CGIB April 2016 Newsletter



Cigna Global Health Benefits is looking for a group insurance sales representative for the Ontario/ Eastern Canada market.

Responsibilities will include working with existing, and recruiting new insurance advisors/brokers to sell Cigna’s market leading expatriate medical insurance products to corporate clients.

The right candidate will have at least three years of successful group insurance sales experience in the Ontario/ Eastern Canada market, have deep relationships in the producer community and possess a desire to learn the diverse healthcare and medical insurance landscapes in key global markets.  This is an exciting opportunity to be a part of a Fortune 100 company (NYSE: CI) as it expands in Canada.

This role involves working from home (3 days/week) and the Toronto/Scarborough office (2 days/week).

Very attractive compensation package.
Please do not hesitate to reply with interest or referrals- any help is much appreciated! We’re excited to grow our presence in the market and good people tend to know good people!

Jen Pence, MBA

Recruiting Manager – Distribution and Total Health and Network – Cigna Human Resources

Office: 770-261-3372 – Email:

Check out our Veterans Careers Site:


Articles and Interesting reading


Stop loss under siege


Drug plan trends report: How drug plans are addressing skyrocketing costs


Biosimilars Must Be Tiered

Private drug plans have to tier their coverage and put biosimilars ahead of biologics, says Dr. Edward Keystone, a professor of medicine at the University of Toronto. In the session ‘Biosimilars ? Market Update’ at the ‘Telus Health Conference Toronto,’ he said plans will have to mandate this if they want to save money. While few biosimilars are approved for use in Canada, more are on the way as an alternative to more expensive biologics. However, Keystone said doctors do have concerns now about their safety and many prefer to prescribe medications they are comfortable with. However, as there is more information on their safety, more doctors will approve of their usage. Matthew Brougham, a consultant economist with Brougham Consulting, said insurers and drug plans are keen to ensure there is a movement to biosimilars. They can do this passively by requiring new patients to get prior authorization or they can be aggressive and require those using biologics to switch. In the U.S., he said they seem to be comfortable with requiring people to change therapies. However, in Canada there is a sense that patients have some rights over what they want to do.


Up to 600 TTC employees involved in benefits fraud


Ontario Looks At Drug Program

In response to the advent of increasingly costly prescription medications, Ontario’s ‘Patients First: Action Plan for Health Care’ program will introduce a redesigned public drug program by 2019, says an Accompass ‘Advisor.’ The Ontario budget ? ‘Jobs for Today and Tomorrow’ ? says that the redesign would co-ordinate with individuals’ private insurance benefits and focus on equitable access to drugs. “As it stands now, there is not any seamless way of integrating private plans with the public plans in Ontario for those who do not qualify for seniors drug coverage,” says Tiina Liivet an Accompass vice-president. “It’s important that the new program allows for this co-ordination and is reflective of the specific needs of plan sponsors to ensure the long-term sustainability and cost-effectiveness of private drug plans and, ultimately, a healthy and productive workforce.” The Patients First Drug Program will replace Ontario’s six current public drug programs which feature varying rules and co-payment arrangements and have not been revised in more than two decades.


To our Valued Clients and Business Partners:

It was announced today that McKesson Corporation has agreed to acquire Rexall Health from The Katz Group. Rexall Health includes Rexall/Rexall Pharma Plus Pharmacies; Medicentres Canada; and ClaimSecure.  The transaction, which will likely close  in the second half of 2016, combines the expertise of two of the country’s most dominant healthcare industry brands (Rexall/ Pharma Plus and McKesson) to provide first class retail, hospital, wholesale and claims management and healthcare related services to many of Canada’s largest corporations.

ClaimSecure clients will continue to receive the same services and high level of support they have come to enjoy from ClaimSecure in the past.

This transaction, and McKesson’s ownership presents ClaimSecure many advantages and opportunities, including:

  • McKesson has significant financial and technology resources, and significant experience operating in the Canadian healthcare industry. The acquisition of ClaimSecure by McKesson will ensure that ClaimSecure will continue to be at the forefront of change in our industry, and will have the resources to assist our Clients and partners in building and expanding their businesses.
  • McKesson’s large network of pharmacies, including its well-established specialty pharmacy business provides ClaimSecure with opportunities to offer new products and services through these pharmacy chains.
  • ClaimSecure is McKesson’s only business in Canada that is involved in claims adjudication and benefit plan management. This unique position, combined with McKesson’s significant industry presence and experience, will help ClaimSecure and our clients realize significant growth opportunities.

Attached is a formal announcement and a copy of the press release relating to this transaction.

We are excited about this development, and we wanted to reach out to you early to notify you of the change and share our exciting news.


Drug Plans Need Guidelines

Some of the pension world’s Capital Accumulation Plan Guidelines should apply to drug plans, says Suzanne Lepage, a private health plan strategist. Speaking to the Canadian Group Insurance Brokers ‘March Drug Seminar’ on ‘Looking At the Big Picture,’ she said plan advisors work with employers to make decisions that impact the health of the plan members. The same accountability and due diligence should be applied to the management of drug plans. They should be required to retain an appropriate service provider and prudently select any service providers engaged with regard to the best interests of members. As well, plan sponsors need to know the plan objectives. Are they offering insurance protection for unexpected illness, tax effective compensation, healthcare costs, or a line item expense to be budgeted and managed? Knowing the objectives will impact decisions when making a drug plan change and determining if the cost saving is worth the disruption to the plan members.


Ontario updates Insurance Act

Effective July 1, 2016, amendments affecting several sections of Ontario’s Insurance Act will come into force.  The changes relate to Part V (Life Insurance), Part VII (Accident and Sickness Insurance) and certain regulations, and for the most part will affect individual, group and creditor group insurance policies or certificates issued on or after July 1st.  More information on which changes will affect policies/certificates before that date will become available soon from the insurance companies and MGAs you conduct business with.

Key changes affecting group insurance:

  • Enhanced confidentiality of personal information of plan participants in accordance with privacy legislation.
  • The insurer must provide a copy of the application, any record used as evidence of insurability, and a copy of the policy, upon request (subject to certain restrictions).
  • Providing for the continuation of coverage for insured plan members, already in receipt of disability payments or benefits due to injury or sickness, upon termination of the group contract.
  • Broadening the list of particulars that must be disclosed in a group certificate.

For more details, or to read FSCO’s FAQ on the changes click here.


Pre-employment Representations Cost Employer $100,000

(Misrepresentative answer about LTD coverage costs BC employer)


Great-West Life and Canada Life cut sales-based travel incentives for advisors


US pharmaceutical spending increases five per cent


Shop under fire for insurance cancellation


Life insurance probe: leading industry body reacts


March 7, 2016

Specialty Drug Cost Top Design Goal

The specialty drug cost trend and reducing inappropriate utilization remain the top two benefit design goals, says the fifth annual ‘Trends in Specialty Drug Benefits Report’ from the Pharmacy Benefit Management Institute (PBMI). It shows that employers are concerned about the rising costs of specialty drugs, but continue to strive to provide valued drug benefits for employees. Key findings show 54 per cent of smaller employers cover specialty drugs under the pharmacy benefit, while larger employers cover these drugs under both medical and pharmacy benefits. As well, nearly one-third of respondents are planning to implement a separate cost-sharing tier for specialty drugs. Larger employers also purchase stop loss insurance much less often (63 per cent) than smaller employers (95 per cent).


“Health crisis” declared in Canadian province


New Alliance Member Good News For Plans

Canada’s federal government has joined the pan-Canadian Pharmaceutical Alliance and that may be good news for private plan sponsors, says Green Shield Canada’s ‘Inside Story.’ The federal government’s drug benefits cover the First Nations and Inuit, the RCMP, the Canadian Forces, veterans, federal inmates, and refugee claimants. The alliance negotiates lower prices on brand-name drugs and also works to reduce the cost of generic drugs. This combined negotiating power results in more savings, increases access to drugs, and improves consistency of pricing and coverage criteria across Canada. The price reductions negotiated by the alliance result in lower costs for both public and private plans. Since its inception in 2012, it has negotiated reduced prices for 14 generic drugs, as well as established pricing agreements for a number of brand-name drugs. The addition of the federal government provides the alliance with even stronger buying power, which should result in more savings. The federal government joins Alberta, British Columbia, Manitoba, New Brunswick, Newfoundland and Labrador, Nova Scotia, Ontario, Quebec, Prince Edward Island, Saskatchewan, and the Yukon.


In difficult times, checking in a good idea


Health outcomes and personal choice collide


Secret deals may mean consumers pay more for drugs


Seminars and Educational Events


EMPIRE LIFE 2016 Advisor Webinars, January to June

We are delighted to announce our 2016 advisor webinars for the first half of the year. We cordially invite you to register today.

Benefits Fraud

Speaker:Would you like to learn about the latest schemes used to bilk group plans? Do you want to review proven approaches to help protect group plans from misuse, abuse, and fraud? This webinar will provide up-to-date information and review our Tip Sheet, which you can send to customers to help them protect their plans.

Daniel Tourangeau, Partner, LBC Meaden & Moore International

April 27, 2016
1:30-2:30 p.m. Eastern (10:30-11:30 a.m. Pacific; 11:30-12:30 p.m. Mountain; 12:30-1:30 p.m. Central; 2:30-3:30 p.m. Atlantic)

Evaluating Expatriate Benefit Programs

Speakers:More and more Canadians are living and working abroad, which is driving the need for expatriate benefits. How does coverage work? As an advisor, what do you need to know? In this webinar, we will discuss common product features and what customers need to be aware of.

Anthony Hidell, Regional Director, MetLife Expatriate Benefits; Wil Trohanis, Assistant Vice President, MetLife Global Employee Benefits

May 25, 2016
1:30-2:30 p.m. Eastern (10:30-11:30 a.m. Pacific; 11:30-12:30 p.m. Mountain; 12:30-1:30 p.m. Central; 2:30-3:30 p.m. Atlantic)

Express Scripts Canada Drug Trend Report

Speakers:Managing drug benefits effectively requires accurate and up-to-date information. In this webinar, Express Scripts Canada will review its annual Drug Trend Report, which provides analysis and insight into usage of prescription medication in the private sector.

John Herbert, Director, Strategy, Product Development & Clinical Services, Express Scripts Canada

June 21, 2016
1:30-2:30 p.m. Eastern (10:30-11:30 a.m. Pacific; 11:30-12:30 p.m. Mountain; 12:30-1:30 p.m. Central; 2:30-3:30 p.m. Atlantic)

Seats are limited, so register today to reserve yours. You will receive 1 CE credit for each webinar you attend.


Register Today!
CPBI Ontario Benefits Outlook
Signature Series

Wednesday, April 27th
7:30 am – 10:00 am
Toronto Board of Trade

Fraud Happens:  How To Prevent It and What To Do About It

Benefit fraud comes in all shapes and sizes and involves not only plan members but could also involve service providers. This seminar will look at what carriers are doing to detect and prevent fraud, and what measures are available to an employer when an employee has committed benefit fraud. Be sure to attend this important seminar and get the most up to date information.

There is an opportunity to network during breakfast from 7:30 am – 8:30 am before the program begins.


Early Bird Rate Expented For Plan Sponsors. Register by March 10th and Save $500!

This May 16th to the 18th, join colleagues from across Canada in Ottawa for the CPBI FORUM 2016. Come to learn, share best practices and celebrate new inductees into the CPBI Hall of Fame, during a special evening at the Canadian Museum of History.



CPBI Members save $330


Keynote & General Sessions

  • THE BIG SHIFT – The Battle between Old and New Canada.
  • THE BEST PLACE TO WORK – What the World’s Best Workplaces Do Differently.
  • IF YOU LOVE YOUR CHILDREN – Save for Retirement.

Benefits Stream

  • Cui Bono? The Politics and Economics of Reshaping the Public-Private Mix in Canadian Health Care.
  • Mental Health: Implementation Journey With the Standard.
  • HTA: Challenges to Address the Needs of Drug Plan Managers.
  • What’s Going on in Small and Mid-Sized Drug Plans?
  • Understanding the Impact of Chronic Health Conditions on Your Business Success.
  • What Will New Technologies Do for Health and Well-being?

Pension Stream

  • Pension and Politics
  • Decumulation
  • Assets Liability Studies
  • Target Benefits Plan and Innovation in Pensions
  • What is Better DB or DC?
  • ORPP Update

Investment Stream

  • Currency Allocations and the Role of Portfolio Hedging.
  • Capturing the Illiquidity Premium.
  • Using your Risk Budget More Efficiently.
  • European Trends in ESG and Implications for Plan Sponsors.

More sessions and details »»


Season Schedule – Save the Dates!

Announcing the 2015-16 BBC Season!

April 28, 2016: Health Benefits 2.1: The Changing Health Care Plan – Burlington

June 9, 2016: New Drug Developments, Trends and Forecasting of Drug Plan Budgets – Burlington



Start 2016 with CE Credit Webinars!

Did your New Year’s resolution include earning more CE credits?
If so, you’re in luck! Get ahead with our CE Credit Webinars running between Jan 20th and May 10th.

Click here to view the full schedule and register!

Webinar Details

Simplifying Group Benefits with Budgeted ASO (1 CE Credit):

Building on a foundation of ASO basics, this session is designed to illustrate the advantages of budgeted ASO for advisors and their clients through case studies.

  • Wednesday, May 4, 2016   12-1pm

The Numbers Behind ASO (1 CE Credit):

Come to this session to understand what differentiates budgeted ASO pricing models from conventional benefits plan funding, including analyzing renewals and what the numbers are telling you.

  • Tuesday, May 10, 2016   2-3pm

Delivering the One Life Case Profitably (1 CE Credit):

How often are you asked “Can I have a benefits plan for one person?” This session illustrates how to deliver the best solution for your client so you can answer “Yes!” to this question.

  • Tuesday, April 26, 2016   9-10am

Group Benefits Sales Ideas for Entrepreneurial Clients (1 CE Credit):

Great sales results come from great conversations. All advisors need to know how to start those conversations, continue them with the right prospects, and drive the conversation towards closing the sale.

  • Tuesday, April 5, 2016   2-3pm

Introducing SelectFlex (1 CE Credit):

Finally, a flexible solution for groups of 3 or more. SelectFlex is designed to give professional advisors an alternative to Chamber Plans and other off-the-shelf small group plans that do not provide sufficient flexibility for their small group clients.

  • Thursday, April 14, 2016   10-11am

Register now and earn 1 CE credit per webinar. We hope to see you there!


Robert J. Crowder  CLU, GBA
President, The Benefits Trust

Upcoming Pensions & Benefits Seminars will help you remain compliant

Even before the new Liberal government took office, the need to provide additional retirement savings to Canadians was a crucial topic. The Canadian Payroll Association’s (CPA’s) National Payroll Week research continually shows that Canadians are challenged in saving enough for their retirement goals.

With financial wellness high on the agenda of governments and employers, payroll, accounting and HR practitioners involved in pensions and benefits processing and administration must stay abreast of developments and regulation by taking ongoing pensions and benefits training to enhance their payroll compliance knowledge. Read the CPA’s full news release here.

Need more information on Pensions & Benefits? Or even just a refresher to keep-up with the changing legislation? Try our one-day Pensions & Benefits from a Payroll Perspective for a complete update.

Upcoming dates include:

Calgary – March 16

Edmonton – March 17

Montreal – March 30 (in French)

Mississauga – April 7

Quebec City – April 21  (in French)

Laval – April 27  (in French)

Prince George – May 12

Brampton – May 12

Pointe-Claire – May 18 (in French)

La Prairie – May 20 (in French)

Vancouver – June 23

Burnaby – August 11

The Canadian Payroll Association  1600-250 Bloor St. E  Toronto, ON  M4W 1E6

The next GIPC Annual Event – “Eye On The Horizon: What You Need To Know Now About Building A Sustainable Health Benefits Plan” – will take place on Monday, April 11th, 2016 from 8:00 a.m. to 12:00 p.m.

Eye On The Horizon: What You Need To Know Now About Building A Sustainable Health Benefits Plan


International Rooms A, B & C (Main Floor)
200 Bloor Street East, Toronto Application has been made for CE Credits (416) 926-0100 (Switchboard)

There is limited parking for 200 Bloor. Enter the parking lot at the lights at Jarvis & Bloor (north side of Bloor). It is advised you park on the UPPER visitor levels of the parking garage. From there, walk straight toward the building and you will come to a walkway. Follow the walkway (past the gardens) to the Rotunda Entrance. Do not go to the front of the building as you cannot access the building there. You MUST check in at the security desk.

If the lot is full, there is additional surface parking available on the corner of Bloor and Church St. or the parkade off Bloor near Yonge Street (the Bay and Marriott Hotel). Subway access from Yonge and Bloor (exit through the Bay on the North- East corner)


8:00 – 8:30

Registration, Continental Breakfast

8:30 – 8:40

Welcome and Introduction

? Judy Witmer Gibson, Partner, MCG

8:40 – 9:00

Setting the Context

  • ?  Rob Cross, Senior Account Executive, Green Shield Canada
  • ?  Kathy Sotirakos, Senior Manager, Market Access Private Insurance, Amgen Canada Inc.

9:00 – 9:30

Past, present, future of health benefit plans

? Erin Crump, FSA, FCIA, AVP Compensation and Benefits, Munich Re

9:30 – 10:00

The changing dynamic of drug research, treatments and diagnostics and their promise to patients and society

? Dr. Clive Ward-Able, B.Pharm., M.D., Executive Medical Director, Amgen Canada Inc.

10:00 – 10:20

Refreshment Break

10:20 – 10:45

Managing health plans and ensuring future sustainability – guiding principles and practical considerations

? Allan Smofsky, Managing Director, Smofsky Strategic Planning

10:45 – 11:25

Case Studies:

AstraZeneca’s motivactionTM – A comprehensive approach to workplace diabetes management

  • ?  Peter Gove, Health Innovation Leader, Green Shield Canada
  • ?  Shana Kapustin, Director, Human Resources, SYNNEX Canada Limited The integrated approach – Changing trends in organizational health

? Jennifer Elia, AVP Health & Wellness, Sun Life Financial

11:25 – 11:30

Key Takeaways

? Allan Smofsky, Managing Director, Smofsky Strategic Planning

11:30 – 11:55

Rapid Fire Panel Q&A

11:55 – 12:00

Wrap Up Session – Upcoming GIPC Happenings

We look forward to seeing you there!  

*AMEX/Visa/MC accepted with online registration at or visit

This year’s agenda includes educational presentations, case studies and in-depth panel discussions to give you the tools you need to develop new solutions, reduce costs, improve your workforce and manage benefits risks. You’ll also benefit from numerous networking opportunities with senior-level professionals at both private and public sector organizations.

Event Highlights:

  • Expert industry speakers
  • 2 days of informative, actionable sessions
  • 2 conference tracks: Group Benefits, Defined Contribution – allowing you to tailor your conference experience
  • Hundreds of industry peers to network with

Continuing Education Credit

Insurance agents licensed in Ontario and British Columbia can earn credit by attending; CFP® credit is also available. (A $45 continuing education fee applies to all requests)


Educational sessions at this program may qualify for CEBS continuing professional education (CPE) credit. For CPE inquiries please visit or (800) 449-2327 Ext. 7757


Alison Webb | 416-764-3883 |


Yaelle Gang | 416-764-4144 |


Joanne Boccia | 416-764-4144 |

You received this email at

Your email address has not been given to any business partners. We appreciate the demands on your time and can exclude you from future mailings. Please let us know if you wish to be removed from our list. Thank you.

Unsubscribe from event-based emails sent by Benefits Canada.

Benefits Canada • One Mount Pleasant Rd., 7th Floor • Toronto, ON • M4Y 2Y5 | Rogers Media Privacy Policy

Leave a Reply

Your email address will not be published. Required fields are marked *