2022 Insurance Forms

 

2022 Equity Insurance Plan

Crawford Logo

Equity's insurance and benefits plan is administered by Crawford & Company. This plan is in effect January 1, 2022 until December 31, 2022.

 

Crawford & Company is the world's largest independent providers of claims management to the risk management and insurance industry as well as self-insured entities, with clients in more than 70 countries. 

Please note: Any expenses incurred before December 31, 2021, should be submitted to the previous provider, CHUBB. Any ongoing expenses for an existing claim that continue into the new year, should also be submitted to CHUBB.

Questions about Equity's insurance plan or an individual member's coverage should be directed to: 

Crawford & Company

100 Milverton Blvd - Suite 300
Mississauga, ON L5R 4H1
Phone: 1-888-688-4344
Email: equity@crawco.ca

 

The 2022 insurance plan is available here.

An FAQ on the 2022 insurance plan is available here.

For a fee sheet listing all of the premiums costs by scale agreement and/or engagement policy, please click here.

FILE ONLINE

Submitting a claim to Crawford & Company under Equity’s insurance plan is easier than ever. Simply visit the Claim Submission Portal for Canadian Actors’ Equity Association and create your account now to submit your claim digitally.

2022 Medical / Paramedical Claim Forms

  • Accidental Dental
    Use this form to claim reimbursement for dental expenses incurred when treatment is required as a result of an accident. If the accident occurs while on contract, the reimbursement is no more than 80% per cent to a maximum of $2,500. If you are eligible for off-contract coverage, the reimbursement rate is 50% per cent. Note that this form must accompany a standard dental claim form completed by your dentist.
  • Medical / Paramedical Claimant Statement
    Use this claim form for expenses related to physical therapies, medical expenses and alternative medicine. Note that maximums for physical therapies are different for all members: either $600 or $1,200 per treatment depending on your contract. Also, medical expenses have a collective maximum of $5,000 and alternative medicines have a collective maximum of $750. Supporting documentation may be required.
  • Practitioner Statement
    This form may be required depending on your claim situation and should accompany your Medical/Paramedical Claim Form.
 

2022 Income Replacement Benefit Claim Forms

  • Attending Physician Statement
    This form needs to accompany your Income Replacement Benefits Claim Form. It must be completed by your physician.
  • Claimant Statement
    Use this form to apply for income replacement if you need to drop out of a current or upcoming contract due to illness or injury. If you are working, you are insured for 60% per cent of your contractual weekly fee to a maximum of $1,500 per week for up to 52 weeks. Additional supporting documentation is required.
 

2022 Insurance Policy Maximums and Customary Fees

  • Policy Maximums
    Insurance plan provider chart identifying policy benefit, eligibility, reimbursement, policy maximums and occurrence.
  • Reasonable and Customary Fee Guide
    Reasonable and Customary Charges for Paramedical Services correspond to the maximum acceptable amounts as established by the insurance plan provider, for certain services, according to their average cost in any given region.