iAtoday
Drug insurance in Quebec ― terms and conditions of pooling for 2021
Group Insurance December 10, 2020The Canadian Drug Insurance Pooling Corporation (CDIPC) and the Quebec Drug Insurance Pooling CorporationTM (QDIPC) coordinate the pooling process among various life and health insurance companies. The primary objective of pooling is to allow group insurance policyholders to protect themselves against the financial impact of significant drug claim costs.
Features applicable to Quebec certificates
- Pooling applies to all drugs covered by the private plan for all groups, regardless of their size.
- Groups with less than 6,000 plan members are subject to the same standard formula that is applied across the industry, whether the group is insured or not.
Pooling parameters for 2021
iA Financial Group will continue to apply the threshold and costs for groups of 50 to 124 certificates to insured groups of 125 or more certificates, in compliance with the pooling parameters set by the CDIPC.
| Group size (number of certificates) | Threshold per certificate of the QDIPC |
Threshold per certificate at iA Financial Group |
Net annual cost per individual certificate | Net annual cost per family certificate |
| Less than 25 | $8,000 | $8,000* | $251 | $691 |
| 25 to 49 | $16,500 | $16,500* | $165 | $455 |
| 50 to 124 | $32,500 | $32,500* | $94 | $258 |
| 125 to 249 | $47,500 | $32,500* | $94 | $258 |
| 250 to 499 | $72,000 | $32,500* | $94 | $258 |
| 500 to 999 | $95,000 | $32,500* | $94 | $258 |
| 500 to 999 | $120,000 | $32,500* | $94 | $258 |
| 4,000 to 5,999 | $300,000 | $32,500* | $94 | $258 |
*May vary depending on the threshold established by the CDIPC.
These new parameters will be used for 2021 renewals.
iA Financial Group also offers several pooling parameters for groups that are funded on a retention or ASO basis.
Read the communiqué that will be sent to group insurance plan administrators on December 14.
Read the French version.