Title: WELCOME TO THE WORLD OF ART ALTERNATIVE RISK TRANSFER
1WELCOME TO THE WORLD OF ART ALTERNATIVE RISK
TRANSFER
- Presented by
- The Taft Companies
2ART OBJECTIVESAVE AND/OR MAKE MONEY
- Control
- Program Design
- Risk Taking Partners
- Professional Team
- Ownership
- Responsibility
- Involvement
- Pre and Post Claim Risk Management
- Risk
- Investment
- Assumption
- Profit or Loss
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3WHAT IS A RISK RETENTION GROUP (RRG)
A risk retention group (RRG) is a liability
insurance company that is owned by its members.
Under the Liability Risk Retention Act (LRRA),
RRGs must be domiciled in a state. Once licensed
by its state of domicile, an RRG can insure
members in all states. Because the LRRA is a
federal law, it preempts state regulation, making
it much easier for RRGs to operate nationally. As
insurance companies, RRGs retain risk.
- Avoidance of multiple state filings and licensing
requirements. - Member control over risk and litigation
management issues. - Establishment of stable market for coverage and
rates. - Elimination of market residuals.
- May act as a direct writer negating the need and
expense of working with insurance agents and
brokers. (optional) - No expense for fronting fees.
- Unbundling of services.
-
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4WHAT IS A CAPTIVE
Captives are truly "Special Purpose Insurance
Companies." They are created primarily to serve
a single corporation (or corporate family),
members of an association, homogenous groups,
such as doctor groups and/or specialties and or
hospitals and its staff, docs and other medical
professionals. The captive's owner(s) dictate
its underwriting, risk management (pre and post
loss) and investment policies. Twenty-eight
states, the District of Columbia and the U.S.
Virgin Islands have enacted laws that regulate
these Special Purpose Insurance Companies
differently than traditional commercial insurers,
the state of Montana being one of these leading
domiciles.
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5WHAT IS A PROTECTED CELL
The term "protected cell" applies to separate
insured risks (i.e. medical disciplines) or lines
of coverage that are segregated (protected) from
other insured risk exposures and
liabilities. Protected cell design structures
are flexible in make-up. As examples, they may be
made up of single hospital, medical group or
medical disciplines, or by line of coverage.
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6WHY FORM A RRG AND CAPTIVE
- Provide alternative risk transfer/funding
mechanism. - Smooth out insurance cost volatility.
- Control coverage design, cost and administration.
- Benefit from proactive risk management program.
- Provide coverages not otherwise available.
- Gain access to reinsurance market.
- May enhance strategic relationships and
opportunities. - Capture underwriting profit and investment
income. - Creative financial tool.
- Long-term fluid investment.
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7WHAT COVERAGES WORK
- Medical Malpractice
- General Liability
- Workers Compensation
- Employer Group Medical Coverage
- Any Coverage(s) that Financially Qualify
-
These coverages, with the exception of workers
compensation, may be provided through a RRG on a
direct written basis, workers compensation
coverage required to be fronted by a traditional
insurance company. Coverage(s) may be reinsured
by a captive insurance company.
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8RISK RETENTION GROUP
MODEL 1
Med Mal GL Coverages Funding Structure (Coverage
Limit 1,000,000 with optional higher limits to
5,000,000)
- A. 250,000 per occurrence risk assumption
- B. 500,000 per occurrence risk
assumption - C. 1,000,000 per occurrence risk
assumption
Traditional Reinsurance A. 750 X 250 B. 500 X
500 C. None
Risk Retention Group
This page is for illustration purposes only.
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9MODEL II
RRG WITH COMPANION CAPTIVE Med Mal GL Coverages
Funding Structure (Coverage Limit 1,000,000 with
optional higher limits to 5,000,000)
- RRG
- 20 quota-share risk assumption
- A. 50,000 per occurrence risk assumption
- B. 100,000 per occurrence risk assumption
- C. 200,000 per occurrence risk assumption
Traditional Reinsurance A. 750 X 250 B. 500 X
500 C. None
- 80 quota-share risk assumption
- A. 200,000 per occurrence risk assumption
- B. 400,000 per occurrence risk assumption
- C. 800,000 per occurrence risk assumption
Protected Cell Reinsurance Captive
- This page is for illustration purposes only.
- Percentage of risk shared between the RRG and
captive is flexible. - Higher limits offered x 1,000,000 will be
provided by the reinsurer up to 5,000,000 in
total.
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10HOW A PROTECTED CELL CAPTIVE MAY BE STRUCTURED
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11PROTECTED CELL STRUCTURE NOTES
- There are no restrictions to the number of cells
a captive may have. Individuals, groups, lines of
coverage and strategic partners have the
opportunity to own protected cells. - Each protected cell is responsible for claims up
to its risk retention limit. Risk retention may
vary by cell. All cells and the captive are
protected by an agreed specific loss and optional
aggregate stop loss limit. - Each cell is protected from the others potential
for adverse loss experience.
- Insureds may receive a program dividend for
favorable loss experience from within their
assigned protected cell. (Optional) - RRG or cells may buy financial catastrophe
reinsurance provided by the captives CAT Fund
cell. (Optional) - Insureds may participate as captive investors.
(Optional)
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12WHAT'S INVOLVED
- Step 1
- Orchestrate meeting(s) with selected domiciles
regulators. - Gather underwriting information.
- Incorporate received underwriting information
into a financial model to determine proposed
RRG's, captive's and cells' financial
viability. - Collectively agree whether proposed RRG, captive
and cells are a "GO" or "NO GO" proposition. - Step 2
- Taft and chosen actuarial firm will provide for
the RRG, captive and each cell optional financial
- models that will include suggested RRG's,
captive's and each cell's retention limits and - capitalization requirements.
- Meet ART program's professional team.
- Identify and begin dialogue with qualified
reinsurance partners. - Taft, with the assistance of other team members,
will develop RRG's, captive's and each cell's - business plan, which will include marketing
and financial sections. - Orchestrate a meeting with the Department of
Labor if appropriate (employee benefits only). - Step 3
- Incorporate and capitalize RRG, captive and
cells. - Complete and file RRG's, captives and cells
applications with the SAOs ART division for
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13HOW MUCH
- Implementation Cost RRG Captive
- Step 1 - 20,000 20,000
- per cell
- Step 2 - 50,000 35,000
- " "
- Step 3 - 30,000 10,000
- " "
- Step 4 - Investment (capital and surplus)
- " "
- Plus reimbursement of travel related expenses
- (Minimum feasibility study and implementation fee
- 100,000.) - Footnotes
- Costs include consulting, actuarial and
accounting professional fees (not legal). - All costs are proportionally allocated to the
RRG, captive and cells. - Capital/Investment may be provided by
- i. Cash
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14HOW MUCH CONT.
- Annual Expenses
- Management Services 5 of RRG's annual premium
to agreed cap - Actuarial Services (85,000 minimum annual fee
RRG only) - Accounting Services
- RRG and captive, 7.5 of premium to
- (Exclusive of Legal) agreed cap (125,000
minimum annual fee) - Footnotes
- Each required professional service provider firm
will be independently engaged - and contracted.
- RRG's, captives and cells' expense is
proportionally allocated. - Insureds may be charged a program access fee
equal to 1/3 of their first year - annual premium to be financed by the RRG and
captive over twelve monthly - equal installments. (optional)
IMPORTANT NOTICE This document is for conceptual
illustration purposes only. It is not to be
construed as a proposal to provide an insurance
program.
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