The National Insurance Board of the Commonwealth of The Bahamas ANNUAL REPORT 2010 Enhancing the Promise NATIONAL InSURANCE BOARD OF THE COMMONWEALTH OF THE BAHAMAS 2010 ANNUAL REPORT 2010 Enhancing the Promise the NATIONAL INSURANCE BOARD OF THE COMMONWEALTH OF THE BAHAMAS June 15, 2011 Right Honourable Hubert A. Ingraham, M.P. Prime Minister of the Commonwealth of The Bahamas Minister of Finance and National Insurance Cecil Wallace-Whitfield Centre Cable Beach, New Providence Bahamas Dear Prime Minister Ingraham: Re: The National Insurance Board’s 2010 Annual Report In accordance with Section 47(1) of the National Insurance Act, 1972, I have the privilege of submitting to you, on behalf of the Board of Directors, the Annual Report of the National Insurance Board for the year 2010. Included with this report are the accounts of the National Insurance Fund as certified by the Auditor, pursuant to Section 41(1) of the National Insurance Act, 1972, together with the report of the Auditor. Included therein is the account of securities in which monies forming part of the National Insurance Fund are invested. Sincerely yours, Patrick Ward Chairman P. O. Box N-7508, N.P., Bahamas . Tel: 242.502-1766 . Fax: (242) 325.4656 . [email protected] Vision To be recognized as a reliable and sustainable financial support system that consistently delivers on its promises. Mission To demonstrate visionary and compassionate leadership in the advancement of the economic security of our people as we continuously shape and manage the National Insurance Program. To ensure the efficient collection of contributions as well as the timely and accurate payment of the relevant benefits and assistance. To create an environment where staff is well trained, motivated, committed to integrity and accountability, and is recognized and rewarded for service excellence. To advance the prudent investments of the National Insurance Fund for the overall growth and development of The Bahamas. NATIONAL InSURANCE BOARD OF THE COMMONWEALTH OF THE BAHAMAS Contents 2010 AnnUAL REPORT 4 Ministers and Board of Directors 5 Committees of the Board 6 Executive Management Team 7 Chairman’s Report 10 Director’s Report 16 Decade In Review 27 Consolidated Financial Statements 87 Statistical Appendix EEnhancingnhancing the Promise the Promise 2010 Enhancing the Promise THE NATIONAL InSURANCE BOARD OF THE COMMONWEALTH OF THE BAHAMAS Ministers & Board of Directors 2010 Enhancing the Promise Rt. Hon. Hubert A. Ingraham, M.P. Hon. Zhivargo Laing M.P. Patrick Ward Prime Minister Minister of State Chairman Minister of Finance Ministry of Finance With responsibility for National Insurance Reverend Father Evan Dean Van Diah Debbie Ferguson Nicole Martin E. Etienne Bowleg Member Member Member Member Deputy Chairman Brian Nutt John Pinder Dr. Robin Roberts Winston Rolle Dennis Williams Member Member Member Member Member 2010 Enhancing the Promise NATIONAL InSURANCE BOARD OF THE COMMONWEALTH OF THE BAHAMAS Committees Of The Board 2010 Enhancing the Promise HUMAN RESOURCES COMMITTEE Patrick Ward – Chairman Reverend Father E. Etienne Bowleg Debbie Ferguson AUDIT COMMITTEE Van Diah – Chairman Denise Turnquest Dennis Williams (to September) TENDERS COMMITTEE John Pinder – Chairman Nicole Martin Brian Nutt FINANCE/INVESTMENT COMMITTEE Peter Carey – Chairman John Pinder Dr. Robin Roberts OPERATIONS COMMITTEE Winston Rolle – Chairman (to August) Evan Dean – Interim Chairman (from September) Brian Nutt 2010 Enhancing the Promise NATIONAL InSURANCE BOARD OF THE COMMONWEALTH OF THE BAHAMAS Executive Management Team 2010 Enhancing the Promise Algernon Cargill Director Dr. Kevin Bowe Sonia Gill Richenda King Phaedra Knowles Medical Officer/V.P. Financial Controller Deputy Director/V.P. Deputy Director/V.P. Medical Services H.R. & Training Investments Heather Maynard Derek Osborne Whitney Patton Raymond Wells Legal Officer/V.P. Consultant Actuary Chief Internal Auditor/V.P. Deputy Director/V.P. Legal Services Internal Audit Information Technology 2010 Enhancing the Promise Chairman’s Report NATIONAL InSURANCE BOARD OF THE COMMONWEALTH OF THE BAHAMAS 2010 ANNUAL REPORT Patrick Ward Chairman In 2010, the National Insurance Board (NIB) celebrated (the Review). The Review examined the Fund’s financial 36 years of administering social security for workers of The status and its projected future financial status and made Bahamas; 36 years of meeting the mandate to provide recommendations for steps that might be taken to help workers and their families with a financial safety net during ensure that the social security programme remained solvent times of income loss. NIB has always been extraordinarily for future generations, while providing meaningful benefits to dynamic—in shaping benefits in response to the changing workers and pensioners. The main findings of the review were needs of the Bahamian people, in acquiring infrastructure, sobering in many respects. Primarily, it reported that the then making internal human resources provisions and contributions rate and benefit provisions, if maintained, i.e., administrative changes, and by investing in the construction without any major reforms, would result in serious challenges of essential national infrastructure, particularly in the realm to the Fund in about two decades. of health care. However, no decade and no time since the organisation’s inception in 1974, has been more defining In response to the Review’s findings, the Pension Reform than the decade that ended in 2010. Commission (the Commission) was formed to determine and recommend the way forward. The Commission’s report In 1999, two years before the start of the decade, reforms to confirmed the findings of the Review and underscored the the National Insurance Programme were made. However, urgent need for action. While NIB needed Government it was recognised that those amendments were primarily intervention for legislative changes, there was much it aimed at maintaining relevance to contributors and not could do at operational levels to effect improvements to necessarily to ensuring the financial sustainability of the the programme. A number of initiatives were undertaken to overall system. Not long afterwards, however, there evolved empower management with enhanced internal processes an urgent need for a re-assessment of the National Insurance and equipment. Such initiatives have been reaping benefits, provisions. This process was escalated at the start of the as NIB is being transformed into a flexible, responsive and decade – in 2001 – with the mandated commissioning effective organisation able to not only meet and withstand of the 7th Actuarial Review of the National Insurance Fund new opportunities and challenges, but to embrace them. The year 2010, saw the culmination of all the planning and strategising In addition to the permanent phase of the Unemployment Benefit and activities of the decade. It was a year of great dynamism, with three vital the introduction of the NPDP, 2010 will be remembered for another historic developments taking place – developments that positioned NIB and the development. In July 2010, Parliament passed 22 amendments to the social security programme for growth and sustainability for the long term. National Insurance Benefits and Contributions Regulations to strengthen the effectiveness of our social security programme. No major change of First of all, the Unemployment Benefit became a permanent fixture within this magnitude had occurred since inception (see list of amendments the National Insurance benefits package. The interim phase had been overleaf). introduced in April 2009, and with its successes and lessons learnt, the permanent phase began on June 1, 2010, with stringent guidelines and Just as National Insurance has enjoyed many monitoring systems and an additional 1% contribution rate. As at December successes, there have been many challenges, 2010, some 19,738 Bahamians had availed themselves of the temporary the greatest of which is the issue of compliance. income-replacing benefits, and approximately $30 million was paid out Many businesses and many more self-employed since the inception of the benefit. persons are not paying, and this creates a problem, not just for the social security fund, but Secondly, the much-anticipated National Prescription Drug Plan (NPDP) for workers of this country. was launched in September 2010 to address a well-documented problem in our country. One in three Bahamians, or at least one person in every When employers fail to protect their employees household suffers from one or more chronic diseases. Such illnesses impose through the payment of contributions on their a heavy emotional and financial toll on patients and their families. Among behalf, they are exposing them to unnecessary the challenges that threaten the financial equilibrium of chronic sufferers is risks. In 2010, NIB continued its vigilance in paying for prescribed medications. As costs rise, many patients are forced prosecuting offending employers and self- to cut back on dosage or abandon medications altogether. Without the employed persons for non-compliance. This prescribed medications, the patient’s ability to manage his or her condition vigilance, along with other collection and is severely compromised. This can lead to a worsening of a treatable illness, compliance improvements, is resulting in possible hospitalisation, or disability requiring long-term care or worse and, in increased compliance by employers. many cases, debilitating costs