Group insurance brings together, under a single contract taken out by the employer, coverage such as life insurance, supplementary health insurance (drugs, dental care, paramedical services) and short- and long-term disability insurance, for all eligible employees.
Why employers take it on: a competitive plan is a recognized tool for attracting and retaining talent in a tight labour market, reduces absenteeism and presenteeism by giving access to care — including mental health care — and projects the image of a responsible employer. Premiums paid by the employer for the health and dental portion are generally deductible as a business expense.
Avantages : group pricing is generally more advantageous than equivalent individual coverage, with simplified eligibility depending on the size of the group (for the employee: access to protection often without an individual medical questionnaire, generally including dependants, at a lower cost than an individual policy).
Tax advantage compared with the RAMQ: the value of the premiums paid by the employer for the health and dental portion is generally not a taxable benefit for the employee — unlike an equivalent salary increase, which would be fully taxed. An employee with access to a private plan meeting the minimum requirements is also required to join it rather than the RAMQ public prescription drug plan, which generally exempts them from the annual RAMQ premium for that coverage. The group plan thus complements the RAMQ's universal coverage of medical and hospital services, by offering broader drug insurance as well as dental, paramedical and vision care, generally absent from the basic public plan.
Points to consider: coverage generally ends when employment ends, subject to limited conversion rights, and the benefits are negotiated at the group level rather than individualized.
Generally relevant for: businesses of any size wanting to offer competitive employee benefits.