Helps protect you financially by replacing a portion of your income if you have a condition that prevents you from working and you meet the eligibility requirements of the policy.
When you leave your job, your group health and dental insurance coverage typically ends with your employment. This gap in coverage can leave you and your family vulnerable to unexpected health-care costs.
The good news is you have options to maintain your protection. Understanding what happens to your benefits and exploring your choices now can help you avoid costly gaps in coverage.
When employment ends, whether through layoff, resignation, or retirement, your group health and dental benefits generally end on your last day of work. Under most group insurance plans, coverage is tied directly to employment status.
The bottom line: It's critical to act quickly to secure replacement coverage and avoid gaps.
The timing can matter significantly. To avoid gaps in coverage, apply for individual health insurance as soon as your group coverage ends. Many insurance providers allow transitions from group to individual plans within a specific timeframe.
Sun Life's Health Coverage Choice is designed specifically for this situation. If you're leaving a workplace insurance plan with any Canadian insurance company, you can apply within 60 days without requiring a medical exam. This guarantee eliminates the risk of being denied coverage during this transition period.
Example timeline: If your coverage ends March 31st, you have until May 31st to apply.
You’re not without options if you leave your job or get laid off. You have three main pathways to maintain health coverage:
You can replace your group benefits by switching to a PHI plan. This option is designed to help Canadian residents cover medical expenses not included in provincial or group benefit plans. We offer three tiers of coverage; Basic, Standard, and Enhanced, each offering different levels of coverage.
Best for: Those leaving a workplace or retiree group benefits plan who want to continue existing coverage without interruption.
Key advantages:
Please note that you must be covered under a provincial health insurance plan to be eligible for Health Coverage Choice.
As a Canadian resident, you're covered by provincial government health insurance. However, it's important to understand what’s not typically covered by provincial plans, such as:
If you need any of these to be covered, you may want to consider additional health insurance coverage options.
Special note for Quebec residents: All Quebec residents must maintain prescription drug insurance either through the Régie de l'Assurance Maladie du Québec (RAMQ) or through group or individual benefits plans. An individual plan does not replace RAMQ coverage, and you cannot opt out of RAMQ by obtaining an individual plan.
Special note for British Columbia residents: Provincial health care coverage is optional in BC; however, applicants to Health Coverage Choice (HCC) must have BC provincial coverage to be eligible.
| Feature | Personal Health Insurance | Health Coverage Choice | Provincial Only |
|---|---|---|---|
| Medical exam required | Yes | No (within 60 days) | N/A |
| Pre-existing conditions covered | Case-by-case | Yes, automatically | Yes |
| Prescription drugs | Coverage level varies by plan | Yes | Limited |
| Dental coverage | Coverage level varies by plan | Coverage level varies by plan | No |
| Paramedical services | Coverage level varies by plan | Yes | No |
| Cost flexibility | Varies by plan | Varies by plan | N/A |
Beyond health coverage, you may have other workplace insurance benefits that would end should you leave your job:
Helps protect you financially by replacing a portion of your income if you have a condition that prevents you from working and you meet the eligibility requirements of the policy.
CII is coverage that can help Canadians pay the additional costs associated with life-altering illnesses. CII pays a lump-sum payment that you can use however you want.
A policy that can last for the rest of your life or for a specific time period and provides your beneficiaries with a tax-free cash payment when you die.
If you're self-employed or transitioning to a role without group benefits, continuing these types of coverage becomes even more critical. Consider the financial impact on your family if you were unable to work or if something happened to you.
Don't wait until after your employment ends to think about your health insurance. Review your coverage needs and explore your options while you're still employed. This proactive approach can ensure you maintain continuous coverage and avoid unexpected health-care costs.
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This information is meant for educational and illustrative purposes only. Some conditions, exclusions and restrictions apply.