EMPLOYEE BENEFITS

19.1 The hospitals agree to undertake on behalf of each resident the payment of premiums for the following benefits:

a) Group life insurance to the value of two (2) times the annual earnings adjusted to the nearest $500, of which 100% of the premium paid will be paid by the employer hospital.

b) OHIP coverage of which 100% of the premium paid will be paid by the employer hospital.

c) Extended Health Care similar to Liberty Health Plan Extended Health Care issued July 1, 2001, or coverage with another carrier that is at least equivalent to the current plan of which 100% of the premium paid will be paid by the employer hospital. There shall be a $15/$25 deductible for single/family coverage per calendar year.

The employer shall contribute 100% of the premium towards a Vision Care rider $250.00 every 24 months. (For clarity, these funds can be used towards laser eye surgery). In addition to the above, vision care shall include one eye exam per insured person every 24 months.

Voluntary Generic Substitution: Extended Health Care Plan to provide that where a generic drug is listed in the Canadian Pharmaceutical Association Compendium of Pharmaceuticals and Specialties, reimbursement for drugs covered by the Plan will be based on the cost of the lowest priced therapeutically equivalent generic version of the drug that the dispensing pharmacist can readily provide, unless the prescribing physician or health professional stipulates no substitution, in which case the reimbursement will be based on the cost of the drugs prescribed.

OTC Exclusion: Extended Health Care Plan definition of eligible drugs to include only those drugs and medicines that legally require a prescription, and also including injectable drugs and injectable vitamins, prescribed by a licensed physician or other licensed health professional who is legally authorized to prescribe such drugs and medicines, and dispensed by a licensed pharmacist or by a physician legally authorized to dispense such drugs and medicine. In addition, life-sustaining drugs or medicines, and related medical supplies (e.g. diabetic supplies, smoking cessation aides) shall continue to be covered on the same basis as under the previous Collective Agreement.

Paramedical Coverage: the annual calendar year maximum will be $500 from the first dollar for each eligible paramedical practitioner per covered person. Eliminate the per visit maximum provisions for the listed eligible paramedical practitioners and replace with reasonable and customary charges per visit or treatment. Eligible paramedical practitioners are defined as physiotherapists, chiropractors, acupuncturists, massage therapists, speech therapists, psychologists (including MSW), and podiatrists.

d) The Dental Services described in Liberty Health Plan issued July 1, 2001, or coverage with another carrier that is at least equivalent to the current plan, of which 85% of all eligible expenses will be paid, at the current ODA fee schedule established from time to time, of which 100% of the premium will be paid by the employer hospital. Dental Recall: dental recall examinations at the rate of one examination every 9 months, except for eligible dependent children age 18 and under which is at the rate of one examination every 6 months.

e) Hospital Stay Accommodation There is no provision for hospital accommodation charges for stays within Ontario outside of what is normally provided through the Ontario Health Insurance Plan. There are two exceptions to this:

i) The hospitals will amend the hospital accommodation coverage to provide private coverage for addiction and eating disorders. This change will be effective not later than July 1, 2009.

ii) When semi-private hospital accommodation charges are incurred outside a resident's province of residence, Liberty Health will not pay an amount which is greater than the reasonable and customary allowance for semi-private hospital accommodation in the geographic area in which the person is confined. It is understood and agreed that the hospital's obligation is limited to the payment of insurance premiums towards the various benefits plans.

For the purposes of Employee Benefits under Article 19.1, dependent coverage is available to the Resident, to cover his or her same sex partner and their dependents, in accordance with the terms and conditions of the plans.

19.2 There shall be a Long Term Disability plan for the benefit of PAIRO members. Through payroll deduction, the Hospital agrees to collect and remit, on a monthly basis, in the same manner as Association Dues outlined in Article 6.2 of this Agreement, to PAIRO such premiums as PAIRO establishes for contribution to the Long Term Disability program administered by PAIRO for its members.

19.3 As in the past, all benefits shall be fully transferable within all teaching hospitals and there shall be no waiting period.

19.4 On the date of the commencement of employment with the hospital, all members of the housestaff shall be informed as to the nature of benefits available to him/her pursuant to this Article.

19.5 It is agreed that the benefits outlined in Articles 19.1 and 19.2 will be conditions of employment.

19.6 Residents covered by this Agreement are required to have CMPA coverage, or other equivalent medical liability insurance as determined by the resident. Such coverage will be without any premium costs to the hospital.

19.7

a) It is agreed that when, in the course of their clinical duties, residents are required to travel between sites or to return to a site, then the resident will be reimbursed for the cost of parking associated with the time spent at the second or subsequent sites, provided that the distance travelled between sites exceeds one (1) kilometre.

b) In circumstances where:

i) a resident is on Out of Hospital Call and can respond within the hospital's Medical Advisory Committee (MAC) approved rules and regulations regarding specified response time,

ii) the resident does not have a parking pass, and

iii) the requirement to attend for clinical duties occurs after 6 pm and before 6 am the Hospital will pay taxi charges to a maximum of $70.00 per month on presentation of appropriate receipts.

19.8 Residents will be provided free of charge with an Advanced Cardiac Life Support course or equivalent that is consistent with educational and training requirements as determined by the Faculty of Medicine of the respective university. The course will be provided by the universities and will be free of charge to all residents.

19.9 The short-term sick leave plan shall be registered with the Employment Insurance Commission (EIC). The residents' reduction will be retained by the Hospital towards offsetting the cost of the benefit improvements contained in this Agreement.