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The recent federal budget got the whole Canadian insurance world up in a tizzy.  While most people did not notice the entry, everyone in the benefits consulting and insurance world started freaking out over one paragraph.  It wasn’t in the budget speech.  Rather, it sat in the bowels of the 416 page budget details document.  So what could have gotten everyone so upset?  Well, on Page 282, Appendix 4, the following was documented…

Budget 2008 also proposes to clarify the METC provisions regarding the eligibility of drugs and medications.

Currently, drugs, medications and other preparations are eligible for the METC when they are both prescribed by a recognized medical practitioner (or a dentist) and recorded by a pharmacist. These two requirements are intended to ensure that only costs for substances not generally available to the public and required for medical reasons receive tax relief. However, recent court decisions have interpreted this measure to include, in some cases, the cost of vitamins, supplements and drugs that could otherwise be purchased without a prescription. Such an interpretation goes beyond the policy intent of the METC.

Budget 2008 therefore proposes to clarify the wording for eligible drugs and medications to ensure that those that may be purchased without a prescription remain ineligible.

Holy Cow Batman!  Do you mean that I cannot claim Flintstone Vitamins from my HSA?  I actually need to have a prescription from a doctor and actually see the pharmacist to get something a little more legitimate?  What could the insurers and consultants be so upset about?

Well, they believe that this wording will eliminate ALL over the counter prescriptions.  This is because there is a disconnect on what the government is trying to achieve and what the consultants and insurers understand as “the realm of their industry”.  The goal here is to stop sole-proprietors from buying over-the-counter (OTC) vitamins then claiming them as eligible expenses on the METC.  The consultants and insurers are assuming that the wording will eliminate over the counter drugs completely and not what the federal budget suggests “Items without a prescription”.  There is a difference.  

Yes, this may have some implications on certain health benefit plans and coverage.  But certainly not anything to be too concerned with here.  You can always assume that the CRA will look at each case with what is the best interest of CRA and whether the taxpayer (individual or corporate) acted in good faith given their interpretation of the rules.  After all, they are not all evil monsters out to tax you to death.  The problem here is that the wording regarding OTC drugs and the METC has been grey for far too long and has caused multiple headaches for sole-proprietors and CRA.  So they want to clarify the rules.

Let’s just see what they come up with before everyone starts claiming that the sky is falling.  PS – If you do get hit on the head be sure to see your Doctor first if you need some form of pain reliever – just to be safe!

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Some more help on finding the right HSA for you in my series on items you should look for when choosing an HSA provider…

Privacy

The protection of personal information is a major issue in Canada, especially when it comes to group health plans.  We have had rules in Canada protecting individual privacy for a few years now, but unfortunately, some people still don’t get it.

The Personal Information Protection and Electronic Documents Act (also known as PIPEDA or the PIPED Act) is a law relating to data privacy. It governs how private-sector organizations collect, use and disclose personal information in the course of commercial business. In addition, the Act contains various provisions regarding the use of electronic documents. PIPEDA was passed in the late 1990s to promote consumer trust in electronic commerce and since then, most companies have created internal teams and processes to ensure they comply.  Last week, however, I heard a story I just needed to share with you as a buyer beware.

A client of Benecaid wanted to have detailed information on their company’s HSA program, specifically the remaining balances on file and a summary of the claims to date.  As the Chief Privacy Officer, the request came to me.  I explained to the client that we could not give them the balances of the trusts established for each employee as it was not owned by the employer.  Once the funds were deposited, it became the property of the employee and the claims and balance of the account was considered private information.  The client was surprised as the last provider they had for their HSA program used to provide detailed claims information by employee. 

“Excuse Me?”  That was my response.  You see, the client’s previous HSA had been set up as a cost-plus arrangement and claims were paid as incurred.  The old HSA provider not only adjudicated the claims, but would clearly list the claims and their costs along with the employee for the employer.  Given the serious nature of revealing claims information to employers since the inception of PIPEDA, I find it hard to believe that a responsible HSA provider would share this information.  However, I wanted to let everyone know that if you have access to your employee claim information currently, you need to stop accessing it immediately – especially if you do not have expressed written consent from the employees.  If you have an HSA set-up in the form of a Health and Welfare Trust, then the issue can be even more serious as you do not have access to these accounts as an employer.  They are owned by the employee once funds are deposited and you cannot request a report on claims.  It would be similar to you asking for a copy of their personal bank transactions a day after payroll.

If you currently have an HSA program and your provider allows you to see detailed information on claims for each employee, you should ask them to verify if this is allowed..  If they are unfamiliar with PIPEDA and the rules for accessing and sharing personal information….buyer beware!!

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I just returned from visiting family in Florida.  I try to go once or twice a year to enjoy my father’s retirement lifestyle of 8:00am power-walks along the beach, afternoon spring-training ball games, and traffic at 4:00pm trying to beat everyone to the early-bird special at the local seafood restaurant.

In a previous post, I discussed the frustration I had with setting up the bank accounts for Gremolata.  While visiting my Father, we decided to choose a new local bank and open an account.  I won’t share the name of the bank but they are well known across the US.  I was floored at how easy it was to open an account and how customer-focused they were in the process development.

First, the process was completely on-line.  The financial representative entered all of the information in about 10 minutes then proceeded to show us how the on-line banking site worked for an additional 5 minutes.  The site was intuitive and a kit was provided with step-by-step instructions.  At the end of 15 minutes, she hit print and we were provided with one sheet summarizing all of the details and the requirement for us to sign once.  That’s right folks, no multiple copies and no multiple release forms.  It was all consolidated into one simple print-out.  All in all, with the leisurely chit-chat from the bank representative, the entire process took 30 minutes.

I think Canadian financial institutions could learn a lot from their colleagues in the US.  While I understand that regulations are different here, the key to my superior experience in the US is the fact that technology made the process faster and less of a hassle for the customer.   You have to agree to just as many terms and conditions (perhaps even more), but because it was consolidated into one form and the process was done using a series of questions and on-line authorizations, it was much easier to follow and far more efficient.

Now if they could just find a way to stay out of asset-backed commercial paper and high-risk mortgages…

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Every few weeks, I am showcasing a different advantage of owning a Health Spending Account in this segment called…

HSA Advantage….

It does not matter if you are a small company or a large multi-national corporation – low employee appreciation is running rampant these days. You pay them a salary or a wage. You may even provide them with a drug and dental plan. Some of you go as far to offer a pension plan or similar retirement savings incentive. Combined with the summer BBQ, annual holiday party, vacation time, Friday morning donuts, car allowances, and generous business expense reimbursement and you end up spending a lot more money each year on your employees than you think. So why do they still think you are a cheap old bugger – especially when it comes to health benefits?

That’s easy, they don’t appreciate or understand the cost. But who do you have to blame for this? It is not like you open the books up every year and show them how much you spend on their health. And you certainly cannot disclose how much was claimed to demonstrate the value of the plan. So how is a free health plan where an employee receives a charge card for their costs with no responsibility for the bill payment ever going to get them to sit back and say, “Gee Boss, thanks for the $2,000 you forked out last year for keeping me and my family healthy”?

Traditional plans do not receive the same level of appreciation as a Health Spending Account for one major reason – it is not a tangible benefit. They cannot see a health plan and they do not have an active role in the decision making process when choosing services or a practitioner. An HSA however, is a limited supply of cash the employee may choose to use how they see fit. When used to replace day-to-day expenses such as paramedical or vision, the behavior of the employee changes. They no longer see a line of credit, but eventually learn that if they want something, they may use the funds to purchase it. They also realize that the choice they make today may impact their ability to use their HSA down the road. As a result, a single $100 massage becomes two $50 massages as the employee looks for ways to maximize their spending by driving a bit further to a cheaper practitioner. They have more of a stake in the decision making process and see the true value of the benefit being offered.

So what does this do for employee appreciation? First off, it is a fixed dollar amount the employee can immediately assign a tangible value to. If the company does well, and you give them an extra $50 a year, the employee can immediately associate value to the increase. In the example of the employee who likes massage therapy, it means he/she can now go one more time. Secondly, it allows the employee to spend the money as they want, when they want. They have an active role in how they spend the money and the outcome, making them not just the recipient of a perk but a key player in how big a perk it actually is. These two features drive employee appreciation for your gesture – a major reason why so many companies are incorporating an HSA before other, less tangible benefits. Now, who wants to organize this year’s BBQ?

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