Benefits Ontario (Canada) 1.866.856.6799

The unemployment insurance opportunity will be extended to allow short-term disability to be addressed for the self-employed. Weighing the need and importance to the client should be compared with the cost, as with all insurance opportunities.

In 2010, the Government foresees the inclusion of the self-employed to the employment insurance system in a limited way.

How limited?

Well, actually limited to what makes sense.

As a self-employed person you will not be able to claim for job loss (because you are your own boss), but you will be able to claim for disability, maternity leave, and other medical reasons.

In short, this means that the issue of short-term disability can be addressed, and the analysis should form part of your overall insurance planning.

The system will be voluntary, so an insurance broker should weigh in the importance you as a client would put on short-term disability.

Premiums can range up to $60 per month approximately, depending on income.

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Houston, we have a problem!

And in this case it is the Government botching up a system of disability that should be left to the private disability industry. Huge losses mean innevitable rate increases according to the National Post:

While there is no shortage of agencies that are deserving of increased public scrutiny, a most fitting and early test of the government’s resolve is the Workplace Safety and Insurance Board (WSIB). Funded by employers, the WSIB is responsible for managing scarce tax dollars to provide compensation to injured workers. However, recent losses at the agency — $3.34-billion — threaten to drag the workers compensation system into financial ruin. (more…)

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Why does insurance advice have to be technical and complicated?

Confused yet over your benefit plan choices? Well if you are not, then chances are you haven’t looked long enough. Keep going, and you will be really confused in a short time.

Why do I call this article Benefit Plans Sesame Street Style?

Because we need to get back to basics the more confusing an issue gets. Cut down a few trees to see what we have in front of us. The basic ABC’s and 123′s please!

Okay, here goes the logic behind my approach…..

You call for a benefit plan to ensure you are okay in the event of an illness. Because, after all, who will cover those expensive medical drugs right?

Question: How did you get to a point that you need expensive drugs?

Did you get cancer or have a heart attack or stroke that led to those drug costs?

Yes?

Okay, so were you working before? Are you working now? What if you cannot work?

If you cannot work, would you produce an income to pay the bills? The bills, including any premium for the drug plan you called for! Any bill for that matter?

So, priority number one is covering off the income problem, because without income, forget the drug problem, it pales in comparison.

And, this explains why if you are working for a large company they offer life and disability, medical, and dental, right?

The bottom line is that if you are looking for a benefit plan, you should first be looking to cover off the income need – that is, you need to ensure income or it’s game over. Then, the gravy is how you will look at the drugs and dental expenses.

And, if you are in Ontario, should drugs become a huge issue, there is also the Trillium Drug plan to help.

The United States is looking to move to a system (jury out) that is similar to Canada. Their problems are far greater than ours, as a simple pregnancy can be costly.

Which would be worse: the doc telling you you need a prescription or that you cannot work and earn your paycheque?

We have the luxury of having basic medical care in Ontario, Alberta, and Canada that is far superior to the issues facing Americans, and I hate to say it, we have income problems more than medical plan problems.

It really becomes a question of ensuring your lifestyle is not affected with illness or injury, or other medical issue. After that, it is a need to cover off inevitable expenses as cost-effectively as possible.

And that’s the ABC and 123 of that!

We are here to help – 1.866.856.6799

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Let’s talk about your issues as a self employed contractor, shall we?

If you are an “employee” your company must by law insure you for workplace related injury. This might explain why so many companies are forcing employees to go on contract, and hiring them back at higher wages in lieu of benefits.

And, this is not necessarily a bad thing for you as the contracted employee. There are tax advantages, and if done right, more protection options in areas of disability coverage that will put you in the driver’s seat. Nortel has proven that group LTD is not the be all and end all, and it should send shock waves through the corporate employees to realize they had better take measure to protect themselves. But we are here to focus now on WSIB.

Perhaps your client is looking to cut back on cost, and by hiring companies and contractors, they can avoid the high premiums of WSIB.

Specifically, what are your issues and shortfalls with the WSIB insurance program?

The best little graph I have seen so far is this one that compares the WSIB situation with that offered by private disability:

Workplace Safety & Insurance Board	Private Insurance
On the Job Coverage Only (Work Related Injury plus Illness)	24 Hour Coverage Injury optional illness coverage at Home, Work or Play. Covers any type of injury or illness
Extended Health (Work Related Only)	Extended Health (Blanket Coverage). Alternative to WSIB contracts may offer $10,000 to $100,000 of Accidental Medical Emergency coverage. Group or Individual Extended Health contracts offer blanklet coverage any type of medical coverage to the terms of the contract purchased.
Rehabilitation discretion of WSIBReturn to work with Modified Duties	*Unlimited Rehabilitation Benefit in good contracts, others limited to the limit within the terms of the contract. *Return to work once client is able to return to work in his own occupation thereafter any occupation
WSIB doctor assessment of injury	Clients own doctor assessment
16 sprain & strain coverage	60 day coverage, options for higher sprain & strain coverage or no limit on sprain or strain Non Cancellable contracts with a 30 day wait offer NO limitation on Sprains & Strains
Coverage capped to reflect average industry wage1st year capped at $22, 567.00. Normal Rate for Owner Operator $5.78 per $100 of replacement Income based on net $32,000 of replacement income. Annual Premium $1,849.60	Overall Maximum Combined of $6,000 monthly for both Loss of Income and Business Overhead Expense Reimbursement.Coverage based on Gross or Net Taxable Income. Average Rate for Injury Only Coverage $3.76 per day. Annual Premium of $1,349.88 or $112.49/mo. Add Extended Health Coverage Optional. Annual Premium $2,098.68.
LTD at discretion of WSIB	Long Term Disability to Age 65 or 70 based on any occupation, education, training and skill.
Integrated with CPP	Integrates with CPP
Accidental Death & Dismemberment $300,000	Accidental Death & Dismemberment up to $500,000
Specific to Employer’s Market	Specific to Small Business Owners needs
Mandatory for Employees, Optional for Business Owners
Inflexible to alternate coverage in place.	Flexible. Purchase coverage by assessing your overall needs.

 I would add that the best policies will not force you to find a job outside of your occupation. And, this is important as your earnings increase with talent and experience. Why should you flip burgers at $7 per hour, when you have been trained at a specialty for $50 per hour? Why should you be penalized? Short answer – you shouldn’t!

It would seem there is a whole industry surrounding WSIB, it’s pitfalls, the complications of getting it, etc.

I just spoke to a client in his 30′s that was told by WSIB, that should he qualify, the premium would be 8.7% of his wage.

So, if he earned $3000 per month, the premium would be $261 per month.

Wow!

What would he be getting for that $261?

Well, what he is getting may better be described by what he is not getting.

• If he was in a car accident outside of work and became disabled – nothing.
• If he got an illness such as cancer or a heart attack that rendered him disabled – nothing.
• any other accident outside of work time and duties – nothing again.

The point is, if you are going to insure yourself adequately, why not be in control and be insured for any reason that might cause a disability?

Are you any less in need of money for disability issues not covered by WSIB? No.

As brokers, we are able to access the best disability plans, at the best cost, and these plans are yours.

In other words, good disability policies will be portable, will not be cancellable, and the rates are locked in at the time you take out the coverage.

Some plans can and do pay back a portion of premiums if you cash in, at 25% or 50%, and some allow you to convert them to other forms of income streams at retirement – specifically long term care coverage.

This literally leaves WSIB and it’s offering in the “dust”.

Like all protection, for the money, what is the best value?

Well, it certainly is not the schedule of benefits offered by WSIB.

The company you are contracted with, and that requires you by law to insure yourself, needs to know you are covered. By getting good coverage, they can be given a copy and their liability is over.

WSIB reminds me of an option in life insurance known as AD & D (accidental death and dismemberment).

AD&D will double the amount of insurance if death is caused by accident. So, I suppose if you get diagnosed with cancer, it would be a good idea to drive off the nearest tall bridge to ensure your family gets enough money.

Crazy or what?

Give us a call, and we can take care of your needs properly. 1.866.856.6799

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It was hard to put this topic out there. What would you think of me?

If someone wrote a book called “Insurance for Dummies”, you’d laugh, and if you wanted to really find out how to look at insurance, you might even buy the book.

Part of my website includes an ability to see what keywords folks use to find the insurance issue they are looking for.

Nobody is a dummy! But, if I were looking for something in your field of study then you might know right off the bat that I didn’t have a good grip on the issues, or what I really should be looking for. Right?

Same for insurance. And, the industry is ripe for agents and companies to separate you from your money with piecemeal products that don’t have a rhyme nor reason to really exist.

These products have really high relative premium to what they might, if ever, actually return.

Shame on the insurance industry!

Look at the credit card companies asking you to take out the disability insurance.

You might tell me you have disability coverage, and we look at it, and yep, if you are disabled, the credit card company pays the minimum monthlypayment on your card. Whoopee!! What’s that worth $50 or less? Wow, thanks guys!

And they feed you the “if you don’t have a balance you don’t pay”. Thanks again! Imagine how happy that should make you.

And have you ever oversighted some insurance plan like this and tried to appeal to have the premium returned? Not so easy is it?

Right. The card company will blame the insurer and say they cannot control the insurers policies. Well, who was it that sold me that turkey in the first place?

Live and learn, or do we?

The problem is it is an insignificant issue. The premium though can be significant.

It is not uncommon for families to have a whole bunch of insurance charges for insignificant coverages, and have no basic idea of the important issues like how much will I get in income replacement if I am disabled? How long will it pay? How will it refuse to pay? Will it be enough to keep us in our home?

You know, the big questions.

But, we rarely get that call at 6 PM as we prepare to eat our dinner do we?

No, we get the “Hello, it’s so and so company….thank you for your loyalty…and because you are a good customer, you have an opportunity to take blah, blah, blah for only $8 per month? Would you like some of that?”

Ouch!!!

Would you want your healthcare to be handled that way?

“Hello, this is a medical clinic calling. We would like to offer to remove your appendix because it may need to be one day, so why wait?”

Doesn’t work does it?

Go to the doctor and monitor your health, and if there are issues creeping up work on a plan with your doctor, right?

Well, with insurance, income replacement in the event of death or disability is the goal.  And not $13 minimum card balance payments either – really important income replacement or debt payments like the mortgage and property taxes.

We can do that for you. But we won’t do anything until we look at what it is you might have, and what you need to supplement what’s already in place.

And by the way, you’d be no dummy to want that!

There is ‘No book required! ‘

Do me a favor though…. don’t answer your phone at dinner time again! They probably just want to make a meaningless sale.

We are here it help at 1.866.856.6799, in Ontario and Alberta, Canada.

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