Employee Enrolment Form
*Fields marked with asterisks are required.
Agreement Terms
Eligible under the Tax Regulations:
Under current CRA tax regulations, incorporated businesses and eligible sole proprietors can use the services of a third party administrator to “HealthLink Benefits” eligible medical expenses as defined in The Income Tax Act.
Terms
- Coverage
- The plan covers, for the people listed on the enrolment form, all hospital, medical and dental expenses that qualify as such expenses under the Income Tax Act of Canada (ITA) and are not prohibited by law.
- Claim Submission, Approval and Payment
- The Policyholder shall submit receipts and payment for all claims listed plus the administration fee and applicable tax. The Administrator (HealthLink Benefits), on receipt of a claim from the employee of the Policyholder, shall determine whether the claim is for an expense covered by the plan. The Administrator shall issue payment for the eligible claim directly to the individual listed on the enrolment form and shall provide notification of such payment to Policyholder if they are not the same.
- Consent to Communicate by E-Mail
- The Policyholder, by providing the email address requested above, hereby gives consent under Canada’s anti-spam legislation (CASL) to HealthLink Benefits to send information relevant to our business relationship, including but not limited to reminders, announcements and clarification of claims and other information about our services. You have the ability to withdraw your consent at any time.
- General
- The laws in force in Ontario govern this agreement. If any provision of this agreement is changed by the Federal or Provincial Government, this will affect the agreement of this form.
Please provide a void cheque for banking information to set up electronic payment of reimbursement to your personal account.