Falsifying information in a rush to use up health benefits before year-end? You could face serious consequences

Benefits fraud is a crime

Toronto, ON (Oct. 31, 2019) – This year saw headline news related to workplace benefits fraud. As year-end nears working Canadians may rush to use-up benefits, and some may intentionally submit false or misleading information to insurance providers in the process.

Many Canadians don’t understand that health and dental benefits fraud is a crime.

According to a 2018 survey conducted by Environics Research for the Canadian Life Health Insurance Association (CLHIA), 75 per cent of insured Canadians think that the main consequence of benefits fraud is having to pay higher premiums or reimburse claim payments.

In fact, health and dental benefits fraud is a real crime with real consequences that can include loss or reduction of benefits, loss of employment, a criminal record, fines and/or jail time.

The CLHIA, which represents 99 per cent of Canada’s life and health-insurance companies, is raising consumer awareness of health and dental benefits fraud through its Fraud=Fraud campaign.

Learn more:

  • What is benefits fraud? Health and dental benefits fraud occurs when you intentionally submit false or misleading information to your insurance provider for the purpose of financial gain. Learn more.
  • Consequences of benefits fraud: What’s the worst that could happen if you get caught committing benefits fraud? Learn more.
  • What can you do? Help fight benefits fraud by using your benefits appropriately and reporting fraud when you see it. Learn more.

About the CLHIA

The CLHIA is a voluntary association whose member companies account for 99 per cent of Canada’s life and health insurance business. The industry provides a wide range of financial security products such as life insurance, annuities (including RRSPs, RRIFs and pensions) and supplementary health insurance to more than 29 million Canadians. It also holds over $860 billion in assets in Canada and employs more than 155,000 Canadians. For more information, please visit www.clhia.ca.

SOURCE: Canadian Life and Health Insurance Association Inc.

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