Yesterday, Sun Life was the first Insurer to announce that because of plan members inability to access Dental claims given COVID-19 mandated shutdowns of dental practices (and a subsequent move to emergency only services) that they were refunding their (non-refund/non self-funded) dental plans with a 50% premium credit retroactive to April. This billing premium credit [...]
Although dental coverage today is different from true “insurance”, in that the plan sponsors pay for all the claims members use, plus an administration fee to the Insurer, dental coverage is viewed consistently as one of the most important and highly desirable aspects of an employee benefit plan. Recently, dentistry has been under scrutiny. Insurers [...]
With the drug plan landscape continuing to shift and the idea of sustainability hanging in the balance, managing costs and value for the plan members is what is ultimately at risk. The 2019 Canadian Leadership Council on Drug Plan Partnerships recently hosted a roundtable discussion on the drug benefit and how it is an ongoing [...]
Recently, Green Shield Canada (GSC) came out with their 2014 Health Study. This was an innovative look at the trends this large Insurer is seeing in their block of business. The results have been sorted by age bands and includes health claims data; in addition to the more familiar drug data. High level, we learned [...]
Canadians love to travel. But, travel insurance issues abound as new insurance provisions or clarifications of existing adjudication practices, are forcing plan sponsors to revisit their communication to plan members. Starting off with the first payer; (the Provincial Medical Plan) in this case, the Ontario Ministry of Health and Long-Term Care, visitors to that website [...]
