2013 Schedule 2 Billing Process Presentation
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1 2013 Schedule 2 Billing Process Presentation Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 0
2 Schedule 2 Employers Benefit Payment Route Overview Benefit Payments by WSIB by Employer Other Employer Charges & Fees Monthly Statement Interest on A/R Balance Other Adjustments and Activities Managing Your Payments Estimate of Future WSIB Costs Benefit Cost Reports Available to Employer Additional Information Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 1
3 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 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 2
4 Benefit Payment Route Overview Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 3
5 DAILY WEEKLY Lost Time Benefits Transaction Routing System Cost Information System SCH 2 Billing System SCH 2 A/R System Health Care Benefits General Ledger Covered By Advances Invoices Payment Distribution Monthly Statements Survivor Benefits Electronic File Transfer Webhosting e-statement Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 4
6 Benefit Payments By WSIB By Employer Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 5
7 Schedule 2 employers are billed for the benefit costs paid by the WSIB to the injured workers on their behalf. Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 6
8 Codes Benefit codes are shown on the back of the Schedule 2 Invoice Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 7
9 A covered by Advance Notice is issued to each employer that continues to pay their injured workers directly. It advises the employer of the benefit amount the injured worker is allowed to. Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 8
10 Applicable benefit codes are shown on the back of the Covered by Advance Notice Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 9
11 Other Employer Charges & Fees Physicians Fees Administration Charges Late/Incomplete Filing of Accident Reports Charges Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 10
12 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 11
13 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 12
14 Estimate of Physicians' Fees Rate Allocation Amount Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 13
15 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 14
16 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 15
17 Issued on the 1st day of each month Based on the benefit costs of the previous month & a provisional admin rate Calculated as follows: Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 16
18 Total Benefit Costs Breakdown Total Benefit Costs Provisional Admin Rate Admin Amount Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 17
19 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 18
20 Benefit Cost Billed to Employer Total Annual Benefit Cost Benefits Paid to Worker Directly by Employer Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 19
21 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 20
22 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 21
23 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 22
24 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 23
25 The Monthly Statement is a summary of the transactions on the account for the statement period. Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 24
26 Ability to view, download and export the Schedule 2 Invoice, Covered by Advance details, Physician Fee Administration Charge Invoice and the Schedule 2 Monthly Statement on the day they are 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 you with a paper copy invoice Visit our website today for more details Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 25
27 Interest on A/R Balance Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 26
28 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 27
29 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 28
30 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 29
31 Managing Your Payments Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 30
32 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 31
33 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 32
34 Benefits Paid by WSIB in 12 month period (Weekly Schedule 2 Invoice & Physicians' Fees) Benefits Paid to Worker by Employer in 12 month period (CBA Notice) $12,000 $2,000 Estimated Admin Costs (total benefits x current year rate) TOTAL BENEFITS $14,000 ($14,000 x 27.97%) = $3,900 $3,900 TOTAL EMPLOYER PAYMENT TO WSIB $15,900 Average weekly expenses (assume WSIB bills same benefit amount each week) ($15,900 /52weeks) = $300 $300 Average # of weeks between invoice date & employer reimbursement 4 Reasonable Credit Amount to keep on Account ($300 x 4weeks) = $1,200 $1,200 CR Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 33
35 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 34
36 Estimate of Future WSIB Costs Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 35
37 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 36
38 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 37
39 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 38
40 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 39
41 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 40
42 Firm No Telephone Enquiry No (416) Issued DD MM YY Estimate of Future Benefit Costs and Administrative Loading for period ending 31- Dec- 10 Component Line # Value Formula/Notes Estimate of future benefit costs 1 $55,636, Administrative loading rate % Administrative loading on estimate of future benefit costs Estimate of future benefit costs and administrative loading 3 $10,426, Line 1 x Line 2 4 $66,062, Line 1 + Line 3 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 41
43 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 42
44 Name ABC Corporation Telephone Enquiry No (416) Issued DD MM YY Estimate of Future Costs as of 31-Dec-10 Firm Number Estimate of Future Benefit Costs $ (Note 1) Administrative Loading Rate (Note 2) Administrative Loading $ Total Estimate $ Previous Security Required $ A B C D = B x C E = B + D F ,636, % 10,426, ,062, ,202, % ,636, ,426, ,062, ,202, Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 43
45 Name ABC Corporation Telephone Enquiry No (416) Security Requirements of Organization Issued DD MM YY Estimate Comparison Component Line # Value $ Formula / Notes Current estimate of future benefit costs & administrative loading 1 66,062, Sum of column E Previous security amount required Difference between estimates Percent difference between estimates ,202, ,859, % Sum of column F Line 1 Line 2 (Line 3 / Line 2) x 100 Minimum Security Required 5 60,202, Security on Hand as Of 31-Mar-11 Letter of Credit 6 60,202, Additional Security Required by 30-Jun-11 Please submit additional security if this value is $ or more Line 5 Line 6 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 44
46 Claim Details on Inforce Benefits at December 31, 2010 Firm Claim Benefit Name Date of Birth Date of Accident Worker Pension (Partially Indexed) Bill 165 ($200) Supplement Worker Pension (Partially Indexed) Worker Pension (Partially Indexed) Future Economic Loss (Fully Indexed) Independent Living Allowance Loss of Earnings Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 45
47 Benefit Cost Reports Available to Employer Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 46
48 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 47
49 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 48
50 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 49
51 Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 50
52 N. Piccolo Manager Business Analysts Revenue Specialist E. Dhoska J. Montefusco Account Service Representatives F. Tomlinson Vacant C. Da Silva A. Joseph J. Ryan T. Cieri Fax Number: (416) Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 51
53 Questions? Workplace Safety and Insurance Board Commission de la sécurité professionnelle et de l assurance contre les accidents du travail 52
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