|
Private Health Insurance
此文章由 gerence 原创或转贴,不代表本站立场和观点,版权归 oursteps.com.au 和作者 gerence 所有!转贴必须注明作者、出处和本声明,并保持内容完整
来给小茉妈捧捧场,只不过偶实在很不擅长写东西……
Private Health Insurance Industry is a highly regulated industry. All health funds are constantly under strict scrutiny by the government through the PHIAC (the Private Health Insurance Administration Council). Insurance premium can only be increased by a certain percentage which must be approved by the PHIAC. Quarterly and yearly PHIAC reports are prepared and lodged to make sure capital adequacy is maintained above a certain level (i.e. health funds have sufficient capital to cover future claims) The yearly one has to be signed off by external auditors before submitted.
Income: Premium Contributions, Realised/Unrealised gain/loss from various investment funds
Direct Expenses: Member benefits (Insurance Claims), acquisition costs (Brokerage commissions)
Opex: Staff costs, overheads, advertising & promotion, admin costs… here similar to any other industries
Insurance premiums are normally prepaid for the future N periods or for a whole year, as a result, accounting for premium in arrears and in advance becomes critical. The calculation of arrears/advances replies on the integrity of the reports generated by the insurance administration systems.
保险行业与很多行业的不同点就在于完全没有任何inventory,然而现金的流动却很大。比如,很多members选择在支付医疗保险费用时直接刨除rebate金额,这部分rebate金额会由Medicare (previously HIC)直接支付给各个health funds。每个月15号左右, N多个MIL的rebate就会到账,这时候整个group company的treasury management 就显得非常重要。多余的现金会被转移到money market account里以备不时之需,或者投资到investment funds里由投资部门管理,又或者作为intercompany loan借给其他的group subsidiaries投资到其它的项目里去。偶们公司投资了N多个不同的funds, either local in AUD or overseas in foreign currencies,accounting treatments for any new investments and settlements/withdrawals, realised and unrealised gain/loss也是每个月底的最耗时的工序。
保险行业里会计们往往要和精算师们密切的合作,比如,RE(risk equalisation),provision for claims,这些高精尖的分析和计算是由精算师们完成的(不具体介绍RE是啥了,此处省略1000字),会计们只要吧journal做好就OK啦。 Forecasts for contribution income and member benefits (claims) 也都要仰仗着精算。这也算是industry specific了。
其他Opex方面的accounting treatments,比如prepayments and accruals,BAS和FBT的处理,和其他行业都是一样的,就不细数啦。
另外,这个行业可算是high risk,政府的政策变化可能瞬间带来巨大的利润,又或者巨大的危机…………比如,为了应对明年七月可能出台的关于rebate的新政策,各个health fund估计早都忙起来了 
[ 本帖最后由 gerence 于 2011-12-20 22:34 编辑 ] |
评分
-
查看全部评分
|