We can definitely process your Health Insurance Premiums from a different plan (we understand we're not your one and only)! Whether it's the Member Share you pay for through OTIP, or an individual plan one of your Dependants may have, we've got you covered!
Employee Paid Premiums
If your employer offers a Health Insurance Plan, and you pay for it out-of-pocket (usually by deductions on your pay cheque), you can submit those expenses to your Health Spending Account. Keep in mind, only medical/dental portions are eligible! If you have other insurance benefits outside of health and dental, those premiums won't be eligible.
We also strongly encourage you to submit a paystub or document from OTIP which clearly shows the premiums paid for EHC/Dental. This helps our Claims Team calculate the eligible amounts and avoids any unnecessary delays while processing! Just a note that T4s are not acceptable as a receipt.
You can attach this to your claim during step three of the claim submission process.
Individual Health Plan Premiums
For example, if your spouse has an individual Sun Life Insurance Plan, you can submit the monthly premiums to your HSA for reimbursement. Keep in mind, only medical/dental portions are eligible!
What we need:
- A copy of the breakdown - indicating the cost of each portion
- Your coverage period with that Insurance Plan
- Amount you paid - if you pay monthly, we need to know how much you pay per month. If you pay annually, we need the coverage period to calculate your monthly costs.
Provincial Health Plans
Premiums paid to Provincial Health plans, even if paid by you, are ineligible for reimbursement from your HSA.
When to submit
When you submit is up to you! If you pay monthly, you can submit your claim each month after you've made your payment, or you can save them up and submit them. Just a heads up though, each monthly premium must be submitted as a separate line on the claim, and not as one yearly lump sum.