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Benefits built around the people in your business.

Health, dental, life and disability options for eligible employees through an employer-sponsored plan.

Want to talk now?905-573-7471

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WHAT IT DOES

A structured plan instead of an ad-hoc arrangement.

Most small employers start informally. A group plan replaces that with defined benefits, defined eligibility and a predictable cost — easier to budget and to explain when hiring.

01

Helps eligible employees access health and dental benefits

02

Supports life and disability protection for the team

03

Helps the business compete for and retain talent

04

Creates a structured, documented employee benefits program

What a plan provides depends on its design, the insurer’s terms, eligibility rules and any waiting periods.

WHAT IT MAY INCLUDE

Common areas of coverage.

Extended Health

Prescription drugs, paramedical services and other eligible health expenses, as the plan provides.

Dental

Preventive, basic and, where the plan includes it, major dental treatment at the chosen coverage levels.

Life and AD&D

Group life insurance and accidental death and dismemberment benefits for eligible employees.

Short-Term Disability

Income replacement for a qualifying absence, for the period and amount the plan sets.

Long-Term Disability

Longer-term income replacement where an employee remains unable to work and qualifies under the plan.

Critical Illness and EAP

Where available, lump-sum critical illness benefits and employee assistance program support.

Benefit categories, limits and eligibility rules vary between plans and insurers. An advisor can confirm what a plan provides before you enrol.

WHAT IT SITS ALONGSIDE

Group Benefits sits alongside your commercial insurance, not inside it.

Benefits are a separate program from the policies written around the business itself, and they are separate again from statutory obligations.

Commercial General Liability

Claims by third parties arising from your operations, which sit on the commercial side entirely.

Commercial Property

The building, equipment and contents the business owns or leases.

Workers’ Compensation

Workplace injury obligations in Ontario, which are dealt with through a separate statutory scheme.

Individual Life and Disability

Personal policies an employee owns directly, which a group plan does not replace.

Retirement Programs

Pensions and group savings arrangements, which are set up separately from a benefits plan.

Executive Arrangements

Individual arrangements for owners or executives, often structured outside the group plan.

These are general distinctions, not a statement of what any plan provides. An advisor can review how the pieces fit together.

WHO COMMONLY NEEDS IT

The employers who most often put a plan in place.

Group plans are usually available from a small number of eligible employees upward. These are the HIFA industry pages where benefits come up most often.

NOT SURE WHERE YOU FIT?

An advisor can shape the plan around the budget.

Tell us how many people you employ and what you want to offer. An advisor can review the plan design and the options with you before you approach insurers.

Want to talk now?

905-573-7471

HOW BENEFITS MAY BE USED

Two situations worth understanding in advance.

Health and Dental Expense

An eligible employee submits a dental or paramedical expense under the plan.

Where the expense is eligible under the plan and the employee meets the plan’s rules, the benefit may be payable at the coverage level chosen, subject to any deductibles, maximums and frequency limits that apply.

Disability Absence

An employee is unable to work for an extended period and applies for disability benefits under the plan.

Where the absence qualifies under the plan’s definition of disability and the elimination period is satisfied, a benefit may be payable for the period the plan provides.

Illustrative example

Illustrative only. These are not a statement of what any plan provides. Every claim is assessed by the insurer against the plan in force.

WHAT AFFECTS THE PRICE

Two employers of a similar size can price very differently.

THE GROUP

Number of eligible employees

Age and demographic mix

Employee classes and eligibility rules

Industry and occupation

Location

THE PLAN

Benefits included and coverage levels

Deductibles, maximums and frequency limits

Employer contribution percentage

Optional and voluntary benefits

Claims experience, where the plan is experience-rated

Plan design and employer contribution move the number more than anything else. An advisor can model a few options.

WHAT WE’LL ASK YOU

The questions that shape the plan.

01

How many eligible employees are there?

02

What benefits do you want to offer?

03

What percentage will the employer fund?

04

Are there existing benefits already in place?

05

What employee classes or eligibility rules apply?

06

What budget or plan objectives matter most?

Common questions

What employers ask about group benefits.

How many employees do I need to start a plan?
Many carriers offer small business solutions for groups with as few as 2 or 3 employees.
Do I have to pay the entire premium as the employer?
No. Most employers split the cost with employees (e.g., 50/50). Many plans are structured so that the employer pays the health and dental portion while employees pay the disability portion, which is usually done for tax reasons.
What is a Health Spending Account (HSA)?
An HSA provides employees with a fixed dollar amount each year to spend on eligible medical expenses as they see fit, offering flexibility while giving the employer absolute cost certainty.
Can we change our plan if it gets too expensive?
Yes. Plans are reviewed annually. You can adjust co-pays, limits, or coverage modules to ensure the plan remains sustainable for the business.
Is group benefits administration complicated?
Modern carriers use intuitive digital portals for administration, and most employee claims are processed directly via mobile apps or pharmacy direct-billing.
How does a group plan work alongside provincial health coverage?
It sits on top of it rather than duplicating it. The provincial plan covers physician and hospital care; the group plan is what responds to prescription drugs outside provincial programs, dental, vision, paramedical practitioners and medical equipment. Treatment fully paid by the provincial plan is generally excluded from the group contract, so when comparing two plans the differences that matter are in the categories the province does not pay for.

READY TO TALK?

Let’s build a plan the business can actually sustain.

Tell us how many people you employ, what you want to offer and what you can fund. An advisor can review the options before approaching insurers.

Want to talk now?

905-573-7471