KEY TAKEAWAYS

  • Group health insurance allows Canadian startups to offer healthcare services that are usually not covered in their employees’ provincial health plans. Apart from this, employee benefits plans help startups in reducing employee turnover
  • A typical group health plan offers coverage for prescription drugs, dental and vision care, mental health care, paramedic services, and online consultation options to employees
  • The cost of group health insurance plans for startups depends on factors like the size of the company, coverage level, reputation of the insurer, and customization options, for instance, including add-ons to your plan
  • To find the best group health insurance for startups, make sure to assess your employee needs, set a realistic budget for the plan, research and compare offerings, and consult with our trusted advisor to help you with the right plan. Purchase the plan and enroll your employees in it
  • You can also get certain tax benefits on group health insurance plans. These include tax-deductible premiums, GST/HST exemptions, provincial tax credits, etc

IN THIS ARTICLE
IN THIS ARTICLE

Group health insurance is crucial for Canadian startups as it helps attract and retain their employees for the long term. Not only this, a group insurance plan also offers comprehensive coverage beyond provincial healthcare, thus providing financial security in times of need. 

Recent data from the Canadian Government shows that 10% to 16% of new startups in Canada hire their first employee within their first year, so startup founders should focus on offering employee benefits from the start.

In this guide, we will explore employee health benefits for startups, how to choose an affordable group health insurance for startups, and the key benefits of offering employee benefits in Canada.

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Why do startups in Canada need group health insurance?

Due to increasing competition for skilled workers and their expectations, group health insurance for startups is crucial to attract and retain employees. Apart from this, having a comprehensive group health insurance in place is also beneficial to get tax advantages for startups. 

Here are some key reasons for startups to invest in a group benefits plan for their team:

Rising employee expectations for health benefits

One of the major reasons to have an employee benefits plan for your startups is the rising expectations of employees. According to the Sanofi Canada Healthcare Survey, 82% of Canadian employees consider health benefits very important when deciding whether to stay with their current company. This makes it evident that employees consider group health insurance essential before joining a company

Talent attraction and retention through group health insurance

Group health insurance for startups not only helps in attracting employees but also in retaining them in your team. Recruiting becomes easier and effective when startups offer comprehensive employee benefits plans. 

Moreover, startups in Canada offering group health benefits report 35% less turnover than those without any plan. Startups health insurance also helps in supporting your employees’ well-being, thus contributing to the overall growth of the company. So, to attract employees and retain them for the long term, especially when you have just started your business, you must get a group benefits plan.

Tax benefits of group health insurance

Group health insurance for startups offers tax advantages for employers. Premiums paid by Canadian businesses are considered tax-deductible business expenses. This means startups in Canada can lower their tax burden by opting for group health insurance for their employees.

Not only this, premiums paid for group health benefits are generally exempt from GST/HST in Canada, reducing the overall tax impact on both parties. GST refers to taxes that apply to most supplies of goods and services made in Canada.

Learn more about group insurance for small businesses

What does a typical group health insurance plan cover?

A standard group health insurance plan in Canada typically includes coverage for prescription drugs, dental and vision care, mental health support, paramedical services like physiotherapy and chiropractic care, and virtual healthcare options. 

These benefits help employees manage everyday health costs and improve overall well-being, making group plans an essential part of a startup’s compensation package.

Group health plans in Canada typically cover the following conditions: 

  • Prescription drugs: A group insurance plan in Canada offers coverage for prescription drugs, helping employees manage their out-of-pocket expenses
  • Dental and vision care: Standard employee benefit plans also cover dental and vision care. These plans include regular check-ups, dental cleanings, basic dental procedures, eye exams, and corrective lens coverage
  • Mental health support: Support for mental health under health insurance coverage in Canada has become important in recent times. Coverage for mental health generally includes counselors, therapists, and psychiatrist services. Employers also offer an Employee and Family Assistance Program (EFAP) for the well-being of employees
  • Paramedical services: Paramedical services include multiple treatments such as physiotherapy, massage, chiropractor services, and acupuncture
  • Virtual care options: Popular particularly after COVID-19, most group insurance plans in Canada offer virtual care services. This includes online appointments for busy employees who struggle to attend in-person appointments

Read more about types of group health insurance plans in Canada

Affordable group health insurance for small businesses and startups in Canada

Many startup founders assume that group health insurance is only for large companies, but that’s a common misconception. In reality, Canadian group health insurance is available for small teams with as few as two employees and can be surprisingly affordable.

Group insurance plans are scalable and flexible, making them ideal for startups looking to provide essential employee benefits. Some providers offer tiered employee insurance plans where the employer covers a basic plan, and employees have the option to pay for additional coverage, such as dental or vision.

You can also customize group health insurance to match your team’s needs and your startup’s budget. With access to over 30 insurance providers, PolicyAdvisor’s licensed advisors help you compare the most affordable health insurance for startups in Canada and choose a plan that works for your business.

How much does group health insurance cost for Canadian startups?

The cost of group health insurance for startup companies in Canada varies based on several key factors, but it doesn’t have to break your budget. With the right provider and plan design, even early-stage startups can offer affordable employee insurance tailored to their team.

Key factors that affect group health insurance costs for startups:

  • Number of employees: Larger teams often receive lower per-person premiums due to risk sharing across a bigger group. However, plans are still accessible for startups with just 2 or 3 employees
  • Level of coverage: Basic health plans are more affordable and cover essential benefits such as prescription drugs and virtual care. Comprehensive plans with dental, vision, mental health, and paramedical coverage will cost more
  • Provider reputation: Leading Canadian insurers may charge slightly higher premiums, but offer added value through faster claims processing, stronger customer support, and better plan flexibility
  • Custom add-ons: Adding optional coverage like life insurance, long-term disability insurance, or Health Spending Accounts (HSAs) can increase premiums, but they also enhance your overall employee value proposition

The cost of group health insurance for startups will vary based on the above-mentioned factors. Typical costs vary between:

  • Basic Plan: $80–$200/month per employee (covers essentials like prescription drugs and virtual care)
  • Standard Plan: $100–$250/month per employee (includes dental and vision)
  • Enhanced Plan: $150–$350/month per employee (comprehensive coverage, e.g., mental health, paramedical services)
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How to choose the right group insurance plan for your startup?

Choosing the right group health insurance for your startup is a critical decision that can impact both employee satisfaction and business success. To find the best fit for your team, consider these essential steps to guide your selection process:

Step 1: Assess employee needs: Start by understanding what health insurance coverage your employees value the most. Conduct surveys or hold discussions to gauge their needs. Different age groups, life stages, and health requirements may shape the type of coverage they require, so this step ensures your plan aligns with their expectations

Step 2: Compare providers and plans: It’s essential to compare group health insurance plans from multiple Canadian providers. Look beyond just premiums, evaluate the coverage options, additional benefits (like life and disability insurance), and the insurer’s customer service reputation. We recommend scheduling a call with our experienced advisors to receive guidance on comparing group health insurance plans from over 30 top Canadian providers and getting customized quotes for your unique needs

Step 3: Look for digital admin portals: A user-friendly digital admin portal can streamline the management of your group health insurance plan. Many insurance providers offer these online tools for easy enrollment, claims processing, policy renewals, and 24/7 support. A digital portal not only simplifies administrative tasks but also enhances your overall experience as a startup owner

Learn more about the different group health insurance plans for small businesses in Canada

Tax advantages of group health insurance for Canadian startups

Group health insurance offers key tax benefits for Canadian startups. Employer-paid premiums are tax-deductible, reducing taxable income, while employee benefits are non-taxable. Additionally, insurance services are exempt from GST/HST, and some provinces offer tax credits and incentives. 

These advantages can lower your overall tax burden and make your startup more appealing to employees.

  • Tax-deductible premium payments for employers: The premiums paid by employers towards their group health cover are tax-deductible business expenses. This means that startups can record this expense as a business expense in their Profit/Loss account, thus lowering their tax liability.
  • Non-taxable benefits for employees: Unlike salary increases, which are generally subject to income tax, group health benefits are non-taxable for employees. 
  • GST/HST exemptions for insurance services: Moreover, insurance services, including group medical insurance, are also exempt from GST/HST, offering a tax advantage to startups. 
  • Provincial tax credits and incentives available to startups: To further enhance the tax advantage, different provinces in Canada also offer tax credits and incentives to startups. 

All these factors can help you reduce your overall tax burden on group health insurance plans while making your startup more attractive to current and potential employees. To maximize these tax benefits for your startup, schedule a call with an insurance advisor at PolicyAdvisor. Our licensed experts will help you compare tax-saving opportunities and find the best group health plan for your needs.

Read more about employee benefits in Canada
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Frequently asked questions

Is group medical insurance for small businesses mandatory in Canada?

No, group health insurance is not legally mandatory for Canadian startups. However, startups can consider covering their employees with comprehensive group benefits for their physical and mental well-being. Moreover, offering group benefits also leads to lower turnover rates and increased employee satisfaction in a company. 

What is the eligibility criteria for group health insurance?

Eligibility for availing group health insurance includes full-time and part-time employees. They typically need to work a minimum of 20-30 hours per week. They must be Canadian citizens, permanent residents, or have valid work permits.

Can employee benefits plans be customized for small businesses?

Yes, group insurance plans for small businesses are highly customizable. Startups in Canada can choose their coverage and plan options, add-ons like mental health or wellness, as well as health spending accounts to customize plans as per their employees’ needs.  

What are the common benefits offered under group health insurance Canada?

Some common benefits offered under group health insurance include health insurance, dental insurance, vision care, life insurance, prescription drugs, mental healthcare, paramedic services, and flexible health spending accounts. 

Do group health insurance plans offer coverage for pre-existing conditions?

Yes, group health insurance in Canada generally covers pre-existing conditions without any waiting period or exclusions. Some common pre-existing conditions include diabetes, asthma, high-blood pressure, arthritis, etc.  Thus, the coverage for such a condition under group health insurance starts from the start of the plan.

What is the minimum group size for a group insurance plan?

To qualify for group health insurance benefits, employers must have a minimum of 3-10 eligible employees in their company. However, if you are a solo-entrepreneur, you can still get employee benefits via Health Spending Accounts, Wellness Spending Accounts, and individual health and dental plans.

SUMMARY

Group health insurance is a must-have for Canadian startups to attract and retain employees by offering them healthcare benefits. Small teams can get group health plans providing basic to comprehensive coverage. Purchasing an affordable employee benefits plan includes researching and comparing multiple providers. With group health insurance, startups get tax benefits as well. Thus, by choosing the right group plan, startups can support employee well-being, save on taxes, and build a loyal team.

Written By
Brandon Jeeteng Chow
Insurance Advisor, LLQP
Brandon Jeeteng Chow is an Ontario-based insurance advisor with over 10 years of experience. He specializes in life, travel, and health insurance, offering expert insight and client-first service to PolicyAdvisor’s readers.
Connect with author
Brandon Jeeteng Chow is an Ontario-based insurance advisor with over 10 years of experience. He specializes in life, travel, and health insurance, offering expert insight and client-first service to PolicyAdvisor’s readers.
Sources:

Innovation, Science and Economic Development Canada. Startup Employer Duration: An Analysis of the Time Until Canadian Startups Hire Their First Employee. Government of Canada, March 1, 2022.

Canada Revenue Agency. GST Treatment of Products and Services of Life and Health Insurance Companies. Government of Canada, February 2013.