cmBenefits
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How we work
The goal at cmBenefits is to strive to separate ourselves from others in the industry. The first thing we did is hire a pricing actuary to manage our renewal process. Our perspective of Employee Benefits is not purely dollar driven. We offer a unique Benefit Checkup that is a two-phase process and detailed below.

In order to properly assess and review your benefit plan, historical claims and a copy of the current contract and benefit outline are required. This will enable us to review the current underwriting and contractual provisions of the benefit plan in greater detail and make recommendations on your behalf. This requires a two Phase review:

Action 1
As your prospective consultant, our mandate is to review your current renewal for the following:
  • The current renewal and underwriting;
  • historical negotiations conducted on your behalf and their efficacy;
  • the insurance industry, health & dental claims trends and cost containment options;
  • analyze the claims utilization for the current policy year and the two previous;
  • comment on the Underwriting Agreement, administrative and any charges contained within;
  • outline alternative funding arrangements;
  • the reserve requirements and Claims Fluctuation Reserves;
  • current plan design;
  • LTD plan design, detailed coverage and disability management;
  • AD&D extra contractual benefits.

From there we will present a report listing our findings and recommendations on your behalf.

Action 2
If Phase l has created enough interest and questions, we will commence negotiations, as Agent of Record, with your current insurer on your renewal and if required prepare a Marketing on your behalf. Our intention is to negotiate the most competitive renewal and confirm that the current Benefit plan provides you and your employees the appropriate benefit, claim costs and contractual provisions for your benefit dollar.

The last number of years has also seen a significant change in the industry that has resulted in changes in how business is conducted. The 90’s saw the purchase of smaller insurers by larger ones: Manulife bought North American, Great-West Life bought London Life and Prudential of America, Sun Life Financial bought Prudential of England, and Maritime bought Aetna. The high profile bankruptcy of Confederation Life and the demutualization of Maritime Life, Manulife, Great-West Life, Sun Life Financial and Canada Life have resulted in a much smaller market dominated by a few large Insurers.

Even more developments that are recent have again further altered the insurance landscape. In 2002, Sun Life completed their purchase of Clarica. In 2003, Great-West Life acquired Canada Life, and Maritime Life purchasing Liberty Health shortly followed by Manulife Financial purchasing John Hancock (who owns Maritime Life), which continues the trend. In the case of specialty carriers, RBC Insurance has acquired Unum-Provident, which will affect the Disability Market (LTD & AD&D products). This has resulted in renewals that in many cases are non-negotiable.

A number of cost-containment or variations to the group insurance market have been forwarded the past couple of years. Within the report we have indicated where benefit dollars are spent and measure them against the plan design, cost per employee and industry norms. Annually we review cost containment options, plan alternatives, and want to reiterate that we are available throughout the year to price changes as required. Alternate funding arrangements, Administrative Services Only (ASO), cost per claim, Association plans, Flex plans, Health Care Spending Accounts, Personal Health Services Program (PHSP), Welfare Trusts and other benefit enhancements or changes may be forwarded and we do measure their merits against your current benefit plan.

We strive to make sure that you understand your benefit plan and the costs involved.