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Reserving in Uncertain
Economic Conditions
Compare and Contrast
California Workers Compensation
and Argentina Auto Liability
Alejandro Ortega, FCAS
Tony Milano, FCAS - WCIRB
Marcela Granados, FCAS - EY
May 17, 2016
Seattle, WA
CAS Spring Meeting
Reserving in Uncertain
Economic Conditions
Alejandro Ortega, FCAS, CFA
Argentina
Auto Liability
Inflation
Low Inflation High Inflation
Short Tail US First Party Auto
US Personal Property
Venezuela – All products
Argentina – Personal Property
Long Tail US Casualty
US (x‐CA) Workers Comp
Argentina Auto
California Workers Comp
Historical Inflation
Argentina
2001 Currency
Crisis
Government Reporting
no longer reliable
INDEC stops
reporting.
Macri
Historical Exchange Rate
Argentina Peso to USD
High Inflation – Long Tail
• Auto – Third Party Bodily Injury
• First Party is short tailed
• The Inflation makes the tail even longer
Drivers of the Tail – Lawsuits Outstanding
• Litigious Culture in Argentina
• Growing since ~2007
Company June 2007 June 2009 June 2011 Dec 2013
Federacion Patronal 6,842        9,962        13,939     16,818    
Caja Seguros 7,637        11,942     15,864     12,576    
Provincia 6,222        7,763        8,242        7,691       
QBE LA Buenos Aires 4,552        5,163        5,546        7,335       
San Cristobal 2,978        4,637        5,396        6,526       
Zurich Argentina 3,506        4,553        7,776        6,207       
Seguros Rivadavia 2,640        3,109        3,955        6,104       
Liderar 2,304        2,812        3,836        5,485       
Aseg. Federal Arg 1,298        2,578        3,387        5,288       
Segunda C.C.L 3,792        4,574        5,064        4,561       
La Meridional (AIG) 4,647        5,348        8,166        4,533       
Total 46,418     62,441     81,171     83,124    
Assumptions of Chainladder
Thomas Mack
1. Expected Incremental Losses are proportional to 
losses Reported to Date
2. Losses in AY are independent of losses in other 
accident years
3. Variance of incremental losses is proportional to losses 
reported to date
• High and Changing Inflation produces Calendar Year Effect
• Litigious Growth also a CY Effect
• Assumptions 1 & 2 are violated
Assumptions of Chainladder
•Chainladder implicitly takes the inflation in the triangle 
and forecasts from there
• When inflation is changing – this is not appropriate
•We will end up with a methodology that allows us to 
forecast different levels of inflation
How to set Reserves
• Adjust Paid Triangle for Inflation
• Adjust Incurred Triangle for Inflation
• Paid Only Triangle
• Average Severity to Date
• Future Closed Paid Claims x Future Severity
Closed Paid Claims Severity
X =
Unpaid Losses
Fisher Lange
• Closed Claims are easy to estimate
• Allows different assumptions for future inflation (and 
interest)
• Granular Result
• Sensitivity Testing vs Case Reserves
Closed Paid Claims Severity
X =
Unpaid Losses
Closed Claims
Forecast the Following
• Newly Reported Claims at each age
• % of Claims Closed Without Payment (CWP)
•% of Claims Closed With Amount (eg. Paid)
Closed Paid Claims
Severity
Underlying Components of Severity:
• % Disability awarded by the Court (similar to WC)
• Cost of a Point of Disability in each Jurisdiction (2,500 – 4,000 pesos)
• The final cost of the claim is proportional the product of these 
two
• Four General Categories of a Claim:
• Indemnity 
• Treatment Expenses
• Court and Attorney Fees
• Interest and Inflation
Severity
Severity
Severity
Interest Costs
•In addition to the base cost of the claim, the insurer must 
pay interest from the date of the accident
• A Claim occurring in 2009, and closing in 2014, we would 
pay 5 years of interest
Inflation (Calendar Year Trend)
• The base cost of this claim is based on the Cost per Point
in 2014 – not, 2009
Severity
Severity
• We are paying for the time value of money – twice
• Our 2009 claim, in 2013 is 60 months old
• By waiting one more year to close it in 2014:
• We pay an additional year of interest (~12%)
• Cost of a Point is also increased (~9%)
• Total cost of claim goes up about 22%
Severity
Severity
Forecasting Severity
• Forecast Severity on the Diagonal
• Forecast Down the Triangle using Inflation (CY Trend)
• Reasonability Check – going Across the Triangle for 
Interest, and Development Year Trend
Severity
Severity
AY 12 24 36 48 60 72 84 96 108 120 132 144
2002 35 47 124 28 44 55 38 110 265
2003 57 144 51 24 37 127 55 107 241 292
2004 29 50 64 75 95 140 89 221 217 265 321
2005 10 18 55 68 103 74 70 164 193 238 291 353
2006 9 19 65 74 101 117 162 175 213 262 320 388
2007 11 17 43 70 95 182 155 193 234 288 352 427
2008 9 19 41 69 147 144 174 212 257 317 388 470
2009 7 20 49 73 128 158 191 233 283 349 426 517
2010 11 20 58 86 141 174 210 257 311 384 469 569
2011 10 24 65 95 155 192 231 282 342 422 516 626
2012 11 28 71 104 171 211 254 311 377 465 568 688
2013 13 30 78 114 188 232 280 342 414 511 624 757
Historical Severity
Selected Diagonal Severity
Forecast Severity
All scaled by a factor
Pesos (000)
Closed Paid Claims
Historical Closed Paid Claims
Forecast Severity Closed Paid Claims
All scaled by a factor
AY 12 24 36 48 60 72 84 96 108 120 132 144
2002 - 788 28 15 8 4 9 3 3 2 1 -
2003 623 323 51 8 16 11 11 2 5 5 4 3
2004 1,045 474 50 41 39 15 16 8 2 3 2 7
2005 1,444 855 129 66 37 25 22 16 17 9 7 20
2006 2,085 1,334 195 91 45 40 49 23 20 15 11 33
2007 2,705 1,436 219 78 83 60 17 23 21 16 12 36
2008 2,462 1,682 208 183 51 53 33 19 17 13 10 29
2009 2,007 1,309 317 134 92 51 35 20 18 14 10 31
2010 1,533 1,572 195 128 60 47 32 18 17 13 9 28
2011 1,913 1,182 247 99 55 43 30 17 16 12 9 26
2012 1,941 1,477 238 119 66 52 36 20 19 14 10 31
2013 2,374 1,463 254 127 70 55 38 21 20 15 11 33
Closed Paid Claims
Unpaid Losses
Reasonability Checks are Performed
• Compare Ultimate Losses to Prior Analysis
• Look at Loss per Exposure across accident years
• Compare Unpaid Losses to Case Reserves
• This method does not calculate IBNR, but rather Unpaid 
Losses
Unpaid Losses
High Inflation Environment
• Argentina has additional complications due to changing 
legal environment
• High Inflation is typically associated with a weak currency, 
and changing inflation
• Sometimes it is associated with Social Changes (eg. higher 
litigiousness)
• Understanding the underlying drivers of Claim Costs is 
Key
• Fisher‐Lange allows you to forecast different levels of 
inflation and interest
• Great Tool for Sensitivity Testing
Reserving in Uncertain
Economic Conditions
Compare and Contrast
California Workers Compensation
and Argentina Auto Liability
Alejandro Ortega, FCAS
Tony Milano, FCAS - WCIRB
Marcela Granados, FCAS - EY
CA WC – A Changing System
Long-tailed Line
Significant Historical Medical Inflation
Major System Reforms
– 2002 through 2004 reforms
– Senate Bill No. 863 (2012)
– Impact both frequency and severity
– Both CY/DY and AY impacts
Volatility Makes Traditional Methods Inaccurate
Paid Loss Development Highly
Impacted by System Reforms
2.0
2.2
2.4
2.6
2.8
3.0
3.2
3.4
3.6
3.8
95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14
Accident Year
12-to-24 Months Paid Development Factor
Indemnity
Medical2002-2004
Reforms
SB 863
Source: WCIRB aggregate data calls
Reforms Impact Development on
Older Years
1.05
1.07
1.09
1.11
1.13
95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14
Accident Year
60-to-72 Months Paid Development Factor
Indemnity
Medical
2002-2004
Reforms SB 863
Source: WCIRB aggregate data calls
Changes in Benefits Correlated with
Shifts in Claim Frequency
-4.5
-7.9
-4.5 -4.3
-0.1
1.0
-6.7
-1.5
-2.9
-17.0
-13.9
-6.4
-2.3
-3.8
-1.9
6.9
-0.2
3.6
0.7 1.2
-1.0
-20
-15
-10
-5
0
5
10
95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15
Accident Year
Annual % Change in Indemnity Claim Frequency
California
NCCI
2002-2004
Reforms
SB 863
Source: California data from WCIRB unit statistical reports. NCCI data from the May 14, 2015
State of the Line presentation.
Periods of Signif. Medical Inflation
Followed by Periods of Decline
14.1
7.7
19.7
21.9
14.0 13.5
18.6
1.7
-4.4
-7.3
3.3
10.2
12.7
9.5
6.1
1.4 0.7
-3.1 -3.8
-2.2
0.8
-10
-5
0
5
10
15
20
25
95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15
Accident Year
Annual % Change in Ultimate Medical per Indemnity Claim
California
NCCI
2002-2004
Reforms
SB 863
Source: California data from WCIRB aggregate data calls and actuarial projections as of
12/31/2015. NCCI data from the May 14, 2015 State of the Line presentation.
Developing in a Changing
Environment
Reforms Distort Historical LDF Triangles
– Mix of pre & post-reform data
WCIRB Solution: Adjust LDFs for Major
Changes
– Indemnity – analyze changes by type of benefit and
timing of benefit payments
– Medical – “on-level” pre-reform payments in LDF
Adjusted Triangles Now at Comparable Level
Reform Adjustments Have
Increased Accuracy of Projection
0
0.1
0.2
0.3
0.4
0.5
0.6
2005 2008
Accident Year
Projected Ultimate Medical Loss Ratios
Projected from 12 Mo. - Unadjusted Paid
Projected from 12 Mo. - Reform-Adjusted Paid
Current Projection (@12/31/2015)
Source: WCIRB rate filings and Actuarial Committee agendas
Trending in a Changing
Environment
Volatility Affects Historical Loss Ratio Trend
– Trends reversing direction!
WCIRB Solution: Project Separate Frequency &
Severity Trends
Frequency Model Projection
– Modeled with benefit changes & economic conditions
Severity Projections
– Analysis of short and long-term rates
Always Important to Consider Environment
Separate Freq./Sev. Trends Improve
Projection During Periods of Change
0.3
0.4
0.5
0.6
0.7
0.8
0.9
2004 2013
Accident Year
Projected On-level Loss Ratios
Projected Using Combined Loss Ratio Trend
Projected Using Separate Freq. & Sev. Trends
Actual On-level Loss Ratio
Source: WCIRB 2012 & 2015 studies of trending methodology. Projections are based on the
average of the latest two years’ ultimate on-level loss ratios.
Reserving in Uncertain
Economic Conditions
Compare and Contrast
California Workers Compensation
and Argentina Auto Liability
Alejandro Ortega, FCAS
Tony Milano, FCAS - WCIRB
Marcela Granados, FCAS - EY
California WC vs Argentina Auto
Differences
– The US is more regulated than Latin America
– The US doesn’t have high economic inflation
– WC is longer tail than auto
– Difference in claimants, different incentives.
Similarities
– Both jurisdictions are subject to inflation: California has high social
inflation, while Argentina has high economic inflation
– Both lines of business are casualty (rather than property)
– Both jurisdictions are subject to frequent changes in regulation (e.g.
2002 to 2004 reforms and litigious culture in Argentina, growing
since ~2007
– Economic status of claimant plays is a big driver of filing for the
claim
Why traditional Methods fail
Assumptions of Chain ladder Thomas Mack
1. Expected Incremental Losses are proportional to losses Reported to
Date
2. Losses in AY are independent of losses in other accident years
3. Variance of incremental losses is proportional to losses reported to date
High and Changing Inflation produces Calendar Year Effect
Litigious Growth also a CY Effect
Assumptions 1 & 2 are violated
California WC example
Relationship between inflation and WC Reserve
movement:
0.00
0.20
0.40
0.60
0.80
1.00
1.20
1.40
00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15
Ultimate Losses and CPI 
by Year
Ultimates Relativities CPI Relativity
2 per. Mov. Avg. (Ultimates Relativities) 2 per. Mov. Avg. (CPI Relativity)
2012: CA 
SB863 reform 
2002 ~ 2004: CA WC 
reforms 
The Calendar Year Effect
The Chain Ladder link ratio y(i)/x(i) is the slope of a line passing through the origin (a
slope but no intercept).
But mix changes appear on a calendar year basis and predicting losses as lognormal
(skewed to the right) makes more sense. We assume there are 3 directions with
arguments d, w, and t. Ln(Incremental
Payments) =
Problems with Chain Ladder in changing
environment
Chain ladder can lead to big errors depending on where you are in the cycle
Chain ladder under predicts in 
general (A > E)
From 2001  2004, 
chain ladder will 
under predict by 
35% 
Calendar Year
Actual vs Estimated (in $M)
Year Actual Estimated % Diff = (A‐E)/E
2001 8 8 0%
2002 33 24 38%
2003 46 31 46%
2004 48 37 31%
2005 25 34 ‐26%
2006 17 29 ‐41%
2007 21 25 ‐15%
2008 15 20 ‐25%
2009 15 17 ‐16%
2010 17 17 ‐3%
2011 18 17 3%
2012 18 18 ‐2%
2013 18 19 ‐4%
2014 22 18 20%
2015 19 17 13%
Total 339 331 2%
What does ICRFS do differently?
Each trend parameter (in each of the trend directions) is tested for
significance.
p
Residuals are now normally 
distributed, no longer under 
predicts
calendar year trends
Iotas represent the 
calendar year trends
Comparison of Chain Ladder vs
ModelICRFS provides better estimates in aggregate and by year
.
The model tested against 
past data is an improvement 
against observed losses
Calendar Year Results (using Chain Ladder)
Actual vs Estimated (in $M)
Year Actual Estimated % Diff 
2001 8 8 0%
2002 33 24 38%
2003 46 31 46%
2004 48 37 31%
2005 25 34 ‐26%
2006 17 29 ‐41%
2007 21 25 ‐15%
2008 15 20 ‐25%
2009 15 17 ‐16%
2010 17 17 ‐3%
2011 18 17 3%
2012 18 18 ‐2%
2013 18 19 ‐4%
2014 22 18 20%
2015 19 17 13%
Total 339 331 2%
Calendar Year Results (Using ICRFS)
Actual vs Estimated (in $M)
Year Actual Estimated % Diff 
2001 8 9 ‐12%
2002 33 30 10%
2003 46 39 16%
2004 48 41 17%
2005 25 29 ‐13%
2006 17 22 ‐20%
2007 21 21 1%
2008 15 17 ‐12%
2009 15 18 ‐16%
2010 17 18 ‐7%
2011 18 18 ‐4%
2012 18 19 ‐4%
2013 18 19 ‐3%
2014 22 19 14%
2015 19 20 ‐4%
Total 339 339 0%
Comparison of Chain Ladder vs
Model
Chain ladder results in understating the reserves by $11M, which is 20% lower
than ICRFS results
.
Accident Year Results (Using Chain Ladder)
Actual vs Estimated (in $M)
Mean
Year Reserves Ultimate
2001 0 69
2002 0 49
2003 0 40
2004 1 25
2005 1 19
2006 1 18
2007 1 19
2008 2 19
2009 2 17
2010 3 16
2011 4 20
2012 5 21
2013 6 19
2014 8 19
2015 10 12
Total 44 383
Accident Year Results (using ICRFS)
Actual vs Estimated (in $M)
Mean
Year Reserves Ultimate
2001 0 69
2002 1 50
2003 1 41
2004 1 26
2005 1 20
2006 2 19
2007 2 19
2008 2 20
2009 3 17
2010 3 16
2011 3 19
2012 4 20
2013 6 19
2014 9 21
2015 16 19
Total 55 394
Conclusions
Three different solutions to solve the same problem
1. Using a modified Fisher Lange methods that predicts frequency and
severity separately
2. Adjusting LDFs for major changes on indemnity and medical
3. Using models (regression, GLMs, Mack, Bootstrap) to supplement
traditional actuarial techniques
The three solutions suggest separating the trends, data and results by
frequency and severity
The three solutions suggest separating the trends, data and results by
coverage to link them to economic drivers
1. For WC California, trends are different between medical and indemnity
and interact with different economic drivers (inflation for medical and
unemployment for indemnity)
2. For Argentina Motor, trends are different between judicials and
mediations coverages
Great resources to explore reserving
models
Markus Gesman wrote a fantastic chapter on Stochastic Reserving using R,
along with ways of identifying CY Trends and residuals
.
Discussion
Casualty Actuarial Society
4350 North Fairfax Drive, Suite 250
Arlington, Virginia 22203
www.casact.org
Appendix Slides
CA WC Reforms – 2002 through
2004
AB 749 (2002)
– Increased indemnity benefits
– Repeal of presumption of correctness given to primary treating
physician (Minniear)
AB 227 & SB 228 (2003)
– Changes to voc rehab benefits
– Reductions to medical fee schedules
– Established Medical Treatment Utilization Schedule
– Limited # of chiropractic or PT visits
SB 899 (2004)
– Limited duration of TD
– New PDRS & changes to PD benefits
– Established medical provider networks
CA WC Reforms – SB 863
SB 863 (2012)
– Increased PD benefits
– Changes to PD ratings
– Reductions in some medical fees
– Established lien filing fee & statute of limitations
– Established independent medical review and independent bill
review processes
– New physician fee schedule based on RBRVS

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Reserving in Uncertain Economic Conditions

  • 1. Reserving in Uncertain Economic Conditions Compare and Contrast California Workers Compensation and Argentina Auto Liability Alejandro Ortega, FCAS Tony Milano, FCAS - WCIRB Marcela Granados, FCAS - EY May 17, 2016 Seattle, WA CAS Spring Meeting
  • 2. Reserving in Uncertain Economic Conditions Alejandro Ortega, FCAS, CFA Argentina Auto Liability
  • 3. Inflation Low Inflation High Inflation Short Tail US First Party Auto US Personal Property Venezuela – All products Argentina – Personal Property Long Tail US Casualty US (x‐CA) Workers Comp Argentina Auto California Workers Comp
  • 4. Historical Inflation Argentina 2001 Currency Crisis Government Reporting no longer reliable INDEC stops reporting. Macri
  • 6. High Inflation – Long Tail • Auto – Third Party Bodily Injury • First Party is short tailed • The Inflation makes the tail even longer
  • 7. Drivers of the Tail – Lawsuits Outstanding • Litigious Culture in Argentina • Growing since ~2007 Company June 2007 June 2009 June 2011 Dec 2013 Federacion Patronal 6,842        9,962        13,939     16,818     Caja Seguros 7,637        11,942     15,864     12,576     Provincia 6,222        7,763        8,242        7,691        QBE LA Buenos Aires 4,552        5,163        5,546        7,335        San Cristobal 2,978        4,637        5,396        6,526        Zurich Argentina 3,506        4,553        7,776        6,207        Seguros Rivadavia 2,640        3,109        3,955        6,104        Liderar 2,304        2,812        3,836        5,485        Aseg. Federal Arg 1,298        2,578        3,387        5,288        Segunda C.C.L 3,792        4,574        5,064        4,561        La Meridional (AIG) 4,647        5,348        8,166        4,533        Total 46,418     62,441     81,171     83,124    
  • 8. Assumptions of Chainladder Thomas Mack 1. Expected Incremental Losses are proportional to  losses Reported to Date 2. Losses in AY are independent of losses in other  accident years 3. Variance of incremental losses is proportional to losses  reported to date • High and Changing Inflation produces Calendar Year Effect • Litigious Growth also a CY Effect • Assumptions 1 & 2 are violated
  • 9. Assumptions of Chainladder •Chainladder implicitly takes the inflation in the triangle  and forecasts from there • When inflation is changing – this is not appropriate •We will end up with a methodology that allows us to  forecast different levels of inflation
  • 10. How to set Reserves • Adjust Paid Triangle for Inflation • Adjust Incurred Triangle for Inflation • Paid Only Triangle • Average Severity to Date • Future Closed Paid Claims x Future Severity Closed Paid Claims Severity X = Unpaid Losses
  • 11. Fisher Lange • Closed Claims are easy to estimate • Allows different assumptions for future inflation (and  interest) • Granular Result • Sensitivity Testing vs Case Reserves Closed Paid Claims Severity X = Unpaid Losses
  • 12. Closed Claims Forecast the Following • Newly Reported Claims at each age • % of Claims Closed Without Payment (CWP) •% of Claims Closed With Amount (eg. Paid) Closed Paid Claims
  • 13. Severity Underlying Components of Severity: • % Disability awarded by the Court (similar to WC) • Cost of a Point of Disability in each Jurisdiction (2,500 – 4,000 pesos) • The final cost of the claim is proportional the product of these  two • Four General Categories of a Claim: • Indemnity  • Treatment Expenses • Court and Attorney Fees • Interest and Inflation Severity
  • 15. Severity Severity • We are paying for the time value of money – twice • Our 2009 claim, in 2013 is 60 months old • By waiting one more year to close it in 2014: • We pay an additional year of interest (~12%) • Cost of a Point is also increased (~9%) • Total cost of claim goes up about 22%
  • 16. Severity Severity Forecasting Severity • Forecast Severity on the Diagonal • Forecast Down the Triangle using Inflation (CY Trend) • Reasonability Check – going Across the Triangle for  Interest, and Development Year Trend
  • 17. Severity Severity AY 12 24 36 48 60 72 84 96 108 120 132 144 2002 35 47 124 28 44 55 38 110 265 2003 57 144 51 24 37 127 55 107 241 292 2004 29 50 64 75 95 140 89 221 217 265 321 2005 10 18 55 68 103 74 70 164 193 238 291 353 2006 9 19 65 74 101 117 162 175 213 262 320 388 2007 11 17 43 70 95 182 155 193 234 288 352 427 2008 9 19 41 69 147 144 174 212 257 317 388 470 2009 7 20 49 73 128 158 191 233 283 349 426 517 2010 11 20 58 86 141 174 210 257 311 384 469 569 2011 10 24 65 95 155 192 231 282 342 422 516 626 2012 11 28 71 104 171 211 254 311 377 465 568 688 2013 13 30 78 114 188 232 280 342 414 511 624 757 Historical Severity Selected Diagonal Severity Forecast Severity All scaled by a factor Pesos (000)
  • 18. Closed Paid Claims Historical Closed Paid Claims Forecast Severity Closed Paid Claims All scaled by a factor AY 12 24 36 48 60 72 84 96 108 120 132 144 2002 - 788 28 15 8 4 9 3 3 2 1 - 2003 623 323 51 8 16 11 11 2 5 5 4 3 2004 1,045 474 50 41 39 15 16 8 2 3 2 7 2005 1,444 855 129 66 37 25 22 16 17 9 7 20 2006 2,085 1,334 195 91 45 40 49 23 20 15 11 33 2007 2,705 1,436 219 78 83 60 17 23 21 16 12 36 2008 2,462 1,682 208 183 51 53 33 19 17 13 10 29 2009 2,007 1,309 317 134 92 51 35 20 18 14 10 31 2010 1,533 1,572 195 128 60 47 32 18 17 13 9 28 2011 1,913 1,182 247 99 55 43 30 17 16 12 9 26 2012 1,941 1,477 238 119 66 52 36 20 19 14 10 31 2013 2,374 1,463 254 127 70 55 38 21 20 15 11 33 Closed Paid Claims
  • 19. Unpaid Losses Reasonability Checks are Performed • Compare Ultimate Losses to Prior Analysis • Look at Loss per Exposure across accident years • Compare Unpaid Losses to Case Reserves • This method does not calculate IBNR, but rather Unpaid  Losses Unpaid Losses
  • 20. High Inflation Environment • Argentina has additional complications due to changing  legal environment • High Inflation is typically associated with a weak currency,  and changing inflation • Sometimes it is associated with Social Changes (eg. higher  litigiousness) • Understanding the underlying drivers of Claim Costs is  Key • Fisher‐Lange allows you to forecast different levels of  inflation and interest • Great Tool for Sensitivity Testing
  • 21. Reserving in Uncertain Economic Conditions Compare and Contrast California Workers Compensation and Argentina Auto Liability Alejandro Ortega, FCAS Tony Milano, FCAS - WCIRB Marcela Granados, FCAS - EY
  • 22. CA WC – A Changing System Long-tailed Line Significant Historical Medical Inflation Major System Reforms – 2002 through 2004 reforms – Senate Bill No. 863 (2012) – Impact both frequency and severity – Both CY/DY and AY impacts Volatility Makes Traditional Methods Inaccurate
  • 23. Paid Loss Development Highly Impacted by System Reforms 2.0 2.2 2.4 2.6 2.8 3.0 3.2 3.4 3.6 3.8 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 Accident Year 12-to-24 Months Paid Development Factor Indemnity Medical2002-2004 Reforms SB 863 Source: WCIRB aggregate data calls
  • 24. Reforms Impact Development on Older Years 1.05 1.07 1.09 1.11 1.13 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 Accident Year 60-to-72 Months Paid Development Factor Indemnity Medical 2002-2004 Reforms SB 863 Source: WCIRB aggregate data calls
  • 25. Changes in Benefits Correlated with Shifts in Claim Frequency -4.5 -7.9 -4.5 -4.3 -0.1 1.0 -6.7 -1.5 -2.9 -17.0 -13.9 -6.4 -2.3 -3.8 -1.9 6.9 -0.2 3.6 0.7 1.2 -1.0 -20 -15 -10 -5 0 5 10 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 Accident Year Annual % Change in Indemnity Claim Frequency California NCCI 2002-2004 Reforms SB 863 Source: California data from WCIRB unit statistical reports. NCCI data from the May 14, 2015 State of the Line presentation.
  • 26. Periods of Signif. Medical Inflation Followed by Periods of Decline 14.1 7.7 19.7 21.9 14.0 13.5 18.6 1.7 -4.4 -7.3 3.3 10.2 12.7 9.5 6.1 1.4 0.7 -3.1 -3.8 -2.2 0.8 -10 -5 0 5 10 15 20 25 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 Accident Year Annual % Change in Ultimate Medical per Indemnity Claim California NCCI 2002-2004 Reforms SB 863 Source: California data from WCIRB aggregate data calls and actuarial projections as of 12/31/2015. NCCI data from the May 14, 2015 State of the Line presentation.
  • 27. Developing in a Changing Environment Reforms Distort Historical LDF Triangles – Mix of pre & post-reform data WCIRB Solution: Adjust LDFs for Major Changes – Indemnity – analyze changes by type of benefit and timing of benefit payments – Medical – “on-level” pre-reform payments in LDF Adjusted Triangles Now at Comparable Level
  • 28. Reform Adjustments Have Increased Accuracy of Projection 0 0.1 0.2 0.3 0.4 0.5 0.6 2005 2008 Accident Year Projected Ultimate Medical Loss Ratios Projected from 12 Mo. - Unadjusted Paid Projected from 12 Mo. - Reform-Adjusted Paid Current Projection (@12/31/2015) Source: WCIRB rate filings and Actuarial Committee agendas
  • 29. Trending in a Changing Environment Volatility Affects Historical Loss Ratio Trend – Trends reversing direction! WCIRB Solution: Project Separate Frequency & Severity Trends Frequency Model Projection – Modeled with benefit changes & economic conditions Severity Projections – Analysis of short and long-term rates Always Important to Consider Environment
  • 30. Separate Freq./Sev. Trends Improve Projection During Periods of Change 0.3 0.4 0.5 0.6 0.7 0.8 0.9 2004 2013 Accident Year Projected On-level Loss Ratios Projected Using Combined Loss Ratio Trend Projected Using Separate Freq. & Sev. Trends Actual On-level Loss Ratio Source: WCIRB 2012 & 2015 studies of trending methodology. Projections are based on the average of the latest two years’ ultimate on-level loss ratios.
  • 31. Reserving in Uncertain Economic Conditions Compare and Contrast California Workers Compensation and Argentina Auto Liability Alejandro Ortega, FCAS Tony Milano, FCAS - WCIRB Marcela Granados, FCAS - EY
  • 32. California WC vs Argentina Auto Differences – The US is more regulated than Latin America – The US doesn’t have high economic inflation – WC is longer tail than auto – Difference in claimants, different incentives. Similarities – Both jurisdictions are subject to inflation: California has high social inflation, while Argentina has high economic inflation – Both lines of business are casualty (rather than property) – Both jurisdictions are subject to frequent changes in regulation (e.g. 2002 to 2004 reforms and litigious culture in Argentina, growing since ~2007 – Economic status of claimant plays is a big driver of filing for the claim
  • 33. Why traditional Methods fail Assumptions of Chain ladder Thomas Mack 1. Expected Incremental Losses are proportional to losses Reported to Date 2. Losses in AY are independent of losses in other accident years 3. Variance of incremental losses is proportional to losses reported to date High and Changing Inflation produces Calendar Year Effect Litigious Growth also a CY Effect Assumptions 1 & 2 are violated
  • 34. California WC example Relationship between inflation and WC Reserve movement: 0.00 0.20 0.40 0.60 0.80 1.00 1.20 1.40 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 Ultimate Losses and CPI  by Year Ultimates Relativities CPI Relativity 2 per. Mov. Avg. (Ultimates Relativities) 2 per. Mov. Avg. (CPI Relativity) 2012: CA  SB863 reform  2002 ~ 2004: CA WC  reforms 
  • 35. The Calendar Year Effect The Chain Ladder link ratio y(i)/x(i) is the slope of a line passing through the origin (a slope but no intercept). But mix changes appear on a calendar year basis and predicting losses as lognormal (skewed to the right) makes more sense. We assume there are 3 directions with arguments d, w, and t. Ln(Incremental Payments) =
  • 36. Problems with Chain Ladder in changing environment Chain ladder can lead to big errors depending on where you are in the cycle Chain ladder under predicts in  general (A > E) From 2001  2004,  chain ladder will  under predict by  35%  Calendar Year Actual vs Estimated (in $M) Year Actual Estimated % Diff = (A‐E)/E 2001 8 8 0% 2002 33 24 38% 2003 46 31 46% 2004 48 37 31% 2005 25 34 ‐26% 2006 17 29 ‐41% 2007 21 25 ‐15% 2008 15 20 ‐25% 2009 15 17 ‐16% 2010 17 17 ‐3% 2011 18 17 3% 2012 18 18 ‐2% 2013 18 19 ‐4% 2014 22 18 20% 2015 19 17 13% Total 339 331 2%
  • 37. What does ICRFS do differently? Each trend parameter (in each of the trend directions) is tested for significance. p Residuals are now normally  distributed, no longer under  predicts calendar year trends Iotas represent the  calendar year trends
  • 38. Comparison of Chain Ladder vs ModelICRFS provides better estimates in aggregate and by year . The model tested against  past data is an improvement  against observed losses Calendar Year Results (using Chain Ladder) Actual vs Estimated (in $M) Year Actual Estimated % Diff  2001 8 8 0% 2002 33 24 38% 2003 46 31 46% 2004 48 37 31% 2005 25 34 ‐26% 2006 17 29 ‐41% 2007 21 25 ‐15% 2008 15 20 ‐25% 2009 15 17 ‐16% 2010 17 17 ‐3% 2011 18 17 3% 2012 18 18 ‐2% 2013 18 19 ‐4% 2014 22 18 20% 2015 19 17 13% Total 339 331 2% Calendar Year Results (Using ICRFS) Actual vs Estimated (in $M) Year Actual Estimated % Diff  2001 8 9 ‐12% 2002 33 30 10% 2003 46 39 16% 2004 48 41 17% 2005 25 29 ‐13% 2006 17 22 ‐20% 2007 21 21 1% 2008 15 17 ‐12% 2009 15 18 ‐16% 2010 17 18 ‐7% 2011 18 18 ‐4% 2012 18 19 ‐4% 2013 18 19 ‐3% 2014 22 19 14% 2015 19 20 ‐4% Total 339 339 0%
  • 39. Comparison of Chain Ladder vs Model Chain ladder results in understating the reserves by $11M, which is 20% lower than ICRFS results . Accident Year Results (Using Chain Ladder) Actual vs Estimated (in $M) Mean Year Reserves Ultimate 2001 0 69 2002 0 49 2003 0 40 2004 1 25 2005 1 19 2006 1 18 2007 1 19 2008 2 19 2009 2 17 2010 3 16 2011 4 20 2012 5 21 2013 6 19 2014 8 19 2015 10 12 Total 44 383 Accident Year Results (using ICRFS) Actual vs Estimated (in $M) Mean Year Reserves Ultimate 2001 0 69 2002 1 50 2003 1 41 2004 1 26 2005 1 20 2006 2 19 2007 2 19 2008 2 20 2009 3 17 2010 3 16 2011 3 19 2012 4 20 2013 6 19 2014 9 21 2015 16 19 Total 55 394
  • 40. Conclusions Three different solutions to solve the same problem 1. Using a modified Fisher Lange methods that predicts frequency and severity separately 2. Adjusting LDFs for major changes on indemnity and medical 3. Using models (regression, GLMs, Mack, Bootstrap) to supplement traditional actuarial techniques The three solutions suggest separating the trends, data and results by frequency and severity The three solutions suggest separating the trends, data and results by coverage to link them to economic drivers 1. For WC California, trends are different between medical and indemnity and interact with different economic drivers (inflation for medical and unemployment for indemnity) 2. For Argentina Motor, trends are different between judicials and mediations coverages
  • 41. Great resources to explore reserving models Markus Gesman wrote a fantastic chapter on Stochastic Reserving using R, along with ways of identifying CY Trends and residuals .
  • 43. Casualty Actuarial Society 4350 North Fairfax Drive, Suite 250 Arlington, Virginia 22203 www.casact.org
  • 45. CA WC Reforms – 2002 through 2004 AB 749 (2002) – Increased indemnity benefits – Repeal of presumption of correctness given to primary treating physician (Minniear) AB 227 & SB 228 (2003) – Changes to voc rehab benefits – Reductions to medical fee schedules – Established Medical Treatment Utilization Schedule – Limited # of chiropractic or PT visits SB 899 (2004) – Limited duration of TD – New PDRS & changes to PD benefits – Established medical provider networks
  • 46. CA WC Reforms – SB 863 SB 863 (2012) – Increased PD benefits – Changes to PD ratings – Reductions in some medical fees – Established lien filing fee & statute of limitations – Established independent medical review and independent bill review processes – New physician fee schedule based on RBRVS