grouped cii
TRANSCRIPT
-
8/4/2019 Grouped CII
1/8
For insurance representative use only.This document is not intended for public distribution.
Protection Solutions
Your guide to
Making Retirement BetterGrow. Protect. Live. Transfer.
ProtectaGrouped Critical Illness Insurancewith Standard Life
For insurance representative use only.This document is not intended for public distribution.
-
8/4/2019 Grouped CII
2/8
Hello.Grouped critical illness coverage (grouped CI) is not agroup insurance plan. A group insurance plan is a group ofemployees covered under a single contract.
A grouped, or common, plan is where the employer putsin place an arrangement whereby employees are coveredunder individual CI contracts as part of a common planinvolving two or more employees.
The employer puts the arrangement in place. The company is the policyholder (or
owner) and the employee is the beneft recipient. The employer pays the premiums,
which are then tax-deductible a big advantage to the employer. The employer-paid
premiums are not taxable to the employee a big advantage to the employee.1
For the employee, the beneft received, should a claim be paid, is non-taxable to them
and can be used at their discretion.
1 ForresidentsoQuebec,theemployer-paidpremiumsareataxablebeneftorprovincialtaxpurposesonly.
The Grouped CI Advantage A Tax Efficient Benefit ArrangementFor the employer, it allows them to offer a valuable benefit to existing employeesin appreciation of work well done, and a way to attract new employees. Thebenefit helps relieve their employee of the immediate financial stress of acritical illness and allows them to concentrate on a speedy recovery.
The employee is free to use the lump-sum benefit as needed to pay themortgage, reduce debt, provide homecare or childcare. The benefit is there forwhen it is needed most.
Standard Lie
-
8/4/2019 Grouped CII
3/8
Standard Lie
Requirements
The ollowing are required to implement this concept and maintain its tax eectiveness:
Two or more insurable employees
Individually issued CI policies
An umbrella agreement under which all the policies are grouped together.
How does Grouped CI work?
The arrangement is considered a GroupAccident
andSicknessPlan or tax purposes. Each contract is
issued on an individual basis. There must be two
or more insurable employees participating (this
is crucial to ensure that the plan qualifes under
paragraph 6(1)(a) o the Tax Act). The employer,
who is also the owner o the policy, pays the
premiums, which are deductible or tax purposes.
The employee is the insured and the beneft
recipient.2
In the event the employee contracts one o the
illnesses covered under the plan, the beneft is paid
tax-ree directly to the employee or their named
benefciary. Once a ull beneft is paid, the critical
illness contract or that employee is over.3
The umbrella agreement
In order to ensure that the plan meets the
requirements or a grouped or common plan
it will need to be documented. We recommend
that the employer distribute a copy o the plan
description to their employees.
2 PleasereertotheollowingTaxing Issuesoradditionaltaxinormation:Grouped CI as an EmployeeBeneft(PC5786B-10-2006)andThe Taxationo Corporately-Owned Critical Illness Insurance(PC5772A-10-2006).
3 Theemployershouldensurethatbeneftsprovidedbythearrangementcannotbeconstruedasperiodicwage-lossbeneftsortheemployee.
The umbrella agreement would document the
details o the plan and its members. In it, the
employer would state that it is implementing the
group accident and sickness arrangement and
would provide a description, including, but notlimited to, the ollowing:
The purpose o the arrangement
Defnition and description o the plan Members
Plan unding (i.e., with the employer paying the
premiums or the individual CI contracts being
acquired)
The type o critical illness policies (i.e., number
o illnesses and amount o the beneft) to be
included in the plan
Record management
Termination o employment
We can oer you guidance on how to set up this
type o umbrella agreement.
Plan membership
The umbrella agreement defnes the employees
who will participate in the plan, known as
Members. These Members may all into dierent
Classes, which will allow the employer to structure
a plan tailored to the employees he has. For
example, there could be an Executive Class made
up o management, and an Ordinary Class o
Members or all other employees. These Classes
will also defne the eligibility o a Member to jointhe plan, based on things such as length o service
with the company and their position.
TIP
Where participants are both shareholders and employees,
they should be able to demonstrate that they participatein the arrangement by virtue of their employment, nottheir shareholding. They should be receiving employmentincome, as reported on a T4 slip.
Protecta Grouped Critical Illness Insurance
Requirements
-
8/4/2019 Grouped CII
4/8
TIP
Each employee Class should havethe same type of plan. For example:
All Executive Members havecoverage under Protecta 65Enhanced for $150,000.
All Ordinary Members havecoverage under Protecta 10 for$25,000 or $50,000.
This is determined by the employerand spelled out in the umbrellaagreement.
Protecta Grouped Critical Illness Insurance
Making it Happen
Making it Happen
We can provide you with suggestions in making the arrangements in the most efcient
manner, rom presentation to implementation.
Applying for the individual plans
Each employee applies or the critical illness policy
and is underwritten on an individual basis. The
employer is the owner/payor and the employee is
the beneft recipient.
The medical underwriting requirements or the
Protecta Critical Illness policies are based onthe age o the applicant (insured) and coverage
amount (see PC4439 UnderwritingRequirements
on Advisor Source), as they would normally be.
However, there will be no CI oered on children
or this type o arrangement.
The type o plan (Protecta 10, Protecta 65,
Protecta 75, Protecta 100), coverage (Protecta
or Protecta Enhanced) and beneft amount are
determined by the employer. These may vary by
Member Class. The coverage is not transerable
rom one Member (insured) to another.
TIP
To facilitate the medical requirements, such as aparamedical or UHIV, we could arrange for the medicalsupplier to be on site for a day for the preliminaryenrolment.
For tax purposes, we would suggest not adding
the Return o Premium on Death (ROPD) or Return
o Premium on Surrender (ROPS) options. There
is also some uncertainty rom CRAs perspectiveabout whether this may cause the arrangement
not to be an A&S arrangement. In any event,
where an employer has deducted the premiums
originally paid, any ROP benefts it receives
generally represent a recovery o these expenses,
and will be included in income.
Standard Lie
-
8/4/2019 Grouped CII
5/8
Protecta Grouped Critical Illness Insurance
Making it Happen
At implementation, applications or the CI
coverage should be submitted concurrently to
establish the necessary group, and ensure there
are at least two insurable lives. New Members willbe added as they become eligible under the terms
o the agreement. All applications must be marked
GroupedCIat the top o the frst page.
Portability and flexibility are keyfeatures of the Grouped CI plan, notto mention CI coverage is not widelyavailable for group insurance. Inaddition, with group insurance, theemployee would be expected to paypremiums, while with Grouped CI, theemployer pays the premiums on theemployees behalf and still deducts thepremiums as an expense.
Rated employees
Reasonable ratings are acceptable under the plan.The employer reserves the right to determine a
Members eligibility under the plan only i that
employee is excessively rated. This is stipulated in
the umbrella agreement.
The employer determines the limits ofthe plan, as it is the employer who paysthe premiums.
Records and statements
The employer should make available a copy o the
agreement to the plan Members or review during
normal business hours. All inormation pertaining
to the individual policies are confdential and must
be kept in a secure place.
All Grouped CI policies will begin with LGCI or
the policy number. Standard Lie will provide
statements to the employer upon request.
As the employer is the owner, all changes to the
individual policies must be signed by the company
representative (as determined by the employer)
and the employee. We would suggest that the
employer assign an individual or this purpose.
Benefciary designations are determined by the
employee (insured), and the employer is obligated
to respect all direction in that regard. This right is
protected under the umbrella agreement.
Termination of employment
I they should change employer, the employees
can assume the policy themselves. Unlike most
group insurance plans that may provide coverage
convertibility at an attained age cost when an
employee leaves, this plan is ully portable with no
change to issue age, beneft or cost.
There is no loss to the employer when an
employee leaves the plan. The employer had
deducted the premiums as an expense, and gained
tax advantages rom doing so.
The employee would now pay the premiums, but
at the same cost the employer paid there would
be no increase.
The umbrella agreement will speciy the terms o
transer o the policy rom employer to employee,
and will cover the unearned premium as well as
the time rame or the transer. The employer
must oer the employee the right to take over the
coverage in writing.
Standard Lie
TIP
Employers could make direct contributions to anindividual or group RRSP for employees who are highlyrated or declined. While this will be a taxable benefit tothe employee, the employee will have an offsetting RRSPcontribution. (Of course, RRSP contribution room needs to
be checked).
-
8/4/2019 Grouped CII
6/8
Standard Lie
Protecta Grouped Critical Illness Insurance
Benefits
This document must not be relied upon as proessional advice o any kind whatsoever.Legal, as well as, proessional advisors should be contacted or advice with respect to anyparticular circumstances.
With Protecta critical illness coverage, i an employee is diagnosed with one o the
critical illnesses covered by the policy, such as heart attack, cancer, stroke, or coronary
artery bypass surgery, and survives a period o usually 30 days, they will receive a lump
sum payment.
The employee is ree to use this beneft as needed to pay the mortgage, reduce debt,provide childcare. It is their choice.
A companys greatest asset is its employees.
Protecta Grouped CI is an important
benefit for employees financial health.
-
8/4/2019 Grouped CII
7/8
Standard Lie
Protecta Grouped Critical Illness
Requirements
Marketing materials to provide employers with:
5864 Protection Solutions Folder
PC 6085 Prospecting letter or Protecta Grouped CI
6084 This is all about Protecta Grouped CI with Standard Lie
6078 Q&A on Grouped Critical Illness Insurance
4776 This is all about Protecta Critical Illness Insurance rom Standard Lie5866 This is all about Protecta Critical Illness Insurance or business owners
4900 Protecta Critical Illness Insurance (At a Glance)
PC 5786 Grouped CI as an Employee Beneft
PC 5772 The Taxation o Corporately-Owned Critical Illness Insurance
PC 5787 Corporately-Owned Critical Illness Insurance
5628 Have you thought about the fnancial impact o a critical illness?
PC 5870 Sample cover letter to doctor
5016 Insurability checklist
5071 Comprehensive Application Form
Marketing materials to provide employees with:
6078 Q&A on Grouped Critical Illness Insurance
4776 This is all about Protecta Critical Illness Insurance rom Standard Lie
5628 Have you thought about the fnancial impact o a critical illness?
5016 Insurability checklist
Feel ree to consult Your Guide to Protecta Critical Illness Insurance with Standard Lie (4213) and
Protecta Critical Illness Insurance (At a Glance) (4900) or more inormation on critical illness insurance.
Marketing Materials
Eastern Region
Central Region
Western Region
Ask about our Business Markets Program
The materials listed below can be used to provide your clients with a kit or the employer
as well as some inormation or the employees. These materials are available, both in
print and PDF ormat, on Advisor Source at www.advisors.standardlie.ca. Printed copies
can be ordered through the regular distribution channels.
Standard Lie
-
8/4/2019 Grouped CII
8/8
Retirement
Investments
Insurance
09-1-00
The Standard Life Assurance Company of Canada
18884994995
Talk soon.
www.standardlife.ca