Actuarial Consulting Services

A variety of actuarial functions are available including funding adequacy analysis, liability/reserve calculations and certifications, feasibility studies, expert witness and litigation support, market research, and creditable coverage testing.

Our disability actuaries are highly skilled in supporting this insurance coverage. Services range from product design and pricing to actuarial modeling and financial reporting and valuation services relating to statutory, tax, and GAAP liability/reserve calculations. Our experience in this field includes work with insurance companies, self-funded plans, government entities, and others.

Our organization consults with all types of employers including publicly traded, privately held, multi-employer, and municipalities for active and retiree benefits. We help employers explore their data and uncover needed insights to inform their benefits strategy. Services include funding arrangement analysis for both fully insured and self-funded programs such as liability/reserve calculations, stop-loss and reinsurance analysis, and other services. We also offer ACA-related support including assessments of regulatory impacts and implementation issues (e.g., MLRs, risk adjustment, pricing and rate filing review).

Specific analytical and actuarial services are available for hospitals, physician groups, provider-owned health plans, managed care organizations, third-party administrators, and other similar organizations. Our team offers practical solutions to evaluate a multitude of provider-payer partnerships as well as assess strategies as these organizations adapt to the ever-changing healthcare environment. Examples of services provided include:

• Provider contract term analysis and negotiation assistance

• Provider network design and pricing (HMO, ACO, Narrow Network, etc.)

• Capitation rate and fee schedule development

Our highly qualified staff perform all related actuarial functions for insurance companies globally including appointed actuary services, reserve adequacy analysis, liability/reserve calculations and statutory, GAAP, and tax reporting, pricing, rate filing assistance, valuing plan design changes, reinsurance/retrocession advisory services, new product development, audit support, mergers & acquisitions, and much more.

Our seasoned actuaries offer vast knowledge in this area and have worked with insurance companies and government entities delivering needed insights.

Our Long-Term Care actuaries are highly skilled in supporting this unique insurance coverage. Services range from developing experience studies and rate increase filings to modeling and financial reporting and valuation services relating to statutory, tax, and GAAP liability/reserve calculations. Our experience in this field includes work with insurance companies, self-funded plans, government entities, and others.

Our actuaries offer welcome support in this highly complicated area and have proven experience serving customers in both the government and insurance sectors. Medicaid services include analysis of financial and medical management and expense reports including for IBNR and other reserves, comprehensive budget forecasting, risk-adjustment methodology and pass-thru payment analysis, and more.

Our MedSupp/Advantage team serves a wide range of customers including employers, government entities, insurance companies, and others. A broad range of services is available including product development, pricing/repricing, competitive/market analyses, lapse and mortality experience studies and assumptions development, interfacing with state insurance departments, annual regulatory filing preparation, and a host of other services.

Our organization provides consulting to U.S. and international insurance regulators with seasoned professionals in health, life, annuity, accident, special risk, and property casualty. Comprehensive health actuarial services are available to both private and public sector organizations, including extensive regulatory reporting services for Medicare Supplement, Long-Term Care, and more.

With a team of actuaries and support staff, our special acumen is geared to support the full spectrum of needs for a wide variety of customers including employers, captives, reinsurers, insurance regulators, associations, MEWAs, church plans, brokers, managed care/healthcare providers, and others.

A variety of services are available to support supplemental and voluntary insurance coverage. Our actuaries have vast experience in this area including with insurance companies and government entities.

Specific analytical and actuarial services are available for hospitals, physician groups, provider-owned health plans, managed care organizations, third-party administrators, and other similar organizations. Our team offers practical solutions to evaluate a multitude of provider-payer partnerships as well as assess strategies as these organizations adapt to the ever-changing healthcare environment. Examples of services provided include:

• Provider contract term analysis and negotiation assistance

• Provider network design and pricing (HMO, ACO, Narrow Network, etc.)

• Capitation rate and fee schedule development

With specialists in personal and commercial insurance, we offer a broad range of consulting and actuarial services from traditional lines of coverage such as workers' compensation and general liability to unique coverages such as construction defect and warranty. Services include:

Evaluation of Liabilities: We offer loss reserve analysis and statements of actuarial opinion to assist customers in establishing proper liabilities for their financial statements. For each project, our specialists take into account socio-economic trends, operational changes, and legislative reform that may impact the reserves.

Pricing and Funding Support: We assist insurance companies in determining fair and reasonable prices for their products and develop loss forecasts for self-funded organizations to use in the planning and budgeting process. Our team has experience with filing rates in almost every jurisdiction and has worked with self-funded entities from a variety of industries.

Reinsurance and Retention Analysis: Our analysis of loss activity by layer can prove invaluable to insurers making decisions about reinsurance programs and to self-funded organizations deciding on appropriate retention levels. We rely on both company-specific and industry loss experience to estimate expected costs.

Benchmarking: Having access to a wide range of insurance industry statistics allows us to compare a customer’s expenses, losses, and other claim statistics to broader industry standards. Benchmarking studies can highlight areas for improvement and assist companies in developing future risk management strategies.

Expert Testimony and Litigation-Related Consulting

Cash Flow and Net Present Value Analysis
Premium and Loss Allocation Models

Market Research & Competitive Analysis