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2020 - 2022 OPFFA Board of Directors *
OPFFA Staff *
OPFFA Locals *
>
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SECTION 21
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MEDIA
Update
Your Local's Benefits Information
:
*
Indicates required field
Your Name:
*
First
Last
Your Title:
*
Your Email:
*
Local:
*
Choose One:
Ajax
Amherstburg
Barrie
Belleville
Blue Mountains
Bradford
Brampton
Brantford
Brockville
Burlington
Caledon
Cambridge
Central York
Chalk River
Chatham Kent
Clarence Rockland
Clarington
Cobourg
Collingwood
Cornwall
Deep River
East Gwillimbury
Elliot Lake
Fort Frances
Gananoque
Georgina
Guelph
Halton Hills
Hawkesbury
Innisfil
Kapuskasing
Kawartha Lakes
Kenora
Kingston
Kirkland Lake
Kitchener
LaSalle
London
Markham
Midland
Milton
Mississauga
Napanee
Niagara Falls
North Bay
Oakville
Orangeville
Orillia
Oshawa
Ottawa
Ottawa Airport
Owen Sound
Pearson Airport
Pembroke
Peterborough
Pickering
Port Colborne
Prince Edward County
Quinte West
Renfrew
Richmond Hill
Sarnia
Sault Ste Marie
Scugog
Smiths Falls
St. Catharines
St. Thomas
Stratford
Sudbury
Thorold
Thunder Bay
Timmins
Toronto
Vaughan
Wasaga Beach
Waterloo
Welland
West Nipissing
Whitby
Whitchurch Stouffville
Windsor
Woodstock
Please only fill in the fields below that require updating.
All fields left blank will remain unchanged in the database.
Who is your benefit provider?
*
Are your benefits under a paramedical umbrella?
*
YES
NO
If so, What's included under the umbrella?
*
Massage
Chiro
Chiropodist
Acupuncture
Naturopath
Osteopath
Athletic Therapy
Podiatrist
Phychologist
Speech Therapy
Orthotics
Physiotherapy
Nutritionist
Occupational Therapist
Any Additional Benefits Included Under the Umbrella?
*
Do you have Accidental Death & Dismemberment Coverage?
*
Yes
No
If so, Please identify if there is coverage specific to Occupational Disease Claims:
*
Do you have a WSIB Top up?
*
YES
NO
Coverage Amount:
*
Is your spouse and/or dependants covered by all benefits?
*
Yes
No
Other? (Please Specify):
*
Please enter the amounts below that are included in your current collective agreement.
These answers should be in the format of currency (i.e. $200)
Is Master benefit and/or policy provided to you by Employer?
*
Yes
No
Life Insurance Premium Paid by:
*
Member
Employer
Post 65 Benefit?
*
Yes
No
Coverage Amount?
*
Private Nursing?
*
Yes
No
Coverage Amount?
*
Per Visit Cap?
*
Yes
No
Amount of Cap?
*
NATUROPATH
*
Yes
No
Coverage Amount:
*
Per Visit Cap?
*
Yes
No
Amount of Cap?
*
Chiropractic
*
Yes
No
Coverage Amount?
*
Per Visit Cap?
*
Yes
No
Amount of Cap?
*
Massage
*
Yes
No
Coverage Amount?
*
Per Visit Cap?
*
Yes
No
Amount of Cap?
*
Acupuncture
*
Yes
No
Coverage Amount?
*
Per Visit Cap?
*
Yes
No
Amount of Cap?
*
Osteopath
*
Yes
No
Coverage Amount:
*
Per Visit Cap?
*
Yes
No
Amount of Cap?
*
Athletic Therapy
*
Yes
No
Coverage Amount:
*
Per Visit Cap?
*
Yes
No
Amount of Cap?
*
Podiatrist
*
Yes
No
Coverage Amount:
*
Per Visit Cap?
*
Yes
No
Amount of Cap?
*
Chiropodist
*
Yes
No
Coverage Amount:
*
Per Visit Cap?
*
Yes
No
Amount of Cap?
*
Psychologist
*
Yes
No
Coverage Amount:
*
Per Visit Cap?
*
Yes
No
Amount of Cap?
*
Speech Therapy
*
Yes
No
Coverage Amount:
*
Per Visit Cap?
*
Yes
No
Amount of Cap?
*
Orthotics
*
Yes
No
Coverage Amount:
*
Per Visit Cap?
*
Yes
No
Amount of Cap?
*
Physiotherapy
*
Yes
No
Coverage Amount:
*
Per Visit Cap?
*
Yes
No
Amount of Cap?
*
NUTRITIONIST
*
Yes
No
Coverage Amount?
*
Per Visit Cap?
*
Yes
No
Amount of Cap?
*
Occ. Therapist
*
Yes
No
Coverage Amount?
*
Per Visit Cap?
*
Yes
No
Amount of Cap?
*
Other?
*
Coverage Amount?
*
Per Visit Cap?
*
Yes
No
Amount of Cap?
*
Other?
*
Coverage Amount?
*
Per Visit Cap?
*
Yes
No
Amount of Cap?
*
Vision Care:
Vision Care?
*
Yes
No
Coverage Amount:
*
Coverage Duration?
*
12 months
24 months
36 months
48 months
Is eye exam included?
*
Yes
No
If eye exam is not included how much is separate coverage for eye exam?
*
Other Optical Coverage?
*
Laser Eye
Contact Lenses
Hearing Benefits:
Hearing Aids?
*
Yes
No
Coverage Amount:
*
Hearing Test Coverage?
*
Yes
No
Coverage Amount:
*
What is the duration?
*
12 months
24 months
36 months
Lifetime
Survivor & Retiree Benefits:
Does your local have Survivor Benefits?
*
Yes
No
# of years covered:
*
Are your benefits locked at retirement date values?
*
Yes
No
Do you have an Early Retirement Incentive Program (ERIP)?
*
Yes
No
If you have an ERIP, Please include the terms below:
*
do you have a Seperate Coverage Plan for Retirees?
*
Yes
No
What is Covered Under Your Survivor Benefits?
*
Do your Retiree Benefits Mirror Active Member Benefits?
*
Yes
No
How many Years of service required for benefit coverage qualification?
*
LODD Benefits:
Identify how many times your salary your LODD benefit is:
*
1x
2x
3x
4x
Other (Please Specify)
*
How long is a spouse eligible to receive benefits following an LODD?
*
1 Year
2 Years
Normal Age of Retirement
Other (please specify):
*
Drug Coverage:
Do you have any of the following included in your Collective Agreement?
Dispensing Fee Cap?
*
Yes
No
Coverage Amount:
*
Family Included?
*
Single
Family
Other?
*
How do Generic Drugs apply to your plan?
*
Mandatory Generics
Generics only unless specfied by doctor
Please list any drug coverage co-pays and their amounts:
*
i.e. Prescriptions, $5.00
Drug Coverage Deductible?
*
Yes
No
Deductible Amount?
*
Long Term Disability (LTD):
Do you have a Long Term Disability (LTD) benefit?
*
Yes
No
Total Coverage Amount:
*
Maximum amount per Month:
*
Long Term Disability (LTD) Paid by:
*
Paid by Employer
Paid by Members
Association Paid
Association Paid with Reimbursement by Employer
% Amount:
*
Sick Time Accrual:
Do you have a Sick Time Accrual Benefit?
*
Yes
No
How many days do you accumulate per month?
*
Please identify the terms of your STD Plan:
*
Dental Benefits:
Current ODA?
*
Yes
No
Previous Year ODA?
*
Yes
No
Orthodontic?
*
Yes
No
Coverage Amount:
*
Any dental recall restrictions?
*
Annually
More
None
Other?
*
Do you have any annual Deductibles?
*
Yes
No
If so, Please list deductibles:
*
Dental Mjr Restorative?
*
Yes
No
Coverage Amount:
*
Orthodontic Coverage For:
*
Member
Spouse
Dependants Under 18
Time limitations for any dental coverages?
*
Please List any dental benefits that have co-pays and their amounts
*
i.e. Orthodontic, 50/50
Any Other Dental benefits not listed?
*
Comments?
*
Submit
If you have any questions at all, please contact
jchambers@ontariofirefighters.org
Home
The OPFFA
About Your OPFFA
2020 - 2022 OPFFA Board of Directors *
OPFFA Staff *
OPFFA Locals *
>
Local Events *
OPFFA Committees
OPFFA Directory
Contact *
District 13
Member Services
Notices to members
Webinars & Training
Retiree Frames
License Plates *
Corporate Specials *
>
Bell Mobility *
BOATsmart! *
Bulldogs *
Comtech *
Fallsview Waterpark *
Great Wolf Lodge *
Medieval Times *
North City Insurance *
OPFFA Hotel Rates *
Rogers Wireless *
SkyZone *
Telus *
Vachon Insurance *
Scholarships & Bursaries *
Database
Database
Datasheet
Update Database > Upload New Documents
Update Database > Complete Update Forms
Events
Event Sponsorship *
Memorials & Funerals
Ontario Memorial & Submission Form *
Funeral Submission Form *
Current Funeral Information *
Subscribe to IAFF LODD Notifications
SECTION 21
STORE
Donate to Propac
OPFFA Gift Cards *
Vehicle Accessories
Clothing
Challenge Coins
Request Forms
EDF Policy & Application Form
Media Campaign Request
Occ Disease Form
WSIB Form
MEDIA