VPS 105212 103259 (07/2019)
Page 1 of 3
WHEN IS COST PLUS USED?
Cost Plus is used to reimburse health or dental expenses not fully covered under the Extended Health or Dental Care plan.
To be considered for reimbursement, the expense must be eligible under the Income Tax Act (Canada).
Canada Revenue Agency (CRA) may determine that Cost Plus benet coverage does not qualify as a Private Health Services Plan,
and therefore any Cost Plus claim processed on this basis may not qualify as a valid business expense or as non-taxable income to the
plan member. Canada Revenue Agency (CRA) has indicated that a personal Cost Plus plan for the owner/proprietor (and dependents)
only may not qualify as a Private Health Services Plan.
To determine if Cost Plus benet coverage is the right solution for your business, please seek the appropriate tax advice.
TO SUBMIT A COST PLUS CLAIM, WE REQUIRE THE FOLLOWING
A fully completed Cost Plus Claim Form, signed by the Plan Administrator.
The original itemized receipt for each expense claimed. Cash register tapes and credit card receipts are not accepted.
If the claim has been partially paid by a group benets program, please attach the Explanation of Benets (EOB) from
the insurance company. Original receipts are not required when the EOB is included.
Payment to RBC Insurance
in the amount of the total expenses being claimed, plus our administration fee, plus applicable taxes.
Payment can be made as follows:
By cheque; or
By pre-authorized debit; if your plan has this service in place, Cost Plus will show on your billing statement.
Administration fee: 10% of total claimed amount, subject to a minimum charge of $25 per claim and a maximum
of $300 per claim;
The minimum claim amount eligible for reimbursement is $100. Receipts must be accumulated to an amount of $100
or more per plan member before submission.
CALCULATION EXAMPLE (ONTARIO CLAIM)
Total Health Claims $ 250.00 A
Total Dental Claims $ 250.00 B
Total Amount Claimed (A + B) $ 500.00 C
C * 10% Administration Fee (minimum $25, maximum $300) $ 50.00 D
Sub-total (C + D) $ 550.00 E
E * Premium Tax (ON/QC/NL only) % $ 11.00 F
D * GST/HST (on admin fee only) % $ 6.50 G
C * PST (on total ON/QC claims only) % $ 40.00 H
Total amount due to RBC Insurance (E + F + G + H) $ 607.50
Cost Plus Claim Form