The Employer Stop-Loss Opportunity for Health Plans

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  • Regular price $150.00


Webinar: Wednesday, September 11, 2019, at 1 PM - 1:45 PM Eastern

  • The employer stop-loss market opportunity for health plans
  •  historical view of the employer stop-loss market
  • Employer stop-loss market characteristics, measures, results and products
  • Considerations and implications for health plans evaluating employer stop-loss market opportunities

Faculty: Robert D. Bachler, FSA, FCAS, MAAA, Principal, Consulting Actuary
Milliman

Need a Printable Form? Download a registration form you can fax or mail.

Overview

As health plans look for opportunities to grow their business, many see employer stop-loss as an opportunity. Over the past decade, submitted financial filings suggest the employer stop-loss (ESL) market has nearly tripled, growing from roughly $7 billion in premium in 2008 to over $21 billion in 2018, with the potential for further growth in the years to come.  While there can be hurdles for a health plan to overcome when trying to enter the ESL market or grow an existing stop-loss block, the market can provide meaningful opportunities.

Over the last decade, a significant share of the ESL market premiums have shifted from the traditional ESL carriers to health plans. A majority of this growth in that time period has been concentrated in large, national health plans. For other health plans that can commit the necessary resources and are willing to accept the inherent risks, ESL can be a growth opportunity that complements their fully insured business. The ESL market is different from the fully insured market that comprises the majority of most health plans’ premium. As such, it is important that health plans wishing to enter (or grow in) the market understand the ramifications of the decision.

In this session, Milliman shares a historical view of the ESL market, including portfolio characteristics, underwriting measures, pricing measures, historical results, and product terms offered. Milliman will also address the considerations and implications for health plans evaluating ESL market opportunities.

Please join us on Wednesday, September 11, 2019, at 1 PM Eastern as Milliman's Rob Bachler discusses employer stop-loss market trends and considerations for potential market entrants, in this special 45-minute  HealthcareWebSummit event: The Employer Stop-Loss Opportunity for Health Plans.

Cure for the Common Webinar

In addition to the main faculty presentation, this event includes a fun whiteboard drawing format opening video, a brief moderated faculty interview, and concluding live audience questions and answers. The day before the event, you'll receive login information, including downloadable companion presentation slides.

Just after the event, you'll receive a follow-up request for feedback, also offering an opportunity to provide any final questions that can be forwarded to the faculty. Also, if you need support before, during or after the event, you can contact HealthcareWebSummit staff at any time.

Learning Objectives

After attending this webinar, attendees will be able to:

  • Ascertain the employer stop-loss market opportunity for health plans
  • Explore a historical view of the employer stop-loss market
  • Identify applicable employer stop-loss market characteristics, measures, results and products
  • Assess the considerations and implications for health plans evaluating employer stop-loss market opportunities
  • Engage in interactive learning through online question submission, attendee feedback and opportunity for post-event follow up questions.

    Who Should Attend

    Interested attendees would include:

    • C-Suite Executives
    • Finance Executives and Staff
    • Marketing Executives and Staff
    • Actuarial Executives and Staff
    • Product Development Executives
    • Managed Care Executives and Staff
    • Planning and Strategic Executives and Staff
    • Business Intelligence Staff
    • Other Interested Parties

    Attendees would represent organizations including:

    • Health Plans
    • Third Party Administrators
    • Benefit Consultants
    • Solutions Providers
    • Provider Networks
    • Associations, Institutes and Research Organizations
    • Media
    • Other Interested Organizations

      Registration

      Individual Registration Fee: $150. Post-event materials, with video of slides synchronized with speaker audio, plus presentation pdf file: $45 for attendees; $215 for non-attendees after the event. Register above or download a registration form.

      You can also register by phone: 209.577.4888. Corporate Site licensing also available. We look forward to your attendance!

      Faculty

      Robert D. Bachler Robert D. Bachler
      FSA, FCAS, MAAA
      Principal, Consulting Actuary
      Milliman

      Rob is a principal and consulting actuary with Health practice in the Seattle office of Milliman. He joined the firm in 2008. Rob is responsible for managing a wide variety of client relationships, projects, and products. His clients include insurance companies, managed care organizations, state government agencies, and reinsurers. Rob has worked on projects that include pricing, reserving, financial reporting, product development, underwriting, predictive modeling, disease management program evaluation, provider network evaluation, underwriting software development, feasibility studies, and constructing risk sharing arrangements. He also has experience with group medical, individual major medical, dental, Medicare, Medicaid, specific and aggregate stop loss, and various types of reinsurance.

      Prior to joining Milliman, Rob spent eight years at Munich Re America HealthCare, one of the leading health reinsurers in the U.S. marketplace. His main responsibilities there included pricing of various reinsurance products such as HMO reinsurance, excess reinsurance, and employer stop loss. Rob also was responsible for the development, modeling, and ongoing evaluation of many non-standard risk and reinsurance arrangements. Prior to his time at Munich, he was vice president, actuarial, at Educators Mutual Insurance Association.

      Examples of Rob's relevant experience include:

      • Development of Milliman's Excess Suite for reinsurers and stop loss carriers
      • Development and pricing of unique risk/reinsurance arrangements for primary risk takers, including quota share arrangements, aggregate stop-loss policies, and tiered excess reinsurance arrangements
      • Preparation of Medicare Advantage bids, including general enrollment plans, D-SNPs, and I-SNPs
      • Evaluation of actuarial soundness of disease management savings and design of vendor savings risk-sharing arrangements
      • Development of premium rates and preparation of filing materials for commercial insurance products, including products available on the public exchange
      • Calculation of capitation rates for state Medicaid programs
      • Analysis of Medicaid claims data in determination of appropriate reimbursement for federally qualified health centers and rural health centers in the state of Washington
      • Performing value analyses of provider networks for major medical and stop-loss policies
      • Presenting at multiple insurance industry and professional organization meetings on stop loss topics, including the use of predictive modeling and small group stop loss

      Rob is a Member, American Academy of Actuaries; a Fellow, Society of Actuaries; and a Fellow, Casualty Actuarial Society. He received his BS, Statistics and MS, Statistics from Brigham Young University.

       

      Robert D. Bachler
      FSA, FCAS, MAAA
      Principal, Consulting Actuary
      Milliman

      Rob is a principal and consulting actuary with Health practice in the Seattle office of Milliman. He joined the firm in 2008. Rob is responsible for managing a wide variety of client relationships, projects, and products. His clients include insurance companies, managed care organizations, state government agencies, and reinsurers. Rob has worked on projects that include pricing, reserving, financial reporting, product development, underwriting, predictive modeling, disease management program evaluation, provider network evaluation, underwriting software development, feasibility studies, and constructing risk sharing arrangements. He also has experience with group medical, individual major medical, dental, Medicare, Medicaid, specific and aggregate stop loss, and various types of reinsurance.

      Prior to joining Milliman, Rob spent eight years at Munich Re America HealthCare, one of the leading health reinsurers in the U.S. marketplace. His main responsibilities there included pricing of various reinsurance products such as HMO reinsurance, excess reinsurance, and employer stop loss. Rob also was responsible for the development, modeling, and ongoing evaluation of many non-standard risk and reinsurance arrangements. Prior to his time at Munich, he was vice president, actuarial, at Educators Mutual Insurance Association.

      Examples of Rob's relevant experience include:

      • Development of Milliman's Excess Suite for reinsurers and stop loss carriers
      • Development and pricing of unique risk/reinsurance arrangements for primary risk takers, including quota share arrangements, aggregate stop-loss policies, and tiered excess reinsurance arrangements
      • Preparation of Medicare Advantage bids, including general enrollment plans, D-SNPs, and I-SNPs
      • Evaluation of actuarial soundness of disease management savings and design of vendor savings risk-sharing arrangements
      • Development of premium rates and preparation of filing materials for commercial insurance products, including products available on the public exchange
      • Calculation of capitation rates for state Medicaid programs
      • Analysis of Medicaid claims data in determination of appropriate reimbursement for federally qualified health centers and rural health centers in the state of Washington
      • Performing value analyses of provider networks for major medical and stop-loss policies
      • Presenting at multiple insurance industry and professional organization meetings on stop loss topics, including the use of predictive modeling and small group stop loss

      Rob is a Member, American Academy of Actuaries; a Fellow, Society of Actuaries; and a Fellow, Casualty Actuarial Society. He received his BS, Statistics and MS, Statistics from Brigham Young University.