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17 Apr, 2024
Good benefit plans draw in and keep high-quality employees. Providing dental coverage for employees and their families is crucial to staying competitive. However, the expenses associated with this coverage continue to trend upward for employers. The dental fee guide provides recommended fees for various dental procedures and services. Insurers use it as a benchmark for determining acceptable reimbursement levels for dental care. Each province has a dental association that sets their fee guide for the year. In recent years, these costs have grown, leading to higher claims and increases in premium or funding levels at renewal. Although costs have risen across the board, the fee increases for 2024 are more reasonable than those of 2023 and not as high. Below are the fee guide increases announced for 2024 by the dental associations:
17 Apr, 2024
Good benefit plans draw in and keep high-quality employees. Providing dental coverage for employees and their families is crucial to staying competitive. However, the expenses associated with this coverage continue to trend upward for employers. The dental fee guide provides recommended fees for various dental procedures and services. Insurers use it as a benchmark for determining acceptable reimbursement levels for dental care. Each province has a dental association that sets their fee guide for the year. In recent years, these costs have grown, leading to higher claims and increases in premium or funding levels at renewal. Although costs have risen across the board, the fee increases for 2024 are more reasonable than those of 2023 and not as high. Below are the fee guide increases announced for 2024 by the dental associations:
06 Feb, 2024
Understanding the nuances between retirement options like Deferred Profit Sharing Plans (DPSPs) and Group RRSPs is essential for maximizing benefits while minimizing costs. Below we explore the differences, highlighting the advantages of modernized group retirement benefits that prioritize accessibility and low fees, ensuring employees can confidently plan for their futures.
21 Sep, 2023
Imagine this: a protective net cast over our homes, cars, health, and lives to weather life’s storms. So why not drape that same shield over our most significant debt – the mortgage? Mortgage insurance has its appeal, but taking a closer look, term life insurance steals the spotlight when life throws us curveballs.
24 Apr, 2023
Businesses use benefit plans to attract and retain top talent. Offering dental coverage for employees and their families is vital to remain competitive, but costs continue to rise for employers. Each province has a dental association that sets their fee guide for the year. In recent years, these costs have grown, leading to higher claims and increases in premium or funding levels at renewal. The government of Canada has announced a federal dental plan with the goal of covering all uninsured Canadians earning under $90,000/year of family income by 2025. This program is starting in 2023 for uninsured Canadians under 18, persons with disabilities, and seniors within the income requirements. This plan won’t help reduce dental premiums for employers as the plan only pays to uninsured individuals. Employers should continue covering their staff for dental to remain competitive in the talent pool. If the federal dental plan expands its limits enough, employers may choose to focus their benefit dollars towards other employee compensation in the coming years. Over the last five years the dental fee guide has increased, with the largest jump coming in 2023. Dental services are billed at 20%+ more than five years ago, leading to claims rising and higher costs for employers. Here is the average increase in cost of services offered for Ontario over the last five years: 2023 Ontario Average Increase: 8.5% 2022 Ontario Average Increase: 4.75% 2021 Ontario Average Increase: 4.6% 2020 Ontario Average Increase: 1.27% 2019 Ontario Average Increase: 4.19% As prices continue to rise, it’s essential for businesses to use a cost-effective solution for their benefits package. One option is to self-insure the dental portion of your plan (called ASO or Administrative Services Only). There is no catastrophic risk associated with dental, as plan limits, such as $1,500/year per member, are set in the plan design. ASO essentially works as a pay-as-you-go system. Rather than setting a Single/Family premium rate for the year, you only pay claims, adjudication fees and taxes. Compared to an experience rated dental benefit, built-in fees can be significantly cheaper on an ASO platform. Another cost-effective solution, without self-insuring the dental benefit, is to use HMA’s 3G profit-sharing plan. This plan uses the same renewal calculations as any experience rated health and dental plan, but gives back the profit an insurance company would normally receive when claims come in lower than the expected Target Loss Ratio (TLR). For example, if your TLR is 75% and you pay $10,000 as a dental premium for the year, you are expected to claim $7,500. If claims come in below the $7,500 you can receive the difference back through the plan’s profit sharing and loyalty dividends. While higher dental costs are inevitable with the raises to the Fee Guide, using one of the solutions above can help mitigate some of the costs. Your broker should be bringing solutions to the table. Send us a message today for a full no-pressure review of your benefits plan.
30 Nov, 2022
Your business needs great employees to grow, yet the present talent shortage highlights the necessity for effective employee recruitment and retention strategies. A group benefits plan can be a highly effective recruitment and retention tool for employers. There are many methods to make a business more appealing, and here are three reasons why a benefits package can help you attract top talent. Benefits Show You Care A strong benefits package is a great way for a business to demonstrate its care for its employees. When employees feel valued, they are more satisfied with the job, committed to their employer, and motivated to produce quality work. A prospective hire will get a sense of the workplace culture through the company’s benefits package. Promoting wellness improves morale and promotes a great workplace culture, something that individuals are starting to value more when looking for a company to work for. Benefits Can Provide More Value Than a Higher Salary The premiums paid by the employer for a benefits plan are often a tax-free benefit to the employee, unlike an increase in pay that is subject to income tax. When the employee uses their benefits, they can cover costs that would have normally been paid for with their after-tax dollars. On top of tax efficiency, having expenses covered that would have otherwise been paid for out of pocket contributes to financial stability for an employee. This enables individuals to ensure their and their families' well-being without jeopardizing their financial situation. An employee who has previously received benefits from an employer is likely to be aware of the value they offer and will appreciate their significance within the overall compensation package. Not Every Business Is Offering a Benefits Plan Similar to how a business could scan through the resumes of potential employees looking for specific skills or qualifications, a job seeker might scan job advertisements looking for a business that provides a benefits package. Top talent may not even consider working for your company if you don't have a benefits plan in place. Having a group benefits plan helps your business stand out from the competition. To learn more about an employee benefits package, speak to an HMA advisor today . We are happy to help.
22 Apr, 2021
Welcome to blog #2 of the Benefits Plan Basics series. This series explains key benefit terms to help you understand your employee benefits plan and what your advisor should be talking about during your renewal. Reach out to an HMA advisor today to learn more about the following subject or with any other questions you have regarding benefits. Today we are talking about Target Loss Ratio, commonly known under the acronym TLR. The TLR on an insured benefits plan illustrates the percent of health and dental premium that can go towards paying for claims compared to what goes towards the administrative costs of the plan.
two employees
22 Apr, 2021
Stop-loss coverage removes liability from your claims experience after an individual spends a set amount (the Stop-loss level). The cost of stop-loss is either based on a set monthly premium for the number of single/family employees you have on your EHC plan or it is based on a percentage of claims.
22 Apr, 2021
Whether your business is a startup or well established, starting a benefits plan may seem daunting or out of your current budget. But the great news is that there are alternatives out there, like a health spending account (HSA), that still provide your employees with valuable coverage. If you’ve never heard of the concept before, an HSA is a specified amount of money that is allotted to each class of employees in your business. The employees are able to use this money for any CRA-approved medical expense. Here’s an example: You’re a 10-person startup that wants to offer their employees benefits and have a plan in place to support your growth and attract top talent. Budget-wise, you’re limited as there was no room for benefits in your budget originally. If you start with an HSA, you may give each employee a set amount (say $500) a year for benefits. As a business you pay-as-you-go, so of the $5,000 of total room given to your 10 employees to spend ($500 x 10), they may spend less than 100% of the money allotted to them. There is also the ability to set up an HSA to match a traditional plan design for reimbursements. For example, the plan could cover dental claims only at 80% co-insurance or eye exams, but not glasses - the design is up to you! Don’t worry, we can help you design a plan that is best for your business. Speak to an HMA Advisor today to learn more about adding a Healthcare Spending Account to your business! Many business owners ask why they would look at traditional benefits after learning about an HSA. Since an HSA can cover health and dental costs for employees, why would you pay for traditional benefits? There are 2 main factors missing from an HSA that are included in a traditional employee benefits plan: pooled benefits and catastrophic health coverage. Pooled benefits include life insurance, critical illness insurance, disability insurance among other benefit lines. The rates for these benefits come from your company’s risk level, demographics and an insurance company’s claims experience for each line of business. Since an HSA only covers health and dental, using an HSA on its own will not cover your employees for larger life events such as a disability or illness. As the employee benefit landscape changes, many insurers are moving towards offering an HSA as an added layer on top of their pooled benefits instead of a traditional insured plan. Catastrophic coverage pertains to covering health expenses beyond a set amount. For example, this will provide coverage for health expenses over $1,000. Think of the first $1,000 spent on health claims as a deductible. By paying a monthly premium, you are able to add this catastrophic coverage to a benefits plan. Your HSA allotment can cover a base amount (say $1,000 per employee per year to match the deductible) and once an employee has spent $1,000 on health claims they can continue having coverage after using up their HSA. The monthly premium for catastrophic coverage can be significantly less than the premium of a traditional plan, as the biggest part of a traditional plan’s cost is to cover a few health and dental claims from each employee (which an HSA would cover in this case). Depending on your business's budget, you may want to add an HSA by itself or you may want to include catastrophic health coverage or pooled benefits to further protect your employees. To learn more about these options, speak to an HMA advisor today. We are happy to help
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