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  1. Digital tools for your clients and their plan members

    In this issue:

    • Digital tools for your clients and their plan members*
    • QDIPC updates terms and conditions for 2024*
    *Indicates content that will be shared with your clients.
     

    Digital tools for your clients and their plan members*

    Do your clients know how to use all the available digital tools in their Equitable® benefits plans? With useful features for both plan administrators and their members, it’s even easier for your clients to access their plans online. 

    Tools for plan administrators

    • Our online plan member enrolment tool lets groups and administrators add new plan members online without completing paper forms
    • The EquitableHealth.ca plan administrator portal makes it easy for plan administrators to manage their plan anytime and anywhere. Helpful features include:
      • A premium calculator to calculate monthly costs for plan members
      • A simple process for updating plan member information
    • Digital welcome kits provide personalized information directly to plan members through email
    • Easy, automated payment options help plan administrators avoid missed payments by offering pre-authorized debit or electronic funds transfer

    Tools for plan members

    • Our plan member portal at EquitableHealth.ca provides secure, 24/7 access to claims history and coverage details. It also lets members submit claims, and includes health and wellness resources
    • Electronic notifications and claims payments give plan members claim updates via email and deposit payments directly into their bank account
    • The Equitable EZClaim® mobile app lets plan members submit claims quickly and securely on-the-go from their mobile device
    • Digital benefits cards give plan members the convenience to access their benefits cards easily from a mobile device

    Help with digital benefits tools

    We’ve created a brochure and video guide to help plan members use digital tools for a smoother, more convenient benefits experience. 

    Plan members can contact us at 1.800.265.4556 and select the option for Web Support if they need further assistance.
     

    QDIPC updates terms and conditions for 2024*

    Every year, the Quebec Drug Insurance Pooling Corporation (QDIPC) reviews the terms and conditions for the high-cost pooling system in the province.

    Based on its latest review, QDIPC is revising its pooling levels and fees for 2024 to reflect trends in the volume of claims submitted to the pool, particularly catastrophic claims. These updates take effect January 1, 2024. You can view the updates here.

    We will apply the new pooling levels and fees to future renewal calculations that involve Quebec plan members.

    If you have any questions, please contact your Group Account Executive or myFlex Account Executive.

     
  2. Online CE Credit Courses
  3. [pdf] Pivotal Select Fund Facts
  4. [pdf] EZtransact FAQ
  5. How to videos
  6. Gathering paperwork for a new application
  7. Equitable Life Group Benefits Bulletin – May 2020

    In this issue:

    *Indicates content that will be shared with your clients


    Easy and convenient digital resources for your clients and their plan members

    During this time of physical distancing, people are looking for ways to interact with their providers virtually. We have several convenient digital tools available to make it easier for your clients and their plan members.


    For plan administrators:


    Plan administrator portal (EquitableHealth.ca)

    Our secure portal allows plan administrators to easily manage their plan anytime and anywhere. Instead of printing and mailing forms, they can make real-time updates at their convenience. The site also makes it easy to:

    • View or upload forms and other important documents;
    • Retrieve billing information;
    • Estimate monthly premium costs; and
    • View announcements, tips and reminders.

    Plan administrators can visit www.equitablehealth.ca to activate their account.

    Digital Welcome Kits

    Instead of paper kits that can easily get lost or quickly become outdated, plan members receive personalized welcome kits via an interactive email, including instructions on how to:

    • Activate their online group benefits account;
    • Download their digital benefits card;
    • Submit claims from their computer or mobile device;
    • Review their coverage details; and
    • Explore health and wellness resources.

    Easy automated payments

    Automated payments are a convenient way to avoid missed payments, suspended claims and disruption. Plan administrators simply complete the pre-authorized debit form and send to GroupCollections@equitable.ca. Or contact Group Collections about online banking and electronic funds transfer (EFT).

    We can help

    For assistance, plan administrators can contact their Client Relationship Specialist or our Web Services team at 1.800.265.4556 ext. 283 or groupbenefitsadmin@equitable.ca.


    For plan members:


    Plan member portal (EquitableHealth.ca)

    By logging into EquitableHealth.ca, plan members have secure 24/7 access to their personalized Group Benefits account. They can:

    • View and submit claims;
    • Review their coverage details; and
    • Access health and wellness resources.

    Electronic claims payment and notifications

    Once plan members have activated their Group Benefits account on EquitableHealth.ca, they can easily set up receiving their claim payments via direct deposit, and their claim notifications via email.

    EZClaim Mobile App

    Submitting claims is fast, easy and secure with the Equitable EZClaim® mobile app for iOS and Android devices. Plan members can view and submit health and dental claims and review their coverage details.

    Digital Benefits Cards

    Instead of digging through their wallets, plan members can download a digital version of their benefits card to their mobile device.

    We can help

    We’ve created a video guide to help plan members access and use their digital resources. For further assistance, plan members can contact our Web Services team at 1.800.265.4556 ext. 283 or groupbenefitsadmin@equitable.ca.


    Alberta government delaying biosimilar initiative

    As we announced in the February 2020 issue of eNews, the Alberta Biosimilar Initiative will require patients using several originator biologic drugs to switch to a biosimilar in order to maintain coverage through their Alberta government sponsored drug plan.

    Due to the increased demands the COVID-19 pandemic is placing on healthcare providers, the Alberta government has postponed the switching requirement. Affected patients will now have until January 15, 2021 to switch to the biosimilar version of their drug in order to maintain provincial coverage.

    We continue to investigate appropriate options to help ensure this provincial change does not unreasonably impact Equitable Life groups and patients and will keep you informed.
    For more information about the Alberta Biosimilars Initiative, consult the Alberta government website.


    Yukon increasing Insurance Premium Tax

    The Yukon Government has announced that it plans to increase its Insurance Premium Tax rates effective January 1, 2021. The premium tax rates for group life and accident and sickness insurance are expected to increase from 2% to 4%. The new tax rates will be applied to premiums paid on or after January 1, 2021.


    Manitoba and New Brunswick relaxing drug limits

    In order to protect the drug supply during the COVID-19 crisis, residents of most provinces were temporarily limited to receiving a 30-day supply of drugs when filling a prescription. Normally, doctors prescribe a 90-day supply for most maintenance-type drugs.

    The Government of Manitoba and the Government of New Brunswick are now relaxing this 30-day limit for prescription drugs where shortages do not exist. They will address potential shortages of specific drugs if necessary.

    As the situation continues to evolve, there may continue to be changes to provincial legislation and prescription limits. Plan members should speak to their pharmacist for the most up to date information.


    Free guide to accessing virtual healthcare

    With many health clinics closed and the healthcare system under strain, people are looking to access a doctor and other health providers virtually.

    As we announced previously, we’ve made it easier for plan members to find the information they need using our Guide to Accessing Virtual Healthcare. This online resource provides information about and links to a range of virtual health services they need to take care of their health and the health of their family during these challenging times.

    The Guide also indicates which services are covered by public health plan, so there’s no cost to the patient to access them if they provide their valid provincial health card.
    We will continue to update the Guide as more virtual healthcare providers and services become available.

    The Guide is available on both EquitableHealth.ca and Equitable.ca.


    Homeweb for plan members who are losing coverage

    We know these are difficult times for Canadian employers and their employees. As businesses temporarily suspend operations, some employers have had to make the difficult decision to temporarily lay off employees or put their benefits coverage on hold.

    That’s why we were pleased to announce that Homewood Health® and Equitable Life will extend access to Homeweb, a personalized online mental health and wellness portal, for up to 120 days for plan members who have temporarily lost their benefits coverage due to COVID-19.

    Employees and their family members will continue to have access to the Homeweb website and mobile app, including:

    • iVolve, online self-directed Cognitive Behavioural Therapy;
    • Resources to support themselves and their family members through the COVID-19 pandemic;
    • An interactive online Health Risk Assessment; and
    • An online library of tools, assessments and e-courses.

    This will allow businesses undergoing financial hardship to provide some support to employees who are temporarily without benefits coverage.

  8. Equitable Life Group Benefits Bulletin - September 2022

    Homewood Health launches Sentio, an upgraded iCBT platform

    Equitable Life’s mental health partner, Homewood Health, has launched Sentio, an upgraded platform for Internet-based cognitive behavioural therapy (iCBT). This self-directed platform is now available to all Equitable Life clients, and it replaces Homewood’s previous iCBT platform, i-Volve.

    Sentio Self-Directed iCBT is a comprehensive digital cognitive behavioural therapy platform. Developed by Homewood’s mental health experts, it is an action-oriented solution for plan members, giving them practical resources and activities to help with their depression, anxiety and overall mental health challenges.
     
    Available as a standalone app, on mobile, tablet and desktop, Sentio contains over 20 unique treatment goals for issues like stress management, improving sleep, managing depressive thoughts, and coping with panic. Users can work through treatment goals in any order, at their own pace. It also includes tools and resources to help plan members build skills and change their thought patterns. 

    Sentio iCBT benefits

    Sentio integrates seamlessly with Homewood Pathfinder so that users can easily locate and take advantage of the iCBT activities available. Sentio also includes a number of unique features:
    • More interactive features and activities to help plan members build valuable mental health skills
    • Integrated symptom measurement and progress tracking
    • Interactive multimedia learning and cognitive exercises to enhance learning
    • Progress, learnings, and exercises that have been accessed are available to be re-accessed for 12 months 
    Access to i-Volve will end 30 days after your clients received access to Sentio, but plan members can complete any in-progress sessions until then.

    Please contact your Group Account Executive or myFlex Sales Manager if you have any questions.
     

    Streamlining disability claims with Opifiny

     Equitable Life is partnering with Opifiny to provide a quicker and more seamless disability claims experience.
     
    Opifiny is an online platform that streamlines the disability claims process for consulting physicians, benefits plan sponsors, and disability plan members. Equitable Life will be using Opifiny for ongoing disability claims management, modernizing the process of gathering medical assessments and information.
     
    Disability claims frequently involve several instances of correspondence between Equitable Life and the plan member’s medical team. By using the secure platform, health care professionals can access, respond to and process medical insurance requests easily from any device. They can typically complete administrative tasks associated with disability claims in a quarter of the time. The platform is secure and protects the privacy of their patients’ confidential information.
     
    By digitizing and modernizing the claims management process for doctors, Equitable Life will have faster access to higher quality claims information. For some claims, using Opifiny may enable Equitable Life to help plan members safely return to work sooner.
     

    Reminder: Obtaining plan member signatures on all administration forms

    Please remind your clients that plan members must sign all administration forms, including enrolment forms, benefits change forms, and beneficiary designation forms. Once completed, a plan administrator can keep the form or send it to us. We are not able to accept a beneficiary designation that has not been signed by the plan member. Having appropriately signed forms helps to ensure that any life insurance claims are paid to the intended recipients.

    For your clients’ convenience, forms can be signed electronically using one of our approved vendors, which include DocuSign, BambooHR, Adobe Sign, and many more.

    If you have questions about providing signed forms, please contact your Group Account Executive or myFlex Sales Manager.
     

    Correction: Coverage for full-time students and dependents with disabilities

    In our August edition of eNews, we provided incorrect information about benefits coverage options for over-age dependents. We indicated that over-age dependents who are full-time students may continue to be eligible under the plan member’s benefits plan if they are studying in their home province. However, attending a post-secondary institution in their home province is not a requirement for continued eligibility. Dependents who are full-time students may continue to be eligible for coverage regardless of where in Canada they are attending post-secondary education.

    If your clients have any questions about extending coverage for over-age dependents that are full-time students, please notify them of this error.
     
    We apologize for any inconvenience or confusion this may have caused.


     
  9. [pdf] Now it’s even easier to grow your savings online!