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Texas PRIMA November 12-15, 2017 Galveston, TX Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk Solutions Sheri Swain Director of Enterprise Risk Management Maricopa County Community College District

Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

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Page 1: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

Determining Your Entity’s Total Cost of Risk

Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector

Aon Risk Solutions

Sheri Swain

Director of Enterprise Risk Management Maricopa County Community College District

Page 2: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

Learning Objectives

1. Define Total Cost of Risk

2. Identify and discuss TCOR Components

3. Examine ways to optimize and utilize TCOR

4. Examine ways to control TCOR

Page 3: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

What gets measured…..

…..gets managed.

Page 4: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

Page 5: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

What is Total Cost of Risk

Page 6: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

Total Cost of Risk TCOR and Insurability — Example Risk Universe

Page 7: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

Total Cost of Risk

• Think total cost of insurable risk

Page 8: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

Risk Transfer Costs

Retained Losses

Administration Costs

Total Cost of Risk

2. Identify and discuss TCOR components

Page 9: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

TCOR Components

1. Risk transfer costs

• Policy Premiums • Taxes • Fees • Possible retail broker commission • Possible wholesale broker

commission

Page 10: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

TCOR Components

2. Cost of retained losses

• Costs within deductible • Costs within retention • Uninsured losses

Page 11: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

TCOR Components

3. Administrative Costs

• External Costs • Internal Costs

Page 12: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

Internal Costs

• Risk Management Payroll

• Benefits

• Loss of Productivity

• Risk Control • Training

• Signage

• Safety Equipment

Page 13: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

External Costs

Insu

ran

ce B

roke

r

Advice

Third Party Administrator

Consultants

Attorneys Ex

per

tise

Knowledge

Skills

Pro

fess

ion

al

Ris

k C

on

tro

l Claims

Ergonomics

Excl

usi

ve

Solu

tio

n

Opinion

Process

Improvement

Page 14: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

TCOR is the best measure of the actual cost of risk and a better risk management Key

Performance Indicator (KPI) than premium cost

Why is TCOR Important?

Premium cost Estimated cost of

retained losses

Risk management

costs

Total Cost of (Insurable) Risk

The premium cost is the fixed element of cost

of risk.

This is the cost of claims not covered by insurance.

This is the external and

internal costs.

TCOR is therefore the best measure

of the actual complete cost of

any type of insurable risk.

Page 15: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

Total Cost of Risk

0.32% 1.90%

5.12%

10.46%

82.21%

Broker Fee TPA Fee Casualty Premium Property Premium Claims Payments

Page 16: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

3. Optimizing and utilizing TCOR

Retention Risk Control

Premium

Page 17: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

Optimizing TCOR 2.22%

15.57%

82.21%

Administration Risk Transfer Retained Losses

• Program Design • Premium Negotiation • Loss Modeling • CAT Modeling • Property Risk Reports

• Claim Consulting • Risk Control Consulting • Risk Analysis • Cost of Risk Allocation • Analytics Driven Risk

Improvement • Engineering

• Collateral Analysis • Cost Benefit

Analysis • TPA Selection/

Management

Direct Premium

• Medical Payments • Wage Loss and Liability • Allocated Loss Expense • Medical Case Management • Forensic Accounting

• Broker Compensation • Cost of Collateral • Risk Control/Consulting • Claims Administration (TPA or

Self-Administered) • Internal Safety, Claims, and RM

Administration Costs

Page 18: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

Line Item Option I Option II Option III Option IV

WC Limit $10,000,000 Statutory Statutory Statutory

Self-Insured Retention Option $1,500,000 $1,500,000 $1,250,000 $1,000,000

Premiums $5,606,217 $5,713,181 $5,690,089 $5,761,673

Underwriting Expenses

a. Losses and LAE Insured $5,535,000 $5,535,000 $5,452,000 $5,370,000

b. Excess insurance $179,508 $286,472 $346,380 $499,964

Miscellaneous Other Fees & Expenses:* $466,709 $466,709 $466,709 $466,709

TOTAL COST OF RISK** $6,181,217 $6,288,181 $6,265,089 $6,336,673

g. Investment Income $575,000 $575,000 $575,000 $575,000

Total Cost of Risk Analysis at Various Limits and Self-Insured Retentions

[CLIENT]

Payable to Loss Fund

Utilizing TCOR

Page 19: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

Utilizing TCOR

c. Claims administration fees

Unallocated attorney's fees

d. Broker fees

c. Taxes and assessments

Loss Control

Risk analyst expenses

c. TPA managed care expenses

Administrative support

Accounting fees

Actuarial fees

Plan administration fees

e. Audit Fees

Other expenses

f. TPA audit fees

Page 20: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

Line Item Option I Option II Option III Option IV

WC Limit $10,000,000 Statutory Statutory Statutory

Self-Insured Retention Option $1,500,000 $1,500,000 $1,250,000 $1,000,000

Premiums $5,606,217 $5,713,181 $5,690,089 $5,761,673

Underwriting Expenses

a. Losses and LAE Insured $5,535,000 $5,535,000 $5,452,000 $5,370,000

b. Excess insurance $179,508 $286,472 $346,380 $499,964

Miscellaneous Other Fees & Expenses:* $466,709 $466,709 $466,709 $466,709

TOTAL COST OF RISK** $6,181,217 $6,288,181 $6,265,089 $6,336,673

g. Investment Income $575,000 $575,000 $575,000 $575,000

Total Cost of Risk Analysis at Various Limits and Self-Insured Retentions

[CLIENT]

Payable to Loss Fund

Utilizing TCOR

Page 21: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

4. Examine ways to control TCOR

Page 22: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

Controlling TCOR

• Reduction

Safety Loss Control Claims Management

Page 23: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

Controlling TCOR

• Assumption

Self insurance Retentions High deductibles

Page 24: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

Controlling TCOR

• Transfer

Contractual Insurance

Page 25: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

Understanding how risk of loss profiles vary by class

helps determine how to use insurance as a financial solution

2011 2012 2013 2014 2015 2011 2012 2013 2014 2015

Controlling TCOR

Page 26: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

Loss Experience

Typical risk financing and insurance program structuring

Controlling TCOR

Page 27: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

Learning Objectives - Summary

• Define Total Cost of Risk

• Identify and discuss TCOR Components

• Ways to optimize and utilize TCOR

• Examine ways to control TCOR

Page 28: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

Questions?

Page 29: Determining Your Entity’s Total Cost of Risk€¦ · Determining Your Entity’s Total Cost of Risk Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Public Sector Aon Risk

Texas PRIMA November 12-15, 2017

Galveston, TX

Carleen C. Patterson, ARM-P, CIC, CRM Managing Director | Deputy National Practice Leader Aon Risk Solutions 2711 N. Haskell Avenue, Suite 800 Dallas, TX 75204 t. 202.429.8507 c. 301.706.2172 [email protected] www.aon.com

Sheri Swain Director of Enterprise Risk Management Maricopa County Community College District 2411 West 14th Street Tempe AZ 85281 t. 480.731.8879 [email protected] https://maricopa.edu