Coverage and Plan Details

Your DGC Benefits Plan provides you and your family with valuable, affordable mental and physical health coverage and financial protection if you experience an illness, injury or disability. In this section, we explain how the plan works and what’s covered under each level.

Accident Insurance (AD&D)

For most of us, staying out of harm’s way is a top priority. But, despite our best efforts, accidents can happen. And when they do, it’s good to know that you have some extra protection.

 

The DGC Benefits Plan’s accident insurance pays a benefit if you’re injured or die because of an accident either on or off the job. Payments are tax-free to your beneficiary and are paid in addition to your life insurance.

Coverage Levels

Accident insurance coverage is based on your coverage level and age limits.

No evidence of insurability is required for coverage under the DGC Benefits Plan. In other words, you will not be required to provide proof of good health, complete a medical questionnaire or undergo any medical exams.

What’s Covered

The insurer will pay the benefit shown below if you suffer an injury which results in any one of the following specific losses within one year from the date of accident. Only one benefit (the largest) will be paid for a loss with respect to all injuries resulting from one accident.

FOR LOSS OF…

FOR LOSS OF
% OF COVERAGE
Thumb and index finger of same hand
Hearing in one ear
Use of thumb and index finger of same hand
All toes of same foot
50%
One hand or one foot
Use of one hand or one foot
Entire sight of one eye
Four fingers of same hand
75%
One arm or one leg
Use of one arm or one leg
80%
Life
Entire sight of both eyes
One hand and one foot
One hand and entire sight of one eye
One foot and entire sight of one eye
Speech and hearing in both ears
Brain death
Coma
100%
Both arms, both hands, both legs or both feet
Use of both arms, both hands, both legs or both feet
Quadriplegia
Paraplegia
Hemiplegia
200%

OTHER ACCIDENT BENEFITS

In addition to cash payouts, the DGC Benefits Plan’s accident insurance may also help to cover some costs, for the following items. Please contact AGA Benefit Solutions for details on coverage.

  1. Emergency transportation;
  2. Home health care;
  3. Occupational retraining;
  4. Spousal occupational training;
  5. Repatriation;
  6. Rehabilitation;
  7. Family transportation;
  8. Alternate transportation;
  9. Psychological therapy;
  10. Home alteration and vehicle modification;
  11. Post secondary education;
  12. Day care;
  13. Special education;
  14. Bereavement;
  15. In-hospital confinement monthly income;
  16. Workplace modification & accommodations;
  17. Disability fitness;
  18. Personal mobility;
  19. Cosmetic disfigurement;
  20. Seat belt and air bag;
  21. Occupational HIV;
  22. Occupational hepatitis;
  23. Critical disease;
  24. Funeral & burial;
  25. RESP contribution;
  26. Parental care;
  27. Criminal assault;
  28. Common carrier;
  29. Identification; and
  30. Exposure and disappearance.

What’s Not Covered

The DGC Benefits Plan does not cover loss caused by or resulting from any one or more of the following scenarios, including (but not limited to):

  • Suicide or attempted suicide, or any intentionally self-inflicted injury;
  • Declared or undeclared war;
  • While the insured is on full-time active duty in the armed forces or organized reserve corps of any country or international authority;
  • Death from natural causes;
  • Sickness, disease, or bodily infirmity, whether the loss or claim results directly or indirectly from any of these except as specifically set out in: the critical disease benefit, the occupational HIV benefit, or the occupational hepatitis benefit.

With respect to air travel, this policy includes injuries while riding as a passenger in or on, boarding or alighting from any aircraft not owned or leased by the insured or the policyholder, or a member of the insured’s household. Air travel is excluded in the following circumstances:

  1. While flying or learning to fly as a pilot, operator, or member of the crew;
  2. while being used for any test or experimental purpose;
  3. while the insured person is operating, learning to operate or serving as a member of the crew thereof; or
  4. while being operated by or for or under the direction of any military authority, other than transport type aircraft operated by the Canadian Armed Forces Air Transport Command or the similar air transport service of any other country; or
  5. while being used for firefighting, pipeline inspection, power line inspection, aerial photography or exploration.

Coverage Reduction at Age 80

If you have Levels I, II, III, Life Member or Enhanced Life Member coverage, your coverage will be reduced automatically to $20,000 when you turn age 80. If you have Basic Coverage, your coverage will remain at $10,000 when you turn age 80.

When Coverage Ends

Coverage for you ends when you are no longer a member in Active Good Standing.

 

If you’re a Life Member, your coverage will continue for as long as you are a DGC member.