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News & Publications

The 2022 claims freeze is on

Jan 01, 2022

Categories: Employee Benefits, News

Each January, 3sHealth completes the annual measure for all other-than-full-time employees to determine eligibility for workplace benefits. This year, the annual measure will run on Jan. 11, 2022.

To facilitate the measure, a claims freeze for all plan members will start on Jan. 1, 2022, and will run for a few weeks. 3sHealth will post a news story when the freeze is over.

Please note: During the annual measure, plan members will experience a delay in having their 2022 claims processed by Canada Life.

During the first three weeks of January, health system employees are encouraged to submit any drug claims by paper or online through the My Canada Life at Work website. Please do not use your pay direct drug card during this period.

Dentists who submit claims electronically to Canada Life will receive a notice that the claim will be held for processing. Once claims processing commences, Canada Life will begin processing electronic claims in the order they were received.

Why an annual measure?

If you are a Saskatchewan health system employee who works other-than-full-time hours, the annual measure determines if you are eligible for workplace benefits as of Jan. 1, 2022. The number of hours worked between Jan. 1, 2021, and Dec. 31, 2021, determines eligibility. You must work a minimum of 780 hours in the last calendar year to be eligible for workplace benefits from 3sHealth.

How are recent claims affected?

Canada Life will hold all claim pre-authorizations submitted after Dec. 13, 2021. They will also put a hold on claims incurred in January 2022. They will lift these holds once the annual measure process is complete. Canada Life will begin processing pre-authorizations and claims in mid-January in the order they were received. Their goal is to finish this work by Feb. 14, 2022.

I’m travelling outside Canada in January. Will I still have medical emergency insurance?

Many employees book out-of-country vacations in January. Often, employees are away during this annual measure period and are unsure if they have coverage in place. This leaves people wondering whether they need to purchase additional medical emergency insurance for their trip. 

In partnership with Canada Life, 3sHealth is pleased to advise that once again, we will extend the out-of-country medical emergency coverage to our plan members during the annual measure period to Jan. 31, 2022. This means that if you are an employee that had extended health-care coverage in 2021, and you lose coverage on Jan. 1, 2022, because you worked fewer than 780 hours, you will retain the out-of-country medical emergency portion of your coverage until Jan. 31, 2022. 

Do you have questions about your eligibility or about the benefits available to you in the extended healthcare and dental plans? If so, please contact a 3sHealth Benefit Services Officer by telephone at 1.866.278.2301 or by email at ebp@3sHealth.ca.

In partnership with Canada Life, 3sHealth is pleased to advise that once again, we will extend the out-of-country medical emergency coverage to our plan members during the annual measure period to Jan. 31, 2022.




Get in touch: If you would like more information, please email info@3sHealth.ca with your request. Thank you for reading this article.