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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:

  1. Developing and implementing systems for receiving, processing, evaluating and making decisions on claims;
  2. Supplying claim forms;
  3. Assisting claimants and their families in the completion of claim forms;
  4. Making necessary inquiries (including consulting medical personnel) to determine the validity of any claim including requiring any claimant to undergo a medical examination;
  5. Initiating or expediting completion of tracebacks where such procedures are necessary;
  6. Receiving and responding to inquiries and correspondence about claims;
  7. Receiving monies from the Trust Fund and forwarding compensation to approved claimants in accordance with the Settlement Agreement;
  8. 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:

  1. 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.
  2. 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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