Frequently Asked Questions



You should always seek the advice of a physician or another competent medical professional before beginning any physical activity and/or weight loss programme, or if you have any questions or concerns regarding your medical care. The Argus Thrive programmes are intended to complement, rather than substitute, for proper medical advice or treatment.

You should always seek the advice of a physician or another competent medical professional before beginning any physical activity and/or weight loss programme, or if you have any questions or concerns regarding your medical care. The Argus Thrive programmes are intended to complement, rather than substitute, for proper medical advice or treatment.

To access the Get Up & Thrive website, go to: thrive.argus.bm. Then click the ‘Join Now’/’Login’ banner. If this is your first time using the website, you will need to register for the service by entering your legal first name, last name and date of birth. If you are a new Argus member, it may take up to three weeks for your account to be created. If you are already registered for the service, you simply need to enter your login credentials to access the Get Up & Thrive website.
Eligible participants are all insured members with Argus Health, including spouses and dependents provided they are age 18 or older and are included on your Argus health insurance plan.
Get Up & Thrive is a comprehensive, activity-based social wellness programme that helps individuals set and meet personal health goals alongside their eligible colleagues, friends and family members. Built upon the belief that social support is the key to lasting, healthy lifestyle changes, Get Up & Thrive helps individuals succeed by fostering strong connections.

We understand at times that our clients may require assistance for a travel companion when accessing your Argus health benefits. Benefits for a travelling companion are approved in the following circumstances:

  • When the Insured Person is a minor Dependent Child,or has surgery or mental incapacity.

Customer Service Centre (for routine health claims questions):
Call 298-0888 to ask one of our knowledgeable Customer Service Representatives your routine health claims questions.

Worldwide Call Centre (if you require treatment overseas):
Before making any arrangements to travel overseas for medical treatment, please call us for pre-approval. From Bermuda, call 278-9876.From overseas, call  1-855-861-4962 (toll free) or  1-954-308-3940 (collect). Argus Representatives are available to provide assistance with emergency medical care, emergency medical evacuation, discharge planning, loss of travel documents and insurance verification.

teleNurse (sponsored by Argus)
Call 1-855-257-8908 any time of the day or night. A teleNurse registered nurse will answer your medical and health-related questions and recommend the appropriate level of care for your situation.

Your spouse (common law as well) and children.

Your child must be an unmarried, natural child, step-child, child of a dependent spouse or a legally adopted child who:

  • is under the age of 19; or
  • is over the age of 19 but under age 26, if the child is in full-time attendance in a recognised school, college or university;
  • or is over the age of 19, but is mentally or physically handicapped

In general, your dependents will have the same health insurance benefits as you. Please note:

  • your non-working/unemployed spouse must be insured for full coverage.
  • your working spouse may be insured for everything except Health Insurance Act benefits which must be provided by your spouse’s employer
  • your self-employed spouse may be insured for full coverage
  • dependent children may be insured for full benefits although they may be entitled to Bermuda government subsidies for the Health Insurance Act benefits

Providing you enrol in the plan within 31 days of first becoming eligible:

  • coverage begins on the date that you commence active work or, if you are not actively at work on that date, on the date you return to work
  • coverage for a non-working/unemployed spouse begins on the date your coverage begins
  • coverage for any other dependent begins on the date your coverage begins or, the date you first enrol an eligible dependent, whichever is later
  • coverage for any subsequent eligible dependent begins on the date of eligibility provided the dependent is not in hospital and is actively pursuing normal activities
  • coverage for a new born child begins at birth provided enrolment is made within 31 days of the birth

If you or your dependent enrol in the plan more than 31 days of first becoming eligible:

  • we may require proof of good health and coverage will become effective on the date we approve such evidence

Immediately. To ensure coverage is kept up to date, complete a Change of Information Form and submit it to your employer’s plan administrator for:

  • Change in coverage
  • Change of dependent status
  • Change of name

Complete the Change of Information Form for Individual Coverage
Complete the Change of Information Form for Group Coverage

Your Health Insurance Act benefits end on the last day of the month in which your employment terminates. The Health Insurance Act benefits will be extended, without premium payment, for up to 4 weeks following the end of the month in which employment terminates, provided you do not become employed or eligible for insurance as a non-working spouse.  The Health Insurance Act benefits will also be extended for maternity coverage for a period not to exceed 10 months from the date employment terminates. All other benefits end on the date your employment terminates.

Your dependents' coverage will end on the earliest of the following:

  • the date your coverage ends
  • the date the policy is amended to terminate dependent insurance
  • the date the dependent is no longer an eligible dependent

Yes. If your coverage terminates under this group policy you may apply, without providing evidence of insurability, for an individual health insurance policy within 31 days of your termination date. The individual policy we will issue may provide more limited coverage than the group policy. The premium due for the individual policy will be based on the rates in effect at that time for your gender and age.

Complete the Application for Conversion to Individual Health Plan Form.

We will continue coverage for eligible expenses incurred as a result of the total disability, without premium payment, for up to 3 months. This extension will only apply if the group policy remains in force.

You should submit claims as soon as possible after the date of service. In order for benefits to be paid claims must be received within 12 months of the date of service.  Original itemized invoices and receipts should accompany the Argus Health Claim form.

Sign up for our Electronic Funds Transfer service to receive your health claims for via direct deposit to your local Bermuda bank account.

Your employer’s group health policy renews on May 1 each year.  Reference to “policy year” in the attached schedule of benefits refers to May 1 through April 30.

All pre-existing conditions are covered with the exception of pregnancy.

The Non-Medical Limit (NML) is the guaranteed amount of life insurance that an employee will receive upon enrolment. All amounts in excess of this amount are subject to satisfactory medical evidence of insurability. In other words, medical underwriting will be required for all excess amounts of insurance above the NML. NML’s vary by plan sponsor and are reviewed by the group underwriter every year during renewal.
The medical underwriting department should be advised of a death claim by the employer or policy owner.
Renewals occur for Group Life plans throughout the year. It depends on the anniversary date of the policy (i.e. the original policy effective date). For example, ABC Company insured for Group Life on November 1, 2012. ABC’s policy will renew on November 1st every year thereafter, unless otherwise stated.

Group Life premiums are calculated using the following formula: Premium rates are multiplied by the Volume of Insurance divided by $1,000 units of cover. The volume of insurance is determined by either a multiple of salary (e.g. 2 x annual salary) or a flat benefit amount (e.g. $5,000)

All rates are set by the Group Underwriters either during a quote or at renewal.

The Volume of Insurance depends on the Policyholder’s benefit and the employee’s approved benefit after medical underwriting.

An example of a Group Life Premium calculation would be:
$0.15 (rate) x $100,000 (volume)/$1,000 (units of cover) =$15.00 per month $0.04 (rate) x $100,000 (volume)/$1,000 (units of cover) = $4.00 per month.

Monetary benefits, which are payable to an insured’s beneficiary, depend on the covered employee’s benefit plan. The plan sponsor is the policyholder. The policyholder can take out a Group Life plan with a benefit as a multiple of salary or a flat life benefit. A flat life benefit is a lump sum amount determined by the demographics of the company.

At Argus we have a reduction clause, whereby an insured’s benefit reduces by 50% once they obtain age 65 up to a maximum benefit of $100,000. Most Group Life plans terminate coverage once an employee has attained the age of 70 years. Please note, group life plans do vary from one policyholder to the next.

Group Life Insurance provides protection against financial consequences due to death. By insuring employees, the company is providing their dependents with financial security. Group Life provides a monetary benefit in the event of an employee’s death while employed by the employer. It is provided to all active full-time employees who work a minimum of 20 hours per week.

Under the Employment Act 2000, employers must pay up to 26 weeks of wages on an employee’s death resulting from an occupational diseases or accident. Our Group Life Insurance policy may be used to provide this benefit.

Our Group Life Policy provides a Living Assurance benefit, wherein Argus pays up to 50% of the life insurance benefit (up to a maximum of $50,000) to an employee, while living, should that employee become terminally ill.

Other highlights include an Accidental Death and Dismemberment (AD&D) rider, which provides an additional level of protection by offering more financial security in the event the employee’s death or dismemberment was due to accidental means. AD&D also provides such benefits as continued education for dependent children and rehabilitation in formal rehabilitation programmes.

In addition to life insurance for employees, Argus offers options for employees to purchase additional amounts of insurance for themselves, as well as coverage for their spouse and dependents. These benefits come under our Additional Voluntary Life, Spousal Life and Dependent Life Insurance policies.

Yes, benefits under the policy will not be paid in connection with a disability, resulting directly or indirectly, from a pre-existing condition until an employee has been insured under the policy for at least 12 calendar months.

Group Underwriters set Short Term Disability Premiums during renewals. A group underwriter will review a group as a whole, factor in claims experience and set the monthly rate based on a pre-determined cost analysis spreadsheet. The Short Term Disability premiums are billed monthly to the policyholder and will appear on the same invoice as their group health.

Short Term Disability plan renewals occur throughout the year and usually renew on the anniversary date of the policy or its original effective date.

Short Term Disability claims should be directed to Roslyn Francis (ext. 821) in our Group Claims Department. Mrs. Francis can advise if the claim is deemed a disability and communicate with the policyholder and employee on the particulars of the case.

Our standard income replacements are 50%, 66.67% and 75% of weekly earnings. Each benefit is subject to an overall weekly maximum, and plan design varies from plan sponsor.

Weekly Benefits will be paid to or on behalf of an Insured Employee if he/she becomes disabled while insured, is totally disabled throughout the Elimination Period, remains disabled beyond the end of the elimination period and submits proof of loss to us.

The Weekly Benefit will not exceed the Insured employee's net weekly benefit, or be paid for longer than the maximum benefit period. Please check with a Group Underwriter for additional information.

If you are a permanent full-time employee, under 65 years of age less the elimination period, and work a minimum of 20 hours per week at the employer’s usual place of business, you are eligible to join the plan.
Short Term Disability Insurance pays an income-replacement benefit to a disabled employee for as long as he/she remains disabled during a specified period. The maximum benefit period can range from 13 to 26 weeks. Benefits begin after a specified number of days of illness that may range from three to seven days following the last day worked by the employee.

All employees, aged 16 or above, of the Employer as defined by the Employment Act of 2000 and subsequent amendments, who are Bermuda residents and work for the Employer in connection with the Employer’s Business.

Eligible classes of employees can include:

  • Part-time employees working less than 15 hours per week for the Employer,
  • Temporary employees working less than three months per year for the Employer,
  • Students working for the Employer on weekends, public holidays and /or vacation periods.

Please note eligible classes of employees can vary from plan to plan. 

Workers' Compensation loss of income benefits can be based on the current legislated benefit of $170.00 per week or a percentage of salary. The group underwriter requires individual salary information for each employee who is insured for Workers' Compensation.

There are five components paid under our Workers' Compensation Plans. These components are (1) death benefit, (2) permanent total incapacity, (3) wage loss replacement, (4) medical expenses and (5) employers’ liability.

Workers' Compensation is a wage loss replacement benefit for expenses arising out of an accident or illness that occurs while working for an employer. In other words, job-related injuries and illnesses.

Bermuda has legislated benefits under the Workers’ Compensation Act (1965) together with subsequent amendments that hold employers liable to compensate their employees for loss of income and medical expenses. However, for most industries, insurance is not mandatory and the employer can choose either to self-insure against such expenses or purchase a workers’ compensation policy from an insurer.

It is important to know what coverage you have before your property is damaged, so you are encouraged to check each year to make sure your property is insured for the cost of replacing it. At the very least, check the value at the start of each hurricane season and, as a last resort and final fail-safe, check again as soon as a storm is declared as a threat to our island.

The replacement cost does not mean the sale cost, as the sale cost includes the land too, but it should include an allowance for demolition, then to remove debris and the cost of a new planning application, in addition to the actual building. In practice this generally adds about 13% of the property value.

Buildings Insurance applies to structures, fixtures and fittings. Contents Insurance applies to items that remain within the home, whereas personal possessions refer to items that are brought outside the home.

The coverage you choose depends on your specific needs. Please contact our Customer Service Centre at 298-0888 to discuss your coverage needs, or send us your contact information in a private message and we’ll reach out to you to further discuss.

Now that it is hurricane season, when is the latest point that I can purchase insurance to cover myself against damages from this year’s hurricanes?

At Argus, we put the interests of our clients first, and existing clients can update their sums insured at any time. We are currently accepting new clients and will continue to do so as long as possible in the face of an incoming storm. We encourage you to purchase your insurance now to ensure your property and belongings are protected, as damage caused within 48 hours of commencing the policy will not be covered for storm-related damage. 

 

It is important to know what coverage you have before your property is damaged, so you are encouraged to check each year to make sure your property is insured for the cost of replacing it. At the very least, check the value at the start of each hurricane season and, as a last resort and final fail-safe, check again as soon as a storm is declared as a threat to our island.

The replacement cost does not mean the sale cost, as the sale cost includes the land too, but it should include an allowance for demolition, then to remove debris and the cost of a new planning application, in addition to the actual building. In practice this generally adds about 13% of the property value.

Buildings Insurance applies to structures, including permanent fixtures and fittings. Contents Insurance includes furniture, furnishings, machinery and other items usual to the Insured’s business.

The coverage you choose depends on your specific needs. Please contact our Customer Service Centre at 298-0888 to discuss your coverage needs, or send us your contact information in a private message and we’ll reach out to you to further discuss.

Now that it is hurricane season, when is the latest point at which I can purchase insurance to cover myself against damages from this year’s hurricanes?

At Argus, we put the interests of our clients first, and existing clients can update their sums insured at any time. We are currently accepting new clients and will continue to do so as long as possible in the face of an incoming storm. We encourage you to purchase your insurance now to ensure your property and belongings are protected, as damage caused within 48 hours of commencing the policy will not be covered for storm-related damage. 

If you require additional assistance, please contact the Argus Customer Service Centre at 298-0888.

Yes, you can update your address and contact details by clicking on “New Address” under “My Profile”. Enter the “Effective Date”, “Description”, “Country” and click “Next”. Then, enter your new address and contact information and click “Next”. Verify the information that you have entered and click “Finish”.

Log into your account and select “Beneficiaries” from the list under “My Profile”. Your beneficiary details will automatically populate. If you wish to change your beneficiary, download the form from the “Forms/Documents” tab. You will need to sign it and send it to Argus. You can either drop this off or email it to pensions@argus.bm.

To view your Fund Fact Sheet, click on the “Funds” tab under “My Profile”. From the list on the left, click on “Fund Fact Sheet” and then select the Fund Fact Sheet that you wish to view.

Yes, you can view and make changes to your investment selection from your online account. To view and/or change your investment selection, click on the “Funds” tab under “My Profile”. From the list on the left, click on “Investment Election”. To change your investment election, click on “Change Investment Selection” on the bottom left and then click “Next”. Select “Total” or “Future Contribution” and click “Next”. From the menu of options, select your preferred investment election and click “Next”. Review the waiver statement and click “Next”. Review the summary of changes and click “Finish”.

Log into your account and in the “My Profile” tab, click on “Change Paperless Statement Option”. Select your preferred delivery method and click “Next”. Click the “Finish” button and you then will be shown your “Paperless Statement Option” and “Election Date”. You will receive an email notification when your member statement has been uploaded.

Log into your account and in the “My Profile” tab, select “Member Statement”. From there, you can view an existing member statement or generate a new one. To create a new member statement, click on “New Statement” on the top left and select your “From Date”, “To Date”, click “Next” and your statement will generate.

Log into your account and in the “My Profile” tab, select “Funds”. Click on “Contribution History” on the bottom left and you can scroll down the page to see your contribution history

Log into your account and in the “My Profile” tab, select “Funds”. Click on “Account Balance” on the top left in order to view your balance.

On the login page, click on “Forgot Your Password”. Enter the requested details (“SIN (social insurance) Number”, “First Name”, “Last Name” and “Date of Birth”) and then click “Continue”. Finally, you will need to answer three security questions and hit “Submit.”

Registration is easy. Click “Member Login” under the “Pensions” section. A login page will appear and select “Not Registered”. This will take you to the online registration form. You will need your social insurance number to register. This number can be obtained from your member pension statement, your employer or the Social Insurance Department.

Within one to two business days after completing registration, Argus will send you an email containing your login and password information.

Electronic Bill Payments

HSBC Bank of Bermuda Ltd

  • Setup a new bill payment
  • Select Argus Pension from the drop down box (either BMD or USD)
  • You will be asked for your account number. Your account is your policy number (example 2345)
  • For reference please put your company name

 

Butterfield Bank

  • Setup a new bill payment
  • Select Argus Insurance Co. Ltd - Pension (either BMD or USD)
  • Payee reference will be your policy number (example 2345)
  • Memo detail please put your company name

 

Direct Transfers

HSBC Bank of Bermuda Ltd

  • Account Name:       Argus Insurance
  • Account Number:   USD 010174571501; BMD 010174571002
  • Reference: Your company name and policy number

 

Butterfield Bank

  • Account Name:      Argus Insurance Company Limited
  • Account Number:   USD 8400092290037; BMD 0600092290025
  • Reference: Your company name and policy number

 

Advise Argus Pensions via email at pensions@argus.bm the value date of the payment and the amount you have authorized.

The contributions received by Argus Pensions will be allocated on the next applicable valuation date.

Electronic Bill Payments

HSBC Bank of Bermuda Ltd

  • Setup a new bill payment
  • Select Argus Pension from the drop down box (either BMD or USD)
  • You will be asked for your account number. Your account number will be as follows:
    • For Individual Retirement Plan (IRP) - 916 followed   by your Social Insurance Number (example 916012345)
    • For Argus Wealth Builder Plan (AWB) - 2501 followed by your Social Insurance Number (example 2501012345)
  • For reference please put your name

 

Butterfield Bank

  • Setup a new bill payment
  • Select Argus Insurance Co. Ltd - Pension (either BMD or USD)
  • Payee reference will be as follows:
    • For Individual Retirement Plan (IRP) - 916 followed   by your Social Insurance Number (example 916012345)
    • For Argus Wealth Builder Plan (AWB) - 2501 followed by your Social Insurance Number (example 2501012345)
  • Memo detail please put your name

 

Direct Transfer

HSBC Bank of Bermuda Ltd

  • Account Name:       Argus Insurance
  • Account Number:   USD 010174571501; BMD 010174571002
  • Reference: Your name, Plan Number & SIN (example Joe Smith 916012345) Or (example Joe Smith 2501012345)

 

Butterfield Bank

  • Account Name:      Argus Insurance Company Limited
  • Account Number:   USD 8400092290037; BMD 0600092290025
  • Reference: Your name, plan number & SIN (example Joe Smith 916012345) Or (example Joe Smith 2501012345)

 

Advise Argus Pensions via email at pensions@argus.bm the value date of the payment and the amount you have authorized.

The contributions received by Argus Pensions will be allocated on the next applicable valuation date.

Yes. The government (social insurance pension) plan, also called the Contributory Pension Fund, is separate from the Occupational Pensions Act.
The law allows you to receive your pension either in the form of regular annuity payments for your lifetime or by making withdrawals from your account using a prescribed formula to ensure that you receive payments for life. In either case, provision may be made for payment to a beneficiary upon your death after retirement.
The National Pension Scheme (Occupational Pensions) Act came into existence on January 1, 2000.
An employer must enroll all employees who are either Bermudian or the husband or wife of a Bermudian. Non-Bermudians may be included, excluded, or covered under a separate plan.

HSBC Bank of Bermuda Ltd

  • Account Name:       Argus Insurance
  • Account Number:   USD 010174571501                   BMD 010174571002
  • Reference: Your name, Plan Number & SIN (example Joe Smith 916012345) Or (example Joe Smith 2501012345)

 

Butterfield Bank

  • Account Name:      Argus Insurance Company Limited
  • Account Number:   USD 8400092290037         BMD 0600092290025
  • Reference: Your name, plan number & SIN (example Joe Smith 916012345) Or (example Joe Smith 2501012345)

 

Advise Argus Pensions via email at pensions@argus.bm the value date of the payment and the amount you have authorized.

The contributions received by Argus Pensions will be allocated on the next applicable valuation date.

HSBC Bank Bermuda Ltd
  • Setup a new bill payment
  • Select Argus Pension from the drop down box (either BMD or USD)
  • You will be asked for your account number. Your account number will be as follows:
    • For Individual Retirement Plan (IRP) - 916 followed   by your Social Insurance Number (example 916012345)
    • For Argus Wealth Builder Plan (AWB) - 2501 followed by your Social Insurance Number (example 2501012345)
  • For reference please put your name
Butterfield Bank
  • Setup a new bill payment
  • Select Argus Insurance Co. Ltd - Pension (either BMD or USD)
  • Payee reference will be as follows:
    • For Individual Retirement Plan (IRP) - 916 followed   by your Social Insurance Number (example 916012345)
    • For Argus Wealth Builder Plan (AWB) - 2501 followed by your Social Insurance Number (example 2501012345)
  • Memo detail please put your name

teleNurse is a free telephone service provided by FONEMED and sponsored by Argus Health. It is available to all Argus Health customers.

For more information, contact the Customer Service Centre at 298-0888.

The service is part of a long-term drive by Argus to address the rising cost of healthcare by reducing claims through preventing unnecessary visits to the doctor’s office or emergency room.

When you or family members are sick or injured, an immediate call to teleNurse can potentially save you money from unnecessary trips to the doctor’s office or the emergency room. The teleNurse service will provide advice on whether you need further medical attention and where you should get it. The service is also available for general medical questions or concerns. Within minutes your questions will be answered, providing you with peace of mind.

Call teleNurse on 1-855-257-8908 to speak to a Registered Nurse any time or day of the week.

teleNurse is a free medical advice hotline, available 24 hours a day, 7 days a week, from Bermuda. Our teleNurse service provides convenient, round-the-clock access to quality healthcare information.