How to Choose the Right Benefits Structure

Explore the trade-offs between cost, stability, and flexibility across common group-benefit options.

What Shapes Your Benefits Options

The right benefits structure depends on a few key factors that determine which approach is the best fit — both today and as your business evolves.

Number of Employees

The size of your company influences the available options.

Your Budget

The amount you allocate impacts plan design and stability.

Your Objectives

What you want from your benefits will determine how much flexibility you need.

Comparing Your Benefits Options

Each approach offers a different balance of cost, flexibility, and risk. Use this comparison to see how the options stack up side by side.

Option Individual Health & Dental Fully Pooled Group Partially Pooled Group Experience-Rated Group ASO
Best For 1 employee 3+ employees 2+ employees 3+ employees Best at 15+ 100+ employees Sometimes 50+
Medical Underwriting Required Not required Not required Not required Stop-loss underwriting may apply
Pre-existing Conditions Often excluded Generally covered Generally covered Generally covered Not applicable to insured benefits
Premium Stability High; age-based increases High; based on the pool Medium to High Medium; sensitive to claims Variable; tracks claims
Customization Low Low to Medium Medium High Very High
Employer Risk None Low Low to Medium Medium High
Typical Cost $–$$ $$–$$$ $$ $–$$ Variable

Comparing Your Benefits Options

Each approach offers a different balance of cost, flexibility, and risk. Use this comparison to see how the options stack up side by side.

Swipe to compare benefit options →

Individual Health & Dental

Best For 1 employee
Medical Underwriting Required
Pre-existing Conditions Often excluded
Premium Stability High; age-based increases
Customization Low
Employer Risk None
Typical Cost $–$$

Fully Pooled Group

Best For 3+ employees
Medical Underwriting Not required
Pre-existing Conditions Generally covered
Premium Stability High; based on the pool
Customization Low to Medium
Employer Risk Low
Typical Cost $$–$$$

Partially Pooled Group

Best For 2+ employees
Medical Underwriting Not required
Pre-existing Conditions Generally covered
Premium Stability Medium to High
Customization Medium
Employer Risk Low to Medium
Typical Cost $$

Experience-Rated Group

Best For 3+ employees Best at 15+
Medical Underwriting Not required
Pre-existing Conditions Generally covered
Premium Stability Medium; sensitive to claims
Customization High
Employer Risk Medium
Typical Cost $–$$

ASO

Best For 100+ employees Sometimes 50+
Medical Underwriting Stop-loss underwriting may apply
Pre-existing Conditions Not applicable to insured benefits
Premium Stability Variable; tracks claims
Customization Very High
Employer Risk High
Typical Cost Variable Claims + admin fees

Helping You Make the Right Choice

Seeing your options is one thing — understanding and choosing the right path forward is another.

At Clear View Insurance, we help you navigate that decision with clarity, context, and a focus on what matters most for your business.

How We Guide You:

  • Clarify which options are actually relevant based on your size and stage
  • Walk through the trade-offs between cost, stability, and flexibility
  • Align your benefits strategy with your goals — not just industry norms
  • Ensure your plan continues to fit as your business evolves

Our role is to help you move forward with confidence — knowing you’ve made the right decision for your team.

At Clear View Insurance, we help you navigate that decision with clarity, context, and a focus on what matters most for your business.

How We Guide You:

  • Clarify which options are actually relevant based on your size and stage
  • Walk through the trade-offs between cost, stability, and flexibility
  • Align your benefits strategy with your goals — not just industry norms
  • Ensure your plan continues to fit as your business evolves

Our role is to help you move forward with confidence — knowing you’ve made the right decision for your team.

Ready to Take The Next Step?

We’ll walk through your options together and help you determine the right approach for your business.

Address

330 – 5th Avenue SW
Tower 1, Suite 1800
Calgary, AB T2P 0L4

Phone

(587) 747-7603

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