The Benefits Committee has determined that the cost of coverage will depend on whether you are under age 65 or over, unless you are not a resident of Canada.
Why? The premium for those age 65 or over (living in Québec) needed to be adjusted since they also pay a premium under the drug plan of the Régie de l’assurance-maladie du Québec (RAMQ), which they automatically join at age 65.
The cost of coverage effective January 1, 2013, is shared as follows:
If you are a full-time employee
If you live in Quebec and do not have vision care
| |
Member contributions (including provincial sales taxes) |
Concordia contributions (including provincial sales taxes) |
| Coverage Category |
Bi-Weekly |
Monthly |
Bi-Weekly |
Monthly |
| Single |
$25.15 |
$54.64 |
$25.15 |
$54.64 |
| Couple |
$47.75 |
$103.74 |
$47.75 |
$103.74 |
| Single parent |
$31.40 |
$68.21 |
$31.40 |
$68.21 |
| Couple with children |
$54.04 |
$117.41 |
$54.04 |
$117.41 |
If you live in Quebec and have vision care
| |
Member contributions (including provincial sales taxes) |
Concordia contributions (including provincial sales taxes) |
| Coverage Category |
Bi-Weekly |
Monthly |
Bi-Weekly |
Monthly |
| Single |
$25.78 |
$56.00 |
$25.78 |
$56.00 |
| Couple |
$49.00 |
$106.46 |
$49.00 |
$106.46 |
| Single parent |
$32.96 |
$71.62 |
$32.96 |
$71.62 |
| Couple with children |
$56.25 |
$122.20 |
$56.25 |
$122.20 |
If you live in Ontario and do not have vision care
| |
Member contributions (including provincial sales taxes) |
Concordia contributions (including provincial sales taxes) |
| Coverage Category |
Bi-Weekly |
Monthly |
Bi-Weekly |
Monthly |
| Single |
$24.92 |
$54.14 |
$24.92 |
$54.14 |
| Couple |
$47.31 |
$102.78 |
$47.31 |
$102.78 |
| Single parent |
$31.11 |
$67.59 |
$31.11 |
$67.59 |
| Couple with children |
$53.55 |
$116.34 |
$53.55 |
$116.34 |
If you live in Ontario and have vision care
| |
Member contributions (including provincial sales taxes) |
Concordia contributions (including provincial sales taxes) |
| Coverage Category |
Bi-Weekly |
Monthly |
Bi-Weekly |
Monthly |
| Single |
$25.54 |
$55.49 |
$25.54 |
$55.49 |
| Couple |
$48.55 |
$105.48 |
$48.55 |
$105.48 |
| Single parent |
$32.67 |
$70.97 |
$32.67 |
$70.97 |
| Couple with children |
$55.73 |
$121.08 |
$55.73 |
$121.08 |
If you live outside Quebec and Ontario (but within Canada) and do not have vision care
| |
Member contributions (including provincial sales taxes) |
Concordia contributions (including provincial sales taxes) |
| Coverage Category |
Bi-Weekly |
Monthly |
Bi-Weekly |
Monthly |
| Single |
$23.07 |
$50.13 |
$23.07 |
$50.13 |
| Couple |
$43.80 |
$95.17 |
$43.80 |
$95.17 |
| Single parent |
$28.80 |
$62.58 |
$28.80 |
$62.58 |
| Couple with children |
$49.58 |
$107.72 |
$49.58 |
$107.72 |
If you live outside Quebec and Ontario (but within Canada) and have vision care
| |
Member contributions (including provincial sales taxes) |
Concordia contributions (including provincial sales taxes) |
| Coverage Category |
Bi-Weekly |
Monthly |
Bi-Weekly |
Monthly |
| Single |
$23.65 |
$51.38 |
$23.65 |
$51.38 |
| Couple |
$44.95 |
$97.67 |
$44.95 |
$97.67 |
| Single parent |
$30.24 |
$65.71 |
$30.24 |
$65.71 |
| Couple with children |
$51.60 |
$112.11 |
$51.60 |
$112.11 |
If you live in Quebec and do not have vision care
| |
Member contributions (including provincial sales taxes) |
Concordia contributions (including provincial sales taxes) |
| Coverage Category |
Bi-Weekly |
Monthly |
Bi-Weekly |
Monthly |
| Single |
$7.60 |
$16.52 |
$29.81 |
$64.76 |
| Family |
$13.30 |
$28.89 |
$57.71 |
$125.39 |
If you live in Quebec and have vision care
| |
Member contributions (including provincial sales taxes) |
Concordia contributions (including provincial sales taxes) |
| Coverage Category |
Bi-Weekly |
Monthly |
Bi-Weekly |
Monthly |
| Single |
$8.23 |
$17.89 |
$30.44 |
$66.13 |
| Family |
$14.55 |
$31.61 |
$58.97 |
$128.12 |
If you live in Ontario and do not have vision care
| |
Member contributions (including provincial sales taxes) |
Concordia contributions (including provincial sales taxes) |
| Coverage Category |
Bi-Weekly |
Monthly |
Bi-Weekly |
Monthly |
| Single |
$7.43 |
$16.14 |
$29.64 |
$64.40 |
| Family |
$12.67 |
$28.18 |
$57.39 |
$124.68 |
If you live in Ontario and have vision care
| |
Member contributions (including provincial sales taxes) |
Concordia contributions (including provincial sales taxes) |
| Coverage Category |
Bi-Weekly |
Monthly |
Bi-Weekly |
Monthly |
| Single |
$8.05 |
$17.50 |
$30.26 |
$65.75 |
| Family |
$14.21 |
$30.88 |
$58.63 |
$127.38 |
If you live outside Quebec and Ontario (but within Canada) and do not have vision care
| |
Member contributions (including provincial sales taxes) |
Concordia contributions (including provincial sales taxes) |
| Coverage Category |
Bi-Weekly |
Monthly |
Bi-Weekly |
Monthly |
| Single |
$6.06 |
$13.16 |
$28.27 |
$61.41 |
| Family |
$10.37 |
$22.52 |
$54.78 |
$119.02 |
If you live outside Quebec and Ontario (but within Canada) and have vision care
| |
Member contributions (including provincial sales taxes) |
Concordia contributions (including provincial sales taxes) |
| Coverage Category |
Bi-Weekly |
Monthly |
Bi-Weekly |
Monthly |
| Single |
$6.64 |
$14.42 |
$28.84 |
$62.66 |
| Family |
$11.52 |
$25.02 |
$55.93 |
$121.52 |
Please use the above applicable rate and add $169.81 for single coverage and $341.65 for family coverage.
Both the University and you currently share equally in the cost of the plan. You pay half the total cost and Concordia pays the other half.
Who determines that cost?
In reality, it’s not the insurance company. It’s not the University.
It’s YOU.
That’s right. The premiums that both you and the University pay are based on the claims paid out to employees and pensioners each benefit year. So, how much participants and their families actually use the plan in any given benefit year will determine increases or decreases in benefit premiums at each renewal of the plan.
The plan essentially operates like a bank account:
| 1 |
Both you and the University make contributions (deposits) to the plan’s account. |
| 2 |
Whenever a claim is paid, the amount is deducted (withdrawn) from the account balance. |
| 3 |
At the end of the benefit year—just as in a bank account—there has to be enough money in the account to pay not only all the claims made against it, but also the insurance company’s expenses to administer the plan. |
As a result, the insurance company sets premiums in consultation with the University, according to the expected cost of the plan for the coming benefit year as well as the anticipated use of the various plan benefits according to the “plan experience” shown in the past. The Benefits Committee must approve any changes in premiums.
From this perspective, it is easy to understand how we all have a certain responsibility, and ability, to help control expenses.
The Benefits Committee, for example, may periodically make plan changes or adopt various means (such as the drug card) to maintain a fair balance between cost and coverage.
Since you share in the cost of the plan, you also have a vested interest in making sure that the plan remains affordable and competitive. Some factors that affect the cost of claims are beyond everyone’s control:
- continually rising inflation in the health sector, in large part due to the increasing cost of drugs and the arrival of new, more expensive drugs;
- new medical technology and an aging workforce, leading to a growing utilization of the Concordia Health Plan; and
- the ongoing shift of health care expenses from government plans to private plans.
But there are things that you, as a plan participant, can do. Take the Road to health: Tips for a sound body, mind ... and wallet for details.
If you are a Québec resident, the premium (including the sales tax) that Concordia pays toward your coverage under the plan is considered a taxable benefit. However, you may be able to deduct the following health care expenses when you file your income tax return:
Tax deductions on your...
| |
Québec income tax return |
Federal income tax return |
| The premium (including the sales tax) that Concordia pays toward your coverage under the plan |
Yes |
No |
| The premium (including the sales tax) that you pay toward your coverage under the plan |
Yes |
Yes |
| Any medical and dental expenses eligible under the Income Tax Act that are not covered (in full or in part) by any plan |
Yes |
Yes |
If you are a part-time faculty or a continuing education instructor
The cost of coverage is based on whether you are under age 65 or age 65 or over, unless you are not a resident of Canada. If you are under 65 and are covered under the Comprehensive Health Plan, Concordia pays 50% of the cost and you pay 50% of the cost. If you are covered under the RAMQ Drug Plan Equivalent, you pay 100% of the cost.
The cost of coverage is applicable for the benefit year, that is, from September to August or from January to December, depending on your teaching contract, as follows:
September 2012 to August 2013
January 2013 to December 2013
| Under 65 RQ |
| Category |
Annual Deductible |
Yearly rate |
| Single |
$195.00 |
$308.56 |
| Family |
$390.00 |
$616.98 |
| Under 65 PT |
| Category |
|
Yearly rate |
| Single |
|
$618.75 |
| Family |
|
$1,334.36 |
| Single Parent |
|
$775.71 |
| Couple |
|
$1,177.40 |
| Over 65 PT |
| Category |
|
Yearly rate |
| Single |
|
$460.22 |
| Family |
|
$992.51 |
| Single Parent |
|
$576.96 |
| Couple |
|
$875.71 |