Modernising Terms and Conditions of Civil Servants (sharing CINICO costs)

Project Updates as at 31 May, 2017

Status: Business Planning

  • In line with interim targets set by Cabinet, this project submitted to Cabinet, in May 2017, a long list of potential options to achieve the Government’s objective of sharing the costs of health insurance with its employees. These options were identified in collaboration with key stakeholders, including the Cayman Islands Civil Service Association (CICSA).
  • As noted by Cabinet, the preferred option for change is to be determined by the new Administration, following the elections.
  • The project team is preparing to seek consultancy services for the screening of the long-list of options, to identify a short list and subsequently a recommended option, through an outline business case.

Next key milestone: Issue of tendering documentation for “Financial & Technical Consultancy Services to Evaluate Alternatives for the Future Operation of Civil Service Health Insurance”.

Estimated project completion date: N/A – Project has not yet been initiated.

Project Updates as at 30 November, 2016

Status: Business Planning

The Government has also committed to tackle the need to modernise the terms and conditions of civil servants (CST07) so that they contribute to the cost of their healthcare.  This can be achieved in a number of ways and a new committee involving staff representatives has been formed to explore the available options. It is anticipated that an Outline Business Case will be completed by March 2017.  The Government envisages the changes being agreed in time for them to be in place by 2018.

Project Updates as at 25 May, 2016

Relevant EY Recommendations:

3.3- Re–Introduce the concept of co-pay and deductibles


Deputy Governor:  Hon. Franz Manderson

Project Sponsor: Mrs. Gloria McField-Nixon, Chief Officer

Overview (taken from Cabinet’s Project Future Programme Brief): This project explores options to update civil servants’ terms and conditions, in a manner which embraces modern HR strategies, including cost-sharing for benefits and addresses anomalies arising from over-reliance on short-term strategies to cut costs.

Status: An Outline Business Case is being progressed.

Ministry/Portfolio Update:

  • The Government has announced that it is targeting 2018 as the date for implementing proposals for cost-sharing on healthcare. A working committee including representatives of the Portfolio of the Civil Service and the Cayman Islands Civil Service Association has been established to obtain necessary technical advice and to advise the Government on a strategy which delivers cost-savings and more importantly involves risk-sharing with employees on future healthcare cost projections.
  • Work has commenced on Phase I – An Outline Business Case “Explore Potential for Healthcare Cost Sharing between Government and its Employees”.  However, the deadline of 31 May, 2016 for preparing an Outline Business Case has been negatively impacted by initial delays in obtaining expert data on costing proposals.  Partial data was received in May 2016.  CINICO is obtaining the remaining data from its actuaries.  External expert advice may be required in reviewing the data and assessing healthcare options. While the initial Outline Business Case deadline has been delayed, as the full project implementation deadline is not until 2018, the project is still on target for ultimate completion.