Ralph Moss Limited

200 TOWN CENTRE BLVD., STE. 102, MARKHAM , ONTARIO, CANADA L3R 8G5
PHONE:1(888)MOSS LTD      FAX: (905)513-9893

Method of operation.

In examining your employee benefits program we would operate in the following way. Our first step would be to obtain an experience and rate summary, together with any financial statements if the plans were underwritten on a retention basis.

Next, we would run our own figures based on various financial underwriting models to ascertain which method of underwriting would best serve your interest.

Then we would request a meeting with you to review our findings and agree on the plan specifications to be submitted to the market. Plan specifications would then be prepared and submitted together with the experience and rate summary, underwriting requirements and the employee data to the insurance market place.

Quotations received would be analyzed and a report would be prepared commenting on the following areas:

                   Comparison of costs
                   Comparison of rates
                   Distribution of rates
                   Underwriting methods
                   General administration
                   Claims services
                   Cost saving measures
                   Recommendations

If our recommendations are accepted, a new benefit programme would be implemented, contracts would be prepared, new benefit booklets for each employee would be printed and individual certificates of insurance would be distributed.

Our consultants would be available for staff meetings where your employees would be given the opportunity to voice any questions.

We would keep you advised by quarterly claims report, annual claims analysis and undertake renewal negotiations with the insurance company underwriters.

We would also keep you advised on any changes in benefit legislation, trends in health benefits and trends in human rights legislation.

ADDITIONAL SERVICES AVAILABLE

                   Third Party Administration Service
                   Quarterly claims experience reports
                   Annual claims analysis
                   Renewal negotiations with underwriters
                   Quarterly service visits
                   Actuarial consulting services
                   Employee compensation statements
                   Quarterly claims experience reports

PLUS YOU WILL BE KEPT ADVISED ON: Changes in benefit legislation
                   Trends in health benefits
                   Trends in Human Rights Legislation

Also, our Financial Planning Report is published six times a year. If you decided to use our Third Party Administration Service, then all of the following services would also be available to you.

The Third Party Administrator is authorized by the Insurance Company to perform the following functions:

Assign effective dates and designations to standard applicants in accordance with the policy provisions.
Advise employees of medical underwriting requirements if and when necessary.
Ensure that medical underwriting requirements are forwarded with the enrolment cards to the head office of the insurance company.
Advise employees when the applications are approved, declined, or not withdrawn.
Maintain the employee enrolment cards in good order.
Prepare the premium statements { including all changes from the previous billing. }
Collect premiums from the Policyholder in Trust. Then transmit such premiums, attached to a fully completed remittance form, on a timely basis and when due, to the insurance company.
Verify to the insurance company the benefits payable on the date of disability of an employee.
Verify claimant eligibility status for all benefits when claims have been submitted.
Assist the claimant and/or the insurance company when there is a claims query.There is a special 24 hour Third Party Administrator hot-line phone service available whenever a claimant has a query.
Supply the insurance company with an up-to-date listing of all the insured employees when requested { e.g.. renewal employee data }. The data includes items such as employee age, sex, dependent status, salaries, occupations, effective dates and benefit levels.

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Last Update:February 4, 1997