For immediate release: 

 

Privatize Workers' Compensation System Says Canada's Leading Workers' Compensation Consultants

 Marsh & McLennan outlines five-point plan to eliminate massive $11.4 billion unfunded liability and pave road for a private system

TORONTO, Ontario (May 23, 1995) -- In a major position paper released today, Marsh & McLennan, Canada's leading injury management and workers' compensation consulting firm, issued a direct challenge to the next government of Ontario to eliminate the Workers' Compensation Board's (WCB) $11.4 billion deficit in the next five years and take steps to introduce a private sector insurance option for employers.

"Tough, decisive action is required immediately to fix the workers' compensation fiasco in Ontario.  The three parties in the current Ontario election campaign have only nibbled at the edges of this financial debacle, but they have not grasped the degree to which it is killing jobs, failing injured workers, saddling employers with unnecessary costs and impairing Ontario's reputation as a good place to do business," said Lorne Scully, Managing Director of Marsh & McLennan.

In the paper, Marsh & McLennan argues that the current $11.4 billion deficit can be eliminated in the next five years -- the term of the next government -- by bringing benefit levels in line with other jurisdictions.  Concurrent steps should be taken to privatize workers' compensation in Ontario.  Under a private system, premiums would reflect the real costs of the system, and the discipline of the market would provide all parties with the incentive to keep costs in check.  Insurers and employers would seek to minimize claims costs with the best and most effective rehabilitation practices and workers would have greater incentive to return to the workplace as healthy and productive members of society. 

"It is no surprise that the workers' compensation system in Ontario has run up an $11.4 billion deficit when you consider that our benefits for injured workers are the highest by far in North America.  In some cases, an injured worker can receive benefits of up to 120 per cent of his or her take home pay while off work.  And the trend toward including every conceivable condition such as stress as a work-related injury is only exacerbating an already badly flawed situation," said Scully. 

"There are too many pressures at the political level to expand benefits without considering the consequences on costs.  Ontario's current problems arise from the cumulative effect of successive governments courting political favour by making benefits more generous while pushing financial obligations into the future," said Scully.  "This kind of approach invites a day of reckoning, when the viability of the workers' compensation system itself is threatened. That day is fast approaching in Ontario."  

In the paper, Marsh & McLennan outlines a workable plan to eliminate the deficit within five years. Specifically, the plan calls for: 

-          Reducing benefits to 75 per cent of pre-tax income from the current level of 90 per cent of pre-tax income. Since benefits are not taxed, some workers are now effectively paid approximately 120 per cent of their original take home pay. Savings from this measure would amount to $5.0 billion over five years. 

-          Increasing the frequency of reviews for Future Economic Loss Awards (FEL) to an annual basis. Currently, workers are compensated for future losses based on an assessment made one year after an accident and reviewed on the third and sixth anniversaries. More frequent reviews are estimated to save $3.6 billion. 

-          Strengthening the definition of what constitutes a work-related accident.  Today, coverage is provided even if the injury is not caused by an actual employment situation.   Estimated savings over the five year period are $2.5 billion. 

-          Reviewing utilization of the system. Workers' files should be reviewed when an injury has exceeded its usual healing time. Currently employers can seek cost relief from the WCB when this happens, but a file review for medical treatment, medical compatibility and other factors would be far more cost effective. Approximately $2.5 billion could be saved by implementing these reviews. 

-          Implementing a variety of cost efficiencies including allowing provisional Non-Economic Loss Awards for soft tissues injuries and streamlining administration. Marsh & McLennan believes there are approximately $1.8 billion of such efficiencies.

"Our more than $15 billion in savings against future obligations is the immediate crash diet we're prescribing for the WCB," said Mr. Scully. "At the same time, we propose introducing the private insurance option as a permanent solution to Ontario's worker compensation woes."

In the long term, implementation of a fully privatized system provides the best antidote to the chronic tendency of Ontario's worker compensation system to build up a deficit through a never ending cycle of increasing benefits and an expanding definition of compensable injury.

Private insurers cannot deficit finance to cover the gap between costs and assessments.  Individual companies would still be required, by law, to purchase workers' compensation insurance. Premium assessments under such a scheme would reflect the real cost of the system by more fairly assigning costs to individual companies based on their own accident frequency and claim costs.  

Marsh & McLennan's extensive experience in Canada and around the world in workers' compensation and injury management issues shows that the best workers' compensation systems are built on a foundation of fiscal accountability, fair coverage and incentives for injured workers to recover and return to work as quickly as possible. 

"We believe that everyone would benefit from this fundamental change in our approach to workers' compensation, and our supporters are growing," said Mr. Scully. "Both opposition parties have already indicated a pressing need to make changes at the WCB. We're upping the ante with our challenge to resist the quick fix in favour of making permanent and meaningful reform." 

Marsh & McLennan is the world's largest insurance broker and a leader in the fields of workers' compensation and injury management issues consulting.  In Canada, we offer injury management services which include claims management, experience rating reviews, hearings, revenue audits and Health & Safety/Ergonomics services.

 

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For further information:

Sean McPhee
Sean McPhee & Associates Inc.
(416) 214-1232

Full versions of this paper are available by request.  Please email us at: smcphee@scmcphee.com

 

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