To all CEOs whose staff are enrolled in the OASSIS benefit plan:
We understand that your benefits provider will no longer be operating as of December 31, 2026.
The team at Beneplan are pleased to provide a solution for members of the OASSIS plan effective January 1 2027:
•January 1 2027, groups matching the criteria* below may be moved to Beneplan in partnership with Green Shield Canada and The Co-operators Life Ins Co
•Companies with 20 or more full time staff and their own claims history and quoting package** will be quoted as a separate group, with separate rates, and their own custom plan design to be matched with some deviations as suggested below.
•Companies with no claims history or between 10-20 full time staff will have rates matched as of their October 1 2026 billing, provided they meet the criteria* below, excluding short and long term disability benefits. They will also have a change in plan design as described below.
*Criteria
Please note that all groups are still subject to the contract and booklet language of Green Shield Canada and The Co-operators Life Ins Co:
Businesses / Plan Sponsors
Businesses with an employer—employee relationship will be accepted.
Businesses without an employer—employee relationship will not be accepted. For example, part time workers under 30 hours per week, seasonal workers, contractors, volunteers or other forms of non permanent and non full time work are not eligible.
Businesses must be a “plan sponsor”- meaning they are responsible to pay for their group billing and also responsible for the administration and maintenance of their plan data in line with the contract rules.
Minimums
10 full time employees represents the minimum group size to join this next phase.
Participation
There must be 100% participation in the plan to be eligible. Participation is defined that the plan member is enrolled in all benefits; opt-out of health or dental is allowed provided they show proof of alternative coverage.
o Groups with antiselection will not be accepted.
o Only T4 employees who are full time permanent may join;
o No seasonal employees and No employees under 30 hours / week.
Claims History
Businesses with sufficient claims history will be quoted separately and will be provided with favourable pricing. To request a quote, please have your licensed insurance advisor or broker send the following in to Diane Carvalho, Vice President of Growth to diane@beneplan.ca and cc Kumar Shubham, Senior Analyst, kumar@beneplan.ca:
o Booklet of plan design from both Canada Life & Green Shield
o Last 3 years’ history of claims, premiums and rates
o Recent employee census
o A list of employees not actively at work due to sickness or other leave
Companies without access to their recent claims history through to August 31, 2026, may still be onboarded provided they are open to plan management changes below.
Plan Management
For groups without claims history:
•For groups who wish to maintain their OASSIS plan design from one of their tiers (Value, Standard, Standard+, Enhanced and Enhanced+), the following changes will be made:
o Only three tiers will remain – Value, Standard+ and Enhanced+
o The high-level coverage details will remain the same, such as deductibles, co-insurance and annual limits per category, with exceptions below;
▪The drug benefit will change from $300,000 per lifetime limit to a $6,000 annual maximum per person in the family, per calendar year. The prescription allowance will include coverage for GLP1 anti-obesity medications at $2,000/lifetime.
▪Paramedical benefits will be modified to:
•Value: $300 combined max for all practitioners incl physiotherapy
•Standard+: $400 combined max for all practitioners
•Enhanced+: $500 combined max for all practitioners
•Orthotics coverage will be reduced to $90 every 2 years
•Compression hose will be reduced to $40 every 2 years
o Travel insurance / out of province emergency medical insurance will be reduced from $1 million per year to $1 million per lifetime, 60 days out of country;
o Groups without sufficient claims history or underwriting information will be assessed a +10% surcharge to their October 1 2026 billing. Providing claims history would alleviate this rating.
o Life Insurance non-medical-evidence maximum will be $100,000 if they provide no claims history. Health evidence maximums will be quoted on a group-by-group basis based on group size and census.
Groups over 20 lives with their own claims history will be quoted with a custom plan with the following criteria, which may lead to lower rates:
o Prescription medication drug annual allowances:
▪$6000 for 10-30 Full-time Employees;
▪Prescription medicine annual maximum of $7,500 if 31-100 FTEs
▪Prescription medicine annual maximum of $10,000 if 100+ FTEs
▪GLP1s and anti-obesity medicines will be included in the annual drug maximum at $2,000 per lifetime.
oStop loss product and rates are mandatory
oParticipation
▪100% participation if eligible for plan
▪Groups with antiselection will not be accepted; meaning, all eligible full time employees must join the plan in order for the plan to be viable. Members do not have the option to decline the plan unless they can show proof of alternate equivalent coverage.
▪Only T4 employees full time permanent
▪No seasonal employees
▪No part time employees under 30 hours / week
o Life Insurance
▪Non evidence maximums and benefits per current booklet
o Long Term Disability
▪Groups with current long term disability and at least 10 full time staff will be quoted by Co-operators
o Short Term Disability
▪Companies with 10 or more full time staff will be eligible for STD:
Telemedicine and Employee Assistance Program
Green Shield Health will provide Telemedicine and EAP and will added based on groups that currently have the benefit or want to add the benefit, at competitive pricing.
Fees
Premiums billed will include a 10% fee for sales and marketing support, 8% for administration and underwriting, 5% for claims management, and 2% premium taxes.
Surpluses and Deficits
Groups will join the Beneplan Co-operative and companies in surplus after funding an IBNR of 8% of annualized claims will receive up to fifty percent of their remaining net patronage dividend paid back to the plan sponsor. The remaining surplus will be reinvested in the Co-operative for the purpose of reserve and marketing purposes. Deficits will be absorbed by the co-operative and each company in deficit will receive a separate renewal with their own increase in premiums at the next renewal cycle. This is governed by the Beneplan Co-operative Board of Directors and reported in the Annual Report and Financial Statements each year at www.beneplan.ca/transparency
Premiums
Companies over 20 staff with no complete claims history and meeting the other criteria* will be billed the equivalent of their October 1 2026 rates and will be rated separately at their next renewal, scheduled for May 1 2028.
Companies with claims history will be charged rates based on their own group's claims and therefore could receive a reduction in premiums.
•Structure
o Groups will be in their own GSC & BP billing division and will have access to their claims history, booklet, billing and logins
•Billing & Administration
o Each business will have its own separate billing from Beneplan Inc
o Each business will have their own plan administrators and web login to https://admin.beneplan.ca
•Claims
o Health & Dental Claims will continue to be paid by Green Shield Canada under new certificate numbers, and new billing division numbers
o New member ID cards will be issued to each group and member upon transition
o Claims for life insurance will be processed by Co-operators administered by Beneplan
•Implementation Checklist:
o Each business will need to fill out the following forms:
▪1 page master application with Green Shield
▪Beneplan TPA appointment form & Beneplan Co-operative Member Appplication
▪Co-operators master application
o All employee plan members must fill out these forms:
▪Other forms on an as-needed basis
Communication Plan for Benefit Plan Members
•Webinars for Plan Sponsors and Advisors (Employers)
o September 18, 2026 at 2:15pm Eastern
o Monday October 5, 12:00pm noon eastern time / 9:00am pacific time
o Friday October 30th, 12:00pm noon eastern time / 9:00am pacific
•Webinars for Plan Members (Employees of Plan Sponsors)
o Friday October 9, 12:00pm noon eastern / 9:00am pacific time
o Friday October 30th, 1:00pm noon eastern time / 10:00am pacific
Please contact your broker for an invitation to each webinar.
Prescription Drug Advocacy and Integration with Provincial Drug Programs
Beneplan recognizes that the proposed reduction in annual prescription medicine maximum allowances are significant. The goal is not to harm the patient; rather, the goal here is to move the funding of these life saving and innovative medicines to be offset by other funding programs where applicable, including but not limited to government and manufacturer saving programs.
Beneplan's Compassionate Drug Assistance Program has been working since 2016 to help patients throughout this process.
This concierge service is a complimentary part of the package and provides for a one-on-one meeting with plan members impacted by the change.
More information on Beneplan's Drug Advocacy Process can be found at www.beneplan.ca.
Terms & Conditions
This letter is not a promise of risk or a guarantee to pay claims. This is a suggested path forward based on the circumstances. All companies must provide complete and accurate information. Any companies found to have mis-represented their information through deliberate fraud or intention to misuse funds will have their policies revoked and their plans cancelled. Beneplan reserves the right to change rates or coverage criteria at renewal time if the plan is running at a deficit.
Contact
Brokers and agents of record representing each business are to contact Diane Carvalho diane@beneplan.ca
About Beneplan
Beneplan Inc is a third party administrator owned by Navacord, who is Canada's 2nd largest insurance brokerage by size. Beneplan has been operating since 1989 and is a licensed insurance agent with several licensed agents representing its plan. Beneplan has administered over $300 million of premiums combined from its inception and has a track record with its respective provincial Financial Regulators, the Canada Revenue Agency and local licensing body.
About Navacord
Navacord is Canada's 2nd largest brokerage by size, representing over $2 billion of premiums in group benefits, and over 100 offices coast to coast. Navacord's 5,000 staff include over 2,000 licensed insurance represented, all governed by a framework of accountability and to protect Canadians' insurance plans.
Thank you, Yafa Sakkejha (she/elle) LLQP FSRA License 19174693 CEO, Beneplan // Alanna Nish: ea@beneplan.ca Office +1 (416) 863-6718 // +1.800.387.1670 // cell +1 (416) 702-9232 A Navacord Company
500-150 Ferrand Dr Toronto ON M3C 3E5 Canada
