Where can I learn more about insurance terminology?
Check out our glossary of insurance terms.
Can I just get a ballpark premium?
The short answer is no. Because group insurance is demographically based it is impossible to provide a “ballpark figure”. Rates are based on the coverages that you choose; how many singles and/or families are to be covered, etc. Asking for a “ballpark figure” is like asking for a quote on the purchase of a vehicle without specifying the make, the model and the options that you want.
Why do you want to know so much information about my business and employees just to get me a quote?
Group Insurance quotes are based on the type of business you are in and the demographics of the group we are quoting, therefore, we need to know the nature of your business; the ages/dates of birth of your employees. Certain benefits are salary-based, therefore, the salaries of your employees are necessary. The province of residence is important, as any employee benefits must comply with the laws of the province of residence.
I don’t like to provide so much personal information. How is my information used and protected?
As the employer can I pick and choose what benefits I want?
Yes. You, along with our assistance and expertise, design the plan that best suits you and your employee’s needs and your budget (subject to insurers minimum requirements).
I have changed my bank accounts. How do I change which account my premiums are taken from?
Most insurance companies have a form that can be completed to change your banking arrangements, however, you can also fax the insurance company, or our office, a cheque marked “VOID” along with a letter requesting that the premiums be taken from your new account.
Why do I have to send some forms with original signatures rather than copies/faxes to your office or directly to the insurance company?
For many changes to your group plan, the insurance companies are required, by legislation, to have original signatures on file – an example of this would be making a beneficiary change.
Why would I need Extended Healthcare – doesn’t OHIP cover everything?
OHIP covers many medically necessary services like doctor’s visits and many, but not all, diagnostic tests. OHIP does NOT cover, for example, prescriptions; professional services (such as chiropractic, massage, etc.); semi-private hospital rooms; ambulance services; eye exams, comprehensive travel insurance, etc. Watch this video to learn more.
If I have dependents do I have to take Family coverage for Extended Healthcare/Dental?
If you have dependents, as defined by insurance law, then you do have to provide coverage for them unless they have coverage elsewhere – for instance, if your spouse has a group plan at his/her work, or if your children are covered through your ex-spouse’s plan.
If I have Extended Healthcare/Dental through my spouse’s plan do I have to take part in my employer’s plan?
If you have Extended Healthcare and/or Dental coverage through your spouse’s plan it is still a good idea to take part in your employer’s plan. Included in your employer’s plan there may be coverages that you don’t have and/or can’t get through your spouse’s plan, such as income replacement/disability coverage. You can waive (opt out) the Extended Healthcare and/or Dental benefits through your employer’s plan. Also, provided that you are on your employer’s plan for the basic coverages, Extended Healthcare and/or Dental can be added at a later date, should your spouse’s plan not be available due to loss of employment or cancellation of their plan.
As an employee can I pick and choose which benefits I want from my employer’s plan?
As an employee you are required to participate in the coverages that your employer has chosen, however, if you have Extended Healthcare and/or Dental coverage through your spouse you can opt out of those coverages (see #9).
What happens to my group insurance plan if I leave my place of employment?
If you leave your place of employment there are many options available. Most, if not all of your coverages can be converted within a specific time-frame. Everyone’s situation is different and it is very important that you ask what options are available to you immediately upon leaving your place of employment. Click here for more information.
How can I decrease the costs of my prescription drugs?
Health insurance plans play an important role in managing prescription expenses because plans often cover a portion of the cost. This video shows ways to decrease the amount you pay out-of-pocket even if you are insured.
What is the difference between generic and brand-name prescription medications?
Generic and brand-name medications can differ in price, ingredients, and other elements. Watch this video to learn more.
Do you have a question we didn’t answer? Contact us to talk about your specific requirements.