T4A Tax Slips

February 27, 2018

Since your Basic Life and accidental death and dismemberment (AD&D) benefits are paid for by the ETFO Employee Life and Health Trust (ELHT) benefits plan, you will be receiving T4A tax slips for these taxable benefits by the end of February.

These taxable benefit amounts were calculated based on the portion of the negotiated funding used to pay for the life and AD&D benefits for the 2017 calendar year (January to December). In the past, these amounts would have been reported to you on your T4A from your employer, if your board previously paid for your life premiums.

Review your benefits coverage

As we welcome the new year, consider reviewing your benefits coverage and beneficiary designations to ensure they still meet your needs. Here are a few things to check for:

My benefits and life coverage My beneficiary(ies)
  1. Go to www.otip.com and click Log in.
  2. Select Health and Dental from the drop-down menu and log in.
  3. After you have logged in, click My Benefits.
  4. On My Benefits home page, click My Coverage in the My Personal Info box.

NOTE: You can increase, decrease or terminate your optional life or optional spousal life insurance at any time on OTIP’s secure member website. Increases to optional life or optional spousal life insurance are subject to evidence of insurability.

  1. Go to www.otip.com and click Log in.
  2. Select Health and Dental from the drop-down menu and log in.
  3. After you have logged in, click My Benefits.
  4. On My Benefits home page, click Enrol/Make Changes in the My Personal Info box.
  5. Under the Any Time Change heading, click Beneficiary Change Event and complete the steps.

Remember to print, sign, date and mail the Beneficiary Designation form to OTIP. This is required by law to ensure that we have accurate information on file.

Need more help? Visit our Help Centre for frequently asked questions at www.otip.com/Help-Centre or call OTIP Benefits Services at 1-866-783-6847.

OHIP+ and Exceptional Access Program

On January 1, 2018, the Ontario Ministry of Health and Long-Term Care (MOHLTC) introduced OHIP+: Children and Youth Pharmacare. Ontario residents who are 24-years-old or younger will be able to get their prescription medications for free under the new OHIP+ program. Enrolment and drug coverage will be automatic, with no upfront costs such as co-payments or deductibles.

The new program will cover all drugs currently reimbursed through the Ontario Drug Benefit (ODB) program. This includes more than 4,400 drug products listed on the ODB Formulary/Comparative Drug Index and additional drugs eligible for funding through the Exceptional Access Program (EAP) provided by the Ontario Ministry of Health and Long-Term Care. Therefore, medication that may be considered for funding through the EAP will not be covered under the ETFO ELHT benefits plan effective April 1, 2018, unless you take one of the following steps:

Speak with your prescribing doctor/nurse practitioner to:

  • Ask if there is a suitable alternative drug covered on the Ontario Drug Benefit Formulary that can be prescribed instead of the EAP drug. OR
  • Request that they complete an EAP application for coverage for the EAP drug. The approval process can take a few weeks. Please take action now, so you are not paying out-of-pocket the next time you get the prescription filled.

NOTE: At the beginning of January, a notice was sent out from the insurer (Manulife Financial) and OTIP to members who are currently using EAP drugs, to give them sufficient time to apply for EAP funding.

For non-Prior Authorization drugs For Prior Authorization drugs
If EAP drug coverage is approved:

  • The doctor/nurse practitioner may contact you or you can call the doctor/nurse practitioner directly to find out the status.
  • Please inform your pharmacist that the prescription will be paid through OHIP+.
  • You do not need to notify OTIP.
If EAP drug coverage is approved or denied:

  • The doctor/nurse practitioner may contact you or you can call the doctor/nurse practitioner directly to find out the status.
  • OTIP will require proof that the EAP application was approved or denied.
  • Please send this information to OTIP.
  • Once OTIP has been informed, the pharmacist can submit the EAP claim to see if it can be covered under your health benefits plan.

Remember to print, sign, date and mail the Beneficiary Designation form to OTIP. This is required by law to ensure that we have accurate information on file.

If EAP drug coverage is denied:

  • The doctor/nurse practitioner may contact you or you can call the doctor/nurse practitioner directly to find out the status.
  • OTIP will require proof that the EAP application was denied.
  • Please send this information to OTIP.
  • Once OTIP has been informed, the pharmacist can submit the EAP claim to see if it can be covered under your health benefits plan.

If you have questions about OHIP+, please visit www.ontario.ca/ohipplus.
Questions about this notice? Please call OTIP Benefits Services at 1-866-783-6847 or access our OHIP+ Frequently Asked Questions (FAQ).

Sincerely,
OTIP Benefits Services
Ontario Teachers Insurance Plan

1-866-783-6847

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