Program for Alternative Funding of Employee and Retiree Benefits
An insurance program for funding benefits by maintaining assets in the insurance program that includes an employer or employee owned trust account and at least one life insurance contract or non-cancelable accident and health insurance contract obtained directly or indirectly from a captive insurance company. The life insurance contract or non-cancelable accident and health insurance contract is purchased with assets from the trust account and the captive insurance company is at least partially owned by the employer. When paying or reimbursing benefits, the employer or the trust may pay the benefit and if the employer pays the benefit, the trust may reimburse the employer.
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- PROGRAM FOR ALTERNATIVE FUNDING OF EMPLOYEE AND RETIREE BENEFITS
- Program for alternative funding of employee and retiree benefits
- PROGRAM FOR ALTERNATIVE FUNDING OF EMPLOYEE AND RETIREE BENEFITS
- Program for alternative funding of employee and retiree benefits
- Program for alternative funding of employee and retiree benefits
This Application is a Continuation of U.S. application Ser. No. 13/366,936 filed Feb. 6, 2012, which is a Continuation of U.S. application Ser. No. 13/248,737 filed on Sep. 29, 2011, which is a Continuation of Ser. No. 12/801,423 filed on Jun. 8, 2010, which is a Continuation of U.S. application Ser. No. 11/157,161 filed on Jun. 21, 2005, which is a Continuation-in-Part of U.S. application Ser. No. 10/995,325, filed on Nov. 24, 2004. The contents of each of these applications, in their entirety, are herein incorporated by reference.
BACKGROUND OF THE INVENTION1. Field of the Invention
The present invention relates generally to facilitating and/or providing benefits to employees and retirees. More specifically, the present invention relates to a computer implemented system and method for configuring, optimizing, managing and tracking alternative funding of employee and retiree benefits and benefit plans.
2. Description of Related Art
Conventionally, employers have provided benefits to employees and retirees and have paid for these benefits using employees funds. More recently, benefits, including medical costs, have become very expensive and as a result, employers have scaled their benefit offerings and, in some cases, insisted that the employees pay a portion of the cost for these benefits. Some corporations have also required that employees rely entirely on self funded retirement.
Additionally, commonly accepted accounting practices have essentially forced employers to reflect these benefits to employees and retirees as liabilities on corporate financial statements.
This trend has put a substantial strain on employers, on employees and their families, and on retirees and their families that were promised benefits after retirement. Employers appear to carry costly liabilities and employees are having to pay more for fewer services. Accordingly, a system is needed to assist employers in controlling the cost of their programs and to ensure that employers are financially able to provide the maximum affordable benefits to employees and retirees and that the employees and retirees get an appropriate level of benefits.
BRIEF SUMMARY OF THE INVENTIONIn one embodiment, the present invention provides a method for funding benefits by maintaining assets in an investment program comprising, an employer or employee owned trust account and at least one life insurance contract or non-cancelable accident and health insurance contract obtained directly or indirectly from a captive insurance company. The life insurance contract or non-cancelable accident and health insurance contract is purchased with assets from the trust account and the captive insurance company is a least partially owned by the employer. When paying or reimbursing benefits, the employer or the trust may pay the benefit and if the employer pays the benefit, the trust may reimburse the employer.
In another embodiment, the present invention allows the trust or the captive insurance company to invest its assets in commercially available vehicles to generate additional assets, and in certain embodiments the investment may be in the employer's own securities including short term commercial paper.
In yet another embodiment, the present invention provides a method of funding benefits where the captive insurance company is wholly or partially owned by the employer, is a rent-a-captive, a protective cell captive, or any other form of a captive insurance company as defined and authorized by the respective domicile of the captive insurance company.
In yet another embodiment, the present invention provides benefits including, for example, health care benefits, retirement benefits, executive compensation, and/or life insurance. These benefits may be provided to employees and/or retirees.
In yet another embodiment, the non-cancelable accident and health insurance contract is a health insurance contract and the insurance company pays claims on behalf of the insured to the trust.
In yet another embodiment, the present invention utilizes a trust including, for example, a Voluntary Employee Beneficiary Association (VEBA) Trust or a Rabbi Trust as the beneficiary and names at least one employee receiving benefits from the employer as the insured person on the life insurance contract.
Additional, features, and advantages of the various embodiments of the present invention will become apparent from the following detailed description of embodiments of the invention in conjunction with the accompanying drawings where like reference numerals indicate like features, in which:
As illustrated in the embodiment of
In general, however, the captive insurance company 130 is defined by the domicile of the captive insurance company. For example, in embodiments, the captive insurance company may be domiciled in Vermont (generally a “captive friendly” state). According to Title 8, Section 6001 of the Vermont Statute definition of a captive insurance company is any pure captive insurance company, association captive insurance company, sponsored captive insurance company, industrial insured captive insurance company, or risk retention group formed or licensed under the provisions of this chapter. For purposes of this chapter, a branch captive insurance company shall be a pure captive insurance company with respect to operations in this state, unless otherwise permitted by the commissioner. The section further defines, for example, a pure captive insurance company as any company that insures risks of its parent and affiliated companies or controlled unaffiliated business. These definitions are exemplary of statutes that may exist in other states as well. Of course, as would be generally understood by a person of ordinary skill in the art, many variations of the definition may exist based on for example, the domicile of the captive insurance company 130. In other embodiments, the term “captive” is used generally to describe an insurance company that insures the risk of its owners who are not in the business of insurance.
As would be understood by a person of ordinary skill in the art, each of these captive insurance company examples have their respective benefits and should be selected to meet an employer's needs. Additionally, the present invention should not be limited to the specific types of captives discussed above, any type or form of captive insurance company would fall within the scope of the present invention.
In the embodiment illustrated in
As would be understood by a person skilled in the art, various modifications of this embodiment may be possible. For example, the claim may be paid directly by the VEBA trust 140 or it might not be the employee/retiree 110 making a request, it may be a third party such as a hospital or a creditor of the employee/retiree 110. Additionally, a request may not even be required in some embodiments. Specifically, the employer 120 or VEBA trust 140 may have some other arrangement in place to pay for these benefits, for example, by paying a third party to handle such claims.
Additionally, although the above embodiment describes a VEBA trust 140, it should be understood that any trust may be utilized within the scope of this invention. The VEBA trust is established under Title 26 of the U.S. Code and there are several benefits of VEBA trusts that make its use beneficial. For example, some permissible benefits that a trust (including, for example, a VEBA) may pay for include life, health, accident, and other benefits to participants. The other benefits, according to Treasury regulations, may include vacation benefits, subsidized recreational activities (e.g., athletic leagues), child care facilities, job readjustment allowances and income maintenance payments in case of economic dislocation, temporary living expense loans and grants in times of disaster, supplemental unemployment compensation, severance benefits, education or training benefits, supplemental executive retirement programs (SERP), non-qualified deferred compensation, and personal legal service benefits. Additionally, there are tax advantages that an employer may use to their benefit by using a VEBA trust. Of course, these benefits would be apparent to a person skilled in the art. Other trusts may also be used. For example, a Rabbi trust or Grantor trust are other examples of trusts that may be beneficial in the context of the present invention. Other trusts that may be beneficial will depend on the employer's specific situation. Additionally, it should be understood by a person skilled in the art that certain trusts may be owned by employees of the employer instead of the employer directly.
As previously mentioned, the VEBA trust 140 may purchase life insurance contracts and/or non-cancelable accident and health insurance contracts with the funds that it receives. As illustrated in
In accordance with embodiments of the present invention, the VEBA trust 140 may acquire any combination of policies on any group of persons. Of course, as would be understood by a person of ordinary skill in the art, there are legal limits for insurance policies on whom and how much an insurance policy can be for. For example, many government regulations require that the beneficiary have an “insurable interest” in the person(s) named on the policy. Accordingly, it would be difficult, but not out of the scope of the present invention, to select arbitrary persons to name on life insurance policies.
Additionally, there are often tax advantages to investing in life insurance policies and/or non-cancelable accident and health insurance policies. Accordingly, as would be readily understood by a person of ordinary skill in the art, it may, in certain embodiments, be beneficial to invest a maximum acceptable amount of funding from the VEBA trust 140 to pay premiums 13 on the policies. For example, in some embodiments, the health insurance policy may be treated as life insurance for tax purposes. Although, in some embodiments, the VEBA trust 140 assets may also be invested 18 in other investment vehicles 160. More about this type of investment is discussed below.
The policies that are issued by the third party insurance company 150 are then reinsured 16 by the employer's captive insurance company 130. By reinsuring 16 the policies, the employer's captive insurance company 130 assumes the risk of the policies (i.e., the employer's captive insurance company assumes liability for the payment of at least a portion of the beneficiary and claim proceeds 14) from the third party insurance company 150 in exchange for a premium paid to the employer's captive insurance company 130. Accordingly, the third party insurance company is sometimes called a fronting company since the third party insurance company may only be involved in administering the policy. Additionally, in some embodiments, the third party insurance company may also be secondarily liable for the beneficiary proceeds.
In an embodiment of the present invention, the employer's captive insurance company 130 assumes the entire risk from the third party insurance company 150; in other embodiments, the employer's captive insurance company may only assume a portion of the risk. If the entire risk is assumed, then the third party insurance company is a fronting company. The premiums 13 paid by the VEBA trust 140 may be forwarded to the employer's captive insurance company 130, often less a fee retained by the third party insurance company 150 for their initial and ongoing services.
In some embodiments, the third party insurance company 150 may not be necessary and the employer's captive insurance company 130 may simply assume both roles. Specifically, as illustrated in
Additionally, as discussed above,
As would be readily understood by a person skilled in the art, other variations of this process may also be utilized. For example, in embodiments, the employer's captive insurance company 130 may pay the beneficiary proceeds or claims 14 directly to the VEBA trust 140. This may provide additional benefits to the employer depending on the specific situation.
As discussed above, premiums may be paid by the third party insurance company 150 to the employer's captive insurance company 130 in exchange for the employer's captive insurance company 130 assuming the risk. Depending on various laws that may exist related to how the employer's captive insurance company utilizes the funds that it receives, the employer's captive insurance company 130 invests 17 its funding into investment vehicles to generate additional funds.
In one embodiment, for example, a life insurance contract may be configured to maximize the cash value of the contract. The cash value of a life insurance contract, as would be readily understood by a person or ordinary skill in the art, is the current value of the assets that support the benefits under the life insurance contact. Generally, and within legal limits and for a given level of death benefits, this value is maximized by paying a premium that is equal to the required amount for a fixed value policy plus some additional amount that accumulates over time to increase a cash value. For example, if a $1 million policy has mortality and administrative costs of $400 per year, a policy holder, in this case the VEBA trust 140, may pay $1000 per year instead of the minimum $400. In this case, an additional $600 per year is invested at a predetermined or variable rate of return. Over time the accumulation of the $600 annual payments increases the cash value of the life insurance policy. In some cases, the return on the cash value may eventually be enough to pay the $400 minimum such that the insurance policy is kept in force without additional premium payments. Additionally, in certain embodiments, the policy value may also increase such that when the beneficiary proceeds 14 are paid, the proceeds may total, for example, $1.5 million.
In another embodiment, for example, a non-cancelable accident or health insurance contract may be configured to accumulate cash value in the contract. The cash value of such a contract, as would be readily understood by a person or ordinary skill in the art, is the current value of the assets that support the anticipated claims under the contact. For example, if a policy has anticipated claims and administrative costs of $400 per year, a policy holder, in this case the VEBA trust 140, may pay $1000 per year instead of the minimum $400. In this case, an additional $600 per year is invested at a predetermined or variable rate of return. Over time the accumulation of the $600 annual payments increases the reserves of the policy. In some cases, the return on the reserves may eventually be enough to pay the $400 minimum such that the annual claims and administrative expenses are paid from investment income generated by the reserves without the need for additional premiums.
The employer's captive insurance company 130, uses the additional funds, over its minimum premium and in some embodiments an additional administrative fee, and invests this funding in investment vehicles 160.
Several investment vehicles may be utilized by either the employer's captive insurance company 130 and or the VEBA trust 140. One such investment vehicle is an investment in the employer's own securities including the employer's short term commercial paper. The short term commercial paper provides the necessary return that a captive insurance company or trust may seek while maintaining the liquidity of the assets. Liquidity, as should be readily understood by a person of ordinary skill in the art, may be important since both the captive insurance company and the VEBA trust may need to make fairly large payments without much notice.
As would be understood by a person skilled in the art, other conventional investment vehicles 160 either alone or in combination with short term commercial paper or any other investment vehicles 160 would also be acceptable. Examples of some other investment vehicles may include, for example, commercial stocks, bonds, commodities, real estate, interest bearing accounts, etc.
The principles and features of the present invention may also be implemented in a computer readable medium. For example, a computer can be programmed to establish a funding system in accordance with the principles described above that meets an individual employer's needs.
In one embodiment, the computer program would be programmed to include information on the laws regarding the VEBA trust 140, the third party insurance company 150, and the employer's captive insurance company 130. The incorporated laws may include, for example, the required legal structure of each entity, the maximum and minimum funding required for each entity, the types of activities which may be regulated for each entity, and the tax advantages and disadvantages of using each entity. Of course, as would be understood by a person of ordinary skill in the art, other information that may be relevant may also be included. The program would accept, as inputs, several key pieces of information regarding the employer 120. For example, this information, in one embodiment may include, the legal structure of the employer 120, the benefits liability of the employer 120, the assets of the employer 120, and the projected future liabilities and assets of the employer 120. Based on these inputs and the information stored within the program, the program may be able to determine what structure the funding system should embody, how much funding should be provided to the trust, whether life insurance or non-cancelable accident and health insurance should be purchased, what type of trust should be utilized, whether a third party insurance company 150 should be utilized, which third party insurance company 150 should be utilized, what type of captive insurance company 130 should be utilized, and what type or types of investment vehicles should be utilized.
Of course, the above computer implemented method is merely an embodiment of the present invention, and it should be understood that various modifications, additions, and deletions are contemplated depending on the particular situation.
In additional embodiments, the computer implemented method may also be implemented to optimize certain aspects of the present invention. The above program described a computer implemented method that assisted an employer in determining the most advantageous arrangement for funding benefits. Once the arrangement is determined, it may be beneficial for employers to optimize the arrangement to their specific needs. In one embodiment, the software may be utilized for any combination of administration of the funding system, optimization of the funding system, performance tracking of the funding system, or managing of the funding system.
For example, the software may be configured to maximize the cash value of the life insurance policies while allowing a user to track the assets and liabilities of the system and determine future projections for the state of the system. In another embodiment, the software may allow a user to optimize the amount of funds that are paid to the trust to optimize the tax benefits of the funding system. In another embodiment, the software may be able to determine the optimum investment strategy for the funds provided to the trust or to the captive insurance company. In another embodiment, the software may be able to forecast claim to be paid under a non-cancelable accident and health insurance contract.
Additionally, as seen in
Several variations for optimization, reporting, administration, tracking and managing will be apparent to a person of ordinary skill in the art. Generally, however, the list below illustrates several variables or assumptions that may be beneficial for the computer implemented system (or the method in general) of the present invention.
The Captive Income Statement section below represents the impact of the Policy transaction on the Captive's Income Statement
The Captive Balance Statement section below represents the impact of the Policy transaction on the Captive's Balance Sheet.
The section below computes the opportunity cost of captive funding. The cash that would have been used elsewhere, i.e., the employer's other investments in the initial years, will be consolidated under the Life Insurance program.
Loan/Repayment accounting. This section illustrates the impact of the Policy transaction on the loans of the employer.
The Unconsolidated Earnings Impact (Employer) section below represents the impact of the Policy transaction on Employer's Income Statement.
The Unconsolidated Balance Sheet Impact (Employer) section below represents the impact of the Policy transaction on Employer's Balance Sheet.
In embodiments, any combination of these variables, and others that will be apparent to a person skilled in the art, can be used to establish, optimize, report, administer, track, and manage the funding system of the present invention. Additionally, some of the above variables may be input by a user, others may be internally determined based on several factors. In one embodiment, the effective tax rates may be determined according to current state and federal regulations. In other embodiments, a user may be able to input a percentage for the same tax rates. Additionally, as would be understood by a person skilled in the art, some of these variables may be determined by complex statistical models. For example, the death rate may be a complex statistical distribution or a simple rate. For some employers, it may be sufficient to indicate that, for example, a death rate of 2 people per year. However, in other embodiments, the employer may desire a particular distribution of the deaths. Several models may be used, in this embodiment, based on the employer's needs. Additionally, all the variables presented above may not be applicable to both life insurance policies and non-cancelable accident and health insurance policies. The applicability of these variables should be apparent to a person skilled in the art.
The embodiments described herein are intended to be illustrative of this invention. As will be recognized by those of ordinary skill in the art, various modifications and changes can be made to these embodiments and such variations and modifications would remain within the spirit and scope of the invention defined in the appended claims and their equivalents. Additional advantages and modifications will readily occur to those of ordinary skill in the art. Therefore, the invention in its broader aspects is not limited to the specific details and representative embodiments shown and described herein
Claims
1. A computer implemented system for projecting, administering or managing a benefits funding system comprising:
- an input device for accepting user inputs related to the number of people receiving benefits from an employer;
- a calculating module for calculating an initial amount and periodic amount that said employer should contribute to a trust account, said calculating means using at least said user input for calculating;
- a determining module for determining premiums paid in a period, number of deaths in said period, amount of proceeds for claims received in said period, and investment earning in said period;
- an accounting module for calculating, based on said premiums paid in said period, number of claims in said period, amount of proceeds for claims received in said period, investment earning in said period, and a tax effect, an amount of tax owed by said trust or said employer and an increase in assets of said employer;
- a compiling module for compiling the number of people receiving benefits, said initial amount and said periodic amount that said employer should contribute to said trust, said premiums paid in said period, the number of claims in said period, the amount of proceeds for claims received in said period, investment earning received in said period; said tax effect, said amount of tax owed by said trust or said employer and said increase in assets of said employer, said compiling means compiling said information for said period and determining the same information for future, successive periods, said information for said current and future periods constituting complied information; and
- a displaying device for displaying the compiled information in a user viewable form.
2.-22. (canceled)
23. A computer implemented system for administering or managing a benefits funding system comprising:
- input means for accepting user inputs related to the number of people receiving benefits from an employer;
- calculating means for calculating an initial amount and periodic amount that said employer should contribute to a trust account, said calculating means using at least said user input for calculating;
- determining means for determining premiums paid in a period, number of deaths or claims in said period, amount of death benefits or proceeds for claims received in said period, and investment earning in said period;
- accounting means for calculating, based on said premiums paid in said period, number of deaths or claims in said period, amount of death benefits or proceeds for claims received in said period, investment earning in said period, and a tax effect, an amount of tax owed by said trust or said employer and an increase in assets of said employer;
- compiling means for compiling the number of people receiving benefits, said initial amount and said periodic amount that said employer should contribute to said trust, said premiums paid in said period, the number of deaths or claims in said period, the amount of death benefits or proceeds for claims received in said period, investment earning received in said period; said tax effect, said amount of tax owed by said trust or said employer and said increase in assets of said employer, said compiling means compiling said information for said period and determining the same information for future, successive periods, said information for said current and future periods constituting complied information; and
- displaying means for displaying the compiled information in a user viewable form.
24. A method for funding benefits, said method comprising:
- funding an employer or employee owned trust account to aide said employer in providing benefits for employees or retirees; and
- obtaining at least one life insurance contract or non-cancelable accident and health insurance contract from a captive insurance company with at least a portion of assets from the trust account;
- wherein said trust is the beneficiary of said at least one life insurance contract or non-cancelable accident and health insurance contract.
25. The method of claim 24, wherein said at least one life insurance contract or non-cancelable accident and health insurance contract is purchased from said third party life insurance company and reinsured by said captive insurance company.
26. The method of claim 24, wherein: said employer pays said benefits to employees and said employer is reimbursed by said trust, or said trust pays said benefits directly to said employees.
27. The method of claim 24, wherein at least one of said trust and said captive insurance company invests assets in commercially available vehicles to generate additional assets.
28. The method of claim 24, wherein said captive insurance company invests at least a portion of assets in securities of said employer.
29. The method of claim 28, wherein said captive insurance company invests assets in short term commercial paper of said employer.
30. The method of claim 24, wherein said captive insurance company is at least partially owned by said employer.
31. The method of claim 24, wherein said captive insurance company is a wholly owned subsidiary of said employer.
32. The method of claim 24, wherein said benefits include at least one of health care benefits, retirement benefits, executive compensation, disability benefits, and life insurance.
33. The method of claim 24, wherein said trust is a Voluntary Employee Benefit Association Trust.
34. The method of claim 24, wherein said trust is a Rabbi Trust.
35. The method of claim 24, wherein an insured on said at least one life insurance contract or non-cancelable accident and health insurance contract is an individual receiving said benefits from said employer.
36. The method of claim 24, wherein said benefits are provided to at least one of an employee, a former employee, or a retiree.
37. The method of claim 24, wherein said at least one life insurance contract or non-cancelable accident and health insurance contract is configured to optimize at least one of a cash value of said at least one life insurance contract or non-cancelable accident and health insurance contract for a predetermined period of time, a premium, a liability or another variable in accordance with an employees needs.
38.-49. (canceled)
50. The method of claim 36, wherein said at least one life insurance contract or non-cancelable accident and health insurance contract is configured to maximize a cash value of said at least one life insurance contract or non-cancelable accident and health insurance contract for a predetermined period of time, or to optimize at least one of a premium, a liability or another variable in accordance with an employees needs.
51.-61. (canceled)
62. A method for determining a benefits funding system using a computer system, said method comprising:
- inputting information regarding an employer, said information including at least one of employer assets and employer benefits liability;
- calculating, based on said input information and at least one of a mortality assumption model and an insurance calculator, at least one of premiums for life insurance contracts or non-cancelable accident and health insurance contract, policy benefits, and investment income;
- determining, based on said at least one of premiums for life insurance contracts or non-cancelable accident and health insurance contract, policy benefits, and investment income, an amount required to fund said trust;
- reporting an amount of reinsurance to be obtained from a captive insurance company.
Type: Application
Filed: Oct 19, 2012
Publication Date: Feb 21, 2013
Applicant: SPRING CONSULTING GROUP LLC (Boston, MA)
Inventor: Spring Consulting Group LLC (Boston, MA)
Application Number: 13/656,304
International Classification: G06Q 40/08 (20120101);