returning Canadian residents and their family when they do not qualify for provincial health plan coverage in their province or territory. Welcome Plan benefits are available as long as the employee meets all eligibility requirements. To be eligible under the Welcome Plan the employee must be covered under the Extended Health plan, they must legally reside in a Canadian province or territory, and must not be eligible for coverage under a federal or provincial government health plan (ie: MSP) because they do not satisfy the residency requirement in their province or territory of residence. PLEASE PRINT DOUBLE SIDED IF POSSIBLE
OPTIONAL LIFE APPLICATION FORM
CISVAs optional insurance plan provides supplementary life insurance coverage for CISVA/RCAV employees. For further information regarding Optional Life rates, please refer to the Optional Life Brochure within our CISVA Benefit Plan Overview section.
New Employee Guaranteed Acceptance Voluntary Critical Illness
New Employee Guaranteed Acceptance Voluntary Critical Illness
VOLUNTARY CRITICAL ILLNESS GUARANTEED ACCEPTANCE APPLICATION
Note: available to eligible employees and dependent spouses who are enrolled in Benefit Class 1, 2 and 4. As an employee of CISVA/RCAV you are automatically covered for $10,000 of Basic Critical Illness Insurance. If you or your spouse require more than the Basic Insurance amount, you can each apply for $25,000 to $300,000 of medically underwritten Critical Illness Insurance coverage under the CISVA Voluntary Critical Illness Insurance plan. For new employees to the benefits plan, within the first 60 days of employment only, you have an opportunity to apply for the first $25,000 of Optional Critical Illness insurance without having to supply medical evidence. You are guaranteed approval for this voluntary coverage, regardless of your medical history (regardless of your pre-existing conditions). Please be cognizant of this strict timeline as after the 60-day window, you are subject to medical evidence! Industrial Alliance Pacific (IAP) has updated their website to allow for direct, online applications as well. Please feel free to visit their site for additional information on this benefit narrative, rates, application process, etc.: http://www.solutionsinsurance.com/cisva
Fair Pharmacare indexes your provincial deductible for prescriptions to your income. Registering ensures that the Fair Pharmacare plan, and not the CISVA Benefits plan, pays for drug costs after your new deductible has been reached, making each benefits dollar go farther. Send this form directly to Fair PharmaCare for processing. All B.C. residents who have a CareCard from MSP should be registered for Fair PharmaCare. Please note that effective January 1, 2008, PharmaCare will no longer reimburse prescription or medical supply costs that were incurred before the date a family register for Fair PharmaCare. To register or obtain further information regarding Fair PharmaCare, please visit their website at www.health.gov.bc.ca/pharme/.
This enrollment guide provides you with information to help you understand what your plan offers and how you can play an active role in
preparing and investing in your own retirement. It will include:
where you can get more information on your plan
steps on how to calculate how much you need
what your investment options are
how to select your investments; and
the applications you would need to complete to enroll into the plan.You can also preview the online services and information on GRS Access at www.grsaccess.com before you join your plan, by using this guest Access ID:Access ID: ARCHDIOCESEPassword: Archdiocese_123Attach – Soft Copy enrolment guideIndividual applications are found in the respective plan sections on this page.- Registered Pension Plan Application (RPP)– Registered Retirement Savings Plan (RRSP) & Tax-Free Savings Account (TFSA)
Registered Pension Plan (RPP) Forms
Application for membership in Registered Pension Plan
This form is to be completed by new employees and existing employees wanting to join the Archdiocese of Vancouver/CISVA, Registered Pension Plan. Please note that if you are designating a minor, then Section 4 must be completed as well.
VERIFICATION OF PREVIOUS TEACHING EXPERIENCEFor Teachers and Principals ONLY – teachers and principals who have teaching experience outside CISVA must have this form completed by the authorized personnel from their previous school(s). Missing form(s) will delay your pension increase approval.
This form is used to verify the eligibility of the employee who is applying for the 8.0% or 9.0% (pension) contribution tier. Eligibility to contribute at a higher pension tier is based on years of service to the RCAV/CISVA. Please note that this is not the same as years of experience. Years of service to CISVA = the number of years an employee has worked for the CISVA, regardless of your service being provided on a full-time or part-time basis. Effective September 1, 2017,years worked as a teachers/principals teachingoutside the CISVA will count towards years of service in the CISVA.
There is no limit as to the number of times which you may change your beneficiary designation. Please note that claims will be paid based on the most current and signed document on file as previously provided by the employee.
In the occasion that a member of the Archdiocese of Vancouver/CISVA Registered Pension Plan dies, the attached document must be completed by the beneficiary and sent directly to the Benefits Administration Office.There are additional documents that need to accompany this attachment. Therefore, do notforward this claim directly to Great-West life, Group Retirement Services as indicated at the top of the claim form. Once this step has been completed, Great-West life, Group Retirement Services will contact the beneficiary to provide a summary of available options.
The Form 1 – Claim of Spouse to Interest in Member’s Pension, of the Family Relations Act, is completed by an ex-spouse to inform the Plan that she/he has claim of interest in a member’s account. Once the Plan receives this notice, the Plan is under an obligation to:
provide the spouse with information about the pension, and
give the spouse advance notice before it acts on a direction received from the member in connection with his/her pension
Please note no funds are transferred upon receipt of Form 1.
When can funds be split?
The following forms must be completed and presented to the Benefits Administration Office (BAO) before any payment will be made:
Court Order or Separation Agreement. The order or agreement should direct the Plan member to make payments naming the eligible former spouse and indicating the amount to be paid. The order or agreement must be specific as the BAO is not empowered to make any decisions regarding the details of the order or agreement.
Form 3 – Request for Transfer from Unmatured Defined Contribution Plan – of the Family Relations Act. This form is completed by the spouse or former spouse of a member who would like to transfer their pension entitlement to their RRSP or RPP.
Upon receipt of all the necessary forms from an eligible former spouse the Benefits Administration Office is required to send the Plan member, Form 6 – Notice of Receipt. This form informs the member that our office has received completed forms from the eligible former spouse, and that the Plan will be processing the transfer of funds.