The Disability Board of Management is responsible for the overall administrative and financial management of the Disability Insurance Plan, including the review of the contract of insurance, review of any financial or service agreement, the financial status of the Plan, the services of the Insurer, the administrative fees and charges, the adequacy of reserves, the premium levels, the disposition of disputed claims, and other matters referred to it by the National Joint Council on the overall operation of the Plan, and for making appropriate recommendations to the National Joint Council.
Committee Advisor: Jennifer.Ballantyne@njc-cnm.gc.ca
Quarterly Report to the National Joint Council (September 2019)
- The Board of Management has met twice (2) since the last Council meeting. The regularly scheduled June meeting was used to consider one (1) appeal and receive an annual update from Sun Life. An ad hoc meeting was scheduled in July to discuss a number of ongoing concerns raised by the Board.
- The Board wishes to note the departure of Danielle Chaîné, from CSE, and thank her for her contribution to the Board.
- The Board welcomed a new Bargaining Side member, Stéphanie Rochon Perras, from ACFO.
- In the appeal case reviewed, Sun Life declined to provide disability benefits as it was of the view that the medical information on file did not support a finding of continuous total disability that would prevent the claimant from performing each and every duty of the regular occupation. The Board carefully reviewed the information on file.
- The Board agreed with Sun Life’s decision. The appeal was therefore denied.
- The Board continues to receive financial updates from Sun Life.
- In that regard, the Board received a presentation from Sun Life on the Annual Summary Financial Report for 2018 and the 2019 year-to-date of the Disability Insurance Plan.
- The Board was informed that the Plan Expenditures in 2018 exceed Plan Revenues. The Plan surplus was required to fund the Claims Fluctuation Reserve (CFR), and, at the end of 2018, the Plan surplus was noted to be below the Funding Policy and Guidelines Target.
- An annual exercise is underway to review the plan experience again with a potential premium rate analysis in the fall of 2019 to determine if any additional financial action is required.
- Board members began preparing for the upcoming learning and information sharing session at Sun Life Headquarters this fall. The session is intended to provide an opportunity to share concerns or trends and to promote a better mutual understanding of processes and perspectives during the cycle of a disability claim. The Board spent significant time at its July meeting discussing issues, concerns and general topics to be added to the draft agenda for this session.
- Terms of Reference.
- Twenty-four (24) appeals. Of these, five (5) appeals have now been received by the NJC Secretariat from Sun Life. Three (3) of these appeals have been scheduled for September.
Next meeting: January 9, 2019