Provides coverage of up to a maximum of $5 million per insured person per coverage period for certain expenses incurred as a result of an emergency while travelling on trips that originated from your Canadian province or territory of residence. It is important to remind you that this coverage is not available in the province where you attend the school or in your country of origin. Your coverage period is 180 days per trip. Coverage is subject to the terms and conditions provided in the Benefits Booklet.

This insurance product is underwritten by AIG Insurance Company of Canada. If you are travelling, download the Travel Medical Assistance Card.

Policy Number: SRG 9429070

You are eligible for this travel coverage when you are:

• an active member of the health plan,
• under the age of seventy (70), and
• are covered under a hospitalization and medical plan of a Canadian province or territory or equivalent.

Spouse and Dependent Children of a person eligible for this coverage who are, under the age of seventy and covered under a hospitalization and medical plan of a Canadian province or territory or equivalent, are eligible if the additional family health coverage was purchased for the current benefit period.

Reimbursement for the services of a licensed dental practitioner for dental care to natural teeth when necessitated by a direct blow to the mouth and not by an object wittingly or unwittingly placed in the mouth. The accident must occur while the coverage is in force. When natural teeth have been damaged eligible services are limited to one set of artificial teeth. You must notify Green Shield Canada immediately following the accident and the treatment must commence within 180 days of the accident.

Green Shield Canada will not be liable for any services performed after the earlier of

• 365 days following the accident; or
• the date you or your dependent cease to be covered under this plan.

No amount will be paid for periodontia or orthodontia treatments or the repair or replacement of artificial teeth.

Charges will be based on the current Provincial Dental Association Fee Guide for General Practitioners in the province where services are rendered. Approval will be based on the current status and/or benefit level of the covered person at the time that we are notified of the accident.

In the event of a dental accident, claims should be submitted under the health benefit plan before submitting them under the dental plan.

Pre-authorization required. An estimate for all dental accident services MUST be submitted to Green Shield Canada. If you go ahead with treatment without a pre-determination being approved, you are doing so at the risk of the expenses being yours.

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You may become eligible for a Tuition Benefit if a disability exclusively prevents you from being able to carry on your usual studies for at least 60 consecutive days and you receive continuous treatment by a physician or specialist during that time. Benefits are payable only for the current academic period.

If, before you became insured for this benefit, you obtained medical care for the disease or injury causing your disability, you will not be eligible for the benefit unless:

• You become disabled after you have been continuously insured under this benefit for one year, or
• you did not obtain medical care for the disease or injury for a continuous period of 90 days ending on or after the date you became insured for this benefit.

Please contact the Student Benefits Plan Office regarding Tuition Insurance Claims as it falls within a specific category of claims which involve specialized claim forms that will be supplied to you.

Your plan covers 100% up to $15/hour to a maximum of $1,000 per benefit year for private tutorial service if the student is confined to home or hospital for a minimum of 15 consecutive school days.

Your plan provides coverage for the loss of life or limb and for paralysis caused by an accident. The amount of your life benefit is $5,000. Please contact the health and dental plan office for a complete schedule of losses.