Purchase Optional AD&D Insurance

Coverage: Available in units of $25,000, up to a maximum of $300,000. Single or Family coverage is available and no medical evidence is required for this coverage. Employees can apply at any time, provided they have satisfied the waiting period applicable for their group.

Premiums: As this coverage is optional, premiums are 100% employee paid. Please ensure your payroll is adjusted accordingly.

To Apply: The employee should complete the SSQ Insurance Voluntary AD&D application form and the employer should forward the original to the BCCA Employee Benefits office (keep a copy for your records). Coverage is effective the date the BCCA Employee Benefit Trust receives the application form. You will receive an email confirming the application has been received.

Reduction: Coverage reduces by 50% at the age of 65.

Termination: Coverage terminates at the age of 70 or earlier retirement, whichever comes first. The employee can also terminate their coverage at any time by emailing the BCCA Employee Benefits office.

Payroll Deductions: Deductions should commence on the first of the month coincident with or following the date the application form is received by the BCCA Employee Benefits office.

Beneficiary: The beneficiary for any spousal/child or dismemberment benefit amount is automatically the employee. The beneficiary for any employee voluntary AD&D benefit can be designated by the employee on their original SSQ Insurance Voluntary AD&D application and/or the BCCA Employee Benefits Enrolment or Change form.

For Family Coverage the benefits amount payable in the event of accidental death or injury to Spouse and/or Child is as follows:

• Child Only: 15% of the Principal Sum
• Spouse Only: 50% of the Principal Sum
• Spouse/Each Child: 40%/10% of the Principal Sum

Selected Coverage (Principal Sum)	Employee Only	Family Plan
$                         25,000	$                     0.58	$              0.88
$                         50,000	$                     1.15	$              1.76
$                         75,000	$                     1.73	$              2.63
$                      100,000	$                     2.30	$              3.51
$                      125,000	$                     2.88	$              4.39
$                      150,000	$                     3.45	$              5.27
$                      175,000	$                     4.03	$              6.14
$                      200,000	$                     4.60	$              7.02
$                      225,000	$                     5.18	$              7.90
$                      250,000	$                     5.75	$              8.78
$                      275,000	$                     6.33	$              9.65
$                      300,000	$                     6.90	$            10.53