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September 23, 2010 A.M. Best Rating Process for RRGs Writing Medical Professional Liability

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Page 1: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

September 23, 2010

A.M. Best Rating Process for RRGs Writing

Medical Professional Liability

Page 2: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

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Tina Bukow-Truman Senior Business

Development Manager

Jim FowlerBusiness Development

Manager

Henry WitmerAssistant Vice President

Ratings Division

Page 3: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

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Presentation OutlineOverview of A.M. Best Company

Users and uses of A.M. Best’s Captive Ratings

Timing, cost and agreements for obtaining a rating

Data requirements, expectations and outcomes

Interactive Rating Analysis Process

The role of BCAR (Best’s Capital Adequacy Ratio model)

Key rating factors

Q&A and contact information

Page 4: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

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A.M. Best Company Overview

Established: 1899

Leading worldwide: Insurance-focused rating agencyIssuer of captive ratings

Timeline:1906: Began rating property insurers1970s and 80s: Rated first captives2001: Began rating new company formations (start-ups)2002: Published captive rating methodology, with subsequent

revisions and updates

Page 5: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

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Risk Retention Group StatsRating Distribution - RRGs

02468

10121416

A++ A+ A A- B++ B+MPLI RRGs All RRGs

Page 6: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

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Users and uses of a captive rating

Independent Third Party OversightGreater Transparency Financial Strength and CredibilityRegulatorsReinsurers (terms, conditions, price negotiating and fronting)Group Captives (attract and/or retain members)Benchmarking StandardsIncrease Control of an Insurance ProgramHelp with ongoing Monitoring

Page 7: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

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Timing, Cost and AgreementsTiming

8-12 week process

Rating Fees (Initial and Annual)SizeComplexity

Billing• Initial fees paid with RSA and are prorated• Annual fees billed July 1

Rating Services Agreement

Page 8: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

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Data Requirements & Expectations

Audited financial statementsActuarial report3 to 5-year projections and business planPML and/or terrorism studyReinsurance and vendor contractsFace-to-face meeting encouragedManagement biographiesAffiliate financial information

Page 9: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

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Rating Outcomes

Initial RatingAccept and made publicAppealDecline and no public dissemination

Subsequent Rating Reviews and UpdatesPublicAppealWithdraw from process

Page 10: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

Interactive Rating Analysis Process

Page 11: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

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Medical Professional Liability Ratings for RRGs

David Blades

Robert Brokaw

Robert Raber

Greg Williams

Henry Witmer

Page 12: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

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A.M. Best RatingsAn A.M. Best rating is based on quantitative and qualitative information and interactive discussions. It’s an opinion as to an insurer’s financial strength and ability to meet its ongoing and ultimate obligations to policyholders.

A Financial Strength Rating (FSR) is assigned to a company and monitored throughout the year. At a minimum, there will be a full annual review of each active rating.

Ratings range from A++ to E

Page 13: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

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Typical Meeting Agenda

Organization structure

Corporate governance

Capital structure (holding company & operating company)

Underwriting

Marketing and business production

Claims and loss reserves

Page 14: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

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Typical Meeting Agenda

Reinsurance/pooling

Investments

Financial data

Catastrophe management framework

Enterprise risk management

Legislative / regulatory / judicial

Page 15: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

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How is the rating derived?

ART ratings recognize the unique circumstances of the owners and insureds of these organizations:

• Single parent captives• Group captives including RRGs• Cell captives

Page 16: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

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Balance Sheet Strength

Key Rating Factors

Page 17: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

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Balance Sheet Strength: Best’s Capital Adequacy Ratio

A risk-adjusted capital model that quantifies a company’s operating risks (net required capital) and evaluates whether a company’s capitalization (adjusted surplus) adequately supports those risks

Net Required Capital reflects following risks: Underwriting riskAsset risk

Reported Surplus + Adjustments to Equity = Adjusted Surplus

Adjusted Surplus / Net Required Capital = BCAR

Leverage Analyses

Page 18: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

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Minimum Capital Requirements

Exceptions Based on Overall Analysis

Rating BCAR Score MedianA++ 175 242A+ 160 259A 145 227A- 130 200B++ 115 161B+ 100 140

Page 19: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

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Balance Sheet Strength

Operating Performance

Key Rating Factors

Page 20: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

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Operating Performance

Underwriting and premium adequacy

Claims and reserve adequacy

Expenses

Investment income

Ratio analyses

Page 21: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

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Balance Sheet Strength

Operating Performance

Business Profile

Key Rating Factors

Page 22: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

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Business Profile and RRG Rating Issues

Membership concentration

Expansion outside core membership

Potential for rapid growth due to licensing

Dependence on service providers

Independence of board of directors

Value added potential

Services provided to members

Page 23: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

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Balance Sheet Strength

Operating Performance

Business Profile

Sponsor/Owner Financial Analysis

Enterprise Risk Management

Management

Key Rating Factors

Page 24: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

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Sponsor and Risk Management RRG Rating Issues

Value and volatility of association endorsementsEnterprise risk managementCorrelation of risk issuesFinancial flexibilityDisaster recovery planningQuality and continuity of management and key personnelSuccession planningCycle management

Page 25: A.M. Best Rating Process for RRGs Writing Medical ...Group captives including RRGs • Cell captives 16 Balance Sheet Strength Key Rating Factors 17 Balance Sheet Strength: Best’s

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Contact…

Tina Bukow TrumanBusiness Development(908) 439-2200 ext [email protected]

Jim FowlerManager, Business Development(908) 439-2200 ext. [email protected]

www.ambest.com