Benefits fraud occurs when providers, facilities, clinics, or individuals intentionally submit claims with inaccurate or misleading information about the services or treatments provided. The most common types of benefits fraud include: Billing for services not rendered Up-coding of goods or services Submitting false claims Unbundling Excessive or unnecessary services Kickbacks Falsifying patient records Co-pay activities […]READ MORE
Concerns about COVID-19, the novel coronavirus, may cause employers and employees to wonder about the impact this virus may have on their health benefits plan. As a general rule, group insurance policies will treat illness due to COVID-19 as any other medical emergency. There is no exclusion related to the COVID-19 epidemic versus another type […]READ MORE
As of October 9, 2019, Enrol-ME online applications are now accepting e-signatures for plan sponsor and members in all provinces and territories. Previously, “wet” signatures were required in most provinces to designate a beneficiary or to confirm spousal information when applying for Optional CI. Due to changes in the regulatory environment, plan members in all […]READ MORE
Starting Monday, September 30, 2019, plan members who use the myGroupSource claims platform will have access to enhanced features on the ‘My Benefits’ page. The ‘My Benefits’ page will now display more information on covered benefits, including: members’ policy number dependent information tool tips an indicator if additional coverage is available Summary information about Life, […]READ MORE
The Alberta Dental Association and College (ADAC) has released the final version of the new Alberta Dental Fee Guide for January 1, 2018 and insurers will be using this fee guide effective January 1, 2018. For more information, including a copy of the fee guide visit www.dentalhealthalberta.ca. If you have any questions or require further […]READ MORE
On March 22, 2017, Saskatchewan announced that provincial sales tax (PST) of 6% will apply to group insurance premiums. This change will be effective July 1, 2017. According to the Information Notice issued by the Government of Saskatchewan: the sales tax “…will apply to a ll insurance as defined The Saskatchewan Insurance Act…” guidance on […]READ MORE
Help stop the planned taxation of your group health and dental benefits!
Tell the Federal Government NO!
The Federal Government is currently considering taxing employer contributions made to group health and dental plan benefits. At this time, health and dental premiums paid by employers are not taxable benefits for employees. With the proposed changes, employees or employers would pay tax on the health and dental benefits. As individuals, as employees, as an […]READ MORE
Download: GroupSource Postal Strike Protocol – June 2016READ MORE
Download: Important Extended Healthcare Adjudication Changes – Effective April 2016READ MORE