Enhanced Health & Dental Benefits Inc. Enhanced Health & Dental Benefits Inc.
Enhanced Health & Dental Benefits Inc.

FAQs

Traditional Insurance Program vs.
Private Health Services Plan

Traditional Group Insurance

 

Private Health Services Plan

Not flexible » Flexible
Employee are provided the same benefits regardless of their needs.   Employees are provided an annual maximum claim limit which they can use for any qualifying Health or Dental Expenses.
No control at renewal » Full control at renewal
Employer has no control over Premium increases.   Claims limits are set by employer.
Many limitations and exclusions » Few limitations and exclusions
Group insurance contains dollar and/or percentage maximums per benefit class.   All expenses that qualify under the Income Tax Act are covered at 100%, up to the employee's prescribed maximum benefit limit, without exclusions.
Benefits are not easy to quantify » Benefits are easy to quantify
Employees have difficulty measuring and understanding the value of their benefit plan.   Benefits are defined by the employee's prescribed annual claims limit.
Hard to understand » Easy to understand
Benefits contain exclusions, limitations and co-insurance.   All expenses that qualify under the Income Tax Act are covered at 100%, up to the employee's prescribed maximum benefit limit, without exclusions.
Not completely tax effective » Completely tax effective
Expenses not covered by the plan are paid for with the employee’s after-tax dollars.   Employees are reimbursed for all expenses, up to their prescribed annual claims limit, on a tax-free basis.
Premiums » Deposits
If all benefits are not utilized, premiums are not refunded.   Any amount not utilized by the Employee is utilized to reduce future deposits. 
Higher long term cost » Lower long term cost
Insurance companies build a 20-35% profit margin into their rates.   Cost to operate plan is 10%.
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