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ARTA Retiree Benefits Plan Premium and Claims Summaries
BY SHELLY ROBICHAUD , BA , GBA , ASEBP | Benefit Plan Liaison
Each February , the Alberta School Employee Benefit Plan ( ASEBP ), administrator for the ARTA Retiree Benefits Plan , provides members with a ‘ premium and claims summary ’ that summarizes for the previous year both the premiums paid for your ARTA retiree benefits and the claims reimbursements on behalf of you and your family . If you have not yet received your summary , please contact a benefit plan coordinator at 1-855-444-2782 to receive either an electronic or paper copy .
Premiums : This summary includes premiums paid to the ARTA Retiree Benefits Plan between January 1 and December 31 , 2014 . The summary can be used for your medical tax credit for the 2014 income tax year . Premiums for the Total or Ultimate Health plans exclude the non-medical portion of any Emergency Travel premium , which is not considered to be eligible by the Canada Revenue Agency ( CRA ) for the medical tax credit — 25 % of your travel premium .
Claims : Your summary also includes a listing of all the claims you submitted between January 1 and December 31 , 2014 . If eligible , the amounts you paid out of pocket may be submitted as part of your medical tax credit .
Your premium and claims summary is not an official tax receipt . When applying for your medical tax credits , you must use the Explanation of Benefits statements you received at the time of your claim as your official receipt . When claiming tax credits , it is advisable to keep copies of the
Explanation of Benefits statements for seven years , in case you are audited .
If you are using the information in your premium and claims summary to calculate your medical tax credits , we highly recommend that you contact a qualified tax advisor .
The following list describes the headings found on the claims summary and provides an explanation of each one .
• Service Date : the date the item was purchased or the treatment was provided .
• Product / Procedure : the item or treatment that was provided .
• Charged Amount : the total amount charged for the item or treatment .
• COB Amount : the amount paid by another plan , for example , the Alberta Coverage for Seniors Benefit or another insurance provider .
• Paid Amount : the amount that the provider of the service was paid for the item or treatment .
• Difference : the amount that you paid out of pocket . TOP QUESTION OF THE MONTH :
We polled our Benefits Plan Coordinators , and here is the most frequently asked question :
The media has recently reported on a case in Saskatchewan regarding outof-Canada coverage . I have a medical condition . Will it be covered when I travel ?
AXA Assistance ( the ARTA travel provider ) provided the following response to this recent case in Saskatchewan .
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