Getting Started...
		Name Email Address Business Phone Type of Industry Enter description or SIC code here...
		Location of Employees to be covered: Enter city (in Ontario) here...
		Number of Employees 1 to 1,000
		Employee benefits in Ontario are supplemental to the Government of Ontario Health Insurance Plan (OHIP). All my employees are covered under OHIP or an equivalent plan:  Yes    No  If no, this will affect your rates. We will contact you for further information.
		Depending on the type of industry, most employees in Ontario must be covered under the Worker's Safety and Insurance Board (WSIB). My employees are covered under the WSIB:  Yes    No

		Do you have benefits presently?
		YES NO
		If yes, some past history is required, otherwise the insurance companies will provide "book rates" that are generally inflated to price the worst possible risk.

	Basic Life Would you like to include 'Basic Life' in your coverage?    Yes  No Flat Amount   $ Minimum Coverage $25,000 Formula Amount    1 x salary  2 x salary  3 x salary Termination age 70
	Accidental Death and Dismemberment (AD+D) Would you like to include 'AD+D' in your coverage?    Yes  No Flat Amount   $ Minimum Coverage $25,000 Formula Amount    1 x salary  2 x salary  3 x salary Termination age 70
	Dependent Life Would you like to include 'Dependent Life' in your coverage?    Yes  No Amount    $5,000 spouse/$2,500 child    $10,000 spouse/$5,000 child

	Extended Health Care Would you like to include 'Extended Health Care' in your coverage?    Yes   No Semi-Private Hospital Room    Included   Not included Vision Care    Included   Not included  Vision Care Plan    $80 every 24 months    $100 every 24 months    $150 every 24 months Major Medical  Coinsurance   60%  80%  100%  Deductibles   Nil  $25 Single/50 Family  $50 Single/100 Family   $250 Single/500 Family Prescription Drug Card  Coinsurance   60%  80%  100%  Deductibles   Per Script Deductible  $0 $2 $5 $10 OR   Dispensing Fee Cap  $5 $8 Major Medical Plan Maximums Plan A Plan B   Paramedical Services     $350     $500   Private Duty Nursing     $5,000     $10,000

	Dental Care Would you like to include 'Dental Care' in your coverage?   Yes  No Deductible   Nil  $25 Single/50 Family  $50 Single/100 Family   $250 Single/500 Family Coinsurance   Level 1&2  80%  100% Level 1&2-Basic and Preventative Care; Periodontic and Endodontic Care   Level 3  50%  Not included Level 3-Major Restorative; Crowns and Bridges   Level 4  50%  Not included Level 4-Orthodontic for dependent children up to and including age 19 Plan Maximum Plan A Plan B   Level 1&2     $1,000     $1,500   Level 3     $1,000     $2,000   Level 4     $1,500     $3,000   Recall Basis     9 months     6 months Current Fee Guide