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: Laura Sanford
Quarterly Report to the National Joint Council (March 2024)
Regular activities:
- The Board of Management has met once (1) since the last Council meeting and considered three (3) appeals over the reporting period. The Board agreed with Sun Life’s (SL) decision to decline to provide disability benefits for all three (3) appeals.
- In the three (3) appeal cases reviewed, SL declined to provide disability benefits as it was of the view that the medical information on file does not support a finding of continuous total disability that would prevent the claimant from performing the essential duties of any commensurate occupation for one (1) appeal, and that the information on file does not support a totally disabling medical condition that would prevent the claimant from working through the elimination period and beyond for two (2) appeals.
- The Board continues to receive monthly financial updates from SL.
- The DI sub-committee finalized their recommendations on the provisions of the Disability Insurance Plan for consideration by the Treasury Board and will table these to the full Board at their next meeting.
- The Board submitted a request to amend the Terms of Reference to the Executive Committee at their January meeting.
- The Board began preparing their 2024-2025 annual budget.
Outstanding item(s):
- Fifty-five (55) appeals. Of these, thirty (30) appeals have been received by the NJC Secretariat from SL and are scheduled for review, and twenty-five (25) are still under review with SL.
Next meeting: May 14, 2024