2013 Schedule 2 Billing Process Presentation

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Workplace Safety and Insurance Board | Commission de la sécurité professionnelle et de l’assurance contre les accidents du travail 0

2013

Schedule 2 Billing Process

Presentation

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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

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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

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Benefit Payment Route

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Lost

Time

Benefits

Transaction

Routing

System

Cost

Information

System

WEEKLY

Health

Care

Benefits

Survivor

Benefits

SCH 2 A/R

System

Monthly

Statements

DAILY

Invoices

Covered By

Advances

Electronic

File

Transfer

General

Ledger

Payment

Distribution

e-Statement

SCH 2 Billing

System

Webhosting

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Benefit Payments

By WSIB

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Schedule 2 employers are billed for the benefit costs paid by the WSIB

to the injured workers on their behalf.

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Benefit codes are shown

on the back of the

Schedule 2 Invoice

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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.

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Other Employer Charges & Fees



Physicians’ Fees

Administration Charges

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Rate Allocation

Estimate of

Physicians'

Fees

Amount

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 Issued on the 1st day of each month

 Based on the benefit costs of the previous

month & a provisional admin rate

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Provisional

Admin Rate

Admin

Amount

Total Benefit Costs

Breakdown

Total

Benefit

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Benefit Cost Billed to

Employer

Total Annual

Benefit Cost

Benefits Paid to

Worker Directly by

Employer

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The Monthly Statement is a summary of the

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Ability to view ‘Account Transactions’ as

shown on your Monthly Statement updated

daily

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

Once sign up is successfully completed,

WSIB will stop providing you with a

paper copy invoice

Visit our website today

for more details

Sign up on line. Electronic delivery of

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Interest on A/R Balance

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Managing Your Payments

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Benefits Paid by WSIB

– in 12 month period

(Weekly Schedule 2 Invoice & Physicians' Fees)

$12,000

Benefits Paid to Worker by Employer

– in 12 month period

(CBA Notice)

$2,000

TOTAL BENEFITS

$14,000

Estimated Admin Costs

(total benefits x current year rate)

($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

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Estimate of Future WSIB Costs

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Firm No

855000

Telephone Enquiry No

(416) 344-3645

Issued DD MM YY

03 05 11

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 $55,636,166.30

Administrative loading rate

2 18.74%

Administrative loading on estimate

of future benefit costs

3 $10,426,217.56

Line 1 x Line 2

Estimate of future benefit costs and

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Name

ABC Corporation

Telephone Enquiry No

(416) 344-3645

Issued DD MM YY

03 05 11

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 $

Security

Required $

A

B

C

D = B x C

E = B + D

F

855000

55,636,166.30

18.74%

10,426,217.56

66,062,383.86

60,202,405.00

875000

0.00 18.74%

0.00

2 55,636,166.30

10,426,217.56

66,062,383.86

60,202,405.00

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Name

ABC Corporation

Telephone Enquiry No

(416) 344-3645

Issued DD MM YY

03 05 11

Security Requirements of Organization

Component

Line

#

Value $

Formula / Notes

Estimate Comparison

• Current estimate of future benefit costs

& administrative loading

• Previous security amount required

• Difference between estimates

• Percent difference between estimates

Minimum Security Required

1

2

3

4

5 66,062,383.86

60,202,405.00

5,859,978.86

9.73%

Sum of column E

Sum of column F

Line 1 – Line 2

(Line 3 / Line 2) x 100

60,202,405.00

Security on Hand as Of 31-Mar-11

• Letter of Credit

6 60,202,405.00

Additional Security Required by 30-Jun-11

• Please submit additional security if this

value is $100.00 or more

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Claim Details on Inforce Benefits at December 31, 2010

Firm

Claim

Benefit Name

Date of Birth

Date of Accident

855000

09785115 Worker Pension (Partially Indexed)

19321020

19730530

855000

08512354 Bill 165 ($200) Supplement

19321020

19730530

855000

10943255 Worker Pension (Partially Indexed)

19350329

19761106

855000

15789652 Worker Pension (Partially Indexed)

19360509

19880119

855000

17856268 Future Economic Loss (Fully Indexed)

19360509

19900903

855000

17952311 Independent Living Allowance

19360509

19900903

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Benefit Cost Reports

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N. Piccolo

Manager

416-344-3641

Business

Analysts

E. Dhoska

416-344-5243

J. Montefusco

416-344-5110

Vacant

Account Service

Representatives

416-344-3646

C. Da Silva

A. Joseph

J. Ryan

T. Cieri

Revenue

Specialist

F. Tomlinson

416-344-2171

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Questions?