a cautionary tale

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A CAUTIONARY TALE What can we learn about surplus from the New Hampshire Local Government Center situation? Jenny Emery March 11, 2014

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A CAUTIONARY TALE. What can we learn about surplus from the New Hampshire Local Government Center situation? Jenny Emery March 11, 2014. The Pool Formerly Known as the New Hampshire Local Government Center. In 2003, Three Boards Took Action to Create One. The Statute: Since 1987. - PowerPoint PPT Presentation

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Page 1: A CAUTIONARY TALE

A CAUTIONARY TALEWhat can we learn about surplus from the New Hampshire Local Government Center situation?

Jenny EmeryMarch 11, 2014

Page 2: A CAUTIONARY TALE

— Mission — The mission of the New Hampshire

Local Government Center is to strengthen the quality of its member governments

and the ability of their officials and employees

to serve the public.

— V ision — To be the recognized and most trusted

resource for information, services, programs and products that support and strengthen local governments in New

Hampshire.

— V alu es — Integrity Service

C o lla b o ra tio n Innovation

The Pool Formerly Known as the New Hampshire Local Government Center

Page 3: A CAUTIONARY TALE

LGC Board of Directors

LOCAL GOVERNMENT CENTER, INC.

NH Municipal LGC LGC Property- LGC Real Association, HealthTrust, Liability Trust, Estate,

LLC LLC LLC Inc.

In 2003, Three Boards Took Action to Create One

Page 4: A CAUTIONARY TALE

The Statute: Since 1987RSA 5–B :1 Return all earnings and surplus in

excess of any amounts required for administration, claims, reserves, and purchase of excess insurance to the participating political subdivisions.

Page 5: A CAUTIONARY TALE

Key Health Trust Facts in 2010•$392,000,000 in annual contributions•70,000 covered employees•Net Assets of $87,000,000•“Target Surplus” RBC: 4.2 to 4.75•Amounts in excess of Target accounted for

as “undesignated” in years 2003 to 2008•By 2010, undesignated depleted;

“surplus” close to target

Page 6: A CAUTIONARY TALE

Nonprofit's reordering questionedBy Shira SchoenbergCreated 10/29/2010 - 00:00LGC reorganization may be illegal

State Sen. Deborah Reynolds, … said the report raises questions about the proper use of taxpayer money and the generation of surpluses.

"Since our current law clearly states that surpluses generated by the risk pools shall be returned to the taxpayers, I intend to work with the secretary of state to ensure that that happens," Reynolds said.

Page 7: A CAUTIONARY TALE

From 2011 LGC Fact Book

The Pool Board’s Promise: Security and Stability

Page 8: A CAUTIONARY TALE

How satisfied are you with your connection to LGC as a reliable provider?

How satisfied are you with HealthTrust’s customer service?

What Do Members Think of LGC and HealthTrust?

Very Satisfie

d 31%

Satisfied

59%

From 2011 LGC Fact Book

The Members’ Perspective: We Like What we are Getting

Page 9: A CAUTIONARY TALE

THE SUPREME COURT OF NEW HAMPSHIRE

Bureau of Securities Regulation No. 2012-729APPEAL OF THE LOCAL GOVERNMENT CENTER, INC. & .§:.

Argued: November 14, 2013Opinion Issued: January 10, 2014

Page 1: “The following facts are derived from the presiding officer's report or the certified record, or they are undisputed” 

Decision of the New Hampshire Supreme Court

Page 10: A CAUTIONARY TALE

Member-Owned, Member-Governed, but So What?

Page 3: As the presiding officer found, "The steps involved in the acquisition of insurance coverage by a political subdivision from, for instance, . . . [H]ealth [T]rust[,] would appear quite basic." Political subdivisions apply to be members of a pooled risk management program…. Upon approval of the requested insurance coverage for the coverage year, the political subdivision is assigned a premium rate…..  

Page 11: A CAUTIONARY TALE

Reliance of Actuarial Advice Still Found “Arbitrary”

Page 8:“The presiding officer found …the board arbitrarily "set [the target] at RBC 4.2.” Additionally, the LGC board decided "to arbitrarily bump" the target RBC ratio "by an additional factor of approximately. . . 0.5 for future expenses." The presiding officer explained: …. the target RBC ratio was not a "pure RBC ratio," but was "an RBC ratio that would support [the board's] rationale for accumulating an excessive amount of assets."

Page 12: A CAUTIONARY TALE

The Regulator and LGC Both Argued for the Concept of Surplus: the Court Does Not

Page 13: the … assumption - that RSA 5- B:5, I(c) confers upon the board of directors …unfettered discretion to determine the amount of funds such a program may retain.

This assumption is mistaken…. a pooled risk management program may retain only those amounts that are "required for administration, claims, reserves, and purchase of excess insurance."

Page 13: A CAUTIONARY TALE

Legislative Action is Needed to Establish the Right to Hold Surplus, and then the Amount

Page 17: The respondents contend that the presiding officer erred when he mandated that HealthTrust, in the future…maintain net assets equivalent to fifteen percent of claims or an RBC ratio of 3.0. We agree….

.    

Page 14: A CAUTIONARY TALE

“Best Practice,” and what the Members Prefer, Doesn’t Matter

Page 16: The issue here is not whether [rate reduction] is a good way to run an insurance …. The issue is the plain language of the statute says that, if you have a surplus, it is supposed to go back to the political subdivisions.

Page 15: A CAUTIONARY TALE

The is no Mandate for Reinsurance, butPage 18: The respondents argue that

because there is no statutory requirement that they purchase reinsurance, the presiding officer erred by requiring HealthTrust to purchase it. We agree.

… any decision about reinsurance must be consistent with the mandate that HealthTrust return amounts in excess of its reserves

Page 16: A CAUTIONARY TALE

Recommendations•State law should affirmatively allow Pooled

“surplus”▫Adopt and follow policy, including definitions

•If the authority to do what you are doing is ambiguous, develop a strategy to reduce the ambiguity

•Build relationships and educate beyond your membership.

Page 17: A CAUTIONARY TALE

A Cautionary TaleTO BE CONTINUED….