Overview
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 EHC and dental premiums you pay for through OTIP, or an individual plan one of your Dependants may have, we've got you covered!
The details
Employee Paid Premiums
The premiums you pay for your OTIP EHC and dental insurance are eligible to be reimbursed from your Health Spending Account. Keep in mind, only EHC and dental portions are eligible! If you have other insurance benefits outside of health and dental, those premiums won't be eligible. You can read more about 'Member share' premiums here.
It’s important to let us know if your status has changed as this will impact premium amounts. For example, if you move from single to family status, we’ll need an update so we can reimburse your claim properly.
We may ask you to provide supporting documentation with your claim submission. We'll need documentation that shows the amounts paid are ONLY for EHC and dental premiums.
You can include a screenshot from your OTIP My Benefits online portal that shows the full breakdown of your monthly premiums.
You'll find this information in your OTIP portal.
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.
Remember, if those premiums change at any time, the responsibility is yours to provide us with updated information.
Anything else?
Want to learn more about this type of expense? Check out the following articles: