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FAQ and Forms

Provincial health insurance a prerequisite for plan members

Claims, Insurance & Taxes

To be an eligible participant in a Co-operators group benefits plan, plan members and their dependants must first have provincial health insurance, and work and reside in Canada. Ensuring it’s in place is the responsibility of plan administrators.

Some provinces have waiting periods (up to three months) before new residents receive provincial health insurance. The Co-operators allows enrollment during the provincial plan waiting period if plan members can provide proof of valid provincial plan replacement coverage. Provincial plan replacement coverage can be purchased through Allianz Global Assistance. It’s essential that you make sure your plan members (and their dependants) have provincial coverage in place prior to enrolling them in the group benefits plan. For more information, contact your Group Benefits Advisor.

Protect your benefits plan from rising costs

Discover some of the options available to help control drug costs without compromising the value of a benefits plan for your employees. Read more at cooperators.ca

Employment Insurance (EI) changes require contract update

Learn how the recent EI waiting period changes impact your short term disability plan, and the steps you need to take to remain eligible for the EI Premium Reduction Program. Read more at cooperators.ca The Co-operators® used by Co-operators Life Insurance Company under license from The Co-operators Group Limited.

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Looking at Benefit Plans for your business?

Health and Dental Premium Relief Extended for June

Health and Dental Premium Relief Extended for June

The health and dental premium reduction we provided to plan sponsors for April and May gave relief in real-time. In implementing this, it reflected the anticipated decrease in plan member health and dental claims due to pandemic closure of service providers. We...
Support For Small Businesses

COVID 19: Support For Small Businesses In BC

Small Business BC Support For the latest information on small business supports, resources and advisory services during COVID-19, please visit Small Business BC. Advisors are ready to help by phone at 1-800-667-2272, email and daily digital meetups. See how COVID-19...
Prescription Drug Cost

Prescription Drug Costs Breakdown

Understanding the total cost of a prescription drug claims means learning the 3 main components: 1) Ingredient Cost Actual cost the pharmacy pays the drug company or wholesaler to buy the drug. 2) Pharmacy Markup Percentage charged to cover the expenses involved in...
Why we ask for detailed quote information

Why Ask For Detailed Quote Information?

Why we need detailed quote information from your current plan? Detailed Quote Information tells us a story, enabling us to create the right solution Getting involved in a Group Benefits program is different than purchasing a commodity. Most consumers are...
long term disability

Non Evidence Maximums for Long Term Disability plans

ClearBenefits.ca is pleased to announce new Non-Evidence Maximums (NEM’s) for Long Term Disability in our Pooled Programs. The following enhanced LTD Non Evidence Maximum table applies to new business in both our Essentials and Lifestyle programs:                    ...

Medical Cannabis Coverage

Groups with over 100 lives can request to add medical cannabis coverage to their Extended Health coverage. Medical Cannabis Coverage In October of 2018, recreational marijuana will be legalized in Canada. The legalization of recreational marijuana has sparked a...

Experience-Rated Program: Finding Facts

Since the launch of our Experience-Rated Program, we get asked to provide both Pooled and Experience-Rated quotes. We believe the 1st priority is to understand the client need and what outcome they are trying to achieve. Fact-Finding - A Better way to do...

ClearBenefits.ca Pooled Programs – YTD Performance

We just completed our monthly review and thought I would share an update on the YTD performance of the pool: Fiscal year-end: Nov 30 Renewal rate implementation: June 1 As of August 31, 2018 we are 9 months into our fiscal year Claims are below target for...