public meetings – 29 september – 4 october 2011. 2summary new chis rules new chis rules general...

A S S O C I A T I O NStaffdu Personnel

Public Meetings – 29 September – 4 October 2011Public Meetings – 29 September – 4 October 2011

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SummarySummary

• New CHIS Rules New CHIS Rules • General rule, benefit changes and new benefitsGeneral rule, benefit changes and new benefits

• MARS MARS • MARS 2011 and lessons learned from five exercisesMARS 2011 and lessons learned from five exercises

• STOP harassmentSTOP harassment• Ombuds, CO9, HIP, role of staff delegatesOmbuds, CO9, HIP, role of staff delegates

• General informationGeneral information• Staff actions and successes, CVI 2012, voluntary programmesStaff actions and successes, CVI 2012, voluntary programmes

• Elections to Staff CouncilElections to Staff Council• Stand as a candidateStand as a candidate

Public meetings / Sep-Oct 2011

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Staff CouncilStaff Council – Your delegates – Your delegates

• Staff CouncilStaff Council• 60 members60 members

• CommissionsCommissions• Social securitySocial security

• In-Form-ActionIn-Form-Action

• PensionsPensions

• Employment conditionsEmployment conditions

• Legal mattersLegal matters

• Health & SafetyHealth & Safety

• [ Individual cases ][ Individual cases ]

• Executive CommitteeExecutive Committee• 11 members11 members

• Dept. liaisonDept. liaisonPublic meetings / Sep-Oct 2011

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CHIS changesCHIS changes


Why change?Why change?

General aspects General aspects

General rule versus annual deductibleGeneral rule versus annual deductible

Changes in benefits and new benefitsChanges in benefits and new benefits

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Why change?Why change?


• Modernize CERN Health Insurance Scheme (CHIS)Modernize CERN Health Insurance Scheme (CHIS)

• Simplify system (easier to understand)Simplify system (easier to understand)

• Display an initial reimbursement rate of 80% (e.g. other Display an initial reimbursement rate of 80% (e.g. other IO), without changing global reimbursement rateIO), without changing global reimbursement rate

• Reimburse preventive treatment fully (100%)Reimburse preventive treatment fully (100%)

• Cover expensive cases better Cover expensive cases better

• Show greater fairness between young and less young Show greater fairness between young and less young members of the schememembers of the scheme

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General AspectsGeneral Aspects


• General rule (by year)General rule (by year)• Annual deductible abolishedAnnual deductible abolished

• 80%, 90% & 100% for each CHIS member : adults & children80%, 90% & 100% for each CHIS member : adults & children

• FCA (FCA (frais à la charge de l’assuréfrais à la charge de l’assuré) ) expenses borne by insured memberexpenses borne by insured member• Hospitalization & out-patient treatment are both includedHospitalization & out-patient treatment are both included

FCA Expenses* Reimbursement rate

≤ 500 CHF ≤ 2500 CHF 80 %

500 CHF < FCA ≤ 3000 CHF 2500 CHF < Exp ≤ 27500 CHF 90 %

3000 CHF > 27500 CHF 100 %

!! *Several expenses are not eligible for inclusion in the FCA calculation !!

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General aspectsGeneral aspects


• CeilingsCeilings• Today on reimbursements - Today on reimbursements - from January 2012 on expenses from January 2012 on expenses

Ceilings have been increased by 10 % Ceilings have been increased by 10 %

• Expenses above 80 kCHF for a given single case (B1 to B5) Expenses above 80 kCHF for a given single case (B1 to B5) during one’s lifetime during one’s lifetime reimbursement 100% - reimbursement 100% - no changeno change

• Reimbursements at 100 % or expenses above ceilings are not Reimbursements at 100 % or expenses above ceilings are not taken into account for the FCA calculationtaken into account for the FCA calculation

• For certain treatments the ceilings are cumulative over 2 or 3 For certain treatments the ceilings are cumulative over 2 or 3 yearsyears

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General aspectsGeneral aspects


• Bonus (B1 to B6 & B8.e)Bonus (B1 to B6 & B8.e)• New bonus system will be introduced by January 2012.New bonus system will be introduced by January 2012.

• From 2012 bonus is additional 5 % on reimbursement rate (limited to 100%)From 2012 bonus is additional 5 % on reimbursement rate (limited to 100%)

• Most Member States satisfy condition to get bonus (list reviewed annually)Most Member States satisfy condition to get bonus (list reviewed annually)

• The base for the calculation is the most expensive host state The base for the calculation is the most expensive host state (defines reference state)(defines reference state)

• Member states with health cost (OECD tables) 20% cheaper than in the reference Member states with health cost (OECD tables) 20% cheaper than in the reference state generate a bonus of 5 %state generate a bonus of 5 %

• For 2012 For 2012 • Reference state is SwitzerlandReference state is Switzerland

no bonus no bonus

• Expenses incurred in Norway and Denmark have no bonusExpenses incurred in Norway and Denmark have no bonus

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General rule versus annual deductibleGeneral rule versus annual deductible


Expenses borne by the insured member

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Adult

Current systemHospitalization excluded

Child0% 90%

New systemHospitalization included

500 3000

cost neutral to CHIS balancecost neutral to CHIS balance

CaseInsuredperson

Medicalcostsin CHF

Current reimbursementin CHF

Futurereimbursementin CHF

1 adult 200 0 160

2 child 200 180 160

3 adult 1000 700 800 (850 bonus)

4 adult 5’000 4’300 4’250

5 adult 40’000 35’800 37’000

Case 1

Case 2 Case 4

Case 5

Case 3

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Benefit changesBenefit changes


!! The surcharge for accommodation and board in a private

room (ward) is paid exclusively by the Member !!

• HospitalizationHospitalization• Public Hospital !! semi-private or private ward !!Public Hospital !! semi-private or private ward !!

• 100 % not taken into account for the FCA calculation100 % not taken into account for the FCA calculation

• Private Hospital (no CHIS approved establishment)Private Hospital (no CHIS approved establishment)• 80% not taken into account for the FCA calculation80% not taken into account for the FCA calculation

• Other Other • General ruleGeneral rule

• CHIS approves non-public establishments outside CH implicitly ifCHIS approves non-public establishments outside CH implicitly if• tariff agreement exists with national social security system in country in questiontariff agreement exists with national social security system in country in question• rates applied to CHIS members are “similar” to public local ratesrates applied to CHIS members are “similar” to public local rates

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Changes in bChanges in benefitsenefits


• OpticsOptics• Corrective lenses for spectacles , contact lenses, disposable contact Corrective lenses for spectacles , contact lenses, disposable contact

lenses, spectacle frameslenses, spectacle frames• General ruleGeneral rule

• Ceiling 500 CHF per year, cumulative over 3 yearsCeiling 500 CHF per year, cumulative over 3 years

• On prescriptionOn prescription

• Dental careDental care• All treatmentsAll treatments

• General ruleGeneral rule

• Ceiling 3300 CHF per year, cumulative over 3 yearsCeiling 3300 CHF per year, cumulative over 3 years

• Other Other • Hire or purchase of auxiliary appliances designed to foster personal Hire or purchase of auxiliary appliances designed to foster personal

autonomy in the case of recognized disability, reduced earning capacity or autonomy in the case of recognized disability, reduced earning capacity or dependencedependence

• Modifications to a vehicle to allow the member to move aroundModifications to a vehicle to allow the member to move around

• Ceiling of 11’000 CHF, cumulative over 2 yearsCeiling of 11’000 CHF, cumulative over 2 years

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New BenefitsNew Benefits


• UAT (UAT (Unite d’Accueil TemporaireUnite d’Accueil Temporaire) temporary placement unit) temporary placement unit• General rule General rule

• UAP (UAP (Unite d’Attente de PlacementUnite d’Attente de Placement) unit awaiting placement) unit awaiting placement• General ruleGeneral rule

• Refractive surgeryRefractive surgery• General General rulerule

• 2000 CHF per 2000 CHF per eyeeye once in a lifetime once in a lifetime

• Waiting time : 12 months as CHIS member before reimbursement Waiting time : 12 months as CHIS member before reimbursement

• PreventionPrevention• 100 % according to list : vaccine papillomavirus, mammography, hemoccult100 % according to list : vaccine papillomavirus, mammography, hemoccult..

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ConclusionsConclusions


Maintain the same overall benefits and follow the Maintain the same overall benefits and follow the evolution with the addition of new benefits while at the evolution with the addition of new benefits while at the same time trying to constrain the cost increase.same time trying to constrain the cost increase.

This is not an easy task and everybody’s help is needed to win the challenge and keep our very good health insurance system alive

and maintainable in the long run.

Thank you for your attention.

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MARSMARS

MARS 2011MARS 2011

MARS after 5 yearsMARS after 5 years

Staff Association commentsStaff Association comments


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Mars 2011Mars 2011


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MARS 2011MARS 2011


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MARS 2011MARS 2011


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Five years of MARS Five years of MARS


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STOP harassment STOP harassment

IntroductionIntroduction

Operational Circular No. 9Operational Circular No. 9

Staff Association involvementStaff Association involvement


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STOP Harassment - IntroductionSTOP Harassment - Introduction


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STOP Harassment – OC 9STOP Harassment – OC 9


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STOP Harassment – Investigation processSTOP Harassment – Investigation process


Initial phaseInitial phase.. Lodge the complaint (the alleged victim can be assisted...).Lodge the complaint (the alleged victim can be assisted...).

.. The Chairperson appoints an Investigation Subpanel to decide whether the complaint is The Chairperson appoints an Investigation Subpanel to decide whether the complaint is receivable.receivable.

.. Written decision within 30 (maxi. 60) calendar days. (can be challenged by the alleged Written decision within 30 (maxi. 60) calendar days. (can be challenged by the alleged victim).victim).

Investigation phaseInvestigation phase.. The complaint is receivable, the investigation process is launched. It should normally not The complaint is receivable, the investigation process is launched. It should normally not last more than 195 calendar days.last more than 195 calendar days.

.. The alleged harasser receives the statement of the alleged victim. Within 30 calendar The alleged harasser receives the statement of the alleged victim. Within 30 calendar days, he/she should provide his/her statement and can be assisted.days, he/she should provide his/her statement and can be assisted.

.. At the end of the process, an investigation report is provided to the Chairperson who At the end of the process, an investigation report is provided to the Chairperson who sends the report to the DG with his/her opinion (copy to the Head of HR).sends the report to the DG with his/her opinion (copy to the Head of HR).

Decision of the Director-General and action (where appropriate)Decision of the Director-General and action (where appropriate).. Within 30 calendar days, the DG decides whether harassment has occurred and, if yes, Within 30 calendar days, the DG decides whether harassment has occurred and, if yes, takes further decisions (disciplinary or administrative action). takes further decisions (disciplinary or administrative action).

.. The alleged victim and harasser are notified in written by the Director-General. The The alleged victim and harasser are notified in written by the Director-General. The notification includes facts established and opinions set out. The decision can be challenged either notification includes facts established and opinions set out. The decision can be challenged either by the alleged victim or harasser.by the alleged victim or harasser.

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STOP Harassment – role Staff Association STOP Harassment – role Staff Association


One of the main tasks of the CaPa commission is to provide advice, assistance and support to any person facing harassment, in confidentiality and without any judgment.

Almost all changes proposed by the Staff association related to the CA 32 and the EOAP were introduced in the OC 9 and the HIP.

Main changes:addition of the “abuse of authority/power” in the definition of harassmentspossibility of being assisted by a member of the personnel at all stages of a processdefinition of precise deadlines at all stages of the formal processwritten notification of decisions, at all stages of the formal process, with reasons, facts...possibility to challenge decisions (internal procedure and/or TAOIT).

Although the prevention aspect was not treated in the OC 9, the SA was involved by the Ombuds in the edition of two guides (Manager guide and Complainant guide).

To conclude and as mentioned by the Ombuds in his presentations: “Harassment will leave wounds and traces on people for a long-time and it endangers the image of the Organization in the public, Member States and Non Member States!”.

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NewsNews

2011 a genuinely successful year2011 a genuinely successful year

Thank you for supporting our actionThank you for supporting our action

Cost variation indexCost variation index

Voluntary programmesVoluntary programmes

Staff Council elections: we need YOU!Staff Council elections: we need YOU!


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2011: series of unique achievements 2011: series of unique achievements


Higgs searches

Bs meson parameters

Pb-Pb collision

antihydrogen

cloud formation

AMS control room ISOLDE nuclear physics

Looking for ν in far-away Gran Sasso

Excellent accelerator performance

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Computing for LHC, but not only Computing for LHC, but not only


WLGC structure

WLGC dashboard (3 Oct. 7:42 a.m.) WLGC performance

CERN Tier-0 centre

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Staff Association action of 22 June 2011Staff Association action of 22 June 2011


Staff Council ResolutionStaff Council Resolution•signed by 700 staffsigned by 700 staff

•transmitted to CERN Council by transmitted to CERN Council by its President, Prof. M. Spiroits President, Prof. M. Spiro

Referendum Referendum (9-16 June) (9-16 June)

Say YES to concertation Say YES to concertation Say NO to the DiktatSay NO to the DiktatApproved by 95.7% of votersApproved by 95.7% of voters

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The yo-yo of the CHFThe yo-yo of the CHFEUR/CHF: SNB decision of Sept. 6th 2011 EUR/CHF: SNB decision of Sept. 6th 2011


EUR/CHF since Jan. 2010 EUR/CHF since Jan. 2010

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Cost variation index 2012 Cost variation index 2012 [CERN/FC/5539/Rev.][CERN/FC/5539/Rev.]

Salaries: 0.0% (Sep. 2011) Salaries: 0.0% (Sep. 2011)


Allowances : 0.0% Allowances : 0.0%

[ Materials: -2.43%; overall: -1.18% ][ Materials: -2.43%; overall: -1.18% ]

RNM > 0 RNM < 0

COLGVA(2002-2012)=0.89%CVICERN(2002-2012)=1.19%

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PRP and PTW programs (situation end 2010)PRP and PTW programs (situation end 2010)


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• Short term (STSL):Short term (STSL):• Ceiling on 30 Sept.: carry-over of max. 52 days instead of 30 daysCeiling on 30 Sept.: carry-over of max. 52 days instead of 30 days

• Tacit yearly renewal: 2 months’ noticeTacit yearly renewal: 2 months’ notice

• Participation: slight increase since introduction STSL Participation: slight increase since introduction STSL (Jan. 2008)(Jan. 2008)

Total nb. slices: 1248 (2008) Total nb. slices: 1248 (2008) 1427 (2011) 1427 (2011) [[32-35 FTE]32-35 FTE]


Participants 1 slice 2 slices 3 slices 4 slices Total

1 Jan. 2008 392 91 30 146 659

1 Sep. 2011 441 86 46 169 742

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Elections to Staff Council 2012-2013Elections to Staff Council 2012-2013


Six electoral collegesCareer paths

Departments ABCD EFG A-G

BE, EN, TE 18 11 29

DG, DGS, FP, GS,HR, PF 8 5 13

IT, PH 6 12 18

Grand total 32 28 60

Important dates• 26 Oct.26 Oct.: closing date receipt applications: closing date receipt applications

• 31 Oct.− 14 Nov.: 31 Oct.− 14 Nov.: votingvoting

• 21 Nov.: 21 Nov.: publication resultspublication results

• 6 Dec.: 6 Dec.: election new Executive Committeeelection new Executive Committee

Will YOU be a delegate soon?

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It’s up to me to know what I want for my future

They need me now

I have talent, like all CERN staff…

Give time to the Staff Association? There are priorities… and this is one of them

It is election time:

I must make the right decision now

I commit myself, I will become a delegate

and… I want to put it to the use of everyone

public meetings – 29 september – 4 october 2011. 2summary new chis rules new chis rules general...

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