(available to Manitoba Public School Divisions)
The Rolling River School Division participates in this program, which provides coverage for fulltime students registered in the Rolling River School Division while:
- in or on school buildings or premises by reason of attending classes on any regular
school day;
- in attendance at or participating in any school activity approved and supervised by a
proper school authority, whether at school or elsewhere;
- traveling directly to or from any regularly scheduled and approved school activity under
the direction or supervision of a proper school authority;
- traveling directly to or from their residence and school for the purpose of attending
classes or participating in any school sponsored activity.
- participating in physical activities taking place as part of the grades 9 to 12 Physical Education Curriculum as approved by proper school authority.
- engaged in the performance of the duties assigned to the Insured Person while he/she is participating in a school approved work experience program.
Key Benefits:
Benefit |
|
Benefit Amount |
Loss of Life – Accident Only |
|
$20,000 per Student |
Dismemberment or Total and Permanent Loss of Use – Accident Only |
|
Various up to $40,000 per Student |
Accidental Medical Reimbursement Benefit (“AMRB”) |
|
$10,000 Maximum per Student per Accident |
|
Registered Nurse – Accident Only |
|
Covered as part of AMRB |
|
Hospital Charges – Accident Only |
|
Covered as part of AMRB |
|
Wheelchair Rental – Accident Only |
|
Covered as part of AMRB |
|
Prescription Drugs – Accident Only |
|
Covered as part of AMRB |
Ambulance – Accident or Sickness |
|
Maximum $2,000 per Student per Incident |
Emergency Transportation other than Ambulance – Accident or Sickness |
|
$50 per Accident |
Dental Expense – Accident Only |
|
$2,500 per Student within 5 years |
Eyeglasses and Contact Lenses – in conjunction with bodily injury arising out of accident |
|
per Student: New $300 Replacement $200 |
Aggregate Limit of Indemnity: $1,000,000 any one accident.
Coverage outside Canada is limited to $2,000 Maximum; this insurance does not provide for out-of-country trips.
Underwritten by: Industrial Alliance Pacific
Coverage is provided subject to the Terms and Conditions of master Policy number 100005613 on file with the Manitoba Association of School Trustees.
THIS COVERAGE COMPLIMENTS (NOT REPLACES) THE VOLUNTARY STUDENT ACCIDENT INSURANCE COVERAGE, AND IS EXCESS OF BENEFITS PROVIDED BY MANITOBA HEALTH AND EXCESS OF BENEFITS AVAILABLE TO THE STUDENT UNDER ANY GROUP BENEFITS PROGRAM
Claims forms are available at www.westernfgis.ca (Claims, Student Accident Claims and Universal Student Accident Claims)
Claim information is available by calling 1-800-463-5437