Selectpath - The RIGHT Path For Employers - Quarterly Newsletter
Nov/Dec 2005
>> IN THIS ISSUE:
(+) A MESSAGE From Selectpath
(+) Collective Purchasing Plans – The new battleground
(+) When Does a Dependant Become Independent?
(+) ABOUT Us
(+) Newsletter Archives
>> RECENT ARTICLES:
(+) The Change in Retirement Age & the Great Unknown
(+) To TPA or not to TPA?
(+) So How Do You Milk the Cow Through the Fence?
(+) Do you have a U.S. Division?
(+) Read our archived articles.


John D. Harkins
Partner

Gordon R. Hart
Partner

J. Wayne Koch
Partner

Kevin L. Routley
Partner

 

FACTOID:

The average Canadian now uses one more prescription per year than they did five years ago. That represents a greater than 17% increase in the number of prescriptions per covered individual. (ESI Canada, Canadian Institute of Health Information and Statistics Canada, found in "Drug plan management: Yesteryear, today and beyond," Benefits Canada, August 2003, page 47)

 


A MESSAGE From Selectpath

Employee benefits plan pricing has changed.

Employers are fighting benefits carriers and staggering premium increases on a new battleground. One they're having trouble winning on. We're on your side and we have insight you'll want to hear more about.

Our job is to help small to mid sized businesses find manageable solutions for their businesses. This month is an article on the "new battleground for employee benefits pricing". Selectpath has created an in-house solution businesses will want to learn more about, we call them Collective Purchase Plans.

Read the article then call us (519) 675-1177 or (888)327-5777 for more information.

FEATURED ARTICLES:

Collective Purchasing Plans – The new battleground
Gord Hart, Partner, Employee Benefits & Pensions

With healthcare inflation exceeding 15% annually and consolidation of the marketplace, employers are facing a difficult future in the pricing of their employee benefit plans. Traditionally, employers utilized a “marketing” approach to ensure that their employee benefit plan underwriter(s) maintained competitive pricing based on the risk associated with their policies. If a policyholder felt that a renewal rate adjustment was “uncompetitive”, they could have a broker prepare a request for quotation. Underwriters would respond with their offer for providing the coverage submitted, and the policyholder would determine whether the incumbent was fair or if a change of underwriter was required.

This simplistic approach may have worked in the past where underwriters may have used little or no claims history in assessing the premium rate requirement, but most if not all underwriters now use claims experience in assessing the proper premium rate structure. Underwriters all utilize similar underwriting criteria in the SME (Small to Medium Enterprise <250 employee) marketplace. This then reduces or eliminates most premium savings generated by a change of underwriter. If insurer retention rates (administration rates) differ by less than 5-10%, how can underwriters provide premium reductions of more than 1-5% overall? Simple, marketing discounts. Underwriters will spend dollars and “invest” in new clients to achieve new sales goals, but upon renewal, will put the policyholder through the same renewal underwriting process as the previous underwriter. On top of the “marketing discounts”, a new underwriter will likely require a full funding of the reserve (reserve is established to offset a perceived lag in claims).

So why would a policyholder change insurers?

There are two primary reasons. Click here to read on..

When Does a Dependant Become Independent?
John D. Harkins, Partner, Employee Benefits & Pensions

Recently, there have been issues around the eligibility of dependants under the benefit programs of their parent(s). Most benefit programs allow children under the age of 21 (to age 25 if enrolled in an accredited educational institute, or beyond age 25 if incapacitated) to remain on the plan so long as they are dependent on their parent. Recent changes in the graduating age for high school students has meant that those children not continuing their education, will be 17 years old and technically eligible to continue on their parent(s) plan for almost four years.

The question then becomes if these children are living at home, what constitutes dependency.

Click here for a definition of a dependant...

ABOUT US:

Selectpath is an independent firm of professional financial advisors and employee benefits specialists based in London, Ontario. Through our strategic alliances with industry leaders in insurance and investments, we are able to offer our clients a broad range of products and services, which meet the highest standards for performance, stability and value. We are also able to serve a broad base of individual and corporate clients throughout the province.

Click here to learn more about how Selectpath can put you on The RIGHT Path®.

Please remember that while strategies outlined within this newsletter may be appropriate for some investors, you should always consult a financial advisor to determine if they are appropriate for you.

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