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 premiums you pay for through OTIP, or an individual plan one of your Dependants may have, we've got you covered!
Employee Paid Premiums
The premiums you pay for your OTIP medical and dental insurance are eligible to be reimbursed from 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.
When submitting your claim, you can upload a paystub or document from OTIP which clearly shows the premiums paid for EHC/Dental. You can attach this to your claim during step three of the claim submission process. 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.
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. Again, 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 before the end of your claim submission period. Just a heads up though, each monthly premium must be submitted as a separate expense on the claim, and not as one yearly lump sum.
If your premiums have stayed the same, you can submit just one copy of a paystub and we'll refer to that. If those premiums change at any time, the responsibility is yours to provide us with updated information. You can simply add a new document with the associated claim submission.