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2008 Casualty Loss Reserve Seminar Current Issues and Trends in Medical Malpractice  Reserving for Alternative Insurance Markets ,[object Object],[object Object],[object Object],September 19, 2008
Reserving For Alternative Insurance Markets  Captives, Risk Retention Groups, Self-Insurance Trusts, etc. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The parameter selections and relativities shown in this presentation are for discussion purposes only.  They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
Exposure Data  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The parameter selections and relativities shown in this presentation are for discussion purposes only.  They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
Exposure Data  PPL Example The parameter selections and relativities shown in this presentation are for discussion purposes only.  They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
Exposure Data  HPL Example The parameter selections and relativities shown in this presentation are for discussion purposes only.  They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
Exposure Data  Conversion of Fiscal Year Exposures to Report Year The parameter selections and relativities shown in this presentation are for discussion purposes only.  They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
Selection of Ultimate Loss Cost  $500,000 Limit The parameter selections and relativities shown in this presentation are for discussion purposes only.  They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
Estimated Ultimate Loss & ALAE (Loss Cost) Incurred Bornhuetter-Ferguson Method ($500,000 Limit) The parameter selections and relativities shown in this presentation are for discussion purposes only.  They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
Selection of Ultimate Experience Ratio  Alternative to Loss Cost Approach ($500,000 Limit) The parameter selections and relativities shown in this presentation are for discussion purposes only.  They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
Est. Ult. Loss & ALAE (Experience Ratio) Incurred Bornhuetter-Ferguson Method ($500,000 Limit) The parameter selections and relativities shown in this presentation are for discussion purposes only.  They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
Estimated Ultimate Loss & ALAE  Incurred Bornhuetter-Ferguson Method ($10,000,000 Limit) The parameter selections and relativities shown in this presentation are for discussion purposes only.  They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
Estimated Outstanding Loss & ALAE  $10,000,000 Limit The parameter selections and relativities shown in this presentation are for discussion purposes only.  They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
Other Considerations  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The parameter selections and relativities shown in this presentation are for discussion purposes only.  They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
Other Considerations  (continued) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The parameter selections and relativities shown in this presentation are for discussion purposes only.  They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
Estimated Unreported Claim Liability  Required by AICPA Guide, Audits of Providers of Health Care Services (SOP 87-1) The parameter selections and relativities shown in this presentation are for discussion purposes only.  They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
Insurance Industry Data Sources  Insurance company rate filings (publicly available) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The parameter selections and relativities shown in this presentation are for discussion purposes only.  They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
Insurance Industry Data Sources  National Practitioner Data Bank (NPDB) Public Use Database ,[object Object],[object Object],[object Object],[object Object],[object Object],The parameter selections and relativities shown in this presentation are for discussion purposes only.  They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
Insurance Industry Data Sources  Closed Claim Databases / Studies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The parameter selections and relativities shown in this presentation are for discussion purposes only.  They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
Insurance Industry Data Sources  Annual Statement Information ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The parameter selections and relativities shown in this presentation are for discussion purposes only.  They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
Insurance Industry Data Sources  Benchmark Rate / Loss Cost Information ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The parameter selections and relativities shown in this presentation are for discussion purposes only.  They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
Questions?  The parameter selections and relativities shown in this presentation are for discussion purposes only.  They are not based on actual data and are not intended to be applied to a real-world reserving exercise.

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Current Issues And Trends In Med Mal

  • 1.
  • 2.
  • 3.
  • 4. Exposure Data PPL Example The parameter selections and relativities shown in this presentation are for discussion purposes only. They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
  • 5. Exposure Data HPL Example The parameter selections and relativities shown in this presentation are for discussion purposes only. They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
  • 6. Exposure Data Conversion of Fiscal Year Exposures to Report Year The parameter selections and relativities shown in this presentation are for discussion purposes only. They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
  • 7. Selection of Ultimate Loss Cost $500,000 Limit The parameter selections and relativities shown in this presentation are for discussion purposes only. They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
  • 8. Estimated Ultimate Loss & ALAE (Loss Cost) Incurred Bornhuetter-Ferguson Method ($500,000 Limit) The parameter selections and relativities shown in this presentation are for discussion purposes only. They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
  • 9. Selection of Ultimate Experience Ratio Alternative to Loss Cost Approach ($500,000 Limit) The parameter selections and relativities shown in this presentation are for discussion purposes only. They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
  • 10. Est. Ult. Loss & ALAE (Experience Ratio) Incurred Bornhuetter-Ferguson Method ($500,000 Limit) The parameter selections and relativities shown in this presentation are for discussion purposes only. They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
  • 11. Estimated Ultimate Loss & ALAE Incurred Bornhuetter-Ferguson Method ($10,000,000 Limit) The parameter selections and relativities shown in this presentation are for discussion purposes only. They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
  • 12. Estimated Outstanding Loss & ALAE $10,000,000 Limit The parameter selections and relativities shown in this presentation are for discussion purposes only. They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
  • 13.
  • 14.
  • 15. Estimated Unreported Claim Liability Required by AICPA Guide, Audits of Providers of Health Care Services (SOP 87-1) The parameter selections and relativities shown in this presentation are for discussion purposes only. They are not based on actual data and are not intended to be applied to a real-world reserving exercise.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21. Questions? The parameter selections and relativities shown in this presentation are for discussion purposes only. They are not based on actual data and are not intended to be applied to a real-world reserving exercise.