58,389,000 46,764,000 155,000 ... 2,091,000 Invested with the National Debt Commissioners Cash in hands of Approved Societies and Insurance Com- £141,794,000 This figure includes expenditure amounting approximately to £386,000 in connexion with National Health Insurance in England incurred by other Government Departments in respect of Office Accommodation (Buildings, Furniture, Fuel and Light), Rates, Stationery and Printing, Postage, Telegrams, Telephone, National Insurance Audit Department and Miscellaneous Services. APPENDIX XIX. NATIONAL HEALTH AND PENSIONS INSURANCE: Statement of approximate Number of Persons entitled to Benefits at the 31st December, 1927:-ENGLAND. Total Number of Contributors for Health 9,107,000 4,592,000 13,699,000 benefits. Total Number of Contributors for Pension benefits. Notes: 9,306,000 | 4,653,000 13,959,000 (1) In addition to the numbers stated above there are certain persons who have rights to benefits within defined limits under the National Health Insurance Act, but who are insured persons or, for the purposes of the Contributory Pensions Act, are deemed to be insured so long as they remain entitled to medical benefit under the National Health Insurance Act. The numbers are approximately as follows: (a) 275,000 members of Approved Societies who, being over 70 years of age, have ceased to pay contributions under the Health Insurance Act and are not entitled to sickness and disablement benefits, but remain entitled to medical benefit under that Act; (b) 100,000 married women whose title to special sickness and disablement benefits has been exhausted, but who remain insured persons for a further period up to the end of two years after the date of marriage in accordance with section 56 (1) of the National Health Insurance Act, 1924. (c) Between 300,000 and 400,000 persons whose insurance ceased during the year, but who remain entitled to medical benefit for a specific period after ceasing to be insured in accordance with section 12 (4) of the National Health Insurance Act, 1924. (2) The number shown under the head "Excepted Persons" includes a number of persons employed in Wales who are covered by a combined certificate of exception for England and Wales. (3) The numbers of contributors for both Health and Pension benefits stated above include approximately 360,000 persons aged between 65 and 70 on 2nd January, 1928, who at that date ceased to pay contributions under the National Health Insurance Act and to be entitled to sickness and disablement benefits, but remain entitled to medical benefit under that Act. APPEN NATIONAL HEALTH INSURANCE: Statement showing for England the estimated Number Expenditure on Benefits and Administration, * The figures for these years are approximate and subject to adjustment in subsequent Reports. The membership of Approved Societies from 1920 onwards represents the number of members on the books of Societies at the end of the year (including those temporarily remaining insured persons under sections 3 or 56 of the National Health Insurance Act, 1924, after ceasing to be employed, but excluding members who, being over 70 years of age, have ceased to pay contributions and are not entitled to sickness and disablement benefits, but remain entitled to medical benefit). For earlier years the number of members is based on the number of contribution cards surrendered, increased by the estimated number of members serving in H.M. Forces. The membership of the Navy, Army and Air Force Insurance Fund is made up of (1) discharged men entitled to the ordinary benefits out of the Fund, and (2) men serving in H.M. Forces not having been previously members of Societies. During service with the Forces, men, whether members of Approved Societies or of the Navy, Army and Air Force Insurance Fund, are entitled only to maternity benefit. The number of men in Approved Societies and in the Navy. Army and Air Force Insurance Fund can only be regarded as approximations for the years 1918 and 1919. Under the National Health Insurance Act, 1920: (i) the normal rates of contributions and benefits were increased from the 5th July, 1920, and the cost of medical benefit from January, 1920. (ii) the allowance to Approved Societies for administration was increased from January, 1920. DIX XX. of Persons entitled to Benefits, the Receipts (inclusive of Exchequer Grants), and the during each of the Ten Years 1918 to 1927. (a) Includes £1,100,000 transferred to Exchequer from Navy, Army, and Air Force Insurance Fund and £364,000 transferred in consequence of severance of the Irish Free State. (iii) sanatorium benefit ceased as from the 1st May, 1921. Payments of outstanding liabilities took place after that date. Additional benefits (largely increases of cash benefits) provided out of surpluses declared available on valuation became payable, under schemes approved by the Minister, as follows: First Valuation: from 4th July, 1921 (in some cases from a later date). Second Valuation: from 6th July, 1925, in the case of Societies in the first group; from 5th July, 1926, in the case of Societies in the second group. Up to 31st March, 1922, certain additional expenses of medical benefit and administration were provided out of special Exchequer grants. From the 1st April, 1922, the whole cost has been met from insurance funds. Reductions in the cost of medical benefit took effect from the 1st January, 1922, and the 1st January, 1924. Under the Widows' Orphans' and Old Age Contributory Pensions Act, 1925, the normal contributions were reduced from the 1st January, 1926. Under the National Health Insurance Act, 1926, the proportion of expenditure payable out of moneys provided by Parliament was reduced from 1st January, 1926. Exempt persons were, after payment of the qualifying number of contributions, eligible for medical and sanatorium benefits from 1914 to the 30th April, 1921, and for medical benefit only after that date. APPENDIX XXI. TABLE showing (for England) particulars as to the Security given by Approved Societies under Section 35 of the Act of 1924, and, as regards the period from the 15th July, 1912, to the 31st December, 1927, the number and amount of Claims in respect of Losses (and Expenses) arising out of Malversation or Misappropriation of State Insurance Funds by Officers of Approved Societies which had given Security. These figures are exclusive of members serving in H.M. Forces (Class B), or married women entitled to special sickness and disablement benefits (Class K). Note. In addition 47 Societies (membership 562,000) have elected not to give security under Section 35 of the Act of 1924. |