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EO Ottawa 
— 
The Beneplan Co-operative 
! 
! 
Managing employee 
benefits like a F500 co. 
1 November 2014 
Beneplan.ca All rights reserved Beneplan Inc 2014
Who are we? 
Bayview 
Glen School 
Perennial 
Audit 
Committee
Agenda 
! 
- Strategy 
- Structure 
- Reducing premiums w/o 
cutting benefits 
- Morale boosters 
3 November 2014 
Beneplan.ca All rights reserved Beneplan Inc 2014
Why do you even have a 
benefit plan? 
Beneplan.ca All rights reserved Beneplan Inc 2014 
! 
! 
Why not give ees cash? 
4 November 2014
Which plan which will 
attract the best talent? 
Beneplan.ca All rights reserved Beneplan Inc 2014 
! 
! 
5 Photo credit Richard Pardon / 500px 
!
Teachers want travel insurance 
Beneplan.ca All rights reserved Beneplan Inc 2014 
! 
! 
6 Photo credit Lori Denehy 500px 
!
White collar needs psychologists 
(but wont’ ask for it) 
Beneplan.ca All rights reserved Beneplan Inc 2014 
! 
! 
7 Photo credit Jesus Municio/ 500px 
!
Depends on your industry. 
! 
Teachers want travel insurance. 
! 
Truckers want disability insurance. 
! 
Fitness pros want physiotherapy. 
! 
New immigrants want dental. 
! 
White collar needs psychology (but won’t 
tell you). 
8 November 2014 
Beneplan.ca All rights reserved Beneplan Inc 2014
Which benefits do 
employees want? 
! 
The young want DEN/PAR/VSN 
The old want DRG/LTD 
Regardless of the industry. 
9 November 2014 
Beneplan.ca All rights reserved Beneplan Inc 2014
Beneplan.ca All rights reserved Beneplan Inc 2014 
! 
! 
! 
! 
! 
! 
! 
! 
How do you please them all? 
10
Should you ask your 
employees which benefits 
they want? 
Beneplan.ca All rights reserved Beneplan Inc 2014 
! 
! 
Never. 
11 November 2014
The CRA invented our industry. 
Beneplan.ca All rights reserved Beneplan Inc 2014 
! 
! 
First, you must understand that 
all you are doing is hiring an 
insurance co to pay your claims. 
12 November 2014
Insurance companies are 
paranoid. 
! 
They think that we are trying to 
take advantage of them. 
! 
When really, we think it’s the 
other way around! 
13 November 2014 
Beneplan.ca All rights reserved Beneplan Inc 2014
! 
Our industry is the only one where you can give someone $100k and 
they are by law not allowed to show you where that money went! 
Beneplan.ca All rights reserved Beneplan Inc 2014
To what extent should 
employees share the cost of 
the plan? 
! 
Employees should never pay 
a portion of the premium 
(Disability excluded) - tax 
inefficient. 
15 November 2014 
Beneplan.ca All rights reserved Beneplan Inc 2014
Instead: 
! 
Share costs at POS. 
16 November 2014 
Beneplan.ca All rights reserved Beneplan Inc 2014
Driving down premiums. 
Beneplan.ca All rights reserved Beneplan Inc 2014 
17
Where did your $3,000 per 
employee go? 
18 November 2014 
Beneplan.ca All rights reserved Beneplan Inc 2014
How insurers set premiums. 
Beneplan.ca All rights reserved Beneplan Inc 2014 
! 
19 November 2014
Group benefits are not 
insurance. 
! 
They are the opposite of 
insurance. 
20 November 2014 
Beneplan.ca All rights reserved Beneplan Inc 2014
Premiums are set in the 
same way that your hydro 
bill is calculated. 
! 
Usage == Premiums. 
Beneplan.ca All rights reserved Beneplan Inc 2014 
21
The Jargon. 
Beneplan.ca All rights reserved Beneplan Inc 2014 
! 
22
TLR 
! 
IBNR 
! 
Trend / Inflation 
! 
Broker commissions 
23 November 2014 
Beneplan.ca All rights reserved Beneplan Inc 2014
Beneplan.ca All rights reserved Beneplan Inc 2014
Beneplan.ca All rights reserved Beneplan Inc 2014
Beneplan.ca All rights reserved Beneplan Inc 2014
Beneplan.ca All rights reserved Beneplan Inc 2014
Beneplan.ca All rights reserved Beneplan Inc 2014
Refunds on… 
! 
Life Insurance 
Stop-Loss Premiums 
29 November 2014 
Beneplan.ca All rights reserved Beneplan Inc 2014
Ask for annual refunds of 
premiums if 
claims  premiums. 
! 
! 
Ask if claims  premiums, 
can they absorb that risk? 
30 November 2014 
Beneplan.ca All rights reserved Beneplan Inc 2014
Retail Sales Tax Rebate 
31 November 2014 
Beneplan.ca All rights reserved Beneplan Inc 2014
Drug Rebates from 
Manufacturers 
(Reformulary) 
32 November 2014 
Beneplan.ca All rights reserved Beneplan Inc 2014
Beneplan.ca All rights reserved Beneplan Inc 2014
Oral chemo 
! 
Biologic Drugs 
! 
Trillium Drug Program 
! 
Drug co-insurance / caps 
34 November 2014 
Beneplan.ca All rights reserved Beneplan Inc 2014
Patient assistance programs 
35 November 2014 
Beneplan.ca All rights reserved Beneplan Inc 2014
What do you do when an 
employee needs to take a 
sick leave? 
Never pay their full payroll. 
Top up EI if you can afford it. 
36 November 2014 
Beneplan.ca All rights reserved Beneplan Inc 2014
EI Premium Reduction 
Program 
37 November 2014 
Beneplan.ca All rights reserved Beneplan Inc 2014
http://www.servicecanada.gc.ca/eng/cs/prp/010.shtml 
Beneplan.ca All rights reserved Beneplan Inc 2014
http://www.servicecanada.gc.ca/eng/cs/prp/0300/0300_170.shtml 
Discount 
(multiply x payroll) 
New multiplier 
(Instead of 1.4) 
Beneplan.ca All rights reserved Beneplan Inc 2014
E.x. 
! 
$1 million in payroll 
x 
0.33% discount 
= $3,300 annual savings 
40 November 2014 
Beneplan.ca All rights reserved Beneplan Inc 2014
http://www.servicecanada.gc.ca/eforms/forms/sc-nas5022(2014-07-004)e.pdf 
Beneplan.ca All rights reserved Beneplan Inc 2014
Avoiding over-insuring the 
LTD benefit 
42 November 2014 
Beneplan.ca All rights reserved Beneplan Inc 2014
CPP Disability 
Beneplan.ca All rights reserved Beneplan Inc 2014
Instead of: 
“66.67% of salary to a max 
of $6,000” 
! 
Use: 
“66.67% of the first $2,250, 
50% of the remainder, to a 
max of $6,000” 
44 November 2014 
Beneplan.ca All rights reserved Beneplan Inc 2014
Owners’ LTD - the dilemma 
! 
“85% all source maximum” 
45 November 2014 
Beneplan.ca All rights reserved Beneplan Inc 2014
Beneplan.ca All rights reserved 46 Beneplan Inc 2014 November 2014
Beneplan.ca All rights reserved Beneplan Inc 2014
Boosting Morale 
! 
…at little cost 
48 November 2014 
Beneplan.ca All rights reserved Beneplan Inc 2014
Beneplan.ca All rights reserved Beneplan Inc 2014
The Beneplan Co-operative 
• Formed in 2000 based on customer demand 
• 250+ member-owners 
• Members are Ontario SMEs w/ 20-200 employees 
• Annual growth rate 35% 
• 60% blue-collar industries; 40% white collar 
• The only benefits co-operative in Canada of its kind 
Beneplan.ca All rights reserved Beneplan Inc 2014
Patronage Dividends 
• On average, 10% of premiums are refunded as patronage 
dividends 
• 80% of members receive dividends 
• Other 20% of members have deficits (claims  premiums) 
absorbed by co-op 
• $8 million in distributions since 2000 as of CY2013 
• Source of dividends: health, dental, life ins premiums, tax rebates 
• Future sources: drug rebates, paramedical rebates 
Beneplan.ca All rights reserved Beneplan Inc 2014
“As an auto-parts supplier, business has been tough. The $30,000 
dividend we received in 2009 helped us through payroll.” 
Clover Tool Manufacturing 
Beneplan.ca All rights reserved Beneplan Inc 2014
“Our teachers pay half the premium. We used our $38,000 
dividend to subsidize gym memberships for them.” 
Bayview Glen School 
Beneplan.ca All rights reserved Beneplan Inc 2014
An Engaged  Active Board of Directors 
2013 Board at the AGM 
Beneplan.ca All rights reserved Beneplan Inc 2014
Our Co-operative Values 
• 100% Transparency 
• Full accountability 
• Decision making focused on members first 
• Helping small business owners 
• Low premiums enabled by mutual ownership 
Beneplan.ca All rights reserved Beneplan Inc 2014
Who Runs Beneplan? 
A small business, co-operative member, 10 employees, since 1989 
Beneplan.ca All rights reserved Beneplan Inc 2014
Thank You 
Beneplan.ca All rights reserved Beneplan Inc 2014 
! 
! 
Yafa Sakkejha 
General Manager 
yafa@beneplan.ca 
! 
The Beneplan Co-operative 
150 Ferrand Drive Suite 500 
Toronto Ontario M3C 3E5 
1.800.387.1670 
beneplan.ca 
57

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Managing Employee Benefits Like a Co-op

  • 1. EO Ottawa — The Beneplan Co-operative ! ! Managing employee benefits like a F500 co. 1 November 2014 Beneplan.ca All rights reserved Beneplan Inc 2014
  • 2. Who are we? Bayview Glen School Perennial Audit Committee
  • 3. Agenda ! - Strategy - Structure - Reducing premiums w/o cutting benefits - Morale boosters 3 November 2014 Beneplan.ca All rights reserved Beneplan Inc 2014
  • 4. Why do you even have a benefit plan? Beneplan.ca All rights reserved Beneplan Inc 2014 ! ! Why not give ees cash? 4 November 2014
  • 5. Which plan which will attract the best talent? Beneplan.ca All rights reserved Beneplan Inc 2014 ! ! 5 Photo credit Richard Pardon / 500px !
  • 6. Teachers want travel insurance Beneplan.ca All rights reserved Beneplan Inc 2014 ! ! 6 Photo credit Lori Denehy 500px !
  • 7. White collar needs psychologists (but wont’ ask for it) Beneplan.ca All rights reserved Beneplan Inc 2014 ! ! 7 Photo credit Jesus Municio/ 500px !
  • 8. Depends on your industry. ! Teachers want travel insurance. ! Truckers want disability insurance. ! Fitness pros want physiotherapy. ! New immigrants want dental. ! White collar needs psychology (but won’t tell you). 8 November 2014 Beneplan.ca All rights reserved Beneplan Inc 2014
  • 9. Which benefits do employees want? ! The young want DEN/PAR/VSN The old want DRG/LTD Regardless of the industry. 9 November 2014 Beneplan.ca All rights reserved Beneplan Inc 2014
  • 10. Beneplan.ca All rights reserved Beneplan Inc 2014 ! ! ! ! ! ! ! ! How do you please them all? 10
  • 11. Should you ask your employees which benefits they want? Beneplan.ca All rights reserved Beneplan Inc 2014 ! ! Never. 11 November 2014
  • 12. The CRA invented our industry. Beneplan.ca All rights reserved Beneplan Inc 2014 ! ! First, you must understand that all you are doing is hiring an insurance co to pay your claims. 12 November 2014
  • 13. Insurance companies are paranoid. ! They think that we are trying to take advantage of them. ! When really, we think it’s the other way around! 13 November 2014 Beneplan.ca All rights reserved Beneplan Inc 2014
  • 14. ! Our industry is the only one where you can give someone $100k and they are by law not allowed to show you where that money went! Beneplan.ca All rights reserved Beneplan Inc 2014
  • 15. To what extent should employees share the cost of the plan? ! Employees should never pay a portion of the premium (Disability excluded) - tax inefficient. 15 November 2014 Beneplan.ca All rights reserved Beneplan Inc 2014
  • 16. Instead: ! Share costs at POS. 16 November 2014 Beneplan.ca All rights reserved Beneplan Inc 2014
  • 17. Driving down premiums. Beneplan.ca All rights reserved Beneplan Inc 2014 17
  • 18. Where did your $3,000 per employee go? 18 November 2014 Beneplan.ca All rights reserved Beneplan Inc 2014
  • 19. How insurers set premiums. Beneplan.ca All rights reserved Beneplan Inc 2014 ! 19 November 2014
  • 20. Group benefits are not insurance. ! They are the opposite of insurance. 20 November 2014 Beneplan.ca All rights reserved Beneplan Inc 2014
  • 21. Premiums are set in the same way that your hydro bill is calculated. ! Usage == Premiums. Beneplan.ca All rights reserved Beneplan Inc 2014 21
  • 22. The Jargon. Beneplan.ca All rights reserved Beneplan Inc 2014 ! 22
  • 23. TLR ! IBNR ! Trend / Inflation ! Broker commissions 23 November 2014 Beneplan.ca All rights reserved Beneplan Inc 2014
  • 24. Beneplan.ca All rights reserved Beneplan Inc 2014
  • 25. Beneplan.ca All rights reserved Beneplan Inc 2014
  • 26. Beneplan.ca All rights reserved Beneplan Inc 2014
  • 27. Beneplan.ca All rights reserved Beneplan Inc 2014
  • 28. Beneplan.ca All rights reserved Beneplan Inc 2014
  • 29. Refunds on… ! Life Insurance Stop-Loss Premiums 29 November 2014 Beneplan.ca All rights reserved Beneplan Inc 2014
  • 30. Ask for annual refunds of premiums if claims premiums. ! ! Ask if claims premiums, can they absorb that risk? 30 November 2014 Beneplan.ca All rights reserved Beneplan Inc 2014
  • 31. Retail Sales Tax Rebate 31 November 2014 Beneplan.ca All rights reserved Beneplan Inc 2014
  • 32. Drug Rebates from Manufacturers (Reformulary) 32 November 2014 Beneplan.ca All rights reserved Beneplan Inc 2014
  • 33. Beneplan.ca All rights reserved Beneplan Inc 2014
  • 34. Oral chemo ! Biologic Drugs ! Trillium Drug Program ! Drug co-insurance / caps 34 November 2014 Beneplan.ca All rights reserved Beneplan Inc 2014
  • 35. Patient assistance programs 35 November 2014 Beneplan.ca All rights reserved Beneplan Inc 2014
  • 36. What do you do when an employee needs to take a sick leave? Never pay their full payroll. Top up EI if you can afford it. 36 November 2014 Beneplan.ca All rights reserved Beneplan Inc 2014
  • 37. EI Premium Reduction Program 37 November 2014 Beneplan.ca All rights reserved Beneplan Inc 2014
  • 39. http://www.servicecanada.gc.ca/eng/cs/prp/0300/0300_170.shtml Discount (multiply x payroll) New multiplier (Instead of 1.4) Beneplan.ca All rights reserved Beneplan Inc 2014
  • 40. E.x. ! $1 million in payroll x 0.33% discount = $3,300 annual savings 40 November 2014 Beneplan.ca All rights reserved Beneplan Inc 2014
  • 42. Avoiding over-insuring the LTD benefit 42 November 2014 Beneplan.ca All rights reserved Beneplan Inc 2014
  • 43. CPP Disability Beneplan.ca All rights reserved Beneplan Inc 2014
  • 44. Instead of: “66.67% of salary to a max of $6,000” ! Use: “66.67% of the first $2,250, 50% of the remainder, to a max of $6,000” 44 November 2014 Beneplan.ca All rights reserved Beneplan Inc 2014
  • 45. Owners’ LTD - the dilemma ! “85% all source maximum” 45 November 2014 Beneplan.ca All rights reserved Beneplan Inc 2014
  • 46. Beneplan.ca All rights reserved 46 Beneplan Inc 2014 November 2014
  • 47. Beneplan.ca All rights reserved Beneplan Inc 2014
  • 48. Boosting Morale ! …at little cost 48 November 2014 Beneplan.ca All rights reserved Beneplan Inc 2014
  • 49. Beneplan.ca All rights reserved Beneplan Inc 2014
  • 50. The Beneplan Co-operative • Formed in 2000 based on customer demand • 250+ member-owners • Members are Ontario SMEs w/ 20-200 employees • Annual growth rate 35% • 60% blue-collar industries; 40% white collar • The only benefits co-operative in Canada of its kind Beneplan.ca All rights reserved Beneplan Inc 2014
  • 51. Patronage Dividends • On average, 10% of premiums are refunded as patronage dividends • 80% of members receive dividends • Other 20% of members have deficits (claims premiums) absorbed by co-op • $8 million in distributions since 2000 as of CY2013 • Source of dividends: health, dental, life ins premiums, tax rebates • Future sources: drug rebates, paramedical rebates Beneplan.ca All rights reserved Beneplan Inc 2014
  • 52. “As an auto-parts supplier, business has been tough. The $30,000 dividend we received in 2009 helped us through payroll.” Clover Tool Manufacturing Beneplan.ca All rights reserved Beneplan Inc 2014
  • 53. “Our teachers pay half the premium. We used our $38,000 dividend to subsidize gym memberships for them.” Bayview Glen School Beneplan.ca All rights reserved Beneplan Inc 2014
  • 54. An Engaged Active Board of Directors 2013 Board at the AGM Beneplan.ca All rights reserved Beneplan Inc 2014
  • 55. Our Co-operative Values • 100% Transparency • Full accountability • Decision making focused on members first • Helping small business owners • Low premiums enabled by mutual ownership Beneplan.ca All rights reserved Beneplan Inc 2014
  • 56. Who Runs Beneplan? A small business, co-operative member, 10 employees, since 1989 Beneplan.ca All rights reserved Beneplan Inc 2014
  • 57. Thank You Beneplan.ca All rights reserved Beneplan Inc 2014 ! ! Yafa Sakkejha General Manager yafa@beneplan.ca ! The Beneplan Co-operative 150 Ferrand Drive Suite 500 Toronto Ontario M3C 3E5 1.800.387.1670 beneplan.ca 57