An Innovative and Highly Performing Solution
Controlling the costs of a group insurance plan is one of the main human resources concerns for many companies with 5 to 49 employees. To address this major challenge, AGA Benefit Solutions has developed several pools for these clients, specifically designed to better meet their expectations.
Our ELITE Pool
Why Join?
Substantial Savings Combined with Sustainable Stability
Through our pool, businesses can achieve substantial economies of scale, including an average reduction of 10% of their administration fees while ensuring the viability of the pool and the stability of future renewals.
Average savings of 12% on actual premiums are obtained for new clients combined with rates guaranteed for up to 24 months.
Cost Control Measures
To ensure the pool’s sustainability and stability upon renewal, AGA applies the best cost management practices to the pool, including:
- pay direct drug card;
- mandatory generic substitution;
- prior approval of exception drugs;
- educating members on the responsible use of medication;
- 90-day supply for chronic conditions;
- Free pharmacogenetic analysis offered in case of disability.
These measures lead to:
- A lasting reduction of costs;
- Greater stability upon renewal;
- A better understanding of the plan by members.
And it works! The pool has a significantly higher average duration of prescriptions (more than 40 days) than many provincial averages. Insured persons therefore adopt healthy consumption habits for their medications.
Eligibility
ELITE pool is offered to businesses:
- with 5 to 49 insured employees at the time they apply to join the pool;
- insured with the same carrier for at least 24 months;
- not part of a pool, and with a favourable health care claim experience*.
The carefully selected groups become jointly responsible for the experience results but also for the evolution of the products and services offered in the pool.
* Restrictions apply. Contact an AGA Representative to validate your eligibility.
Advantages
- Highly flexible effective date:
- Your renewal is scheduled over the coming weeks? Compare the renewal terms negotiated with your current insurer to the ELITE proposal!
- You just completed your renewal exercise with your current insurer? It’s not too late! You can join the ELITE pool within six months of renewal and take advantage of the savings provided for in the agreement.
- The pool is administered on the AGA +PLUS platform.
- Integration with Cangaroo human resources software.
Exclusive Pools
AGA also set up pools exclusively for certain industries or associations. To learn more, click on the links below:
Would you like to learn more about our products and services?