Effective April 1, 2019, OHIP+ will no longer provide drug coverage for individuals under the age of 25 who have access to private insurance. Therefore, prescription drug claims for children and youth 24 years of age and younger with private plan coverage will have to be submitted directly to their private plan. Click here for details!

Exclusions and Limitations

No benefits are payable for:

  1. any day on which you are not under the care of a legally qualified Physician or surgeon; no period of care shall be considered to have started until you have been seen and treated personally by a Physician or surgeon; 
  2. any day you are performing work of any kind, anywhere, for compensation or profit;
  3. during any leave of absence (including Maternity Leave);
  4. any period of illness or injury for which benefits are payable under Employment Insurance;
  5. any day you are receiving Disability Benefits, Early Retirement, or Retirement benefits under any Employer or Union sponsored pension plan;
  6. any day you are entitled to receive reimbursement under any Workplace Safety and Insurance law or similar legislation;
  7. any injury caused or contributed to by a Motor Vehicle Accident which occurs in Ontario or Quebec;
  8. for any disability resulting from intentionally self-inflicted injuries, whether you are sane or insane;
  9. for any disability resulting from voluntary participation in war, riot or insurrection;
  10. for any portion of a period of disability resulting from substance abuse, including alcoholism and drug addiction, unless you are participating in a recognized substance withdrawal program;
  11. for the portion of a period of disability during which you are imprisoned in a penal institution or confined in a Hospital or similar institution as a result of criminal proceedings;
  12. for disability which commences on or after the date a strike begins, subject to any provincial Employment or Labour Standards Act.  However, you can fulfill your Qualifying Disability Period during a strike.

 

This website describes the conditions of eligibility, coverage and claims procedures under the Teamsters and Toronto Ready Mix Producers Benefit Plan Fund. The Board of Trustees are solely responsible for establishing the eligibility rules of the Trust Fund.

Downloads

Claim Forms:

Brochures:

Others:

*Please note that some changes were made to the booklet after April 2018 and these have been highlighted in red for your information.

Teamsters and Toronto Ready Mix Producers Benefit Plan Fund
c/o Benefit Plan Administrators
90 Burnhamthorpe Road West, Suite 300
Mississauga, Ontario L5B 3C3