Energy Insurance Services Inc Trust Owned Health Insurance
- Slides: 45
Energy Insurance Services, Inc. Trust Owned Health Insurance
EIS Company Profile l Formed in 1992 in Hamilton, Bermuda l Wholly owned subsidiary of Energy Insurance Mutual (EIM) l Protected cell captive insurance company l At December 31, 2005, EIS’s policy assets totaled $529. 4 million and surplus totaled $58. 8 million
EIS Company Profile l In August 2006, EIS’s Board authorized redomestication in the United States l Filed formal application with the S. C. Dept. of Insurance on September 18, 2006 l Transition to South Carolina was completed December 1, 2006
Retiree Benefits Funding Options Eliminate Redesign Retain Defined Contribution Pay-As-You-Go Defined Benefit Pre-Fund Settle VEBA Other Investments Insurance TOLI Captive TOHI Commercial EIS
Retiree Benefits Option: Eliminate Redesign Retain Defined Contribution Pay-As-You-Go Defined Benefit Pre-Fund Settle VEBA Other Investments Insurance TOLI Captive TOHI Commercial EIS
Retiree Benefits Option: Retain Eliminate Redesign Retain Defined Contribution Pay-As-You-Go Defined Benefit Pre-Fund Settle VEBA Other Investments Insurance TOLI Captive TOHI Commercial EIS
Retiree Benefits Option: Redesign Eliminate Redesign Retain Defined Contribution Pay-As-You-Go Defined Benefit Pre-Fund Settle VEBA Other Investments Insurance TOLI Captive TOHI Commercial EIS
Plan Types l Defined Contribution Plans l Defined Benefit Plans
Retiree Benefits Option: Defined Contribution Eliminate Redesign Retain Defined Contribution Pay-As-You-Go Defined Benefit Pre-Fund Settle VEBA Other Investments Insurance TOLI Captive TOHI Commercial EIS
Retiree Benefits Option: Defined Benefit Eliminate Redesign Retain Defined Contribution Pay-As-You-Go Defined Benefit Pre-Fund Settle VEBA Other Investments Insurance TOLI Captive TOHI Commercial EIS
Funding Options l Pay-As-You-Go l Settle the Liability l Pre-Fund the Liability
Retiree Benefits Option: Pay-As-You-Go Eliminate Redesign Retain Defined Contribution Pay-As-You-Go Defined Benefit Pre-Fund Settle VEBA Other Investments Insurance TOLI Captive TOHI Commercial EIS
Retiree Benefits Option: Settle Eliminate Redesign Retain Defined Contribution Pay-As-You-Go Defined Benefit Pre-Fund Settle VEBA Other Investments Insurance TOLI Captive TOHI Commercial EIS
Retiree Benefits Option: Pre-Fund Eliminate Redesign Retain Defined Contribution Pay-As-You-Go Defined Benefit Pre-Fund Settle VEBA Other Investments Insurance TOLI Captive TOHI Commercial EIS
Retiree Benefits Option: VEBA Trust Eliminate Redesign Retain Defined Contribution Pay-As-You-Go Defined Benefit Pre-Fund Settle VEBA Other Investments Insurance TOLI Captive TOHI Commercial EIS
Investment Options l Traditional (Other) Investments l Insurance
Retiree Benefits Option: Traditional Investments Eliminate Redesign Retain Defined Contribution Pay-As-You-Go Defined Benefit Pre-Fund Settle VEBA Other Investments Insurance TOLI Captive TOHI Commercial EIS
Retiree Benefits Option: Insurance Eliminate Redesign Retain Defined Contribution Pay-As-You-Go Defined Benefit Pre-Fund Settle VEBA Other Investments Insurance TOLI Captive TOHI Commercial EIS
Types of Insurance l Trust Owned Life Insurance (TOLI) l Trust Owned Health Insurance (TOHI)
Retiree Benefits Option: TOLI Eliminate Redesign Retain Defined Contribution Pay-As-You-Go Defined Benefit Pre-Fund Settle VEBA Other Investments Insurance TOLI Captive TOHI Commercial EIS
Retiree Benefits Option: TOHI Eliminate Redesign Retain Defined Contribution Pay-As-You-Go Defined Benefit Pre-Fund Settle VEBA Other Investments Insurance TOLI Captive TOHI Commercial EIS
Forms of Insurers l Captive Insurer l Commercial Insurer l Energy Insurance Services, Inc. (EIS)
Retiree Benefits Option: Captive Eliminate Redesign Retain Defined Contribution Pay-As-You-Go Defined Benefit Pre-Fund Settle VEBA Other Investments Insurance TOLI Captive TOHI Commercial EIS
Retiree Benefits Option: Commercial Eliminate Redesign Retain Defined Contribution Pay-As-You-Go Defined Benefit Pre-Fund Settle VEBA Other Investments Insurance TOLI Captive TOHI Commercial EIS
Retiree Benefits Option: EIS Eliminate Redesign Retain Defined Contribution Pay-As-You-Go Defined Benefit Pre-Fund Settle VEBA Other Investments Insurance TOLI Captive TOHI Commercial EIS
EIS’s TOHI Policy
Overview l l l Policies are a form of TOHI Policies are purchased by a 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
Premium Determination A function of: l Company’s post retirement benefit obligation (APBO) l Qualified asset account limit (US code section 419) l Company’s financial strategy l Actuarial principals l Premium level is elective, subject to the above
TOHI Funding Cash Flow Retirement Plan Sponsor Funding Contributions Premiums VEBA Trust TOHI Claims Payments Retiree Medical Benefits Payments Retirees EIS
Current Premium Allocation
Policy Benefit Claim Payments l Annual policy claims pricing l Guaranteed factors l Current factors l Annual medical claims of retirees covered under the policy l Policy asset performance and aggregate multi-year policy experience
Annual Policy Pricing Parameters l Guaranteed factors l Current Factors l Benefit Percentage Guaranteed Factors Current Factors Attachment Point $ 1, 000 $ 500 Benefit Percentage 49. 98 % 80. 00 % Annual Maximum $ 1, 499 $ 3, 000 $ 29, 980 N/A Lifetime Maximum
Sample Policy Benefit Payment Calculation Total Amount Paid to Providers ($10, 000) Total Plan Claims Paid by VEBA ($4, 800) Total Policy Claims Reimbursed to VEBA ($3, 000) Plan Claims Paid ($4, 800) Plan Deductible ($1, 000) Medicare ($3, 000) Policy Coinsurance ($750) Plan Coinsurance ($1, 200) Over Annual Max ($550) Policy Benefit ($3, 000) Attachment Point ($500) Benefit Percentage: 80%
Current Benefit Computation Factors
Other EIS MBP and Policy Considerations l l Risk shifting l 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. l EIS TOHI program contains a reciprocal mechanism that distributes actual claims across separate accounts according to expected values Program Advisory Committee l Consults with EIS on any MBP issues
EIS Advantages l EIS is in business to meet the needs of its policyholders l Does not have earnings per share or return on equity requirements that impact the fees charged to the policyholders l TOHI program has been in operation for over ten years l Captive status allows EIS to take advantage of lower premium tax rates as compared to commercial insurers
Merrill Lynch Investment Management Consultant for MBP # 15 since 1996 l Responsibilities include assisting EIS and Policyholders with: l Establishing investment policy, obectives, asset allocations and guidelines l Selecting investment managers l Measuring, evaluating and reporting investment performance l
Merrill Lynch l Approved Invesment Managers includes: Asset Classes: l Firms: 25 l Products: 37 l 9 Assets Custodied at State Street Bank l Performance reported to Policyholders monthly l
Investment Information Asset Class Conservative Fixed Income High Yield Large Cap Value Large Cap Growth Small Cap Value International Allocation Minimum % Maximum % 14. 14 % 28. 41 % 11. 11 % 15. 04 6. 59 9. 23 16. 08 13. 85 % % % 26. 97 % 22. 70 % 21. 25 % 16. 08 % 18. 71 %
Current Policyholder Experience Margaret Walsh, OGE Energy
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
Claims Filing Process Daily / Weekly Process Retirees and Providers Submit Claims Pay Claims Third Party Admin. (TPA) Report Claims VEBA Fund Claims TOHI Eligible Claims Quarterly TOHI Process Third Party Admin. (TPA) Claim Eligibility Validated Submit TOHI Claims VEBA EIS Pay TOHI Claims
Ten Year History
Program Recap l TOHI through a captive offers significant advantages l Members are owners l Program is receptive to its Policyholders’ evolving requirements and business circumstances l TOHI contract is a competitive product for funding employee benefits
FAS 106 Strategy Development l Involve a cross section of the organization l Model the financial impact l If EIS Policy purchase is a consideration, complete a Policy mechanics review l Stakeholder consideration
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