Skip to main content
Group benefits by province

Group benefits for your Quebec employees

Quebec is the one province where “we will just add them to the plan” is the wrong answer. Drug coverage is legally mandatory, employer-paid health premiums are taxable provincially, and employee materials have French-language obligations. Get any of the three wrong and it is expensive.

We are not licensed in Quebec. Placing business for a Quebec-headquartered employer requires licensing recognised by the Autorité des marchés financiers (AMF). This page is written for employers headquartered elsewhere who have staff living in Quebec — a situation we handle constantly. If you need a locally licensed broker, tell us and we will say so rather than stretch.

Quebec · Province profile

What is different about a benefits plan in Quebec

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

Public plan — RAMQ

RAMQ covers physician and hospital services, and — uniquely — administers a public drug plan that every Quebec resident must be covered by, publicly or privately. Dental, vision and paramedical care remain outside it.

Drug program — RAMQ public prescription drug insurance

Drug coverage is compulsory in Quebec. If an employee has access to a private group plan with drug coverage, they and their family must enrol in it rather than the public plan — and that private plan must be at least as generous as the RAMQ minimum. This is not optional and not waivable.

Employer payroll tax — Health Services Fund (Fonds des services de santé) contributions

Quebec employers contribute to the Health Services Fund on payroll, at rates that vary by total payroll and by sector. Quebec also runs its own pension plan (QPP) and parental insurance plan (QPIP) with contribution rates distinct from the rest of Canada.

Taxable benefit treatment

This is the trap. In Quebec, employer-paid premiums for health and dental coverage ARE a taxable benefit for Quebec provincial income tax purposes — unlike every other province. Payroll needs to be set up for it, and employees need to be told before they see it on a Relevé 1.

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 Quebec finance ministry or your accountant before you budget from them.

What we actually see here

Designing for Quebec, not for a template

Quebec’s language legislation requires employee-facing materials to be available in French. Booklets, enrolment forms, claim instructions and your carrier’s member portal all fall in scope. Not every carrier services Quebec equally well in French, and that — not price — is often the deciding factor on carrier selection for a Quebec population.

Talk it through

Where Quebec employees are

  • Montréal
  • Québec City
  • Laval
  • Gatineau
  • Sherbrooke
  • Saguenay
Regulator
Autorité des marchés financiers (AMF)
Public health plan
RAMQ
Employer payroll tax
Health Services Fund (Fonds des services de santé) contributions
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

No. Quebec requires every resident to hold prescription drug coverage, and where a private group plan with drug coverage is available through an employer or a spouse, enrolment in it is mandatory for the employee and their family. Waivers that are perfectly normal in other provinces are not permitted for drugs in Quebec.

Quebec treats employer-paid health and dental premiums as a taxable benefit for provincial income tax, which no other province does. It is legitimate and unavoidable. What you can control is whether employees hear it from you in advance or discover it on a tax slip — we supply the explainer.

Quebec’s language legislation requires employee-facing documentation to be available in French, and benefits materials are squarely in scope. Carriers differ considerably in how well they support this. If you have a Quebec population, French-language service capability should be a scored criterion in your carrier selection, not an afterthought.

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 Quebec. If you are, we will say so.

Book a benefits review 431-996-1036

An advisor reads it and replies personally — it does not go to a call centre.