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P ERSONAL I NJURY P ROTECTION P LAN. Don Palmer Chief Actuary and Director of Pricing & Economics. Where Manitoba Is. Winnipeg. Manitoba Public Insurance. Crown Corporation Established in 1971 Provides compulsory coverage as a monopoly
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PERSONAL INJURYPROTECTION PLAN Don Palmer Chief Actuary and Director of Pricing & Economics
Where Manitoba Is Winnipeg
Manitoba Public Insurance • Crown Corporation • Established in 1971 • Provides compulsory coverage as a monopoly • Provides optional coverage in competition with private sector
Our Mission Statement • Protecting Manitobans from the human and economic cost of automobile accidents
Pre-PIPP Environment • Prior to 1994 injury compensation was a tort add-on scheme • Rapidly increasing injury costs • High percentage of non-economic loss • Under compensation of seriously injured
Choices for Change • Tort Reform • Pure no-fault
PIPP Overview – Objectives • Stabilize Injury Costs • Compensate Manitobans adequately, fairly and promptly
PIPP Overview – Principles • Coverage for all Manitobans • Compensation for real economic loss • Guaranteed compensation regardless of fault • Indexation of Benefits
PIPP Overview – Benefits • Income Replacement • Medical Expenses • Rehabilitation • Impairment Benefits • Death Benefits
Stabilizing Injury Costs • Primary Insurer – almost • Manitoba Health Services Commission and Canada Pension Plan still primary • Maintain Case Management control • Data to Monitor Cost Drivers • Cost Trade-offs • Covering the Cost of the many, not the few
PIPP Surprises • Overall Satisfaction of the Public
PIPP Surprises • Costs of Catastrophic injuries • Number of losses have varied from 54 to 96 • Ultimate cost other varies from $29M to $65M • Initially surprised reinsurers
PIPP Challenges • Case management approach may lead to “data neglect” • Increasing durations, especially “non-earners” • Reserving challenges • Impact of pre-existing conditions • Accountability of practitioners