Presentation Transcript

1. PEBT CONFERENCE November 26th and 27th 2013
2. Today’s Program Schedule AM 9:00-10:00 PEBT Financial and LTD Overview with Rob Hewitt, PEBT Trustee and Ray Parker, Desjardins 10:00-11:00 Guest Speaker Dr. Susan Biali: Wellness Expert, Medical Doctor and Life Coach 11:00-11:30 Break 11:30-12:15 JEIS Audit Review with Rob Hewitt, PEBT Trustee and Rochelle Morandini, MorneauShepell Lunch 12:15-1:15 PM 1:15-2:15 Guest Speaker Rebecca Marino:Tennis Star, Speaker on Mental Health and Cyber Bullying 2:15-2:45 Q & A and Conference Closing
3. FINANCIAL SUMMARY
4. Financial Summary Long Term Disability (LTD) Predominant benefit Funding for Core LTD - $19.4M PEBT must work within funding for Core LTD excess of funds can increase benefit shortage of funds must decrease benefit JEIS funding initially loaned by government Other Benefits
5. Long Term Disability 20,915 active members (December 31, 2012) Total number of active claims under 5 years increased marginally in 2012 to 578 compared to 567 claims in 2010 An additional 141 claims are being paid beyond 5 years (durational pooling limit) as of December 2012 LTD Program costs have increased in 2012
6. Financial Summary LTD Program Costs MILLIONS OF DOLLARS $20.8 $16.5 $16.2 $14.8 $14.6 $13.9 $11.9 $11.2 $10.0
7. Financial Summary LTD Benefit Payments MILLIONS OF DOLLARS $7.5 $7.3 $7.3 $7.3 $7.2 $6.2 $4.7 $3.0 $1.2
8. Financial Summary JEIS Program Costs MILLIONS OF DOLLARS $1.3 $1.3 $1.2 $1.1 $1.1 $0.9 $0.7 $0.6 $0.5
9. Financial Summary PEBT Causes of Disability – Full Benefit Claims Nervous system and sensory organs Neoplasms 8% 13% Accidental fractures – bones and skeletal muscles 28% 19% Mental disorders 5% 14% Heart and circulatory system diseases Diseases of the skin – bones and skeletal muscles
10. Other Benefits Plan design and funding in accordance with Collective Agreements Economies of scale Reduced expense charges Managing risk to reduce benefit costs Shared services approach (common administration system) = efficiencies/savings
11. Other Benefits Basic Group Life Pooled with other Districts Paid $2.7M in claims in 2012 Premium is based on overall Plan claims experience
12. Other Benefits AD&D (including optional) Pooled with “similar block of business” Paid claims in 2012: No Basic AD&D claims One Optional AD&D claim totalling $200,000
13. Other Benefits Extended Health Care (EHC) ASO with Stop-Loss for large claims Stop-Loss coverage for large claims transfers risk to insurer Small Districts initially had opportunity to enter into a pooled arrangement
14. Other Benefits Extended Health Coverage Approximately 20,980 covered members $19.9M claims paid in 2012 3.7% increase in extended health claims from 2011 to 2012 Number of members increased slightly from 2011 Primary cost drivers: drugs and paramedical services
15. Other Benefits PEBT EHC Claims – 2012 Other Vision Care Medical supplies/ equipment 2% 9% 7% 22% Paramedicals 60% Drugs
16. Other Benefits Top 5 Drugs by Category as a Percentage of Total Drug Claims January-December 2012 25% 17% 7% 7% 6% Central Nervous System Cardio-vascular Gastro-intestinal Anti-infective agents Anti-diabetic
17. Other Benefits Dental Coverage Approximately 21,000 covered members $23.1M claims paid in 2012 2.6% increase in Dental claims from 2011 to 2012 Number of members increased slightly from 2011 Primary cost drivers: new and expensive treatments, aggressive marketing by dental community
18. Other Benefits PEBT Dental Claims – 2012 Ortho 8% 22% Major 70% Basic
19. Investment Summary Investment strategy – actively managed Funds distributed between two investment managers: bcIMC Mawer Mawer replaced McLean Budden June 2012 Performance was consistently below benchmark Ownership changes Investment Committee continuously reviews investment diversification This led to a search for another investment manager
20. Investment Summary PEBT Fund Returns Investment returns 2008 2009 2010 2011 2012 -10.2% 14.3% 8.1% 1.9% 8.4% Market fluctuations impact PEBT ability to support the fund
21. Annual Reports 2011 annual report as well as previous reports are available on the PEBT website Includes audited financial statements 2012 annual report will be available on the website in mid-December Available at: www.pebt.ca
22. Questions?
23. Up Next LTD Overview Ray Parker, Manager Disability Claims, Desjardins Financial Services
24. Long Term Disability Benefit For Members who are regular employees working 15 hours or more per week with the Employer 66.67% of monthly earnings from the Employer $50 per month minimum benefit $10,000 per month maximum 120 calendar days elimination period
25. First 24 Months Elimination period Regular duties 'No surprises' approach Change of definition Any occupation 60% Transferrable skills analysis
26. Limitations and Exclusions Pre-existing conditions Layoff Committing or attempting to commit a criminal offence Riot, insurrection or civil commotion Alcohol and drug abuse Driving while impaired by drugs or alcohol
27. Offsets Paid Sick Leave WorkSafe BC Canada Pension Plan ICBC Part VII Benefits
28. Third Party Claims Types of claims Reimbursement Agreement Settlement follow-up Repayment Net Settlement
29. Termination of LTD Benefits No longer disabled Neglects or refuses to provide proof of disability or undergo a medical examination Outside of Canada for more than 2 weeks; 2 months Death or retirement 55 years of age and 35 years of pensionable service Fails to comply with third party claim requirements Not under continuing medical care Refuses to participate in disability management program
30. Appeals If there is additional information If there is no additional information Encouraged to provide within 60 days Supervisor review Medical Appeal 60 days/One year Medical grounds only Three physicians Final
31. Questions?