1. Mississippi Association of Self-Insurers Tenets of Successful Group Self-Insurance Presented by: Alasdair Roe, ACII - HPIC Christopher J. Burkhalter, FCAS, MAAA – BWR&B

2. Mississippi Association of Self-Insurers Tenets of Successful Group Self-Insurance Presented by: Alasdair Roe, ACII President and CEO Healthcare Providers Insurance Company

4. Total Assets: +/- $76,000,000 $20,000,000 returned to members Total Premium Written: $126,476,000 Total Capital Created: $53,480,000 42% of Premium is Captured Value 23 Charter Members $ 8,000,000 of Charter Capital

5. Long-term financial stability 1 1 Member ownership & governance 2 2 Commitment to quality service 3 3 THREE OVERREACHING OBJECTIVES:

6. HPIC’s Tenets for Success: Overreaching Objectives Engaged and supportive Board of Directors and Committee Members Tort Reform Strong Hospital Association relationship Close, local, direct service presence Risk Management Buy-In Internal claims management Quick claim settlements Reciprocal company structure efficiency HEALTHCARE PROVIDERS INSURANCE COMPANY Risk Retention Group

7. Mississippi Association of Self-Insurers Tenets of Successful Group Self-Insurance Presented by: Christopher J. Burkhalter, FCAS, MAAA President & Principal Bickerstaff, Whatley, Ryan & Burkhalter, Inc.

8. Tenets of Successful Group Self-Insurance 1.DO IT FOR THE RIGHT REASON Coverage availability Price stability Cost Efficiency Service to Members

9. Tenets of Successful Group Self-Insurance 2.CHOOSE WISELY Management: well-rounded insurance administrative experience (agents?) Vendors: reputation, experience, independence Members: high-quality, focused on loss prevention

10. Tenets of Successful Group Self-Insurance 3.INCENTIVIZE PROPERLY Management: do NOT reward top-line growth Vendors: align expenses with Fund goals Members: encourage retention

11. Tenets of Successful Group Self-Insurance 4.EDUCATE MEMBERS!!! Require loss control Teach about ex mods Give options (e.g., deductibles)

12. Tenets of Successful Group Self-Insurance 5.DEMAND EXCELLENCE Management: Keep expenses low; transparency to regulators Vendors: Tell the truth to management Members: Let premium follow loss

13. Mississippi Association of Self-Insurers Tenets of Successful Group Self-Insurance Presented by: Alasdair Roe, ACII - HPIC Christopher J. Burkhalter, FCAS, MAAA – BWR&B