Topic: Dental coverage question

[Amsdel]

Does anyone know if the dental coverage applies to common-law spouses of Reserves personnel? 

[mudrecceman]

Try looking here...

http://www.forces.gc.ca/dgcb/dpsp/engraph/rdcp_manual_e.asp?sidesection=4&sidecat=17#sec1-1

Para 2 "Definitions"

[241]

As far as it has been explained to me by my OR staff the answer is "NO" but I do how ever think that it will cover dependants (children) as when I went to make a clam in Sept (the first time in the 8 or so years I have been in) someone along the way instead of opening a new file for me they tried to put me under my dads file (who had been out of the army for a few years at that point) and I got a letter saying that I was not going to be covered because I was over the age of 18

[mudrecceman]

Read the link. Para 2.  Definitions.   

[beach_bum]

Your dependants (including common-law spouses) are only covered for Reservists on Class B contracts over 180 days or on Class C.

[mudrecceman]

Your dependants (including common-law spouses) are only covered for Reservists on Class B contracts over 180 days or on Class C.

Incorrect.

Class C is different...


Sigh.  Okay I figured people would read the link...

"dependant coverage" means coverage for either an eligible child or an eligible spouse;

"eligible child" means the person who is an unmarried child of a member or of the member's spouse or common-law partner, including an adopted child, a step-child, a foster child or legal guardian, in respect of whom the member stands in loco parentis (*), provided such person is:

under twenty-one (21) years of age, or
twenty-one (21) years of age or over who is incapable of engaging in self-sustaining employment by reason of mental or physical impairment, and is primarily dependant upon the member for support and maintenance, provided the child;
is a person to whom the above description applies on the date the member becomes eligible to obtain coverage, or
was disabled under this plan immediately prior to his or her twenty-first birthday or between the ages of 21 and 25, provided he or she is a student on a full-time basis;
between twenty-one (21) and twenty-five (25) years of age and in full-time attendance at an educational institution
who is not covered as a member/employee of any component of the Public Service Dental Care Plan;
(*) this needs to be approved by the Board on a case basis.

"eligible spouse" means, for purposes of this manual, the person legally married to the member, or a person with whom the member is in a common-law relationship, or a person from whom the member is separated.

"eligible member" means a member who satisfies the definition and who meets the eligibility criteria to participate in the Reserve Dental Care Plan;

Class/length of service and eligibility
Members of the Primary Reserves on:

Class A service may cover themselves only.
Class B service (180 days or less) may cover themselves only.
Class B service (181 days or more) may only cover their dependants (i.e. eligible child and/or eligible spouse).
Class B service: CIC, Supp Res or Cdn Rgr(S) (181 days or more) may only cover their dependants (i.e. eligible child and/or eligible spouse).
Class C Reservists are not entitled to participate in the RDCP. Instead, they may cover their dependants under another component of the CF Dental Care Plan: the Dependants Dental Care Plan (policy #55777).

NOTE: CIC, Supp Res, and Cdn Rgr(S) on Class A or short-term Class B are not eligible to participate in the RDCP.

Its all on the link to the Reserve Dental Care Plan Administrative Instructions Revision 1.0, which is the most current instructions I am aware of...

[241]

I think that is a little out of date as I am class A and after the problem I mentioned above was sorted out they sent me a check for 80% of all expenses except cleanings, so class A are covered but not spouses...

[beach_bum]

Class C....they are still covered...it's just under a different number.  It doesn't change the entitlement.  Whether they are covered under 55777 or 55999 is moot.