Léim ar aghaidh chuig an bpríomhábhar
Gnáthamharc

Dáil Éireann díospóireacht -
Tuesday, 11 Oct 1994

Vol. 445 No. 6

Adjournment Debate. - Publication of VHI Report.

I am grateful for the opportunity to ask the Minister his intentions regarding the review group report on the VHI. Many of the 1.3 million customers of the VHI are very concerned about recent reports confirming massive underwriting losses this year. The VHI is reduced to selling off some of its financial investments to bridge the revenue gap and it expects to lose £15.5 million this year on its core insurance business.

The company's plans to counter the £15.5 million underwriting loss with investment of £12 million are unlikely to be realised and the projected net loss of £3.5 million will turn out to be much greater. As many of us have already seen a copy of the special review group report. The Minister should publish it immediately so that customers and investors in the VHI can assess the position for themselves. He should also spell out immediately his plans for the VHI as it faces the introduction of competition in its core health insurance business under the terms of the European Single Market.

The report warns of the possible loss of subscribers to the VHI in view of the fact that since 1991 the entire population has been entitled, without significant charge, to public hospital services and free consultant services. It also points out that this year's budget began a phased reduction, from 48 per cent to 27 per cent, over three years of tax relief on VHI premiums. Added to the danger of a negative subscriber reaction is the recent 9 per cent price rise.

Identifying the need for the VHI to operate to a clear commercial mandate, the report calls for the company to cease being an executive agency of the department of Health. It also identifies the necessity for a culture of innovation, imagination and customer responsiveness to be urgently introduced into the VHI organisation. The review group recommends that the VHI should be on an identical footing with possible private sector competitors in regard to all aspects and dimensions of industry regulation.

The report also warns that while the VHI may not face immediate competition under the European Union's deregulated market, it is likely that at some stage in the near future it will face competition in part or all of its core markets. It states that income must be increased by increasing premiums and/or increasing membership and that expenditure growth must be curtailed by reducing the extent of benefits provided and/or reducing the cost of such benefits.

I call on the Minister to tell to the House whether he accepts the findings of the report, whether he intends to implement them and whether he intends to publish the report to make members of the VHI aware of the company's position.

In January of this year the Minister for Health announced the appointment of a review group to examine the operations of the Voluntary Health Insurance Board, particularly in the light of the introduction of the Single Market in health insurance throughout the European Union. The specific terms of reference were:

To examine and report on the strategic and operational capacity of the VHI having regard to the introduction of the Single Market and the provisions of proposed insurance legislation and to make recommendations on the actions to be taken by the Minister and the VHI, in the light of the conclusions emerging from the examination.

The members appointed to the review group were Professor David Kennedy as Chairman, Judge Catherine McGuinness and Mr. Robert P. Willis. The Department of Health supplied the secretariat.

As indicated by these terms of reference the Minister was particularly concerned that the VHI should be able to respond to the challenges of competition as presented by the Single Market. The VHI has been the main insurer in health insurance in Ireland since 1957 and has provided an excellent service to its members throughout that period. However, the possible advent of competition means that the board is obliged to evaluate all its operations and plans to establish whether these are appropriate to a more competitive environment. The examination by the review group was designed to assist both the Minister and the board in deciding what changes were necessary so that the VHI members would continue to have a cost effective service.

The final report as presented to the Minister in June was a thorough examination of the board's activities including issues related to marketing, finance and management. The report has been of assistance to the Minister in the preparation of new legislation to amend the 1957 VHI Act and has also helped the VHI board in its preparations for the Single Market. The weaknesses identified by the group are being addressed so that the board will continue to play an important role in the future health insurance market. The underwriting difficulty mentioned by the group was subsequently addressed by an increase in premium rates with effect from 1 August 1994 and a vigorous approach by VHI to develop an aggressive approach in marketing new products while at the same time maintaining, as the review group mentioned, its tradition of a thrifty and cost conscious organisation.

The latest financial information received by the Department of Health from the VHI is that the organisation expects to break even in this year after investment income is taken into account. It is anticipated that the financial situation will improve because of the recent premia increases. A critical aspect of an insurance company's financial profile is the reserves position and, in regard to VHI, this has shown an increase from £6.6 million in 1989 to £66.4 million in 1994; this allows the VHI to meet EU solvency margins. In addition, overall membership is continuing to rise and this will of course make a contribution to the improving finances of the board.

I can therefore give every assurance to VHI members that the VHI's finances are not threatening the organisation's viability and that it will continue to give subscribers and their dependants a high quality service. I am quite confident that it will remain a major player in any future insurance market in this country.

As regards the publication of the review group's report the Deputy and this House will appreciate that it is a confidential document containing much sensitive information of a commercial nature and it would be inappropriate to publish the report. Indeed I very much regret that a Member of the House has used information from what was clearly a sensitive internal document to attempt to gain short term political advantage. Neither the VHI, its members nor Members of this House have benefited from this exercise.

The Dáil adjourned at 9.10 p.m. until 10.30 a.m. on Wednesday, 12 October 1994.

Barr
Roinn