Health Spending Accounts for Small Businesses in Canada – A Cost-Effective Alternative to Traditional Employee Benefits

Sarah Delorme
Market Insights
March 10, 2025
12 min read

Why Small Businesses in Canada Need Affordable Health Benefits

Small businesses employ nearly 70% of the Canadian workforce, yet many struggle to offer comprehensive health benefits due to high insurance costs. Traditional group health insurance plans can be expensive, rigid, and difficult to manage, especially for startups and growing companies.

Health Spending Accounts (HSA) provide a flexible, tax-efficient alternative, allowing businesses to offer customizable health benefits while controlling costs. Unlike traditional plans, HSAs empower employees to allocate funds based on their unique healthcare needs.

What is a Health Spending Account (HSA)?

An HSA is a tax-free benefit plan that allows businesses to reimburse employees for eligible healthcare expenses. Instead of paying fixed premiums to an insurance provider, employers allocate a set amount for each employee to spend on health-related expenses.

How Does an HSA Work?

  1. Employers Set a Budget – A fixed amount (e.g., $1,500 per employee) is allocated annually.
  2. Employees Submit Claims – Employees use the funds for eligible expenses like dental care, vision, and prescription drugs.
  3. Tax-Free Reimbursements – Businesses reimburse employees, and the expense is fully tax-deductible.

Benefits of Health Spending Accounts for Small Businesses

1. Cost-Effective & Predictable Spending

Traditional group health plans require businesses to pay monthly premiums, which increase annually. HSAs offer predictable costs, as employers control the allocated budget.

  • Example: A company with 10 employees offering an HSA of $1,500 per person spends $15,000 annually—potentially less than traditional insurance premiums.

2. Flexibility for Employees

Unlike conventional health plans, where one-size-fits-all policies may not cover all needs, HSAs allow employees to use funds for services they prioritize.

  • Covered expenses may include:
    • Dental and orthodontic care
    • Vision care (glasses, contact lenses, eye exams)
    • Prescription medications
    • Physiotherapy and chiropractic treatments
    • Mental health counseling

3. Significant Tax Advantages

  • For Employers: HSA contributions are 100% tax-deductible as a business expense.
  • For Employees: Reimbursements for eligible medical expenses are 100% tax-free.
  • For Incorporated Business Owners: HSAs allow them to pay for medical expenses through their business instead of using after-tax personal income.

4. No Complex Administration or Premium Increases

Unlike insurance plans that involve extensive paperwork and claims approvals, HSAs operate on simple digital platforms. Businesses avoid premium hikes, lengthy claim denials, and administrative burdens.

How HSAs Compare to Traditional Group Insurance Plans

Feature

Health Spending Accounts (HSA)

Traditional Group Insurance

Cost Control

Employer sets spending limit

Monthly premiums increase annually

Flexibility

Employees choose how to spend funds

Predefined coverage categories

Tax Benefits

Fully tax-deductible for employer & tax-free for employees

Limited tax advantages

Administration

Simple, digital reimbursement process

Complex claim approvals

Coverage Customization

Covers a wide range of medical expenses

Fixed coverage options

How to Set Up a Health Spending Account for Your Business

Step 1: Determine the Budget

  • Assess company finances and decide on an annual allocation per employee (e.g., $1,000–$3,000).

Step 2: Partner with an HSA Provider

  • Choose a trusted benefits provider to streamline HSA administration.

Step 3: Educate Employees

  • Provide a clear breakdown of eligible expenses and the claims submission process.

Step 4: Automate Claim Reimbursements

  • Use a digital platform to manage paperless claims processing and direct deposit reimbursements.

How GoKlaim Supports Small Businesses with HSA Solutions

Small businesses need scalable, tax-efficient benefits solutions that fit their budget. GoKlaim provides:

  • Fully customizable Health Spending Accounts (HSA) for small businesses.
  • Easy-to-use digital claims platform, eliminating administrative burdens.
  • Cost-effective, tax-saving benefits for business owners and employees.

Discover how GoKlaim can help your business implement an affordable HSA today.