Common use of SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE Clause in Contracts

SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. 39.1 The Employer shall pay one hundred percent (100%) of the monthly premium of the Supplementary Health and Hospital Plan. 39.2.1 Effective January 1, 1992, the Supplementary Health and Hospital Plan shall provide for the reimbursement of ninety percent (90%) of the cost of prescribed drugs and medicines, one hundred percent (100%) of the cost of semi-private or private hospital accommodation to a maximum of seventy-five dollars ($75) per day over and above the cost of standard xxxx care, and one hundred percent (100%) of the cost for the following services, as set out in Articles 39.2.2 to 39.2.15. 39.2.2 Charges for accommodation, for employees sixty-five (65) and over, in a licenced chronic or convalescent hospital up to twenty-five dollars ($25) per day and limited to one hundred and twenty (120) days per calendar year for semi-private or private accommodation; 39.2.3 Charges made by a licenced hospital for out-patient t reatment not paid for under a provincial plan; 39.2.4 Charges for private-duty nursing in the employee’s home, by a registered nurse or a registered nursing assistant who is not normally resident in the employee’s home, and who is not related to either the employee or his or her dependents, provided such registered nursing service is approved by a licenced physician or surgeon as being necessary to the employee’s health care; 39.2.5 Charges for the services of a chiropractor, osteopath, naturopath, podiatrist, physiotherapist, speech therapist, and masseur (if licenced and practising within the scope of their licence), to a maximum of twelve dollars ($12) per visit for each visit not subsidized by O.H.I.P.; 39.2.6 Charges for the services of a psychologist up to sixteen dollars ($16) per half-hour for individual psychotherapy and/or testing and twelve dollars ($12) per visit for all other visits; 39.2.7 Artificial xxx xx and eyes, crutches, splints, casts, trusses and braces; seventy-five percent (75%) of the cost of specially modified shoes (factory custom ) ready m ade, off-the-shelf with a lim it of three (3) pairs per calendar year, if m edically necessary and prescribed by a licenced physician; and seventy-five percent (75%) of the cost of corrective shoe inserts, if medically prescribed, up to a limit of three (3) pairs per calendar year; 39.2.8 Rentals of wheel chairs, hospital beds or iron lungs required for temporary therapeutic use. A wheel chair may be purchased if recommended by the attending physician and if rental cost would exceed the purchase cost. Fifty percent (50%) of the cost of repair (including batteries) and m odifications to purchased wheel chairs provided that reimbursement for any one repair, battery or modification shall in no event exceed five hundred dollars ($500); 39.2.9 Am bulance services to and from a local hospital qualified to provide treatment, excluding benefits allowed under a provincial hospital plan; 39.2.10 Oxygen and its administration; 39.2.11 Blood transfusions outside hospital; 39.2.12 Dental services and supplies, provided by a dental surgeon within a period of twenty-four (24) m onths following an accident, for the treatment of accidental injury to natural teeth, including replacement of such teeth or for the setting of a jaw fractured or dislocated in an accident, excluding any benefits payable under any provincial medicare plan; 39.2.13 Hearing aids and eye glasses, if required as a result of accidental injury; 39.2.14 Charges for services of physicians, surgeons and specialists legally licenced to practise medicine which, when provided outside the Province of Ontario, exceed the O.H.I.P. fee schedule, the allowance under th is benefit being up to one hundred percent (100%) of the O.M.A. fee schedule when added to government paym ents under the O.H.I.P. fee schedule; 39.2.15 Charges for surgery by a podiatrist, performed in a podiatrist’s office, to a maximum of one hundred dollars ($100).

SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. 39.1 The Employer shall pay one hundred percent (100%) of the monthly premium of the Supplementary Health and Hospital Plan. 39.2.1 39.2 Effective January 1, 1992, the Supplementary Health and Hospital Plan shall provide for the reimbursement of ninety percent (90%) of the cost of prescribed drugs and medicines, one hundred percent (100%) of the cost of semi-private or private hospital accommodation to a maximum of seventy-five dollars ($75) per day over and above the cost of standard xxxx care, and one hundred percent (100%) of the cost for the following services, as set out in Articles 39.2.2 to 39.2.15.: 39.2.2 (a) Charges for accommodation, for employees sixty-five (65) and over, in a licenced chronic or convalescent hospital up to twenty-five dollars ($25) per day and limited to one hundred and twenty (120) days per calendar year for semi-private or private accommodation; 39.2.3 (b) Charges made by a licenced hospital for out-patient t reatment treatment not paid for under a provincial plan; 39.2.4 (c) Charges for private-duty nursing in the employee’s 's home, by a registered nurse or a registered nursing assistant who is not normally resident in the employee’s 's home, and who is not related to either the employee or his or her dependents, provided such registered nursing service is approved by a licenced physician or surgeon as being necessary to the employee’s 's health care; 39.2.5 (d) Charges for the services of a chiropractor, osteopath, naturopath, podiatrist, physiotherapist, speech therapist, and masseur (if licenced and practising within the scope of their licence), to a maximum of twelve dollars ($12) per visit for each visit not subsidized by O.H.I.P.; 39.2.6 (e) Charges for the services of a psychologist up to sixteen dollars ($16) per half-hour for individual psychotherapy and/or testing and twelve dollars ($12) per visit for all other visits; 39.2.7 (f) Artificial xxx xx limbs and eyes, crutches, splints, casts, trusses and braces; seventy-five percent (75%) of the cost of specially modified shoes (factory custom custom) ready m ademade, off-the-shelf with a lim it limit of three (3) pairs per calendar year, if m edically medically necessary and prescribed by a licenced physician; and seventy-five percent (75%) of the cost of corrective shoe inserts, if medically prescribed, up to a limit of three (3) pairs per calendar year; 39.2.8 (g) Rentals of wheel chairs, hospital beds or iron lungs required for temporary therapeutic use. A wheel chair may be purchased if recommended by the attending physician and if rental cost would exceed the purchase cost. Fifty percent (50%) of the cost of repair (including batteries) and m odifications modifications to purchased wheel chairs provided that reimbursement for any one repair, battery or modification shall in no event exceed five hundred dollars ($500); 39.2.9 Am bulance (h) Ambulance services to and from a local hospital qualified to provide treatment, excluding benefits allowed under a provincial hospital plan; 39.2.10 (i) Oxygen and its administration; 39.2.11 (j) Blood transfusions outside hospital; 39.2.12 (k) Dental services and supplies, provided by a dental surgeon within a period of twenty-four (24) m onths months following an accident, for the treatment of accidental injury to natural teeth, including replacement of such teeth or for the setting of a jaw fractured or dislocated in an accident, excluding any benefits payable under any provincial medicare plan; 39.2.13 (l) Hearing aids and eye glasses, if required as a result of accidental injury; 39.2.14 (m) Charges for services of physicians, surgeons and specialists legally licenced to practise medicine which, when provided outside the Province of Ontario, exceed the O.H.I.P. fee schedule, the allowance under th is this benefit being up to one hundred percent (100%) of the O.M.A. fee schedule when added to government paym ents payments under the O.H.I.P. fee schedule; 39.2.15 (n) Charges for surgery by a podiatrist, performed in a podiatrist’s 's office, to a maximum of one hundred dollars ($100).

SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. 39.1 The Employer shall pay one hundred percent (100%) of the monthly premium of the Supplementary Health and Hospital Plan. 39.2.1 Effective January 1, 1992, the Supplementary Health and Hospital Plan shall provide for the reimbursement of ninety percent (90%) of the cost of prescribed drugs and medicines, one hundred percent (100%) of the cost of semi-private or private hospital accommodation to a maximum of seventy-five dollars ($75) per day over and above the cost of standard xxxx care, and one hundred percent (100%) of the cost for the following services, as set out in Articles 39.2.2 to 39.2.15. 39.2.2 Charges for accommodation, for employees sixty-five (65) and over, in a licenced chronic or convalescent hospital up to twenty-five dollars ($25) per day and limited to one hundred and twenty (120) days per calendar year for semi-private or private accommodation; 39.2.3 Charges made by a licenced hospital for out-patient t reatment not paid for under a provincial plan; 39.2.4 Charges for private-duty nursing in the employee’s home, by a registered nurse or a registered nursing assistant who is not normally resident in the employee’s home, and who is not related to either the employee or his or her dependents, provided such registered nursing service is approved by a licenced physician or surgeon as being necessary to the employee’s health care; 39.2.5 Charges for the services of a chiropractor, osteopath, naturopath, podiatrist, physiotherapist, speech therapist, and masseur (if licenced and practising within the scope of their licence), to a maximum of twelve dollars ($12) per visit for each visit not subsidized by O.H.I.P.; 39.2.6 Charges for the services of a psychologist up to sixteen dollars ($16) per half-hour for individual psychotherapy and/or testing and twelve dollars ($12) per visit for all other visits; 39.2.7 Artificial xxx xx limbs and eyes, crutches, splints, casts, trusses and braces; seventy-five percent (75%) of the cost of specially modified shoes (factory custom custom) ready m ademade, off-the-shelf with a lim it limit of three (3) pairs per calendar year, if m edically medically necessary and prescribed by a licenced physician; and seventy-five percent (75%) of the cost of corrective shoe inserts, if medically prescribed, up to a limit of three (3) pairs per calendar year; 39.2.8 Rentals of wheel chairs, hospital beds or iron lungs required for temporary therapeutic use. A wheel chair may be purchased if recommended by the attending physician and if rental cost would exceed the purchase cost. Fifty percent (50%) of the cost of repair (including batteries) and m odifications modifications to purchased wheel chairs provided that reimbursement for any one repair, battery or modification shall in no event exceed five hundred dollars ($500); 39.2.9 Am bulance Ambulance services to and from a local hospital qualified to provide treatment, excluding benefits allowed under a provincial hospital plan; 39.2.10 Oxygen and its administration; 39.2.11 Blood transfusions outside hospital; 39.2.12 Dental services and supplies, provided by a dental surgeon within a period of twenty-four (24) m onths months following an accident, for the treatment of accidental injury to natural teeth, including replacement of such teeth or for the setting of a jaw fractured or dislocated in an accident, excluding any benefits payable under any provincial medicare plan; 39.2.13 Hearing aids and eye glasses, if required as a result of accidental injury; 39.2.14 Charges for services of physicians, surgeons and specialists legally licenced to practise medicine which, when provided outside the Province of Ontario, exceed the O.H.I.P. fee schedule, the allowance under th is this benefit being up to one hundred percent (100%) of the O.M.A. fee schedule when added to government paym ents payments under the O.H.I.P. fee schedule; 39.2.15 Charges for surgery by a podiatrist, performed in a podiatrist’s office, to a maximum of one hundred dollars ($100).

SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. 39.1 41.1 The Employer shall pay one hundred percent per cent (100%) of the monthly premium of the Supplementary Health and Hospital Plan. 39.2.1 Effective January 1, 1992, the 41.2 The Supplementary Health and Hospital Plan shall provide for the reimbursement of ninety percent (90%) of the cost of prescribed drugs and medicinesmedicines by means of a prescription drug card with a 35 cent deductible per prescription and a dispensing fee maximum limit of ten dollars ($10.00) per prescription, one hundred percent per cent (100%) of the cost of semi-private or private hospital accommodation to a maximum of seventy-five one hundred dollars ($75100) per day over and above the cost of standard xxxx care, and one hundred percent per cent (100%) of the cost for the following services, as set out in Articles 39.2.2 to 39.2.15.: 39.2.2 (a) Charges for accommodation, for employees sixty-five (65) 65 and over, in a licenced licensed chronic or convalescent hospital up to twenty-five dollars ($25) per day and limited to one hundred and twenty (120) days per calendar year for semi-private or private accommodation; 39.2.3 (b) Charges made by a licenced licensed hospital for out-patient t reatment treatment not paid for under a provincial plan; 39.2.4 (c) Charges for private-duty nursing in the employee’s 's home, by a registered nurse or a registered nursing assistant who is not normally ordinarily resident in the employee’s 's home, and who is not related to either the employee or his or her their dependents, provided such registered nursing service is approved by a licenced licensed physician or surgeon as being necessary to the employee’s 's health care; 39.2.5 (d) Charges for the services of a chiropractor, osteopath, naturopath, podiatristpodiatrist or chiropodist, physiotherapist, speech therapist, and masseur registered massage therapist, psychologist or social worker (if licenced licensed and practising within the scope of their licence), to a maximum of twelve thirty-five dollars ($1235) per visit for each visit not subsidized by O.H.I.P.; 39.2.6 Charges for the services , to a maximum of a psychologist up $500 per annum per practitioner. Effective April 1, 2017, per-visit maximum increases to sixteen fifty dollars ($16) per half50). Effective April 1, 2018, per-hour for individual psychotherapy and/or testing and twelve visit maximum increases to sixty dollars ($12) per visit for all other visits60); 39.2.7 (e) Artificial xxx xx limbs and eyes, crutches, splints, casts, trusses and braces; seventy-five percent (75%) of the cost of specially modified shoes (factory custom ) ready m ade, off-the-shelf with a lim it of three (3) pairs per calendar year, if m edically necessary and prescribed by a licenced physician; and seventy-five percent (75%) of the cost of corrective shoe inserts, if medically prescribed, up to a limit of three (3) pairs per calendar year; 39.2.8 (f) Rentals of wheel chairs, hospital beds or iron lungs required for temporary therapeutic use. A wheel chair may be purchased if recommended by the attending physician and if rental cost would exceed the purchase cost. Fifty percent (50%) of the cost of repair (including batteries) and m odifications to purchased wheel chairs provided that reimbursement for any one repair, battery or modification shall in no event exceed five hundred dollars ($500); 39.2.9 Am bulance (g) Ambulance services to and from a local hospital qualified to provide treatment, excluding benefits allowed under a provincial hospital plan; 39.2.10 (h) Oxygen and its administration; 39.2.11 Blood transfusions outside hospital; 39.2.12 (i) Dental services and supplies, provided by a dental surgeon within a period of twenty-four eighteen (2418) m onths months following an accident, for the treatment of accidental injury to natural teeth, including replacement of such teeth or for the setting of a jaw fractured or dislocated in an accident, excluding any benefits payable under any provincial medicare Medicare plan; 39.2.13 (j) Hearing aids and eye glasseseyeglasses, if required as a result of accidental injury; 39.2.14 (k) Charges for services of physicians, surgeons and specialists legally licenced licensed to practise medicine which, when provided outside the Province of Ontario, exceed the O.H.I.P. fee schedule, the allowance under th is this benefit being up to one hundred percent per cent (100%) of the O.M.A. fee schedule when added to government paym ents payments under the O.H.I.P. fee schedule; 39.2.15 (l) Charges for surgery by a podiatristpodiatrist or chiropodist, performed in a podiatrist's or chiropodist’s office, to a maximum of one hundred dollars ($100); (m) Coverage for prescription drugs shall be provided on the basis of mandatory generic substitution, except where the physician indicates no substitution on the prescription. (n) Non generic drugs will be covered if: • There is no generic substitution; or • Generic drugs are the same cost, or more expensive; or • The employee’s doctor stipulates that the generic substitution would not be medically appropriate for the employee or dependent concerned. 41.2.1 The Employer agrees to pay 50% of the monthly premiums of vision care which includes but is not limited to, prescription eye glasses, prescription contact lenses and laser eye surgery and hearing aid coverage under the Supplementary Health and Hospital Plan, with the balance of the monthly premiums being paid by the employee through payroll deduction. This coverage includes a $10.00 (single) and $20.00 (family) deductible in any calendar year and provides for vision care (maximum five hundred dollars ($500) per person in any 24 month period) effective January 1, 2017 and the purchase of hearing aids (maximum $500 per person every five (5) years for the employee and dependents) as per the employee booklet. 41.2.2 The Union agrees that the Employment Insurance rebates of bargaining unit members are to be assigned to the Employer to defray the cost of increases in coverage for semi-private hospital coverage and coverage for services of a chiropractor, osteopath, naturopath, podiatrist or chiropodist, physiotherapist, speech therapist and registered massage therapist.