Policy Administration

The TMU Retiree Extended Health Care (EHC) Plan and Dental Plan are designed to help you pay for many routine and unexpected medical and dental expenses for yourself, your spouse and your dependents.

While your provincial health insurance (e.g. OHIP) provides basic coverage, a number of services and supplies are not covered.

Insurer, policy and certificate numbers

The insurer is Sun Life Financial. The EHC and dental policy number is 25180.  Your Sun Life certificate number is the same as your TMU employee identification number.

How do the EHC and dental plan work?

Your EHC and dental plans coverage is paid for by TMU, which contracts Sun Life to administer the plan.

Deductible and coverage amount

The extended health care plan reimburses 100% of expenses and has a $25 annual deductible. The deductible is automatically deducted from the first claim you submit each year.

The dental plan reimburses 100% of many eligible routine dental expenses, 65% of major restorative services, and 50% of orthodontic services. There are no deductibles for the dental plan.

Claims submission

You can submit claims for covered expenses in five ways:

• direct pay
• pay direct drug card
• online claim submission
• Sun Life mobile application
• hard copy claim submission

For more detailed information on submitting EHC and dental claims, visit the information on making a medical or dental care claim.

Anything else I should know?

TMU is proud to offer a comprehensive and robust benefit plan, but some expenses have limits and some are not eligible.

This site describes limits on covered expenses and lists excluded expenses. To find out if a specific service or item is covered, you can call Sun Life at 1-800-361-6212.