We are sharing the following information from 3sHealth:
Claims processing in January 2025
Each January, 3sHealth Employee Benefits performs an eligibility measure for all other-than-full-time employees. This year’s measure will determine if an employee is eligible for coverage effective January 1, 2025, based on the hours they worked from January 1 to December 31, 2024. An employee must work a minimum of 780 hours in the complete calendar year to be eligible for benefits. During this annual measure process in January, plan members will experience a delay in processing claims pre-authorizations by Canada Life.
Claim pre-authorizations submitted after December 16, 2024, will be held by Canada Life until the annual measure process is complete. Canada Life will begin processing pre-authorizations in mid-January in the order they were received and will work diligently to be caught up by January 31, 2025.
For anyone who is in an other-than-full-time position your 2025 health and dental claims may be reassessed once the annual measure is complete to ensure the reimbursement amount aligns with your 2025 health and dental coverage level.
Please note all health care and dental expenses incurred in 2024 must be submitted to Canada Life before April 30, 2025. Expenses incurred in 2024 that are received after April 30, 2025, will not be considered for reimbursement.
If you have any questions about your eligibility or the benefits available to you in the extended health care or dental plans, please contact a 3sHealth Benefit Services Officer by telephone 1.866.278.2301 or by email [email protected].