Claims Processing

A major advantage to the establishment of a Private Health Services Plan is that an employer is able to offer its employees a flexible benefits package that is non-taxable. This is accomplished in compliance with the Income Tax Act and must be administered by a Third Party Administrator, in this case DHC Administrators Inc.

The process is as follows:

1. The employer funds the program as per the “Funding Options” identified.
2. The employee incurs a dental or medical expense.
3. The employee submits a claim which must include the original receipt.
4. DHC issues a cheque to the employee to reimburse him or her for the claims submitted. The amount reimbursed is in compliance with Canada Revenue Agency guidelines and the plan as designed by the employer. A complete listing of expenses allowed under the CRA guidelines can be found under “Medical and Dental Coverage.”