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Employee Group Benefits

Employee Group Benefits

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Make your practice perfect with group benefits for your team.

As a physician, you want to focus on the health of your patients. As a business owner, there's the added responsibility for the well-being of your business.

Take advantage of OMA Insurance group buying power 

With the group buying power of Ontario’s physicians, we designed an affordable and sustainable benefits plan through joining a not-for-profit buying group administered by The Beneplan Co-operative that distributes 100% of income generated from benefit plan surpluses. Beneplan’s pricing model and refund agreements have set the standard for group benefit arrangements in Canada.

Affordable. Flexible.  

The plan is flexible so you get to choose the level of coverage and the cost-sharing arrangement that works for you and your staff. No medical evidence is required when an employee is eligible to join the plan.

Pick the coverage that suits your practice.


Bronze Silver Gold
Life and AD&D
Benefit Amount 1x annual earnings 1x annual earnings 1x annual earnings
Benefit Maximum $250,000 $250,000 $250,000
Non-Evidence Maximum $75,000 $75,000 $75,000
Dependent Life Insurance $5,000 child
$10,000 spouse
$5,000 child
$10,000 spouse
$5,000 child
$10,000 spouse
Long Term Disability
Benefit Amount 66.67% of monthly earnings 66.67% of monthly earnings
Benefit Maximum $5,000 $5,000
Non-Evidence Maximum $1,000 $1,000
Tax Status (Non-taxable) Employee-paid Employee-paid
Extended Health Care
Reimbursement 80% 90% 100%
Prescription Drugs $5,000 per person
per year
$7,500 per person
per year
$7,500 per person
per year
Medical Equipment Covered Covered Covered
Emergency Travel 60 days up to $1,000,000 lifetime 60 days up to $1,000,000 lifetime 60 days up to $1,000,000 lifetime
Paramedical Practitioners1 $250 per practitioner
to a combined family maximum of $750
per year
$400 per practitioner
to a combined family maximum of $1,000
per year
Orthotics, Orthopedic Shoes, or Compression Hose $100 every 2 years $250 every 2 years
Vision Care $200 every 2 years
Dental Care
Reimbursement 80% Basic 90% Basic
50% Major
100% Basic
50% Major
50% Orthodontics
Services Maximum $1,000 per calendar year $1,250 per calendar year, Basic and Major combined $2,500 per calendar year, Basic and Major combined
Dental Scaling/Root Planing 6 units 6 units 8 units
Recall Exams Every 9 months Every 6 months Every 6 months
Orthodontic Services $2,500 lifetime for dependent children


1 Acupuncturist, chiropractor, massage therapist, physiotherapist, chiropodist/podiatrist, naturopath, osteopath, speech therapist, dietitian, audiologist and psychologist/social worker/master of social work


Additional benefits at no additional cost

Personalized Prescription Plan

Personalized Prescription Drugs

This benefit is sometimes called "Pharmacogenomics" which is the study of how genes affect a person's response to drugs. This relatively new field allows labs to combine pharmacology and genomics to develop effective and safe medication dosages which are specific to an individual's DNA makeup.  

Imagine you have an employee who's suffering from depression and they need to go on a psychotropic drug. Wouldn't it be great for the patient to know if they have the pathways to break down Prozac or Wellbutrin or Lexapro?

Learn more about this innovative new benefit.

Compassionate Drug Assistance Program

As the number of Canadians prescribed very expensive medications continues to rise well above the rate of healthcare cost inflation, employees have complimentary access to a Drug Advocate, who specializes in navigating all sources of financial assistance to minimize the patient’s out-of-pocket expenses but also keeps certain high cost drugs from affecting the plan costs.

Pay-direct drug card is a fast and easy way for employees to submit claims for eligible prescription drugs directly at the pharmacy.

Dedicated Customer Service

Smart, friendly, and knowledgeable support is just a phone call away. Our dedicated customer-care line is available from 8 a.m. to 6 p.m. to answer your questions.

Human Resource Advice and Education

A professional Human Resource Advisor at hand and complimentary HR education workshops to help with your human resource needs

Optional Coverage is also available.

Talk to us about the unique needs of your employees. In addition to optional life and critical illness, the plan has the flexibility to offer Health Spending Accounts and other features not found in many traditional group benefit plans. 

Life insurance is available to employees and their spouse in increments of $10,000 to a maximum of $500,000.
Critical Illness coverage amounts of $25,000 or $50,000 is also available for employees and their spouse.

Administration

Plan Administrator Portal Plan Member Portal
Each practice will have Plan Administration level access to the Group Benefits Portal to enrol new employees to their plan, make changes to plan members’ coverage, and see a monthly premium statement.

Sign In

Each plan employee will have their own access to the Green Shield Canada website and mobile application to submit Health and Dental claims, sign-up for Pre-Authorized Deposit, see their coverage and much more.

Sign In



We've made it easy

Contact OMA Insurance to set up an appointment to discuss options that work for you. Our non-commissioned advisors advocate solely for the best interests of doctors and would be pleased to provide a proposal that's right for you and your business.

For more information about OMA Insurance Group Benefits for your employees, contact one of our OMA Insurance advisors at 1.800.758.1641 or info@omainsurance.com.

Benefit plan administered by Beneplan Inc. OMA Insurance is a member of The Beneplan Co-operative and is subject to all bylaws, policies and procedures.