Cost Plus Group Benefits | Nova Star Insurance

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Flexible. Transparent. Built for Your Team.

Cost plus group benefits let you pay for the health and dental claims your team actually makes, plus a flat fee, instead of a fixed premium. Nova Star Insurance Consultant offers these plans to small and mid-sized businesses across Ontario, Alberta, Quebec, Nova Scotia, and New Brunswick. As an independent broker, we help you build a flexible, transparent benefits program. As a result, you avoid many of the markups and surprise increases of traditional group insurance.

Cost plus group benefits for small businesses

What Is a Cost Plus Plan?

With a cost plus plan, the employer pays the actual cost of employee health and dental claims, plus a flat administration fee. In contrast, a traditional insured plan charges a fixed monthly premium. That premium includes the insurer’s profit margin, risk charges, and pooling costs, whatever your actual claims.

For many Canadian businesses, especially those with a healthy team or a tight budget, cost plus brings clear pricing and direct control over spending.

How Cost Plus Group Benefits Work

1. Needs assessment

First, we review your team, your existing coverage, and your budget. That way, we define the right structure before recommending anything.

2. Customized plan design

Next, we build a package covering health, dental, and vision. It can also include life and disability insurance, matched to your goals and team size.

3. Competitive carrier bidding

We compare administration rates from top Canadian carriers on your behalf. So, you’re never locked into one provider.

4. Transparent pricing

You see exactly what you pay and why, line by line. We also disclose our fees and compensation up front.

5. Ongoing optimization

Finally, we monitor your claims and plan performance each year. Then we recommend changes to keep your plan efficient and aligned with your team’s needs.

Key Benefits of a Cost-Plus Plan

  • Full flexibility: customize coverage for health, dental, paramedical, mental health, and more. Your group health and dental plan fits your team, not a generic package.
  • Cost-effective coverage: pay only for actual claims plus a flat fee. Pairing it with a health spending account can add further tax advantages.
  • Attract and keep talent: a strong benefits package helps you win good people, without overcommitting your budget.
  • Financial protection: stop-loss coverage protects you from very large individual claims or unexpected spikes in costs.
  • Tax efficiency: benefits paid through a cost plus plan are generally a deductible business expense. Your accountant can confirm the details, and the CRA’s guide to taxable benefits is a useful reference.

How Nova Star Manages Your Cost Plus Plan

Our licensed group benefits consultants guide you through every stage, from design to annual renewal.

  • Needs assessment: we identify coverage gaps and usage trends, so your plan rests on real data.
  • Plan design and launch: we build a plan for your industry, team size, and budget. It can include disability insurance and critical illness coverage.
  • Carrier selection: we compare Canadian carriers on price, service, and claims speed. You decide; we do the legwork.
  • Administration support: we handle enrolment, changes, and carrier communication.
  • Annual review: each year, we review your claims and benchmark your plan. Then we recommend changes to control costs.

Is Cost Plus Right for Your Business?

Cost plus suits many Canadian businesses, but not all of them. Here’s a quick guide.

Cost plus tends to work best for:

  • small and mid-sized businesses with 3 to 50 employees;
  • teams with generally lower claims;
  • employers who want clear pricing and dislike surprise increases; and
  • companies pairing benefits with a health spending account.

Traditional group insurance may suit you better if:

  • your team has high or unpredictable claims;
  • you prefer a fixed monthly premium; or
  • your workforce is very large, so pooling risk helps.

Not sure? We’ll give you an honest recommendation, even if that means a traditional group health plan or a hybrid.

It’s a benefits arrangement where the employer pays the actual cost of health and dental claims, plus a flat fee, instead of a fixed premium. As a result, you get clear pricing, and costs are often lower for groups with healthy claims.

Traditional insurance builds profit margins, risk charges, and pooling costs into your premium, whether or not your team claims. With cost plus, you pay only for actual claims plus a flat fee. So, you see where every dollar goes.

Often, yes. It avoids surprise premium increases, and benefits are generally a deductible business expense. You can also pair it with a health spending account. We’ll recommend whether cost plus, traditional insurance, or a hybrid suits you best.

Stop-loss insurance caps your costs, either per person or for the whole plan each year. We build suitable stop-loss coverage into every cost plus plan we design. That way, you’re protected from very large claims while keeping the transparency of cost plus.

Contact us using the form below or call (647) 520-6899. One of our licensed consultants will complete a free needs assessment. Then, we’ll recommend the right solution for your business.

Invest in Your Workforce with a Cost-Plus Group Benefits Plan

Get a benefits plan with clear pricing and meaningful coverage that your team will actually value. A cost plus plan from Nova Star makes it simple.