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WORKERS’ COMPENSATION INSURANCETOP-UP COVER ROMANIA
Victor Schultheiss, Thomas Rothärmel
FIAR 2011, 24th May 2011
Agenda
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1. 1. Munich Re (Group)
2. 2. Center of Competence Workers’ Compensation
3. 3. Overview Workers’ Compensation Insurance
4. 4. Romanian Workers Compensation System
5. 5. Top-Up Coverage
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Added value within the groupDiversified structure – more security
Munich Re (Group)*
Asset management
*This listing is incomplete and provides no precise indication of shareholdings.
1. Munich Re (Group)
Reinsurance Primary insuranceMunich Health
Belgium
ERGO: Germany-based and represented in over 30 countries
Offers a comprehensive range of insurance, benefit, and pension products and services
Leading expertise worldwide since nearly 130 years
Full range of products: from traditional reinsurance to alternative risk financing
Diversification as key success factor
Munich Re as only specialised health risk carrier with global scope
Flexible combination of business model and products as unique selling proposition
Reinsurance Primary insuranceMunich Health
Assetmanagement
Successful business model1. Munich Re (Group)
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Generate substantial reinsurance business for Munich Re
Concentrate and amplify expertise within the Munich Re Group
Provide advice and service on both insurance and reinsurance questions, from
legislative to operational
Observe and accompany private participation and reform processes
MR Workers’ Compensation unit was established in 1998 as Centre of Competence
Our Unit2. Centre of Competence Workers‘ Compensation
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Underwriting
Research and Consultancy
Main activities
Our Unit2. Centre of Competence Workers‘ Compensation
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CoC Workers‘ Compensation InsuranceUnderwriting - Markets with private participation
9Workers‘ Compensation Insurance
Possible Workers’ Compensation reform
Where we provide capacity
Where private/semi-privateparticipation is allowed
Overview
WCS private and public systems
Terrorism
Occupational diseases:
Are they insurable?
Economic incentives
Occ
upat
iona
l dis
ease
s
Rat
ing
syst
ems
Com
mut
ing
acci
dent
s
Ass
essi
ng d
isab
ility
Residual markets and
uninsured risks
Prevention and Insurance
Different publications from general to specific topics
Main activities – Research and consultancy
Our Unit2. Centre of Competence Workers‘ Compensation
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Workers’ compensation symposium each two/three years
(2001, 2004, 2007, 2009)
Workshops with clients
Active involvement i.r.o. workers’ compensation reforms/systems
discussions (Brazil, China, Estonia, UK, Denmark, Colombia,
Norway, Germany, etc.)
Main activities – Research and consultancy
Our Unit2. Centre of Competence Workers‘ Compensation
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Workers‘ compensation systems provide coverage to help the insured and the
families to overcome the burden of an occupational injury or an occupational
disease
Provide benefits in cash (temporary incapacity, invalidity, pensions, lump sums)
and benefits in kind (prevention, health care, rehabilitation)
Major characteristics: no fault system, compulsory, highly regulated,
employer is responsible for taking/paying this insurance
Within social security regulations or strongly linked to them
Overview3. Overview Workers‘ Compensation Insurance
In terms of the International Labour Organisation ILO:
Workers suffer over 250 million accidents every year and 160 million
occupational diseases
Almost 2.000.000 die each year from their jobs (5,500/day)
The economic losses are equivalent to 4 per cent of the world's gross national
product
Social consequence for families and communities are incalculable
Workers’ Compensation Insurance 14
Overview3. Overview Workers‘ Compensation Insurance
Country profile: RomaniaLaw 346 of 5 June 2002*
Scope of cover (public risk carrier- CNPAS)
Occupational accidents
Occupational diseases
Commuting accidents
Tariff
Pay-as-you-go basis
CNAPS (National House of Pensions and
other Social Insurance Rights) generally
calculates the tariff on a pay-as-you-go
basis. 0,5%-4,0% of the payroll
Benefits
Benefits in kind:
Medical costs until recovery and recuperation of work
ability
Costs of professional rehabilitation and reconversion
Aids and appliances
Benefits in cash :
Temporary work disability
o Indemnification of 80% - 100% of average salary
o Indemnification for temporary change of work
place
Permanent work disability
o Compensation for injuries of the bodily integrity
o Lumpsum and/ or pension payments for lost
income
Death
Survivors‘ pension, Funeral expenses
16*http://www.dreptonline.ro/legislatie/lege_asigurare_accidente_munca_boli_profesionale_346_2002_republicata_2009.php
4. Romanian Workers‘ Compensation System
Workers‘ Comp. (part of social security)
Other general Social Security Schemes
Disability level:Between 20-50%: Proportional lump sum max.12 times National average monthly salary
Disability levelMore than 50%:Pension until old age (plus lump sum max. 12 monthly salaries)
Statutory Workers‘ Compensation - Benefits covered
Statutory Coverage
80%-100% average salary of the last 6 months after the 3rd day
Temporary Disability Permanent Disability
Old age pension
5. Top Up Coverage
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Max. 180 days
Workers‘ Compensation Top-Up-Product Benefits covered
Top-Up Product
Temporary Disability Permanent Disability
Old age pension
5. Top Up Coverage
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Max. 180 days
Private Disability Cover:
•More than 50% disability: Guarantee of 90% - 100% monthly salary: (a) until pension age
(b) for life
Workers‘ Comp (part of social security)
Other general Social Security Schemes
Disability level:Between 20-50%: Proportional lump sum max.12 times National average monthly salary
Disability level:More than 50%:Pension until old age (plus lump sum max. 12 monthly salaries)
Statutory Workers‘ Compensation vs. Top-Up-Product Benefits covered
Top-Up Product
Statutory Coverage
80%-100% average salary of the last 6 months after the 3rd day
Temporary Disability Permanent Disability
Old age pension
5. Top Up Coverage
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Max. 180 days
Private Disability Cover:
•More than 50% disability: Guarantee of 90% - 100% monthly salary: (a) until pension age
(b) for life
Example 1: Monthly salary 3.300 RON / 800 €; 20 y of contributions, 12 y before full pension age; 100% disability (2nd degree)
Disability Pension:1.060 RON / 250 €
Salary: 3.380 RON / 800 €
Gap: 2.320 RON / 550 € to be covered byTop-Up-Policy
Top-Up-Product: Private Disability Cover
Example 2: Monthly salary 5.064 RON / 1.200 €; 10 y of contributions, 22 y before full pension age; 100% disability (2nd degree)
Gap: 4.068 RON / 964 €
Salary: 5.064 RON / 1.200 €
Disability Pension:996 RON / 236 €
to be covered byTop-Up-Policy
Top-Up-Product: Private Disability Cover
THANK YOU VERY MUCH FOR YOUR ATTENTION!
HTTP://WWW.MUNICHRE.COM/DE/REINSURANCE/BUSINESS/NON-LIFE/WORKERS_COMPENSATION/DEFAULT.ASPX
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Victor Schultheiss Head of CoC Workers' Compensation Tel.: +49 (89) 38 91-22 [email protected]
Dr. Thomas RothärmelSenior Underwriter Tel.: +49 (89) 38 91-99 [email protected]