Author Archive: The Benefits Consultant

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What Happens To Group Benefits Coverage When the Employment Contract is Terminated?

What happens to group benefits when the employment contract is terminated – statutory notice period and common law notice period as well as underwriting exceptions and extensions available.

What is Cost Plus?

Definition of a cost plus claim and the associated fees, taxes and legislative rules.

Sun Life Reasonable and Customary Charges for Paramedical Practitioners

Sun Life publishes new reasonable and customary charges by Province for all paramedical practitioners. Reasonable and customary charges are limits based on typical pricing charged for services by each of the paramedical practitioners within a specific specialty. Should a paramedical practitioner charge higher than these limits for the given services, the difference is paid by the plan member.

Time for Taxable Benefits

It’s that time of year to review all of the employee benefits you provide to employees and ensure that you are compliant with all taxable benefit provisions. Such employee benefits as company-paid life insurance and AD&D, in addition to Health and Dental coverage in Quebec and perquisites such as car allowances are all considered taxable benefits.

Flexible Benefit Program Mechanics

A discussion of each of the different types of Flexible Benefits programs including Add-On, Opt up/down, Modular, Core Plus Options, Flexible (Cafeteria), Health Care Spending Accounts. Adverse selection is defined and a number of options to help reduce or minimize the impact of Adverse Selection within a Flexible Benefits program are outlined.

Reasonable and Customary Fees

A description of reasonable and customary fees, how they are developed and implemented within Canadian group insurance and employee benefit plans.