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/ Group Benefits Presented to CWCF Manon Monette Ted Broome
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/ Agenda Nurturing and promoting co-operation What are Group Benefits Advantages of offering them to my employees Plan design options Factors that influence pricing Salary Increase vs A Benefit Plan Technology Next Steps / Obtaining a Quote
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/ Nurturing and promoting co-operation Nationally and internationally: Active participation in co-operative associations (local, provincial, national and international) Co-op youth camps nationally Support for studies in co-ops (funds and students) …
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/ Nurturing and promoting co-operation (continued) Nationally and internationally: Contributions made through The Co-operators Foundation Member Loyalty Program Co-operative advocacy Insurance Programs that support the co-operative advantage
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It’s all about mutual benefit: » Right coverage » Fair price & value » Co-operative difference
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/ What is Group Insurance ? Most Canadian residents have access to universal Health Care plans: physician visits surgery (when medically necessary) hospital room (ward accommodation) dental procedures performed in hospitals Group Insurance Plans supplement provincial plans
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/ What is Group Insurance ? Private Group Insurance plans typically include the following: Basic Life Insurance and AD&D Dependent Life Insurance Disability (short term and long term) Extended Health Care (drugs, paramedical, equipment, hospital, vision, ambulance, travel) Dental (in Dentist’s office)
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/ What is Group Insurance ? Private Group Insurance plans offer the following additional benefits: Employee Assistance Programs (Counseling) Second Opinion Consult Critical Illness
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/ Advantages to You - Employer Attracts & Retains Key Employees Non-taxable Benefit to Employees Your Contributions are Tax Deductible Improved Morale = Increased Productivity Competitive Advantage
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/ A Typical Plan Benefit Package Life Insurance AD&DDisabilityHealthDental Dependent Life
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/ Life Insurance In the event of an employee’s death, the beneficiary will receive a lump sum. Benefit can be a flat amount $25,000 $50,000 $100,000 Benefit can be based on earnings 100% of salary 150% of salary 200% of salary
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/ Dependent Life Insurance In the event of a death of an employee’s dependent, the employee will receive the lump sum. Benefit options are: $5,000 spouse / $2,500 children $10,000 spouse / $5,000 children $20,000 spouse / $10,000 children
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/ Accidental Death & Dismemberment (AD&D) In the event that the employees dies from an accident, a lump sum payment equal to the life insurance is paid to the beneficiary. Loss of Use – if the employee should survive an accident but lose the use of a limb, vision, hearing, become paraplegic, then a lump sum benefit is paid based on a schedule. (i.e loss of use of one eye = 67% of the life insurance benefit, loss of use of one arm = 75%)
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/ Disability Designed to insure an employee’s earnings in the event of an accident or illness Can be offered for both short term (6 months) or Long Term (to age 65) Plans usually insure 55% to 75% of an employee’s earnings Benefit can be taxable or non-taxable Short term disability is paid weekly Long Term Disability is paid monthly Benefit is taxable unless Employee pays 100% of the disability premium
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/ Extended Health Care “Extended” means over-and-above-provincial plan benefits
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/ Extended Health Care – Plan Options Deductibles - $25 single/$50 family, $50/$100, $100 / $200 Coinsurance – 50% - 100% (% of what the plan will pay) Maximums Drugs – annual maximum of $1,500, $3,000, or unlimited Vision - $200, $250, $300 / 24 months Paramedical - $300 - $500 per practitioner, per visit max, combined maximum Vision – optional benefit
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/ Dental
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/ Basic Services Cleanings, fillings, extractions, x-rays, periodontal, endodontic Major Services (minimum of 5 employees) Crowns, bridges, posts, dentures Orthodontic (minimum of 7 employees) Braces, adjustments, repairs
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/ Dental – Plan Options Deductibles – Nil, $25 single/$50 family, $50/ $100 Coinsurance – 50% - 100% Maximums - $750 to unlimited Recall Exams – 6, 9, or 12 months
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/ Factors that Influence Rating Demographics Age, gender, occupations, earnings, number of employees Industry White collar, grey collar, blue collar Plan design Deductible, coinsurance, maximums, benefits selected
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/ Salary Increase vs Health Benefits Impact to Employer Salary IncreaseBenefit Plan Adjustment$2,000 EI$48N/A CPP$100N/A WSIB$45N/A Sales Tax (8% Ont)N/A$160 Total$2,193$2,160 Difference-$33
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/ Salary Increase vs Health Benefits Impact to Employee Salary IncreaseBenefit Plan Adjustment$2,000 EI($35)N/A CPP($100)N/A Income Tax($514)N/A Take-home$1,351$2,000 Difference+$649
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/ Salary Increase vs Health Benefits
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/ Technology Benefits Now for Plan Sponsors (Employer) Benefits Now for Plan Members (Employee) Mobile App (Claims Submission)
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/ Benefits Now – Plan Sponsor Add/delete employees (real time) Access billing statements View coverage information / booklet Access reports Request replacement cards Ask questions
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/ Benefits Now – Plan Member Submit claims online – quick and easy – no receipts Access information about coverage / booklet View claims history and eligibility Sign up for direct deposit for claims payments Print temporary drug cards, out of country emergency assistance cards and claim forms Update personal information (not including salaries)
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/ Mobile App Convenient and user-friendly app to submit claims. Snap photo of receipt and submit for processing. Navigate through policy information View personal profile and coverage summary Track pending and processed claims Manage list of registered providers
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/ How to get access to Co-op Guard and Group Benefits? For every need you have: contact your local Co-operators’ Advisor If you don’t know who your local Advisor is, please contact: StrategicClientManagement@cooperators.ca StrategicClientManagement@cooperators.ca or communications@canadianworker.coop communications@canadianworker.coop
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