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Presentation from the 2nd Annual Meeting for the Contractors Self-Insurance Trust Fund, providing workers' compensation insurance to New York State Contractors.
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Welcome to the
Second Annual Meeting
January 19, 2011
Contractor Self-Insurance Trust
Introductions Audited Financial Statement Review
◦ 9/30/10 Statement
Current Events for Self-Insurance Groups◦ Current Regulations◦ The Truth about “Trust to Trust” Liability◦ Future Plans
Safety◦ Introduction Packet Review◦ MQM™◦ Large Loss Report
Survey Results Questions and Answers
Agenda
Assets 2010
Cash 886,225
Contributions and other receivables 354,303
Investments 5,048,492
Prepaid Expenses 146,028
Receivable under reinsurance contract 185,409
Deferred income taxes 28,800
Total Assets 6,649,257
Financial Review Balance Sheet
Liabilities 2010
Unpaid losses and loss adjustment expense
Case-basis reserves 2,200,900
Incurred but not reported (IBNR) 1,738,100
Accounts Payable 45,370
Accrued WCB assessments 334,386
Accrued member dividends 609,997
Accrued management fee and insurance 55,453
Accrued income taxes -
Total Liabilities 4,984,206
Financial Review Balance Sheet
Members' Equity 2010
Members deposits 465,147
Retained earnings 1,213,807
Accumulated other comprehensive income (loss) (13,903)
Members' Equity 1,665,051
Financial Review Balance Sheet
Revenues 2010
Contributions Earned 2,452,270
Reinsurance Premiums (351,712)
Members Dividends 350,000
Net Contributions Earned 2,450,558
Investment Income 93,671
Total Revenues 2,544,229
Expenses 2010
Unpaid losses and loss adjustment 1,110,755
General and administrative 594,515
Workers Comp Board assessments 382,110
Total Expenses 2,087,380
Totals
Income before taxes 456,849
Provision for income taxes 159,500
Net Income 297,349
Financial Review Income Statement
Contractor Self-Insurance Trust Fully Funded
Trust Industry Shakeout
What we have learned from failed Trusts◦ Rates set too low
◦ Selection criteria failures
◦ Not enough AP & S services offered
◦ No member underwriting
◦ Trustees not involved enough
Current Events in the Self-Insurance World
In the past, not enough regulation
WCB actions to increase regulation◦ Trusts must be fully funded on a regulatory basis
◦ Definition moved from 90% to 100%
◦ Not all assets counted as regulatory
Statutory Security deposits
Assets pledged as collateral for bonds
A/R over 90 days old
Unearned premiums
Differed taxes and tax assets
Prepaid expenses
Current Regulations
◦ All Groups must now use a January 1 fiscal year
◦ Investment Restrictions
No limit on government obligations
Maximum of 25% in corporate stocks & bonds
Maximum of 5% in any one corporation
Maximum of 5% in foreign corporations
◦ Strict reporting requirements
◦ Before each fiscal year begins
Rate adequacy actuarial study required
Budget worksheet required
All fixed and variable expenses required
Budget must be approved 60 days prior to year start
Current Regulations (cont.)
◦ Year End Reporting
Financial Statements
Actuarial Reports
Payroll by codes
Trustee meeting minutes
◦ Dividend Distributions
WCB must approve
WCB distribution schedule (If period still fully funded)
Months after FY Amt allowed to be pd
24 25%
36 33%
48 50%
60 100%
Current Regulations (cont.)
Rumors about failed trusts bringing down healthy trust
Misunderstandings from carriers and agents
The Truth◦ NY Compensation system is paid for by assessments on self-
insurers and traditional insureds
25A: Reopened Cases
15-8: Second Injury Fund
151: Administrative Expenses of WCB
IDP: Funds studies by the DOH and DOL
50-5: Expenses of the SID of the WCB, including payments to
claimants of defaulted self-insurers
The Truth About “Trust to Trust” Liability
WCL Section 50-5
Assessment Trust's Trust audited 50-5 as %
Year Amount Share Premium of Premium
2003 6,210,191 2,388 2,750,747 0.1%
2004 7,297,434 3,595 2,928,007 0.1%
2005 8,078,400 3,114 3,491,866 0.1%
2006 8,838,600 4,152 3,194,084 0.1%
2007 19,045,273 8,368 3,430,836 0.2%
2008 33,144,000 89,933 3,254,575 2.8%
2009 18,200,000 50,168 2,787,329 1.8%
2010 12,400,000 35,327 2,452,270 1.4%
The Truth About “Trust to Trust” Liability (cont.)
Contractors Trust positioned very well◦ Fully Funded
◦ Rates remain low
◦ Payroll reporting method is unique
◦ AP & S Services
◦ MQM™ Program
Other challenges met◦ 2007 WC Reform Law
Reduced rates by 33% from 2006 levels
Maximum claimant benefit doubled from $400 to $800
Pharmaceutical and medical costs increased
Recession reduced payrolls and premiums
Future Plans
Future Optimism◦ 2010/2011 rates were increased 20% for our group
signaling a beginning to the end to the soft market.
◦ Medical Treatment Guidelines effective 12/1/10
◦ Articles on the difficulty in writing WC insurance and
carriers being disciplined in underwriting
◦ OUR members have been excellent in preventing
accidents and responding to our AP & S
recommendations.
Future Plans (cont.)
Introduction Packet Review◦ AP & S Services
◦ Tool Box Talks
◦ Housekeeping Inspections (shop only)
◦ Jobsite Inspections
◦ Job Safety Training Certificate Forms
◦ Accident Investigation Forms
◦ Avoid and Minimize Hearing Loss Claims
◦ Pre-Placement Physical Exams
◦ Sample Disciplinary Action Policies
◦ Safety Posters
Safety
MQM™ Program◦ Series of AP & S questions that are revised each year to
respond to the ongoing safety needs of a member
65% of scoring
◦ Combined with 5 year loss information
35% of scoring
◦ Can lead to SAFETY discounts or surcharges of:
10%
5%
0%
5% surcharge
◦ See current questions and score sheet.
Safety (cont.)
™
EMPLOYER NAME:
EVALUATION DATE: 5/26/2009 8/24/2009
NCA EVALUATOR: JM JM
MQM - Part II: Loss Ratio Score (1/3 weight)*
Total Points Points
Element Available Scored
1 Responsibility & Accountability 15 15 Year Premium Losses Loss Ratio Loss Ratio % of points
2 Safety Meetings & Communications 15 5 2008 15,796 - 0% <10% 100%
3 Accident Investigations 10 10 2007 17,219 - 0% 10 to 25% 75%
4 Occupational Health Program 20 20 2006 19,883 - 0% >25 to 50% 50%
5 Safe Working Conditions & Practices 5 5 2005 16,827 - 0% >50% 0%
TOTAL 65 55 2004 13,461 - 0%
Time Total Points Actual % of points Points
Period Available Loss Ratio (%) scored Scored
1 Year 7 0.0 100% 7
3 Years 11 0.0 100% 11
5 Years 17 0.0 100% 17
TOTAL 35 35
* Final loss ratio score for 2009 will be based on losses as of 8/1/2009.
The most recent loss information provided to NCA at time of sign-up
was used for members not in the Trust during the 5 yr period.
AP& S Prog. Loss Ratio Total GRADING CURVE: Under
Points Scored 55 35 90 Review Good Better Best
Distribution of members 5.1% 46.7% 29.2% 19.0%
Score bands
From 0 pts.
To 45 pts.
From 45 pts.
To 74 pts.
From 75 pts.
To 89 pts.
From 90 pts.
To 100 pts.
10% PREMIUM CREDITS: -5% 0% 5% 10%
MQM - Part I: AP&S Program Assmt. (2/3 weight)
2009 PREMIUM CREDIT EARNED:
Actual Experience for past 5 full years Score formula
This scorecard measures a member's quality by applying a score to the quality of their accident prevention & safety (AP&S) program and their actual loss ratio over 1, 3 and 5 year periods.
The grades are good, better, best and "under review". Under review means the employer needs action to get them to the minimalacceptable Trust Fund standards. Members who are scored "under review" may be subject to surcharged premiums.
Scores of:
90 – 100 earning 10%; 21 members
75 – 90 earning 5%; 53 members
45 – 75 earning 0%; 44 members
0 – 45 earning -5%; 14 members
MQMTM 2010 Results
11
8
43
2 2
Body Part
Safety (cont.)
Large Losses Report
10%3%
7%
14%
30%
23%
13%
Age Range of Claiments
18-25 26-30 31-35 36-40 41-45 46-50 51-61
Safety (cont.)
Large Losses Report
27%
10%
13%10%
10%
10%
20%
Time Working for Company
6 Mos or Less 6 Mos to a Year 1-2 Years 3-5 Years 6-12 Years 15 Years or More Unknown
Actual Time for 6 Months or Less.
1 - 3 Days2 - 2 Weeks1 - 2 Months3- 3 Months1 - 4 Months
Safety (cont.)
Large Losses Report
82%
9%
9%
Cause of Back Claims
Lifting Operating Machinery Fall from Height
Safety (cont.)
Large Losses Report
Lifting Causes◦ Lifting 80 lbs bag
◦ Moving pool heater
◦ Moving ladder
◦ Moving saw
◦ Lifting door frame (2)
◦ Struck with 2 x 6 from above
◦ Lifting lid and turned wrong
◦ Fell from ladder
◦ Others (2)
Safety (cont.)
Large Losses Report
Summary of what to do to prevent a large loss◦ Excellent hiring practices
◦ Pre-placement Physicals
◦ Proper Training of new employees
◦ Proper Lifting Training
◦ When lifting something heavy “Ask for Help!”
Safety (cont.)
Large Losses Report
97.4% 97.4%
96.8% 96.7%96.1%
95.6%95.2%
94.7%
93.8%93.3%
92.9%
91.2% 91.1%
90.4%90.0%
Examiner
Professionalism
AP&S Examiner
Contact
Examiner
Knowledge of
Claims
Examiner
Responsiveness
Availability
AP&S
Newsletter Audits Claim
Reporting
Loss
Runs/Certs
Professionalism
of Reception
Billing
Procedures
Availability
Upper
Management
Accounting
Staff
Quotes
NCAComp Service Quality Total Scores
Customer Survey Results
Questions
Complete Questionnaire
Lunch
Questions and Answers