Need to know

Important Information

All members of Alberta Teachers' Association and their spouses are eligible to apply. Applicants must be under age 70 and residing in Canada. Your spouse can apply, even if you choose not to.

“Member” means a person who, at time of application, is an Active Member, Associate Member, Life Member or Honorary Member of the ATA, an Employee of the ATA or an Employee of the Alberta Teachers’ Retirement Fund (ATRF). Student Members are excluded.

Note: If you already have $50,000 of Guaranteed Acceptance Critical Illness Insurance under this plan you are not eligible for this offer. If you already have $25,000 of Guaranteed Acceptance Critical Illness Insurance you may only apply for an additional $25,000.

In order to purchase Critical Illness Insurance for your children under the Alberta Teachers' Association Insurance Plan you must already be insured for, or applying for Critical Illness Insurance. If both you and your spouse are members, only one of you can apply to cover your children.

Provision regarding Quebec Residents

Quebec residents under age 65 must be covered under a private drug plan in order to be eligible for and retain all coverage, with the exception of Life coverage.

Spouses must meet the policy definition for spouse. Spouses/partners must meet the policy definition for spouse.

Here are some of the more important limitations and exclusions you should be aware of:

Your Guaranteed Acceptance coverage is subject to a Pre-Existing Condition Exclusion. In general terms, this means that no benefit will be paid during the first 24 months after you purchase this insurance for any medical condition, or any evidence leading to a medical condition, which was present in the 24 months prior to your purchase. However, if you apply and are accepted for medically underwritten critical illness insurance, the Pre-Existing Condition exclusion will be removed.

Any covered condition or AdvanceCare Benefit Condition diagnosed prior to the effective date of coverage is excluded.

If the insured person is diagnosed with a benign brain tumour, cancer or early stage cancer within the first 90 days of coverage, or with multiple sclerosis or Parkinson's within the first year of coverage, a benefit will not be payable and the diagnosed condition will no longer be considered a covered condition for the insured.

A diagnosis of Benign Brain Tumour, Multiple Sclerosis or Parkinson’s within the applicable limitation period will also result in any condition under MEC Group 3 no longer being payable (specialmarkets.ia.ca/mec).

No Cancer Recurrence Benefit will be paid if the first instance of cancer was diagnosed before the effective date of coverage under this policy.

No benefit will be paid if the covered condition or AdvanceCare Benefit Condition results from attempted suicide, alcohol or drug abuse, war or armed forces service, self-inflicted injury, taking poison or inhaling gas or participation in a criminal act. There is also an exclusion for certain pilots.

For paralysis, blindness, deafness, severe burns, stroke, coma, or loss of limbs no benefit will be paid if the condition is a result of participating in amateur or professional boxing, bungee jumping, B.A.S.E. jumping, cliff diving, mountain climbing, motor vehicle racing or speed competition on land and/or water, parachuting or underwater activities, including scuba diving and snuba diving.

Some illnesses have exclusions, refer to the full illness definition list for details

Coverage terminates on the earliest of the following dates:

  • the end of the policy year in which the you reach age 75;
  • the end of the month in which your written request to cancel your insurance is received;
  • the date the Group Master Policy between Alberta Teachers' Association and iA Financial Group terminates;
  • the date of any unpaid premiums;
  • with regard to your spouse's Critical Illness Insurance, the earliest of the above or the end of the policy year following the date they reach age 75, or the end of the month in which they no longer qualify as a "spouse".

With respect to children, coverage terminates on the earliest of the following dates:

  • the date your coverage ceases for any reason;
  • the end of the month following the date they no longer qualify as a "dependent child";
  • the date the benefit is paid.

The Covered Condition Benefit is a tax-free, lump-sum benefit which will be paid if you are diagnosed with one of the 25 covered critical illnesses. This benefit will be paid to you if you survive for 30* days after first being diagnosed with one of the covered illnesses.

*90 days for Paralysis, Loss of Independent Existence or Bacterial Meningitis. 180 days for Multiple Sclerosis or Loss of Speech.

Spouse means the legal spouse of an eligible member/employee, providing there is no separation in effect, or an individual who has been residing in a marriage-like relationship with the member/employee for a period of at least 12 consecutive months.

Dependent child means any natural child, step-child or legally adopted child to whom you are providing full parental support and who is unmarried and less than 21 years of age (up to 24 if they are full-time post-secondary student) as of the date of application.

Insurance will take effect on the date your completed application is received by Industrial Alliance Insurance and Financial Services Inc. and your first month's premium has been paid.

If you no longer have active employment, or if required, active membership, or an insured spouse or dependent child(ren) no longer meet(s) the eligibility requirement under this group policy, you should contact our Client Service line on 1-800-266-5667.  A Client Service Team Member will walk you through the necessary steps.  Termination requests must be submitted in writing.

When our office is advised of your ineligibility (in writing) within 3 months of the ineligibility date, you may be entitled to a 3 month premium refund.

Critical Illness Definitions

25 life-changing illnesses

These are the 2013 Critical Illness Benchmark Definitions published by the Canadian Life and Health Insurance Association (CLHIA). If you are insured under a Special Markets Solutions group critical illness insurance plan, please refer to your Insurance Benefits Summary or booklet wording for the definitions currently in force under your group insurance plan.