© 1999 national council on compensation insurance, inc. ® experience rating: the x-files the cas...
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© 1999 National Council on Compensation Insurance, Inc.
®
Experience Rating: The X-Files
The CAS Seminar on Ratemaking
Opryland
Nashville, Tennessee
March 11-12, 1999
Robin GillamVice President, Corporate Actuarial
© 1999 National Council on Compensation Insurance, Inc.
®
My Mod’s Too High...
Did the rate go down?
How much is your own fault?
© 1999 National Council on Compensation Insurance, Inc.
®
Experience Mod - Year 1
(A) WEIGHT (C) EXPECTEDEXCESS (D – E)
(D) EXPECTED TOTAL (E) EXPECTEDPRIMARY
(F) ACTUALEXCESS (H – I)
(G) BALLAST (H) ACTUAL TOTAL (I) ACTUALPRIMARY
0.08 14395 21433 7038 0 9900 3122 3122
PRIMARYLOSSES
STABILIZINGVALUE
RATABLEEXCESS TOTALS
(I) (C) ( 1 – (A)) + (G) (A) (F) (J)
ACTUAL 3122 23143 0 26265(E) (A) (C) (K)
EXPECTED 7038 23143 1152 31333
UNCAPPEDMOD (J) / (K)
0.84
CAPPEDMOD
0.84
ABC Corp
© 1999 National Council on Compensation Insurance, Inc.
®
Experience Mod - Year 2
ABC Corp(A) WEIGHT (C) EXPECTED
EXCESS (D – E)(D) EXPECTED TOTAL (E) EXPECTED
PRIMARY(F) ACTUAL
EXCESS (H – I)(G) BALLAST (H) ACTUAL TOTAL (I) ACTUAL
PRIMARY
0.07 9571 14933 5362 219 8000 7009 6790
PRIMARYLOSSES
STABILIZINGVALUE
RATABLEEXCESS TOTALS
(I) (C) ( 1 – (A)) + (G) (A) (F) (J)
ACTUAL 6790 16901 15 23706(E) (A) (C) (K)
EXPECTED 5362 16901 670 22933
UNCAPPEDMOD (J) / (K)
1.03
CAPPEDMOD
1.03
© 1999 National Council on Compensation Insurance, Inc.
®
My Mod’s Too High...
Are the claims over-reserved? Have you read the fine print
© 1999 National Council on Compensation Insurance, Inc.
®
Experience Mod - Original
ACME, Inc.(A) WEIGHT (C) EXPECTED
EXCESS (D – E)(D) EXPECTED TOTAL (E) EXPECTED
PRIMARY(F) ACTUAL
EXCESS (H – I)(G) BALLAST (H) ACTUAL TOTAL (I) ACTUAL
PRIMARY
0.25 217827 377142 159315 1831946 15000 2185584 353638
PRIMARYLOSSES
STABILIZINGVALUE
RATABLEEXCESS TOTALS
(I) (C) ( 1 – (A)) + (G) (A) (F) (J)
ACTUAL 353638 178370 457987 989995(E) (A) (C) (K)
EXPECTED 159315 178370 54457 392142
UNCAPPEDMOD (J) / (K)
2.52
CAPPEDMOD
2.52
© 1999 National Council on Compensation Insurance, Inc.
®
Experience Mod Losses Reduced to Settlement Values
ACME, Inc.(A) WEIGHT (C) EXPECTED
EXCESS (D – E)(D) EXPECTED TOTAL (E) EXPECTED
PRIMARY(F) ACTUAL
EXCESS (H – I)(G) BALLAST (H) ACTUAL TOTAL (I) ACTUAL
PRIMARY
0.25 217827 377142 159315 1820054 15000 2173077 353023
PRIMARYLOSSES
STABILIZINGVALUE
RATABLEEXCESS TOTALS
(I) (C) ( 1 – (A)) + (G) (A) (F) (J)
ACTUAL 353023 178370 455014 986407(E) (A) (C) (K)
EXPECTED 159315 178370 54457 392142
UNCAPPEDMOD (J) / (K)
2.52
CAPPEDMOD
2.52
© 1999 National Council on Compensation Insurance, Inc.
®
Experience Mod All Labeled Losses Reduced
ACME, Inc.(A) WEIGHT (C) EXPECTED
EXCESS (D – E)(D) EXPECTED TOTAL (E) EXPECTED
PRIMARY(F) ACTUAL
EXCESS (H – I)(G) BALLAST (H) ACTUAL TOTAL (I) ACTUAL
PRIMARY
0.25 217827 377142 159315 1479166 15000 1828857 349691
PRIMARYLOSSES
STABILIZINGVALUE
RATABLEEXCESS TOTALS
(I) (C) ( 1 – (A)) + (G) (A) (F) (J)
ACTUAL 349691 178370 369792 897853(E) (A) (C) (K)
EXPECTED 159315 178370 54457 392142
UNCAPPEDMOD (J) / (K)
2.29
CAPPEDMOD
2.29
© 1999 National Council on Compensation Insurance, Inc.
®
High primary credibility
Plenty of swing:
My mod changed too much
Revised Experience Rating Plan(RERP)
© 1999 National Council on Compensation Insurance, Inc.
®
Sample 1 - No Losses
Revised Experience Rating Plan(RERP)
(A) WEIGHT (C) EXPECTEDEXCESS (D – E)
(D) EXPECTED TOTAL (E) EXPECTEDPRIMARY
(F) ACTUALEXCESS (H – I)
(G) BALLAST (H) ACTUAL TOTAL (I) ACTUALPRIMARY
0.07 2019 3150 1131 0 8100 0 0
PRIMARYLOSSES
STABILIZINGVALUE
RATABLEEXCESS TOTALS
(I) (C) ( 1 – (A)) + (G) (A) (F) (J)
ACTUAL 0 9978 0 9978(E) (A) (C) (K)
EXPECTED 1131 9978 141 11250
UNCAPPEDMOD (J) / (K)
0.89
CAPPEDMOD
0.89
© 1999 National Council on Compensation Insurance, Inc.
®
Sample 2 - Small Losses
Revised Experience Rating Plan(RERP)
(A) WEIGHT (C) EXPECTEDEXCESS (D – E)
(D) EXPECTED TOTAL (E) EXPECTEDPRIMARY
(F) ACTUALEXCESS (H – I)
(G) BALLAST (H) ACTUAL TOTAL (I) ACTUALPRIMARY
0.07 2019 3150 1131 219 8100 6510 6291
PRIMARYLOSSES
STABILIZINGVALUE
RATABLEEXCESS TOTALS
(I) (C) ( 1 – (A)) + (G) (A) (F) (J)
ACTUAL 6291 9978 15 16284(E) (A) (C) (K)
EXPECTED 1131 9978 141 11250
UNCAPPEDMOD (J) / (K)
1.45
CAPPEDMOD
1.45
© 1999 National Council on Compensation Insurance, Inc.
®
Sample 3 - One Large Loss
Revised Experience Rating Plan(RERP)
(A) WEIGHT (C) EXPECTEDEXCESS (D – E)
(D) EXPECTED TOTAL (E) EXPECTEDPRIMARY
(F) ACTUALEXCESS (H – I)
(G) BALLAST (H) ACTUAL TOTAL (I) ACTUALPRIMARY
0.07 2019 3150 1131 129500 8100 134500 5000
PRIMARYLOSSES
STABILIZINGVALUE
RATABLEEXCESS TOTALS
(I) (C) ( 1 – (A)) + (G) (A) (F) (J)
ACTUAL 5000 9978 9065 24043(E) (A) (C) (K)
EXPECTED 1131 9978 141 11250
UNCAPPEDMOD (J) / (K)
2.14
CAPPEDMOD
1.60
© 1999 National Council on Compensation Insurance, Inc.
®
Sample 4 - Multiple Losses
Revised Experience Rating Plan(RERP)
(A) WEIGHT (C) EXPECTEDEXCESS (D – E)
(D) EXPECTED TOTAL (E) EXPECTEDPRIMARY
(F) ACTUALEXCESS (H – I)
(G) BALLAST (H) ACTUAL TOTAL (I) ACTUALPRIMARY
0.07 2019 3150 1131 129500 8100 135791 6291
PRIMARYLOSSES
STABILIZINGVALUE
RATABLEEXCESS TOTALS
(I) (C) ( 1 – (A)) + (G) (A) (F) (J)
ACTUAL 6291 9978 9065 25334(E) (A) (C) (K)
EXPECTED 1131 9978 141 11250
UNCAPPEDMOD (J) / (K)
2.25
CAPPEDMOD
1.60
© 1999 National Council on Compensation Insurance, Inc.
®
Graduate impact of eligibility
Increase minimum ballast
Smooth caps on mods
Graduated Experience Rating Tables(GERT)
© 1999 National Council on Compensation Insurance, Inc.
®
(A) WEIGHT (C) EXPECTEDEXCESS (D – E)
(D) EXPECTED TOTAL (E) EXPECTEDPRIMARY
(F) ACTUALEXCESS (H – I)
(G) BALLAST (H) ACTUAL TOTAL (I) ACTUALPRIMARY
0.05 2019 3150 1131 0 13500 0 0
PRIMARYLOSSES
STABILIZINGVALUE
RATABLEEXCESS TOTALS
(I) (C) ( 1 – (A)) + (G) (A) (F) (J)
ACTUAL 0 15418 0 15418(E) (A) (C) (K)
EXPECTED 1131 15418 101 16650
UNCAPPEDMOD (J) / (K)
0.93
CAPPEDMOD
0.93
Sample 1 - No Losses
Graduated Experience Rating Tables(GERT)
© 1999 National Council on Compensation Insurance, Inc.
®
Sample 2 - Small Losses(A) WEIGHT (C) EXPECTED
EXCESS (D – E)(D) EXPECTED TOTAL (E) EXPECTED
PRIMARY(F) ACTUAL
EXCESS (H – I)(G) BALLAST (H) ACTUAL TOTAL (I) ACTUAL
PRIMARY
0.05 2019 3150 1131 219 13500 6510 6291
PRIMARYLOSSES
STABILIZINGVALUE
RATABLEEXCESS TOTALS
(I) (C) ( 1 – (A)) + (G) (A) (F) (J)
ACTUAL 6291 15418 11 21720(E) (A) (C) (K)
EXPECTED 1131 15418 101 16650
UNCAPPEDMOD (J) / (K)
1.30
CAPPEDMOD
1.22
Graduated Experience Rating Tables(GERT)
© 1999 National Council on Compensation Insurance, Inc.
®
Sample 3 - One Large Loss(A) WEIGHT (C) EXPECTED
EXCESS (D – E)(D) EXPECTED TOTAL (E) EXPECTED
PRIMARY(F) ACTUAL
EXCESS (H – I)(G) BALLAST (H) ACTUAL TOTAL (I) ACTUAL
PRIMARY
0.05 2019 3150 1131 129500 13500 134500 5000
PRIMARYLOSSES
STABILIZINGVALUE
RATABLEEXCESS TOTALS
(I) (C) ( 1 – (A)) + (G) (A) (F) (J)
ACTUAL 5000 15418 6475 26893(E) (A) (C) (K)
EXPECTED 1131 15418 101 16650
UNCAPPEDMOD (J) / (K)
1.62
CAPPEDMOD
1.22
Graduated Experience Rating Tables(GERT)
© 1999 National Council on Compensation Insurance, Inc.
®
Graduated Experience Rating Tables(GERT)
Sample 4 - Multiple Losses(A) WEIGHT (C) EXPECTED
EXCESS (D – E)(D) EXPECTED TOTAL (E) EXPECTED
PRIMARY(F) ACTUAL
EXCESS (H – I)(G) BALLAST (H) ACTUAL TOTAL (I) ACTUAL
PRIMARY
0.05 2019 3150 1131 129500 13500 135791 6291
PRIMARYLOSSES
STABILIZINGVALUE
RATABLEEXCESS TOTALS
(I) (C) ( 1 – (A)) + (G) (A) (F) (J)
ACTUAL 6291 15418 6475 28184(E) (A) (C) (K)
EXPECTED 1131 15418 101 16650
UNCAPPEDMOD (J) / (K)
1.69
CAPPEDMOD
1.22
© 1999 National Council on Compensation Insurance, Inc.
®
Reduce financial penalty of small losses
Take the weight off medical only claims
Slightly increase excess credibility
Experience Rating Adjustment(ERA)
© 1999 National Council on Compensation Insurance, Inc.
®
(A) WEIGHT (C) EXPECTEDEXCESS (D – E)
(D) EXPECTED TOTAL (E) EXPECTEDPRIMARY
(F) ACTUALEXCESS (H – I)
(G) BALLAST (H) ACTUAL TOTAL (I) ACTUALPRIMARY
0.05 2031 2986 955 0 13500 0 0
PRIMARYLOSSES
STABILIZINGVALUE
RATABLEEXCESS TOTALS
(I) (C) ( 1 – (A)) + (G) (A) (F) (J)
ACTUAL 0 15429 0 15429(E) (A) (C) (K)
EXPECTED 955 15429 102 16486
UNCAPPEDMOD (J) / (K)
0.94
CAPPEDMOD
0.94
Sample 1 - No Losses
Experience Rating Adjustment(ERA)
© 1999 National Council on Compensation Insurance, Inc.
®
Sample 2 - Small Losses
(A) WEIGHT (C) EXPECTEDEXCESS (D – E)
(D) EXPECTED TOTAL (E) EXPECTEDPRIMARY
(F) ACTUALEXCESS (H – I)
(G) BALLAST (H) ACTUAL TOTAL (I) ACTUALPRIMARY
0.05 2031 2986 955 66 13500 1953 1887
PRIMARYLOSSES
STABILIZINGVALUE
RATABLEEXCESS TOTALS
(I) (C) ( 1 – (A)) + (G) (A) (F) (J)
ACTUAL 1887 15429 3 17319(E) (A) (C) (K)
EXPECTED 955 15429 102 16486
UNCAPPEDMOD (J) / (K)
1.05
CAPPEDMOD
1.05
Experience Rating Adjustment(ERA)
© 1999 National Council on Compensation Insurance, Inc.
®
Sample 3 - One Large Loss Loss
(A) WEIGHT (C) EXPECTEDEXCESS (D – E)
(D) EXPECTED TOTAL (E) EXPECTEDPRIMARY
(F) ACTUALEXCESS (H – I)
(G) BALLAST (H) ACTUAL TOTAL (I) ACTUALPRIMARY
0.05 2031 2986 955 129500 13500 134500 5000
PRIMARYLOSSES
STABILIZINGVALUE
RATABLEEXCESS TOTALS
(I) (C) ( 1 – (A)) + (G) (A) (F) (J)
ACTUAL 5000 15429 6475 26904(E) (A) (C) (K)
EXPECTED 955 15429 102 16486
UNCAPPEDMOD (J) / (K)
1.63
CAPPEDMOD
1.20
Experience Rating Adjustment(ERA)
© 1999 National Council on Compensation Insurance, Inc.
®
Sample 4 - Multiple Losses(A) WEIGHT (C) EXPECTED
EXCESS (D – E)(D) EXPECTED TOTAL (E) EXPECTED
PRIMARY(F) ACTUAL
EXCESS (H – I)(G) BALLAST (H) ACTUAL TOTAL (I) ACTUAL
PRIMARY
0.05 2031 2986 955 129500 13500 134887 5387
PRIMARYLOSSES
STABILIZINGVALUE
RATABLEEXCESS TOTALS
(I) (C) ( 1 – (A)) + (G) (A) (F) (J)
ACTUAL 5387 15429 6475 27291(E) (A) (C) (K)
EXPECTED 955 15429 102 16486
UNCAPPEDMOD (J) / (K)
1.66
CAPPEDMOD
1.20
Experience Rating Adjustment(ERA)