REVOLUTIONIZE YOUR WORKFORCE EXPERIENCE WITH THE MOST INTUITIVE GROUP INSURANCE PLATFORM EVER CREATED!
Simply Benefits is a 100% digital Employee Benefits Third-Party Payor (TPP) that allows employees and employers to take better control of their employee benefits management on their own dedicated, user-friendly portal.
In other words — we offer employee health benefits through our portal and make them easy by creating straightforward, accessible, and innovative employee benefits solutions.
Take a peak at the platform for employers and have a look at our Welcome Brochure which is loaded with information and videos.
Say goodbye to shopping for a new benefits plan forever!
A Third-Party Payor assists with various aspects of employee benefits management. We handle administration, benefits plans, billing, employee communication, and the adjudication and payment of claims. Our portal allows employees to access their benefits, view coverage, submit claims, and receive reimbursements. While we don't "hold the risk" or directly provide the benefits, we source competitive pricing by outsourcing parts of your health plan to larger companies. In essence, we offer a streamlined and efficient solution, making it easy to access and manage everything in one convenient place.
Custom Designed for Your Team
We offer benefits that fit your business, whether you have a team of 3 or 500 employees, we have a plan for you. We have some of the most generous benefits packages available at a lesser cost than most providers. We save our clients an average of 15+% on their premiums and offer either a traditional experienced plan, pooled plan (for smaller groups hat have low renewal rates regardless of your usage), or ASO (administrative Services Only for larger groups wanting to self-insure).
Prescription drug coverage
80%-100% Co-Insurance
Select your coverage level, ranging from 80% to 100% of prescription drugs, and enjoy benefits like a Pay Direct Card, online claims, direct deposit, and a convenient smartphone app. It couldn't be simpler!
paramedical services
$500- $750 per service per year
Including Registered Massage Therapy, Physiotherapy, Chiropractor, Acupuncture, Naturopath, Osteopath, Psychologist, and more! The annual benefit amount is not combined, so you’ll have access to all of the providers equally.
Dental coverage
80% Basic 50% Major and 50% orthodontics
Major Dental: Includes - Crowns, Bridges, Inlays, Onlays, Implants, Wisdom Teeth, Dentures
Orthodontics: Braces available for both adults and children up to $2000 (lifetime)
Basic Dental: - Exams, Fillings Extractions Scaling, Fluoride, X-rays, Root Canals
(Endodontic), Gum Treatment, (Periodontal)
Life and accidental death and dependent Life
$25,000 - $250,000 no medical evidence required (based on group size)
The Life Insurance benefit provides basic financial protection to your employees’ (plan member) beneficiaries if the employee passes. The coverage amount can be based on your employees’ earnings (graded), or as a flat amount. The larger the group, the more each individual will qualify without any medical evidence.
disability insurance
benefit up to $10,000/month (Based on 67% of your income)
Short Term - 0-120 days
Long Term - 120 days to age 65
24 Hour coverage for both accident and sickness pays 67* or your eligible income
critical illness benefit
$10,000 - $250,000 without medical Evidence (Based on Group Size)
Heath Attack, Stroke, Cancer, Alzheimer’s Disease, Aortic Surgery, Aplastic Anemia, Bacterial Meningitis, Benign Brain Tumor, Blindness, Coma, Deafness, Heart Valve Replacement, Kidney Failure, Loss Of Independence, Loss Of Limbs, Loss Of Speech, Major Organ Transplants, Motor Neuron Disease, Multiple Sclerosis, Occupational HIV.
Out of Province / Country Travel Coverage
This benefit provides coverage for medical emergencies your employees may experience while travelling out of province or out of country. You can select if you want to offer 30, 60, or 90 day coverage.
Health Spending Account
A Health Spending Account (HSA) is a flexible, non-taxable health benefit. You can set an annual maximum of your choice for your employees. Its primary use is to:
Top-off a service where an employee’s reimbursement amount is less than 100%.
Cover the costs of eligible health expenses not covered under employees’ traditional benefits plan.
Cover the costs of eligible health expenses that have hit their maximum on employees’ traditional benefits plan.
Lifestyle Spending Account
A Lifestyle Spending Account (LSA) is a flexible, taxable benefit (counts as income earned during tax season). You can set an annual maximum of your choice for your employees.
This benefit can be used to buy certain health goods and services, specified by you, that are not included in your employees’ benefits plan (ex. gym membership, ski passes, fitness tracker, etc).
Employee Family Assistance Program
The Employee Family Assistance Program (EFAP) is a benefit that helps employees and their families with immediate wellness and mental health care.
Some of the services EFAP can help with include; counseling & psychotherapy, healthcare navigation, crisis & trauma services, and more.
Virtual Healthcare
Your employees never have to leave home again to speak to a registered nurse. We have partnered with Wello to provide virtual healthcare appointments 24/7. Employees can now get immediate help with:
• Prescription Refills • Urgent Care
• Health Advice • Health Management and More!
