Today’s Presenters - Cottingham & Butler › wp-content › uploads › 2014 › 05 ›...

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Transcript of Today’s Presenters - Cottingham & Butler › wp-content › uploads › 2014 › 05 ›...

  • Today’s Presenters

    Nick Kohlhof Sales Executive

    Matt Murray Sales Executive

    Dave Franson Senior Vice President

    Claims & Safety

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  • Today’s Agenda

    1. Cottingham & Butler Captive Credentials

    2. Captive Concept

    3. Why companies join captives?

    4. Captive Mechanics

    5. Safety & Claims

    6. Member Story

    7. Conclusion

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  • Captive Credentials

    • 6 Captives since 1993

    • More than 165 members

    • More than $110 million of premium

    • Over $86,000,000 in dividends paid

    • Expert claims administration

    • Proven safety services

    • Administrators of the two largest transportation captives in the world

    • Network of resources:

    – Legal – Consulting – Banking – Auditors – Fronting Carrier – Investment Managers – Brokers – Tax Advisors – Reinsurers

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  • Risk Management Principles

    Basic Acknowledgment

    • Losses can be controlled but some are inevitable

    Basic Approach:

    • Retain losses that are predictable

    • Transfer losses that are not – losses catastrophic in nature

    • Find the best solution for managing risk over a period of time

    • Find the most effective method in reducing the total cost of risk

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  • What is a group captive?

    Simply, an insurance company owned by its members created to lower the cost of insurance

    over the long-term by bringing together companies dedicated to safety who can take

    advantage of group purchasing and sharing risk together

    Concept: Retain losses that are predictable (frequency losses) and transfer losses that are

    not (catastrophic/severity) losses

    Frequency losses that are controlled through:

    1. Safety

    2. Claims Management

    Catastrophic/Severity losses are managed through:

    1. Risk Sharing

    2. Reinsurance

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  • The Insurance Dilemma

    The Insurance Dilemma: you would be better off not buying insurance and paying

    your claims. Unfortunately, most companies can’t survive when they suffer the large

    severe claim. Particularly when the severe claim happens early on.

    $0

    $200,000

    $400,000

    $600,000

    $800,000

    $1,000,000

    4th Prior 3rd Prior 2nd Prior 1st Prior Current Year

    $2,600,000 Total Premiums

    $1,355,000 Total Losses

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  • The Insurance Dilemma (continued)

    Beating the Insurance Dilemma

    1. Fully Self-Insuring

    2. Large Deductibles

    What if you cannot assume a $250,000 deductible?

    3. Joining a Member Owned Group Captive

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    Revenues in Millions

    - 2012 RIMS Benchmark Survey

    COST OF RISK BY REVENUE

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  • What Happens to those who stay in the standard market:

    1. Increased insurance costs

    2. Pooled with worst performing companies

    3. At the mercy of market swings

    4. Loss of control

    Best in class companies are leaving the standard insurance market. They want to be

    protected from wild swings and take more control of their insurance program.

    Insurance Dilemma: Taking Control

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  • Why companies join captives?

    Opportunity for significant return

    of premium

    Stabilize cost & avoid market

    volatility

    Development of an elite safety

    program

    Better control of claims process and

    payouts

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  • Why companies join? (Return of Premium)

    Premium paid is all fixed cost. Limited opportunity to reduce

    the insurance spend.

    Guaranteed Cost

    40% in fixed costs. Leaving an opportunity to get 60% of the

    premium back.

    Captive Program Opportunity

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  • Why companies join? (Stabilization)

    109.4

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    104.1

    109.7 112.3

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    110.2

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    104.2

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    102.1

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    104.9

    102.1

    101.4

    101.3

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  • $0

    $5,000

    $10,000

    $15,000

    $20,000

    $25,000

    Average Indemnity Cost Per Lost Time Claim

    NCCI

    CBCS

    Average Indemnity Cost per Lost-Time Claim Year NCCI CBCS

    2000 $15,200 $11,630

    2001 $16,600 $14,994

    2002 $17,100 $14,361

    2003 $17,900 $12,033

    2004 $18,200 $13,093

    2005 $18,800 $13,063

    2006 $19,900 $14,578

    2007 $21,100 $14,971

    2008 $22,800 $17,176

    2009 $23,000 $16,565

    2010 $22,300 $14,767

    $0

    $5,000

    $10,000

    $15,000

    $20,000

    $25,000

    $30,000

    Average Medical Cost Per Lost Time Claim

    NCCI

    CBCS

    Average Medical Cost per Lost-Time Claim Year NCCI CBCS

    2000 $14,200 $8,822

    2001 $16,200 $8,992

    2002 $17,600 $16,876

    2003 $18,900 $9,112

    2004 $20,000 $9,171

    2005 $21,800 $11,652

    2006 $23,100 $12,459

    2007 $24,500 $13,292

    2008 $25,700 $13,679

    2009 $27,100 $14,527

    2010 $27,700 $18,730

    Why companies join? (Control of Claims)

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  • Why companies join? (Elite Safety)

    Member Entered

    Captive1st Year 2nd Year 3rd Year

    Company A 1.43 1.17 0.93 0.89

    Company B 0.95 0.77 0.71 0.72

    Company C 1.11 1.08 1.06 1.13

    Company D 0.87 0.98 1.00 0.80

    Company E 1.00 1.01 0.81 0.76

    Company F 0.99 0.94 1.00 1.00

    Company G 1.07 0.97 0.88 0.95

    Company H 1.12 1.13 1.05 1.04

    Company I 1.22 0.96 0.96 0.97

    Company J 0.86 0.85 0.88 0.95

    Company K 1.32 1.35 1.51 1.25

    Companly L 1.14 1.01 1.01 1.04

    Company M 0.91 0.83 0.82 0.86

    Company N 0.73 0.74 0.87 0.88

    Company O 1.18 1.06 1.11 1.03

    Company P 0.94 0.96 0.77 0.94

    Company Q 0.89 0.86 0.79 0.81

    Company R 0.87 0.84 0.74 0.74

    Company S 0.99 0.88 0.68 0.67

    1.03

    0.98

    0.94

    0.91

    Entered Captive Year 1 Year 2 Year 3

    Average Experience Mod

    On average, members see a 12 point drop in their experience modification after 3 years

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  • Mechanics

    How does a member owned group

    captive work?

    15

  • Lines of Coverage

    Statutory

    Workers’

    Comp

    General

    Liability

    Automobile

    Liability

    Captive Retention

    $1,000,000 $300,000 $0

    16

  • Captive Structure with Members

    $1,000,000

    Risk Transferred to Insurance Company

    Insurance

    Carrier

    $300,000

    Shared Member Pool

    Excess Fund

    $75,000

    Primary Fund Member Member Member Member Member Member Member Member Member Member

    $0 1 2 3 4 5 6 7 8 9 10…

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  • Member Loss Funds

    EXCESS FUND

    PRIMARY FUND

    Initial Pay-in Premium includes:

    1. Primary Fund (Member claims < $75,000) 2. Excess Fund (Group claims >$75,000) 3. Operating Costs

    PAY-IN = Primary + Excess + Operating Costs

    $0 - $75,000

    $75,001 - $300,000

    $75,000 $0 -

    18

  • Sample Member Premium

    Premium Breakdown

    Operating Costs: $200,000

    Loss Funds:

    Primary Loss Fund: $200,000

    Excess Loss Fund: $100,000

    Total Loss Funds $300,000

    Potential Assessment: $200,000

    MIN $200,000 PAY IN $500,000 MAX $700,000

    Sample member is paying $500,000 in total pay-in premium

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  • Loss Example #1

    $95,000 of total claims less than $75,000 per occurrence

    Primary Fund Accounting $200,000 Beginning Balance -95,000 Total Claims less than $75,000

    $105,000 Remaining Balance

    Excess Fund Accounting $100,000 Beginning Balance

    PRIMARY FUND

    $75,000

    $0

    $300,000

    EXCESS FUND

    REINSURANCE

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  • Loss Example #1 (cont.)

    $ 105,000 Primary Fund

    + 100,000 Excess Fund

    + 5,000 Estimated Interest Income

    $ 210,000 Estimated Return

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  • Loss Example #2 $95,000 of total claims less than $75,000 per occurrence and a $1,000,000 catastrophic

    claim.

    Excess Fund Accounting $100,000 Beginning Balance

    Primary Fund Accounting $200,000 Beginning Balance -95,000 Total Claims less than $75,000 -75,000 1st $75,000 of catastrophic loss $ 30,000 Remaining Balance

    PRIMARY FUND

    $75,000

    $0

    $300,000

    EXCESS FUND

    REINSURANCE

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  • Loss Example #2

    Excess Fund Accounting $100,000 Beginning Balance -100,000 0 Ending Balance

    $95,000 of total claims less than $75,000 and a $1,000,000 catastrophic claim

    Catastrophic Claim: $ 75,000 From Primary Fund $100,000 From Excess Fund $175,000

    Primary Fund Accounting $200,000 Beginning Balance - 95,000 Total Claims less than $75,000 - 75,000 1st $75,000 of catastrophic loss $ 30,000 New Balance

    PRIMARY FUND

    $75,000

    $0

    $300,000

    EXCESS FUND

    REINSURANCE

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  • Loss Example #2 (cont.)

    Excess Fund Accounting $100,000 Beginning Balance -100,000 0 Ending Balance Primary Fund Accounting $200,000 Beginning Balance - 95,000 Total Claims less than $75,000 -75,000 1st $75,000 of catastrophic loss $ 30,000 New Balance -30,000 Additional for catastrophic loss 0 Ending Balance

    $95,000 of total claims less than $75,000 and a $1,000,000 catastrophic claim.

    Catastrophic Claim: $ 75,000 $100,000 $175,000 $ 30,000 $205,000 $95,000 Shared by All Members’ Excess Funds

    PRIMARY FUND

    $75,000

    $0

    $300,000

    EXCESS FUND

    REINSURANCE

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  • Loss Example #2 (cont.)

    • Majority of Loss Reinsured Away

    – $1,000,000 Claim

    – $700,000 Transferred to Reinsurer

    – $300,000 Retained by Captive

    • Impact on Risk Sharing Minimized

    – Member contributed $75,000 from Primary Fund

    – Member contributed $100,000 from Excess Fund

    – Member contributed remaining $30,000 balance from Primary Fund

    – Total Member contribution - $205,000

    – Group shared $95,000 – Impact on other members minimized

    • Interest Income Still Generated

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  • Loss Example #3

    $400,000 of total claims less than $75,000

    Excess Fund Accounting $100,000 Beginning Balance

    Primary Fund Accounting $200,000 Beginning Balance - 200,000 Total Claims less than $75,000 0 Remaining Balance

    Losses Remaining $200,000 Paid from Primary Fund 0 Paid from Excess Fund $200,000 Remaining Primary Fund Losses

    PRIMARY FUND

    $75,000

    $0

    $300,000

    EXCESS FUND

    REINSURANCE

    26

  • Loss Example #3

    $400,000 of total claims less than $75,000

    Excess Fund Accounting $100,000 Beginning Balance Primary Fund Accounting $200,000 Beginning Balance - 0 Total Claims less than $75,000 0 Remaining Balance $200,000 Primary Fund Assessment

    PRIMARY FUND

    $75,000

    $0

    $300,000

    EXCESS FUND

    REINSURANCE

    27

  • Loss Example #3 (cont.)

    $ 100,000 Excess Fund Balance

    + 5,000 Estimated Interest

    $ 105,000 Estimated Results

    $ (200,000) Adjustment Paid

    $ (95,000) Estimated Additional Cost for $200,000 of

    Additional Frequency Claims

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  • Other Considerations

    • Historically, risk sharing has been 6-7%

    • Each underwriting year stands on its own

    • One time purchase of $30,000 for a share of stock

    • There are collateral requirements

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  • Real Member Examples

    Captive Std Market Difference

    Pay In: $249,134 $247,720 +1%

    Min $76,357 $247,720 -70%

    Max $342,728 $247,720 +138%

    Net Cost

    Captive Std Market Difference

    Year 1 $86,608 $234,914 $148,306

    Year 2 $357,668 $264,461 ($93,207)

    Year 3 $108,412 $256,974 $148,562

    Year 4 $90,493 $288,577 $198,084

    Year 5 $81,096 $247,720 $166,624

    Total Savings = $568,369

    ($100K risk but over $550K savings over 5 years)

    A. Member is a wholesaler of building materials B. Member is a beer distributor on a $350K deductible for WC

    Captive High Deductible Difference

    Pay in: $469,022 $185,351 253%

    Min $149,768 $165,351 -10%

    Max $643,836 $1,065,351 -40%

    Net Cost

    Captive High Deductible Difference

    Year 1 $302,197 $524,527 $222,330

    Year 2 $458,912 $530,257 $71,345

    Year 3 $335,056 $428,926 $93,870

    Year 4 $472,102 $439,999 ($32,103)

    Year 5 $359,311 $386,894 $27,583

    Total Savings = $383,025

    ($383K savings in 5 years with less risk per claim)

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  • Safety & Claims Management

    Taking Control

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  • Safety Service Plan – Keys to Success

    1. Onsite Consultation

    • Safety Gap Analysis

    • Risk Improvement Process (RIP)

    2. Professional Development

    • Risk control workshops

    • Safety webinars

    3. Safety Communication and Employee Involvement

    • Construction Safety Breaks

    • Countermeasures

    • Access to safety resource website

    4. Accountability Process – Continuous Improvement

    • Captive scorecard

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  • Safety Gap Analysis

    Process

    • Annual scored audit

    • Evaluate client’s safety system

    – Management Support

    – Regulatory Compliance

    “Best Practices”

    Benefits

    • Action plan

    • Accountability system

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  • “THE DRILL DOWN”

    Process

    • Accident analysis of claims history

    • Develop Strategies

    – Hiring practices

    – Orientation process

    – Communication program

    – Accountability system

    – Incentives & recognition

    – Work practices

    Benefits – Coaching

    • Accident causation

    • Corrective action

    • Prevent a reoccurrence

    Risk Improvement Process (RIP)

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  • Risk Control Workshop

    • Semi Annual

    • Sharing best practices

    • Networking

    Webinar Series

    • Periodic

    • Creating a safety culture

    • Leadership in safety

    Professional Development

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  • Communication Tools

    Safety Breaks

    • Monthly communication tool

    Accident Countermeasures

    • Quarterly

    • Vehicle accidents

    Benefits

    • Reduced staff development time

    • Reduce accident rates

    • Client-specific campaigns

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  • Performance Scorecard

    37

  • Claim Provider

    Cottingham & Butler Claims Services ( CBCS).

    Overview of Services

    A Partnership for Aggressive Claim Management

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  • Cottingham & Butler Claims Services

    • TPA Claim Service Since Early 1980’s

    • Experienced Captive Service Partner

    – Claim service to Captives since 1993

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  • Areas of Inquiry CBCS Standard Market Claim reported 24/7/365 Good luck Assignment Dedicated adjuster for all Multiple adjusters claims - Medical only - Indemnity - Subrogation Staff turnover 3% 20-25% Claim reviews Client determines frequency Conference call with multiple adjusters Reserving Fact/experience-based Formula Client in the know - Diagnostic codes - Actuarial study Settlements Client determines settlement Pay it and close it authority

    Captive Advantage

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  • Creating Alignment

    My adjuster: 1 2 3 4 NA

    1 Demonstrates technical competence. Comment:

    2 Conducts prompt and complete investigations and evaluations. Comment:

    3 Responds with well-informed answers to my questions. Comment:

    4 Acts with an appropriate sense of urgency. Comment:

    5 Displays initiative to protect my assets and save me money. Comment:

    6 Achieves favorable results on my behalf. Comment:

    7 Expresses ideas to me in a clear and concise fashion. Comment:

    8 Acts with discretion and conciseness in communicating with those involved in the situation. Comment:

    9 Frequency of communication meets my expectations. Comment:

    10 Meets my expectations of total satisfaction with CBCS as my claims management service provider. Comment:

    I would provide this feedback (positive or constructive criticism) to the adjuster:

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  • Technology Proclaim

    Features Risk Dashboard

    Claim Navigator

    Claim Details

    Incident Reporting

    OSHA Logs

    Alerts

    Exposures

    Policies

    Reports

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  • Technology Proclaim

    Features Risk Dashboard

    Claim Navigator

    Claim Details

    Incident Reporting

    OSHA Logs

    Alerts

    Exposures

    Policies

    Reports

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  • Member Story – SMF, Incorporated

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  • Fun Facts

    Captives can be a competitive advantage for companies. However, some brokers shy away from offering them because:

    • Brokers make much less money when they put a client into a captive. Standard commission on Auto and General Liability is 15%. The average captive commission is 6%.

    • The brokers role becomes more focused on Safety and Claims and less on “shopping”.

    • Many brokers are not familiar enough with captives to recommend one to a client.

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    Cottingham & Butler has placed over 168 middle market companies like yours into a

    captive.

  • Is a Captive Right For Your Company?

    • Does your company have a favorable loss history?

    • Is your company financially sound?

    • Is safety a top priority?

    • Are you willing to take calculated risks and bet on yourself?

    Insanity is doing the same thing over and over again and expecting different results - Albert Einstein

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