Derek W. Freihaut
Timothy C. Mosler
Legaré W. Gresham
Robert J. Walling III
Terrence D. Wright
Nicholas E. Alicea
Arthur R. Randolph II
We appreciate that Pinnacle will make conclusions and a recommendation when reviewing our captive insurer feasibility studies. We also appreciate Pinnacle's responsiveness.
Pinnacle helps alternative market risk owners, captive managers and service providers determine risk retentions that optimize the balance between the cost of risk transfer and loss volatility.
Pinnacle has consultants who are experienced as expert witnesses in arbitrations and also ARIAS-certified arbitrators.
Pinnacle consultants deal with auditors daily, assisting them in serving their customers and evaluating the work products of other actuaries.
Pinnacle strives to construct benchmarks for any analysis, whether ratemaking, loss reserving or some other use, as close as possible to replicating the nature of the underlying data being reviewed.
Pinnacle provides loss reserve analyses and other
diagnostics in support of collateral negotiations associated with deductible
and/or self-insured retentions.
Today, no industry is changing as quickly or fundamentally as health care. At the same time, escalating medical professional liability costs have become a critical issue for health care providers and those seeking to improve health care value and outcomes.
Pinnacle’s experts understand the spectrum of risks inherent in delivering health care services in today’s litigious environment. We have provided actuarial consulting services in every aspect of medical professional liability insurance at the local, state and national levels. Our customers include health care providers, captive managers, medical professional liability insurers, insurance regulators, legislators, industry associations, and government insurance programs.
By working with the unique issues associated with numerous specialties and state reform types, as well as both traditional and alternative insurance programs, our experience equips us to develop accurate and efficient strategies to help you strategically manage your health care liability exposures.
If you’re a health care provider pursuing alternative risk management strategies such as captive insurance companies and risk retention groups, we can help by designing your program, estimating the impact of modifying or eliminating certain services, and even investigating the cost-benefit of new technology to reduce medical errors.
Our expertise with a wide variety of health care specialties includes:
5 Trends Signaling a Hardening MPL Market and What Insurers Should Do
Authored by Timothy C. Mosler.
June 2019 APEX Webinar
State of the Medical Professional Liability Market
Authored by Nicholas E. Alicea and Timothy C. Mosler.
See More »
Captive Feasibility Study
When a regional physicians group, with a moderate deductible program realized they were not getting due credit for more than a decade of exceptional loss experience, they decided to explore other options.
They chose Pinnacle specifically due to our expertise in captive and self-insurance programs.
Initially, Pinnacle discussed options including segregated cell captives, single parent captives, and even risk retention groups once they began to consider marketing the program to other similar regional physician groups.
While the customer was considering the structural alternatives, Pinnacle pursued a funding analysis. Credibility weighting the customer’s experience with industry benchmark data, produced estimates of expected losses and loss variability in several different loss layers. This not only showed the additional risk associated with higher limits of self-insurance, but was also tremendously valuable in negotiations with fronting carriers and reinsurers.
The client decided to increase the deductible on the coverage provided by their insurer, which offered more responsive pricing due to Pinnacle’s funding analysis and to form an off-shore captive providing deductible buyback coverage. The comfort level our client had with the insured’s services also influenced the decision.
Pinnacle also worked with the captive manager to develop the feasibility study and pro forma financial statements that become the foundation of the captive application. The application was approved as submitted and the captive is running quite successfully.
In an effort to attract and retain quality physicians, a large integrated healthcare system operating in the Midwest decided to create a physician’s professional liability insurance (PPLI) alternative to the commercial markets. After a comprehensive feasibility analysis, an offshore captive insurance company (CIC) was capitalized and formed. Pinnacle actuaries were engaged to assist in the feasibility analysis and implementation of this strategy. Pinnacle’s involvement began by assisting the captive manager to develop appropriate assumptions that were incorporated into the CIC’s proposed business plan and filed with regulators. Initially, Pinnacle performed a comprehensive analysis of the current PPLI market to develop base rates, rating factors and underwriting guidelines. On an annual basis, Pinnacle re-evaluates the base rates and rating factors and recommends adjustments to reflect current trends in the market as well as credible indications borne out of the CIC’s experience. In addition to maintaining adequate rates for the program, Pinnacle has also been retained to perform the annual analysis of unpaid loss and expense reserves. The CIC’s annual reserve analysis includes a review of policies written, premium collected and claims incurred by the CIC at the close of each fiscal reporting period. Management relies on Pinnacle’s analyses to ensure the financial health of this strategic venture.
Medical Malpractice Damage Caps
A state insurance regulator asked Pinnacle to determine the potential impact of several proposed tort reforms, including a change to non-economic damage caps for medical professional liability claims. Pinnacle worked with medical society to identify the most appropriate claims databases for assessing the potential legislative change. Our detailed analysis not only considered data from that state, but several others to stress test the results and provide a range of reasonable outcomes. In many cases, the specific reform’s effect, for example “I’m Sorry” legislation, was very difficult to isolate. Through this industry analysis, we identified differences well beyond a simple loss limitation to provide a more complete review of potential environmental changes that could be expected in the state.
This comprehensive analysis helped our client identify the effect of various legislative options, which empowered them to be a strong voice in the legislative debate and to influence policymaking in the state.
At Pinnacle, we partner with you to explore whatever path it takes to find the answers you need.
December 12, 2019
IASA Southern California Chapter Conference
December 17, 2019
December Apex Discussion Series -
Three Perspectives on Peer Review