Benefit percentage
Benefits replace a specified percentage of eligible earnings, up to the maximum amount provided under the plan.
Short-term and long-term disability benefits can help replace a portion of an employee's income when illness or injury prevents them from working. We help employers design coverage that is clear, coordinated and sustainable.
Health and dental benefits help employees manage the cost of care. Disability benefits address a different risk: the loss of employment income when an employee cannot work because of a qualifying illness or injury.
For employers, disability plan design involves more than choosing a benefit amount. Eligibility, waiting periods, disability definitions, benefit limits, funding and coordination with other programs all influence the protection provided and the cost of the plan.
We help employers weigh these considerations and develop a disability program aligned with their priorities and approach to employee benefits.
A coordinated disability program helps maintain continuity of support throughout an employee’s absence.
Designed for shorter disability absences, with benefits beginning after the applicable waiting period and continuing for the maximum period set by the plan.
Designed for extended disability absences, with benefits beginning after the elimination period and continuing while the employee meets the applicable requirements of the plan.
The timing of STD and LTD should be aligned so that one form of coverage transitions appropriately to the other.
Benefits replace a specified percentage of eligible earnings, up to the maximum amount provided under the plan.
The length of time between the start of a disability and when benefits become payable. It should be considered alongside sick leave and other disability coverage.
Benefit maximums should be assessed against employee earnings to determine whether coverage remains appropriate across different salary levels.
The criteria used to determine disability can change after an employee has received LTD benefits for a specified period.
Other income received during a disability can affect the amount payable under the plan, making coordination provisions an important part of the coverage.
Disability programs may include rehabilitation, case management and return-to-work services that assist employees in preparing for an appropriate return to the workplace.
A strong disability plan makes it easier for employees to understand what happens if they cannot work, while giving the employer a sustainable structure for income protection, absence management and long-term plan costs.
Similar-looking disability plans can differ significantly in how coverage applies when an employee makes a claim.
Structure STD and LTD so employees have a clearly defined path of income protection as a disability continues.
Test the benefit formula across the workforce to identify where coverage may fall short of the intended level of income replacement.
Compare how each plan defines disability, as this provision can have a significant impact on whether benefits continue during a longer claim.
The way LTD premiums are funded can influence whether benefits are taxable when received, making the contribution arrangement an important design consideration.
The amount of coverage available to an employee can depend on underwriting requirements, applicable limits and employee classification.
Disability insurance is highly contractual. Pricing matters, but so do definitions, maximums, claims provisions, rehabilitation support, evidence requirements and how the coverage fits with the rest of the benefits program.
As an independent advisor, GroupBenefits.ca can evaluate the plan across leading Canadian insurers and explain the trade-offs in practical terms.
Pricing reflects the characteristics of the insured workforce and the coverage selected. A lower rate should be weighed against what the plan actually provides.
Disability pricing can be influenced by the demographics and occupational profile of the workforce as well as the structure of the benefit.
Effective cost management begins with understanding what is driving the current plan before considering changes to benefits.
These answers address common questions employers may have when reviewing disability coverage.
Short-term disability is designed for the earlier stage of an eligible disability and pays for a limited period. Long-term disability begins after a longer waiting or elimination period and is intended for disabilities that continue for an extended period.
No. Some employers insure STD, while others use employer-paid sick leave or salary-continuance programs. The right approach depends on the workforce, budget, administrative preference and how the arrangement coordinates with LTD.
The percentage varies by plan. STD is typically expressed as a percentage of weekly earnings and LTD as a percentage of monthly earnings, each subject to plan maximums and other contract provisions.
How disability coverage is funded can have tax implications for benefits received by employees. Employers should review their contribution arrangement with their advisor and obtain appropriate tax guidance.
It is the contractual test used to determine whether an employee qualifies for disability benefits. LTD contracts commonly distinguish between inability to perform one's own occupation and inability to perform another suitable occupation, subject to the specific wording of the policy.
When STD benefits end, an employee may move to LTD if the elimination period has been completed and the requirements for LTD benefits are met.
Yes. A review can identify gaps in benefit levels, maximums, waiting periods, definitions and premium-sharing before deciding whether a market comparison or insurer change is appropriate.
We can review your STD and LTD structure, benefit levels, contract provisions and pricing—and explain where the plan is strong and where it may need attention.