HomeQuantitative Results 2000 – 2004

Quantitative Results 2000 – 2004

The following tables present the results for the last five years.

Actual 2000 Actual 2001 Actual 2002 Actual 2003 Preliminary 2004
Number of covered contracts 23 941 25 333 25 774 26 518 26 175
Number of covered certificates 373 737 385 494 390 209 505 004 511 585
Number of pooled claims 11 162 11 306 10 668 8 847 9 313
Credits gained at the central compensation table 15,4 million$ 17,5 millions$ 20,8 millions$ 21,2 millions$ 24,7 millions$
Loss ratio 83% 66% 87% 78% 87%
*Amended

As with the earlier results for groups of fewer than 125 certificates, we note that the total number of large claims remains low. These claims are mainly between $20,000 and $40,000 and their number increases regularly from year to year.

Analysis of these data shows that:
there is an increase in the number of contracts and certificates covered;
the number of pooled claims decreased from 2000 to 2003 following the increase in the pooling thresholds;
credits gained at the central compensation table continue to increase despite the increase in pooling thresholds because of inflation and increased use of medications;
loss ratios reported over the last four years are lower than the expected 90% level;
annual changes made to the pooling thresholds in order to take into account inflation in drug costs, among other things, have made it possible to bring the loss ratio back to the desired level of 90%.

Amount of claims

Insured and uninsured groups of fewer than 125 (up to 2002), plus insured groups of 125 to 249 certificates beginning in 2003

The following table segregates eligible submitted claims exceeding $20,000 for the last five years for groups of fewer than 125 certificates up to 2002 inclusive. Insured groups from 125 to 246 certificates were added beginning in 2003.

Amount of claim $ Number 2002(1) Number 2003(2) Number 2004 Number 2005 Number 2006
Between 20 000 and 29 999 88 98 186 275 375
Between 30 000 and 39 999 13 14 27 48 61
Between 40 000 and 49 000 5 6 13 13 22
Between 50 000 and 59 000 1 2 3 11 9
Between 60 000 and 69 000 1 1 4 4 7
Between 70 000 and 79 000 0 1 0 0 2
Between 80 000 and 89 000 1 1 0
Between 90 000 and 99 000 0
Between 100 000 and 149 000 1
From 150 000 1
Total 108 122 234 352 478
(1) Insured and uninsured groups of fewer than 125 certificates
(2) Addition of insured groups of 125 to 249 certificates

Protection for amounts exceeding $50,000

For insured groups of more than 125 certificates:

in 1999, there were five (5) claims exceeding the $50,000 threshold. These pooled claims resulted in a sum of $21,269 being divided among insurers;
in 2000, there were eleven (11) claims exceeding the $50,000 threshold. These pooled claims resulted in a sum of $121,252 being divided among insurers;
in 2001, there were twelve (12) claims exceeding the $50,000 threshold. These pooled claims resulted in a sum of $68,631 being divided among insurers;
in 2002, there were sixteen (16) claims exceeding the $50,000 threshold. These pooled claims resulted in a sum of $222,045 being divided among insurers;

For insured groups of more than 250 certificates:
Note that the results for 2005 are preliminary and subject to change:

in 2003, there were twenty-seven (27) claims exceeding the $50,000 threshold. These pooled claims resulted in a sum of $268,971 which will be divided among insurers;
in 2004, there were thirty-three (33) claims exceeding the $50,000 threshold. These pooled claims resulted in a sum of $511,586 which will be divided among insurers;
in 2005, there were fifty-eight (58) claims exceeding the $50,000 threshold. These pooled claims resulted in a sum of $1,046,032 which will be divided among insurers.