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Proposed Retirement & Healthcare Reform and Financial Advice

This article discusses the proposed retirement and healthcare reform in South Africa and provides financial advice related to the changes. It covers factors behind the reform, principles of social security reform, government proposals, and the future of health solutions in the country.

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Proposed Retirement & Healthcare Reform and Financial Advice

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  1. Proposed Retirement & Healthcare Reform and Financial Advice Duduza Khosana 23 October 2008

  2. NSSF - Factors Behind Reform • Poor coverage of current system • Problems within the private sector: • High costs – erosion of value • Lack of transparency • Governance and compliance issues • High profile problems: bulking, fraud • Lack of preservation • Identified a need for: • Inflation-linked benefits • Replacement ratios of at least 40% • Redistribution • Diversification • Economies of scale

  3. Principles of Social Security Reform • Equity • Pooling of risks • Mandatory participation • Administrative efficiency • Solidarity/Wider support

  4. Government Proposals A Social Security System represented by 4 tiers: • Tier 0: Non-contributory social assistance for poverty alleviation • Tier 1: Mandatory contributory - state tier • Tier 2: Mandatory contributory - private tier • Tier 3: Voluntary contributory - private tier

  5. * Source Jaques Malan Consultants & Actuaries TIER 0 TIER 3 Social Security Grants Voluntary Provisions • State Old Age • Pension (SOAP) • PAYG • Means test Retirement: Occupational Funds, Industry Funds, Individual Retirement Funds Children’s Grant Death Benefits Disability Grant Disability Benefits Taxes % of Salaries Current System

  6. * Source Jaques Malan Consultants & Actuaries TIER 0 TIER 1 TIER 2 TIER 3 Private Mandatory (ARIs) Social Security Grants National Social Security Fund Voluntary • State Old Age • Pension (SOAP) • PAYG (DB) • Universal • Basic Retirement • Benefit • State Admin • Funded • Mandatory Additional Retirement Benefits Additional Retirement • Private Admin • (ARIs) • Ind. Accounts • - Mandatory Preservation Death Children’s Grant Death Disability Disability Disability Grant Unemployment 15-18% of salaries 3-6% risk, 10-12% retirement Wage/Conts Subsidy Taxes 10-12% of salaries % of salaries Basic Proposal R 0 pa R 80 000 pa R 700 000 pa

  7. Suggested Wage Subsidies for Employers • Rebate or credit in PAYE system • Related to gross wage paid to employees earning below R43 000 pa • < R15 000 /3x wage amount • =R15 000 R5 000 pa (maximum subsidy) • > R15 000 & R43 000 R7 500 pa less (1/6 x wage amount) • > R43 000 No subsidy

  8. * Source Jaques Malan Consultants & Actuaries subsidy 10-12% of R20 000 pa Example 1 R20 000 pa NSSF SOAP 10-12% of R80 000 pa 10-12% of R60 000 pa Example 2 R140 000 pa SOAP NSSF ARI Examples 10-12% of R80 000 pa 12% of R625 000 pa % of R100 000 pa Example 3 R800 000 pa NSSF ARI Voluntary

  9. Post Implementation • Impact on employers: • Employers are going to have to contribute to funds regardless of their size • SMMEs are going to be impacted but should start moving in the right direction • Impact on employees: • Employees are going to have less to spend on a monthly basis • Consumerism will apply

  10. SA’s Socio-Economy • SMME sector representation in the process • Short employment tenure in sector vs compulsory preservation conditions • Alignment of UIF and Preservation Policies • Effect on predetermined factors:- • Society’s housing needs • Education • Poverty rates

  11. The Future of Health Solutions in South Africa

  12. Government’s Healthcare Vision • Definition of Social Health Insurance (SHI) • Compulsory contributions for all employed in formal sector • Based on ability to pay and not need for insurance • All that contribute are eligible for medical scheme coverage • Three pillars for SHI implementation • Pillar I: Equal contributions for the sick and healthy (risk cross-subsidies) • Pillar II: Contribution as percentage of income vs equal Rand amounts (income cross-subsidies) • Pillar III: Compulsory membership for the formally employed

  13. Attaining Government’s Vision • Risk Equalisation Fund (REF) • Purpose: To equalise differences in claims costs of schemes due to differences in age and sickness profiles • Not intended to equalise due to inefficiencies and differences in non-PMB benefits • Schemes with older, sicker profiles will receive payments from REF • Schemes with younger, healthier profiles will contribute to REF

  14. Social Health Insurance and REF

  15. Basic Benefits- Amendment Bill Key objectives of Amendment Bill: • Provide for risk equalisation among schemes (Pillar I SHI) • Reduce complexity of scheme benefit designs and enhance cross-subsidisation • Enhance benefit and contribution comparability between schemes • Allow for establishment of Low Income Medical Schemes (LIMS)

  16. Basic Benefits- Amendment Bill • Basic benefits • One standard set of compulsory benefits (including PMBs) • Contributions not set according to age or sickness profile per option • Basic benefits and contributions thus the same for all members on a scheme • Contributions may reflect more efficient and affordable provider arrangements • Supplementary benefits • Limited number allowed per scheme (three or four) • Differentiated contributions

  17. Attaining Government’s Vision

  18. Standardised Benefit Structures

  19. 6 Steps to Professional Financial Planning • Establish and Define a professional relationship • Introductory process: FAIS Compliance • Professional qualifications and accreditation disclosure • Definition of duration of professional relationship • Agreement on method of decision making • Gather information and set objectives • Definition of personal and financial goals • Gather of all necessary information and documents

  20. 6 Steps to Professional Financial Planning • Conduct Financial Needs Analysis (FNA) • Analyses of current financial situation • Determination of required action to meet goals • This includes analysing: • Assets • Liabilities • Cash flow • Current insurance cover • Investments and/or tax strategies

  21. 6 Steps to Professional Financial Planning • Report preparation • Offer recommendations that address goals • Recommendations based on information provided • Implementation of financial plan • Agreement on how the recommendation will be carried out • Advisor’s co-ordinates implementation of the process • Continued monitoring of the financial plan • Advisor monitors progress towards agreed goals • Provision of periodic reports on progress

  22. Thank you

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