LARGE PROGRAMS VS. SMALL PROGRAMS ALTERNATIVE PROGRAM STRUCTURES WC FEASIBILITY STUDY Controlling Workers Compensation Costs for State Agencies, Colleges, and Universities

Risk and Insurance Management Society (RIMS) RIMS—largest Risk Management related association  10,000 risk management professionals  3,500 entities  120 countries 2011 RIMS Benchmark Survey  1,431 organizations participated  Measures the Cost of Risk (first developed in 1962)

2011 RIMS Benchmark Survey Cost of Risk per $1,000 of Revenue Less than or equal to $1B revenue  Total COR:  Average:$15.20  Total Workers Compensation:  Average:$3.14 Greater than $1B revenue  Total COR:  Average:$5.16  Total Workers Compensation:  Average:$1.62 (WC—48% advantage due to Economies of Scale)

Current State WC Program Structure Commercial Insurance  Guaranteed Cost  Deductible Options Self-Insurance  Excess WC Each agency purchases on an individual basis

Lost Opportunities Advantage of economies of scale Leverage in the insurance marketplace Spread of risk Optional retention levels per agency Agency specific development factors Agency control of costs through targeted loss prevention programs— Best Practices approach Consolidation of internal and external administrative fees Places more program control at the agency level—establishing accountability and responsibility

Proposal Conduct a Self-Insurance Feasibility Study  Evaluate combining State entities into one program  Analyze Self-Insured retention levels  Commercial Insurance Market offerings for large comprehensive WC programs  Study establishes savings targets

How to Proceed Engage Large Insurance Brokerage/Consulting Firm Gather 7 to 8 years of WC Data for all entities  Payroll  Historical loss data  Premiums paid  All expenses associated (TPA or claim handling fees, legal expense, managed care, medical bill review, etc.)  Also, current program structure and copies of WC policies

Summary Current system antiquated More efficient systems available Similar existing State insurance programs have already proven to be effective in reducing costs