Simply Benefits
Simply Benefits is a Canadian Third Party Administrator/Payor (TPA/TPP) that operates a cloud-based, digital-first employee group benefits administration platform with advisor, administrator, and member portals plus iOS/Android apps. It sells quote-based subscriptions through a network of benefits advisors and brokerages, supporting plan design, enrolment, claims, and spending accounts coast-to-coast across Canada.
- Company typePrivate
- Founded2017
- HeadquartersKelowna, Canada
- Headcount11–50
- GTM typeB2B
- OfferingSoftware
What Simply Benefits does
Simply Benefits is a Canadian digital Third Party Administrator / Third Party Payor (TPA/TPP) that provides employee group benefits administration through a cloud-based platform available via web portal and native iOS/Android applications. The platform serves three role-specific surfaces: an Advisor Portal for benefits brokers to quote, design plans, set commissions, and manage client groups; an Administrator Portal for HR and employer billing, enrolment, and reporting; and a Member Portal plus mobile app for employees to view coverage, submit claims, access the MyCard digital drug/travel benefits card, and reach virtual-health services.
The underlying technology stack includes digital enrolment (claimed 5-minute guided onboarding), a claims engine with direct-billing integrations to Telus eClaims for health and to CDANet/iTrans via Instream for dental, same-day adjudication during business hours, and supporting modules for HSA/LSA spending accounts, invoicing, reporting, and a member-paid Marketplace. Payments are processed through Stripe for member-paid premiums; specialty benefits — virtual primary care (Maple, Dialogue, Gotodoctor), medical second opinion (HumanaCare), and out-of-province/out-of-country travel insurance (AIG) — are delivered through strategic partnerships rather than in-house products.
The business model is a quote-based, monthly subscription for group benefits administration and advisor platform licensing, with revenue generated per employer group onboarded through a network of benefits advisors and brokerages. Distribution is B2B2C: the company recruits insurance brokers as channel partners who then introduce employer clients, layered with a direct enterprise sales motion (Book a Demo), white-label/OEM deployments for insurers and larger brokerages, and self-serve mobile/web access for plan members. Customers cited include Acera Insurance, Vantage Benefits, and OneLife, with the company describing its advisor footprint as "hundreds of benefits advisors" operating coast-to-coast across offices in Kelowna, BC and Ayr, Ontario.
Simply Benefits firmographics
Firmographics- Name
- Simply Benefits
- Legal name
- Simply Benefits Inc.
- Website
- https://simplybenefits.ca
- Company type
- Private
- Founded year
- 2017
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Simply Benefits is a Canadian Third Party Administrator/Payor (TPA/TPP) that operates a cloud-based, digital-first employee group benefits administration platform with advisor, administrator, and member portals plus iOS/Android apps. It sells quote-based subscriptions through a network of benefits advisors and brokerages, supporting plan design, enrolment, claims, and spending accounts coast-to-coast across Canada.
- Ownership category
- akta.pro rank
Simply Benefits industry classification
Industry- Product category
- Group Benefits Administration
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Health and Welfare Funds (52512)
- SIC
- Insurance Agents, Brokers & Service (6411)
- akta.pro primary industry
- Benefits Administration (BPACAPAC)
- akta.pro secondary industries
- Flexible Benefits Administration (FSA/HSA/HRA) (HLAEALAK), Ancillary Benefits TPA (Dental/Vision/Life/Accident/Critical Illness) (HLAEALAN), Dental & Vision Third-Party Administration (TPA) (FSAIAHAL), Assistance & Claims Management Platforms (FNOL, TPA Tech) (THALALAF)
Keywords
Where Simply Benefits is headquartered
LocationHeadquarters
- HQ city
- Kelowna
- HQ country
- Canada
- HQ region
- North America
Offices2 records
Markets served
Simply Benefits business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure, Others
Revenue model
- Group Benefits Administration: Revenue generated through administration of group benefit plans for employers. The platform serves as a TPA/TPP, charging fees for plan administration, claims processing, and billing services. Pricing appears quote-based, tailored to group size and plan complexity.
- Advisor Platform Licensing: Licensing the platform to benefits advisors and brokerages for client management. Advisors use the portal for quoting, plan administration, and client insights.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Enterprise Group Benefits Administration |
Go-to-market motion3 records
Distribution channels5 records
Marketing channels6 records
Simply Benefits product offering
Product offeringCore offering
Simply Benefits is a digital Third Party Administrator/Payor (TPA/TPP) that provides a cloud-based platform for administering group employee health and wellness benefits in Canada. The platform serves benefits advisors, employer HR administrators, and plan members through role-specific portals, handling quoting, plan design, enrolment, claims adjudication, billing, and reporting. It also offers a digital benefits card, spending accounts, and integrations with healthcare provider networks for direct billing.
Product overview
Simply Benefits is a digital employee benefits management platform operating as a Third Party Administrator/Payor (TPA/TPP). The platform provides a unified ecosystem with role-specific portals for Advisors (quoting, plan design, client management), Administrators (employee enrollment, billing, reporting), and Members (claims, coverage access, virtual health). Key modules include Claims Management with fast adjudication, Digital Enrolment (5-minute guided process), Spending Accounts (HSA/LSA), Invoicing, Reporting, Marketplace, White-label options, and Plans & Coverage management. The platform offers native mobile apps for iOS and Android, integrates with Telus eClaims for health claims and Instream/CDANet for dental claims, processes payments via Stripe, and provides virtual health services through Maple, Dialogue, and Gotodoctor partners. Unique features include the MyCard digital benefits card, Medical Second Opinion services via HumanaCare, and travel insurance through AIG.
Differentiator
Problem solved
Functional benefit
Products and services
- Advisor Portal A web-based portal for benefits advisors and insurance brokers to quote, design, manage, and administer group benefit plans for their employer clients. Includes plan design creation, client onboarding, commission setup, and client insights reporting.
- Administrator Portal A dashboard for employer HR administrators to manage employees, track billing, generate reports, enroll staff, send notifications, handle plan administration, and view invoices.
- Member Portal A user portal for employees covered under group benefit plans to view coverage, submit claims, track usage, manage benefits, access the digital benefits card (MyCard), and access virtual health services.
- Simply Benefits Mobile App Native mobile applications for iOS (App Store ID 1494221810) and Android (Google Play) enabling plan members to access coverage, submit claims, track usage, view their digital benefits card, and manage benefits on phone or desktop.
- White-Label Platform A customizable deployment of the Simply Benefits platform that allows insurance companies, brokerages, or other organizations to offer branded digital benefits administration to their clients or members under their own brand.
- Member Benefits Marketplace A member-paid marketplace offering supplementary health and wellness products and services beyond the core group benefit coverage, accessible to plan members through the platform.
Quantifiable outcome
- 5-minute guided digital enrollment vs. traditional paper forms
- +3 more outcomes
Companies that use Simply Benefits
Customer profileNamed customers3 records
Segments3 records
Ideal customer profiles3 records
Simply Benefits technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration8 records
Feature10 records
Simply Benefits partnerships and signals
Strategic signalPartnerships
Nine partnerships are on record, tiered core.
- Telus Health (eClaims)coreIntegration with Telus eClaims for Direct Health claims processing. Healthcare providers submit claims electronically through Telus Provider Health eClaims system. Simply Benefits receives and adjudicates claims with payment statements delivered via email to the email address on file.
- Instream (CDANet/iTrans)coreIntegration with CDANet/iTrans via Instream for dental direct billing. Dental offices send claims directly through their Practice Management Software to Simply Benefits for adjudication.
- AIG Travel InsurancecoreAIG provides travel insurance coverage included in benefit plans. Members access AIG travel assistance through their digital benefits card with policy information and emergency contact numbers available on the card.
- HumanaCarecorePartnership with HumanaCare for Medical Second Opinion services. HumanaCare provides access to a network of specialist physicians who assess medical records to identify suitable diagnoses and treatment suggestions. Available 24/7 at 1-800-661-8193.
- MaplecoreVirtual health partner providing members access to healthcare professionals via phone or video calls. Members register using their certificate number from their benefits card and access general practitioners for advice, prescriptions, referrals, and requisitions.
- DialoguecoreVirtual health partner offering digital healthcare access. Members receive welcome information and can create accounts to access virtual care services through the Dialogue platform.
- GotodoctorcoreVirtual health partner providing appointment-based virtual healthcare access. Members access Gotodoctor through their Simply Benefits portal for virtual physician consultations.
- Acera InsurancecoreInsurance brokerage partner using the Simply Benefits platform for client benefits management. Partner Steve Hesketh provides testimonial praising platform intuitiveness and quick client onboarding.
- Vantage BenefitscoreBenefits brokerage partner. Managing Partner Shawn Perryman testimonial highlights platform user-friendliness and lead generation support from Simply Benefits.
Scale indicators2 records
Recent moves6 records
Expansion highlights5 records
Simply Benefits competitors and assessment
Company assessmentBroad incumbents
- Manulife Financial: Major Canadian group benefits carrier offering health, dental, disability and group retirement plans. Competes with Simply Benefits for the same employer/broker accounts, though Manulife is also a risk carrier, not a pure TPA.
- Sun Life Financial: One of Canada's largest group benefits carriers offering life, health, and dental plans with proprietary administration tools. Comparable as a comprehensive group benefits provider competing for the same Canadian employer broker channel.
- GreenShield Canada: Canadian not-for-profit health and dental benefits provider offering group benefits administration. Comparable as a Canadian health benefits administrator competing in the same employer/broker ecosystem.
- Canada Life: Leading Canadian group benefits provider under Great-West Lifeco. Operates large-scale group benefits administration platforms and competes directly for Canadian employer group benefits accounts via broker distribution.
- Industrial Alliance (iA Financial Group): Canadian insurer with significant group benefits and group retirement business. Competes in the same Canadian employer benefits market through advisor distribution channels.
- Desjardins Insurance: Major Canadian insurer offering group health and dental benefits with proprietary digital tools. Comparable as a large Canadian group benefits competitor using digital administration to serve employer clients.
Emerging players
- League: Digital health benefits platform serving employers with a tech-first, modular benefits experience. Comparable to Simply Benefits as a digital-first benefits platform, though League is broader in scope (US-headquartered) and targets self-insured employers.
Direct peers
- People Corporation: Canadian provider of group benefits, retirement, and human resource solutions to employers, often acting as a TPA/consultative intermediary. Closely comparable to Simply Benefits in serving Canadian SMB employers through advisor/broker channels.
- Boost Benefits: Canadian digital employee benefits platform targeting SMBs with streamlined administration and online enrollment. Highly comparable to Simply Benefits in serving Canadian SMB employers through broker/advisor channels with a tech-first approach.
Regional players
- Pacific Blue Cross: BC-based not-for-profit health benefits provider (though now national) administering group dental, health, and travel plans. Comparable as a regional Canadian benefits administrator offering TPA-style services, particularly in the Western Canada market Simply Benefits serves.
Market position
Strengths4 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights6 records
Customer concentration
Simply Benefits social profiles
Digital presenceSimply Benefits financial estimates
Financial estimateRevenue estimate
Valuation estimate
Simply Benefits leadership team
Management profileNumber of profiles
Profiles6 records
Simply Benefits funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Simply Benefits M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Simply Benefits
What does Simply Benefits do?
Simply Benefits is a digital Third Party Administrator/Payor (TPA/TPP) that provides a cloud-based platform for administering group employee health and wellness benefits in Canada. The platform serves benefits advisors, employer HR administrators, and plan members through role-specific portals, handling quoting, plan design, enrolment, claims adjudication, billing, and reporting. It also offers a digital benefits card, spending accounts, and integrations with healthcare provider networks for direct billing.
Is Simply Benefits a public or private company?
Simply Benefits is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Simply Benefits founded?
Simply Benefits was founded in 2017. It employs 11 to 50 people.
Where is Simply Benefits based?
Simply Benefits is headquartered in Kelowna, Canada, in the North America region.
How does Simply Benefits make money?
Two revenue lines are on record. Group Benefits Administration is the primary driver. The others are advisor Platform Licensing.
Who are Simply Benefits's main competitors?
Broad incumbents on record are Manulife Financial, Sun Life Financial, GreenShield Canada, Canada Life, Industrial Alliance (iA Financial Group) and Desjardins Insurance. League is listed as an emerging player. Direct peers are People Corporation and Boost Benefits. Pacific Blue Cross is listed as a regional player.
Does Simply Benefits have an API?
No public API is recorded for Simply Benefits.
What industry is Simply Benefits in?
Simply Benefits's product category is Group Benefits Administration. Its primary akta.pro industry code is BPACAPAC, Benefits Administration, with a secondary code of HLAEALAK, Flexible Benefits Administration (FSA/HSA/HRA). Its NAICS code is 524292 and its SIC code is 6411.