9.14 whats the secret in the secret sauce.ppt€¦ · •ultimate cost is not guaranteed •subject...
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SEPTEMBER 12-15, 2017SOUTH LAKE TAHOE, CASEPTEMBER 12-15, 2017SOUTH LAKE TAHOE, CA
WHAT’S THE SECRET IN THE SECRET SAUCE?
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SEPTEMBER 12-15, 2017SOUTH LAKE TAHOE, CASEPTEMBER 12-15, 2017SOUTH LAKE TAHOE, CA
Major Advantages of JPAs vs. Traditional Insurance
• Rates based upon actual claims experience of members• Lower operating expense ratios: usually 15‐20 %
• Compared to 30‐40% for insurance companies
• Investment income retained by the Group• Improved risk control services tailored to members’ needs• Better claims management services• No CIGA assessment (2% of premium)• Profits retained and return of excess contributions controlled by Members
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SEPTEMBER 12-15, 2017SOUTH LAKE TAHOE, CASEPTEMBER 12-15, 2017SOUTH LAKE TAHOE, CA
Disadvantages JPAs vs. Traditional Insurance
•Ultimate cost is not guaranteed•Subject to assessments if contributions & interest income insufficient to cover costs
•Members jointly & severally liable•Not an insurance company! Requires active participation
•Governing Board with fiduciary responsibilities
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SEPTEMBER 12-15, 2017SOUTH LAKE TAHOE, CASEPTEMBER 12-15, 2017SOUTH LAKE TAHOE, CA
Opportunities for Credibility and Excellence
CAJPA Accreditation“Accreditation with excellence” Awarded every three years, this honor requires that pooling programs meet stringent operational standards.
Annual Claims Audits – annual review of liability and workers’ compensation claims handling and oversight.
Annual Financial Audits – annual review of fiscal soundness by program.
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SEPTEMBER 12-15, 2017SOUTH LAKE TAHOE, CA
Outsourcing Considerations
ACCESS
EASE
CONTINUITY
FLEXIBILITY
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SEPTEMBER 12-15, 2017SOUTH LAKE TAHOE, CA
Outsourcing Considerations
ACCESS
► State-of-the-art technology► Expertise of a broader
organization► Wide range of relationships
with industry experts
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SEPTEMBER 12-15, 2017SOUTH LAKE TAHOE, CA
Outsourcing Considerations
► Recruiting, hiring, training, evaluating and developing and firing employees can be timely, costly and overwhelm resources
► Desired skills can be difficult to find in certain geographic markets
► Service providers may offer a ready-made alternative
EASE
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SEPTEMBER 12-15, 2017SOUTH LAKE TAHOE, CA
Outsourcing Considerations
► Service provider team may reduce impact on ongoing operations when key individuals leave
► Service provider team may assist with succession planning and knowledge transfer
CONTINUITY
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SEPTEMBER 12-15, 2017SOUTH LAKE TAHOE, CA
Outsourcing Considerations
► Pools may want to perform some services in-house and engage service providers for others
► Service provider agreements can be customized for each pool, ranging from one or two services to a full turnkey operation
FLEXIBILITY
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SEPTEMBER 12-15, 2017SOUTH LAKE TAHOE, CA
Insourcing Considerations
YOUR KEYS
YOUR TOOLBOX
ACCOUNTABILITY
YOUR RECIPE
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SEPTEMBER 12-15, 2017SOUTH LAKE TAHOE, CA
Insourcing Considerations
YOUR GALLEY
► Best technology, is a great cook
► Expertise with a specific type of meal
► Single, common menu► You have to major in this
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SEPTEMBER 12-15, 2017SOUTH LAKE TAHOE, CA
Insourcing Considerations
► Kitchen and wait staff who have a clear understanding of “Why” they are doing what they are doing (Not for profit)
► Develop and define the utensils you need
► You pick your providersYOUR SPICE RACK
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SEPTEMBER 12-15, 2017SOUTH LAKE TAHOE, CA
Insourcing Considerations
► No one to blame if it tastes bad► No one to take the credit if it’s
delicious► You own it all
YOU’RE THE CHEF
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SEPTEMBER 12-15, 2017SOUTH LAKE TAHOE, CA
Insourcing Considerations
► You get to shop at your favorite store
► You get to pick your own ingredients
► Season to tasteYOUR
RECIPE