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- The advantages of group insurance (group coverage)
- The advantages of working with a broker: In group insurance: A plan designed to provide coverage to your employees and their families: dental care, medical care, life insurance and disability insurance. Because of the group’s purchasing power, each participant achieves savings compared to the cost of individual coverage. You and your employees can sleep soundly knowing you are protected from unexpected expenses that can sometimes be very high thanks to group insurance or collective insurance.
IMPORTANT TO NOTE FOR GROUP INSURANCE:
- Long-term salary insurance represents the most risky benefit of all benefits offered in group insurance.
- Long-term disability is very expensive; good selection is therefore essential.
- Rates for long-term disability are composed of 3 elements:
- Incidence rates
- The amount of reserves needed to ensure payment of benefits
- The size of the group
Factors that influence rates in group insurance (group coverage):
- Trends in health and dental claim costs
- The group’s past experience, use of benefits
- Benefits chosen, cost of medications, frequency of claims
- Occupational adjustments
- Administrative charges
- The deductible (e.g. 20% of the cost of medication or services)
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Frequently asked questions — Quebec employee group insurance
What is the difference between group insurance and individual insurance?
Group insurance brings together multiple people — employees of the same company — under a single contract negotiated by the employer. Premiums are generally lower than equivalent individual insurance because risk is pooled. Individual insurance, on the other hand, is purchased directly by the person and remains in effect regardless of employment.
What basic coverages make up a group insurance plan?
A standard plan includes: basic life insurance, short and long-term disability insurance, prescription drug coverage, and paramedical care (dental, vision, physiotherapy, psychology). Depending on budget and sector, additional coverages such as travel or accidental death and dismemberment can be added.
How is the cost split between employer and employee?
There is no fixed rule — the split is negotiated freely. Some employers pay 100% of premiums to attract talent. Others share 50/50 or have the employee pay for dependent coverage. In Quebec, premiums paid by the employer for prescription drug coverage are considered a taxable benefit for the employee.
Does group insurance remain in effect if I change jobs?
No. Group insurance is tied to your employment contract. When you leave your employer, you lose coverage. You generally have a 31-day period to convert your group coverage to individual insurance without medical evidence — an important protection if you have pre-existing health conditions.
Is corporate group insurance enough as personal protection?
For most employees, a group plan is a good foundation but rarely sufficient on its own. Long-term disability coverage is often limited to 60-70% of salary. Group life insurance may be insufficient depending on your financial obligations. A financial security advisor can analyze gaps in your group plan and recommend individual supplements.
Are dependents — spouse and children — covered by group insurance?
Generally yes, for an additional premium. Dependent coverage may include medical care, medications and dental care. Same-sex spouses are recognized in all plans in Quebec. Children are covered until a certain age, generally 21 years old or 25 if they are full-time students.
What is the difference between short-term and long-term disability?
Short-term disability (STD) covers the first months of absence due to illness or accident, generally from 17 weeks to 2 years. Long-term disability (LTD) takes over and can cover until retirement age. Both have different disability definitions and distinct waiting periods. In the absence of STD, federal employment insurance benefits often partially cover the initial period.
Does group insurance premium increase every year?
Yes, premiums are reviewed annually at renewal based on the group’s claims experience. A group with few claims may enjoy a stable or lower premium. Conversely, high claims result in an increase. The size of the group also influences volatility — small groups are more sensitive to large individual claims.
Is there a minimum employment period before benefits are eligible?
Yes, most plans have a waiting period of 3 months — sometimes 6 months — before a new employee can benefit from all coverages. Some coverages, such as life insurance, may take effect on the first day. These waiting periods are specified in the employee handbook provided at hiring.
Do unions influence group insurance plans?
Yes, in unionized environments, group insurance coverage is part of the collective agreement and is negotiated between the union and the employer. Conditions may be more generous than in non-unionized companies. Any change to the plan must be negotiated and agreed to by the union during collective agreement renewals.
