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Enrollment
Provincial Seniors Drug Coverage
Prescription Drugs
Coverage Details
Benefit Changes
Personal Information
Emergency Travel Insurance
Could you please tell me more about the prescription drug coverage changes being made effective January 1 / February 1, 2017?
Why did ARTA change emergency travel providers?
Who are the new service providers of the ARTA Retiree Benefits Plan?
Can I expect the plan to change under the new providers?
Will I see changes to the way I submit my claims and communicate with the ARTA Retiree Benefits Plan emergency travel assistance provider?
How do I contact Allianz Global Assistance?
Will there be changes to my premium?
What if I am out of the country on November 1, 2016, is there anything I should be aware of regarding my emergency travel benefit?
Whom do I speak with if I have any questions?
What are the plan improvements?
How can I determine which prescription drugs are covered by the ARTA Extended Health Care Plans?
Can I change my coverage level at any time, or are my options locked-in?
How long are the rates which are included in the plan summary document guaranteed?
My deceased spouse would have met the ARTA Retiree Benefits Plan eligibility criteria. Am I eligible to join the ARTA Retiree Benefits Plan as a surviving spouse of a retiree who would have otherwise been eligible?
I am travelling outside of Canada for the winter. Can I cancel my ARTA Extended Health Care coverage while I am away, and re-enroll without evidence of good health upon my return to Canada?
My 24 year old daughter lives with my partner and me. Can she be covered as a dependant?
I am now 65 year old and have Seniors’ Drug coverage provided by my Provincial/Territorial Government. Why would I want to enroll in the ARTA Retiree Benefits Plan?
I am going to retire June 15, 2017, and will lose my employer benefit coverage effective June 30, 2017. What date would I put on the application form for the ARTA Retiree Benefits Plan coverage to start?
When can I join the plan without having to provide medical evidence?
As an ARTA member, what additional programs are available to retirees?
What benefit coverage is offered to retirees through the ARTA Retiree Benefits Plan?
What is the Step Therapy Program included in the ARTA prescription drug plan?
What does an affiliate ARTA member mean?
As an ARTA affiliate member, what additional programs are available to me?
Can I enrol in the Emergency Travel coverage later?
What does evidence of insurability or evidence of good health mean?
Having trouble properly viewing your ARTA member benefits account?
Why does ASEBP need my banking information?
What is my email address used for?
Who do I contact to update the address on my profile?
What changes can I make to my benefit coverage?
Where can I find the details of what is covered in each benefit offered by the ARTA Retiree Benefits Plan?
What is LCA?
What drugs are covered under the ARTA plan?
How and when do I join the Alberta Seniors’ Drug Plan?
I am covered by the Seniors Drug coverage? Why join ARTA? Wouldn’t that duplicate coverage?

Could you please tell me more about the prescription drug coverage changes being made effective January 1 / February 1, 2017?

Effective January 1, 2017 the ARTA Retiree Benefits Plan Extended Health Care coverage updates include the following changes to prescription drugs:
Implementing Therapeutic Alternative Reference Pricing (TARP) for certain drug classes (with one drug class change being effective February 1, 2017);
Implementing a maximum number of dispensing fees for maintenance medication;
Implementing Enhanced Special Authorization for covered members being treated for certain health states;
Removing coverage for non-life-sustaining over-the-counter medications.

Additional information can be found in this document: 

Why did ARTA change emergency travel providers?

This change occurred to improve service and to enhance benefits, while positioning the benefit plan for better long term stability. With so much at stake – your health and wellness, and the overall, long-term sustainability of our plan for our members – ARTA is working hard to ensure that the ARTA Retiree Benefits Plan continues to provide a competitive plan at a competitive cost. ARTA’s members will benefit from the improved travel assistance Allianz Global Assistance provides, and from the additional benefits and improvements being covered by CUMIS General Insurance Company.

Who are the new service providers of the ARTA Retiree Benefits Plan?

ARTA’s new emergency travel plan insurer is CUMIS General Insurance Company, and travel assistance provider is Allianz Global Assistance. ARTA has partnered with Allianz Global Assistance to continue to provide you with market leading travel benefits now and into the future. Allianz is known for their efficient and world renowned claims service through their emergency travel provider assistance team.

Can I expect the plan to change under the new providers?

Yes, aside from the change in underwriter and administrator, there are a number of minor emergency travel plan enhancements effective
November 1, 2016, including an increase to $5,000,000 lifetime maximum. There will be no
change in cost
. Additional details on these improvements are included below.

Will I see changes to the way I submit my claims and communicate with the ARTA Retiree Benefits Plan emergency travel assistance provider?

Yes, as of November 1, 2016, all ARTA Retiree Benefits Plan emergency travel claims must
be directed to Allianz Global Assistance, at the following number: 1.844.996.9003 toll-free in
North America, or collect from anywhere in the world at 1.519.342.0142. New claim forms will
be available November 1st.

How do I contact Allianz Global Assistance?

After November 1, 2016 Allianz Global Assistance can be reached by calling 1.844.996.9003
in North America, or collect at 1.519.342.0142.

Will there be changes to my premium?

No, ARTA was able to negotiate better coverage for members at the same premium you
currently pay.

What if I am out of the country on November 1, 2016, is there anything I should be aware of regarding my emergency travel benefit?

For any emergency travel expense incurred November 1, 2016 or later, you will be covered by the program underwritten by CUMIS General Insurance Company and administered by Allianz Global Assistance regardless of when your trip started, subject to policy terms and conditions.

Whom do I speak with if I have any questions?

Call your Benefits Plan Coordinator at 1.855.444.ARTA (2782)

What are the plan improvements?

  • Increase overall lifetime maximum from $2,000,000 (current) to $5,000,000;
  • Return of Excess Baggage (new benefit): covers the cost to return covered member’s excess
    baggage up to a maximum of $500;
  • Return of Animal Companion (new benefit): covers return of an animal companion up to
    $500;
  • Paramedical Practitioner Services: Increase limit from $225 (current) to $250;
  • Meals and Accommodation: increase maximum from $1,500 to $3,000;
  • Vehicle Return: increased maximum from $2,000 to $5,000; and
  • Treatment of Dental Accidents: increase maximum from $1,000 to $2,000.

These plan improvements are being made with no change to your premium.

For a detailed summary of the plan benefits effective November 1, 2016, please request the Group Insurance SUMMARY from ARTA’s Retiree Benefits Plan contact at 1-780-822-2400.

How can I determine which prescription drugs are covered by the ARTA Extended Health Care Plans?

Once you are covered by the ARTA Retiree Benefits Plan, simply visit www.arta.net, log into your ARTA Members’ Health Care Account, go to the “Coverage” tab and then click “Drug Enquiry”.

Can I change my coverage level at any time, or are my options locked-in?

For Extended Health Care, upon initial enrollment you can choose between two calendar year maximums for prescription drug coverage: $1,200 or $2,000 per person per calendar year. If you select the $2,000 calendar year drug maximum option upon initial enrollment, or if you increase your coverage level to the $2,000 calendar year drug maximum, you are required to remain covered at the $2,000 calendar year drug maximum level for a minimum participation period of 24 months before reducing your calendar year drug maximum option to $1,200.

If you choose to participate in either the Health Wise Plus or Ultimate Health plans, you are required to remain covered at that coverage level for a minimum period of 24 months before reducing your coverage to either the Health Wise or Total Health coverage options.

For Dental Care, upon initial enrollment you can choose between Dental Care Plan Options A, B or C. You are required to remain covered under the selected Plan Option for a minimum period of at least 24 months from the effective date of coverage under that Plan Option prior to reducing coverage (for example, reducing coverage from Plan Option A to Plan Option B) or terminating your coverage. You may improve your coverage at any time (for example, improving coverage from Plan Option B to Plan Option A), but you are required to remain covered at that new Plan Option for at least 24 months from the effective date of coverage under that Plan Option.

How long are the rates which are included in the plan summary document guaranteed?

The ARTA benefits plans are reviewed annually, this review also includes rates. Approved rates effective September 1 of each year are in effect for a 12-month period ending August 31 of the following year.

My deceased spouse would have met the ARTA Retiree Benefits Plan eligibility criteria. Am I eligible to join the ARTA Retiree Benefits Plan as a surviving spouse of a retiree who would have otherwise been eligible?

If you can provide supporting documentation that your deceased spouse would have otherwise been eligible and you are age 55 or older, you are eligible to participate and enroll without evidence of good health in the ARTA Retiree Benefits Plan as long as you apply for coverage within your qualifying period.

I am travelling outside of Canada for the winter. Can I cancel my ARTA Extended Health Care coverage while I am away, and re-enroll without evidence of good health upon my return to Canada?

No, if you cancel your coverage while you are outside of your province of residence and subsequently wish to re-enroll in the ARTA Retiree Benefits Plan, you will be required to
August 31, 2016 Page 5 of 7 Prepared by Aon Hewitt submit evidence of good health for Extended Health Care and Emergency Travel Insurance. There is a chance that you may not be approved for coverage.

My 24 year old daughter lives with my partner and me. Can she be covered as a dependant?

If your child in under 25, and is going to school on a full-time basis at an accredited school, college or university, he or she is eligible. A child who qualifies as a dependant under CRA rules is eligible for coverage under the ARTA Retiree Benefits Plan.

I am now 65 year old and have Seniors’ Drug coverage provided by my Provincial/Territorial Government. Why would I want to enroll in the ARTA Retiree Benefits Plan?

Seniors’ drug coverage varies from province to province/territory. The Alberta Seniors’ Drug Plan covers many commonly used drugs; however, you pay a portion of the cost not covered by the Seniors’ Drug Plan, which is an eligible expense under the Extended Health Care plan. Some prescription drugs which are not on the Seniors’ Drug Plan list may also be covered under the ARTA Extended Health Care plan for ARTA Retiree Benefits Plan participants living in Alberta.

I am going to retire June 15, 2017, and will lose my employer benefit coverage effective June 30, 2017. What date would I put on the application form for the ARTA Retiree Benefits Plan coverage to start?

You should put June 30, 2017, as the date of termination for your benefit plan coverage. If you apply within 60 days of that termination date, your new ARTA Retiree Benefits Plan coverage would be effective the day after the termination of benefit coverage date—July 1, 2017. You can send your application to ARTA a month or two in advance of retirement/termination of coverage indicating date your coverage will end.

When can I join the plan without having to provide medical evidence?

You have 60 days following termination of your group benefits coverage to join the ARTA Retiree Benefits Plan without needing to submit medical evidence of insurability. Following this 60 day period, you need to provide medical evidence of insurability to participate in the Extended Health Care plan, and your Dental Care benefits are be prorated for the remainder of the current year.

As an ARTA member, what additional programs are available to retirees?

As a member of the ARTA Affinity Program, you would have access to:

  • Discounts on:
    • August 31, 2016 Page 2 of 7 Prepared by Aon Hewitt
    • travel
    • accommodations
    • computers
    • phones
  • Home & Auto Insurance program
  • Scholarship and endowment programs
  • ARTA’s news & views Magazine

What benefit coverage is offered to retirees through the ARTA Retiree Benefits Plan?

There are five voluntary benefit packages offered:

  • Extended Health Care (four plans available, each with two prescription drug plan
    maximum options – $1,200 or $2,000 per person per year)
  • Emergency Travel Insurance Benefit – only available with Total Health or Ultimate
    Health Extended Health Care coverage

      ­
    • “Evergreen” base plan of 92 day trip duration coverage, with additional single
      trip supplementary coverage extend coverage up to 212 days total
    • 100% coverage
    • $2 million lifetime maximum
  • Dental Care
  • Life Insurance, and
  • Trip Cancellation/Interruption/Delay/Baggage Loss Insurance

The Extended Health Care plan, the Dental Care plan, Life Insurance, and Trip
Cancellation/Interruption/Delay insurance is available on a stand-alone basis,
meaning you may participate in as any or all of these benefits, to best suit your needs.
Only the Emergency Travel plan is not provided on a stand-alone basis – you must
participate in the Extended Health Care plan to be covered for this benefit.

What is the Step Therapy Program included in the ARTA prescription drug plan?

A step Therapy Program encourages covered members (and their physicians) to try a less expensive, therapeutically advantageous, and/or safer product in an effort to protect and optimize treatment to the patient, as well as manage benefit plan costs. Special authorization requests would be available for covered members who cannot take a first-line (less costly) drug.

What does an affiliate ARTA member mean?

To join the ARTA Retiree Benefits Plan, you are required to become a member of the Alberta Retired Teachers’ Association. Teachers and other members of the education sector have voting rights within ARTA. As an affiliate member, you enjoy all the benefits of being an ARTA member but you don’t have voting rights.

As an ARTA affiliate member, what additional programs are available to me?

You would have access to:

– Discounts on travel, accommodations, computers and phones

Home & Auto Insurance Program

– Scholarship and endowment programs

ARTA’s news & views Magazine

– ARTA Retiree Benefits Plan

– Affinity Programs

 

Can I enrol in the Emergency Travel coverage later?

You will have to submit evidence of good health if your wish to add the Emergency Travel benefit at a later time than initial enrolment.

What does evidence of insurability or evidence of good health mean?

This means that you would be required to fill in a medical questionnaire and may as a followup be asked to submit to a medical examination. This is required if you are eligible and did not join the Extended Health Care plan within the 60 day open enrolment window. If you join within 60 days of your current coverage terminating, you do not have to provide evidence. It is a good idea to join early so that this plan is in place when your current plan ends.

Having trouble properly viewing your ARTA member benefits account?

Maybe it’s your browser! In order to properly access your Member Health Care Account and all of its functionality, you will need at least Internet Explorer 8 or the latest version of Firefox, Safari, Chrome or any other browser installed on your computer.

To upgrade your browser, use the links provided below:

Why does ASEBP need my banking information?

Banking information is needed in order to pay your claims (e.g. dental, extended health care). We also require your banking information to withdraw benefit premiums, if you are responsible for paying for them.

What is my email address used for?

Your email address is used to confirm your Members Health Care Account registration and to send transaction confirmations.

Who do I contact to update the address on my profile?

If you have a Members Health Care Account, you can update your address via the Profile page once logged in. This will update your address with the ARTA Retiree Benefits Plan. You may also contact an ARTA Benefit Plan Coordinator to update your address with the Benefits Plan by calling 780-989-8709 in the Edmonton area, or toll-free at 1-855-444-2782.

If you would like to update your address with the Alberta Retired Teachers’ Association, please contact our office directly at 780-822-2400 in the Edmonton area or toll-free at 1-855-212-2400.

What changes can I make to my benefit coverage?

You are able to make the following changes to your extended health care (EHC) options:

  • Change your calendar maximums for prescription drug coverage. Please note that if you are currently enrolled in the $2,000/year maximum, you must stay at this level for a minimum of 24 months before you can change your plan to the $1,200 maximum.
  • Change your EHC coverage options. Please note that if you are currently enrolled in the Health Wise Plus or Ultimate Health extended health care plans, you must stay in this plan for a minimum of 24 months before you are able to reduce your level of coverage or opt-out.

 

You are able to make the following changes to your dental care options:

  • You may increase coverage at any time. To cancel or change your dental care coverage option, you must be enrolled in Plan A, B, or C, for a period of 24 months.

 

You are also able to change your coverage level from single to couple or family status, or vice versa, during a major life event such as an addition of spouse or dependent, loss of spouse’s coverage, or removal of a dependent or spouse from the plan. Changes need to be requested to the ARTA Retiree Benefits Plan within 60 days of the life event, or late applicant provision may apply.

All requests to coverage option or level changes need to be made in writing, and either mailed, emailed or faxed to the ARTA Retiree Benefits Plan.

Where can I find the details of what is covered in each benefit offered by the ARTA Retiree Benefits Plan?

The plan texts for each of the benefits coverage options offered are available on ARTA’s website, www.arta.net. You may also call the plan administrator, ASEBP, at 1.855.444.ARTA (2782) and speak with a Benefit Plan Coordinator regarding questions specific to the ARTA Retiree Benefits Plan.

What is LCA?

The ARTA retiree plan includes a Least-Cost Alternative (LCA) provision. This means that if your doctor prescribes a brand name drug and there is an approved interchangeable (most often generic) version available, the plan will only pay the equivalent of the cost of the interchangeable product.

Generic drugs are only allowed to be considered interchangeable with the brand-name drug if they are considered to be “equivalent” to the brand-name drug. Equivalent means that a generic drug must have exactly the same amount of the active medicinal ingredients as the brand-name drug. In addition, the generic drug’s intended use, effects, side effects, risks and safety must be the same as the original drug.

What drugs are covered under the ARTA plan?

Covered prescription drugs include those medical preparations approved for use by ARTA. Certain drugs which are paid by federal or provincial programs are not eligible for payment under ARTA (for example cancer drugs).
Experimental, cosmetic and natural health product drugs are not covered. Certain lifestyle drugs (for example, erectile dysfunction treatment and hair loss medication) are not covered under ARTA’s Health Wise or Total Health Extended Health Care plans, but have limited coverage under the Health Wise Plus and Ultimate Health Extended Health Care plans. Over the counter drugs are not eligible drug expenses under any plan.

How and when do I join the Alberta Seniors’ Drug Plan?

Prior to turning age 65 you will receive an application from Alberta Health for enrollment in the Alberta Seniors’ Dug Plan effective on your 65th birthday (or your partner’s 65th birthday, if he or she is older than you). You will receive a Seniors’ Drug Plan card in the mail and you must register your card with your pharmacy(ies). The ARTA Retiree Benefits Plan is second payer to the Alberta Seniors’ Drug Plan.

I am covered by the Seniors Drug coverage? Why join ARTA? Wouldn’t that duplicate coverage?

The seniors’ drug coverage varies from province to province/territory. The Alberta Seniors’ Drug Plan covers many commonly used drugs; however, you pay a portion of the cost not covered by the Seniors’ Drug Plan. This cost is an eligible expense under the Extended Health Care plan. Some prescription drugs which are not on the Seniors’ Drug Plan list may be covered under the ARTA Extended Health Care plan.
The Seniors’ Drug Plan in Alberta is the first payor of prescription drug costs. Then any amounts over what they pay may be eligible for claim under the ARTA plan.

Topics

Questions

Answers

ARTA Retiree Benefits Plan
ARTA Membership
Terminology
General
Forms
Eligibility
What is an Interactive form?
Can forms be filled out online?
How do I change my contact information with ARTA?
Is there one card for everything related to ARTA?
Can I check on my ARTA membership status or benefits coverage and claims online?
What is Least Cost Alternative (LCA) and how does it relate to my drug coverage?
What happens to benefits if I, or my spouse, pass away?
My deceased spouse would have met the ARTA Retiree Benefits Plan eligibility criteria. Am I eligible to join the ARTA Retiree Benefits Plan as a surviving spouse of a retiree who would have otherwise been eligible?
Who is considered a ‘dependant’ under the ARTA Retiree Benefits Plan?
Is Out-of-Province/Out-of-Country emergency travel insurance included under the ARTA Retiree Benefits Plan?
I have the Alberta Coverage for Seniors plan. Why would I want to enroll in the ARTA Retiree Benefits Plan?
How and when do I join the Alberta Coverage for Seniors plan?
If I take the ARTA Extended Health Care coverage without Emergency Travel coverage, can I add Emergency Travel at a later date?
I meet the eligibility criteria, and I have retired but I have returned to work. Can I join the ARTA Retiree Benefits Plan?
When is my ARTA Retiree Benefits Plan coverage effective?
I am retired, my coverage under my employer’s group benefits plan terminated more than 60 days ago, but I am covered under my spouse’s employer’s group benefits plan. Will I be eligible to join the ARTA Retiree Benefits Plan without evidence of insurability once coverage under my spouse’s plan terminates?
What does ‘evidence of insurability’ mean?
I am a retired teacher and my group benefits terminated more than 60 days ago. My spouse and I currently have no benefit coverage. Can I join the ARTA Retiree Benefits Plan?
I am retired and I meet the eligibility criteria and my group benefits terminated less than 60 days ago. My spouse and I currently have no benefit coverage. Can I join the ARTA Retiree Benefits Plan?
I am about to retire and my group benefits are about to terminate, I meet the eligibility criteria, can I join the ARTA Retiree Benefits Plan?
In addition to the ARTA Retiree Benefits Plan, what other programs are available to me as an ARTA member?
What eligibility criteria apply to Public and Private Sector retirees with respect to the ARTA Retiree Benefits Plan?
What eligibility criteria apply to Education Sector retirees with respect to the ARTA Retiree Benefits Plan?
Can ARTA provide information on my pension?
What is ARTA’s fiscal year for membership?
If I have questions about the ARTA Retiree Benefits Plan, whom do I contact?
If I have questions about ARTA, whom do I contact?
Do I need to be a member of the Alberta Retired Teachers’ Association (ARTA) to enroll in the ARTA Retiree Benefits Plan? If so, is there a cost for membership?

What is an Interactive form?

Interactive forms allow you to enter information directly into the document from your computer. Some browsers have a built in feature that lets you do this without downloading the PDF, others will require you to download the PDF and open it with Adobe. Please make sure you are using Adobe 7.0 or newer.

Can forms be filled out online?

It depends – some forms are “interactive”, meaning you can enter information in your browser or on your computer using Adobe PDF viewer. These interactive forms can then be printed. From there you can sign and send them off by mail or fax.

How do I change my contact information with ARTA?

Call the ARTA head office toll-free at 1-855-212-2400 (extension 1) and if you are enrolled in the ARTA Retiree Benefits Plan, you must change your contact information with ASEBP, ARTA’s plan administrator, by calling 1-855-444-2782 (toll-free).

Is there one card for everything related to ARTA?

No, there are two separate cards. If you are an ARTA member who is also participating in the ARTA Retiree Benefits Plan, you will have an ARTA Membership card and as well as an ARTA Benefits ID card. These two cards should be kept together.

Use your ARTA Membership card when speaking with staff in the ARTA office or with partners of ARTA (e.g. TW Insurance Brokers or Affinity Program partners). You can also use your ARTA Membership card to access the Member Login on the ARTA website, www.arta.net.

Use your ARTA Benefits ID card to access your benefit coverage. The ARTA Benefits ID card has your group number, section number and Benefits ID number which should be provided to your pharmacist and other health care professionals. Use your ARTA Benefits ID card when completing your claim forms, when speaking with a Benefit Plan Coordinator and to access the ARTA Members Health Care Account.

Note: If you are covered under either the Total Health or Ultimate Health benefits plan and you have a medical emergency while travelling, the travel emergency medical contact numbers are on the back of your ARTA Benefits ID card.

Can I check on my ARTA membership status or benefits coverage and claims online?

To access your ARTA membership online go to the ARTA website home page (www.arta.net), the green “ARTA MEMBER LOGIN” button is located near the top-middle of the page.

You can access your “MEMBERS HEALTH CARE ACCOUNT” by clicking on the red button located beside the “ARTA MEMBER LOGIN.” Your benefits coverage and claims are housed in this location.

What is Least Cost Alternative (LCA) and how does it relate to my drug coverage?

ARTA believes that prescription drugs are extremely effective in treating many medical conditions, and it is important that the ARTA Retiree Benefits Plan receives the best value for the prescription drugs members purchase; therefore, the plan includes a Least Cost Alternative provision. This means that if your doctor prescribes a brand name drug and there is an approved interchangeable generic version, the plan will pay to the equivalent cost of the generic product. You may purchase the higher cost alternative; however, you are responsible for paying the difference in price.

To find out about the coverage of specific drugs, please call ASEBP toll-free at 1-855-444-ARTA (2782) with the DIN number which is found on the prescription label.

What happens to benefits if I, or my spouse, pass away?

The surviving spouse can contact ARTA’s office at 1-855-212-2400 to arrange for an update of information and if applicable change your coverage level (e.g. going from couple to single under your extended health care plan option). It is necessary for you to provide a death certificate, written notice for the change in coverage level change, and written notice of the membership change if the surviving spouse was not the ARTA member.

My deceased spouse would have met the ARTA Retiree Benefits Plan eligibility criteria. Am I eligible to join the ARTA Retiree Benefits Plan as a surviving spouse of a retiree who would have otherwise been eligible?

If you can provide supporting documentation that your deceased spouse would have otherwise been eligible and you are age 55 or older, you are eligible to participate and enroll without evidence of good health in the ARTA Retiree Benefits Plan as long as you apply for coverage within your qualifying period.

Who is considered a ‘dependant’ under the ARTA Retiree Benefits Plan?

Dependent children may include natural children, legally adopted children or children living with the adopting parents during a period of probation, stepchildren, children under legal guardianship, and foster children of the member or the member’s spouse.

To be considered a dependant, the child must be unmarried, not employed on a regular and full-time basis, and under 21 years of age. A child up to the age of 25 will be considered a dependant if in full-time attendance at an accredited school, college or university and is dependent on you for support, including students attending school outside their normal province of residence.

A dependent child who is beyond any limiting age and, who is mentally or physically disabled and is incapable of self-sustaining employment and who is wholly dependent upon you for support and maintenance, is also eligible.

Is Out-of-Province/Out-of-Country emergency travel insurance included under the ARTA Retiree Benefits Plan?

Yes, if you have travel coverage, and are outside of your province of residence or outside of Canada, your emergency medical expenses may be covered.

I have the Alberta Coverage for Seniors plan. Why would I want to enroll in the ARTA Retiree Benefits Plan?

The Alberta Coverage for Seniors plan covers many commonly used drugs; however, you pay a portion of the cost which would be covered by the ARTA Retiree Benefits Plan, which also includes coverage for many other supplies and services, such as Emergency Travel Coverage, physiotherapy, and prescription glasses. Applying for the ARTA benefits plan would be dependent on overall health needs.

If you require more coverage than what your provincial plan offers, contact the ARTA benefit plan administrator (ASEBP) at 1-855-444-2782 to speak with a Benefit Plan Coordinator.

How and when do I join the Alberta Coverage for Seniors plan?

Please contact Alberta Blue Cross 1-877-644-9992 for information regarding the Alberta Coverage for Seniors plan as they administer this plan on behalf of Alberta Health. You may also find information here.

Note: You must register your coverage at with your pharmacy(ies). The ARTA Retiree Benefits Plan is second payor to the Alberta Seniors’ Drug Plan.

If I take the ARTA Extended Health Care coverage without Emergency Travel coverage, can I add Emergency Travel at a later date?

You will have to submit evidence of good health if you wish to add the Emergency Travel benefit after your qualifying period (i.e. if it is more than 60 days following termination of your group benefits coverage).

I meet the eligibility criteria, and I have retired but I have returned to work. Can I join the ARTA Retiree Benefits Plan?

Since you have met the eligibility criteria, if you have benefit coverage through your employer’s benefit plan (in your new job) which provides similar benefits, including Emergency Travel Insurance, you will be eligible to join the ARTA Retiree Benefits Plan without providing evidence of good health, provided you apply within 60 days of the termination date for benefits you have through your current place of employment.

When is my ARTA Retiree Benefits Plan coverage effective?

If you are currently covered under a group benefits plan, your coverage is effective the day following termination of coverage under your group plan – there can be no lag in coverage.

If you are a late entrant, your coverage is effective on the 1st of the month following confirmation of coverage.

I am retired, my coverage under my employer’s group benefits plan terminated more than 60 days ago, but I am covered under my spouse’s employer’s group benefits plan. Will I be eligible to join the ARTA Retiree Benefits Plan without evidence of insurability once coverage under my spouse’s plan terminates?

Yes, you can join the ARTA Retiree Benefits Plan within 60 days of the termination of your spouse’s employer-sponsored benefit plan if it provides similar benefits, including Emergency Travel Insurance, without providing evidence of good health. If you apply for coverage after this 60-day period from the date your spouse’s employer benefit plan coverage terminated, then evidence of good health will be required, and you may be declined for Extended Health Care and Emergency Travel Insurance coverage.

What does ‘evidence of insurability’ mean?

This means that you are required to complete a medical questionnaire and may, as a follow-up, be asked to have a medical examination. This is required if you are eligible to apply for benefits, but do not submit your application to enroll in an ARTA Retiree Benefits Plan that includes Emergency Travel Insurance within 60 days of losing your group extended health care benefits.

I am a retired teacher and my group benefits terminated more than 60 days ago. My spouse and I currently have no benefit coverage. Can I join the ARTA Retiree Benefits Plan?

Yes, but if you are now retired and if your group benefits terminated more than 60 days ago, you are considered to be a late entrant and you will have to provide evidence of good health, meaning your coverage may be declined.

I am retired and I meet the eligibility criteria and my group benefits terminated less than 60 days ago. My spouse and I currently have no benefit coverage. Can I join the ARTA Retiree Benefits Plan?

Yes, you can join the ARTA Retiree Benefits Plan within 60 days of the termination date of your spouse’s employer-sponsored benefit plan if it provides similar benefits, without providing evidence of insurability. If you apply for Total or Ultimate Health coverage after this 60-day period, evidence of insurability will be required, and you may be limited to enrolment in the Health Wise or Health Wise Plus plans, which do not include the Emergency Travel Insurance.

I am about to retire and my group benefits are about to terminate, I meet the eligibility criteria, can I join the ARTA Retiree Benefits Plan?

Yes, your application must be received by ARTA within 60 days from the date your coverage terminates. You are not required to submit evidence of insurability if you wish to enroll in a plan with an Emergency Travel Insurance (Total Health or Ultimate Health).

In addition to the ARTA Retiree Benefits Plan, what other programs are available to me as an ARTA member?

  • ARTA Affinity Program which offers discounts with a large number of businesses and services
  • ARTA news & views magazine
  • ArtaFacts newsletter
  • Scholarships for family members
  • Access to special rates from ARTA’s home and auto insurance partner, TW Insurance
  • Access to a Life Insurance plan specifically for ARTA members

What eligibility criteria apply to Public and Private Sector retirees with respect to the ARTA Retiree Benefits Plan?

If you think you may be eligible to enroll in the ARTA Retiree Benefits Plan, please contact the ARTA office toll-free at 1-855-212-2400 (extension 1).

This includes people who are retired from UNA, ATU, ATB, the Calgary Fire Department, CPA, CHAPA and retirees who are receiving pensions from LAPP, MEPP, PSPP, SFPP or if you are a retired MLA or Judge & Masters in Chambers.

What eligibility criteria apply to Education Sector retirees with respect to the ARTA Retiree Benefits Plan?

Eligibility criteria for are:

  • Retired teacher who contributed to ATRF for at least five (5) years;
  • Permanent resident of Canada;
  • Covered by provincial/territorial health care in your province/territory of residence; and
  • Must be a member of ARTA.

Note: The spouse of a deceased person is eligible without age restriction, providing the person would have met the eligibility criteria above.

Can ARTA provide information on my pension?

No. ARTA is often confused with the Alberta Teachers’ Retirement Fund (ATRF). Please contact their office at 1-800-661-9582 if you have questions regarding your pension.

What is ARTA’s fiscal year for membership?

ARTA’s fiscal year runs from July 1 to June 30. Prior to your Education Sector membership expiring, ARTA will send out a notice of renewal for fees. Public and Private Sector members pay their membership fees monthly, so ARTA will automatically send a new membership card for the new fiscal year.

If I have questions about the ARTA Retiree Benefits Plan, whom do I contact?

Please contact ARTA’s benefit plan administrator:

Alberta School Employee Benefit Plan (ASEBP)
700 – 5555 Calgary Trail
Edmonton AB T6H 5P9

Phone: 780-989-8709 (in the Edmonton area)
Toll-free: 1-855-444-2782
Email: arta@asebp.ab.ca

If I have questions about ARTA, whom do I contact?

Alberta Retired Teachers’ Association (ARTA)

409-11010 142 St NW

Edmonton AB T5N 2R1

Phone: 780-822-2400 or toll-free (Canada only) 1-855-212-2400 (extension 1)

Fax: 780-447-0613

Email: info@arta.net

www.arta.net

Do I need to be a member of the Alberta Retired Teachers’ Association (ARTA) to enroll in the ARTA Retiree Benefits Plan? If so, is there a cost for membership?

Yes, you must be an ARTA member to participate in the ARTA Retiree Benefits Plan. Your employment history and pension determine your type of membership, what your membership fees are and the method of payment. For more information, please contact ARTA toll-free at 1-855-212-2400 (extension 1).