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ANNUAL GENERAL MEETING JULY 17, 2018

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Page 1: ANNUAL GENERAL MEETING · 2018-11-06 · – No clear thresholds. Some parts of WorkSafeNB regulations specify that age‐related hearing loss shall not be a consideration. – Parts

ANNUAL GENERAL MEETINGJULY 17, 2018

Page 2: ANNUAL GENERAL MEETING · 2018-11-06 · – No clear thresholds. Some parts of WorkSafeNB regulations specify that age‐related hearing loss shall not be a consideration. – Parts

2

AGENDA• Chairperson welcome

• Financial results – as at December 31, 2017

• Financial snapshot – as at June 30, 2018

• What has changed in our system?

• Why has our system changed?

• Upcoming issues

• Next Steps / Actions

• Forecast for 2019

• Q & A

Page 3: ANNUAL GENERAL MEETING · 2018-11-06 · – No clear thresholds. Some parts of WorkSafeNB regulations specify that age‐related hearing loss shall not be a consideration. – Parts

YEAR ENDED DECEMBER 31, 2017

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STATEMENT OF OPERATIONSDECEMBER 31, 2017

2017(000s)

2016(000s)

2015(000s)

IncomeAssessments $135,188 $97,273 93,548Investments $132,368 $105,152 55,362Self‐insured employers $122,553 $115,404 61,147

$390,109 $317,829 215,057ExpensesClaim costs incurred $466,036 $376,767 291,721Administration $52,454 $48,747 43,730Legislative obligations $3,865 $3,402 4,115

$522,355 $428,916 339,566Excess of income over (expenses) for the year ($132,246) ($111,087) (124,509)

• $ 466 MillionTotal

• $ 295 MillionBudgeted + Self‐Insured

• Duration driven $102 M• Hearing Loss $ 69 M

Cost exceeding budget 4

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5

2017(000s)

2016(000s)

AssetsCash and cash equivalents $72,634 $144,690Receivables and other $11,129 $11,319Recoverable benefits liabilities $282,760 $221,773Investments $1,330,993 $1,205,983Capital assets $11,046 $10,376

$1,708,562 $1,594,141

LiabilitiesPayables and accruals $16,372 $21,508

Benefits liabilities $1,654,725 $1,400,829$1,671,097 $1,422,337

Funding Level 102.2% 112.1%

BALANCE SHEETDECEMBER 31, 2017

Page 6: ANNUAL GENERAL MEETING · 2018-11-06 · – No clear thresholds. Some parts of WorkSafeNB regulations specify that age‐related hearing loss shall not be a consideration. – Parts

STRONG INVESTMENT RETURNS

‐5.6%

12.4%

8.9%9.5%

13.3%

‐0.4%

‐18.0%

18.1%

10.7%

2.6%

10.9%

15.7%

8.5%

4.3%

9.2% 10.3%

‐25.00%

‐20.00%

‐15.00%

‐10.00%

‐5.00%

0.00%

5.00%

10.00%

15.00%

20.00%

25.00%

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Actual investment return Long‐term nominal target returnPassive Benchmark return

6

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SUMMARY OF RESULTSASSETS AND LIABILITIES 2003 TO 2017 ($ MILLIONS)

7

Very strong asset growth

Much stronger liability growth

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8

$0.49 $0.44  $0.42 

$0.39  $0.38  $0.37 

 $‐

 $0.20

 $0.40

 $0.60

NS PE MB NL SK NB

2017 CLAIMS ADMIN EXPENSES BY JURISDICTION

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2017 OH&S EXPENSES BY JURISDICTIONONLY NB HAS RESPONSIBILITY FOR COMPLIANCE

$0.12 $0.11 

$0.06  $0.06  $0.06 

 $‐

 $0.05

 $0.10

 $0.15

 $0.20

 $0.25

NB NS NL MB PE

9

Page 10: ANNUAL GENERAL MEETING · 2018-11-06 · – No clear thresholds. Some parts of WorkSafeNB regulations specify that age‐related hearing loss shall not be a consideration. – Parts

PERIOD ENDING JUNE 30, 2018

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SECOND QUARTER – JUNE 30, 2018

• Claim costs continue to increase in 2018

• Liabilities for future payments are also increasing

• Current funding position estimate as of June 30– approximately 97%

• If trends continue, funding level will continue to decline throughout 2018

11

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12

COSTS CONTINUE TO RISE IN 2018

$72  $81  $83 $100  $108 

$148 $159 

$180 $203 

 $‐

 $50

 $100

 $150

 $200

 $250

2014 2015 2016 2017 2018

January to June Annual

Costs for self‐insured employers are rising 1.5 x the rate of assessed employers

10% CAGR

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COSTS CONTINUE TO INCREASE IN 2018

$68  $68  $72  $81  $83  $100  $108 $134  $137  $148  $159  $180  $203  $219 

$1,024  $1,043 $1,087 

$1,213 $1,401 

$1,655 

$1,799 

$0

$200

$400

$600

$800

$1,000

$1,200

$1,400

$1,600

$1,800

$2,000

2012 2013 2014 2015 2016 2017 to June 30,2018

January to June Payments Annual Payments Liabilities

Legislation change WCAT April 2015

13

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WHAT HAS CHANGED?WHY ARE COSTS CONTINUING TO RISE?

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ARE WE LESS SAFE? HAS WORKSAFENB CHANGED  BENEFIT LEVELS DRAMATICALLY?

15

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16

LOST TIME CLAIMS – ASSESSED EMPLOYERS 

0

500

1000

1500

2000

2500

Sprain, strain and pain Bruises, Contusions Severe and External

47% drop since 2002, unchanged since 2013

32% drop since 2002, unchanged since 2011

Fairly steady in most years, modest recent increases 

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17

LOST TIME CLAIMS – SELF INSURED EMPLOYERS 

0

200

400

600

800

1000

Sprain, strain and pain Bruises, Contusions Severe and External

45% drop since 2002

Unchanged since 2002

70% increase since 2002

Page 18: ANNUAL GENERAL MEETING · 2018-11-06 · – No clear thresholds. Some parts of WorkSafeNB regulations specify that age‐related hearing loss shall not be a consideration. – Parts

FATALITY PREVENTION REQUIRES MORE ATTENTION

89 9

65

8

2

5 5

9

6

3

0

3

6

9

12

Acute Accident

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IN RECENT YEARS, MORE WORKERS ARE DYING FROM OCCUPATIONAL DISEASE THAN BY ACUTE INJURIES

Acute Accidents Occupational Disease

8

6

109

8 8

0

3

6

9

12

8

2

5 5

9

6

3

0

3

6

9

12

19

Page 20: ANNUAL GENERAL MEETING · 2018-11-06 · – No clear thresholds. Some parts of WorkSafeNB regulations specify that age‐related hearing loss shall not be a consideration. – Parts

TWO PRIMARY ISSUES DRIVING COSTS HIGHER

Longer Claim Duration• Virtually all related to 

sprains, strains and pain• More LTD

Hearing Loss Claims

20

Page 21: ANNUAL GENERAL MEETING · 2018-11-06 · – No clear thresholds. Some parts of WorkSafeNB regulations specify that age‐related hearing loss shall not be a consideration. – Parts

WHY IS CLAIM DURATION INCREASING?

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22

SOME KEY CHANGES TO THE WORKERS’ COMPENSATION ACT OCCURRED IN 2015

• 21(9) In an appeal the Appeals Tribunal shallb) apply a policy approved by the Commission that is 

applicable in the case, to the extent that the policy is not inconsistent with this Act

• 21(12.2) If the Appeals Tribunal determines that a policy approved by the Commission is inconsistent with this Act…, the decision binds the Commission in respect of any matter before the Commission. 

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23

LEGISLATIVE CHANGE IMPACTS

• Changes to the legislation were required• An external Appeals Tribunal is essential to ensuring fairness in decision‐making

• Unintended consequences surfaced• There were gaps between the existing legislation and WorkSafeNB policies

• The impact of these gaps given the new legislation was not fully understood by all parties, WorkSafeNB included

• Let’s explore some examples…

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24

POLICIES FOUND INCONSISTENT WITH LEGISLATION• Legislation

• 38.11(14) Compensation pursuant to this section is payable until the loss of earnings ceases or until the worker attains age sixty‐five, whichever occurs first

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25

INJURED WORKER RETIRES

1. Employee injured and is receiving 85% of net income from WorkSafeNB.

2. Employee decides to retire before age 65.

3. With the policy being struck down as inconsistent with legislation, compensation now continues to age 65 in addition to any pension benefit.

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26

IMPACT OF NON‐COMPENSABLE INTERVENING CONDITION

• Employee injured and receiving wage loss compensation

• During rehabilitation, injured worker is diagnosed with a non‐work related illness such as cancer

• Employee is rehabilitated but cancer treatment becomes the primary reason the employee can not return to work

• With the previous policy being struck down as inconsistent with legislation, wage loss compensation now continues to age 65 or the Loss of Earnings ceases to exist (employee returns to work)

• Additional claim costs are distributed to all employers

Page 27: ANNUAL GENERAL MEETING · 2018-11-06 · – No clear thresholds. Some parts of WorkSafeNB regulations specify that age‐related hearing loss shall not be a consideration. – Parts

DAYS PAID PER CLAIM CLAIMS MORE THAN 30 DAYS – SPRAINS, STRAINS AND PAIN

27

Significant increase in days lost – all age groups

50% increase in average duration for sprains and strains vs  a 10% increase for bruises, cuts and fractures

0

50

100

150

200

250

youngerthan 35

35 to 44 45 to 54 55 to 59 60 andolder

Average

2012

2016

Average bruises, cuts and fractures

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50.0%

55.0%

60.0%

65.0%

70.0%

75.0%

80.0%

85.0%

90.0%

95.0%

100.0%

NB PE NL QC NS SK BC AB MB ON

2012 2016

RTW Perform

ance

Source: Association of Workers’ Compensation Boards of Canada

RETURN TO WORK OUTCOMES AT SIX MONTHS2012 VS 2016

28

Page 29: ANNUAL GENERAL MEETING · 2018-11-06 · – No clear thresholds. Some parts of WorkSafeNB regulations specify that age‐related hearing loss shall not be a consideration. – Parts

‐6.9%

‐4.4%

‐3.0%‐2.3% ‐2.1% ‐2.0%

‐0.8%‐0.1%

0.8%

3.0%

‐8.0%

‐6.0%

‐4.0%

‐2.0%

0.0%

2.0%

4.0%

NB NS PE SK QC AB ON NL MB BC% Cha

nge in RTW

 Perform

ance

Source: Association of Workers’ Compensation Boards of Canada

CHANGE IN % RETURN TO WORK AT SIX MONTHS2012 TO 2016

29

Page 30: ANNUAL GENERAL MEETING · 2018-11-06 · – No clear thresholds. Some parts of WorkSafeNB regulations specify that age‐related hearing loss shall not be a consideration. – Parts

FULL LTD CLAIMS INCREASING AS ALTERNATIVE WORK OPTIONS LIMITED

70 72 7383

105

128

144

0

25

50

75

100

125

150

2011 2012 2013 2014 2015 2016 2017

30

Page 31: ANNUAL GENERAL MEETING · 2018-11-06 · – No clear thresholds. Some parts of WorkSafeNB regulations specify that age‐related hearing loss shall not be a consideration. – Parts

GENERAL EMPLOYERS STATISTICS

Employer Size By Assessment Number of Employers

Very Small (Less than $5,000) 11,940 78%

Small ($5,000 to $19,999) 2,330 15%

Medium ($20,000 to $99,999) 780 5%

Large ($100,000 to $499,999) 180 1%

Very Large (More than $500,000) 20 0.1%

15,250 100%

31

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32

NUMBER OF LOST TIME CLAIMSMORE THAN 30 DAYS

191

235

348

386

180207

253

343

306

155

234 245

339 332

154

234

264

344 334

141

242

284

400

464

127

0

100

200

300

400

500

Very SmallEmployers

SmallEmployers

MediumEmployers

LargeEmployers

Very LargeEmployers

2012 2013 2014 2015 2016

Very large employers experienced a 29% improvement Very small, small, medium and large employers experienced higher claim volumes by 27%, 21%, 15% and 20% respectively

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33

DAYS PER CLAIMCLAIMS MORE THAN 30 DAYS

145134 132

120

104

129134 130

114122

161

141 143

130

110

163154

164

135126

184176

165

151

164

0

20

40

60

80

100

120

140

160

180

200

Very Small Employers Small Employers Medium Employers Large Employers Very Large Employers

2012 2013 2014 2015 2016

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34

INCREASE IN PAYMENTS – 2016 VS 2012LOST TIME CLAIMS LASTING MORE THAN 30 DAYS 

60%56%

37%

56%

26%

0%

10%

20%

30%

40%

50%

60%

70%

Very SmallEmployers

SmallEmployers

MediumEmployers

LargeEmployers

Very LargeEmployers

Page 35: ANNUAL GENERAL MEETING · 2018-11-06 · – No clear thresholds. Some parts of WorkSafeNB regulations specify that age‐related hearing loss shall not be a consideration. – Parts

LET’S EXAMINE HEARING LOSS

Page 36: ANNUAL GENERAL MEETING · 2018-11-06 · – No clear thresholds. Some parts of WorkSafeNB regulations specify that age‐related hearing loss shall not be a consideration. – Parts

36

WHO IS AT RISK?

Page 37: ANNUAL GENERAL MEETING · 2018-11-06 · – No clear thresholds. Some parts of WorkSafeNB regulations specify that age‐related hearing loss shall not be a consideration. – Parts

AVERAGE MONTHLY HEARING LOSS CLAIMSINCREASED 133% OVER FIVE YEARS

37

77  77 92 

114  128 

205 

0

50

100

150

200

250

2013 2014 2015 2016 2017 2018 (6 months)

Self‐Insured Assessed

Page 38: ANNUAL GENERAL MEETING · 2018-11-06 · – No clear thresholds. Some parts of WorkSafeNB regulations specify that age‐related hearing loss shall not be a consideration. – Parts

HIGHER HEARING LOSS CLAIMS AS WORKERS AGE

38

8 6 16 24

96

175

242216

187

117

78

3135 5

2135

109

205

353 351324

189

130

51

13

050100150200250300350400

Under35

35‐40 40‐45 45‐50 50‐55 55‐60 60‐65 65‐70 70‐75 75‐80 80‐85 85‐90 90 andOver

20132017

• When hearing loss claims opened 5+ years after employment ceases, costs are distributed to all employers

• Hearing claim liabilities increased $161M from 2015 to 2017

• 1,793 new claims at age 70+ in the past three years

• Over $1M in payments every month on hearing loss payments 

Page 39: ANNUAL GENERAL MEETING · 2018-11-06 · – No clear thresholds. Some parts of WorkSafeNB regulations specify that age‐related hearing loss shall not be a consideration. – Parts

NB HEARING LOSS CLAIM VOLUMES ARE RUNNING 3X ‐ 4X THE RATE OF OTHER JURISDICTIONS

• Other jurisdictions– Have thresholds to determine compensation for hearing loss 

imbedded in legislation/regulation or in policies.– Have clarity on how to adjust compensation to reflect typical age‐

related hearing loss.– Policies are owned by the Board.

• In New Brunswick– No clear thresholds.  Some parts of WorkSafeNB regulations specify 

that age‐related hearing loss shall not be a consideration. – Parts of our policy have been struck down, others are under appeal.– How evidence is weighed has changed in recent years.

39

Page 40: ANNUAL GENERAL MEETING · 2018-11-06 · – No clear thresholds. Some parts of WorkSafeNB regulations specify that age‐related hearing loss shall not be a consideration. – Parts

STANDARDS OF EVIDENCE

1993 NB Court of Appeal (Potacan Mining)

The presumption applies if there is no evidence on this question, if the evidence only raises a doubt or if the evidence is consistent with the presumption

2011 NB Court of Appeal (VSL Canada Ltd) ruled that

Evidence must be determined on the balance of probabilities

Without clear thresholds, more presumption is being applied.  More claims accepted, costs rise.

40

When the accident arose out of the employment, in the absence of any evidence to the contrary, it shall be presumed that it occurred in the course of the employment….

Section 7 (2)

Page 41: ANNUAL GENERAL MEETING · 2018-11-06 · – No clear thresholds. Some parts of WorkSafeNB regulations specify that age‐related hearing loss shall not be a consideration. – Parts
Page 42: ANNUAL GENERAL MEETING · 2018-11-06 · – No clear thresholds. Some parts of WorkSafeNB regulations specify that age‐related hearing loss shall not be a consideration. – Parts

CANNABISNew Policy• Facilitates cannabis approval for five conditions• Strict monitoring and evaluation• Low THC levels• Low dosage  < 3g

Health and Safety• Public awareness and 

education initiatives• Training staff• Tools (OHS App)• Health & Safety 

Conference (Oct 4 &5)

42

Page 43: ANNUAL GENERAL MEETING · 2018-11-06 · – No clear thresholds. Some parts of WorkSafeNB regulations specify that age‐related hearing loss shall not be a consideration. – Parts

HARASSMENT AND VIOLENCE IN THE WORKPLACE

• Proposed amendment to regulation under the OHS Act addressing the prevention of workplace violence and harassment

• Effective date yet to be announced

• Focus on high risk workplaces and workplaces with more than 20 employees

• Training necessary on conflict resolution and mediation

• Assessment rate impact ‐ $0.01 to $0.07  43

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STUDIES AND REPORTS

Task Force Report on WorkSafeNB released earlier today

Auditor General Report on WorkSafeNB Phase II

Work is ongoing and the report is anticipated once the legislative committees are re‐established following the fall 2018 election

44

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AUDITOR GENERAL REPORT – PHASE I

Working with the Department of Post‐Secondary Education, Training and Labour to implement all recommendations focused on governance 

Commenced work on a new strategic planCompletion by year‐end

Incorporate new mandate from government post‐election

Key issue relates to upgrading IT infrastructure

Claims management system is 30+ years old and doesn’t meet today’s essential business needs

46

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47

ENHANCED FOCUS ON PREVENTION

• Our ultimate goal is to have every worker go home at the end of every shift in the same condition in which they left home

• New position reporting directly to CEO• Responsible for prevention, education and compliance

• Particularly important as new legislation is enacted• Cannabis• Harassment and violence in the workplace

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48

IMPROVE CLAIMS MANAGEMENT PROCESS• Significant change is required in this part of the organization

• Claims management system is antiquated and must be replaced

• Training of case managers to be enhanced

• Standardize decision‐making process

• Streaming of cases so that experts address more complex cases

• Make decisions faster so that treatment starts faster

• Do not compromise quality of decisions

• Issues Resolution Office (IRO) to expand to hear all decision complaints prior to proceeding to the Appeals Tribunal

• Establish better key performance indicators and enhance the monitoring to take quick action

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ORGANIZATIONAL CHANGES

Realign organization to ensure end‐to‐end accountability for desired outcomes 

Two senior executives to solely focus on:1. Prevention, Education and Compliance

2. Rehabilitation, Benefits and Return to Work

Appoint a Chief Information Officer to lead IT transformation

Established a department responsible for performance excellence (continuous improvement) and the client experience

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STAKEHOLDER COMMUNICATIONS

• Communications team to enhance focus on stakeholder relations, media relations and government relations 

• Improve quarterly updates to stakeholders 

• Continue these Annual General Meetings

• Continue to enhance WorkSafeNB’s Annual Health and Safety Conference to appeal to all stakeholders at every level

• Build our social media presence

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WORKSAFENB ACTION ON HEARING LOSS CLAIMS

Short term (urgent)Policy is be revised to provide greater clarity

Best evidence to be used in decision‐making being outlined

Training for decision makers to be enhanced

Medium term (also urgent)Regulation updates – thresholds similar to other jurisdictions

Legislation updates

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LARGEST IMPACT – LEGISLATIVE CHANGE

• Current Legislation originally passed in 1973 with numerous updates since then

• Legislation isn’t easy to understand• Issues are covered in multiple sections• Links to Employment Standards and Human Rights• Gaps in certain areas leave room for various interpretations

• Task Force has outlined areas of improvement

• Work with government / department on change process 

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LATEST INFORMATION AND RATE PROJECTIONS

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2018 STATUS

• Funding level • Reduced funding level target from 110% to 100% for 2018• Temporarily deferred $160M in funding requirements ($0.23)

• Costs have continued to rise – contrary to optimistic forecast adopted during prior year rate setting process

• Stock market returns are approximately 2% YTD

• Higher risk that an overdue market correction will materialize in foreseeable future

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50%

60%

70%

80%

90%

100%

110%

120%

130%

140%

150%

1990

1992

1994

1996

1998

2000

2002

2004

2006

2008

2010

2012

2014

2016

FUNDING LEVEL RELATIVE TO 110% TARGET

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AVERAGE ASSESSMENT RATES2002 TO 2018

$1.88  $1.88  $1.90 $1.82  $1.86  $1.89  $1.89 

$1.81  $1.79 $1.69 

$1.56 $1.48  $1.45 

$1.55  $1.54 $1.65 

$1.93 

$0.00

$0.50

$1.00

$1.50

$2.00

$2.50

 New accident costs + administration Average Rate

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CHANGE IN FUNDING POSITION

2012 2013 2014 2015 2016 2017 2018 Q2 2018Trend

Liabilities $1,043 $1,064 $1,108 $1,234  $1,422 $1,671 $1,799  $1,943

110% target $1,147 $1,170 $1,219 $1,357 $1,565 $1,838 $1,979 $2,137

Assets $1,322 $1,470 $1,521 $1,520 $1,594 $1,709 $1,753 $1,790

Ratio 127% 138% 137% 123% 112% 102% 97% 92%

Gap to 110% $174 $300 $302 $163 $30 $‐130 $‐226 $‐347

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PROVISIONAL ASSESSMENT RATESPRELIMINARY ESTIMATE

2018 2019*

New Accident Costs $1.47 $1.62 to $1.80Preliminary rangeTo be revised based on 3rd quarter results

Administration Costs                                    ‐ General                                                          ‐ Compliance, Prevention and Ed.     – Appeals Tribunal

$0.37 $0.12 $0.02

$0.40 ‐ $0.44            $0.10 to $0.12         

$0.02

Funding Level Adjustment

($0.23) since funding level target was reduced from 110% to 100% for 2018 

($0.03) reduction from excess funds for administration in 2018

$(0.26) Approx. $0.50

?To go from current 97%  to 100% in one year

New Legislation $0.01 to $0.07 Violence in the Workplace

Total $1.70 $2.69 to $2.95 Significant Increases

* All projections subject to change 58

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CLOSING REMARKS

• Current situation is unsustainable• Internal continuous improvement efforts are important but will not 

have desired effect on overall rates 

• Legislative change is critical 

• Given the recommendations contained within the Task Force Report, we will work with the Department of Post‐secondary Education, Training and Labour to determine next steps for legislative change.

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THANK YOU

QUESTIONS?