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Membership has its Benefits
Today’s speakers:
Fey Kakaroukas
Administrator, Plan Member Services
Sandy Young-Reid
Director, Benefits
Role of the AOMBT: Accept midwives’ benefits funding (currently
20%) and steward these funds in the best interests of the plan members in accordance with the Trust Agreement
Health & dental benefits, life, critical illness and disability insurance, group retirement savings plan, self-funded leave program, parental leave program, financial and investment education
Role of the AOM: Represent and advocate on behalf of Ontario
midwives & promote midwifery in Ontario
Education, risk management, professional development, practice guidelines, midwifery research, liability insurance
Top 5 Questions
Asked by New Registrants
• H
#1: How does benefits funding work?
Ministry of Health via Transfer Payment Agency: Pays $10,000
billable courses of care (BCC) income plus $2,000 benefits
funding
Midwifery practice: Receives $12,000 for midwife; submits
benefits invoice to AOMBT
AOMBT: Receives $2,000 benefits funding; retains 10% service
fee ($200)
BENEFITS FUNDING REMAINING: $2,000$1,800
BENEFITS FUNDING REMAINING: $1,800$1,800
Health and Group Benefit Premiums: $500 based on plan
member decisions
$1,300
Self-Funded Leave account: $200 based on # of billings
(optional!)
$1,100
Group Retirement Savings Plan contribution: $1,100
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#2: What do my benefits include?
Health, dental and disability benefits (mandatory unless you have coverage elsewhere)
Life, AD&D and Critical Illness insurance (mandatory)
Group Registered Retirement Savings Plan (mandatory)
Self-funded leave program (optional)
Parental Leave program
PrescriptionsCovered at 80%, until you have paid $1,200 out-of-pocket per year. After $1,200, prescriptions are covered at
100%. Dispensing fees are capped at $8 per prescription. Mandatory generic drug program.
Hospital 100% coverage for a semi-private room.
Paramedical
services
Covered at 100% for the first $750 per year. After the first $750, claims are covered at 80%, up to a maximum
of $2,500 per year. There is no maximum per paramedical discipline; you can use your maximum paramedical
coverage on one practitioner or on several.
Covered services: Acupuncturist, Chiropractor, Physiotherapist, Massage Therapist, Psychologist, Osteopath,
Naturopath, Speech Therapist, Chiropodist/Podiatrist, Athletic Therapist, Audiologist, Dietician, Social
Worker/Counsellor.
Medical suppliesCovered at 100% - maximums vary. Example: $500 per 60 months for hearing aids, $450 per 3 calendar years
for custom-made orthotics.
VisionEye exams performed by a licensed optometrist, ophthalmologist or physician are covered at 100% once
every 24 months (age 21+) or once every 12 months (under 21).
Travel coverage
Coverage for a maximum of 180 days, up to $5,000,000 per lifetime for emergency services required as a
result of emergency illness or injuries that occur while travelling outside the province/country. Includes
hospital services, emergency transportation, diagnostic laboratory tests and x-rays, emergency dental
treatments and reimbursement of prescriptions.
Extended Health Coverage
Basic services Covered at 100%, to a maximum of $2,000 per calendar year. Recall exams once every 5
months. Basic services include diagnostic, preventive, routine restorative (such as fillings),
routine surgical, endodontic (such as root canals) and periodontal (such as gum scaling).
Major services Major services are covered at 50%, to a maximum of $2,000 per calendar year. Major
services include dentures, bridges, crowns, inlays and onlays.
Orthodontics Orthodontic services are covered at 50%, to a maximum of $2,500 per lifetime.
All services, including dental and paramedical, are subject to reasonable and customary maximums.
Before proceeding with any significant or non-routine dental work, it is recommended that plan members
contact Equitable Life to confirm coverage.
If you have health/dental coverage already (through a partner’s employer, for example), you can opt out of
health/dental, or you can keep both and coordinate your coverage
Dental Coverage
Basic life insuranceBasic life insurance coverage is $250,000. Reduces by 50% at age 65. Coverage terminates at age
70.
Optional life insurancePlan members have the option of purchasing additional life insurance in units of $10,000, to a
maximum of $250,000, for either themselves and/or their eligible spouse.
Accidental death &
dismemberment
AD&D coverage is up to $250,000 following a loss or severe injury caused by accidental means.
Coverage terminates at age 70.
Optional AD&DPlan members have the option of purchasing additional AD&D coverage for themselves, their
eligible spouse/partner and/or child(ren).
Basic critical illness Coverage provides a lump payment of $10,000 to a plan member after confirmed diagnosis of a
critical condition covered under the plan. Terminates at age 65.
Optional critical illness Plan members have the option of purchasing additional critical illness coverage for themselves,
their spouse and child(ren).
Short-Term DisabilityCoverage at 66.67% of monthly income, to a weekly maximum of the lesser of $1,385 or 85% of
pre-disability net income from all sources.
Long-Term Disability
Coverage at 66.67% of the first $2,500 of monthly income, 57.5% of the next $4,167, and 45% of
the balance, to a maximum of the lesser of $6,000 monthly or 85% of pre-disability net income
from all sources.
Insurances
Username: aommidwifePassword: lifeworks
24 hour access for you and your dependents to knowledgeable consultants and research experts
Website resources including worksheets, toolkits, podcasts, online wellness programs, and information on a
range of topics including parenting, mental health, financial planning and work/life balance
Can arrange in-person or video counselling sessions with an accredited counsellor in your area
All services are free and confidential
Access LifeWorks through our website or go to lifeworks.com
• H
#3: What are my RSP options?
Be aware of your RRSP contribution limit (from your last Notice of Assessment). Contribution limits apply to
all RRSPs in your name. Monitoring your contributions is your responsibility. To avoid financial penalties from
Canada Revenue Agency, let us know if you may face over-contribution.
LIFECYCLE PATH
(target date) Investment portfolio based on # of
years until you retire
Automatically adjusts over time
If you do not select an investment
option, default is the Lifecycle
Path based on your age
BALANCED PORTFOLIOS
(target risk) Conservative, Balanced, or
Aggressive options depending on
risk tolerance and needs
May need to adjust choice as you
approach retirement or as
circumstances change
À LA CARTE Select your own combination of
funds from a range of options
Requires investment knowledge
and monitoring
• H
#4: What if I need to take a leave from practice?
Disability leave:
Must be unable to work
due to illness or injury
for 31+ days; must be
under care of physician
and following a
treatment plan.
Payments are portion of
pre-disability income;
contingent on approval
from insurer.
Parental leave:
Funded by Ministry of
Health grant.
Must be in good standing
with AOMBT.
Eligible if you or your
spouse/partner is
pregnant, or you are
adopting a child.
General leave:
If you are participating
in Self-Funded Leave
program and your leave
will be 2+ months, you
can receive monthly
payments from your SFL
account
Taking a leave affects your AOM membership, College of Midwives of Ontario
(CMO) registration, hospital privileges, liability insurance and benefits.
Leaves info: midwivesbenefits.ca/midwives-resources/leaves
PARENTAL LEAVES
The AOM Benefits Trust must receive your Parental Leave application at least 12 weeks prior to the start of your leave
Payments are 50% of pre-leave annual earnings to a
current maximum of $3,042/month for up to 12 months;
payments are taxable income
Midwives who are billing but have been invoicing for less
than 12 months in Ontario can receive a minimum
monthly payment of $1,500
SELF-FUNDED LEAVES
You can elect to contribute $20, $40, $60 or $80 per BCC (from benefits funding) to
an optional self-funded leave account
Contributions garner interest annually. Interest income is taxable to you.
Can be used:
• For an approved leave of 2+ months
• To top-up parental leave payments
• Pay benefit premiums while on any leave
You can choose how much your monthly payment
will be. The maximum monthly withdrawal on leave
is $4,000.
You can opt in or out at any time
• H
#5: How much will it cost me?
Your benefits funding is based on your BCC income
If you are working a full caseload, your benefits funding will be sufficient to cover
your monthly benefit premiums & service fees, with enough remaining for
contribution to your GRSP
Your monthly premium amount depends on your benefit choices
$$
Example #1:
Rose, a new registrant, has a common-law partner and 3 young children.
Family Health $300.23
Family Dental $178.01
Basic Life $22.00
Basic AD&D $3.75
Basic Critical Illness $4.08
Short-Term Disability $46.59
Long-Term Disability $121.56
Total $676.22*
*plus tax. Rates effective August 1, 2017
Same for all midwives
Income-based. New registrant income set at $96,384
Based on coverage choices
Example #2:
Dorothy is married and
works a reduced caseload.
Two-party Health $195.66
Two-party Dental $134.33
Basic Life $22.00
Basic AD&D $3.75
Basic Critical Illness $4.08
Optional Spousal CI ($10,000) $6.50
Short-Term Disability $36.25
Long-Term Disability $99.37
Total $495.44*
*plus tax. Rates effective August 1, 2017
Example #3:
Blanche is the sole income earner
in her household, though her two
children are covered under her
ex-husband’s benefit plan.
Single Health $97.86
Single Dental $64.31
Basic Life $22.00
Basic AD&D $3.75
Basic Critical Illness $4.08
Optional Life ($250,000) $26.50
Short-Term Disability $52.21
Long-Term Disability $149.45
Total $393.67*
Depending on the invoicing process for your practice, it may be several months before you
begin to bill BCCs and receive benefits funding.
Benefits Arrears
X Monthly Benefit Premiums
You may receive an email statement from the AOMBT advising you that we did not receive enough
benefits funding to pay your premiums. If you are actively practicing, we will apply future
benefits funding to pay the amounts owing.
The number of BCCs you need to bill to receive enough benefits funding depends on your benefit
choices. If you know your billings will not be enough to cover your premiums, contact the AOMBT.
All arrears are due within 6 months
• H
Next steps
After you are registered with the AOM, you’ll receive an
email Enrollment Package from the AOMBT.
Enrollment form and New Registrant form included in email
Must print, sign and submit Enrollment form (by regular mail) to AOMBT within
30 days from date of registration. Be sure to select a beneficiary(ies) for Life
Insurance!
Enrollment package includes links to benefits resources, applications for
optional insurances, self-funded leave enrollment form, waiver form
You’ll receive your Equitable Life card 4-6 weeks after you submit your
enrollment form. Benefit coverage starts on date of registration - save any
receipts and submit for reimbursement
• H
Next steps
After we receive your Enrollment form, you’ll receive a second email from the AOMBT
with GRSP enrollment instructions.
You must register on the Desjardins website in order to receive GRSP tax receipts!
Where to find support with investment options and financial planning:
Financial education articles and resources in Benefits Brief (email bulletin) and Health, Wealth & Wisdom
(semi-annual newsletter)
Financial education webinars (check Benefits Brief or website for upcoming webinars)
Archived webinars (video and presentations) on our website
Ask the Expert e-library
Desjardins website resources
midwivesbenefits.ca
BENEFITS & FINANCIAL RESOURCES
YOUR OWN COVERAGE AND ACCOUNTS
SUBMIT HEALTH AND DENTAL CLAIMS
CHECK YOUR GROUP RETIREMENT SAVINGS PLAN
SUBMIT YOUR BENEFITS FUNDING INVOICE
CONFIDENTIAL PHONE AND ONLINE SUPPORT FOR PLAN MEMBERS
Contact Information
AOMBT Trustees
Kelly Gascoigne, Chair (Community Midwives of Brantford)
Andrea Mills (Barrie Midwives)
Otis Kryzanauskas (Community Midwives of Hamilton)
Madeleine Clin (Countryside Midwifery)
Jane Erdman (Womancare Midwives)
Courtney Graham (Kensington Midwives)
Kim Alderdice (Midwives Nottawasaga)
Susie Martin (The Hamilton Midwives)
Elected Trustees
Anne Wilson (Burlington & Area Midwives)
AOM Board-appointed
Kelly Stadelbauer
AOM Executive Director
AOMBT staff & partners
Nicole Mellin – Executive Director
Sandy Young-Reid – Director, Benefits
Melanie Towell – Director, Finance
Staff - Management
Chona Layson - Senior Benefits Administrator
Fey Kakaroukas - Administrator, Plan Member Services
Liz McGee – Benefits Analyst
Lisa Rowe - Benefits Coordinator
Allison Jack - Communications Officer
Lisa Trischler – Executive Assistant
Rashna Antia - Finance Coordinator
Staff - Administration
Desjardins Financial - Group Retirement Savings Plan
Equitable Life - Health, dental, life insurance, disability
CHUBB – Critical Illness, AD&D
Partners
Contact the AOM Benefits Trust
Toll-free in Ontario: 1.866.418.3773
Tel: 416.425.9974
Fax: 416.921.6556
Email: [email protected]
Web: midwivesbenefits.ca
Follow us on Twitter: @midwifebenefits
Contact us if you have questions about
benefits funding or the benefits
program, or if you would like to contact
one of our Trustees.
Contact Desjardins
Tel: 1.800.968.3587
Fax: 1.877.350.8555
Website: dfs.ca/participant
App: Your way Desjardins
Contact Desjardins to review and make
changes to Group Retirement Savings
Plan (GRSP) investments, set and track
retirement goals, access planning tools
and view educational videos.
Contact Equitable Life
Tel: 1.800.265.4556
Fax: 1.888.505.4373
Website: www.equitable.ca
Claims website: www.equitablehealth.ca
App: EZClaim
Contact Equitable Life to submit claims,
view claims history and limits, and ask
specific claims questions.
