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Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference & Expo Chicago, IL November 18, 2009 Download at: www.iii.org/Presentations/ Robert P. Hartwig, Ph.D., CPCU, President & Economist Insurance Information Institute 110 William Street New York, NY 10038 Tel: (212) 346-5520 [email protected] www.iii.org

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Page 1: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

Making Sense of Now and Forecasting the Future

The Economy’s Impact onWorkers Compensation

National Workers Compensation and DisabilityConference & Expo

Chicago, IL

November 18, 2009

Download at: www.iii.org/Presentations/

Robert P. Hartwig, Ph.D., CPCU, President & EconomistInsurance Information Institute 110 William Street New York, NY 10038

Tel: (212) 346-5520 [email protected] www.iii.org

Page 2: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

Presentation Outline• Economic Factors Affecting Exposure in WC

Economic Downturn Employment/PayrollsExposure Base

• Overall P/C Insurance Industry Performance Cycles Profitability Underwriting Premium Growth Drivers Investment Performance Capital/Capacity Financial Strength

• Workers Comp Performance Review Underwriting performance Premium Drivers Frequency & Severity Trends

• Emerging Trends

Q&A

Page 3: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

THE ECONOMIC STORM

What the Financial Crisis and Recession Mean for the Industry’s

Exposure Base and Growth—Especially WC

Page 4: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

4

3.7

%

0.8

% 1.6

% 2.5

% 3.6

%

3.1

%

2.9

%

0.1

%

4.8

%

4.8

%

-0.7

%

1.5

%

-2.7

%

3.5

%

2.8

%

2.7

%

2.9

%

2.8

%

3.0

%

-0.7

%

-6.4%

-5.4%

-0.2%

-8%

-6%

-4%

-2%

0%

2%

4%

6%

   2

00

0   

   2

00

1   

   2

00

2   

   2

00

3   

   2

00

4   

   2

00

5   

   2

00

6   

07

:1Q

07

:2Q

07

:3Q

07

:4Q

08

:1Q

08

:2Q

08

:3Q

08

:4Q

09

:1Q

09

:2Q

09

:3Q

09

:4Q

10

:1Q

10

:2Q

10

:3Q

10

:4Q

Real GDP Growth*

*Blue bars are Estimates/Forecasts from Blue Chip Economic Indicators.Source: US Department of Commerce, Blue Economic Indicators 11/09; Insurance Information Institute.

Recession began in December 2007. Economic toll of credit crunch, housing slump, labor market contraction has been severe but recovery is in sight

The Q1:2009 decline was the steepest since the

Q1:1982 drop of 6.4%

Personal and commercial lines

exposure base have been hit

hard and will be slow to come

back

Page 5: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

5

Length of U.S. Business Cycles, 1929-Present*

43

138 11 10 8 10 11

166

168 8

19

50

80

3745

39

24

106

36

58

12

92

120

73

0

10

20

30

40

50

60

70

80

90

100

110

120

Aug.1929

May1937

Feb.1945

Nov.1948

July1953

Aug.1957

Apr.1960

Dec.1969

Nov.1973

Jan.1980

Jul.1981

Jul.1990

Mar.2001

Dec.2007

Contraction Expansion Following

* Through June 2009 (likely the “official end” of recession) **Post-WW II period through end of most recent expansion. Sources: National Bureau of Economic Research; Insurance Information Institute.

Duration (Months)

Month Recession Started

Average Duration** Recession = 10.4 MonthsExpansion = 60.5 Months

Length of expansions

greatly exceeds

contractions

Page 6: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

Regional Differences Will Significantly

Impact P/C Markets Recovery in Some Areas Will Begin Years Ahead of Others & Speed of Recovery Will Differ By Orders of

Magnitude

Page 7: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

8

State Economic Growth Varied Tremendously in 2008

Eastern US growing more slowly than Plains,

Mountains

Page 8: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

9

Fastest Growing States in 2008: Plains, Mountain States Lead

7.3%

4.4%

3.5%2.9%

2.0%2.1%2.5%

2.7%

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

7.0%

8.0%

ND WY SD CO OK WV IA TX, MN,NM, WA

Natural resource and agricultural states have done

better than most others recently, helping insurance

exposure in those areas

Source: US Bureau of Economic Analysis; Insurance Information Institute.

PercentReal State GDP Growth

Page 9: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

10

Slowest Growing States in 2008: Diversity of States Suffering

-0.1%

-0.4%-0.6%-0.6%

-1.5%-1.6%-1.6%

-1.7%

-2.0%

-0.9%

-0.6%-0.6%

-2.5%

-2.0%

-1.5%

-1.0%

-0.5%

0.0%KY CT AZ GA IN NV RI MI DE FL OH AK

States in the North, South, East and West all represented among

hardest hit but for differing reasons

Source: US Bureau of Economic Analysis; Insurance Information Institute.

PercentReal State GDP Growth

Page 10: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

Inflation Trends Pressures Claim Cost

Severity via Medical and Tort Channels

Page 11: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

12

Annual Inflation Rates(CPI-U, %), 1990-2010F

4.9 5.1

3.0 3.2

2.6

1.51.9

3.3 3.4

1.3

2.5 2.3

3.0

3.8

2.8

3.8

(0.4)

2.0

2.82.92.4

(1.0)

0.0

1.0

2.0

3.0

4.0

5.0

6.0

90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09F10F

Sources: US Bureau of Labor Statistics; Blue Chip Economic Indicators, 11/09.

Inflation peaked at 5.6% in August 2008 on high energy and commodity crisis. The

recession and the collapse of the commodity bubble have produced temporary deflation.

There is so much slack in the US economy that inflation should not be a concern through 2011, but depreciation of dollar is concern longer run.

Page 12: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

Comparative 2009 Inflation Statistics Important to Insurers ( %)

(1.3)

3.52.9

1.5 1.8

7.1

(2)

(1)

0

1

2

3

4

5

6

7

8

CPI-U Core CPI* TotalMedical

Care

PhysicianServices

HospitalServices

LegalServices

Infl

atio

n R

ate

(%)

*Core CPI is the Consumer Price Index for all Urban Consumers (CPI-U) less food and energy costs.Source: US Bureau of Labor Statistics; Insurance Information Institute.

CPI and “Core” CPI are not representative of

many of the costs insurers face

Medical/Legal costs typically run well ahead of inflation

September 2009 vs. September 2008

Page 13: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

Medical & Tort Cost Inflation

Amplifiers of Inflation, Major Insurance Cost Driver

Page 14: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

Consumer Price Index for Medical Care vs. All Items, 1960-2008

215.2

364.1

0

100

200

300

400

60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08

Ind

ex V

alu

e (1

982-

84=

100)

All Items Medical Care

Source: Department of Labor (Bureau of Labor Statistics; Insurance Information Institute.

(Base: 1982-84=100)

Inflation for Medical Care has been surging

ahead of general inflation (CPI) for 25

years. Since 1982-84, the cost of medical care has

more than tripled

Soaring medical inflation is among the most serious

long-term challenges facing

casualty, disability and LTC insurers

Page 15: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

Tort Cost Growth & Medical Cost Inflation vs. Overall Inflation (CPI-U), 1961-2008*

0%

2%

4%

6%

8%

10%

12%

14%

1961-70 1971-80 1981-90 1991-2000 2001-08

Tort Costs Medical Costs CPI

*Medical cost and CPI-U from BLS. Tort figure is for full-year 2008 from Tillinghast.

Tort System is an Inflation Amplifier

Avg. Ann. Change: 1961-2008*

Torts Costs: +8.4%Med Costs: +6.0%

Overall Inflation: +4.2%

Sources: US Bureau of Labor Statistics, Tillinghast-Towers Perrin, 2007 Update on U.S. Tort Costs; Insurance Info. Inst.

Tort costs move with inflation but at twice the rate

Page 16: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

Healthcare Reform

Spillover Effects Impact P/C Insurers Including WC

Page 17: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

National Health Expenditures and Health Expenditures as a Share of GDP,

1960-2018F ($ Billions)$28

$1,9

81

$2,1

13

$2,2

41

$2,3

79

$2,5

10

$2,6

24

$2,7

70

$2,9

31

$3,1

11

$3,3

13

$3,5

41

$3,7

90

$4,0

62

$4,3

53

$1,6

03

$1,7

35

$253 $

714

$1,3

54

$75

$1,1

91

$1,8

55

$1,4

70

$1,1

25

$913 $1,2

66

5.2

%

7.2

% 9.1

%

13.7

%

14.5

%

15.3

%

15.9

%

15.9

%

16.0

%

16.2

%

16.6

%

20.3

%

19.8

%

19.3

%17.6

%

17.7

%

17.9

%

18.0

%

18.2

%

18.5

%

18.9

%

12.3

% 13.6

%

13.8

% 15.8

%

13.6

%

13.7

%

$0

$500

$1,000

$1,500

$2,000

$2,500

$3,000

$3,500

$4,000

$4,500

$5,00060 70 80 90 93 97 98 99 00 01 02 03 04 05 06 07

08E

09E

10E

11E

12E

13E

14E

15E

16E

17E

18E

Nat

iona

l Hea

lth

Exp

s

0%

5%

10%

15%

20%

25%

Nat

iona

l Hea

lth

Exp

. as

% o

f G

DP

National Health Expenditures National Health Expenditures as % of GDP

Health care expenditures consumed an estimated

16.6% of GDP in 2008 and are expected to rise to 20.3%

by 2018

Source: Centers for Medicare & Medicaid Services, Office of the Actuary; Insurance Information Institute.

Page 18: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

20

Health Insurance Reform Debate—Potential Spillover Impacts on P/C Insurers

• 24-Hour Coverage Proposal Would roll WC and med components of auto into natl. health care plan

• Rollback of McCarran-Ferguson Act Would repeal or restrict for health and medical malpractice insurers Slippery slope—Med Mal is a p/c line; Congress will not hesitate to breach M-F for other p/c lines in the

future to show its ire over an issue (e.g., after major cat)

• Exclusion of Med Mal Reform from Health Care Bill Shows powerful influence of trial bar with Congress/Administration

• FTC granted authority to conduct studies “related to insurance” –All Lines!• Reporting of Claims• Adjustments to Medicare Fee Schedules• Patient “Bill of Rights” or Vague Standards of Care• Cost Shifting into WC, Auto from Health System

WC/Auto Medical: more lucrative from provider perspective

• “Windfall” Profit Taxes? Additional Premium Taxes?• Executive Compensation Restrictions?• Public “Option” in P/C Lines—Nat Cat/Wind?• Perception that Feds Regulate Insurance Industry Taking Root

Page 19: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

The Affordable Health Care for America Act (H.R. 3962) includes the following benefit to the trial bar:

Section 2531, entitled “Medical Liability Alternatives,” establishes an incentive program for states to adopt and implement alternatives to medical liability litigation. [BUT]…… “a state is not eligible for the incentive payments if that state puts a law on the books that limits attorneys’ fees or imposes caps on damages.”

Jeopardizes some $54 billion in savings in medical care costs that Congressional Budget Office (CBO) says litigation reform would bring.

Source: Andrew Breitbart, http://biggovernment.com; Congressional Budget Office (CBO)

Healthcare Reform Bill is a Trial Lawyer Dream Come True

Page 20: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

Labor Market Trends

Fast & Furious: Massive Job Losses Sap the Economy Workers Comp &

Other Commercial Exposure

Page 21: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

23

2.0

3.0

4.0

5.0

6.0

7.0

8.0

9.0

10.0

11.0

Jan

-00

Jan

-01

Jan

-02

Jan

-03

Jan

-04

Jan

-05

Jan

-06

Jan

-07

Jan

-08

Jan

-09

January 2000 through October 2009*

Unemployment will likely peak near 10.5 % during this cycle, impacting payroll

sensitive p/c and l/h exposures

Source: US Bureau of Labor Statistics; Insurance Information Institute.

Oct. 2009 unemployment was 10.2%, up 0.4% from Sept. and nearing its

highest level since April 1983 (10.8%)

Unemployment Rate:On the Rise

Average unemployment rate 2000-07 was 5.0%

Previous Peak: 6.3% in June 2003

Trough: 4.4% in March 2007

Oct

-09

Page 22: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

26

U.S. Unemployment Rate,(2007:Q1 to 2010:Q4F)*

4.5%

4.5% 4.6% 4.

8% 4.9%

5.4%

6.1%

6.9%

8.1%

9.3% 9.

6% 9.9% 10

.1%

10.0

%

9.8%

9.6%

4.0%

4.5%

5.0%

5.5%

6.0%

6.5%

7.0%

7.5%

8.0%

8.5%

9.0%

9.5%

10.0%

10.5%

11.0%

07:Q1 07:Q2 07:Q3 07:Q4 08:Q1 08:Q2 08:Q3 08:Q4 09:Q1 09:Q2 09:Q3 09:Q4 10:Q1 10:Q2 10:Q3 10:Q4

* Blue bars are actual; Yellow bars are forecasts

Sources: US Bureau of Labor Statistics; Blue Chip Economic Indicators (11/09); Insurance Info. Inst.

Rising unemployment is eroding payrolls and

workers comp’s exposure base.

Unemployment is expected to peak above

10% in early 2010.

Page 23: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

U.S. Unemployment Rate ForecastsQuarterly, 2009:Q4 to 2010:Q4

10.3%10.4% 10.4%

10.3%

9.6%9.9%

9.6%

9.3%

8.9%

10.1%

9.9%9.8%

10.0%10.1%

9.8%

8.5%

9.0%

9.5%

10.0%

10.5%

11.0%

09:Q4 10:Q1 10:Q2 10:Q3 10:Q4

10 most pessimistic consensus/midpoint 10 most optimistic

Sources: Blue Chip Economic Indicators (11/09); Insurance Info. Inst.

Unemployment is expected to peak in early 2010

Rising unemployment will erode payrolls and workers comp’s exposure base.

Page 24: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

28

Labor Underutilization: Broader than Just

Unemployment

11.2%

16.4% 16.5% 16.3%

17.5%17.0%16.8%

10%

11%

12%

13%

14%

15%

16%

17%

18%

Sep-08 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09

Marginally attached and unemployed persons account for 17.5% of the labor

force in Oct. 2009 (1 out every 5.7 people). Unemployment rate alone was 10.2%.

Underutilization shows a broader impact on WC and other commercial exposures.

NOTE: Marginally attached workers are persons who currently are neither working nor looking for work but indicate that they want and are availableFor a job and have looked for work sometime in the recent past. Discouraged workers, a subset of the marginally attached, have given a job-marketrelated reason for not looking currently for a job. Persons employed part time for economic reasons are those who want and are available for full-time work but have had to settle for a part-time schedule.

Source: US Bureau of Labor Statistics; Insurance Information Institute.

Percent % of Labor Force

Page 25: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

30

Monthly Change Employment*(Thousands)

-72

-144-122-160-137-161

-128-175

-321-380

-597

-681-741

-681-652

-519

-303

-463

-304

-154-219

-190

-800

-700

-600

-500

-400

-300

-200

-100

0

Jan-08

Feb-08

Mar-08

Apr-08

May-08

Jun-08

Jul-08

Aug-08

Sep-08

Oct-08

Nov-08

Dec-08

Jan-09

Feb-09

Mar-09

Apr-09

May-09

Jun-09

Jul-09

Aug-09

Sep-09

Oct-09

Job losses since the recession began in Dec. 2007 total 8.2 mill; 15.7 million people are now

defined as unemployed.

Source: US Bureau of Labor Statistics: http://www.bls.gov/ces/home.htm; Insurance Info. Institute

Monthly losses in Dec. – May were the largest in the post-WW II period

but pace of loss is diminishing

January 2008 through October 2009

Page 26: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

U.S. Nonfarm Private Employment, Monthly, Nov. 2007 – Oct. 2009

138.

0

138.

1

138.

0

137.

9

137.

8

137.

8

137.

7

137.

6

137.

6

137.

4

137.

0

136.

7

136.

2

135.

1

134.

3

133.

7

133.

0

132.

5

132.

2

131.

7

131.

4

131.

3

131.

0

130.

8

130.0130.5131.0131.5132.0132.5133.0133.5134.0134.5135.0135.5136.0136.5137.0137.5138.0138.5

Nov07

Dec07

Jan08

Feb08

Mar08

Apr08

May08

June08

Jul08

Aug08

Sep08

Oct08

Nov08

Dec08

Jan09

Feb09

Mar09

Apr09

May09

Jun09

Jul09

Aug09

Sep09

Oct09

Seasonally adjusted. Source: US Bureau of Labor Statistics

Millions

The U.S. economy lost 7.3 million

jobs over 2 years

Employment peak; recession starts

Page 27: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

$0

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

$7,000

89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09*

$0

$5

$10

$15

$20

$25

$30

$35

$40

$45Wage & SalaryDisbursementsWC NPW

*Average Wage and Salary data as of 7/1/2009.Source: US Bureau of Economic Analysis; Federal Reserve Bank of St. Louis at http://research.stlouisfed.org/fred2/series/WASCUR; I.I.I. Fact Books

Wage & Salary Disbursements (Payroll Base) vs. Workers Comp

Net Written Premiums

7/90-3/91

Shaded areas indicate recessions

3/01-11/01

Wage & Salary Disbursement (Private Employment) vs. WC NWP$ Billions $ Billions

12/07-?

Weakening payrolls have

eroded $2B+ in workers comp

premiums

Page 28: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

Will the “Job Recession” End Soon?Feb.-Nov. 2009 Initial Jobless Claims*

620

640

643

647

650

650 65

865

965

164

863

862

5 632

630

627 63

262

361

761

861

660

758

556

756

055

7 566 57

156

7 573

570

564

554

549

541

533

532

527

524

520

500

520

540

560

580

600

620

640

660

Feb

14

Feb

21

Feb

28

Mar

7M

ar 1

4M

ar 2

1M

ar 2

8A

pr

4A

pr

11A

pr

18A

pr

25M

ay 2

May

9M

ay 1

6M

ay 2

3M

ay 3

0Ju

n 6

Jun

13

Jun

20

Jun

27

Jul 4

Jul 1

1Ju

l 18

Jul 2

5A

ug

1A

ug

8A

ug

15A

ug

22A

ug

29S

ep 5

Sep

12

Sep

19

Sep

26

Oct

3O

ct 1

0O

ct 1

7O

ct 2

4O

ct 3

1N

ov 7

4-week moving avg (000)

*seasonally adjusted; state programs only Source: http://www.dol.gov/opa/media/press/eta/ui/current.htm

Continued drop in initial unemployment claims is a good news.

Portends gradual slowdown in the loss of worker comp exposure

Page 29: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

0

5

10

15

20

25

30

'26

'28

'30

'32

'34

'36

'39

'41

'43

'45

'47

'49

'52

'54

'56

'58

'60

'62

'65

'67

'69

'71

'73

'75

'78

'80

'82

'84

'86

'88

'91

'93

'95

'97

'99

'01

'04

'06

Frequency: 1926-2008A Long-Term Drift Downward

Manufacturing—Total Recordable CasesRate of Injury and Illness Cases per 100 Full-Time Workers

Note: Recessions indicated by gray bar

Note: Recessions indicated by gray bar.

Sources: NCCI from U.S. Bureau of Labor Statistics; National Bureau of Economic Research

Page 30: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

Crisis-Driven Exposure

DriversEconomic Obstacles

to Growth in Workers Comp Insurance

Page 31: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

37

New Private Housing Starts,1990-2010F (Millions of Units)

2.07

1.80

1.36

0.90

0.57

0.79

1.48

1.351.

46

1.29

1.20

1.01

1.19

1.47

1.62 1.64

1.57 1.60 1.

71

1.85 1.

960.50.60.70.80.91.01.11.21.31.41.51.61.71.81.92.02.1

90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09F 10F

Weakness is housing is symptomatic of problems in construction and ancillary

industries

Impacts also for comml. insurers with WC and construction risk exposure

New home starts plunged 34%

from 2005-2007; Drop through 2009 is 72% (est.)—a net

annual decline of 1.5 million units,

lowest since record began in

1959

I.I.I. estimates that each incremental 100,000 decline in housing starts costs

home insurers $87.5 million in new exposure (gross premium). The net

exposure loss in 2009 vs. 2005 is estimated at about $1.3 billion.

Source: US Department of Commerce; Blue Chip Economic Indicators (11/09); Insurance Information Inst.

Page 32: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

38

Total Industrial Production,(2007:Q1 to 2010:Q4F)

1.5%3.2%3.6%

0.3%0.2%

-4.6%

-9.0%

-13.0%

-19.0%

-10.3%

4.5%4.3%4.3%4.5%5.2%5.5%

-25.0%

-20.0%

-15.0%

-10.0%

-5.0%

0.0%

5.0%

10.0%

07:Q

1

07:Q

2

07:Q

3

07:Q

4

08:Q

1

08:Q

2

08:Q

3

08:Q

4

09:Q

1

09:Q

2

09:Q

3

09:Q

4

10:Q

1

10:Q

2

10:Q

3

10:Q

4

Sources: US Bureau of Labor Statistics; Blue Chip Economic Indicators (1109); Insurance Info. Inst.

Industrial production began

to contracted sharply in late

2008 and plunged in Q1 2009

End of recession in mid-2009, Obama stimulus program are benefiting industrial production, but insurance exposure lags as most gains are productivity driven

Figures for H2 2009 and 2010 revised

upwards to reflect expected impact of Obama stimulus

program and a gradual economic recovery

Page 33: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

39

Private Sector Business Starts,1993:Q2-2008:Q4*

175

186

174

180

186

192

188

187 18

918

6 190 19

419

119

9 204

202

195

196

196

206

206

201

192

198

206

206

203

211

205

212

200 20

520

420

419

720

320

9

203

192

192

193

201 20

420

221

0 212

209

216 22

0 223

220

220

210

221

212

204

218

210

209

195

187 18

9

201

150

160

170

180

190

200

210

220

230

93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08

Business starts are down 15% in the current downturn, holding back most types of commercial

insurance exposure

*Latest available as of Oct. 2009.Source: Bureau of Labor Statistics: http://www.bls.gov/news.release/cewbd.t07.htm

Thousands189,000 business starts

were recorded 2008:Q4, the lowest

level since 1995

Page 34: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

40

Business Bankruptcy Filings,1980-2009*

43,6

94

48,1

25

69,3

00

62,4

36

64,0

04

71,2

77

81,2

35

82,4

46

63,8

53

63,2

35

64,8

53

71,5

49

70,6

43

62,3

04

52,3

74

51,9

59

53,5

49

54,0

27

44,3

67

37,8

84

35,4

72

40,0

99

38,5

40

35,0

37

34,3

17

39,2

01

19,6

95

28,3

22 4

3,5

46

60,0

00

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

90,000

80

81

82

83

84

85

86

87

88

89

90

91

92

93

94

95

96

97

98

99

00

01

02

03

04

05

06

07

08

09

% Change Surrounding Recessions

1980-82: 58.6%1980-87: 88.7%1990-91: 10.3%2000-01: 13.0%

2006-09: 204.6%*

*Based estimate of 60,000 business bankruptcies in 2009; actual first half total was 30,333.Source: American Bankruptcy Institute; Insurance Information Institute

There were 30,333 business bankruptcies during the first half of 2009, up 64% from 2008: H1 and on track for about 60,000 for all of 2009, the most since 1993. Current

recession will generate 200%+ surge.

Business bankruptcies contribute to litigation

Page 35: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

Change in Frequency: Business Cycle Impacts are Clear

Growth Rates, Workplace Illness and Injury—Manufacturing

© Copyright 2009 NCCI Holdings, Inc. All Rights Reserved.

Note: Recessions indicated by gray bar

Note: Recessions indicated by gray bar.

Sources: NCCI from U.S. Bureau of Labor Statistics; National Bureau of Economic Research

Recessions push the change in frequency down, expansion push it up

Page 36: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

Growth in Indemnity Severity Eased Coming Out of Prior Recessions

Accident/Calendar YearSource: NCCI; 2008p: Preliminary based on data valued as of 12/31/2008

1991–2007: Based on data through 12/31/2007, developed to ultimate

Based on the states where NCCI provides ratemaking services, including state funds

Excludes high deductible policies

Indemnity Claim Cost ($000s)

Economic Recessions

© Copyright 2009 NCCI Holdings, Inc. All Rights Reserved.

Lost Time Claims

Page 37: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

Medical Claim Costs IncreasedDuring Prior Recessions

Accident/Calendar Year

Medical Claim Cost ($000s)

Economic Recessions

© Copyright 2009 NCCI Holdings, Inc. All Rights Reserved.

Source: NCCI; 2008p: Preliminary based on data valued as of 12/31/2008

1991–2007: Based on data through 12/31/2007, developed to ultimate

Based on the states where NCCI provides ratemaking services, including state funds

Excludes high deductible policies

Total Medical Claims

Page 38: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

P/C INSURANCE FINANCIAL

PERFORMANCE

A Resilient Industry in Challenging Times

Page 39: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

P/C Profitability Overview

A Profit Recovery is Underway

Page 40: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

52

P/C Net Income After Taxes1991-2009:H1 ($ Millions)*

$14,

178

$5,8

40

$19,

316

$10,

870

$20,

598

$24,

404 $3

6,81

9

$30,

773

$21,

865

$3,0

46

$30,

029

$62,

496

$2,3

79

$5,7

57

-$6,970

$65,

777

$44,

155

$20,

559 $3

8,50

1

-$10,000

$0

$10,000

$20,000

$30,000

$40,000

$50,000

$60,000

$70,000

$80,00091 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08

09:H

1

*ROE figures are GAAP; 1Return on avg. surplus. Excluding Mortgage & Financial Guaranty insurers yields an 4.5% ROAS for 2008 and 2.2%. 2009:Q1 net income was $10.0 billion excl. M&FG.Sources: A.M. Best, ISO, Insurance Information Inst.

2005 ROE= 9.4%2006 ROE = 12.2%2007 ROAS1 = 12.4%2008 ROAS = 0.5%*2009:H1 ROAS = 2.5%*

Insurer profits peaked in 2006 and 2007, but fell 96.2% during the economic

crisis in 2008

52

Page 41: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

53

97.5

100.6 100.1 100.7

92.6

99.5101.0

8.9%4.2%

12.7%

14.3% 15.9%

9.6%

4.5%

80

85

90

95

100

105

110

1978 1979 2003 2005 2006 2008* 2009:H1*

Co

mb

ined

Ratio

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

Retr

un

on

Eq

uity*

Combined Ratio ROE*

* 2008/9 figures are return on average statutory surplus. Excludes mortgage and financial guarantee insurers.Source: Insurance Information Institute from A.M. Best and ISO data.

A 100 Combined Ratio Isn’t What it Used to Be: 95 is Where It’s At

Combined ratios must me must lower in today’s depressed

investment environment to generate risk

appropriate ROEs

Page 42: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

55

P/C Reserve Development, 1992-2011E

-6.6

-9.8

13.7

9.9

7.3

-6.7

-9.5

-14.

6

-16 -15

-5

23.2

11.7

1

-4.1

-9.9

-2.1

-8.3

-2.6

2.3

($20)

($15)

($10)

($5)

$0

$5

$10

$15

$20

$25

$30

92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10E 11E

Pri

or Y

r. R

eser

ve R

elea

se ($

Bill

)

(6)

(4)

(2)

0

2

4

6

8

Impa

ct o

n C

ombi

ned

Rat

io (P

oint

s)

Prior Yr Reserve Development ($ Bill) Impact on Combined Ratio (Points)

.

Note: 2005 reserve development excludes a $6 billion loss portfolio transfer between American Re and Munich Re. Including this transaction, total prior year adverse development in 2005 was $7 billion. The data from 2000 and subsequent years excludes development from financial guaranty and mortgage insurance. Source: Barclay’s Capital; A.M. Best.

Reserve releases have contributed to good calendar year

underwriting results and bolstered the

bottom line

Redundant releases will shrink in 2010 and 2011, exerting

pressure on the bottom line

Page 43: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

P/C Premium Growth

Any Recovery in Revenues Will Lag Severely Behind

Profitability Improvements

Page 44: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

59

-6%

-4%-2%

0%

2%4%

6%

8%10%

12%

14%16%

18%

20%22%

24%

1971

1972

1973

1974

1975

1976

1977

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

09:H

1

Sources: A.M. Best (historical and forecast), ISO, Insurance Information Institute

Strength of Recent Hard Marketsby NWP Growth

1975-78 1984-87 2000-03

59

Net written premiums fell 1.0%

in 2007 (first decline since 1943)

by 1.4% in 2008, and 4.2% in H1 2009, the first 3-

year decline since 1930-33

Shaded areas denote “hard

market” periods

Page 45: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

60

Average Commercial Rate Change,All Lines, (1Q:2004 – 3Q:2009)

-3.2

%

-5.9

%

-7.0

%

-9.4

%

-9.7

% -8.2

%

-4.6

% -2.7

%

-3.0

%

-5.3

%

-9.6

%

-11.

3%

-11.

8%

-13.

3% -12.

0%

-13.

5%

-12.

9% -11.

0%

-6.4

% -5.1

%

-4.9

%-5

.8%

-16%

-14%

-12%

-10%

-8%

-6%

-4%

-2%

0%

1Q04

2Q04

3Q04

4Q04

1Q05

2Q05

3Q05

4Q05

1Q06

2Q06

3Q06

4Q06

1Q07

2Q07

3Q07

4Q07

1Q08

2Q08

3Q08

4Q08

1Q09

2Q09

3Q09

Source: Council of Insurance Agents & Brokers; Insurance Information Institute

KRW Effect

-0.1

% Magnitude of price declines is now

shrinking. Reflects shrinking capital,

reduced investment gains, deteriorating

underwriting performance, higher cat losses and costlier

reinsurance

Page 46: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

61

Average Workers Comp Rate Change,(1Q:2007 – 3Q:2009)

-11.6%-11.2%-11.9%-12.1%-12.3%

-9.9%

-5.5%-4.6%

-4.0%-4.6%

-9.4%

-16%

-14%

-12%

-10%

-8%

-6%

-4%

-2%

0%1Q

07

2Q07

3Q07

4Q07

1Q08

2Q08

3Q08

4Q08

1Q09

2Q09

3Q09

Source: Council of Insurance Agents & Brokers; Insurance Information Institute

Magnitude of price decline actually

increased in Q3:2009 but is still much

smaller than is 2008

Declining prices eat into premiums above and

beyond recession-induced exposure losses

Page 47: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

P/C Investment Performance

Investments are a Principle Source of Declining

Profitability

Page 48: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

63

Property/Casualty Insurance Industry Investment Gain:1994- 2009:H11

$ Billions

$35.4

$42.8$47.2

$52.3

$44.4

$36.0

$45.3$48.9

$59.4$55.7

$64.0

$31.4

$12.4

$56.9$51.9

$57.9

$0

$10

$20

$30

$40

$50

$60

1Investment gains consist primarily of interest, stock dividends and realized capital gains and losses. 2006 figure consists of $52.3B net investment income and $3.4B realized investment gain. *2005 figure includes special one-time dividend of $3.2B.Sources: ISO; Insurance Information Institute.

Investment gains fell by 51% in 2008 due to lower yields, poor equity market

conditions. Falling again in 2009.

63

Page 49: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

66

0.04% 0.07% 0.16%0.37%

0.95%

1.46%

2.33%

2.96%3.39%

4.82% 4.96% 5.04% 4.96% 4.82% 4.82% 4.88% 5.00% 4.93% 5.00% 5.19%

4.19%4.16%

0%

1%

2%

3%

4%

5%

6%

1M 3M 6M 1Y 2Y 3Y 5Y 7Y 10Y 20Y 30Y

October 2009 Yield CurvePre-Crisis (July 2007)

Treasury Yield Curves: Pre-Crisis (July 2007) vs. Oct. 2009

Sources: Board of Governors of the United States Federal Reserve Bank; Insurance Information Institute.

Stock dividend cuts will further pressure investment income

Treasury Yield Curve is at its most depressed level in at least 45 years. Investment

income is falling as a result.

Page 50: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

68

Important Issues & Threats Facing Insurers: 2010 - 2015

Source: Insurance Information Inst.

Long-Term Reduction in Investment Earnings Low interest rates, risk aversion toward equities and many

categories of fixed income securities lock in a multi-year trajectory toward ever lower investment gains

Fed actions in Treasury markets keep yields low Many insurers have not adjusted to this new investment

paradigm of a sustained period of low investment gains Regulators will not readily accept it; Many will reject it Implication 1: Industry must be prepared to operate in

environment with investment earnings accounting for a smaller fraction of profits

Implication 2: Implies underwriting discipline of a magnitude not witnessed in this industry in more than 30 years. Yet to manifest itself.

Lessons from the period 1920-1975 need to be relearned

Page 51: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

Capital/Policyholder

Surplus

Shrinkage, but Not Enough to

Trigger Hard Market

Page 52: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

71

Policyholder Surplus, 2006:Q4 – 2009:H1

$ Billions

$487.1$496.6

$512.8$521.8

$478.5

$455.6

$437.1

$463.0

$505.0$515.6

$517.9

$380

$400

$420

$440

$460

$480

$500

$520

$540

06:Q4 07:Q1 07:Q2 07:Q3 07:Q4 08:Q1 08:Q2 08:Q3 08:Q4 09:Q1 09:Q2

Source: ISO, AM Best.

Declines Since 2007:Q3 Peak

08:Q2: -$16.6B (-3.2%) 08:Q3: -$43.3B (-8.3%) 08:Q4: -$66.2B (-12.9%) 09:Q1: -$84.7B (-16.2%)

09:Q2: -$58.8B (-11.2%)

Capacity peaked at $521.8 as of 9/30/07

71

Page 53: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

72

Ratio of Insured Loss to Surplus for Largest Capital Events Since 1989*

3.3%

9.6%

6.9%

10.9%

16.2%

13.8%

6.2%

0%2%4%6%8%

10%12%14%16%18%

6/3

0/1

989

Hu

rric

an

eH

ug

o

6/3

0/1

992

Hu

rric

an

eA

nd

rew

12/3

1/9

3N

ort

hri

dg

eE

art

hq

uake

6/3

0/0

1S

ep

t. 1

1A

ttacks

6/3

0/0

4F

lori

da

Hu

rric

an

es

6/3

0/0

5H

urr

ican

eK

atr

ina

Fin

an

cia

lC

risis

as o

f3/3

1/0

9**

*Ratio is for end-of-quarter surplus immediately prior to event. Date shown is end of quarter prior to event. **Date of maximum capital erosion; As of 6/30/09 (latest available) ratio = 11.2%.Source: PCS; Insurance Information Institute.

The financial crisis now ranks as the largest

“capital event” over the past 20+ years

Page 54: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

-15%

-10%

-5%

0%

5%

10%

15%

20%

25%

30%

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

NWP % changeSurplus % change

*2009 NWP and Surplus figures are % changes for H1:09 vs H1:08Sources: A.M. Best, ISO, Insurance Information Institute

Historically, Hard Markets Follow When Surplus “Growth” is Negative*

Sharp decline in capacity is a necessary but not sufficient

condition for a true hard market

Page 55: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

FINANCIAL STRENGTH &

RATINGS Industry Has Weathered

the Storms Well

Page 56: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

75

P/C Insurer Impairments,1969-2008

815

12

711

934

913

12

19

916

14

13

36

49

31 3

450

48

55

60

58

41

29

16

12

31

18 19

49 50

47

35

18

14 15

75

0

10

20

30

40

50

60

70

69

70

71

72

73

74

75

76

77

78

79

80

81

82

83

84

85

86

87

88

89

90

91

92

93

94

95

96

97

98

99

00

01

02

03

04

05

06

07

08

The number of impairments varies significantly over the p/c insurance cycle,

with peaks occurring well into hard markets

Source: A.M. Best; Insurance Information Institute

Page 57: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

79

Reasons for US P/C Insurer Impairments, 1969-2008

Source: A.M. Best: 1969-2008 Impairment Review, Special Report, Apr. 6, 2008

Deficient loss reserves and inadequate

pricing are the leading cause of

insurer impairments,

underscoring the importance of

discipline. Investment

catastrophe losses play a much smaller role.

Reinsurance Failure3.7%

Rapid Growth14.3%

Misc.9.1%

Affiliate Impairment

7.9%

Sig. Change in Business

4.2%

Deficient Loss

Reserves/In-adequate Pricing38.1%

Investment Problems

7.0%

Alleged Fraud8.1%

Catastrophe Losses7.6%

Page 58: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

Workers Compensation

Review:

Underwriting andOperating Performance

Page 59: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

102

97

111 110107

103

93

101 101100 101

107

115118

122

80

85

90

95

100

105

110

115

120

125

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008p

Percent

p Preliminary. Sources: Calendar Years 1994-2007, A.M. Best Aggregates & Averages; Calendar Year 2008p NCCIIncludes dividends to policyholders

Workers Comp Combined Ratios, (Calendar Year, Private Carriers) 1994-2008p

WC insurers lopped 29 points off the combined ratio in just 5 years, but soft market is taking toll

Page 60: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

Workers CompCost Drivers

Medical/Indemnity Frequency & Severity

Trends

Page 61: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

Workers Compensation Medical Claim Trends

Page 62: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

$8.5 $8.6$8.4$9.2$9.6$10.3

$11.4$12.3

$13.6$14.6

$16.6$18.0

$19.2$20.3

$21.8$23.1

$24.5$26.0

$5

$10

$15

$20

$25

91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08p

Annual Change 1991–1993: +1.9%Annual Change 1994–2001: +8.9%Annual Change 2002-2007: +6.7%

Accident Year

MedicalClaim Cost ($000s)

2008p: Preliminary based on data valued as of 12/31/20081991-2007: Based on data through 12/31/2007, developed to ultimateBased on the states where NCCI provides ratemaking services; Excludes the effects of deductible policies

Workers Comp Medical Claims Costs Continue to Climb

Cumulative Change = 210%(1993-2008p)

Page 63: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

4.5%3.5%

2.8% 3.2%3.5%4.1%

4.6%4.7%4.0%4.4% 4.2%4.0%4.4%

3.7%

5.1%

7.4%

10.1%

8.3%

10.6%

7.3%

13.6%

7.6%7.2%6.2%

9.2%8.6%

5.8%6.0%

0%

2%

4%

6%

8%

10%

12%

14%

16%

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

Change in Medical CPIChange Med Cost per Lost Time Claim

WC Medical Severity Rising at Double the Medical CPI Rate

Sources: Med CPI from US Bureau of Labor Statistics, WC med severity from NCCI based on NCCI states.

Average annual increase in WC medical severity from

1995 through 2008 was more than twice the medical CPI

rate (8.1% vs. 4.0%)

Page 64: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

Med Costs Share of Total Costs is Increasing Steadily

Indemnity54%

Medical46%

Source: NCCI (based on states where NCCI provides ratemaking services).

Indemnity47% Medical

53%

Indemnity42%

Medical58%1988

1998

2008p

Page 65: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

Indemnity Claim Cost Trends

Page 66: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

$10.0

$9.7

$9.4

$9.9

$10.1

$10.7

$11.5

$12.5

$13.8

$15.2

$16.6

$17.1

$17.9

$21.2

$20.2

$19.5

$18.1

$18.6

+3.4%

+1.0% -3.1% -2.8% +4.9%+1.7%+5.9%

+7.7%+9.0%

+10.1%

+10.1%

+8.9%+2.3%+4.5%+1.1%

+3.0%+4.8%

5

7

9

11

13

15

17

19

21

23

1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008p

IndemnityClaim Cost ($ 000s)

Annual Change 1991–1993: -1.7%Annual Change 1994–2001: +7.3%Annual Change 2002–2007: +3.4%

2008p: Preliminary based on data valued as of 12/31/20081991–2007: Based on data through 12/31/2007, developed to ultimateBased on the states where NCCI provides ratemaking servicesExcludes the effects of deductible policies

Workers Compensation IndemnityClaim Costs Continue to Grow

Lost-Time Claims

Accident Year

+5.0

Page 67: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

3.0%

4.3%5.0%

4.4%5.2%

4.4%

2.4%2.0%

2.4%2.8%

3.4%3.3%3.7%

5.9%

7.7%

9.0%

10.1%

4.4%

1.3%

3.0%

4.8%

3.4%

5.0%

3.0%3.1%

9.2%10.1%

1.7%

0%

2%

4%

6%

8%

10%

12%

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

Change in CPS Wage Change in Indemnity Cost per Lost-Time Claim

WC Indemnity Severity vs. Wage Inflation

2008p: Preliminary based on data valued as of 12/31/2007; 1991-2007: Based on data through 12/31/2006, developed to ultimate. Based on the states where NCCI provides ratemaking services. Excludes the effects of deductible policies. CPS = Current Population Survey.Source: NCCI

WC indemnity severity is once again outpacing

wage inflation

Page 68: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

Premium Growth &Pricing Environment

Page 69: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

31.0 31.3 29.8 30.5 29.126.3 25.2 24.2 23.3 22.3

25.0 26.129.3 31.1

34.7 34.037.737.8 38.7

31.0 31.329.8 30.5

29.126.3

28.226.9 25.9 25.0

28.5

32.0

37.5

42.0

46.244.2

39.3

47.546.3

0.0

10.0

20.0

30.0

40.0

50.0

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 20072008p

State Funds ($ B)Private Carriers ($ B)

Total Workers Compensation Premium Declined Again in 2008

Net Written Premium

Calendar Year

$ Billions

p Preliminary

Source: 1990–2007 Private Carriers, A.M. Best Aggregates & Averages; 2008p, NCCI 1996–2008p State Funds: AZ, CA, CO, HI, ID, KY, LA, MO, MT, NM, OR, RI, TX, UT Annual Statements State Funds available for 1996 and subsequent

Page 70: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

* States approved through 4/17/2009Countrywide approved changes in advisory rates, loss costs and assigned risk rates as filed by the applicable rating organization

History of Average WC Bureau Rate/Loss Cost Level Changes

12.1

7.4

10.0

2.9 3.5

1.2

4.9

6.6

-1.7

-6.6

-3.1

-6.0

-2.6

-5.4

-8.0

-6.0

-3.2

-6.4-5.1

-5.7

-10

-5

0

5

10

15

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008* 2009*

Cumulative1990-1993

+36.3%

Cumulative 1994-1999

-27.8%

Percent

Cumulative 2000-2003

+17.1%

Cumulative 2004-2009

-25.2%

Calendar Year

Page 71: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

EMERGING TRENDS & CHALLENGES IN WORKERS COMP

Page 72: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

#1Emerging (Mega) Trend

The Obesity Epidemic

Page 73: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

106

In Every State (except Colorado), Over 20% of the Adult Population is Obese

Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System www.cdc.gov/Features/dsObesity

Page 74: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

107

The Most Obese Workers File Twice as ManyWC Claims as Healthy-Weight Workers

40.9760.17

75.21

14.19

183.63

117.61

5.53 5.807.05

10.80

8.81

11.65

0

20

40

60

80

100

120

140

160

180

200

BMI <18.5(Underweight)

18.5-24.9(HealthyWeight)

25-29.9(Overweight)

30-34.9 (ObeseClass I)

35-39.9 (ObeseClass II)

40+ (ObeseClass III)

Los

t W

ork

day

s p

er 1

00 F

TE

s

0

2

4

6

8

10

12

14

Cla

ims

per

100

FT

Es

Lost Workdays Claims

Source: Ostbye, T., et al, “Obesity and Workers Compensation,” Archives of Internal Medicine, April 23, 2007.

The most obese have 13 times more lost workdays

than healthy weight workers

Page 75: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

108

WC Medical Claims Costs are 6.8x Higher for the Most Obese Workers

$7,1

09

$13,

338

$19,

661

$3,9

24

$5,3

96 $13,

569

$34,

293

$7,5

03

$51,

091

$23,

373

$23,

633

$59,

178

$0

$10,000

$20,000

$30,000

$40,000

$50,000

$60,000

$70,000

BMI <18.5(Underweight)

18.5-24.9(Healthy Weight)

25-29.9(Overweight)

30-34.9 (ObeseClass I)

35-39.9 (ObeseClass II)

40+ (ObeseClass II)

Medical Claims Costs Indemnity Claims Costs

Source: Ostbye, T., et al, “Obesity and Workers Compensation,” Archives of Internal Medicine, April 23, 2007.

Indemnity costs are 11 times higher for the most obese workers than for healthy-

weight workers.

Page 76: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

#2Emerging (Mega)Trend

The Aging Workforce

Page 77: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

110Source: US Bureau of Labor Statistics, 2004.

40.5

39.0

35.8

34.335.2

36.6

38.0

39.440.6 40.7

30

32

34

36

38

40

42

1962 1970 1975 1980 1985 1990 1995 2000 2005 2008Year

U.S. Workforce is Aging: Significant Implications for Workers Comp

Median Age of U.S. Worker

The median age of US workers as the Baby Boomer begin to retire is about 41 years. Immigration will hold this

number down and may even lower the figure.

Older and less healthy workforce

Page 78: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

111

Fatal Work Injury RatesClimb Sharply With Age

5.04.2

3.73.32.72.8

0.9

11.2

0

2

4

6

8

10

12

16-17 18-19 20-24 25-34 35-44 45-54 55-64 65+

Source: US Bureau of Labor Statistics, US Department of Labor; Insurance Information Institute.

The fatality rate for workers 65 and older is triple that of workers age 35-44. The workplace of the future will have to be completely redesigned to accommodate

the surge in older workers.

Fatal Work Injuries per 100,000 Workers (2006)

Page 79: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

112

Older Workers Have More Lost Time from Work Due to Injury or Illness

1211

10

8

6

44

0

2

4

6

8

10

12

14

16-19 20-24 25-34 35-44 45-54 55-64 65+

Source: US Bureau of Labor Statistics, US Department of Labor

There will be more lost time as the workforce ages

in the future

Median Days Away From Work (2005)

Age 65+ workers median lost time is 50% greater than workers age 35-44

Page 80: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

#3Emerging (Mega) Trend

Distracting Driving/ Equipment Operation

Page 81: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

618665 651

691734

810719 696

822770

827 814

1,0741,0801,036

927860

643559 567 540 542

1,242

1,3431,3461,3461,393

1,4421,365

1,4091,3731,3531,398

1,4371,356

1,249

721706

716600 632

609677

651714

1,044

1,496

1,158

400

600

800

1000

1200

1400

1600

1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

Falls Homicides Highway Incidents

Four Most Frequent Work-Related Fatal Events, 1992-2007

Highway incidents are the leading cause of occupational death and are

down due to recession, but distracted driving will likely become

more of a problem

Source: US Bureau of Labor Statistics, US Department of Labor; Insurance Information Institute.114

Page 82: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

Distracted Driving/Equipment Operation is a Growing in General

and Therefore for WC Too

Source: Nationwide Insurance, 2008 Driving While Distracted Survey; Insurance Information Institute.

Q. Do you ever do other tasks like talk on cell phones, eat or

drink while driving?

No27.6%

Yes72.4%

Nearly 3/4 of drivers

admitted to distracted

driving. Also occurs in

occupational settings

Q. Have you ever been hit or nearly hit by someone talking on a cell phone?

No53.1%

Yes45.4%

Don't Know1.5%

Nearly half have been hit or nearly hit

Distracted driving and equipment operation while working is a major and rapidly growing problem but

is largely unquantified115

Page 83: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

116

Who’s Driving While Distracted? Everyone!

65.3%

80.3%78.4%

59.8%

50%

55%

60%

65%

70%

75%

80%

85%

Teens (16-17) Gen Y (18-30) Gen X (31-44) Boomers (45-61)

Examples of Occupational Settings Involving Actual

Distraction IncidentsAircraft

Taxi DriversTruck Drivers

Crane OperatorsFarm Equipment

Landscaping EquipmentHeavy Equipment Operators

Paving EquipmentWatercraft & Aircraft

Fork LiftTrains/Mass Transit

Median Days Away From Work (2005)

Source: Nationwide Insurance, 2008 Driving While Distracted Survey; Insurance Information Institute.

Page 84: Making Sense of Now and Forecasting the Future The Economy’s Impact on Workers Compensation National Workers Compensation and Disability Conference &

Insurance Information Institute On-Line

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