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May 9, 2012 ISO – NJAIRE Central Processor Mike McAuley
NJAIRE DATA REPORTING REQUIREMENTS May 9, 2012 ISO – NJAIRE Central Processor Mike McAuley
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OVERVIEW Current Reporting Requirements
Call for Statistics Form #4 – Accident Year 2003 – Present Use and Financial Impact of Data Detecting Errors
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Form #4 – Due Dates To ISO (other than CAIP) or AIPSO (CAIP only)
ACCOUNT QUARTER DUE DATE FIRST QUARTER MAY 15 SECOND QUARTER AUGUST 15 THIRD QUARTER NOVEMBER 15 FOURTH QUARTER FEBRUARY 15
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Form #4 – Territory Reporting Options
Accident Year 2008 & subsequent Procedure Manual Exhibit 11a Statewide totals only Standard ISO Territory Definitions (Exhibit 11) Company Defined Territories Accident Year 2007 & prior Standard ISO Territory Definitions
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Form #4 – Required Data Earned Exposures, in car years, by insured threshold
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Form #4 – Required Data Paid Bodily Injury claimants against private passenger type autos subject to the No-Fault law Accident Year 2008 & subsequent – by insured threshold and accident year Accident Year 2007 & prior – by insured threshold, territory and accident year
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Form #4 – Required Data Reportable Claimant Information
Reportable Claimant Loss Amounts Number of Reportable Claimants Loss Adjustment Expenses for Reportable Claimants (separately as Allocated and Unallocated or Combined) Accident Year 2008 & subsequent – by accident year Accident Year 2007 & prior – by territory and accident year
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A Reportable Claimant is...
One that could not be made had the claimant selected the Verbal Threshold, AND One where the claimant selected or defaulted to the Zero Dollar Threshold AND the insured selected the Verbal Threshold ...the basis for establishing NJAIRE
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How are Reportable Claimants identified?
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Reportable Claimant Determination Form Effective January 1, 2012 ALL member companies are required to utilize and maintain a copy of the form for ALL paid BI claimants, in paper or electronic form
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Reportable Claimants to Verbal BI Accident Year 2006 (Individual insurers may vary)
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Loss Severities by Year (Individual insurers may vary)
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Use and Financial Impact of Data
Provisional Financial Transactions Quarterly assessment (monthly payments) Quarterly reimbursement, plus share of investment income Annual Cash Settlement (ACS) Magnitude of Financial Transactions Cost of Late and Erroneous Data
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Quarterly Assessment Multiply number of Zero Dollar Exposures
reported, from two quarters prior, by the Assessment per Exposure Example – 3rd Quarter 2011 Assessment: Assessment per Exposure = $90 Zero Dollar Exposures 1st Quarter 2011 = 100 Quarterly Assessment = (100 * 90) = $9,000 Monthly Payments = 1/3 of Quarterly Assessment
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Quarterly Reimbursement
Multiply company’s share of industry Verbal Exposures, from two quarters prior, by total amount collected via monthly payments and investment income earned Example – 3rd Quarter 2011 Reimbursement: Verbal Exposures 1st Quarter 2011 = 500 Industry Verbal 1st Quarter = 1,000,000 3rd Quarter 2011 Monthly Payments Collected = $9,000,000 Investment Income Earned 3rd Quarter = $100,000 Quarterly Reimbursement = (500/1,000,000) * $9,000,000 = $4,500 Share of Investment Income = (500/1,000,000) * $100,000 = $50 TOTAL Quarterly Reimbursement = $4,550
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Annual Cash Settlement (ACS)
Purpose Using latest accident year data: True-up provisional financial transactions from previous calendar year For all accident years: Re-evaluate assessments Re-evaluate reimbursements Account for previous financial action Re-distribute investment income Share of administrative expenses All calculations account for time value of money
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Magnitude of Financial Transactions
Approximately $6 million every quarter via provisional financial transactions Approximately $400 million every year via the Annual Cash Settlement True-Up
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Cost of Late and Erroneous Data
Late Data - $50 per working day Resubmissions - $250 per account quarter Undetected Data Errors – can be over $1,000,000!
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How can it be that much??? Ultimate ACS formula assesses and reimburses based on BI Claimants: by Threshold, Territory & Accident Year BI Claimants reported incorrectly can have a significant financial impact
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EXHIBIT A Scenario 1 – Three BI claimants reported under wrong Threshold can cost up to $409,000 Scenario 2 – Three BI claimants vs. Zero Dollar insured’s reported under wrong Territory can cost up to $382,000
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Detecting Errors at the Call Form Level
What is done today? ISO - High level data checks Quarterly Submissions Financial Transactions, including ACS Company contact regarding questionable data AIPSO – Completeness/detailed checks on claim samples during compliance audit process
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Common Errors Exposures: Car months, Written, Cumulative, Threshold
BI Claimants: Threshold, Territory Reportable Claimants: ALL BI paid claimants included LAE: Reported separately and combined
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General Expectations for Review Purposes
Exposures by Threshold - Volume: +/- 5% Zero Dollar Exposures as % of total: +/- 2% BI Paid Claimants by Insured Threshold – Similar volume per accident year, allow for development Claim frequencies per threshold similar: 0.5 – 1.5 per 100 car years exposure Reportable Claimants & Losses – Percentage of Verbal BI: 4 – 28%, average 12% Reportable Loss Severity: $3,000 - $15,000, average $7,700 Loss Adjustment Expenses – 5 – 35% of Reportable Losses (may lag) Company Methodology: Formula?
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More difficult errors to detect:
Territory errors Completeness Additional checks that could help: Territory errors – Visual checks Additional visual checks Zero Dollar Exposures > Verbal Exposures?? BI claimants vs. Zero Dollar > BI claimants vs. Verbal?? Reportable Claimants > BI claimants vs. Verbal?? Reportable Losses w/o Reportable Claimants, and vice versa Completeness – Other existing internal data/special reports
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SUMMARY Poor data quality can have a large, hidden impact on your company’s bottom line With a reasonable effort you can help ensure that your company is properly assessed and reimbursed
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REMEMBER, ISO is here to help make your reporting of NJAIRE data as easy and accurate as possible Any questions? or you can contact me directly: Mike McAuley, (201) NJAIRE website, – FAQ’s, copies of all reporting forms, webinar information including .PPT presentations, Procedure Manual, Plan of Operation, etc.
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