Download presentation
Presentation is loading. Please wait.
Published byDerick Osborne Modified over 9 years ago
1
Energy Insurance Services, Inc. Trust Owned Health Insurance
2
Formed in 1992 in Hamilton, Bermuda Wholly owned subsidiary of Energy Insurance Mutual (EIM) Protected cell captive insurance company At December 31, 2005, EIS’s policy assets totaled $529.4 million and surplus totaled $58.8 million Formed in 1992 in Hamilton, Bermuda Wholly owned subsidiary of Energy Insurance Mutual (EIM) Protected cell captive insurance company At December 31, 2005, EIS’s policy assets totaled $529.4 million and surplus totaled $58.8 million EIS Company Profile
3
In August 2006, EIS’s Board authorized redomestication in the United States Filed formal application with the S.C. Dept. of Insurance on September 18, 2006 Transition to South Carolina was completed December 1, 2006 In August 2006, EIS’s Board authorized redomestication in the United States Filed formal application with the S.C. Dept. of Insurance on September 18, 2006 Transition to South Carolina was completed December 1, 2006 EIS Company Profile
4
Pre-FundPay-As-You-Go InsuranceOther Investments Defined Benefit VEBA TOLI TOHI CaptiveCommercialEIS Defined Contribution EliminateRedesignRetain Settle Retiree Benefits Funding Options
5
Pre-FundPay-As-You-Go InsuranceOther Investments Defined Benefit VEBA TOLI TOHI CaptiveCommercialEIS Defined Contribution EliminateRedesignRetain Settle Retiree Benefits Option: Eliminate
6
Pre-FundPay-As-You-Go InsuranceOther Investments Defined Benefit VEBA TOLI TOHI CaptiveCommercialEIS Defined Contribution EliminateRedesignRetain Settle Retiree Benefits Option: Retain
7
Pre-FundPay-As-You-Go InsuranceOther Investments Defined Benefit VEBA TOLI TOHI CaptiveCommercialEIS Defined Contribution EliminateRedesignRetain Settle Retiree Benefits Option: Redesign
8
Plan Types Defined Contribution Plans Defined Benefit Plans Defined Contribution Plans Defined Benefit Plans
9
Pre-FundPay-As-You-Go InsuranceOther Investments Defined Benefit VEBA TOLI TOHI CaptiveCommercialEIS Defined Contribution EliminateRedesignRetain Settle Retiree Benefits Option: Defined Contribution
10
Pre-FundPay-As-You-Go InsuranceOther Investments Defined Benefit VEBA TOLI TOHI CaptiveCommercialEIS Defined Contribution EliminateRedesignRetain Settle Retiree Benefits Option: Defined Benefit
11
Funding Options Pay-As-You-Go Settle the Liability Pre-Fund the Liability Pay-As-You-Go Settle the Liability Pre-Fund the Liability
12
Pre-FundPay-As-You-Go InsuranceOther Investments Defined Benefit VEBA TOLI TOHI CaptiveCommercialEIS Defined Contribution EliminateRedesignRetain Settle Retiree Benefits Option: Pay-As-You-Go
13
Pre-FundPay-As-You-Go InsuranceOther Investments Defined Benefit VEBA TOLI TOHI CaptiveCommercialEIS Defined Contribution EliminateRedesignRetain Settle Retiree Benefits Option: Settle
14
Pre-FundPay-As-You-Go InsuranceOther Investments Defined Benefit VEBA TOLI TOHI CaptiveCommercialEIS Defined Contribution EliminateRedesignRetain Settle Retiree Benefits Option: Pre-Fund
15
Pre-FundPay-As-You-Go InsuranceOther Investments Defined Benefit VEBA TOLI TOHI CaptiveCommercialEIS Defined Contribution EliminateRedesignRetain Settle Retiree Benefits Option: VEBA Trust
16
Investment Options Traditional (Other) Investments Insurance Traditional (Other) Investments Insurance
17
Pre-FundPay-As-You-Go InsuranceOther Investments Defined Benefit VEBA TOLI TOHI CaptiveCommercialEIS Defined Contribution EliminateRedesignRetain Settle Retiree Benefits Option: Traditional Investments
18
Pre-FundPay-As-You-Go InsuranceOther Investments Defined Benefit VEBA TOLI TOHI CaptiveCommercialEIS Defined Contribution EliminateRedesignRetain Settle Retiree Benefits Option: Insurance
19
Types of Insurance Trust Owned Life Insurance (TOLI) Trust Owned Health Insurance (TOHI) Trust Owned Life Insurance (TOLI) Trust Owned Health Insurance (TOHI)
20
Pre-FundPay-As-You-Go InsuranceOther Investments Defined Benefit VEBA TOLI TOHI CaptiveCommercialEIS Defined Contribution EliminateRedesignRetain Settle Retiree Benefits Option: TOLI
21
Pre-FundPay-As-You-Go InsuranceOther Investments Defined Benefit VEBA TOLI TOHI CaptiveCommercialEIS Defined Contribution EliminateRedesignRetain Settle Retiree Benefits Option: TOHI
22
Forms of Insurers Captive Insurer Commercial Insurer Energy Insurance Services, Inc. (EIS) Captive Insurer Commercial Insurer Energy Insurance Services, Inc. (EIS)
23
Pre-FundPay-As-You-Go InsuranceOther Investments Defined Benefit VEBA TOLI TOHI CaptiveCommercialEIS Defined Contribution EliminateRedesignRetain Settle Retiree Benefits Option: Captive
24
Pre-FundPay-As-You-Go InsuranceOther Investments Defined Benefit VEBA TOLI TOHI CaptiveCommercialEIS Defined Contribution EliminateRedesignRetain Settle Retiree Benefits Option: Commercial
25
Pre-FundPay-As-You-Go InsuranceOther Investments Defined Benefit VEBA TOLI TOHI CaptiveCommercialEIS Defined Contribution EliminateRedesignRetain Settle Retiree Benefits Option: EIS
26
EIS’s TOHI Policy
27
Overview Policies are a form of TOHI Policies are purchased by a VEBA VEBA is insured on a Stop Loss basis for a portion of the claims experienced by participants EIS provides noncancelable stop loss insurance coverage for the life of the covered population The VEBA trust owns the policy, pays the premium(s) and receives payments as they become due Retirees do not directly receive payment from EIS Policies are a form of TOHI Policies are purchased by a VEBA VEBA is insured on a Stop Loss basis for a portion of the claims experienced by participants EIS provides noncancelable stop loss insurance coverage for the life of the covered population The VEBA trust owns the policy, pays the premium(s) and receives payments as they become due Retirees do not directly receive payment from EIS
28
Premium Determination A function of: Company’s post retirement benefit obligation (APBO) Qualified asset account limit (US code section 419) Company’s financial strategy Actuarial principals Premium level is elective, subject to the above A function of: Company’s post retirement benefit obligation (APBO) Qualified asset account limit (US code section 419) Company’s financial strategy Actuarial principals Premium level is elective, subject to the above
29
TOHI Funding Cash Flow Retirement Plan Sponsor VEBA TrustEIS Retirees Funding Contributions TOHI Claims Payments Premiums Retiree Medical Benefits Payments
30
Current Premium Allocation
31
Policy Benefit Claim Payments Annual policy claims pricing Guaranteed factors Current factors Annual medical claims of retirees covered under the policy Policy asset performance and aggregate multi-year policy experience Annual policy claims pricing Guaranteed factors Current factors Annual medical claims of retirees covered under the policy Policy asset performance and aggregate multi-year policy experience
32
Annual Policy Pricing Parameters Guaranteed factors Current Factors Benefit Percentage Guaranteed factors Current Factors Benefit Percentage Guaranteed FactorsCurrent Factors Attachment Point$ 1,000$ 500 Benefit Percentage49.98 %80.00 % Annual Maximum$ 1,499$ 3,000 Lifetime Maximum$ 29,980N/A
33
Sample Policy Benefit Payment Calculation Medicare ($3,000) Plan Deductible ($1,000) Plan Coinsurance ($1,200 ) Total Amount Paid to Providers ($10,000) Attachment Point ($500) Total Plan Claims Paid by VEBA ($4,800) Total Policy Claims Reimbursed to VEBA ($3,000) Policy Coinsurance ($750) Over Annual Max ($550) Plan Claims Paid ($4,800) Policy Benefit ($3,000) Policy Benefit ($3,000) Benefit Percentage: 80%
34
Current Benefit Computation Factors
35
Other EIS MBP and Policy Considerations Risk shifting In Helvering v. Le Gierse (1941), the United States Supreme Court explained that a valid life insurance contract, for federal tax purposes, must involve risk-shifting and risk-distribution. EIS TOHI program contains a reciprocal mechanism that distributes actual claims across separate accounts according to expected values Program Advisory Committee Consults with EIS on any MBP issues Risk shifting In Helvering v. Le Gierse (1941), the United States Supreme Court explained that a valid life insurance contract, for federal tax purposes, must involve risk-shifting and risk-distribution. EIS TOHI program contains a reciprocal mechanism that distributes actual claims across separate accounts according to expected values Program Advisory Committee Consults with EIS on any MBP issues
36
EIS Advantages EIS is in business to meet the needs of its policyholders Does not have earnings per share or return on equity requirements that impact the fees charged to the policyholders TOHI program has been in operation for over ten years Captive status allows EIS to take advantage of lower premium tax rates as compared to commercial insurers EIS is in business to meet the needs of its policyholders Does not have earnings per share or return on equity requirements that impact the fees charged to the policyholders TOHI program has been in operation for over ten years Captive status allows EIS to take advantage of lower premium tax rates as compared to commercial insurers
37
Merrill Lynch Investment Management Consultant for MBP # 15 since 1996 Responsibilities include assisting EIS and Policyholders with: Establishing investment policy, obectives, asset allocations and guidelines Selecting investment managers Measuring, evaluating and reporting investment performance Investment Management Consultant for MBP # 15 since 1996 Responsibilities include assisting EIS and Policyholders with: Establishing investment policy, obectives, asset allocations and guidelines Selecting investment managers Measuring, evaluating and reporting investment performance
38
Merrill Lynch Approved Invesment Managers includes: Asset Classes:9 Firms:25 Products:37 Assets Custodied at State Street Bank Performance reported to Policyholders monthly Approved Invesment Managers includes: Asset Classes:9 Firms:25 Products:37 Assets Custodied at State Street Bank Performance reported to Policyholders monthly
39
Investment Information Allocation Asset ClassMinimum %Maximum % Conservative Fixed Income14.14 %28.41 % High Yield11.11 % Large Cap Value15.04 %26.97 % Large Cap Growth6.59 %22.70 % Small Cap Growth9.23 %21.25 % Small Cap Value16.08 % International13.85 %18.71 %
40
Current Policyholder Experience Margaret Walsh, OGE Energy
41
Retiree Plan Summary 1993:Eligibility for retiree medical changed 1994:Adopted carve out coordination with Medicare 2000: ● Eliminated Plan eligibility for any employee hired after February 1, 2000 ●Increased / modified plan deductibles 2003:Increased retiree cost share 1993:Eligibility for retiree medical changed 1994:Adopted carve out coordination with Medicare 2000: ● Eliminated Plan eligibility for any employee hired after February 1, 2000 ●Increased / modified plan deductibles 2003:Increased retiree cost share
42
Claims Filing Process Retirees and Providers VEBA Daily / Weekly Process Submit Claims Pay Claims Report Claims Fund Claims Third Party Admin. (TPA) VEBA Quarterly TOHI Process Submit TOHI Claims Third Party Admin. (TPA) EIS Claim Eligibility Validated TOHI Eligible Claims Pay TOHI Claims
43
Ten Year History
44
Program Recap TOHI through a captive offers significant advantages Members are owners Program is receptive to its Policyholders’ evolving requirements and business circumstances TOHI contract is a competitive product for funding employee benefits TOHI through a captive offers significant advantages Members are owners Program is receptive to its Policyholders’ evolving requirements and business circumstances TOHI contract is a competitive product for funding employee benefits
45
FAS 106 Strategy Development Involve a cross section of the organization Model the financial impact If EIS Policy purchase is a consideration, complete a Policy mechanics review Stakeholder consideration Involve a cross section of the organization Model the financial impact If EIS Policy purchase is a consideration, complete a Policy mechanics review Stakeholder consideration
Similar presentations
© 2024 SlidePlayer.com. Inc.
All rights reserved.