Does OSSTF Benefits have a fraud policy?

October 2, 2025

Answer:

Yes, the OSSTF Benefits fraud policy which can be accessed through the following website link https://www.osstfbenefits.ca/wp-content/uploads/2018/09/OSSTF_ELHT_Fraud_Policy.pdf. This policy is intended to protect access to affordable benefits for all plan members and their eligible dependents.

As indicated in the Fraud Policy for members who commit fraud relating to OSSTF Benefits, actions recommended by the Board may include but are not limited to:

• Permanent removal of access to online claims
• Referral of all future claims to Carrier Risk Management for monitoring and verifications
• Pursue overpayment through Carrier
• Filing of a statement of facts with law enforcement
• Civil litigation

Fraud is a criminal offence. Action is taken by the OSSTF ELHT for each and every fraudulent claims situation reported to the Board. Fraudulent claims always have to be repaid by the involved member, permanent removal of access to online claims is always processed, and strong consideration is always given to the reporting of fraudulent activity to the police. If a member is charged and convicted of fraudulent claims activity, this will need to be declared by the member as part of the annual offence declaration which may lead to discipline from their employer up to and including possible termination.

 

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The information in this document is provided by OSSTF Benefits for general information only. OSSTF Benefits endeavours to have all information current and accurate. We make no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, or suitability of the information included. All information is subject to change without notice.

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