Contractual Arrangements
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The employer, whether a corporation or a proprietor, must first decide that it wishes to establish a
Private Health Services Plan (PHSP)
for its employee(s). Note that a
PHSP
is just the name used under the Income Tax Act for what is
commonly called an employee drug and dental benefit plan.
The employer should ensure that it is eligible and what class of employees it wishes to cover. Please see
Who Qualifies?
The employer also has to decide what benefits it wishes to be reimbursable under its own
Self-Directed Benefit Plan
TM
. Should it provide coverage only in Canada or worldwide? A good way to avoid very large out of Canada medical
bills is to restrict the
PHSP
to Canada only, and include the premiums paid for Travel Medical Insurance to
be eligible in its
Self-Directed Benefit Plan
TM.
The employer completes the the
Employer Form
(either online email or by downloading an Adobe document and mailing it to
Bene-D-Duct
). This form instructs
Bene-D-Duct
to prepare a
Benefit Plan Text
that describes your own
Self-Directed Benefit Plan
TM.
This
Self-Directed Benefit Plan
TM
Text is merely a document that precisely outlines the covered benefits, the eligible
employees and other terms that the employer is agreeing to provide to its employees.
The employer should
formerly adopt the Plan and tell the employees of its existence. The employee has the right to see a copy
of the Benefit Plan Text
and ultimately can enforce payment of benefits under its terms from the employer.
For this reason, when it is announced to the employees or as new employees are hired, the employer may
want to formally retain the right to cancel the Benefit Plan
upon written notice to the employee. Once a Plan is cancelled no further liability accrues.
Bene-D-Duct
is not a party to the Benefit Plan Text
. It merely is the Plan Administrator, carrying out the administrative duties required under
the Plan on behalf of the employer.
Bene-D-Duct
has no contractual relationship or liability to the employees of the employer.
As the Plan Administrator ,
Bene-D-Duct
and the employer sign what is called a
PHSP Administration Agreement
. This Agreement outlines the duties of the two parties, the administrative charges made by
Bene-D-Duct
, and other terms regarding the funding of the benefit cheques and other legalities. The
Agreement includes a copy of the Benefit Plan Text
as an Appendix since this describes the plan
that is to be administered.
The duties of
Bene-D-Duct
are:
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Administer the Benefit Plan
by promptly processing and paying valid benefits to the extent of cleared funding provided by the employer.
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Provide quarterly accounting reports
of its administration.
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Notify
Bene-D-Duct
of any changes
to the list of eligible employees or their eligible family members.
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Provide sufficient funding
for the benefit cheques, the administration fees, and the applicable taxes (e.g. GST) to be paid. |
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Contributions
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Site developed by Susan Chen Associates |
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