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Critical illness insurance as an employee benefit: Explained

SUMMARY

With rising cases of critical illnesses in Canada, a group critical illness insurance plan gives a financial safety net to an employee who needs it. Depending on the insurer and plan that an employer chooses, group critical illness insurance plans can cover 25+ critical illnesses.

IN THIS ARTICLE

The bad news is that critical illness is on the rise in Canada. The good news is that survival rates are also increasing. Canadians who have a heart attack are more likely to survive it with the right kind of medical intervention. In fact, the survival rate for cancers is also on the rise—again, due to medical advances and interventions. And that’s where a group critical illness insurance comes in. It gives employees the opportunity to get the right kind of medical help when they truly need it. 

We know that employees’ health can have a major impact on their work. We also know that with advancement in medicine, treating critical illnesses has become easier than ever before. Both these factors make group critical illness insurance an integral part of an employee benefits plan. Let’s find out more about it. 

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What is group critical illness insurance?

Group critical illness insurance is a lump sum benefit paid to an employee who has been medically diagnosed with a qualifying critical illness. Insurers will typically list the illnesses covered under a group critical illness insurance plan in the policy document. 

As mentioned above, critical illnesses are on the rise. But so are survival rates. This means that there is a growing need for help in covering the costs associated with a critical illness recovery process. And this is precisely what employee critical illness insurance does.

How does group critical illness insurance work?

With group critical illness insurance, an employee will get a one-time lump sum payment if they receive a medical diagnosis for a critical illness after the policy comes into effect. Most employers offer group critical illness insurance to all their employees who have successfully completed a waiting period that can vary between 30-45 days. 

Unlike life insurance, the payout for critical illness doesn’t happen after an insured employee’s death. It’s a benefit that is given to them to help with the immediate financial burdens of a critical illness. Most insurers will offer plans that cover serious illnesses such as cancer, heart attack, stroke, paralysis, kidney failure, and more. 

What does group critical illness insurance cover?

Every insurer has a fixed list of serious ailments that an employee critical illness insurance covers. Employees can either get basic coverage with 3-4 illnesses covered or enhanced coverage with 25+ conditions. 

Basic group critical illness coverage includes:

  • Cancer
  • Heart attack 
  • Stroke 

Enhanced employee critical illness insurance coverage includes:

  • Acquired Brain Injury
  • Aortic Surgery
  • Aplastic Anemia
  • Blindness
  • Bacterial Meningitis
  • Cancer
  • Coma
  • Coronary Artery Bypass Surgery
  • Dementia, including Alzheimer’s Disease
  • Deafness
  • Heart Attack
  • Heart Valve Replacement or Repair
  • Kidney Failure
  • Loss of Independent Existence
  • Loss of Limbs
  • Loss of Speech
  • Major Organ Failure on Waiting List
  • Major Organ Transplant
  • Motor Neuron Disease
  • Multiple Sclerosis
  • Occupational HIV Infection
  • Paralysis
  • Parkinson’s Disease
  • Severe Burns
  • Stroke (Cerebrovascular accident)

What does critical illness insurance cover

Are employee critical illness insurance plans a taxable benefit?

Any premium for group critical illness coverage that is paid by the employer will be a taxable benefit for the employee. Since the employer is paying the premium, it will be considered to be additional income for the employee. This means that the employee will have to report it on their tax return. 

However, if an employee is diagnosed with a critical illness, the benefit that they will receive will be tax-free. The tax liability is only on the premium amount. 

Importance of group critical illness insurance for employees

Canada has a well-defined and regulated healthcare system. But provincial healthcare plans are not comprehensive and might not cover some of the costs associated with an illness. That is where a group critical illness insurance plan plays an important role. 

Apart from being relatively inexpensive when compared with individual critical illness insurance plans, employee critical illness insurance also doesn’t require a medical examination. Employee critical illness insurance benefits can help with: 

  • Exploring new medical treatments for a critical illness 
  • Replacing lost income while an employee recovers from an illness 
  • Transportation to and from hospitals and rehabilitation centers
  • Extra help that may be required at home for the employee’s care or childcare
  • Modifications or renovations at home to accommodate a critically ill member of the family

Is group critical illness insurance worth it?

Employees are arguably the most important factor to an organization’s success. Employers who value their workers should absolutely offer group critical illness insurance as part of employee benefits. Employee critical illness insurance will add to an organization’s hiring and retention strategy and will help them stand out as an employer of choice for top talent. 

Let’s look at the data for just cancer:

  • The Canadian Cancer Society estimates that an average of 655 people in Canada would be diagnosed with cancer and 238 would succumb to the disease each day
  • Depending on the type of cancer, monthly treatment expenses can range from $253 to $550 

Most people who are diagnosed with cancer might have to stay home or in a hospital leading to wage losses. Keeping this in mind, offering employee critical illness insurance is the right step for any empathetic employer. 

Integrating group critical illness insurance in an employee benefits plan

A critical illness can be a mentally and emotionally difficult time for an employee and their family. Navigating the process to recovery—from hospital visits, to medication, and recovery—can take a toll on the employee and their loved ones. At such a time, offering a group critical illness insurance cover can make all the difference. 

Our licensed and expert advisors will help you understand how to integrate a group critical illness insurance plan to your employee benefits package. Speak to us today to get started. 

Frequently Asked Questions

How is group critical illness insurance different from individual critical illness cover?

The main difference between group critical illness insurance and individual critical illness cover is that the former offers coverage to all the employees of an organization while the latter is only for the individual who purchases the policy. Other differences include the premium amount which is inexpensive when it comes to group cover.

How does group critical illness insurance provide financial security to employees during critical health crises?

Group critical insurance cover can help replace the lost income for the duration of the illness. It can help families take care of immediate costs such as for rent, mortgage, and even everyday things like groceries. The payout from a group critical illness insurance plan can also help with the treatment and recovery process of the employee.

Are there disadvantages to an employee critical illness insurance plan?

A group critical illness insurance plan can have lower coverage when compared to the amounts available under an individual plan. In group critical illness plans the premiums  can increase with age. 

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Call us at 1-888-601-9980 or book time with our licensed experts.
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KEY TAKEAWAYS

  • A group critical illness insurance gives employees the opportunity to get the right kind of medical help when they truly need it
  • Group critical illness insurance is a lump sum benefit paid to an employee who has been medically diagnosed with a qualifying critical illness
  • With group critical illness insurance, an employee will get a one-time lump sum payment if they receive a medical diagnosis for a critical illness after the policy comes into effect
  • Employees can either get basic coverage with 3-4 illnesses covered or enhanced coverage with 25+ conditions

By Jiten Puri
CEO & Founder, Insurance Advisor, LLQP
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