American Excess Insurance Exchange, RRG

1
American Excess Insurance Exchange, RRG
2
Governance

• List of Approved
• Governance Policies
• Participation Policy
• Pricing Policy
• Investment Policy
• Loss-Reserving Policy
• Capital Accumulation Policy
• Dividend Policy
• Surplus Allocation Policy
• Travel Reimbursement Policy

• Additional Advice,
• Counsel Oversight
• Financial Auditors Ernst Young
• Independent Actuaries Milliman
• Insurance Regulators State of Vermont
• Fixed Income Manager Conning Asset Management
• Regulatory Counsel Jeff Johnson, Primmer and
  Piper
• Tax Counsel Tom Jones, McDermott, Will and
  Emery
• Reinsurers

3
Financials
40 million per claim limits offered
(professional and general liability
protection) 20 million of each and every claim
is retained by AEIX reinsurance purchased
for next 20 million 34 million in annual
premium revenue 379 million of invested assets
(69 fixed income, 21 equities, and 10
cash) 201 million in reserves for future claims
costs 270 million in claim payments made since
1990 129 million in equity (belongs 100 to
policyholders) 111 million in dividends and
return of capital paid to policyholders since
1990
As of 04/30/09
4
Clinical Risk Management
Education and Resources
Risk ManagementConsulting
Risk Assessment

• Patient safety expertise with a liability
  perspective
• Focus prioritized by claims experience member
  meetings and surveys
• Identification of industry best practices
• Research assistance

• On-site reviews
• Off-site reviews
• Self-assessments
• Perinatal benchmarking analysis
• Annual AEIX member benchmarking analysis

• Continuing medical education
• Video library
• Web-conferences seminars
• Free ECRI HRC Subscription
• Award Grant Program
• Free Premier Performance Improvement Portal
  license

5
Improvement Initiatives

• Perinatal Safety Initiative
• A 21-month collaborative providing Participating
• Hospitals with education, tools, evidence-based
  best practice models, and focused networking
  around perinatal care.
• Objectives of the initiative enable and support
  participating hospitals to
• Develop, implement and measure best practices
  designed to improve the reliability of
  perinatal care
• Improve clinical outcomes and patient
  satisfaction in labor and delivery
• Lower the cost of care and potential liability
  exposure
• Build on knowledge gained through the
  Premier/IHI Perinatal Collaborative of
  2005-2006, and others

6
What our owners are saying

• Member Satisfaction with AEIX and PIMS