Captives must evolve to align with their organizations: CICA panel


Captives must evolve to align with their organizations: CICA panel

Robert Blasio, managing director, GB Specialty; Maryann McGivney, healthcare industry leader, WTW; Chad Wischmeyer, managing partner, Oliver Wyman Actuarial

Every captive owner should review their captive or risk financing vehicle on a regular basis to ensure it is fit for purpose – and make changes as required to ensure it is fulfilling its purpose and doing the best job possible for the owner.

That was the message from Robert Blasio, Managing Director, GB Specialty, speaking on a panel discussion called ‘It Isn’t Broken, but Could it Use a Tune-Up?’ held at at the Captive Insurance Companies Association (CICA), taking place in Tucson this week (March 6-8).

Blasio was joined by three other speakers to discuss, specifically, changes made to the The Emory and Clifton Casualty Insurance Company (CCIC). He was joined on the panel by: Shulamith Klein, Vice President, Insurance Services, Emory Healthcare; Maryann McGivney, Healthcare Industry Leader, North America, Willis Towers Watson; and Chad Wischmeyer, Managing Partner, Oliver Wyman Actuarial.

The presentation examined why captive owners should constantly evaluate the current operational needs of their captive. Emory University has had its own captive for many years and, due to certain organizational changes, sought an independent operational assessment. This assessment resulted in extensive operational changes, highlighting that the need to consistently evaluate best practices in light of market conditions is essential to effective management.

Klein explained the background of CCIC. Formed in 1981 in Colorado, it initially insured only Emory-employed physicians. In 1999, following the expansion of the captive to cover the entire organization, it re-domiciled to the Cayman Islands.

She also explained the significance of tort reform in Georgia. In 2005, the state enacted tort reform including caps on non-economic damages. But much of this was overturned by 2010 by Georgia’s Supreme Court. This dovetailed with a rapid growth at Emory, which is now 200% larger than when CCIC was re-domiciled in Cayman.

The captive suffered significant underwriting losses in 2018 and 2019 – largely due to a perfect storm of nuclear medical malpractice verdicts in Georgia and nationwide. In 2021, ranked #3 in terms of so-called judicial hellholes.

GB Specialty was brought in to do a 360-degree analysis of Emory’s management and claims operations. It reviewed more than 100 claims, many internal documents and litigation guidelines and interviewed some 20 individuals before generating a report with findings and recommendations.

Some of these were: that staffing was not sufficient for the scale of work; that it was too reliant on outside council; that reserving was inconsistent with best practice; and that litigation management was not consistent with best practice.

McGivney discussed the implications of changes in the way a captive is used and operates on some of its partners including the broker. She stressed that captive owners must appreciate the gap between making positive changes and getting credit for those from their reinsurance partners, as often the impact on claims will take years to be realised.

“Underwriters can make changes but, generally, they will want to see changes in the data first,” she said. “That could take more than five years to be realised in the loss history. That means carriers will also take time to give credit for that.”

But she said this can also present opportunities to restructure the program and potentially take on more risk. “If you know your program, you have the inside track on positive changes made. That means there is the opportunity to realise some of the improvements; maybe they can take more risk and get money back if losses are better than projected.”

She also recommended that captives also review their policy form on an annual basis and also consider how to measure a captive’s success. “Consider why you need a captive, what it does and review that regularly,” she said. “And as things change in your organisation or the wider environment, you have an opportunity to review those goals and objectives.”

Concluding the session, Blasio said that captive owners must appreciate that their organisation is evolving, and their captives must reflect that. “It is also critical to avoid being siloed and understand that any changes in operations impacts all captive service vendors,” he said.

GB Specialty, CCIC, WTW, CICA Annual Conference 2022, Captive, Insurance, Reinsurance, Robert Blasio, Shulamith Klein, Maryann McGivney, North America

Captive International