2021 Bulletin on Nova Scotia Social Legislation
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2021 Bulletin on Nova Scotia Social Legislation We are proud to present the first edition of the Bulletin on Nova Scotia Social Legislation. It outlines the terms and conditions of the various federal and provincial social assistance programs in effect this year. These programs provide basic financial and physical security for the entire population. Over the years, SSQ Insurance has evolved in response to social changes, customer needs and the realities faced by the organizations and individuals it insures. Through changing times, one thing has remained constant: our desire to preserve the collective spirit and solidarity, values that have, since the very beginning, guided our actions and continue to inspire us every day. Offering solutions that complement these public programs is one of our missions. Every day, we find innovative solutions to better serve the interests of our plan members and customers. Pertinent and adapted products, excellent and attentive service, an unwavering devotion to reinvention: this is how our Company continues to help its customers plan their future and protect their financial assets throughout their lives. With 2020 being marked by the COVID-19 pandemic and its significant impact on the economic, financial and health fronts, this year’s edition of our bulletin includes information on the measures temporarily put in place to support the population during this crisis. Some of these measures may thus change depending on how the health and economic situation unfolds. It is therefore always advisable to check the updated information on the websites of the respective ministries and agencies. Table of Contents 1. Employment Insurance Act . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2. Canada Child Benefit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 3. Nova Scotia Family Benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 4. Workers’ Compensation Act . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 5. Employment Standards Act . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 6. Canada Pension Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 7. Old Age Security Act . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 8. Health Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 9. Employment and Income Assistance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 10. Tax Impact of Group Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Return to the Table of Contents Employment and Social Development Canada 1. Employment Insurance Act Canadian workers and their employers pay premiums to be eligible for coverage under the Employment Insurance Act. This coverage allows them to receive some income in the event of job loss, parental leave or to support a critically ill family member. Contributions 2021 2020 Yearly maximum insurable earnings $56,300 $54,200 Employee premium rate per $100 of gross insurable earnings: 1.58% 1.58% Maximum annual employee premium $889.54 $856.36 Employer premium rate per $100 of gross insurable earnings 2.212% 2.212% (1.4 times the employee’s contribution): Maximum annual employer premium $1,245.36 $1,198.90 Types of Benefits Different types of benefits are offered to Canadians depending on their personal circumstances. Regular Benefits Employment Insurance (EI) provides regular benefits to people who lose their jobs through no fault of their own (for example, due to shortage of work, seasonal layoffs, etc.) and who are available for and able to work, but can’t find a job. To be eligible, individuals must have worked between 420 and 700 hours* during the reference period. Sickness Benefits Sickness benefits paid to individuals who are unable to work because of sickness, injury, or quarantine. To be eligible, workers must accumulate 600 insurable hours* and have lost more than 40% of their earnings. Regular and Sickness Benefits Maximum insurable annual earnings in 2021 $56,300 Waiting period before receiving benefits 7 days Benefits 55% of the average insurable salary over the past 52 weeks Maximum weekly benefit $596 Duration of benefits Regular From 14 to 45 weeks, based on the unemployment rate in the region Sickness A maximum of 15 weeks A Closer Look at Group Insurance Integrated and Non-Integrated Plans Usually, social programs are first payers. Short-term and long-term disability insurance coverage serve as a complement to the basic protection offered by government programs. Working While on Claim With Working While on Claim, individuals can keep receiving part of their EI benefits and all earnings from their job. This means, they may keep 50 cents of their EI benefits for every dollar earned, up to 90% of the weekly insurable earnings used to calculate the benefits. Any amount earned beyond this threshold is deducted dollar for dollar from their benefits. For more information: Employment Insurance – Working While on Claim *Caution: Temporary COVID-19 relief measure. SSQ Insurance 2021 Bulletin on Nova Scotia Social Legislation 1
Return to the Table of Contents Variable Best Weeks The EI benefits rate is based on the best paid weeks of the previous year. The number of weeks used in the calculation varies from 14 to 22 depending on the unemployment rate in the economic region where the claimant resides. For more information: Variable Best Weeks COVID-19 Measure Canada Recovery Benefit (CRB) for people who do not qualify for regular EI benefits The Canada Recovery Benefit (CRB) gives income support to employed and self-employed individuals who are directly affected by COVID-19 and are not entitled to EI benefits. Eligible individuals could receive $1,000 ($900 after taxes withheld) for a 2-week period. If their situation continues past 2 weeks, individuals will need to apply again every 2 weeks, up to a total of 13 eligibility periods (26 weeks) between September 27, 2020 and September 25, 2021. Specific eligibility criteria apply depending on the circumstances of the applicants. Learn more Temporary easing of eligibility requirements for regular benefits Since September 27, 2020, temporary changes have been made to the eligibility requirements for EI benefits. These changes will be in effect for one year: • A minimum unemployment rate of 13.1% applies to all regions across Canada since August 9, 2020: - if your region’s unemployment rate is higher than 13.1%, the higher actual rate is used to calculate benefits. - this means you can receive at least 26 weeks of regular benefits. • You only need 120 insured hours to qualify for benefits because you’ll get a one-time credit of: - 300 insured hours to help you meet the required 420 insured hours of work for regular benefits. - 480 insured hours to help you meet the required 600 insured hours of work for sickness or caregiver benefits. • You’ll receive at least $500 per week before taxes but you could receive more. • If you received the Canada Emergency Response Benefit (CERB), the 52-week period to accumulate insured hours will be extended. Caregiving Benefits Employment Insurance offers three types of caregiving benefits. To be eligible, workers must have accumulated at least 600 insurable hours* and have lost more than 40% of their earnings. The benefits are equal to 55% of the average insurable salary over the last 52 weeks, up to a maximum of $596 per week. The waiting period before receiving benefits is seven days. Benefits Maximum weeks Person receiving care payable1 Family caregiver benefit for children 35 weeks A critically ill or injured person under 18 Family caregiver benefit for adults 15 weeks A critically ill or injured person 18 or over Compassionate care benefits 26 weeks A person of any age who requires end-of-life care 1 Benefits can be paid for up to 52 weeks following the date the person is certified by a medical doctor or nurse practitioner as critically ill or injured or in need of end-of-life care. Canada Training Benefit In late 2020, the federal government introduced financial assistance to help Canadians between the ages of 25 and 64 pay for training. This support includes: • A non-taxable training credit to help Canadians with the cost of training. Eligible workers accumulate a credit balance at a rate of $250 per year, up to a lifetime maximum of $5,000. The credit can be used to refund up to half the costs of taking a course or enrolling in a training program. • An Employment Insurance Training Support Benefit that provides workers with up to four weeks of income support paid at 55% of average weekly earnings to help workers on training leave and not receiving their regular paycheque cover their living expenses such as rent, utilities and groceries. • Leave provisions to protect workers’ ability to take time away from work to pursue training. The Canada Training Benefit will cover up to 50% of direct costs of training. For more information on this measure, refer to the following page on the 2019 Federal budget website: The Canada Training Benefit. For more on the improvements and changes made to different Employment Insurance programs, see Employment Insurance – Recent improvements and overview. *Caution: Temporary COVID-19 relief measure. SSQ Insurance 2021 Bulletin on Nova Scotia Social Legislation 2
Return to the Table of Contents EI Maternity and Parental Benefits EI maternity and parental benefits provide financial assistance to: • people who are away from work because they’re pregnant or have recently given birth • parents who are away from work to care for their newborn or newly adopted child Eligibility criteria • Be pregnant or have recently given birth when applying for maternity benefits. • Be a parent caring for a newborn or newly adopted child when applying for parental benefits. • Have experienced a drop in earnings of more than 40% of income for at least one week. • Have accumulated 600 hours* of insurable employment in the last 52 weeks preceding the start of the claim, or since the start of the last claim, whichever is the shorter period. Maternity Benefits Maternity benefits are paid to biological mothers, including surrogate mothers, who cannot work because they are pregnant or have recently given birth. They cannot be shared between the two parents. The person receiving maternity benefits may also be entitled to receive parental benefits. Parental benefits Parental benefits are paid to the parents of a newborn or newly adopted child. Parents must choose between two options: Standard parental benefits or extended parental benefits. Once they start receiving parental benefits, they cannot change options. Parents sharing benefits must each choose the same option. They can receive their weeks of benefits at the same time or one after another. Each parent must submit their own application Benefits Maximum Weeks Benefit Rate Weekly Maximum Maternity Up to 15 weeks 55% $595 Parental Standard Up to 40 weeks One parent cannot receive more than 35 55% $595 weeks of standard benefits Extended Up to 69 weeks One parent cannot receive more than 61 33% $357 weeks of extended benefits COVID-19 Measure Since September 27, 2020, temporary changes have been made to the eligibility requirements. Claimants only need 120 insurable hours to qualify for benefits because they will get a one-time credit of 480 insured hours. For maternity and standard parental benefits, they will receive at least $500 per week before taxes. For extended parental benefits, they’ll receive at least $300 per week before taxes. Additional Information Employment Insurance benefits and leave *Caution: Temporary COVID-19 relief measure. SSQ Insurance 2021 Bulletin on Nova Scotia Social Legislation 3
Return to the Table of Contents Canada Revenue Agency 2. Canada Child Benefit The Canada Child Benefit (CCB) is a tax-free monthly payment made to eligible families to help them with the cost of raising children under 18 years of age. The CCB may include the child disability benefit, where applicable. Primary Caregiver The person primarily responsible for the care and upbringing of the child should apply for the CCB. The person primarily responsible for the care and upbringing of the child is someone who: • Supervises the child’s daily activities and needs • Sees to it that the child’s medical needs are met • Arranges for child care when necessary When parents live together in the same household as the child, the Canada Revenue Agency automatically considers the mother to be the person primarily responsible for the care and upbringing of the child. It is therefore up to the mother to submit the application for benefits. If however, the father is the person primarily responsible for the care and upbringing of the child, he must append a note from the mother with his application. The father then becomes the designated person primarily responsible for the care and upbringing of all the children in the household. In the case of same-sex parents living together in the same household as the child, either of the parents may apply for all children in the household. In the case of shared custody on a more or less equal basis, both parents can be deemed to be primarily responsible for the child’s care and upbringing. Each eligible individual will get 50% of the payment he or she would have received if the child lived with him or her full time. Eligibility To be eligible for the CCB, the individual primarily responsible for the child’s care and upbringing must: • Live with the child who is under age 18 • Be a resident of Canada for tax purposes • Satisfy any one of the following conditions: - Be a Canadian citizen - Be a permanent resident - Be a protected person - Be a temporary resident of Canada for the last 18 months and have a valid permit as of month 19 - Be an Indigenous person who meets the definition of "Indian" under the Indian Act Benefits The Canada Revenue Agency uses the information in the income tax and benefit return to calculate the CCB payments. In order to receive the benefit, the primary caregiver must file an income tax return every year, regardless of whether or not they earned any income. The primary caregiver’s spouse or partner must also file an income tax return every year. Benefits are paid on a monthly basis, from July to June of the following year. The amount is recalculated in July based on the information provided in the income tax return of the previous year. The information used to calculate the benefit is: • The number of children living with the individual primarily responsible for their care and upbringing • The age of the children concerned • The adjusted family net income (AFNI), which appears on line 236 of the income tax return and to which is added the net income of the spouse or partner, where applicable • The eligibility of a child for the child disability benefit SSQ Insurance 2021 Bulletin on Nova Scotia Social Legislation 4
Return to the Table of Contents Basic Benefit – July 2020 to June 2021 The CCB is calculated as follows: • $6,765 per year ($563.75 per month) for each eligible child under the age of 6 • $5,708 per year ($475.67 per month) for each eligible child aged 6 to 17 The amount of CCB is reduced when the adjusted family net income (AFNI) is over $31,711. The reduction is calculated as follows: Number of children Family income from $31,711 to $68,708 Family income over $68,708 1 child 7% of the income $2,590 + 3.2% of the income 2 children 13.5% of the income $4,995 + 5.7% of the income 3 children 19% of the income $7,029 + 8% of the income 4 children or more 23% of the income $8,509 + 9.5% of the income Basic amount of the Child Disability Benefit (CDB) $2,886 per eligible child How and When to Apply? The individual primarily responsible for the child’s care and upbringing must submit a CCB application as soon as possible, namely: • As of the child’s birth • As soon as the child lives with them full time • As soon as the spouse or partner satisfies the eligibility conditions There are three ways to submit a CCB application: • The Automated Benefits Application, possible through the partnership with Canada Revenue Agency (CRA) and the provincial vital statistics office. The CRA uses the information on the child’s provincial birth registration form to determine the primary caregiver’s eligibility for benefits and tax credits • The CRA’s My Account service: The primary caregiver must have a valid account and apply for child benefits online. • Complete the RC66 Canada Child Benefits Application available online. Additional Information Canada Child Benefit Department of Community Services 3. Nova Scotia Family Benefits The Government of Nova Scotia provides financial assistance to families in the province to help them support themselves and their children. Nova Scotia Child Benefit The Nova Scotia Child Benefit (NSCB) is a tax-free amount paid monthly to help low-income and modest-income families with children under 18 years of age. It is combined with the Canada Child Benefit into a single monthly payment. Eligible families with an adjusted family net income between $26,000 and $34,000, may be entitled to the following amounts: • $77.08 per month for the first child • $68.75 per month for the second child • $75.00 per month for each additional child This program is fully funded by the Nova Scotia provincial government. SSQ Insurance 2021 Bulletin on Nova Scotia Social Legislation 5
Return to the Table of Contents Nova Scotia Affordable Living Tax Credit This credit is a tax-free amount paid to make life more affordable for low and modest income individuals and families. The credit offsets the increase in the HST and provides additional income. It is combined with the quarterly payments of the federal GST/HST credit. For July 2020 to June 2021, the program provides a maximum annual credit of $255 for an individual or a couple, plus $60 for each child. The credit is reduced by 5% of adjusted family net income over $30,000. Additional Information Provincial Family Assistance Programs – Nova Scotia Workers’ Compensation Board Nova Scotia 4. Workers’ Compensation Act Wage-loss benefits are paid to workers who sustain work-related injuries and are unable to perform their job as a result of that injury. Wage-Loss Benefits Workers who sustain a work injury are compensated for lost wages, if applicable. These benefits are usually paid every two weeks at the following rates for as long as workers are unable to return to their regular job: • first 26 weeks - 75% of the net earnings loss • after 26 weeks - 85% of the net earnings loss For calculation purposes, gross income is considered up to the maximum annual insurable earnings of $64,500, which is adjusted once a year. 2021 Average Premium Rate The rate was set at $1.65 per $100 of company payroll, stable from the previous year. Permanent Impairment Awards The amount of the lump-sum award is based on the degree of impairment and the amounts provided for in the law. • Employees unable to return to work receive 85% of net earnings loss up to age 65 • At age 65, they receive 5% of total benefit paid as an annuity Death Benefits When a worker dies as a result of a work-related injury, benefits are paid to the surviving spouse and children. Death Benefit Lump-sum $15,000 Burial Expenses Up to $5,000 Survivor Benefits Surviving Spouse 85% of deceased employee’s earnings loss up to age 65 At age 65, 5% of the total pension, paid as an annuity Dependent Child $196 per month until age 18, or age 25 if education continues SSQ Insurance 2021 Bulletin on Nova Scotia Social Legislation 6
Return to the Table of Contents Other Benefits The Workers’ Compensation Board (WCB) covers, where applicable and with receipts, and up to the prescribed amounts, various expenses for hospital care, visits to a physician, physiotherapist or chiropractor, surgery, prescriptions, dental expenses or other health care items such as braces and crutches. Additional Information Workers’ Compensation Board of Nova Scotia Department of Labour and Advanced Education 5. Employment Standards Act The Employment Standards Act (ESA) provides the minimum standards for most employees working in Nova Scotia. It sets out the rights and responsibilities of employees and employers in most Nova Scotia workplaces, including minimum wage, hours of work limits, public holidays, vacation and some types of leave, as well as layoffs and termination of employment. Job-Protected Leaves Employees may take job-protected leaves of absence each year to meet family obligations or for personal events. Here is an overview of the terms and conditions surrounding these leaves, based on the situation. Leave Eligibility Maximum Length Conditions Emergency Leave Emergency declared Employees are eligible for the leave for Unpaid under the Emergency as long as the emergency prevents them Management Act from being able to perform their work. If an employee can perform their work remotely, the leave does not apply Sick Leave n/a 3 days per year Unpaid Bereavement n/a Up to 5 consecutive working days Unpaid Leave Compassionate Worked at least Up to 28 weeks within a 52-week period Unpaid Care Leave 3 months for the The leave can be broken up into several The employee must provide same employer periods of at least 1 week in duration during a medical certificate at the To care for a seriously the 52-week time frame employer’s request ill person who has a high risk of dying within 26 weeks Domestic Violence Worked at least Short option: up to 10 intermittent or 3 days of paid leave, others Leave 3 months for the consecutive days per calendar year are unpaid same employer Long option: up to 16 consecutive (continuous) weeks per calendar year Critically Ill Child Worked at least Up to 37 weeks within a 52-week period Unpaid Care Leave 3 months for the The leave can be broken up into several A qualified medical practitioner same employer periods of at least 1 week in duration during must issue a medical certificate the 52-week time frame stating that the child has a critical illness and the period of time for which the child needs care Critically Ill Adult Worked at least Up to 16 weeks within a 52-week period Unpaid Care Leave 3 months for the The leave can be broken up into several A qualified medical practitioner same employer periods of at least 1 week in duration during must issue a medical certificate the 52-week time frame stating that the adult has a critical illness and the period for which the adult needs care SSQ Insurance 2021 Bulletin on Nova Scotia Social Legislation 7
Return to the Table of Contents (continued) Leave Eligibility Maximum Length Conditions Crime-related Worked at least Up to 52 consecutive weeks if the child Unpaid Child Death or 3 months for the has disappeared The employer can ask for Disappearance same employer Up to 104 consecutive weeks if the child reasonable evidence Leave has died Pregnancy or n/a Pregnancy leave can be up to 16 weeks Unpaid Parental Leave Employees can take a total of 77 weeks If an employee is taking parental combined pregnancy (16 weeks) and leave but not pregnancy leave, parental (61 weeks) leave the employee can take up to 77 weeks’ leave in the time after the child is born or arrives in the home Note: Other job-protected leaves are available for reservists, judicial duties and citizenship ceremonies. Annual Vacation Employees are entitled to vacation time of two weeks after each period of 12 months of work. Employers must give employees vacation time within 10 months following the 12-month earning period. After eight years of service, the employee must receive three weeks’ vacation time. Employment Period Vacation Time Vacation Pay (the shorter of the two) Less than 8 years 1 day for each month worked, or 4% of gross salary 2 standard weeks of vacation per reference year 8 years or more 1.25 days for each month worked, 6% of gross salary or 3 standard weeks of vacation per reference year Minimum Wage Hourly Rate Since April 1, 2020 Effective April 1, 2021 General $12.55 $12.95 Regular Work Week A standard work week is 48 hours. Employees who work more than the standard week must be paid a wage with a 50% premium (time and a half). Some exceptions are provided for under the law. Public Holidays On statutory holidays, most employees are entitled to time off with pay based on their average daily wage. If the employee is not scheduled to work on the paid holiday, the employer can offer the employee another day off or a regular day’s pay for that holiday. Additional Information Guide to the Nova Scotia Labour Standards Code SSQ Insurance 2021 Bulletin on Nova Scotia Social Legislation 8
Return to the Table of Contents Employment and Social Development Canada 6. Canada Pension Plan The Canada Pension Plan (CPP) retirement pension is a monthly, taxable benefit that provides partial income upon retirement. Those who qualify receive the CPP retirement pension for the rest of their lives. Eligibility • Be at least 60 years old • Have made at least one valid contribution to the CPP Contributions Every person over the age of 18 who works in Canada and earns more than $3,500 per year must contribute to the Canada Pension Plan. Employees pay half the required contributions and their employer pays the other half. Those who are self-employed pay 100% of the contribution. At age 70, workers no longer contribute to the CPP, even if they are still working. The contribution amount is based on employment income. The contribution rate is indexed on January 1 of each year. Benefits The standard age to start receiving CPP benefits is 65 years; however, workers can take a permanently reduced pension as early as age 60. The CPP provides the following benefits: • Retirement pension • Post-retirement benefit • Disability benefits • Survivor benefits The CPP allows pension splitting for married or common-law couples and credit splitting for divorced or separated couples under certain conditions. A contributor who wishes to receive benefits must submit an Application. Overview of CPP Amounts Basic amounts for 2021 Maximum annual allowable earnings $61,600 Basic exemption $3,500 Contribution rate Employee and employer 5.45% Self-employed workers 10.9% Maximum contribution Employee and employer $3,166.45 Self-employed workers $6,332.90 Maximum amount for lump-sum payment Maximum death benefit $2,500 SSQ Insurance 2021 Bulletin on Nova Scotia Social Legislation 9
Return to the Table of Contents Basic Amounts for 2021 (continued) Maximum monthly amounts Retirement and post-retirement pensions Retirement pension (at age 65) $1,203.75 Post-retirement benefit $30.09 Disability benefit Disability benefit $1,413.66 Post-retirement disability benefit $510.85 Children of disabled CPP contributors $257.58 Survivor’s pension Contributor younger than 65 $650.72 Contributor 65 and older $722.25 Children of deceased CPP contributors $257.58 Additional Information Canada Pension Plan Employment and Social Development Canada 7. Old Age Security Act The Old Age Security Act provides for the payment of four benefits in accordance with the following conditions: Benefit Eligibility Old Age Security pension (OAS) • Must be a Canadian citizen aged 65 or over Guaranteed Income Supplement (GIS) Provides additional income to low-income • Receive the OAS pension seniors living in Canada • Meet requirements related to income Allowance (ALW) Offered to low-income seniors • Must be the spouse or common-law partner of a person who receives the OAS pension and GIS, or be eligible to receive them • Must be aged 60 to 64 • Must be a Canadian citizen or a person authorized to reside in Canada at the time the Allowance application is approved, or had been approved the last time he or she travelled outside of Canada • Must have lived in Canada for at least 10 years after turning age 18 Allowance for the Survivor Additional income for low-income seniors • Must be aged 60 to 64 • Must be a Canadian citizen or a legal resident at the time the application for the Allowance is approved or have been approved the last time he or she travelled outside Canada • Has an annual income below the prescribed limit • Has a spouse or common-law partner who has died, and has not remarried nor lived in a common-law union for more than 12 months since • Must have lived in Canada for at least 10 years after turning age 18 SSQ Insurance 2021 Bulletin on Nova Scotia Social Legislation 10
Return to the Table of Contents Payment Amounts OAS pension and benefit payments are revised on a quarterly basis (January, April, July and October) to reflect the cost of living increase as measured by the Consumer Price Index (CPI). Payments are made as follows: Old Age Security pension payments from January to March 2021 Type of Benefit Maximum Income level Income level cut-off for amount1 cut-off2 top-ups Old Age Security pension (OAS) 3, 4 $615.37 $129,075 n/a Guaranteed Income Supplement (GIS) Single, widowed or divorced $919.12 $18,648 $8,864 Spouse/common-law partner of someone who: Does not receive the OAS pension $919.12 $44,688 $17,728 Receives the OAS pension $553.28 $24,624 $7,936 Receives the Allowance $553.28 $44,688 $7,936 Allowance 4 $1,168.65 $34,512 $7,936 Allowance for the Survivor $1,393.08 $25,152 $8,864 1 The maximum amount includes top-ups to the GIS and Allowances. 2 The income level cut-offs do not include the OAS pension, the first $5,000 of employment or self-employment income and 50% of employment or self-employment income between $5,000 and $15,000. 3 The OAS pension repayment range in 2021 is from $79,845 to $129,075. 4 Individuals can defer receiving the OAS pension beyond age 65 in exchange for a higher pension. The monthly OAS pension is increased by 0.6% for every month it is delayed up to a maximum of 36% at age 70. Additional Information Old Age Security pension Department of Health and Wellness 8. Health Insurance Nova Scotia’s Medical Services Insurance (MSI) is the provincial health plan. It provides basic coverage for essential medical care. Eligibility The following are eligible for MSI: • Permanent residents, present in the province 183 days every calendar year • Canadian citizens coming from another province, eligible after a three-month period • Full-time students studying in another province • Students coming to Nova Scotia from outside the country who hold a Study Permit (starting the first day of the 13th month following the date of arrival in Nova Scotia, provided they have not been outside the province for more than 31 consecutive days) • Temporary workers who hold a work permit valid for a minimum of 12 months It is the responsibility of each individual to register themselves and their dependents who reside in the province. Individuals covered by the plan receive a health card, which they must present to receive provincial health insurance coverage. SSQ Insurance 2021 Bulletin on Nova Scotia Social Legislation 11
Return to the Table of Contents Overview of Care and Services Covered Coverage Conditions Physician Services in the physician’s office, at the hospital, or in the home Medical Care • Surgical services, including the services of anesthetists • Medical examinations • Diagnostic services: laboratory tests and medical imaging • Obstetrical care, including pre-natal care, confinement, caesarean section, post-natal and newborn care or any complications of pregnancy • Treatment of fractures and dislocations • Breast and cervical cancer screening • Sterilization procedures, both male and female • Vaccinations deemed necessary • Supervision of home dialysis Hospital Services Standard ward, meals, and most in-patient care Additional insurance is required to obtain a private or semi-private room. Optometric Services Children age 9 and younger as well as those age 65 and older: 1 eye exam per 2-year period If a pathology exists or symptoms appear, other than those related to ocular refractive disorders, the eye exam is covered at any age Dental Services • Care recommended by a physician and provided in a hospital • Basic dental care (annual exams, cleanings and fillings) for children from birth to the end of the month of their 14th birthday Nursing and Home Care Home Care: nursing and home support Costs are based on income Medical Supplies • Artificial limbs are covered once every 4 years • Ocular prostheses for residents aged 18 and younger or 65 and older, or to those registered with the CNIB • Mastectomy prostheses are covered up to $150 ($300 if bilateral) every 2 years A Closer Look at Group Insurance Keeping employees engaged and healthy The public health insurance plan provides basic coverage for many health care services. Private insurance through a group plan offers more generous coverage that allows employers to rely on healthy workers. Not to mention that benefits are an excellent way to stand out as an employer of choice. When it comes to choosing an employer, many workers consider the possibility of, for example, protecting their children while they are in school, getting coverage for vaccinations and tests that would not otherwise be covered, or paying a fraction of the fees of other health care professionals with comprehensive health insurance coverage. Pharmacare Program The program assists Nova Scotians who do not have private prescription drug insurance coverage or if the high cost of prescription drugs becomes a financial burden to them. The program helps cover the costs of prescribed drugs and supplies listed in the Nova Scotia Formulary, provided these are not covered by another plan. There are no premiums and the program’s copayment and deductible have yearly maximums that are set depending on annual family income. SSQ Insurance 2021 Bulletin on Nova Scotia Social Legislation 12
Return to the Table of Contents Seniors’ Pharmacare Program The program helps with the cost of prescription drugs and supplies listed in the Nova Scotia Formulary. Coverage must be renewed yearly. Family history is not considered. Seniors contribute to costs in two ways: • Annual premium of $424 based on income • A copayment of 30% for each prescription, up to the maximum annual copayment of $382 A Closer Look at Group Insurance For health benefits not covered by MSI, additional private insurance is recommended to cover medication, vision care, medical equipment and dental care, among others. Additional Information Nova Scotia Medical Services Insurance Department of Community Services 9. Employment Support and Income Assistance Income Assistance This program provides people in financial need with assistance for basic needs such as food, rent, utilities like heat and electricity, and clothing. Standard Household Rate Household Composition Monthly Payment Dependent Children/ Number of Recipients Student Family Member Rent/Own Board 1 0 $686 $608 1 1 $962 $627 1 2 or more $1,013 $668 2 0 $1,342 $1,008 2 1 or more $1,393 $1,049 Additional benefits are available for individuals who have a disability or condition that limits their ability to hold a job. In order to help employable people regain their financial independence, the government offers various employability development and job search support services. Additional Information Employment and Income Assistance SSQ Insurance 2021 Bulletin on Nova Scotia Social Legislation 13
Return to the Table of Contents 10. Tax Impact of Group Insurance From a fiscal standpoint, some of the group insurance premiums that the employer pays for employees are considered work- related taxable benefits. For the employer, these taxable benefits increase the total payroll and as a result, increase the contributions to various governmental programs. For employees, this increases their income which indirectly creates a tax to pay. The table below shows the taxation impact of various group insurance plan coverage. Coverage Deductible Expenses1 Employer’s Benefits Taxable for for Employer Contribution Taxable the Employee for Employee Life Yes Yes No Accidental death and dismemberment, dismemberment due to illness and critical Yes Yes No illness Dependents’ life Yes Yes No Short term disability Yes No Yes2 Long term disability Yes No Yes2 Health Yes No No Dental Yes No No 1 Expenses refer to the portion of the premiums paid by the employer for this benefit. 2 If the employer pays any part of the premium, regardless of the amount. If you have any comments or questions about this Bulletin, please email them to: bulletin@ssq.ca. The texts presented in this document are the responsibility of the various government bodies that produce them. In the event of a discrepancy, the original texts in the laws and regulations will take precedence over the information provided in this Bulletin. SSQ Insurance 2021 Bulletin on Nova Scotia Social Legislation 14
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