2006 Annual Report
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Schedule M - Crawford's Annual Report to March 31, 2006
On March 9, 2000, the Courts appointed Crawford Adjusters Canada to act as Administrator of the 1986-1990 Hepatitis C Class Actions Settlement. The administration of this complex class action settlement celebrated its sixth anniversary on March 9, 2006.
The duties of the Administrator include:
-
Developing and implementing systems for receiving, processing, evaluating and making decisions on claims;
-
Supplying claim forms;
- Assisting claimants and their families in the completion of claim forms;
-
Making necessary inquiries (including consulting medical personnel) to determine the validity of any claim including requiring any claimant to undergo a medical examination;
-
Initiating or expediting completion of tracebacks where such procedures are necessary;
-
Receiving and responding to inquiries and correspondence about claims;
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Receiving monies from the Trust Fund and forwarding compensation to approved claimants in accordance with the Settlement Agreement;
- Reporting on operations to the Joint Committee and the Courts.
Year Six
The Centre continued to process “residual claims” and “new claims”, and continued to process a significant number of supplemental claims for out-of-pocket expenses, uninsured treatment and medication, loss of income/services/support, costs of care, and HCV drug therapy. The number of supplemental claims has remained constant for the last three years.
Some important tasks in Year Six included the following:
- Prepared and issued an Annual Financial Statement to all paid Class Members.
- Provided all requested data necessary for medical modeling and fund sufficiency purposes.
- Processed all claimants’ requests for a disease-level reassessment.
- Continued our research with respect to HCV associated medical conditions and medications for the purpose of updating the “HCV Medication List”.
- Processed claims with evidence of non-prescription drug use as per Court Approved Protocol.
- Prepared files for Fund Counsel, Referees and Arbitrators and attended the appeal hearings.
- Continued to work in collaboration with Canadian Blood Services, Héma-Québec, British Columbia Center for Disease Control, provincial programs and medical experts.
- Worked in collaboration with the auditors from Deloitte to complete the year-end audit process.
- Updated the www.hepc8690.ca Web site on a regular basis.
- Developed and programmed new reports within the customized software application known as CLASS to improve the efficiency of our processes.
- Implemented special projects to assist claimants whose claims were deficient.
- Reported weekly to the Joint Committee.
- Met on a quarterly basis with the Joint Committee.
Since the inception of this project, the Centre has…
- Scanned 799,723 pages of claims-related documents.
- Handled over 142,000 telephone calls via the 1-800 telephone assistance line and responded to a high volume of e-mails via info@hepc8690.ca.
- Processed and issued $477,278,283 in compensation.
Operational Highlights
Key Claims Evaluation Statistics as of March 31, 2006 |
Total Funds Disbursed to Date |
$477,278,283 |
|
|
|
|
Claims Received to Date |
13,505 |
|
Claims Reviewed to Date |
13,501 |
|
Incomplete Submissions to Date |
763 |
6% |
Claims Approved to Date |
10,693 |
79% |
Claims Denied to Date |
2,045 |
15% |
|
|
|
Traceback Requests Initiated |
4,284 |
|
Summary of Expenditures and Full Time Equivalents (FTEs) by Fiscal Year
Between Year 2 and Year 6, the Centre's expenditures and FTEs have been reduced by 49.9% and 60.5% respectively.
|
Year Over Year Percentage Change
|
|
Actual Expenditures |
Actual Number of FTEs at Year End |
% Change in Expenditures |
% Change in FTEs |
Year 1 |
$ 4,267,151 |
27 |
- |
- |
Year 2 |
4,574,373 |
40 |
7.20% |
48.15% |
Year 3 |
3,938,174 |
28 |
-13.91% |
-30.00% |
Year 4 |
3,234,355 |
21 |
-17.87% |
-25.00% |
Year 5 |
2,643,601 |
18 |
-18.26% |
-14.29% |
Year 6 |
2,291,739 |
15.8 |
-13.31% |
-12.22% |
Summary of Payments Processed by Fiscal Year
To date, the Centre has made 22,785 payments to 10,326 claimants.
|
Total Amount Paid |
Number of Payments Processed |
Year 1 |
$72,341,110 |
1,661 |
Year 2 |
137,263,842 |
5,265 |
Year 3 |
91,603,092 |
6,272 |
Year 4 |
60,634,359 |
3,543 |
Year 5 |
65,060,633 |
3,307 |
Year 6 |
50,375,247 |
2,737 |
Totals |
$477,278,283 |
22,785 |
Summary of Supplemental Payments Processed by Fiscal Year
Supplemental Payments represent over 62% of the payments processed by the Centre.
|
Total Amount Paid |
Number of Payments Processed
|
Year 1 |
$2,591,364 |
320 |
Year 2 |
27,083,639 |
2,094 |
Year 3 |
40,630,261 |
4,415 |
Year 4 |
23,311,735 |
2,594 |
Year 5 |
35,412,555 |
2,698 |
Year 6 |
26,343,162 |
2,426 |
|
|
|
Totals |
$155,372,716 |
14,303 |
Notes:
- The Year 3 amount includes the $14,805,848 that was distributed to 2,603 claimants due to the release of the Level 2 holdback payment that was distributed to Class Members in September 2002.
- Year 5 totals include the $14,071,956.43 that was paid to 229 claimants as a result of the lifting of the Loss of Income and Loss of Support caps that had been in place since the inception of the program.
Year 7 Outlook
Year Seven should involve a combination of processing “residual claims” and “new claims”. The number of requests for disease level reassessments and supplemental claims is expected to remain constant.
Service Performance Criteria / Deliverables
Crawford continues to meet or exceed all service performance criteria as per Schedule 3 of the Agreement (Terms of Appointment of Administrator). Some of these criteria include the following:
- Making a decision on a claim and advising the claimant of the decision no later than 30 days after the receipt of all relevant information;
- Compensating all Class Members within 45 days of the payment being approved;
- Capturing all data accurately for reporting purposes;
- Maintaining historical data.
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