A Flex Plan for Evolving Needs
How can you meet the varied and evolving needs of the different generations within your workforce?
How can you provide flex benefits without getting tangled up in red tape?
AGA Benefit Solutions Has the Answer!
Businesses are increasingly looking for group insurance plans that are both flexible and modular so that every employee get what they need, without adding to the cost and administrative burden.
The new EVOLUTION modular plan from AGA Benefit Solutions is a simple, technological and smart concept designed specifically to fit in with the current realities of the labour market.
What Types of Businesses Can Benefit from the EVOLUTION Modular Plan?
The EVOLUTION modular plan is intended for groups:
- with 50 to 124 employees covered in health care;
- insured for at least two years with the same carrier (without call for tenders);
- with a favourable claim experience*.
Non-profit organizations and trucking companies are not eligible.
* Some restrictions apply. Contact an AGA Advisor to validate your eligibility.
Evolving Benefits for Each Employee
Through our insurance partners, the EVOLUTION modular plan provides for continued life insurance, accidental death and dismemberment (AD&D), and weekly and long-term disability coverage to protect the financial security of your employees.
With respect to health and dental care benefits, the Evolution modular plan offers three modules: Silver, Gold and Platinum. Each employee is free to select the module best suited to his/her needs; this selection may be changed over time, when a life event occurs or every two years during the re-enrolment period.
Why is the EVOLUTION Modular Plan a Wise Choice?
- More flexible selection of benefits for your employees
- Premium reductions of up to 15% with a rate guarantee for up to 24 months
- Simple and quick implementation with our powerful technological tools, especially for online enrolment
- Communication tools allowing for easy and effective plan administration, such as an Administrator Guide and a Member Guide
- Cost stability and economies of scale through a highly effective pooling approach
Other Advantages for AGA Benefit Solutions Clients
- Ability to add ancillary services such as AGA Assistance (EAP) and the Virtual Clinic
- Implementation of best cost management practices, including:
- pay-direct drug card
- mandatory generic substitution
- prior approval of exception drugs
- educating members on the responsible use of medication
- 90-day drug supply for chronic conditions
- Simple and efficient administration with AGA +PLUS.
Modular Benefit Details
SILVER | GOLD | PLATINUM | |
Health care | |||
Deductible | Nil | ||
User fee | $7 | $5 | $2 |
Reimbursement | 70% | 80% | 90% |
Drugs | Regular list/mandatory generic substitution/pay direct | ||
Hospital expenses |
Semi-private room Reimbursement at 100% |
||
Travel insurance |
Reimbursement at 100% Maximum $5,000,000 per trip Cancellation – Maximum $5,000 per trip |
SILVER | GOLD | PLATINUM | |
Paramedical | |||
Speech therapist, audiologist, physiotherapist, chiropractor, podiatrist, osteopath, psychologist and social worker |
$300/calendar year combined maximum |
$600/calendar year combined maximum |
$900/calendar year combined maximum |
Massage therapist, dietician, occupational therapist, orthotherapist, physical therapist, acupuncturist, homeopath and naturopath | N/A |
$300/calendar year combined maximum |
$600/calendar year combined maximum |
SILVER | GOLD | PLATINUM | |
Vision care | Reimbursement at 100% | ||
|
$100/24 months (12 months for persons under 18) | ||
|
N/A |
$200/24 months |
$400/24 months |
Other expensess (e.g.: glucometer, brace, nurse, therapeutic device, etc.) |
Covered (maximums vary)
|
||
Preventive vaccines | $100/calendar year |
SILVER | GOLD | PLATINUM | |
Dental care | |||
Individual deductible | N/A | $25/calendar year |
Nil |
Family deductible | N/A | $50/calendar year | Nil |
Reimbursement
|
N/A |
80%
50% |
90%
50% |
Frequency of recall exams | N/A | 12 months | 6 months |
Fee guide | N/A |
Current year Province of residence |
|
Maximum | N/A |
$750/calendar year combined |
$1,500/calendar year combined |
Orthodontic care | N/A | Not covered |
Would You Like to Experience an EVOLUTION?
Contact us now to discover all the exclusive advantages of our EVOLUTION Plan.
To get a quote, simply complete our form.
Would you like to learn more about our products and services?