1. Actuarial Support for Insurance Buyers
Shirley Fuller Cooper
April 1, 2003

2. Overview Background Role at HCA Inc. Relationship with actuaries
Negotiations
Conflict?
Q & A

3. Design and Develop Insurance Programs
Partner with Insurance Brokers
Provide coverage assistance to facilities
Property, Tank, & Exec Liability claims oversight
Physician/Medical Malpractice Underwriting
Maintain exposures
Regulatory compliance
Policyholder service

4. Major Negotiations Director’s & Officer’s Liability
Workers Compensation
Hospital Professional Liability
Property
Physician Malpractice

5. Actuarial Support Hospital Professional Physician Malpractice
Workers Compensation

6. Expectations Credible in the industry Understand the business
Understand the data
Firm handle on calculations
Rely on final decisions

7. Negotiations
Broker
In-house
Independent
Carrier

8. Conflict? Management expectations Funding Insurance contract
Continued relationship