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The Lobbying Environment for the Self-Insurance/Alternative Risk Transer Industry Presented by Mike Ferguson Chief Operating Officer Self-Insurance Institute of America, inc. www.siia.org. Presentation Overview. Self-Insurance/ART Industry Lobbying Clout – Challenges

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Presentation Overview

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  1. The Lobbying Environment for the Self-Insurance/AlternativeRisk Transer IndustryPresented by Mike FergusonChief Operating OfficerSelf-Insurance Institute of America, inc.www.siia.org

  2. Presentation Overview Self-Insurance/ART Industry Lobbying Clout – Challenges Issues to Watch – Workers’ Comp Self-Insurers Issues to Watch – Group Self-Insured Funds Issues to Watch – Captive Insurance Companies Issues to Watch – Risk Retention Groups Issues to Watch – Self-Insured Health Care Plans Industry Lobbying Clout – Opportunities to Improve SIIA Initiatives Conclusion/Q&A

  3. Challenges to Harnessing Self-Insurance/ART Industry Lobbying Clout Extremely Heterogeneous Top-Line (Service Provider) vs. Expense Line (Employer) Motivations Large Service Providers – Self-Insurance/ART Business Divisions Often Smaller Than Traditional Insurance Divisions Smaller, Entrepreneurial Service Providers Not as Politically Active as Larger Organizations Service Providers “Shield” Employers From Important Industry Advocacy Information

  4. Industry Lobbying CloutContinued ● Employers – Minimal Lobbying Budgets for Self-Insurance/ART-specific Issues. ● Employer/Business Organizations Don’t Properly Prioritize Self-Insurance-ART Specific Issues ● Multiple Industry Associations

  5. Issues to Watch Workers’ Comp Self-Insurers Medicare Secondary Payer Reporting Medical Records Privacy (After PPACA Implementation) Raid on State Second Injury Funds State Guarantee Fund Coverage for Excess Insurance Carriers - Louisiana passed legislation to in response to court decision.

  6. Group Self-Insured Workers’Comp Funds (SIGs) New York SIGs Threatened With Extinction California Considers New SIG Regulations Possible Action by Other States

  7. Risk Retention Groups NAIC Accreditation Program – De Facto Legislation Lack of Regulatory Separation – Traditional vs. ART Non-Domiciliary Regulatory Abuses LRRA Modernization Legislation Uniform Corporate Governance Standards RRGs Allowed to Write Commercial Property Coverage Federal Dispute Resolution Process New GAO Study of RRG Regulation

  8. Captive Insurance Companies New IRS Rulings Protected Cell Regulation Domicile Regulatory “Environment”

  9. Self-Insured EmployersGroup Health Health Care Reform (PPACA) Regulations New Federal Legislation DOL/HHS Self-Insurance Studies ERISA Preemption Threats Medical Stop-Loss Assessments

  10. Industry Lobbying CloutOpportunities to Approve Tell More Self-Insurance “Success Stories” Emphasize the Employer’s Interests Persuade Service Providers Not to “Shield” Clients Benefit/Risk Executives to Take More Leadership Roles Within Business Organizations Educate Large Service Providers About Importance of Self-Insurance/ART Business Units

  11. SIIA Initatives Speaking Engagements Outreach to Large Service Providers Employer Outreach Publish Self-Insurance “Success Stories” Political Action Committee Social Media Grass Roots Initiatives Media Relations

  12. Conclusion/Q&A Let’s Talk! Mike Ferguson Chief Operating Officer Self-Insurance Institute of America, Inc. 800/851-7789 mferguson@siia.org

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