Private Health Services Plans (PHSP) for Groups


Forms for Group Plans

Manual Claim Form (for Group Plan Employees)

Spreadsheet Claim Form (for Group Plan Employees)


Overview

If your business has grown to the size of a dozen or more employees, you will be concerned with privacy implications of employees submitting their family claims to you or someone on your administrative staff. Similarly the clerical handling of claims and payment cheques will be an annoyance you could avoid. Brock Health can address these issues. Your employees can submit their claims directly to Brock Health for processing. They still get the rapid reimbursement they've come to expect from us. We offer either Direct Deposit or cheques mailed straight to your employee's designated address.


Features of a Brock Health Group PHSP

• The 5% administration fee remains the same as the Pay-as-You-Go plans

• Your employees submit claims directly to Brock Health for reimbursement
   relieving privacy concerns and the administrative burden of issuing    cheques for every claim.

• You still set dollar value limits for each employee or group of employees to    cap your business liability and secure your ability to budget and forecast    expenses. Brock Health will manage the claims administration.

• Reimbursement to employees is immediate upon claims adjudication.

• Group plans are pre-funded by either the popular Threshold method or    the Annual Lump Sum payment on account.

• All of your funds will be used to support claims by your employees. Any    unused balance is rolled forward to support claim costs in the subsequent    year.

• Employees can select Direct Deposit or cheque via Canada Post for their    reimbursements.

• Reporting can be as frequent as you need. Monthly, if claim volume    warrants, or annually if you wish to minimize correspondence.

• Should you choose to close your Group Plan with Brock Health, the    balance of your funds will returned to your business in full without fee    within 10 banking days.


Enrolling in a Group PHSP with Brock Health

The enrolment in Group Plans is almost as simple as the Pay-As-You-Go plans. We still use the same Enrolment Form and Appendix A - Eligible Claimant Information. We also have an Appendix B to specify the configuration details of your Group Plan. As a Group Plan can be customized in a number of details, please call us toll free at 1-866-959-7483 to set up your plan today.

Enrolment Form

Appendix A - Eligible Claimant Information

Appendix B - Group Plan Configuration


Making a Claim under a Brock Health Group PHSP

A Group Claim form is a simple listing of the employee's expenses with a header of essential information to identify the specific claim. As a low cost provider of PHSP services, Brock Health does not provide printed pads of claim forms. Employers are encouraged to have their employee's download this form or spreadsheet to document their claims.

Manual Claim Form (for Group Plan Employees)

Spreadsheet Claim Form (for Group Plan Employees)

Funding your Group PHSP

With Group Plans as with the Pay-As-You-Go Plans, Brock Health still makes immediate reimbursement payments to your employees. As such, the plans need to be pre-funded to cover these payments. There are 2 ways to do this.

The Threshold funding option allows you to specify a starting amount and a threshold amount. Your employees draw down the balance of your starting amount as they submit claims. Once the balance of your account drops below the threshold value, Brock Health will issue an invoice for a refill amount. These pre-set amounts are defined during the set up of the plan and can be adjusted at any time based on the anticipated or historical claim activity. This funding option minimizes the commitment of your operating capital.

The Annual Lump Sum funding option is the simplest method if minimal interaction is your objective. We will roll over any unused funds and deduct them from the required payment for the subsequent year.

Brock Health will work with you to define a funding program that provides the greatest benefit to your employees with the least impact on your finances.


Reporting Options for your Group PHSP

The reporting options determine the applicability of a Group Plan for the size of your business. A minimum claim volume is required each month to justify printing a report. As always, Brock Health is managing its costs to keep your fees the lowest possible. Since generating unnecessary reports is avoidable, Brock Health will mail monthly reports only to those accounts where minimum claim activity is met. An annual summary of activity is provided in the form of tax receipt suitable for tax purposes. This is mailed to all customers including those with Pay-As-You-Go Plans.


Other Considerations

For larger organizations, other kinds of complementary insurance options can make sense. While we don't sell other insurance products, Brock Health can make referrals to other organizations with which we and our other customers have done business.