Antony (Tony) Ratcliffe, Independent Insurance Broker

Understanding PHSPs – of interest to business owners

This post will be of interest to business owners, whether a sole proprietor, partnership, or corporation, with or without employees. A Private Health Services Plan (PHSP) allows you to deduct medical expenses, for you, your family, and employees, subject to the limits and rules of the Canada Revenue Agency (CRA).

This may complement personal or group coverage. It could replace it, but that would usually not be recommended. A similar program may be found as part of a insurance group plan, but often not. CRA allows this to operate through third-party, arm’s length, administrators. I represent CustomCare as an independent broker. For an understanding of how a PHSP operates, I invite you to visit their website, starting with the link below. If you have any questions, please direct them to CustomCare or to me. You may feel the urge to sign up right away. If you do, without speaking with me, please mention my name.

Understanding PHSPs

As an insurance agent, I do need to advise you that the PHSP itself is not an insurance product. However, there are two products available to CustomCare clients: Travel & Catastrophic Medical Insurance and Critical Illness Insurance. In fact, the Travel & Catastrophic is a requirement for businesses that are not incorporated to meet CRA rules. See the information for sole proprietors.

Is this new to you? I hope you find it an interesting option. You may have several questions, but please ask.

***

This is the blog of Antony (Tony) Ratcliffe of Ratcliffe Wealth & Risk Management, operating in Edmonton, Alberta, Canada. Tony is an independent Life and Accident & Sickness Insurance Agent and Broker. Blog entries are an expression of the author’s personal opinions, and the insurance companies represented will not be held liable in any way for the opinions expressed herein.

Pre-existing conditions and stability periods in travel insurance

There are two areas where pre-existing conditions and stability periods can affect you with your travel insurance policy. Policies do differ, and I find that one may be better than other for a given set of circumstances. This is an important part of your contract to understand, as it can make the difference between whether or not a claim is paid.

Under the emergency medical and hospitalization, you may be covered for a pre-existing condition, but it must be stable for a specified period of time prior to the day of travel. The stability period will vary by carrier and by age of the traveller. There may be specifics relating to certain illness as well. I have seen 60, 90, 180, and 365 days. There is also a policy with a 7 day period if under age 60 and traveling for less than 36 days, and there is one that is available to business owners and their employees that has no stability period. Here is the bottom line. If you have a medical emergency while traveling that relates to a pre-exisiting condition that is not stable for the required time, do not expect your expenses to be covered. This can be significant. Of course, while you should avoid being in that situation, a claim could be made to allow the insurer to assess whether or not it can be covered. If in doubt about the stability period before the trip, you are encouraged to consult with your physician.

If you purchase trip cancellation and interruption coverage, you need to be aware of the exclusions here. Let’s start with when you have to purchase the coverage. You may be required to purchase the insurance at the time of ticketing or within so many hours or days after purchase. After that time, you may not be able to purchase it from a particular company, while another may add a condition. That condition could be, for example, any condition arising within the 72 hours following purchase of the insurance will not be covered. You can also expect to see an exclusion for conditions that were not stable in a specified period prior to purchasing the ticket or prior to deposits being non-refundable.

The best advice I leave you with is to read and understand your travel insurance policy, particularly relating to pre-existing conditions. If the seller of your policy has only one plan to offer, you may need to make enquiries to ensure it is the best for your situation.

I should also point out the option of a medically underwritten plan. At older ages (55 and 60 as examples), there may be a medical questionnaire to answer. If you cannot qualify based on your answers to the questions, or if you are definitely not stable for the required time, you may be eligible for a medically underwritten plan through at least one insurer. Further consideration is given to your personal situation, and a premium is quoted if coverage can be provided.

Does this sound a little more complicated than you expected? It is!

***

This is the blog of Antony (Tony) Ratcliffe of Ratcliffe Wealth & Risk Management, operating in Edmonton, Alberta, Canada. Tony is an independent Life and Accident & Sickness Insurance Agent and Broker. Blog entries are an expression of the author’s personal opinions, and the insurance companies represented will not be held liable in any way for the opinions expressed herein.

Lots about travel insurance

I had the pleasure of submiting an article on Travel Insurance to the Alberta St. George of England Society newsletter for May 2010. It has now been sent to members, and I am sharing it here. (It is not on the website as of their moment.) This is a little on the long side compared with most posts.

***

When was the last time someone told you this much about travel insurance?

As you plan your trips out-of-province or out-of-Canada, do you ensure that you have an appropriate travel insurance policy in place? Do you consider this for children or grandchildren going away to school, or on trips, and for visitors whom may be coming to Canada? I like to think that everyone does, but it is not always the case. For the stories of people saved from financial devastation, there are the reports of those not so lucky. “Why bother?” some will ask. If you read nothing else, please read about pre-existing conditions and stability periods.

Travel insurance may be for out-of-Canada, but it is often for out-of-province. Reciprocal agreements between the territories cover insured hospital services and insured physician service within Canada, except physician services in Quebec. However, other expenditures not covered may include ambulance, equipment rentals, paramedical services, emergency prescriptions, and additional accommodation and meals. Outside Canada, minimal reimbursement is paid for physicians and hospitalization, with the maximum for hospitalization at $100 per day. Rates will vary around the world, as they do in Alberta, but an example of the daily hospital bed cost at the University of Alberta Hospital for out-of-country visitors is $3,427 ($13,910 for Intensive Care). It is no wonder Alberta Health recommends the purchase of travel insurance.

Have you ever thought that you are in good hands with medical staff when you embark upon a cruise? Of course you do, but who will pay? You will receive a bill for medical services rendered upon the ship. Also, if the condition is more serious, expect to disembark at the next stop unless cleared by a physician to continue. If you must be airlifted mid-trip, who will be paying for that? Extended hospitalization can result in significant financial expense.

Group plans and credit cards may include travel insurance. Examine them carefully. For how many days will they cover, and can the coverage be extended? What is the maximum for emergency medical expenses, and do they cover other associated costs such as bringing a family member to your side, returning your vehicle or motor home to your residence, allowing you to return home for certain circumstances, and even sending you back to your vacation after an emergency that caused an interruption has passed? Examine the exclusions for pre-existing conditions and stability periods. If you have a condition that is not stable within a period of time, including a change of prescription, you may not be covered. The stability periods vary by age and company, but typically they are 3, 6, or 12 months. It can be as low as 7 days (under 60 years of age) with one company, and another (for business owners and employees) does not restrict payment due to pre-existing conditions.

With the recent H1N1 scare, different approaches were taken by insurers. This might have meant full coverage for medical conditions. It might also have meant no coverage for H1N1 related illness or absolutely no coverage for anything if you traveled to the affected area. What would your provider’s position have been? In similar circumstances in the future, these questions must be asked, and don’t accept one answer as representing the whole industry.

The most important coverage is emergency medical and hospitalization, typically from $1 million to $5 million. Trip cancellation covers prepaid costs when you cannot travel, for covered reasons, prior to departure. Trip interruption is there in case your trip must be interrupted or is delayed after you depart. There are also benefits available, or included, such as accidental death and rental car coverage. A sometimes advantageous option is the purchase of a multi-trip policy if you make 2 or more trips, but compare. Student coverage offers special features and a special price when going to school outside of Canada.

Your visitors to Canada should check on plans in their home country before leaving, but direct them to an insurance broker if they arrive without. You should also know that not all policies require purchase at the time of ticket purchase, while some do limit to within so many days of purchase. The key to medical coverage is that you have not left your province, while trip interruption and cancellation will have a couple of other factors to consider. Bon voyage with peace of mind.

***

This is the blog of Antony (Tony) Ratcliffe of Ratcliffe Wealth & Risk Management, operating in Edmonton, Alberta, Canada. Tony is an independent Life and Accident & Sickness Insurance Agent and Broker. Blog entries are an expression of the author’s personal opinions, and the insurance companies represented will not be held liable in any way for the opinions expressed herein.

A company that cares

I called a company with a question about the product I purchased. Left message on voice mail. A short time later, a woman calls back and identifies herself. I said, “it is your signature on the box!” She replies, “that’s why I wanted to call back right away.” Thanks, Julie, that service solidified me as a customer!

This woman knows what it takes to represent her product and keep in touch with the consumers. I predict a quick increase from small company to large supplier.

Travel Insurance video and article

I’m just preparing an article on travel insurance for the newsletter of an association to which I belong. After writing most of the content, I’ve referred back to a video on the subject that we created in my early days in social media. I still like it as a basic introduction to, and overview of, travel insurance. Thanks to Tracey Burkitt of Travel Underwriters and Walter Schwabe of Fusedlogic for their work on this (less than 5 minutes) video.

Click here to view video on YouTube

If you were to ask me what is something significant to consider when purchasing travel insurance, I would want to ensure that pre-existing conditions that may limit coverage are addressed. The stability period required may be 0 or 7 days, or 3, 6, or 12 months. You need to be communicating with your travel insurance provider about this.

***

This is the blog of Antony (Tony) Ratcliffe of Ratcliffe Wealth & Risk Management, operating in Edmonton, Alberta, Canada. Tony is an independent Life and Accident & Sickness Insurance Agent and Broker. Blog entries are an expression of the author’s personal opinions, and the insurance companies represented will not be held liable in any way for the opinions expressed herein.

Business owners can expense medical and dental costs

A Private Health Services Plan (PHSP) allows business owners to expense medical and dental costs for themselves and their employees through their company (even self-employed). I am considering adding one program to my product shelf, but I would like to gauge the potential interest.

I have added a link to a one question survey that asks, “Would you be interested in learning more?” No personally identifiable information is being collected, and the results will suggest whether this is a topic of relevance. Thanks for taking the time to provide the quick response.

Click here to take survey

***

This is the blog of Antony (Tony) Ratcliffe of Ratcliffe Wealth & Risk Management, operating in Edmonton, Alberta, Canada. Tony is an independent Life and Accident & Sickness Insurance Agent and Broker. Blog entries are an expression of the author’s personal opinions, and the insurance companies represented will not be held liable in any way for the opinions expressed herein.

Newsletter: April 2010

It was time for a newsletter for my clients and other readers. I won’t apologize for it being short and to the point, but please ask if you would like to learn more. This edition asks you to understand your travel insurance coverage and limitations.

Newslettter, April 2010

***

This is the blog of Antony (Tony) Ratcliffe of Ratcliffe Wealth & Risk Management, operating in Edmonton, Alberta, Canada. Tony is an independent Life and Accident & Sickness Insurance Agent and Broker. Blog entries are an expression of the author’s personal opinions, and the insurance companies represented will not be held liable in any way for the opinions expressed herein.

Question for HR professionals about benefits!

Some Human Resources professionals deal with employee questions and concerns about their group benefits (insurance, investments, pension), or lack thereof. Whether it be through a seminar, short articles, or other means, what are the questions for which you think they would like to see more answers? By all means, if you are a manager or employee with thoughts on this, please share as well.

***

This is the blog of Antony (Tony) Ratcliffe of Ratcliffe Wealth & Risk Management, operating in Edmonton, Alberta, Canada. Tony is an independent Life and Accident & Sickness Insurance Agent and Broker. Blog entries are an expression of the author’s personal opinions, and the insurance companies represented will not be held liable in any way for the opinions expressed herein.

World Critical Illness Insurance Road Show

The 2010 World Critical Illness Road Show came to the Fairmont Hotel Macdonald in Edmonton yesterday, and I had the opportunity to attend. Until last year, there have been six World Critical Illness Conferences held within Canada. The Road Show is visiting different locations across Canada for 2010. Next year, the Conference will be held internationally in Phoenix, USA and Taipei, Taiwan (as well as in Victoria, Canada).

We had a number os speakers adressing critical illness insurance, business practise, and motivation. Most of the messages were not new, but they reinforced what I already know: critical illness insurance and other living benefits will pay the bills that no one else will want to. By the way, Canada is the only country where this coverage can be obtained with a refund of premiums if you do not claim!

I’ve written about critical illness insurance before. If you want to know more, just ask and I will write more!

***

This is the blog of Antony (Tony) Ratcliffe of Ratcliffe Wealth & Risk Management, operating in Edmonton, Alberta, Canada. Tony is an independent Life and Accident & Sickness Insurance Agent and Broker. Blog entries are an expression of the author’s personal opinions, and the insurance companies represented will not be held liable in any way for the opinions expressed herein.

Disability solutions for self-employed, unemployed, low earners, students, retired

As one of the ‘living benefits’ in insurance, we often speak of income replacement in the event of disability. We look to coverage through group benefits at work, and the benefits of a personal policy cannot be underestimated. However, there are people whom would typically be missed by such coverage. The newly self-employed, unemployed, those with low earnings, students, and the retired may not be eligible for traditional disability plans, yet they still could benefit from payments in the event of disability.

There is at least one solution that I like to discuss with clients. It provides accident and/or illness coverage (there are more qualification factors for illness) and will provide a level of benefit for those otherwise without disability insurance. While greater amounts are available to those with higher incomes and full-time employment, I position the basic coverage as being there to cover the rent, mortgage, or other living costs (usually $1,000 available). There are, of course, conditions and limitations that must be reviewed, but it is worth having the discussion with an insurance broker if you hadn’t thought of this or thought there was nothing available to meet your circumstances. For the accident only (not illness) coverage, there are few questions and medical underwriting is not required. I hope this gives you something else to consider for your financial protection planning.

***

This is the blog of Antony (Tony) Ratcliffe of Ratcliffe Wealth & Risk Management, operating in Edmonton, Alberta, Canada. Tony is an independent Life and Accident & Sickness Insurance Agent and Broker. Blog entries are an expression of the author’s personal opinions, and the insurance companies represented will not be held liable in any way for the opinions expressed herein.

Subscription Options:

Subscribe via RSS

Categories

Archives