Effective April 1, 2019, OHIP+ will no longer provide drug coverage for individuals under the age of 25 who have access to private insurance. Therefore, prescription drug claims for children and youth 24 years of age and younger with private plan coverage will have to be submitted directly to their private plan. Click here for details!

Member Eligibility

To qualify for coverage you, and your eligible dependents, must be insured under a provincial health plan. Participants of this plan Members who are paying Union dues to Teamsters Local Union 230. The plan’s administrator keeps an account for you of the hourly contributions made by your employer on your behalf.   This account is called an Hour Bank Account.  The balance in this account determines your eligibility for benefits. Each month a deduction is taken from your Hour Bank account to “pay” for your benefits.  From time to time the Trustees will alter the amount of the monthly deductions when required to prudently manage the Benefit Trust Fund. 

You become eligible for coverage under the Trust Fund when you have accumulated three monthly deductions in your hour bank.  Your coverage is effective on the first day of the second month following that accumulation.  Your coverage continues for each month your hour bank contains the required monthly deduction.  The maximum hour bank balance is eighteen monthly deductions.


Change of Your Status

As advised in the website section entitled On the Importance of Being Registered, it is your responsibility to notify the administrator of any change of your status (married, separated, divorced, new dependents, etc.) to ensure that proper coverage is maintained.

Dependent Eligibility

Your dependents become eligible for coverage when you become eligible or, if acquired later, upon becoming your dependent, provided you advise the administrator within 31 days. To qualify for coverage your eligible dependents must be insured under a provincial health plan.  Newborn children are eligible for Hospital Cash and Dependent Life Insurance from 15 days of age and for all other coverage from birth, provided you advise the administrator within 31 days of the birth.

You must be a covered member of the Plan and eligible for benefits in order for your dependents to be covered.

Coverage or any increase in coverage, for your dependent who is confined for medical treatment in any institution or at home on the date such coverage would otherwise become effective, will not become effective until given a final release by the physician from all such confinement.  This shall not postpone the effective date for a child born while the member’s dependents are insured under the plan
Dependent means a spouse or unmarried child (over 14 days of age with respect to Hospital Cash and Dependent Life Insurance only) who is under 21 years (under 25 years, if regularly attending school and solely dependent upon the Member for support). 

A dependent shall not include a person cohabitating with the member without public representation of married status.

Spouse means a person married to the Member as a result of a valid religious or civil marriage ceremony; except that, a person living with the Member in a common-law relationship for a minimum period of twelve consecutive months will be deemed to be the Member's spouse, if such person is publicly represented as the Member's spouse.   If the member has been married to more than one person, the term spouse shall mean only the person to who the member was most recently married, using the above criteria.

The term Spouse shall not include a person divorced or separated from the member, whether or not separation is pursuant to a court order or legal separation agreement or the parties are living separate and apart without benefit of a court order or separation.

Child means: 

  1. Your unmarried children (over 14 days of age with respect to Hospital Cash and Dependent Life Insurance only) and under 21 years of age provided they are not employed on a regular full-time basis.
  2. Your unmarried children under 25 years of age provided they are not employed on a regular full-time basis and they are in full-time attendance at a university or similar institution. Annual proof of student registration is required after the child attains age 21.
  3. Your legally adopted children, stepchildren, or children of your common-law spouse, provided your spouse or common-law spouse lives with you and has custody of the child, and provided they meet the requirements set out above.

Children outlined above must be solely dependent upon the Member for support.

Claim Forms

Brochures:

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Teamster Local Union 230 Members' Benefit Fund c/o Benefit Plan Administrators
90 Burnhamthorpe Road West, Suite 300 Mississauga, Ontario L5B 3C3