2017 Schedule 2 Conference

Transcription

1 2017 Schedule 2 Conference Schedule 2 Accounts Account Quality Services (AQS) October 18,

2 Agenda Schedule 2 Employers Classification of Schedule 2 Employers Schedule 2 Employer Billings Interest on A/R Balance Statement of Account Other Adjustments and Activities Benefit Cost Reports 2

3 Schedule 2 Employers Individually liable for costs resulting from work-related injuries or diseases Billed Weekly workers benefits paid by WSIB Billed Monthly physicians costs & administration fees Provided an annual estimate of future WSIB costs Private Sector employers provide financial security 3

4 Classification of Schedule 2 Employers For funding purposes: Public Private For the administration charge purposes: Provincially Regulated Federally Regulated Employers Covered Under Government Employees Compensation (GECA) Act 4

5 Classification of Schedule 2 Employers Includes organizations under the Federal, Provincial and Municipal Governments Includes those legislated by government such as district school boards, colleges, libraries, other agencies, boards and commissions Are not required to provide the WSIB with security Need to consult with their auditor with respect to financial reporting under Canadian Institute of Chartered Accountants (CICA) requirements 5

6 Classification of Schedule 2 Employers Organizations which are incorporated under the Canada/Ontario Business Corporations Act May include business activities in industries such as airlines, telecommunications, railways and shipping Required to provide security for estimate of future benefit costs and administration fees 6

7 Classification of Schedule 2 Employers Governed by the laws of the province in which they operate the business Have a federal licence to operate but they are limited to operate only within one province Legislated by the Parliament of Canada, such as railway, shipping, telecommunications, etc. Are not limited to operate only within one province Includes federal departments, Crown corporations, commissions or agencies performing a function on behalf of the Government of Canada such as the Bank of Canada, Canada Post Corporation, etc. 7

8 Schedule 2 Employer Billings Benefits Paid by WSIB - Schedule 2 invoice Benefits Paid by Employer - Covered by Advance Notice (CBA) Claim Penalties Physician Fees and Administration Charges Physician Fee Adjustment Administration Charge Adjustment 8

9 Schedule 2 Employer Billings-Weekly Schedule 2 employers are billed for the benefit costs paid by the WSIB to the injured workers on their behalf Benefit Codes 9

10 Schedule 2 Employer Billings-Weekly Acknowledgement of benefit payments (advances) made to an injured worker by the employer Benefit Codes 10

11 Schedule 2 Employer Billings-Monthly Physicians bill the Ministry of Health (MOH) for the cost of their visit with the injured worker MOH bills the WSIB (claim level detail is not available) WSIB Bills the Employer Each year the WSIB calculates a provisional cost and an actual cost of annual physicians fees for the entire Schedule 2 employer group Allocation to the Schedule 2 employer group is based on the information collected by the MOH and the historical ratio of health care costs between Schedule 1 and Schedule 2 employers 11

12 Schedule 2 Employer Billings-Monthly Allocation to your account is based on the proportionate share of your benefit costs compared to all Schedule 2 benefit costs Benefit costs = average prior 2 years costs of: 12

13 Schedule 2 Employer Billings-Monthly Issued on the 1st day of each month Based on the benefit costs of the previous month & a provisional admin rate Calculated as follows: 13

14 Schedule 2 Employer Billings-Monthly 14

15 Schedule 2 Employer Billings-Annually In February, employers receive a Physicians' Fees Adjustment notice for the prior year s physicians fees expenses The adjustment is based on the difference between the provisional and actual physicians fees amount for the entire Schedule 2 group 15

16 Schedule 2 Employer Billings-Annually In the summer of each year employers receive an Administration Charge Adjustment notice for the prior year s administration expenses The adjustment is based on the difference between the administration charges calculated based on provisional admin rate and the actual admin rate 16

17 Interest on A/R Balance Calculated and posted daily to your account Rates are updated on the 1st business day of the month following the Bank of Canada s prime rate change Credit interest is based on WSIB s bank annual prime lending rate less 2% Debit interest is based on WSIB s bank annual prime rate plus 2% Monthly statements indicate interest posted daily to your account 17

18 Schedule 2 Statement of Account - Summary Statement of Account identifies all transactions for the statement period Issued on the first calendar day of the month 18

19 Schedule 2 Statement of Account - Details 19

20 Schedule 2 Statement of Account Claims Penalties 20

21 Schedule 2 Online Statement of Account Ability to view, download and export Schedule 2 Invoice, Covered by Advance, Physician Fee/ Administration Charge Invoice and Statement of Account on date issued Ability to view Account Transactions as shown on your Monthly Statement updated daily Sign up on line. Electronic delivery of statements means access 3-5 days sooner Once sign up is successfully completed, WSIB will stop providing a paper copy invoice 21

22 Benefit Cost Reports Available to Employer

23 Firm Cost Summary 23

24 Organization Cost Summary 24

25 Covered by Advances Claims Detail 25

26 Benefits Paid by WSIB Claims Detail 26

27 Questions?