Group Critical Illness for Employees

Business & Benefits

Group Critical Illness for Employees

Critical illness insurance offers valuable financial support in the event of life-threatening illnesses, like heart attacks, cancer, stroke, or coronary bypass (conditions covered are specified in the policy). In the event that the policyholder becomes ill within the policy term and survive for the designated survival period (usually lasting from 30 to 90 days), they will receive a one-time lump sum payment which aids in alleviating the financial strain caused by debts, lost income, medical bills, and other related expenses.

Certain policies provide coverage for up to 30 life-threatening illnesses. Nevertheless, similar to all policies, critical illness insurance includes standard exclusions. For instance, pre-existing conditions, attempted suicide, and incidents related to alcohol and drug use are typically not covered by critical illness insurance.

Purchasing group critical illness insurance enables an employer to provide employees with cost-effective premiums, which are typically lower compared to individual policy purchases.

Group Critical Illness for Employees

Purchasing group critical illness insurance enables you to provide your employees with cost-effective premiums, which are typically lower compared to individual policy purchases.

How Does It Work?

In the event that an employee is diagnosed with a life-threatening illness and successfully recovers, critical illness insurance offers a tax-free payment to provide financial assistance to them and their family.

This benefit is unrestricted, meaning the employee has the freedom to utilize the money as necessary during the recovery period following the critical illness. Here are some examples of how they might choose to allocate the funds:

  • Substitute or supplement their income while they are recuperating.
  • Enable their partner to take time off work in order to provide caregiver support.
  • Cover the costs of alternative or experimental medical treatments.
  • Make home renovations to enhance accessibility.

It is important to highlight that the employee must survive the illness to be eligible for coverage. If they were to pass away, the critical illness insurance would not provide financial assistance to their family. In such cases, a group life insurance policy would be required to offer support to the family.

Typically, the individual must survive for a minimum of 30 days following the onset or diagnosis of the critical illness to receive critical illness insurance benefits. Nevertheless, this time period may vary depending on the insurer, so it is crucial to thoroughly understand the specifics of your policy.

What Medical Conditions Are Covered?

Medical conditions covered by critical illness insurance will vary depending on the individual insurer. The four most common covered illnesses are:

  • Heart attack
  • Stroke
  • Cancer
  • Coronary bypass

That said, some insurers will cover up to 30 illnesses.

These may include:

  • Alzheimer’s disease
  • Bacterial Meningitis
  • Blindness
  • Brain injuries
  • Burns
  • Coma
  • Deafness
  • Kidney failure
  • Loss of speech or limbs
  • Loss of independent existence
  • Major heart surgeries
  • Major organ transplant
  • Motor neuron disease
  • Multiple Sclerosis
  • Paralysis
  • Parkinson’s disease

In general, the severity of the condition is crucial, and certain insurance providers require evidence of permanent damage or significant life-altering consequences. However, these criteria can differ.

Every insurance company has its own policies, and one may include coverage for a specific critical illness while another may not. That’s why it’s vital to engage the services of a critical illness agent.

How does a business develop group critical illness insurance plan tailored to its requirements?

When calculating the benefit payout for employees facing a critical illness, a business has two options to consider:

  1. Salary-based multiplier: Employers must have the flexibility to provide coverage to your employees based on a multiple of their salary, with an upper limit on the maximum benefit amount.
  2. Fixed benefit scheme: Alternatively, employers can choose to offer a predetermined benefit amount to all employees, irrespective of their individual salaries i.e., $25,000.


When assessing eligibility for a group critical illness plan, it is worth taking into account the following aspects:

  1. Waiting period: Will employees become eligible for the benefit upon joining the company or after completing their probation period?
  2. Work arrangements: Will the plan be limited to permanent full-time employees, or will it encompass temporary and part-time employees as well?

Why Provide Group Critical Illness?

Fortunately, advancements in medical technology have led to an improved survival rate for cancer and other critical illnesses, such as heart attacks and strokes. However, recovering from such severe ailments can lead to substantial financial strain, including expenses for treatments and the inability to work while recuperating.

By offering employees its critical illness insurance, employers can help alleviate the financial burden they may face during their recovery period.

Moreover, critical illness insurance benefits bridge the gap between what is covered by group disability insurance and group life insurance plans. These three plans work in conjunction to provide comprehensive coverage that employees can rely on.

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For 26 years Pinkney Financial Services has been a very important part of my financial future. I’m most grateful for everything they have done for me over these many years.
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Retired Edmonton Public Teacher

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