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Group benefits by province

Group benefits in Ontario

Ontario employees are among the most reliant on employer coverage in the country, and Ontario employers carry both an Employer Health Tax and a sales tax on insurance premiums. Both belong in the plan conversation.

We are licensed in Ontario. Our advisors hold current licensing recognised by the Financial Services Regulatory Authority of Ontario (FSRA), and we place and service plans for Ontario employers directly. Ask us for the licence number.

Ontario · Province profile

What is different about a benefits plan in Ontario

Four things vary by province, and all four change what your plan should look like.

Public plan — OHIP

OHIP covers physician and hospital care and, notably, does not cover prescription drugs for most working-age adults, dental at any age, vision for adults, or paramedical services. Ontario employees are among the most reliant on employer coverage in the country.

Drug program — Ontario Drug Benefit (ODB) and the Trillium Drug Program

ODB covers seniors and certain social-assistance recipients. Ontarians under 25 without private coverage are eligible for public drug coverage — which means adding dependants to a group plan can shift children off public coverage, a design point worth a deliberate decision rather than an accident. Trillium is the high-drug-cost safety net, income-tested and deductible-based.

Employer payroll tax — Employer Health Tax (EHT)

Ontario charges an Employer Health Tax on payroll above an exemption threshold, on a graduated rate scale. Associated employers share a single exemption, which regularly catches groups that operate through more than one corporation.

Taxable benefit treatment

Employer-paid extended health and dental premiums are not a taxable benefit to Ontario employees. Employer-paid group life is taxable. Ontario also applies retail sales tax to group insurance premiums, which quietly adds to the cost of every plan in the province.

Payroll tax thresholds, rates and drug program details are set in provincial budgets and change. The summary above reflects our 2026 review and is general information, not tax advice — confirm current-year figures with the Ontario finance ministry or your accountant before you budget from them.

What we actually see here

Designing for Ontario, not for a template

Northern and rural Ontario employers face two things a downtown template rarely prices for: significant travel and medical transport exposure when the nearest specialist is hours away, and paramedical limits that look generous on paper but are unusable when there is no local practitioner. Design around availability, not just dollar limits.

Talk it through

Where Ontario employees are

  • Toronto
  • Ottawa
  • Thunder Bay
  • Kenora
  • Hamilton
  • London
Regulator
Financial Services Regulatory Authority of Ontario (FSRA)
Public health plan
OHIP
Employer payroll tax
Employer Health Tax (EHT)
Straight answers

Questions employers actually ask us

No hedging. If the honest answer is “you do not need us for that,” that is the answer you will get.

Ask us something else

Insurance intermediaries in Ontario are regulated by the Financial Services Regulatory Authority of Ontario (FSRA). The band at the top of this page states whether we currently hold Ontario licensing. Ask any broker for their licence number — one who hesitates at that question is telling you something.

Ontario applies retail sales tax to group insurance premiums, so the number on your invoice is higher than the underlying rate. It is not avoidable, but it does mean plan-design savings compound slightly better in Ontario than in provinces without it — worth factoring when you compare a richer plan against a leaner one.

It depends on what you are trying to achieve. Public coverage for under-25s applies to those without a private plan, so enrolling dependants moves them onto yours. That can be the right call for recruitment and for coverage breadth beyond the public formulary — but it is a cost you should choose on purpose. We model both.

Employees in more than one province?

Multi-provincial groups are routine for us. Here is what changes everywhere else:

No obligation, no pressure

Send us your renewal. We will tell you the truth about it.

A 30-minute call and a look at your last statement is usually enough for us to say whether you are being well served in Ontario. If you are, we will say so.

Book a benefits review 431-996-1036

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