To Apply
Complete the Blue Cross Life Statement of Health form (select Optional Life) and have your employer forward the original to our office. Coverage is effective on the date the insurer approves the application. You and your employer will be notified in writing.
Coverage
Coverage is available in units of $50,000, up to a maximum of $250,000. Insurer approval of medical evidence is required for this coverage. An employee or their spouse can apply at any time, provided the employee has satisfied the waiting period applicable to their group.
Premiums
This coverage is optional, so premiums are 100% paid by you, the employee. Please ensure your payroll is adjusted accordingly.
Termination
Coverage terminates at the age of 65 or earlier retirement, whichever comes first. You can also terminate your coverage at any time by emailing us.
Payroll Deductions
Deductions should start on the first of the month coincident with or following the date the insurer approves your (or your spouse’s) application.
Do not commence payroll deductions until you receive the letter confirming approval of coverage.
Beneficiary
The beneficiary for any spousal optional life benefit amount is automatically the employee. The beneficiary for any employee’s optional life benefit is designated by the employee on their original employee enrolment application form and if required, changed using the BCCA Employee Benefit Trust Change form or the Beneficiary Form. Please submit either of these forms with your Blue Cross Life Statement of Health if you wish to update your beneficiary designation.
Note: If the beneficiary is a minor, you must appoint a Trustee on the form.
Premium Rate Calculation Example
Below is how the premium rate is calculated for an individual age 38 years, female, non-smoker, who is approved for coverage of $200,000.
=$200,000 X $2.26/$50,000 = $9.04 per month
Smoker
| Age | Male | Female |
|---|---|---|
| Under 35 | $5.66 | $2.26 |
| 35 – 39 | $6.22 | $3.39 |
| 40 – 44 | $10.18 | $5.66 |
| 45 – 49 | $18.67 | $10.18 |
| 50 – 54 | $31.67 | $16.40 |
| 50 – 54 | $53.73 | $24.89 |
| 50 – 54 | $71.83 | $29.98 |
Non-Smoker
| Age | Male | Female |
|---|---|---|
| Under 35 | $2.83 | $1.70 |
| 35 – 39 | $3.39 | $2.26 |
| 40 – 44 | $5.09 | $3.39 |
| 45 – 49 | $10.18 | $5.66 |
| 50 – 54 | $18.10 | $9.05 |
| 50 – 54 | $33.37 | $14.71 |
| 50 – 54 | $48.64 | $18.10 |
