Back to all terms

Spouse / Partner

A spouse or partner is the person legally married to or living in a committed relationship with the insured plan member or policyholder. In insurance terms, a spouse includes both legally married and common-law partners who meet the eligibility requirements defined by the insurer. Common-law partners are generally recognized after living together continuously for a specific period, often 12 months or longer, in a relationship similar to marriage.

Spouses or partners are considered eligible dependents under most health, dental, and life insurance plans. They may share coverage with the plan member and can also coordinate benefits if both partners have separate insurance plans through their employers. Adding a spouse or partner to a plan typically requires proof of the relationship, such as a marriage certificate or signed declaration of common-law status.

Example:

If you and your partner have lived together for over one year and you are enrolled in a group benefits plan through your employer, you can add your partner as a dependent to extend health and dental coverage to them.

What to Watch For:

Check your insurer’s definition of spouse or partner, as the required cohabitation period for common-law eligibility may vary. Notify your employer or insurer promptly about life events such as marriage, separation, or divorce, since these changes can affect dependent eligibility and benefit coordination. If both partners have coverage, coordinate claims to maximize reimbursement while avoiding overpayment.

Related Terms

Hospital Room (Semi-Private / Private)

Hospital room coverage pays for the cost of upgrading from a standard ward room to a semi-private or private hospital room. This benefit allows greater privacy and comfort during inpatient stays.

Shared Dispensing Fee / Fee Limit

The shared dispensing fee, or fee limit, refers to the portion of a pharmacy’s dispensing charge that your insurance plan will cover. Pharmacies add this professional fee each time a prescription is filled to cover handling, verification, and counselling.

Short-term Disability Insurance

Short-term disability (STD) insurance provides temporary income replacement when you are unable to work for a limited period due to illness, injury, or surgery. It helps protect your income during the early stages of a disability, usually before long-term disability (LTD) benefits begin. This coverage ensures financial stability while you recover and are expected to return to work within a few weeks or months.

Smoking-Cessation Drugs

Smoking-cessation drugs are prescription medications designed to help individuals quit smoking by reducing nicotine cravings and withdrawal symptoms. Examples include bupropion and varenicline. These medications are considered lifestyle-related but medically supported treatments.

Split Modules

Split modules refer to the structure of a health insurance plan that allows members to mix and match different coverage categories, such as drug, dental, and extended health care. Each module operates independently with its own premiums and limits.

Have questions about your insurance coverage?

Our licensed advisors can help you understand your options and find the right plan for your needs.

Contact Us