Health Benefits
Prescription drugs, paramedical services, vision care and other extended health benefits.
Explore healthA strong group benefits plan should help employees feel protected while giving employers confidence that coverage, cost and service are working together.
Employers offer benefits for different reasons: supporting employees, strengthening their employment offer or meeting expectations in their industry. Establishing the main purpose helps guide the decisions that follow.
We clarify the questions you need answered and the information required to assess them, whether you are introducing benefits or reviewing an existing plan.
See how we workA benefits program can include insured coverage, reimbursement arrangements and employee services. Each has a distinct role within the program.
Prescription drugs, paramedical services, vision care and other extended health benefits.
Explore healthPreventive, basic and major dental services, with plan design options for coverage levels and limits.
Explore dentalIncome protection when illness or injury prevents an employee from working.
Explore disability coverageFinancial protection for employees and their families, often including AD&D coverage.
Explore life insuranceA lump-sum benefit following diagnosis of a covered critical condition.
Explore critical illnessCoordinated employee support that can include virtual care, EAP services, mental-health resources, wellness spending and other programs.
Explore wellness solutionsHealth Spending Accounts and Cost Plus can help with eligible medical and dental expenses, while Wellness Spending Accounts extend support to employer-approved wellness expenses.
Explore flexible plan optionsA new benefits plan is easier to build when you know what it needs to accomplish. Establish what matters most to your employees and what the organization can sustain; those decisions will guide the coverage you request and the proposals you consider.
A quote brings together the coverage you choose and the employees the plan is designed to cover.
Adding benefits, raising coverage limits or covering more employees can change the premium. If a plan is already in place, its claims history can affect both new quotes and renewal pricing.
The total premium and the employer’s share are different figures. Even similarly priced plans can have different effects on the budget depending on how the cost is shared.
We provide a recommendation supported by the findings of our review, explain why particular options warrant consideration and flag any unresolved questions before you commit.
Read the guide: Comparing benefits quotes
Identify what the program needs to provide, using existing coverage as a reference where available and documenting any requirements proposals should address.
Request proposals using the same coverage specifications and employee information, making differences between offers easier to identify.
Explain how material differences between proposals would affect employee reimbursement, employer costs and the conditions applying to coverage.
Putting coverage in place is only the beginning.Continued guidance helps keep the plan running smoothly.
We clarify what prompted your inquiry, which concerns need attention and what you hope to accomplish through the review.
We assess which approach best addresses the issues identified and whether its advantages justify the costs and compromises involved.
We turn the decision into an orderly rollout, with clear direction at each stage.
We remain involved with administration, claims issues, plan changes and renewals.
The details may differ, but the underlying considerations are often similar.
Eligibility varies by insurer and plan structure. Small employers can often obtain group coverage, although the available options and underwriting approach may differ from larger plans.
Eligibility can be structured using clearly defined employee classes, subject to insurer requirements and applicable rules. Employee location and hours of work should also be considered when establishing the plan.
Employer costs can differ considerably between otherwise similar organizations. Differences in benefit selection, eligibility, employee profile, claims experience and insurer methodology can produce different pricing results.
We begin by gathering a few details about the business, the employees who would participate and the benefits under consideration. If coverage is already in place, existing plan information, rates and available claims data provide the basis for an accurate comparison. We’ll confirm any further requirements before requesting quotations.
Price is only one part of the comparison. Benefit maximums and restrictions, disability contract wording and the areas of the plan employees rely on most can all affect value. Rate guarantees, renewal provisions, administration, claims handling and implementation support should also be considered, since an attractive initial rate can come with meaningful differences in coverage or future pricing.
Tax treatment depends on the benefit, who pays the premium and the province or territory. Employer contributions to a qualifying private health services plan, such as medical or dental coverage, are generally not a taxable benefit to employees federally, while employer-paid group life premiums are generally taxable. Disability benefit taxation depends in part on how premiums are funded. Employers should confirm the current treatment of their specific plan with their tax advisor and the CRA.
Review the CRA’s current guidance →
A Health Spending Account typically provides eligible employees with a set amount they can use toward qualifying expenses, giving employees flexibility while establishing a defined employer commitment. Cost Plus takes a different approach, with eligible expenses reimbursed as claims arise within the limits established by the employer. The right structure depends on how the organization wants to manage costs, employee choice and coordination with insured benefits.
Review Health Spending Accounts →Review Cost Plus →
Renewal pricing reflects a combination of the plan’s claims experience, anticipated future costs, changes in the covered population, healthcare inflation, pooling costs and insurer pricing assumptions. How heavily the group’s own claims influence the renewal depends on the credibility applied to the experience. Before seeking alternative quotes, employers should examine the renewal methodology, key cost drivers, plan design, service and the competitiveness of the current terms.
There is no fixed timetable for reviewing the market. The appropriate timing depends on renewal results, claims experience, service performance, market conditions and whether the current terms remain competitive.
A group benefits plan can usually be moved before or after its renewal date. The timing should account for any notice requirements under the existing contract and allow enough time for replacement coverage to be established. Before proceeding, consider any financial implications and confirm how coverage will continue for employees, particularly those with active disability claims or anyone who may be subject to new underwriting requirements.
Yes. Plan design, cost-sharing, coverage limits, administration and renewal strategy can be reviewed even when the current insurer remains the best fit.
Usually. A properly managed market review compares coverage and contract provisions as well as price so that differences are identified before a change is made.
Tell us whether you are introducing a plan or reviewing existing coverage, and what you would like help deciding.