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2019 Benefits Budgeting – How to estimate your premiums

Autumn is often a time for leaders to review expenses for the year and start to put together budgets for the following year.

It can feel daunting to estimate the benefits line item, since it can be an area of volatility. Here are some factors which will help determine how to budget:

If you have a traditional ‘defined benefit’ health insurance plan

80-90% of Beneplan’s clients sponsor a traditional benefit plan, where there are many limits and maximums depending upon the service. This can be referred to as a defined benefit plan.

Health & Dental Increases

  • Claims and usage are the biggest drivers in the health and dental categories, which combined account for an average of 70% of total benefits premiums.
  • Private sector spending on health & dental expenses grew by 4% in 2015 (Source: CIHI), and insurers still target a higher inflationary metric in order to stay conservative. Dental inflation added by insurers is anywhere from 5% to 9%, whereas health inflation added ranges between 9% to 15%. Each insurer is different, and assess your plan based on your population size, stability of claims over time, and your plan design.


  • Budget +0% to 5% if your employer pays close to 100% of the premiums, you’ve had very little population changes year-over-year, and no change in plan design.
  • Budget +5% to 10% if you’ve had slight population changes, or a slight change to plan design.
  • Budget +10% to 20% if you’ve either had population changes, plan design modifications, if employees pay a portion of the health/dental premium, or if you’ve switched carriers in the last 12-24 months.
  • Budget 20%+ if you’ve either had significant population changes/turnover, significant plan design changes, if employees pay close to 50% of health/dental premiums, or you’ve accepted a discounted rate from an insurer in the last 12-24 months.
  • Talk to your advisor 6 months before your renewal and read your quarterly reports with your advisor’s help. This will set you up for an accurate prediction.


Group Life Insurance, Critical Illness (CI) & Long Term Disability (LTD) Increases

The “pooled benefits” component of your plan takes up an average of 30% of your total benefits premiums. Your plan may be different depending upon the plan design.

The biggest drivers of cost increases in this category are as follows:

  • Interest Rates

Insurers deposit premiums into safe, interest-bearing accounts in preparation to pay future liabilities. It’s no secret that interest rates have been historically low for several years, so insurers need to hold more in deposits today to satisfy their future liabilities. This is a regulated area for insurers and is therefore difficult to negotiate away.

  • Claims History

The odd life insurance or critical illness claim is nothing to worry about. Rather, you may need to brace yourself for a large increase in LTD premiums if you’ve had several LTD claims over the last 5 years. ‘Several’ may mean an incidence of more than 1% to 4% disability rate depending upon your workplace.

For example, if you’re looking at a 10% incidence of disability (ex: 6 people on claim out of a total workforce of 60), you have a problem. This will almost certainly come to haunt you at your next renewal due to the incidence being over the average. Ask your advisor to work on a strategy to lower your disability claims in an ethical, safe and legal manner.

Some workforces are stuck: for example, when faced with a shortage of skilled trades, employees may be working-to-disability rather than working-to-retirement. You may need to look at disability premiums as a cost of doing business in an environment with a talent shortage.

  • Demographics

Group Life & LTD tables are a weighted average of the mortality & morbidity tables which govern the pure cost of individual life insurance. Therefore, the more younger people on your books, the less your premiums will cost. Males tend to be better risk for LTD and females tend to be better risk for Life.

This is certainly is not a reason to look at deliberately skewing your workforce towards a certain age, as that’s clearly discriminatory and against the Charter. However, workforces who tend to have young talent may want to realize that they may be under-paying for a benefit that could escalate in cost as their team grows up.

  • Profitability

There’s no free lunch. Insurers — mutual or not — need to ensure each line item is in surplus. However, different insurers may have different growth and profitability targets depending upon their leadership. A change in leadership at the insurer may signal that rates may accelerate or decelerate… that said, talk to your advisor about your insurer’s circumstances and how that may affect your premiums.

  • Budget +0% to 5% if your demographics have not changed significantly, and you’ve had no claims in the last 3 years.
  • Budget +5% to 15% if your demographics have changed slightly in the last 1-3 years.
  • Budget +15% to 30% if either your demographics have significantly changed, and/or you’ve had 2 or more claims in the last 3 years
  • Budget 30%+ if you’ve both had a significant change in demographics and 3 or more claims in the last 3 years

If you have a plan made up of largely a health spending account (‘defined contribution’)

A small but growing group of employers are opting for ‘defined contribution’ benefit plans similar to health spending accounts. These plans provide employees with a fixed number of dollars to spend, rather than a cafeteria of items with individual maximums.

These plans are more inflation-proof, since the ceiling is set early on. Employers rarely change these ceilings and may want to consider applying a cost of living increase every year to the annual allowance.

If this is your plan, the only area to budget an increase for is you have pooled benefits attached to your plan (Group Life / CI / LTD). Please see above and talk to your advisor about whether an increase to HCSA amounts are warranted.

Alternatively, speak with Beneplan to set up a call with us.