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Getting Started With Employee Benefits

Whether your business is a startup or well established, starting a benefits plan may seem daunting or out of your current budget. But the great news is that there are alternatives out there, like a health spending account (HSA), that still provide your employees with valuable coverage.


If you’ve never heard of the concept before, an HSA is a specified amount of money that is allotted to each class of employees in your business. The employees are able to use this money for any CRA-approved medical expense.

Here’s an example: 


  • You’re a 10-person startup that wants to offer their employees benefits and have a plan in place to support your growth and attract top talent. Budget-wise, you’re limited as there was no room for benefits in your budget originally. 
  • If you start with an HSA, you may give each employee a set amount (say $500) a year for benefits. As a business you pay-as-you-go, so of the $5,000 of total room given to your 10 employees to spend ($500 x 10), they may spend less than 100% of the money allotted to them. 
  • There is also the ability to set up an HSA to match a traditional plan design for reimbursements. For example, the plan could cover dental claims only at 80% co-insurance or eye exams, but not glasses - the design is up to you! Don’t worry, we can help you design a plan that is best for your business.


Speak to an HMA Advisor today to learn more about adding a Healthcare Spending Account to your business!


Many business owners ask why they would look at traditional benefits after learning about an HSA. Since an HSA can cover health and dental costs for employees, why would you pay for traditional benefits?


There are 2 main factors missing from an HSA that are included in a traditional employee benefits plan: pooled benefits and catastrophic health coverage.


Pooled benefits include life insurance, critical illness insurance, disability insurance among other benefit lines. The rates for these benefits come from your company’s risk level, demographics and an insurance company’s claims experience for each line of business. Since an HSA only covers health and dental, using an HSA on its own will not cover your employees for larger life events such as a disability or illness. As the employee benefit landscape changes, many insurers are moving towards offering an HSA as an added layer on top of their pooled benefits instead of a traditional insured plan.


Catastrophic coverage pertains to covering health expenses beyond a set amount. For example, this will provide coverage for health expenses over $1,000. Think of the first $1,000 spent on health claims as a deductible. By paying a monthly premium, you are able to add this catastrophic coverage to a benefits plan. Your HSA allotment can cover a base amount (say $1,000 per employee per year to match the deductible) and once an employee has spent $1,000 on health claims they can continue having coverage after using up their HSA.


The monthly premium for catastrophic coverage can be significantly less than the premium of a traditional plan, as the biggest part of a traditional plan’s cost is to cover a few health and dental claims from each employee (which an HSA would cover in this case).


Depending on your business's budget, you may want to add an HSA by itself or you may want to include catastrophic health coverage or pooled benefits to further protect your employees. 


To learn more about these options, speak to an HMA advisor today. We are happy to help

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March 11, 2025
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February 18, 2025
As a decision-maker responsible for employee benefits, attracting and retaining top talent is a priority. Offering competitive benefits is essential, and while traditional health insurance has long been the standard, more companies are now turning to Healthcare Spending Accounts. These accounts provide a flexible, cost-effective way to support employees' healthcare needs. A Healthcare Spending Account helps cover out-of-pocket expenses not included in traditional group health plans and supplement payments for partially covered services. It can also be used for deductibles, co-pays, dental and vision care, prescriptions, paramedical services, and medical devices—offering employees flexibility to meet their unique healthcare needs.. The HSA is a tax-free benefit The HSA is a non-taxable benefit, which means any reimbursement an employee receives is tax-free. By using your HSA for eligible expenses, you spend pre-tax dollars instead of after-tax income. This means your money goes further since you’re not paying taxes before using it, giving you full purchasing power. Eligible HSA Expenses and the Canada Revenue Agency (CRA) HSAs are designed exclusively for eligible health and dental expenses. While the list of covered items is extensive, some examples include: Dental Services Vision Care Medical Cannabis Crutches Fertility Treatments Hearing Aids Heart Monitoring Devices For more information about what can be claimed under the HSA, visit the CRA’s website on a regular basis as their list of eligible expenses may be updated at any time. Common types of claims Health or dental claims that have already been maxed out on your benefits plan Expenses not covered by your health and dental plan for you and/or your eligible dependents. Example: Orthodontics Extended Health and Dental premium repayment. If you offer a HSA to your team, they may choose to buy an individual Health and Dental plan and use the HSA to supplement the premium. Popular ways to use an HSA Example: Greg is single and has extended health coverage under his group benefits program and receives $375 in his HSA. During the HSA year, Greg spends $250 on a new pair of glasses and submits a claim under his plan. His plan covers glasses for up to $200 every 24 months. He uses HSA credits to cover his out-of-pocket costs: Amount submitted to benefits program: $250 Amount paid by benefit plan: $200 Expense automatically flows through to HSA: $50  Total annual HSA credits: $375 Amount paid by HSA: $50 Remaining HSA credits: $325 With his HSA credits, Greg is fully reimbursed for the cost of his glasses, and he still has $325 in credits to use for other expenses. Without the HSA, Greg would pay $50 (in after-tax dollars) for the expense not covered by his group benefits program. Incorporating a Healthcare Spending Account into your benefits offering is an effective way to enhance your employees’ healthcare coverage while keeping costs under control. With its tax-free advantages and flexible use, an HSA can be a valuable tool in attracting and retaining top talent. If you’re ready to explore how an HSA can work for your business, reach out to one of our benefit consultants today!
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