Fraud Risk Management

Benefits fraud: how to spot and prevent it

Benefits fraud costs Canadian employers millions annually—and impacts everyone who relies on group coverage. It can threaten the integrity of employee benefit plans, increase costs for everyone, and can result in serious legal consequences. 

Whether you're a plan sponsor administering benefits, a plan member using your coverage, or an advisor supporting Clients, understanding how to prevent and detect fraud is critical to maintaining a healthy, sustainable benefits program.

We all have a role in preventing fraud 

When you know what to look for and report what you see, you help keep benefits safe for everyone. Test what you know: Take our fraud prevention quiz “Was that fraud” to see if you can spot the warning signs.

Keeping plans safe and sustainable

Sun Life leads the industry in both the size and capabilities of our Fraud Risk Management team. Our focus is on prevention, preparedness, response, and recovery. This commitment has resulted in saving plan sponsors millions of dollars that might otherwise have been spent in fraudulent claims and plan abuse. It’s important to be aware of group benefits fraud, what it looks like, and how it can be avoided.

Here are some helpful resources for you and your plan members.