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Group Insurance Benefits: Are Health, Dental and Life Premiums Taxable?

Updated

This page covers group insurance an employer provides: health and dental plans and group life insurance, and whether the premiums the employer pays are a taxable benefit. If you are asking whether disability benefit payments are taxable, see long-term disability benefits.

Health and dental plans

For most Canadians, employer-paid health and dental premiums are a tax-free benefit. CRA does not require employees to include private health services plan premiums in their income, but Quebec takes a different approach and taxes these benefits provincially. This guide is part of the taxable benefits directory, which covers each employer benefit on its own page.

Federal Rule: Not Taxable

RuleDetails
Federal treatment❌ Not a taxable benefit
T4 box 40Employer-paid PHSP premiums do not appear here
CRA authorityIT-339R2 (IT Bulletin); Folio S2-F3-C2
Applies toExtended health, dental, vision, prescription drugs, paramedical services
ConditionMust be a qualifying private health services plan (PHSP)

Box 40 is where most other employer perks land on your T4; the guide to what taxable benefits are explains how an amount there is added to your income.

Quebec: Taxable Provincially

RuleDetails
Quebec treatment✅ Taxable benefit on provincial return
RL-1 box JEmployer-paid PHSP premiums appear in box J of RL-1
Federal treatmentStill not taxable federally (no T4 box 40 amount)
Quebec onlyOnly applies to Quebec provincial income tax
ImpactEmployees pay Quebec provincial tax on the premium value

Types of Employer-Paid Benefits and Tax Treatment

Benefit typeFederalQuebec provincial
Extended health premiums❌ Not taxable✅ Taxable
Dental premiums❌ Not taxable✅ Taxable
Prescription drug premiums❌ Not taxable✅ Taxable
Vision care premiums❌ Not taxable✅ Taxable
LTD / STD premiums❌ Not taxable❌ Not taxable (generally)
Group life insurance premiums✅ Taxable✅ Taxable
AD&D premiums✅ Taxable✅ Taxable
Employee assistance program (EAP)❌ Not taxable❌ Not taxable
Critical illness (employer-paid)DependsDepends

The life insurance rows work the other way from health and dental: the guide to group life insurance premiums shows how that benefit is calculated.

What Is a Qualifying Private Health Services Plan (PHSP)?

CriterionDetails
Must coverEligible medical expenses under the Income Tax Act
Cannot beA plan that pays wages in lieu of salary
Primary purposeReimbursement of medical / dental / drug expenses
Common examplesBlue Cross, SunLife, Manulife group benefits plans
CRA referenceIT-339R2; must qualify as PHSP to receive tax-free treatment

If a plan does not qualify as a PHSP (for example, if it pays cash directly or covers non-medical expenses), the premiums may lose the non-taxable status.

Claiming Premiums You Pay Yourself

Premiums you pay for a health or dental plan can count toward the medical expense tax credit, which has the full list of eligible expenses and the claim threshold. How it applies to plan premiums:

SituationClaimable as a medical expense?
Employer paid the premium (non-taxable to you)❌ No: cannot claim someone else’s payment
You paid via payroll deduction (your after-tax dollars)✅ Yes: eligible medical expense
You pay the full premium directly✅ Yes: eligible medical expense
Premium included in your income as a taxable benefit (e.g., some cases)✅ Yes if included in your income

Disability Coverage Follows a Different Rule

Employer-paid disability premiums are not a taxable benefit, but the disability benefits are taxable if you ever claim; when you pay the premium yourself, the benefits are tax-free. The guide to whether long-term disability income is taxable works through that trade-off and cost-shared plans.

Quebec RL-1 vs Federal T4

SlipBoxWhat appears
T4 (federal)Box 40Life insurance premiums, company car, parking, etc. NOT health/dental
RL-1 (Quebec)Box JHealth, dental, vision, drug premiums paid by employer
Quebec employeeFiles both federal and provincial returnsAdjusts for provincial taxable benefit

Outside Quebec, an employer can provide health and dental coverage with no tax cost to the employee. In Quebec, these premiums appear on the RL-1 and are subject to provincial income tax.

If You Have No Workplace Dental Plan

The federal Canadian Dental Care Plan, which began taking applications in December 2023, provides government-funded dental coverage for uninsured Canadians with a family income below $90,000; it is separate from employer-provided dental insurance and does not create a taxable benefit. The guide to the Canadian Dental Care Plan covers eligibility and how to apply.

Group life insurance

If your employer covers the cost of your group life insurance, that premium payment is a taxable benefit to you. The insured amount (what your family receives if you die) is not taxable, but the annual premium your employer pays on your behalf is treated as employment income. This is one of the insurance guides in the taxable employment benefits directory.

Core Rule

RuleDetails
Taxable benefit✅ Employer-paid group term life insurance premiums
What is taxableThe annual premium attributable to your coverage
What is NOT taxableThe death benefit paid to your beneficiary
T4 reportingBox 40 (included in box 14 employment income)
Employee-paid premiums❌ Not a taxable benefit: your own after-tax money

How the Taxable Amount Is Calculated

StepExample
Your coverage amount$200,000
Group premium rate$0.30 per $1,000/month
Monthly premium for your coverage$200,000 ÷ 1,000 × $0.30 = $60/month
Annual taxable benefit$60 × 12 = $720
This appears in box 40$720 added to employment income

Different employers use different group rates; the actual rate depends on the plan carrier’s pricing. Your employer calculates and reports this.

Where It Appears on Your T4

T4 BoxContent
Box 14, Employment incomeIncludes your salary plus the $720 insurance benefit
Box 40, Other taxable allowances and benefitsShows the $720 life insurance premium (and any other benefits)
Payroll withholdingTax on the $720 should be withheld throughout the year

The $720 is taxed like salary at your marginal rate; the guide to what taxable benefits are shows how box 40 amounts are added to income and what the tax works out to at different rates. For most employees with modest employer-paid premiums, the tax is a few hundred dollars per year.

Types of Employer-Paid Insurance and Tax Treatment

Type of coverageTaxable benefit?Notes
Group term life insurance (employer-paid)✅ YesPremium = taxable
Accidental death and dismemberment (AD&D)✅ Usually yesCRA considers most AD&D premiums taxable
Dependent life insurance (employer-paid)✅ YesCoverage for spouse/children: premium taxable
Group health / dental premiums (employer-paid)❌ Not taxable (most provinces)See the health and dental plan guide
Critical illness insurance (employer-paid)DependsCan be taxable; benefit payout treatment also varies
Disability insurance (employer-paid)❌ Premium not taxable; BUT benefit is taxable income when receivedDifferent rule from life insurance
Employee-paid premiums (all types)❌ Not taxableYour own post-tax dollars

Life Insurance Premium vs Death Benefit: Tax Treatment

ItemTax treatment
Employer-paid premium✅ Taxable employment benefit, on your T4
Employee-paid premium❌ Not deductible; no tax impact
Death benefit to beneficiary❌ Not taxable: received tax-free
Group creditor insurance payoutMay be taxable, depending on policy structure

The distinction to keep in mind: the premium is taxable, the death benefit is not.

AD&D insurance (accidental death and dismemberment)

Employer-paid AD&D premiums are also a taxable benefit, reported in box 40 of your T4, the same treatment as group term life insurance.

FeatureGroup term lifeAD&D
Employer-paid premiumsTaxable benefit (box 40)Taxable benefit (box 40)
Benefit paid on deathTax-freeTax-free
Benefit paid on injury (limb, sight)N/ATax-free (lump sum)

The tax treatment is consistent: premiums are income, benefits are capital, not income.

Disability Insurance Works the Opposite Way

Disability coverage reverses the life insurance logic: you aren’t taxed on a premium your employer pays, but you are taxed on the payments if you ever claim. The guide to whether long-term disability income is taxable explains how paying the premium yourself changes that, and how cost-shared plans split it.

Sources

The figures and rules on this page come from these sources, last checked against them on September 25, 2026. How we check facts.