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Defending the broker after an attack by the City Press

23 September 2013 Jonathan Faurie

The South African financial services market is currently going through many changes. The majority of these pieces of regulation hope to change the way in which the public views brokers and interact with them in order to secure financial awareness.

A major role player in this is the medical scheme industry where brokers form a vital link between the public and medical scheme product providers. While their role in the industry is undeniably important, it recently came under fire in an article in the City Press on 8 September, an article which the Financial Intermediaries Association of Southern Africa (FIA) feels paints an untruthful and damaging view of the role of brokers in society.

Setting the record straight

FIA CEO Justus van Pletzen explains that there are a lot of concerns with the article and that brokers in the industry are a lot more responsible than they are being portrayed. “The negativity cast by this article on the conduct of medical scheme brokers is an affront to the many knowledgeable and hardworking men and women who are registered as brokers,” says Van Pletzen. He goes on to address some of the specific inaccuracies of the article.

The information reported by the City Press was given to the press by the Council of Medical Schemes when it launched its annual report earlier in September. The City Press reported that Dr Monwabisi Gantsho, Registrar of the CMS, said that broker costs have been steadily increasing every year, but the number of people recruited by these middlemen does not correlate with the millions paid to them.

“Healthcare intermediaries, whether they are brokers or agents, have been instrumental in the past in introducing clients to medical schemes. It is disingenuous to blame the lack of growth in medical scheme beneficiaries on brokers. The Registrar, and by extension staff in the office of the CMS, should appreciate that the issues impacting on growth of membership are more complex. Any factual study into this matter has identified cost and affordability as the biggest barrier to growth in scheme membership, not broker activity,” says Van Pletzen, who adds that it has further been acknowledged that commission paid to brokers are not one of the main drivers of healthcare costs.

The reality of the situation

To link the increase in broker remuneration to medical scheme membership is unfair on the role that brokers play in the industry and as Van Pletzen points out, demonstrates a poor grasp of the industry.

“Bear in mind that in real terms, broker fees actually decreased in the year under review, and when viewed against the overall increase in non-healthcare expenditure of 8.1%, the increase to broker fees is low. Moreover, when one takes into account the extent of the regulatory requirements brokers have to comply with (and the concomitant costs), it is unfortunate that a representative of the regulators’ office should undermine their credibility,” says Van Pletzen.

He adds that broker remuneration is not only a function of medical scheme membership because commissions should be reviewed, in line with inflation, on an annual basis. The 4% increase in broker fees as published in the 2012 annual report is not only below inflation but also significantly lower than the 9.6% increase the CMS granted itself by way of levies charged to medical schemes. “Brokers provide a valuable service to clients and given the current legislated fee structure it is difficult for many brokers to make profit. There is no legal responsibility for brokers to grow overall membership of medical schemes,” says Van Pletzen.

Missing the mark on broker reimbursement

The City Press added that according to the CMS annual report, schemes used more than R1.4 billion of members’ money to reimburse brokers for bringing them more clients.

“The claim that R1.4 billion was paid to brokers needs to be placed in context. Firstly, this sum amounts to only 1.2% of total contributions made to medical schemes. Secondly, this number is inflated to include service fees and other distribution costs paid by the medical schemes which are NOT broker fees.”

Van Pletzen adds that it is equally wrong to suggest that broker fees relate only to client acquisition. The role of a medical scheme broker, as outlined in the Medical Schemes Act (MSA), is twofold. Firstly, it is to introduce new members to a medical scheme and secondly, the broker must provide on-going services to the member. Most brokers spend a considerable amount of time supporting their clients to access medical scheme benefits for which clients pay significant monthly premiums.

Editor’s Thoughts:
There are a number of other issues which Van Pletzen dealt with in his criticism of the City Press article. It is evident that the role of the broker has changed significantly with the introduction of new regulation by the Financial Services Board (FSB). These pieces of regulation aim to improve communication between brokers and the core of their business: the client. Articles such as the one by the City Press works against these ideals and paints the broker in a bad light, which is very unfair. Please comment below, interact with us on Twitter at @fanews_online or email me your thoughtsjonathan@fanews.co.za.

Comments

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Added by Dave Counihan, 29 Sep 2013
The CMS is correct in maintaining a vigilant eye on all aspects of the Medical Aid industry. Unfortunately they seem to veer off the beaten track and go on aimless walkabouts to conjure up some ridiculous motions; such as this current topic regarding brokers.
Will the CMA be able to employ able, compliant, efficient & knowledgeable people with an NQF 4 or higher and pay them between R13.00 to R67.00 for 1 ½ hours of face to face work with new clients = R1400 to R10200 per month. I think not
Lost plot!!
As a broker I see many a medical aid member who can’t get problems sorted out with their schemes and we have to step in to ensure they get at the very least the CMS legislated treatment.
If anything the CMS should be working closer to the broker community to find solutions and make the industry more attractive to those who don’t have medical aid.
Of all the industry role players; brokers are the most consumer orientated.
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Added by David, 27 Sep 2013
Totally agree with Mandy, as an example I have been assisting a pensioner trying to solve approved chronics which continually get deducted from her savings, I have travelled to the Walk-in Call centre 5 times and spent over 3 hours on the phone to the call centre. Have also visited the pensioner 3 times and all this for R39 per month, If I was to charge for services rendered then no-one would be able to afford the fees brokers should be getting. The people making money out of this are not the ones getting paid.
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Added by Rob Lansdell, 27 Sep 2013
It is concerning that the Council appears to misunderstand not only the important role that the broker plays in the sector, but also the commission figures in relation to total distribution costs. With commission regulated and capped (and not keeping up with inflation!) quite why the Council deems it necesary to portrey brokers in such a negative light is beyond my understanding.Thank you Justus and the FIA for standing up for the Healthcare Broker.
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Added by Mandy, 27 Sep 2013
It is concerning how brokers are painted in a bad light, but I can provide details of hundreds of medical aid clients our brokerage has assisted with claims and queries because the schemes take advantage of client ignorance and client's end up in financial difficulty because their claims are not being processed. This problem extends from service providers using incorrect billing codes or not detailing correct information on invoices that clients are unaware of. Schemes should be paying for PMB consultations as well as medication and many medical aid members are not aware of this because neither CMS or the Scheme educates correctly. I can assure you that without a medical aid broker people would not know how their benefits work or how to resolve involved queries.

Healthcare costs are on the uprise due to there being no regulation on what healthcare service providers may charge. Many schemes negotiate tariffs with DSP's but there are still a number of service providers who charge way over medical aid tariffs.

What will happen if the ongoing fee to brokers are scrapped? Who will get that fee benefit? The scheme? The client? or CMS?

A lot of medical aid members will suffer if their broker lifeline is taken away.
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