Dental Care Benefit
Reimbursement:
Provincial Fee Guide of employee’s home province for the year determined from time to time by the Trustees.
Deductible:
Nil
Percentage Payable:
Basic/ Preventative 100%
Endodontic/ Periodontal 80%
Oral Surgery 80%
Major Restorative 50%
Prosthodontics - Fixed 50%
Prosthodontics - Removable 80%
Calendar Year Maximum for Basic and Major Procedures:
Procedures combined $3,000 per individual
Orthodontics: 50% - Lifetime maximum $2,000 (Dependents under age 21)
Limits:
1 complete examination every 36 months
1 full mouth x-ray every 36 months
1 recall or specific examination every 9 months
Bitewing x-rays every 9 months
8 units of scaling or root planning per calendar year
8 units of occlusal equilibration per calendar year
Oral Hygiene Instruction once per calendar year under the age of 15
Denture Relines/Rebases/Repairs once every 24 months
Study Casts once per calendar year
Bridges and Crowns must be 5 years old to be replaced
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:
- Benefits Booklet*
- Out of Country Coverage
- Out of Country ID
- Critical Illness Coverage
- Mental Health Program
- Expedited Healthcare
*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