Actuarial Support for Insurance Buyers Shirley Fuller Cooper April 1, 2003

Overview Background Role at HCA Inc. Relationship with actuaries Negotiations Conflict? Q & A

Design and Develop Insurance Programs Partner with Insurance Brokers Provide coverage assistance to facilities Property, Tank, & Exec Liability claims oversight Physician/Medical Malpractice Underwriting Maintain exposures Regulatory compliance Policyholder service

Major Negotiations Director’s & Officer’s Liability Workers Compensation Hospital Professional Liability Property Physician Malpractice

Actuarial Support Hospital Professional Physician Malpractice Workers Compensation

Expectations Credible in the industry Understand the business Understand the data Firm handle on calculations Rely on final decisions

Negotiations Broker In-house Independent Carrier

Conflict? Management expectations Funding Insurance contract Continued relationship