Segal Company

Budgeting/Financials

Proper budgeting and financial monitoring is key to sustaining a multiemployer fund. Segal is able to help trustees with the following services:

  • Preparing a financial experience and benefit projections (FEBP) report, including a review of three-year income and expense projections
  • Projecting claims
  • Developing required contribution and COBRA rates
  • Performing incurred-but-not-reported (IBNR) calculations required for retiree health accounting and self-funded plans
  • Analyzing the impact of proposed plan design changes
  • Underwriting and funding methodology
  • Creating budget and renewal projections
  • Preparing annual health benefits reports
  • Determining pricing for flexible benefits
  • Conducting merger studies
  • Analyzing the development of health care purchasing coalitions
  • Reviewing domestic partner benefits/imputed income
  • Creating and/or update financial reports including information on per member per month (PMPM) costs and plan cost drivers
  • Preparing a 92-06 SOP actuarial valuation report and assessing its implications for plan funding

Reserves

In addition to establishing a cushion to fall back on during unfavorable financial periods, there are many good reasons to set aside reserves, including:

  • Reimbursement of claims that participants have incurred but not yet submitted to the plan
  • Unexpected claims fluctuations
  • Shortfalls of expected income
  • Management of cash flow
  • Potential future expenses based on the plan's eligibility provisions and/or design features
  • The plan's postretirement benefit obligation, if any
  • Changing demographics
  • External events, such as delinquencies by contributing employers or labor-management disputes

Segal can assist in reviewing the fund's reserve policy or developing a policy if one is desired. We can also evaluate the fund's current target reserve levels and evaluate whether the fund is at risk for insolvency.