Introduction These Terms and Conditions (“Terms”) govern every visit to and use of the PensionCover.ca website, its companion mobile or desktop applications, client portals, and any associated application-programming interfaces (collectively, the “Services”). Pension Cover Insurance Inc., a corporation incorporated under the federal laws of Canada (“Pension Cover,” “we,” “our,” or “us”), distributes and administers insurance products tailored to retirees and soon-to-be retirees. By accessing or using any portion of the Services, you (“Policyholder,” “Applicant,” “you,” or “your”) confirm that you have read, understood, and agree to be legally bound by these Terms.
Acceptance of Terms You accept these Terms when you (a) create an online account, (b) click “I Agree,” “Accept,” or similar, (c) submit an application or policy change referencing these Terms, or (d) otherwise use the Services. If you act on behalf of another person or a legal entity (e.g., under power of attorney), you represent that you have authority to do so; references to “you” therefore include the represented party. If you do not accept every provision herein, you must not use the Services.
Description of Services Subject to eligibility, Pension Cover offers:
Health & Prescription Plans — supplemental health, dental, and prescription-drug coverage for Canadian residents age 55 and older;
Guaranteed-Issue Life — simplified-issue life policies with fixed premiums and no medical exam;
Travel Medical — emergency medical insurance for trips outside your home province or Canada;
Member Portal — digital access to policy documents, premium schedules, claim submission, and real-time status tracking; and
Advisor Support — licensed insurance representatives available by phone, video, or secure chat for product explanations. Final policy terms are contained in the issued policy contract and provincial insurance legislation. In case of conflict, the contract and governing statutes prevail.
User Responsibilities You agree to:
provide accurate, current personal, medical, and payment information and update it promptly;
disclose pre-existing conditions or medications truthfully during underwriting;
review all policy wording, exclusions, and beneficiary designations upon receipt;
pay premiums on or before the due date shown on your statement;
safeguard login credentials and two-factor-authentication codes; and
submit claims, supporting documents, and receipts within the timelines stated in your policy.
Limitation of Liability To the fullest extent permitted by law, Pension Cover and its affiliates will not be liable for indirect, incidental, consequential, special, punitive, or exemplary damages—or for any loss of profits, data, goodwill, or anticipated savings—arising out of or related to the Services, even if advised of the possibility. Our aggregate liability for all claims under these Terms will not exceed the amount of premiums you actually paid to us in the twelve (12) months immediately preceding the event giving rise to liability. Nothing herein limits liability that cannot legally be limited, including liability for fraud or wilful misconduct.
Intellectual Property All software, actuarial tools, policy templates, trademarks, logos, and documentation incorporated in or generated by the Services are and remain the exclusive property of Pension Cover or its licensors, protected by Canadian and international intellectual-property laws. Subject to continuous compliance with these Terms, you receive a non-exclusive, non-transferable, revocable licence to use the Services solely for managing your own insurance coverage. Except as permitted by mandatory law, you may not copy, modify, reverse-engineer, decompile, distribute, or create derivative works from any portion of the Services.
Governing Law and Jurisdiction These Terms are governed by, and construed in accordance with, the laws of the Province of Ontario and the federal laws of Canada applicable therein, without regard to conflict-of-law principles. Any dispute, controversy, or claim arising out of or relating to these Terms or the Services shall be resolved exclusively in the courts located in Toronto, Ontario, and each party irrevocably submits to that jurisdiction.
Termination of Access We may suspend or terminate your portal access: (a) upon thirty (30) days’ written notice if you materially breach these Terms and fail to cure within that period; (b) immediately if required by law, regulatory order, or fraud prevention; or (c) if premiums remain unpaid for more than thirty (30) days. Termination of portal access does not automatically cancel any in-force policy. Sections 5–7 and 9–11 survive any termination.
Refund Policy You may cancel a newly issued policy within ten (10) days of receipt (the “free-look period”) for a full premium refund, provided no claim has been made. After the free-look period, premiums are refundable only as specified in your policy contract or required under provincial insurance law. Service-plan fees for optional advisor subscriptions are billed monthly in advance and are non-refundable once the billing cycle has started, except where consumer-protection legislation mandates otherwise.
Changes to Terms We may revise these Terms to reflect changes in law, regulatory guidance, or product offerings. Updated Terms will be posted on our website with a new “Effective Date.” Material changes become effective thirty (30) days after posting; we will also notify active Policyholders by email or portal banner. Your continued use of the Services after the effective date constitutes acceptance of the amended Terms.
Effective Date
These Terms and Conditions are effective as of 20 June 2025 and apply to all access to or use of the Services on or after that date.