CLHIA-ACCAP

Canadian Life and Health Insurance Facts

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16 Uninsured plans are those where a plan sponsor (usually an employer) provides benefits to a group of people (typically employees) outside of an insurance contract. These plans are often administered by insurance companies or another outside firm. Because these plans are not insured, however, the insurance company does not guarantee benefits. The plan sponsor is responsible for providing the funds to pay claims. Recent federal and provincial legislative changes require that group long-term disability plans be fully insured. This will protect employees on long- term disability in the event of an uninsured plan sponsor's financial stress or insolvency. At the end of 2014, uninsured health plans provided 1.9 million workers with short-term disability income protection; 937,000 workers with long-term disability income protection; more than 5.7 million employees and their 8.4 million dependents with extended health care benefits; and nearly 5.5 million workers and their 7.8 million dependents with reimbursement of dental care expenses. Coverage under these contracts has increased substantially during the past decade.

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