Group Insurance Plans
64. (1) The Dental Insurance Plan shall provide to every judge who joins the Plan the following benefits in respect of expenses incurred on behalf of the judge, the judge’s spouse and the judge’s dependent children: 1. Reimbursement of 80 per cent of the cost of basic dental services, endodontic services, periodontic services and repair or maintenance services for existing dentures or bridges specified by the Plan, but not exceeding 80 per cent of the fees set out in the Ontario Dental Association schedule of fees for general practitioners in effect when the expense is incurred. 2. Reimbursement of 50 per cent of the cost of new dentures specified by the Plan, not exceeding 50 per cent of the fees for new dentures set out in the Ontario Dental Association schedule of fees in effect when the expense is incurred, and subject to a limit of $2,000 on the total amount of reimbursement under this paragraph in respect of any one of the judge, the judge’s spouse and the dependent children of the judge. 3. Reimbursement of 50 per cent of the cost of orthodontic services specified by the Plan and provided to a dependent child of the judge, not exceeding 50 per cent of the fees for those services set out in the Ontario Dental Association schedule of fees in effect when the expense is incurred, and subject to a limit of $2,000 on the total amount of reimbursement under this paragraph in respect of any one child. 4. Reimbursement of 50 per cent of the cost of crowns, bridgework and other major restorative services specified by the Plan, not exceeding 50 per cent of the fees for those services set out in the Ontario Dental Association schedule of fees in effect when the expense is incurred, and subject to a limit of $2,000 on the total amount of reimbursement under this paragraph in respect of any one of the judge, the judge’s spouse and the dependent children of the judge in any year. O. Reg. 28/00, s. 11; O. Reg. 283/05, s. 11. (2) Subject to subsection (5), the Crown shall pay the premiums for every judge who joins the Dental Insurance Plan. O. Reg. 67/92, s. 64 (2). (3) A judge may elect to participate in the Dental Insurance Plan, (a) on appointment; or (b) in December of any year for coverage commencing on the 1st day of January next following, if the judge has satisfied the waiting period of the Plan and the judge, (i) did not join the Plan on appointment, or (ii) previously opted out of the Plan; or (c) on providing evidence that similar coverage available to the judge under the plan of another person has been terminated, for coverage commencing on the 1st day of the month coinciding with or following the presentation of the evidence. O. Reg. 67/92, s. 64 (3). (4) A judge may elect in December of any year to opt out of the Dental Insurance Plan and coverage shall cease at the end of that month. O. Reg. 67/92, s. 64 (4). (5) The Dental Insurance Plan shall not be provided to a judge during a leave of absence without pay unless the judge arranges through the payroll branch of the Ministry of the Attorney General to pay the full premiums and pays the premiums at least one week before the first of each month of the leave of absence. O. Reg. 67/92, s. 64 (5). (6) Subsection (5) does not apply during a pregnancy leave or during the first eighteen weeks of a parental leave. O. Reg. 67/92, s. 64 (6). (7) Within a reasonable time after the Ministry of the Attorney General is informed that a leave of absence to which subsection (5) applies has been granted to a judge, the Ministry shall inform the judge of the provisions of subsection (5). O. Reg. 67/92, s. 64 (7). (8) Beginning the 1st day of January, 1993, this section also applies to every person who is receiving a pension or a survivor allowance under Part II. O. Reg. 762/92, s. 3.