state of the workers compensation insurance industry: calm amid the storms? 2006 aascif annual...

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Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig, Ph.D., CPCU, Senior Vice President & Chief Economist Insurance Information Institute 110 William Street New York, NY 10038

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Page 1: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

State of theWorkers Compensation

Insurance Industry:

Calm Amid the Storms?2006 AASCIF Annual Conference

Branson, MO

June 19, 2006

Robert P. Hartwig, Ph.D., CPCU, Senior Vice President & Chief EconomistInsurance Information Institute 110 William Street New York, NY 10038

Tel: (212) 346-5520 Fax: (212) 732-1916 [email protected] www.iii.org

Page 2: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Presentation Outline

• P/C Insurance Industry Financial UpdateProfitabilityUnderwriting, Pricing Trends &Investment

• Ratings, Solvency & Financial Strength• Capacity, Capital & Policyholder Surplus• Workers Comp Operating Environment

Calm Amid the Storm?• Emerging Issue in Workers Comp• TRIA/Terrorism Update• Q & A

Page 3: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

P/C FINANCIALOVERVIEW

Mega-CATs Affect theEntire Industry

Page 4: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Highlights: Property/Casualty,2005 vs. 2004

Item 2005 2004 Change

Net Written Prem. 425,653 424,089 +0.4%

Loss & LAE 311,395 300,948 +0.9%

Net UW Gain (Loss) (5,928) 4,263 N/A

Net Inv. Income 49,456 39,966 +23.7%

Net Income (a.t.) 43,013 38,501 +12.3%

Surplus* 427,138 391,294 +9.2%

Combined Ratio* 100.9 98.3 +2.6 pts.

Source: ISO, Insurance Information Institute *Comparison is with year-end 2004 value.

Growth rate lowest since late 1990s

Investment Income Rebound?

Page 5: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

-10%

-5%

0%

5%

10%

15%

20%

25%

19

70

19

71

19

72

19

73

19

74

19

75

19

76

19

77

19

78

19

79

19

80

19

81

19

82

19

83

19

84

19

85

19

86

19

87

19

88

19

89

19

90

19

91

19

92

19

93

19

94

19

95

19

96

19

97

19

98

19

99

20

00

20

01

20

02

20

03

20

04

20

05

E2

00

6F

20

07

F2

00

8F

20

09

F2

01

0F

Note: Shaded areas denote hard market periods.Source: A.M. Best, Insurance Information Institute

Strength of Recent Hard Markets by NWP Growth*

1975-78 1984-87 2001-04

*2006-10 figures are III forecasts/estimates. 2005 growth of 0.4% equates to 1.8% after adjustment for a special one-time transaction between one company and its foreign parent.

2006-2010 (post-Katrina) period will resemble 1993-97

(post-Andrew)

2005: biggest real drop in premium since early 1980s

Page 6: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

P/C Net Income After Taxes1991-2005 ($ Millions)

$14,178

$5,840

$19,316

$10,870

$20,598$24,404

$36,819

$30,773

$21,865

-$6,970

$3,046

$30,029

$43,013

$20,559

$38,501

-$10,000

$0

$10,000

$20,000

$30,000

$40,000

$50,000

91 92 93 94 95 96 97 98 99 00 01 02 03 04 05*ROE figures are GAAP; **Return on avg. surplus. ROAS = 9.8% after adj. for one-time special dividend paid by the investment subsidiary of one company. Sources: A.M. Best, ISO, Insurance Information Inst.

2001 ROE = -1.2%

2002 ROE = 2.2%

2003 ROE = 8.9%

2004 ROE = 9.4%

2005 ROAS** = 10.5%

2005 Net Income only now exceeding levels of mid-1990s

Page 7: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

-4%

-2%

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

91 92 93 94 95 96 97 98 99 00 01 02 03 04 05E

ROE Cost of Capital

ROE vs. Equity Cost of Capital: US P/C Insurance: 1991 – 2005E

Source: The Geneva Association, Ins. Information Inst.

The p/c insurance industry achieved will come close to achieving its cost of capital in 2005

-13.

2 p

ts

-1.7

pts

US P/C insurers missed their cost of capital by an average 6.7 points from 1991 to 2002,

but just 0.6 pts from 2003-05E

-0.5

p

ts

+/-

0.5

pts

-9.0

pts

Page 8: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

-5%

0%

5%

10%

15%

20%

87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05

US P/C Insurers All US Industries P/C excl. Hurricanes

ROE: P/C vs. All Industries 1987–2005

Source: Insurance Information Institute; Fortune

Andrew Northridge

Hugo Lowest CAT losses in 15 years

Sept. 11

2004/5 ROEs excl. hurricanes

4 Hurricanes

Katrina, Rita, Wilma

Page 9: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

RETURN ON EQUITY (Fortune):Stock & Mutual vs. All Companies*

*Fortune 1,000 group.

Source: Fortune Magazine, Insurance Information Institute.

13%

10%

13.4%14.6%

10.4% 10.0%

14.9%14%

13%

7%6%

11%12%

9%

-2%

8%7%

2%

10%

13.9%12.6%

-4%-2%

0%2%4%

6%8%

10%12%

14%16%

1998 2000 2001 2002 2003 2004 2005

StockMutualAll Companies*

Stock insurer ROEs consistently above mutuals

The gap between stock and mutual profitability

has been narrowing

Page 10: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

RNW for Major P/C Lines,1995-2004 Average

16.5%

8.5% 7.9% 7.7%

5.5% 5.4% 4.6%3.4%

-2.5%

21.4%

15.7%

5.9%

-5%

0%

5%

10%

15%

20%

25%

InlandMarine

AllOther

Fire PPAuto

WC AllLines

CommAuto

CMP MedMal

OtherLiab

Home Allied

Source: NAIC; Insurance Information Institute

Workers Comp performance has been about average in recent years, though now superior relative to CAT-

impacted lines

Page 11: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Workers’ Comp Underwriting Performance and Profitability

123 122

109

101

97

101

115

118

122

111 110

107

102

107

1004.9%

8.6%

14.3%

12.8%

8.8%

4.5%

2.3%

6.9%

10.5%

13.0%

1.7%

14.4%

12.4%

6.0%

13.3%

0%

2%

4%

6%

8%

10%

12%

14%

16%

91 92 93 94 95 96 97 98 99 00 01 02 03 04 05*

Ret

urn

on

Eq

uit

y (%

)

90

95

100

105

110

115

120

125

Calen

dar Y

ear Co

mb

ined

Ratio

*2005 ROE figure is III estimate; 2005 Combined Ratio is NCCI estimate Source: A.M. Best, NCCI

Page 12: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

CATASTROPHEREVIEW

Workers Comp is Lost in the Background

Page 13: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

U.S. InsuredCatastrophe Losses ($ Billions)*

$7.5

$2.7

$4.7

$22.

9

$5.5 $1

6.9

$8.3

$7.4

$2.6 $1

0.1

$8.3

$4.6

$26.

5

$5.9 $1

2.9 $2

7.5

$61.

2

$100

$0

$20

$40

$60

$80

$100

$120

89 91 93 95 97 99 01 03 05

*Excludes $4B-$6b offshore energy losses from Hurricanes Katrina & Rita.Note: 2001 figure includes $20.3B for 9/11 losses reported through 12/31/01. Includes only business and personal property claims, business interruption and auto claims. Non-prop/BI losses = $12.2B.Source: Property Claims Service/ISO; Insurance Information Institute

$ Billions

2005 was by far the worst year ever for insured

catastrophe losses in the US, but the worst has yet to come.

$100 Billion CAT year is coming soon

Page 14: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Insured Property Catastrophe Losses as % Net Premiums Earned, 1983–2005E

0%

2%

4%

6%

8%

10%

12%

14%

16%

84

85

86

87

88

89

90

91

92

93

94

95

96

97

98

99

00

01

02

03

04

05

E

USWorldwideUS average: 1984-2004

*Insurance Information Institute figure of 13.8% for 2005 based estimated 2005 DPE of $417.7B and insured CAT losses of $57.7B.

Sources: ISO, A.M. Best, Swiss Re Economic Research & Consulting; Insurance Information Institute.

US CAT losses were a record 13.8% of net premiums earned in 2005 and were 4.2

times the 1984-2004 average of 3.3%.

Anything left to pay WC claims?

Page 15: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Top 10 Most Costly Hurricanes in US History, (Insured Losses, $2005)

$3.5 $3.8 $4.8 $5.0$6.6 $7.4 $7.7

$10.3

$21.6

$40.6

$0

$5

$10

$15

$20

$25

$30

$35

$40

$45

Georges(1998)

Jeanne(2004)

Frances(2004)

Rita (2005)

Hugo(1989)

Ivan (2004)

Charley(2004)

Wilma(2005)

Andrew(1992)

Katrina(2005)

$ B

illio

ns

Sources: ISO/PCS; Insurance Information Institute.

Seven of the 10 most expensive hurricanes in US history

occurred in the 14 months from Aug. 2004 – Oct. 2005:

Katrina, Rita, Wilma, Charley, Ivan, Frances & Jeanne

Page 16: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Insured Loss & Claim Count for Major Storms of 2005*

$1.1

$40.6

$10.3$5.0

104

383

1,047

1,744

$0

$5

$10

$15

$20

$25

$30

$35

$40

$45

Dennis Rita Wilma Katrina

Size of Industry Loss ($ Billions)

Insu

red

Lo

ss

($ B

illio

ns

)

02004006008001,0001,2001,4001,6001,8002,000

Cla

ims

(th

ou

san

ds)

Insured Loss Claims

*Property and business interruption losses only. Excludes offshore energy & marine losses.

Source: ISO/PCS as of June 8, 2006; Insurance Information Institute.

Hurricanes Katrina, Rita, Wilma & Dennis produced a record 3.3

million claims

Page 17: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Outlook for 2006 Hurricane Season

Average* 2005 2006F

Named Storms 9.6 26 17

Named Storm Days 49.1 115.5 85

Hurricanes 5.9 14 9

Hurricane Days 24.5 47.5 45

Intense Hurricanes 2.3 7 5

Intense Hurricane Days 13 7 13

Net Tropical Cyclone Activity 100% 275% 195%

*Average over the period 1950-2000.Source: Dr. William Gray, Colorado State University, May 31, 2006.

Just 16 left to go!!

Page 18: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

WALL STREET:

MAINTAINING THE CONFIDENCE OF WALL

STREET IS CRITICAL FOR MANY INSURERS

Page 19: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

4.2%

4.0% 4.5%

3.8%

2.2%

2.5% 3.

3%

2.7% 3.

9%

2.6% 3.2%

2.9%

4.9%

8.7% 9.3%

-4.0

%

-3.5

%

-2.7

%

-4.1

%

-5.3

%

-4.5

%

-5.7

%

-5.8

%

-6.0

%

-6.2

%

-5.3

%

-5.6

%

-5.6

%

-1.3

%

-0.5

%

-5.5

%

-6.4

% -4.8

%

-5.5

%

-0.6

%

1.9%

2.1% 3.

6% 4.8%

3.4%

2.2% 2.8%

5.0%

7.0%

13.3

%

-10%

-5%

0%

5%

10%

15%

5-Aug

12-Aug

19-Aug

26-Aug

2-Sep

9-Sep

16-Sep

23-Sep

30-Sep

7-Oct

14-Oct

21-Oct

28-Oct

04-Nov

31-Dec

P/C Reinsurers Brokers

Source: SNL Securities; Insurance Information Institute

Change in YTD Stock Performance by Sector Pre- & Post-Katrina/Rita/Wilma

P/C & reinsurer stocks hurt but now fully recovered. Brokers rose on expectation of tighter conditions and demand for broker

services; closure of Spitzer issues.

Katrina: Aug. 29

Rita comes ashore Sept. 24

Wilma landfall Oct. 24

Page 20: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

P/C Insurance Stocks Off to a Slow Start in 2006

-8.50%

-8.22%

-4.81%

-0.69%

1.02%

2.98%

-0.26%

-10.0% -8.0% -6.0% -4.0% -2.0% 0.0% 2.0% 4.0%

S&P 500

Life/Health

Reinsurers

P/C

All Insurers

Multiline

Brokers

Source: SNL Securities, Standard & Poor’s, Insurance Information Institute

Total YTD Returns Through June 16, 2006P/C insurer stocks are

flat so far in 2006. Investors worried about

potential hurricane losses, price weakness.

Page 21: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

UNDERWRITING

Surprisingly Strong in 2005, Stage is Set for a

Good 2006!

Page 22: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

115.8

107.4

100.198.3

92.7

100.9

97.7

90

100

110

120

01 02 03 04 05H1 05 06F IIIForecast*

P/C Industry Combined Ratio

Sources: A.M. Best; ISO, III. *III forecast for 2006

2005 figure reflects heavy use of reinsurance which

lowered net losses, but still a substantial deterioration

from first half 2005

Expectation is for an underwriting

profit in 2006

Page 23: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

110.

3

110.

2

107.

6

103.

9 109.

7

112.

3

111.

1

122.

3

110.

1

102.

3

101

99

101.

9

112.

5

85

90

95

100

105

110

115

120

125

93 94 95 96 97 98 99 00 01 02 03 04 05E 06F

Commercial Lines Combined Ratio, 1993-2006E*

Source: A.M. Best; Insurance Information Institute *Fitch estimate for 2005. Actual 1H05 combined ratio all lines was 92.7.

Outside CAT-affected lines, commercial

insurance is doing fairly well. Caution is

required in underwriting long-

tail commercial lines.

2006 results dependent on a return to “normal” catastrophe loss levels

Page 24: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

$10

.8

$22

.7

$13

.9

$9.

9

$8.

0

$5.

0

$2.0$0.4

2.41.9

1.1

0.4

6.5

3.63.5

0.1

$0

$5

$10

$15

$20

$25

2000 2001 2002 2003 2004 2005E 2006E 2007E

Rese

rve

Dev

elo

pm

ent

($B

)

0

1

2

3

4

5

6

7

Co

mb

ined

Rat

io P

oin

ts

PY Reserve Development Combined Ratio Points

Impact of Reserve Changes on Combined Ratio

Source: A.M. Best, Lehman Brothers for years 2005E-2007F

Reserve adequacy is improving substantially

Page 25: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

$6,3

20

$2,1

18

$1,7

29

$1,1

09

$850

$241

$148

$27

($1,

779)

($1,

686)

($1,

156)

($79

9)

($61

7)

($10

3)

($27

)

$3,5

13

($3,000)($2,000)($1,000)

$0$1,000$2,000$3,000$4,000$5,000$6,000$7,000

Oth

er L

iab

ilit

y

Rei

nsu

ran

ce

Wo

rk.

Co

mp

Pro

d.

Lia

b.

Co

mm

l. M

P

Fid

elit

y/S

ure

ty

Co

mm

l. A

uto

Med

Mal

Inte

rnat

ion

al

Fin

l. G

uar

anty

Sp

ecia

l L

iab

.

Oth

er

Sp

ecia

l P

rop

.

Ho

meo

wn

ers

PP

Au

to

Au

to P

D

2004 Prior Year Reserve Development by Line ($ Millions)

Source: A.M. Best, Lehman Brothers.

Longer-tail casualty coverages have been the source of most

reserve problems in recent years

Reserve Strengthening

Reserve Releases

Page 26: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

($55)

($50)

($45)

($40)

($35)

($30)

($25)

($20)

($15)

($10)

($5)

$0

$5

75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05

Underwriting Gain (Loss)1975-2005

Source: A.M. Best, Insurance Information Institute

$ B

illi

ons

Insurers sustained a $5.9 billion underwriting loss in 2005. Before

Katrina, p/c insurers were on track for only the second

underwriting profit in 27 years; U/W profit in 2006 is likely.

Page 27: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

110

.5

10

5.0 11

3.6 11

9.2

10

4.8

10

0.8

10

0.5

114

.3

10

6.5

12

5.8

111

.0

12

4.6

12

9

10

8.8 11

5.8

10

6.9

10

8.5

10

6.7

10

6.0

10

1.9

10

5.9

10

8.0

110

.1 115

.8

10

7.4

10

0.1

98

.3 10

0.9

16

2.4

12

6.5

90

100

110

120

130

140

150

160

170

91 92 93 94 95 96 97 98 99 00 01 02 03 04 05

Reinsurance All Lines Combined Ratio

Combined Ratio: Reinsurance vs. P/C Industry

Source: A.M. Best, ISO, Reinsurance Association of America, Insurance Information Institute

HurricaneAndrew

Sept. 11

2004/5 Hurricanes

Page 28: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

97.5

100.6 100.198.3

92.7

100.9

9.4%

10.5%

15.3%14.3%

15.9%

9.4%

80

85

90

95

100

105

110

1978 1979 2003 2004 2005:H1 2005

Co

mb

ine

d R

ati

o

6%

8%

10%

12%

14%

16%

18%

Re

tru

n o

n E

qu

ity

*

Combined Ratio ROE*

* 2005 figure is return on average statutory surplus.Source: Insurance Information Institute from A.M. Best and ISO data.

A 100 Combined Ratio Isn’t What it Used to Be: 95 is Where It’s At

Combined ratios today must be below

95 to generate Fortune 500 ROEs

Page 29: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

74.0%

62.1%

56.7%58.0%57.9%

62.4%

70.8%

74.3%

79.0%

74.4%73.3%

67.3%

61.0%

50%

55%

60%

65%

70%

75%

80%

85%

93 94 95 96 97 98 99 00 01 02 03 04 05E

Workers Comp Pure Loss Ratio: 1993–2005E

Source: NAIC; Insurance Information Institute; 2005 estimate from NCCI.

WC losses ratios have improved substantially

since 2001

WC is a relative bright spot in

most states

Page 30: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Workers Comp Calendar Year vs. Ultimate Accident Year – Private Carriers

10197

111 110107

102101106

120

131138 135

124

90 90

100 101

107

115118

122

97

105

96

80

90

100

110

120

130

140

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005p

Calendar Year Accident Year

Percent

p Preliminary AY figure. Accident Year data is evaluated as of 12/31/2005 and developed to ultimateSource: Calendar Years 1994-2004, A.M. Best Aggregates & Averages; Calendar Year 2005p and Accident Years 1994-2005pbased on NCCI Annual Statement Analysis.Includes dividends to policyholders

Workers Comp Combined Ratios, 1994-2005P

1.9% due to 9/11

Page 31: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Workers Comp Calendar YearNet Combined Ratios

Private Carriers and State Funds

100 101

107

115118

122

111108 107

102

119

128

141144

136

116 117

103 101 101

80

90

100

110

120

130

140

150

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005p

Private Carriers State Funds

Percent

Calendar Yearp PreliminarySource: 1996-2004 Private Carriers, A.M. Best Aggregates & Averages; 2005p, NCCI1996-2005p State Funds: AZ, CA, CO, HI, ID, KY, LA, ME, MO, MT, NM, OK, OR, RI, TX, UT Annual StatementsSource: National Council on Compensation Insurance

WC state fund underwriting performance is now on par with private

industry

1.9% due to 9/11

Page 32: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

22.021.521.0

23.5

26.226.528.0

26.725.925.4

23.3

21.720.419.8

18.517.6

10

12

14

16

18

20

22

24

26

28

30

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005p

Workers Comp Calendar Year U/W Expense Ratio, 1990-2005p

Private CarriersPercent

p PreliminarySource: 1990-2004, A.M. Best Aggregates & Averages; 2005p, NCCI

Calendar Year

Underwriting expense ratio benefited from run-up in

premiums, but likely to turn up again as premium growth slows

Page 33: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

95.9 96.0

101.5

94.2

91.390.0 90.7

84.5

101.1

94.493.2 92.6

90.089.3

90.691.3

$8.30

$7.30$6.49

$11.95

$13.15

$13.91$13.50

$8.42

$4.83$5.20

$5.71

$5.25$5.70

$7.70

$6.40$6.10

80

85

90

95

100

105

110

90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05

Co

mm

erc

ial L

ine

s O

pe

rati

ng

Ra

tio

$0

$2

$4

$6

$8

$10

$12

$14

Co

st

of

Ris

k/$

10

00

Re

ve

nu

e

Commercial OperatingRatioCost of Risk**

Source: RIMS, A.M. Best; Insurance Information Institute •2005 operating ratio is III estimate•**Per $1,000 Revenue.

Cost of Risk vs. Commercial Lines Operating Ratio*

Page 34: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

UNDERWRITING AFFECTS FINANCIAL

STRENGTH

Is There Causefor Concern?

Page 35: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

P/C Company Insolvency Rates,1993 to 2004

Source: A.M. Best; Insurance Information Institute *1993-2003

1.20%

0.58%

0.21%0.28%

0.79%

0.60%

0.23%

1.02% 1.03%

1.33%

0.85%

0.42%

1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

•Insurer insolvencies are decreasing•12-yr industry failure rate: 0.71%

•Failure rating for B+ or better rating: 0.49%*•Failure rate for D through B rating: 1.29%*

383030

12-yr Failure Rate

= 0.71%

21

10

Page 36: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Reason for P/C Insolvencies(218 Insolvencies, 1993-2002)

Unidentified17%

Impaired Affiliate3%

Overstated Assets2%

Change in Business

3%

CAT Losses3%

Reinsurer Failure0%

Rapid Growth10%

Discounted Ops8%

Alleged Fraud3%

Deficient Loss Reserves

51%

Source: A.M. Best, Insurance Information Institute

Reserve deficiencies account for

more than half of all p/c insurers

insolvencies

So far, Katrina appears to have claimed just 1 victim—Rosemont Re—expected

to go into run-off

Page 37: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Reasons for US P/C Insurer Impairments, 1969-2005

*Includes overstatement of assets.

Source: A.M. Best: P/C Impairments Hit Near-Term Lows Despite Surging Hurricane Activity, Special Report, Nov. 2005;

Rapid Growth8.6%

Affiliate Problems

8.6%

Deficient Loss Reserves/In-

adequate Pricing62.8%

Alleged Fraud11.4%

Catastrophe Losses8.6%

2003-2005 1969-2005

Deficient reserves,

CAT losses are more important factors in

recent years

Reinsurance Failure3.5%

Rapid Growth16.5%

Misc.9.2%

Affiliate Problems

5.6%

Sig. Change in Business

4.6%

Deficient Loss Reserves/In-

adequate Pricing38.2%

Investment Problems*

7.3%

Alleged Fraud8.6%

Catastrophe Losses6.5%

Page 38: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

$10.0

$14.5

$18.3$20.0

$21.0

$18.0

$12.0

$15.0

$0.5$2.0

$4.6

$9.0

0

5

10

15

20

25

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005p

$ Billions

p PreliminaryConsiders all reserve discounts to be deficient.Loss and LAE figures are based on NAIC Annual Statement data for each valuation date and NCCI latest selections.Source: 1995-2005p, NCCI analysis

Loss and LAE Reserve Deficiency—Private Carriers

Workers Comp Reserve Deficiency,1993-2005p

Calendar Year

WC reserve deficiencies have been cut by $12

billion—57% since 2001

Page 39: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Historical Ratings Distribution,US P/C Insurers, 2000 vs. 2005

A/A-52.3%

A++/A+9.2%

B++/B+26.4%

Vulnerable*12.1%

Source: A.M. Best: Rating Downgrades Slowed but Outpaced Upgrades for Fourth Consecutive Year, Special Report, November 8, 2004 for 2000; 2006 Review & Preview for 2005 distribution. *Ratings ‘B’ and lower.

A/A-48.4%

D0.2%C++/C+

1.9%

E/F2.3% A++/A+

11.5%

C/C-0.6%

B++/B+28.3%

B/B-6.9%

2000 2005 A++/A+ shrinkage

Ratings agencies increasing emphasis on multiple

eventsrequire more capital

Page 40: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Ratings Agencies Tightening Requirements for CATs

2006 SRQ CAT Model Reqs.*•All Property Exposure•Auto Physical Damage•Reinsurance Assumed•Pools & Assessments•All Flood Exposure•WC Losses from Quake•Fire Following•Storm Surge•Demand Surge•Secondary Uncertainty

ALSO “A.M. Best will perform additional “stress-tested” risk-adjusted capital analysis for a second event in order to determine the potential financial condition of an entity post a severe event.”IMPLICATION: Some insurers may be required to carry more capital to maintain the same rating.

*SRQ = Supplemental Rating QuestionnaireSource: A.M. Best Review & Preview, January 2006.

Best currently estimates PML for

100-yr. wind & 250-yr. quake to determine capital

adequacy

Page 41: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

INVESTMENTS

Does Investment Performance Affect

Discipline?

Page 42: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

$0

$10

$20

$30

$40

$50

75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05

Net Investment Income$

Bil

lion

s

Growth History

2002: -1.3%

2003: +3.9%

2004: +3.4%

2005: +23.7%**

Source: A.M. Best, ISO, Insurance Information Institute;**Includes special dividend of $3.2B. Increase is 15.7% excluding dividend.

Page 43: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

US P/C Net Realized Capital Gains,1990-2005 ($ Millions)

$2,880

$4,806

$9,893

$1,664

$5,997

$9,244$10,808

$18,019

$13,016

$16,205

$6,631

-$1,214

$6,610

$9,696$9,125

$9,818

-$5,000

$0

$5,000

$10,000

$15,000

$20,000

90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05Sources: A.M. Best, ISO, Insurance Information Institute.

Realized capital gains rebounded strongly in

2004/5 but are 46% below their 1998 peak

Page 44: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

-30%

-20%

-10%

0%

10%

20%

30%

40%

19

70

19

72

19

74

19

76

19

78

19

80

19

82

19

84

19

86

19

88

19

90

19

92

19

94

19

96

19

98

20

00

20

02

20

04

20

06

Source: Ibbotson Associates, Insurance Information Institute. *Through June 16, 2006.

Total Returns for Large Company Stocks: 1970-2006*

S&P 500 is up 0.3% so far in 2006*

Markets are moving sideways in 2006 as interest rates rise

Page 45: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

0%

1%

2%

3%

4%

5%

6%

1m 3m 6m 1yr 2yr 3yr 5yr 7yr 10yr 20yr 30yr

Jun-04 Dec-04 Jun-05 Dec-05 May-06

The Treasury Yield CurveIs Still Fairly Flat

Source: Board of Governors, Federal Reserve System; Insurance Information Institute. *Week ending 5/26.

December 2004

June 2004

June 2005

December 2005

May 2006*

Page 46: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Property/Casualty Insurance Industry Investment Gain*

$ Billions

$35.4

$42.8$47.2

$52.3

$44.4

$36.0

$45.3$48.9

$59.2$56.9

$51.9

$57.9

$0

$10

$20

$30

$40

$50

$60

94 95 96 97 98 99 00 01 02 03 04 05***Investment gains consist primarily of interest, stock dividends and realized capital gains and losses.**2005 figure includes special one-time dividend of $3.2B.Source: Insurance Services Office; Insurance Information Institute.

Investment gains are rising but are only now

comparable to gains seen in the late 1990s

Page 47: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

WC Low Investment Returns Persist: Low Interest Rates

13.0

%

14.0

%

18.1

%

16.7

%

20.4

%

21.3

%

20.5

%

19.5

%

14.0

%

10.7

%

10.4

%

11.2

%

12.0

%

17.6

%

16.8

%

14.4

%

5%

10%

15%

20%

25%

90* 91* 92 93 94 95 96 97 98 99 00 01 02 03 04 05p*Adjusted to include realized capital gains to be consistent with 1992 and after.**Investment Gain on Insurance Transaction includes Other Income. Source: 1990-2004 A.M. Best Aggregates & Averages; 2005p NCCI.

Rising interest rates should help WC investment returns

over time

Investment Gain on Insurance Transactions to Premium Ratio**Private Carriers

Page 48: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

7.0%

00 01 02 03 04 05 06F 07F 08F 09F 10F 11F 12F 13-17F

3-Month T-Bill 10-Year T-Note

Interest Rate Forecast,2006-2017

Source: Blue Chip Economic Indicators, March 2006; Insurance Information Institute.

Fed thinking on future hikes is unclear & depend on economic data over the

next few months

Page 49: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

CAPITAL/CAPACITY

Can the Industry Efficiently Employ Its Increasing Capital?

Page 50: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

$0

$50

$100

$150

$200

$250

$300

$350

$400

$450

75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 0405*

U.S. Policyholder Surplus: 1975-2005*

Source: A.M. Best, ISO, Insurance Information Institute *As of 12/31/05.

$ B

illi

ons

“Surplus” is a measure of underwriting capacity. It is analogous to “Owners Equity” or “Net Worth” in non-insurance organizations

Capacity TODAY is $427.1B, 9.2% above year-end 2004, 47% above its 2002 trough and

22% above its mid-1999 peak. Sufficient capacity exists to pay all hurricane claims.

Foreign reinsurance and residual market mechanisms absorbed $27-$32B (57%-67%) of 2005

CAT losses of $57.7B

Page 51: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Announced Insurer Capital Raising*($ Millions, as of December 1, 2005)

$1,500

$38

$400 $450$600

$710

$300$100$140

$600

$129$297

$620

$124$202 $150$299

$490

$3,200

$0

$500

$1,000

$1,500

$2,000

$2,500

$3,000

$3,500

$ M

illio

ns

*Existing (re) insurers. Announced amounts may differ from sums actually raised. Sources: Morgan Stanley, Lehman Brothers, Company Reports; Insurance Information Institute.

As of Dec. 1, 19 insurers announced plans to raise $10.35 billion in new capital. Twelve start-ups plan to

raise as much as $8.75 billion more for a total of $19.1 billion. Actual total higher as Lloyd’s syndicates

have added capacity for 2006.

Page 52: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Announced Capital Raising by Insurance Start-Ups($ Millions, as of April 15, 2006)

$1,500

$1,000$1,000$1,000$1,000$1,000

$750

$500 $500 $500 $500

$220 $180$100

$0

$200

$400

$600

$800

$1,000

$1,200

$1,400

$1,600

$ M

illio

ns

*Chubb, Trident are funding Harbor Point. Announced amounts may differ from sums actually raised. **Stated amount is $750 million to $1 billion. ***XL Capital/Hedge Fund venture. Arrow Capital formed by Goldman Sachs.Sources: Morgan Stanley, Company Reports; Insurance Information Institute.

As of April 15, 14 start-ups plan to raise as

much as $9.75 billion.

Page 53: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

$169

$151

$140

$145

$150

$155

$160

$165

$170

$175

2004 2006E

$ B

illio

ns

Shrinkage in 2006 (-11%) surplus is due to elimination

of several lines covered under TRIA though 2005 but

dropped under the Act’s extension effective 1/1/06

*2006 figure uses 2005 estimated year-end surplus and premiums by line as basis for calculations.Source: Insurance Information Institute.

(Billions of Dollars)

Surplus Under TRIA/TRIEA Covered Lines

Page 54: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

PRICING TRENDS:

DOWNWARD PRESSURE?

Page 55: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

How the Risk Dollar is Spent (2004)

Source: RIMS (2004); Insurance Information Institute

Firms w/Revenues < $1 Billion

Retained Property

4%

WC Premiums16%

Other1%

Retained WC6%

Property Premiums

22%

Total Mgmt. Liab.8%

Total Prof. Liab4%

Liability Premiums

27%

Retained Liability

3%

Admin Costs9%

Firms w/Revenues > $1 Billion

Total Mgmt. Liab.6%

Retained Liability

14%Admin Costs

7%

Property Premiums

19%

Retained Property

6%

Total Prof. Liab5%

WC Premiums6%Other

1%

Retained WC24%

Liability Premiums

14%

Workers Comp costs account for 20% - 30% of the risk dollar

Page 56: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

$6.10 $6.40

$8.30$7.70

$7.30$6.49

$5.70$5.25

$5.71

$8.42

$13.50$13.91

$13.15

$11.95

$4.83$5.20

$4

$6

$8

$10

$12

$14

$16

90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05* Cost of risk includes insurance premiums, retained losses and administrative expenses

Source: 2005 RIMS Benchmark Survey; Insurance Information Institute

Cost of Risk: 1990-2005*

1992-2000 = -41.8%

2000

-04

= +1

88%

Page 57: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

$3.7

9

$3.7

3

$3.4

9$4.1

2

$4.2

1

$1.2

3

$4.6

0

$4.4

4

$3.3

2

$2.7

4

$2.2

0

$0.2

5

$0.8

$0.9

3

$0.2

2

$1.1

7

$1.3

5

$1.0

3

$0.3

5

$4.2

5

$1.0

$1.3

2

$0.1

6

$3.9

2

$0.0

$0.5

$1.0

$1.5

$2.0

$2.5

$3.0

$3.5

$4.0

$4.5

$5.0

Total WCCosts

TotalLiability

Costs

TotalProperty

Costs

Other Costs Total Admin.Costs

Total Mgmt.LiabilityCosts

2001 2002 2003 2004

Components of Cost of Risk Per $1,000 of Revenue*

* Cost of risk includes insurance premiums, retained losses and administrative expensesSource: 2004 RIMS Benchmark Survey; Insurance Information Institute

+38.6% +62.0% +78.2%

-36%

+7.5% +65%

% Change

2001 -04

Page 58: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

PRICING

Can Discipline be Maintained?

Page 59: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Average Commercial Rate Change,All Lines, (1Q:2004 – 1Q:2006)

-0.1%

-3.2%

-7.0%

-9.4% -9.7%

-4.6%

-2.7%

-5.9%

-8.2%

-12%

-10%

-8%

-6%

-4%

-2%

0%

1Q04 2Q04 3Q04 4Q04 1Q05 2Q05 3Q05 4Q05 1Q06

Source: Council of Insurance Agents & Brokers; Insurance Information Institute

Magnitude of rate decreases has diminished

greatly since mid-2005

Page 60: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Average Commercial Rate Change by Account Size

Commercial accounts trended downward from

early 2004 to mid-2005 but are now that trend is

shrinking post-Katrina

Source: Council of Insurance Agents & Brokers

Page 61: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Average Commercial Rate Change by Line

Source: Council of Insurance Agents & Brokers

Commercial accounts trended downward from

early 2004 to mid-2005 but now trend is shrinking post-Katrina & Property is up.

Page 62: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Percent of Commercial Accounts Renewing w/Positive Rate Changes, 1st Qtr. 2006

54%

26%20%

15%

50%

26%23%

16% 15%

23%

0%

10%

20%

30%

40%

50%

60%

Southeast Northeast Pacific NW Southwest Midwest

Commercial Property Business Interruption

Source: Council of Insurance Agents and Brokers

Largest increases for Commercial Property & Business Interruption are in the Southeast, smallest in Midwest

Page 63: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

P/C Soft Spots: % Accounts With Negative Price Change(1ST Qtr. 2006)

52%

44%

59%

68% 70% 68%

19%

49%

0%

10%

20%

30%

40%

50%

60%

70%

80%

Comm Prop BizInterruption

Terror Comm Auto WC GL EPL Umbrella

Source: Council of Insurance Agents & Brokers; Insurance Information Institute

Commercial lines pricing is weakening

Property

Casualty/Liability/Terrorism

Page 64: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Workers Comp Rate Changes:1999:Q4 – 2006: Q1

Source: Council of Insurance Agents and Brokers; Lehman Brothers.

Most WC renewals

are negative

Page 65: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Percent of WC Accounts Renewing Downward, by Region, 1st Qtr. 2006

39%

67%

76%

84%

68%70%

20%

30%

40%

50%

60%

70%

80%

90%

Northeast Southeast Midwest West Southwest USSource: Council of Insurance Agents and Brokers

Softness in WC pricing is most

evident in the West and Southwest

About 80% of WC accounts in the West and SW renewed

negative during Q1:2006

Page 66: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

WORKERS COMPENSATION

OPERATING ENVIRONMENT

Page 67: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Workers Comp Premium VolumePrivate Carriers and State Funds: 1990-2005P

p PreliminarySource: 1990-2004 Private Carriers, A.M. Best Aggregates & Averages; 2005p, NCCI; Bureau of Economic Analysis.1996-2005p State Funds: AZ, CA, CO, HI, ID, KY, LA, MO, MT, NM, OK, OR, RI, TX, UT Annual Statements

31.0 31.326.3 25.2 24.2 23.3 22.3 25.0 26.1 29.2 31.1

34.7 37.829.8 30.5 29.1

28.2 26.9 25.8 24.928.4

31.9

37.341.8

45.9 47.2

0

10

20

30

40

50

60

90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05p0

1

2

3

4

5State Funds ($ B)

Private Carriers ($ B)

$ Billions $ Trillions

Calendar Year

Private Nonfarm Wages and Salaries ($ T)

State Fund Market was 11% in 1996, peaked at 25.6% in 2003, fell to

20% by 2005

Page 68: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

17.919.8

13.9

5.2

1.3

-7.6

0.9

4.4

7.65.8

-6.0-7.5 -7.5

-0.7 -1.2

6.27.7

10

-0.1

13

-15

-10

-5

0

5

10

15

20

25

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005p

Private Carriers State Funds

1996-2003p AveragesPrivate Carriers: +6.2%State Funds: +0.5%

Workers Compensation Pre-Tax Operating Gain Ratios

Private Carriers and State FundsPercent

Calendar Year

p PreliminarySource: 1996-2004 Private Carriers, A.M. Best Aggregates & Averages; 2005p, NCCI1996-2005p State Funds: AZ, CA, CO, HI, ID, KY, LA, MN, MO, MT, NM, OK, OR, RI, TX, UT Annual StatementsOperating Gain equals 1.00 minus (Combined Ratio less Investment Gain on Insurance Transactions and Other Income)

Source: NCCI

Page 69: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Workers Comp Premium Drivers

Page 70: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

129.0

129.5

130.0

130.5

131.0

131.5

132.0

132.5

133.0

133.5

134.0

134.5

135.0

135.5

Ja

n-0

0

Ap

r-0

0

Ju

l-0

0

Oc

t-0

0

Ja

n-0

1

Ap

r-0

1

Ju

l-0

1

Oc

t-0

1

Ja

n-0

2

Ap

r-0

2

Ju

l-0

2

Oc

t-0

2

Ja

n-0

3

Ap

r-0

3

Ju

l-0

3

Oc

t-0

3

Ja

n-0

4

Ap

r-0

4

Ju

l-0

4

Oc

t-0

4

Ja

n-0

5

Ap

r-0

5

Ju

l-0

5

Oc

t-0

5

Ja

n-0

6

Ap

r-0

6

Number of Employed Workers(Millions)

Source: U.S. Bureau of Labor Statistics; Insurance Information Institute

2.68 Million Jobs Lost from

Feb. 2001 – Aug. 2003

Employment peaked at 132. 56 million in

February 2001before slide and didn’t fully recover

until February 2005.

By August 2003, employment stood at

129.80 million, its lowest level since October 1999.

Employment rose by 75,000 in May 2006 to 135.106 million

5.3 million jobs created since 8/032.5 million since 2/01

Page 71: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

12.1

7.4

10.0

2.9 3.5

1.2

4.96.6

-6.0-6.4

-3.2

-6.0

-8.0

-5.4

-2.6

-6.0

-10

-5

0

5

10

15

90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05*

Cumulative 1990-1993

+36.3%

Cumulative 1994-1999

-27.8%

Calendar Year Average Approved Bureau Rate/Loss Cost Changes

Percent

Cumulative 2000-2003

+17.1%

* States approved through 04/13/2006Countrywide approved changes in advisory rates, loss costs and assigned risk rates as filed by the applicable rating organization.Source: NCCI

Calendar Year

Cumulative

2004-2005

-11.6%

Page 72: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

3.5%

1.2%

6.6%

-6.0% -6.0%

-0.1%-0.8%

0.0%

1.8%0.5% 0.3%

4.9%

-8%

-6%

-4%

-2%

0%

2%

4%

6%

8%

2000 2001 2002 2003 2004 2005*

All StatesAll States Excl. CA

Countrywide approved changes in advisory rates, loss costs and assigned risk rates as filed by the applicable rating organization.Source: NCCI * States approved through 04/13/2006

Cumulative 2000-2004All States: +10.1%All States Excl. CA: +1.4%

Average Approved BureauRate/ Loss Cost ChangesAll States vs. All States Excluding California

Page 73: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Excludes Law-Only Filings

-18.

2 -13.

5-4

.2 -0.6

-0.3

32.9

9.9

9.4

9.3

7.0

6.5

5.7

5.5

5.3

5.0

4.4

4.2

4.0

2.6

2.4

2.1

1.8

1.4

1.6

0.8

0.0 1.2

-1.3

-1.5

-1.8

-1.9-2

.0-3

.6-3

.9

-25-20-15-10

-505

101520253035

HI RI DC MS AR LA MOOR

ME TN IN KY UT AL OK IL AZ VA

Percent Change

Current NCCI Voluntary MarketFiled Rate/Loss Cost Changes

Notes: Effective 1/1/06 or prior except subsequent to 1/1/06 in MS, VT, TN, MT, KY, NE, AL, NC and VA. SC filed and pending as of 4/20/06.Source: NCCI as of 4/20/06

Page 74: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Workers Comp Frequency & Severity

Trends

Page 75: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Workers Comp Calendar Year vs. Ultimate Accident Year – Private Carriers

10197

111 110107

102101106

120

131138 135

124

90 90

100 101

107

115118

122

97

105

96

80

90

100

110

120

130

140

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005p

Calendar Year Accident Year

Percent

p Preliminary AY figure. Accident Year data is evaluated as of 12/31/2005 and developed to ultimateSource: Calendar Years 1994-2004, A.M. Best Aggregates & Averages; Calendar Year 2005p and Accident Years 1994-2005pbased on NCCI Annual Statement Analysis.Includes dividends to policyholders

Workers Comp Combined Ratios, 1994-2005P

Page 76: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Lost-Time Claims

-4.2 -4.4

-9.2

-6.9-5.7

-4.3 -3.9

0.3

-6.5

-4.5

0.5

-3.9

-2.3

-4.5 -4.5

-10

-8

-6

-4

-2

0

2

91 92 93 94 95 96 97 98 99 00 01 02 03 04 05p

Cumulative Change of –45.8%(1991-2004)

Accident Year

Percent Change

Workers Comp Lost-TimeClaim Frequency (% Change)

2003p: Preliminary based on data valued as of 12/31/20051991-2003: Based on data through 12/31/2004, developed to ultimateBased on the states where NCCI provides ratemaking servicesExcludes the effects of deductible policiesSource: NCCI

Page 77: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

IndemnityClaim Cost (000s)

Lost-Time Claims

$9.9 $9.6 $9.4 $9.8 $10.0$10.6

$11.4$12.4

$13.6

$15.1$16.5 $16.9

$17.7$18.6 $19.1

$5

$7

$9

$11

$13

$15

$17

$19

91 92 93 94 95 96 97 98 99 00 01 02 03 04 05p

Annual Change 1992–1996: +1.3%Annual Change 1997–2004: +7.4%

2005p: Preliminary based on data valued as of 12/31/20051991-2004: Based on data through 12/31/2004, developed to ultimateBased on the states where NCCI provides ratemaking servicesExcludes the effects of deductible policiesSource: NCCI

Accident Year

Workers Comp Indemnity Claims Costs Have Accelerated, 1993-2005p

Cumulative Change = +103.2%(1993-2005p)

Page 78: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

2.8%

4.0%4.7%

4.2%4.9%

4.2%

2.2% 2.0% 2.2% 2.5%

5.9%

7.7%

9.0%9.4%

4.7%

6.0%

2.0%2.8% 2.2%

9.6%10.9%

1.7%

0%

2%

4%

6%

8%

10%

12%

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005p

Change in CPS Wage Change in Indemnity Cost per Lost-Time Claim

WC Indemnity Severity vs. Wage Inflation

4.3

pts

WC indemnity severity is no longer outpacing

wage inflation

2005p: Preliminary based on data valued as of 12/31/2005; 1991-2004: Based on data through 12/31/2004, developed to ultimate. Based on the states where NCCI provides ratemaking services. Excludes the effects of deductible policies. CPS = Current Population Survey.Source: NCCI

Page 79: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

$8.3 $8.4 $8.2 $8.9 $9.4 $10.1$11.1

$12.0$13.2

$14.2

$16.0$17.4

$19.0

$20.9

$22.7

$5

$7

$9

$11

$13

$15

$17

$19

$21

$23

91 92 93 94 95 96 97 98 99 00 01 02 03 04 05p

Annual Change 1992–1996: +4.1%Annual Change 1997–2005: +9.5%

Accident Year

MedicalClaim Cost ($000s)

2005p: Preliminary based on data valued as of 12/31/20051991-2004: Based on data through 12/31/2004, developed to ultimateBased on the states where NCCI provides ratemaking services; Excludes the effects of deductible policies

Workers Comp Medical Claims Continue to Climb

Cumulative Change = +176.8%(1993-2005p)

Page 80: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

4.5%3.6%

2.8% 3.2% 3.5%4.1%

4.6% 4.7%4.0% 4.4% 4.2%

5.1%

7.4%

10.1%

8.3%

9.5%

8.1%

12.3%

8.7% 9.1%

10.3%

8.5%

0%

2%

4%

6%

8%

10%

12%

14%

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

Change in Medical CPIChange Med Cost per Lost Time Claim

WC Medical Severity Rising Far Faster than Medical CPI

Sources: Med CPI from US Bureau of Labor Statistics, WC med severity from NCCI based on NCCI states.

4.3

pts

WC medical severity is rising twice as fast as the

medical CPI

Page 81: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Med Costs Share of Total Costs is Increasing Steadily

Indemnity56%

Medical44%

Source: NCCI (based on states where NCCI provides ratemaking services).

Indemnity52%

Medical48%

Indemnity42%

Medical58%1985

1995

2005p

Page 82: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

WC Costs Higher Than GeneralHealth Due to Price & Utilization

109%136%

120%

184%

145%

204%

0%

50%

100%

150%

200%

250%

Price Utilization Cost

Acute & Trauma Chronic & ComplexSource: NCCI

Workers Comp vs. Group HealthFirst Three Months Following Injury, GH = 100%

Page 83: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Price & Utilization Impacts Varyby Service in Workers Comp

103%130% 123%

186%

266%

98%

276%

103%121%

81%

191%

73%

185%

269%

167%

0%

50%

100%

150%

200%

250%

300%

Office Visits PhysicalTherapy

Radiology PrescriptionDrugs

Surgery &Other Services

Price Utilization CostSource: NCCI

Workers Comp vs. Group HealthFirst Three Months Following Injury, GH = 100%

Physical Therapy and Radiology very

problematic. Ineffective price/utilization controls

Page 84: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

6.5%

7.7%8.6%

9.5% 9.6%

0%

1%

2%

3%

4%

5%

6%

7%

8%

9%

10%

1997 1998 1999 2000 2001

WC Drug Costs as % of Total WC Medical Costs*

*Analysis is on an accident year (AY) basis, developed through 8th report.Source: National Council on Compensation: Prescription Drugs: Comparison of Drug Costs and Patterns of Use in Workers Compensation and Group Health Plans.

WC drug costs account for an increasingly large share of WC medical costs. They are a major driver behind

the accelerating cost of providing medical care to injured workers.

Page 85: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Workers Comp Residual Market Trends

Page 86: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

$1

.4

$1

.1

$0

.6$1

.2

$2

.1 $2

.6

$2

.8 $3

.5 $4

.0 $4

.4 $4

.8

$4

.1

$3

.1

$2

.0

$1

.0

$0

.6

$0

.3

$0

.3

$0

.4

$1

.5

$1

.4

$0

$1

$2

$3

$4

$5

$6

* Incomplete Policy Year Projected to UltimateSource: NCCI

$ Billions

Policy Year

Workers Comp Residual Market Premium Volume

NCCI-Serviced Workers Compensation Residual Market Poolsas of December 31, 2005

Residual market premium volume declined in 2005 for

the first time since 1997

Page 87: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Workers Compensation Residual Market Shares StabilizeWorkers Compensation Insurance Plan States*

Premium as a Percent of Direct Written Premium

9

1618 17

2224

2629 28

24

17

118

4 3 3

1312

1311

5

0

5

10

15

20

25

30

35

Percent

p Preliminary•NCCI Plan states plus DE, IN, MA, MI, NJ, NC•Source: NCCI

Calendar Year

Residual market shares are stable at about 12%

Page 88: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Workers Compensation Residual Market Combined Ratios

NCCI-Serviced Workers Compensation Residual Market Pools As of December 31, 2005

177

165169167160

143

127

112104

97 95 98103

116117118113113111115113

80

100

120

140

160

180

200

*Incomplete Policy Year Projected to UltimateSource: NCCI

Policy Year

Percent

Residual market combined ratios are stable and

remain well below the highs of the late 1980s

Page 89: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

($1

89

)

($2

01

)

($9

34

)

($1

,37

4)

($1

,78

4)

($1

,89

9)

($1

,69

9)

($1

,19

9)

($5

69

) ($1

46

)

($1

9)

($5

1)

($4

6)

($6

5)

($2

,08

5)

$1

6

$1

07

$7

7

($1

49

)

($1

60

)

($8

1)

-2,500

-2,000

-1,500

-1,000

-500

0

500

WC Residual Market Underwriting Results Are Stable

NCCI-Serviced Workers Compensation Residual Market PoolsAs of December 31, 2005

Policy Year

$ Millions

*Incomplete Policy Year Projected to UltimateSource: NCCI

Residual market underwriting losses

are manageable

Page 90: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

EMERGING ISSUES

Page 91: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

OBESITY & WORKERS

COMPENSATION

A Heavy BurdenFor Workers Comp?

Page 92: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Avg. Annual Hours Lost Per CA Worker Due to Obesity & Physical Inactivity

15.7516.6513.0

19.8

28.75

36.45

0

10

20

30

40

50

Obesity Physical Inactivity

Hou

rs L

ost

Per

Yea

r

Absences Short-term disability Presenteeism*

*Presenteeism is defined as productivity loss that occurs when workers are on the job but not fully functioning. Source: Topline Report, The Economic Costs of Physical Inactivity, Obesity, and Overweight in California Adults.

Obesity costs employers nearly 2 weeks per year per employee in terms

of lost output/ productivity

Physical inactivity costs employers

nearly 1.5 weeks per year per employee

in terms of lost output/ productivity

Page 93: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

$1,682.0

$766.5$915.3

$0

$200

$400

$600

$800

$1,000

$1,200

$1,400

$1,600

$1,800

Absences ST Disability Presenteeism

Lost Productivity Cost By Risk Factor Tied to Obesity in California ($ Millions)

In California, total lost productivity cost tied to obesity is approximately $3.36 billion

$ Billions

Source: Source: The Economic Costs of Physical Inactivity, Obesity and Overweight in California Adults: Health Care, Workers’ Compensation and Lost Productivity,” April 2005. Study conducted by David Chenoweth, Ph.D., FAWHP, for the California Department of Health Services.

Page 94: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

$2,065.1$1,699.2

$3,764.3

$0

$500

$1,000

$1,500

$2,000

$2,500

$3,000

$3,500

$4,000

Absences ST Disability Presenteeism

Lost Productivity Cost By Risk Factor Tied to Physical Inactivity in California

In California, total lost productivity cost tied to physical inactivity is

approximately $7.53 billion

$ Millions

Source: Source: The Economic Costs of Physical Inactivity, Obesity and Overweight in California Adults: Health Care, Workers’ Compensation and Lost Productivity,” April 2005. Study conducted by David Chenoweth, Ph.D., FAWHP, for the California Department of Health Services.

Page 95: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Most Obesity-Related Costs to WC Systems are Indirect

Direct Costs20.0%

Indirect Costs80.0%

Most losses to associated with

WC claim arising from obesity are

indirect in nature.

Source: Source: The Economic Costs of Physical Inactivity, Obesity and Overweight in California Adults: Health Care, Workers’ Compensation and Lost Productivity,” April 2005. Study conducted by David Chenoweth, Ph.D., FAWHP, for the California Department of Health Services.

Page 96: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Direct and Indirect Workers Comp Costs for Obesity in California Adults

(2000 Dollars)

Source: Source: The Economic Costs of Physical Inactivity, Obesity and Overweight in California Adults: Health Care, Workers’ Compensation and Lost Productivity,” April 2005. Study conducted by David Chenoweth, Ph.D., FAWHP, for the California Department of Health Services.

$ Millions

$17.7

$70.6

$0

$10

$20

$30

$40

$50

$60

$70

$80

Direct Indirect

Page 97: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Estimated Cost of Obesity on US Workers Compensation Systems

($ Millions)

$845.1

$885.0

$926.8

$970.5

$1,016.3

$1,064.3

$700

$750

$800

$850

$900

$950

$1,000

$1,050

$1,100

00 01 02 03 04 05*Estimates extrapolated by the Insurance Information Institute based on CA estimates for 2000 assuming 4.72% annual inflation in WC costs (same rate as was assumed in source study below).Source: The Economic Costs of Physical Inactivity, Obesity and Overweight in California Adults: Health Care, Workers’ Compensation and Lost Productivity,” April 2005. Study conducted by David Chenoweth, Ph.D., FAWHP, for the California Department of Health Services.

Page 98: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Estimated Cost of Physical Inactivity on US Workers Compensation Systems

($ Millions)

$2,831.8

$2,392.6

$2,530.9

$2,677.1

$3,168.6

$2,995.5

$2,000

$2,200

$2,400

$2,600

$2,800

$3,000

$3,200

$3,400

00 01 02 03 04 05*Estimates extrapolated by the Insurance Information Institute based on CA estimates for 2000 assuming 5.779% annual inflation in WC costs (same rate as was assumed in source study below).Source: The Economic Costs of Physical Inactivity, Obesity and Overweight in California Adults: Health Care, Workers’ Compensation and Lost Productivity,” April 2005. Study conducted by David Chenoweth, Ph.D., FAWHP, for the California Department of Health Services.

Page 99: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Estimated Obesity Costs as a Percentage of WC Loss & LAE*

Obesity Costs as % of Loss & LAE

3.5%3.9% 4.2% 4.3%

4.0% 4.0%

0.0%0.5%1.0%1.5%2.0%2.5%3.0%3.5%4.0%4.5%

2000 2001 2002 2003 2004 2005

Obesity costs account for about 4% of workers comp losses over

the period from 2000-2005

*Estimates extrapolated by the Insurance Information Institute based on CA estimates for 2000 assuming 5% annual inflation in WC costs (same rate as was assumed in source study below).Source: The Economic Costs of Physical Inactivity, Obesity and Overweight in California Adults: Health Care, Workers’ Compensation and Lost Productivity,” April 2005. Study conducted by David Chenoweth, Ph.D., FAWHP, for the California Department of Health Services. Note: Adjusting for self-insured and entities with high deductible programs would reduce this estimate by an indeterminate sum.

Page 100: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Impact of Obesity on WC Systems Varies With Heath Fitness of Population

Source: Behavioral Risk Factor Surveillance System; Insurance Information Institute

<10%

15%-19%

≥20%

WC systems in the Southeast and Midwest incur a disproportionate burden because

relatively high proportion of workforce is obese

Page 101: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Prevalence of Overweight and Obesity among US Adults (aged 20-74 years)

32 33 33

56%

64%

47%

0

10

20

30

40

50

60

70

NHANES II (1976-80) NHANES III (1988-94) NHANES (1999-2000)

%

Obese (BMI>30)

Overweight (BMI 25.0-29.9)

Source: Centers of Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health and Nutrition

Examination Survey (NHANES); Insurance Information Institute

Nearly 2/3 of US adults are overweight or obese, up

from 47% in the late 1970s Workforce out of shape too.

15

2331

Page 102: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Prevalence of Overweight and Obesity Among Children and Adolescents

15%

7%

4%

11%

15%

11%

5%6%

0

2

4

6

8

10

12

14

16

NHANES I (1971-74) NHANES II (1976-80) NHANES III (1988-94) NHANES (1999-2000)

Ages 6-11

Ages 12-19

%

Source: Centers of Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health and Nutrition

Examination Survey (NHANES); Insurance Information Institute

In the past two decades the percentage of overweight children has more than

doubled and the percentage of adolescents who are overweight has tripled

Next generation of workers likely to be the most overweight ever, so cost to workers comp

systems will rise steadily

Page 103: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Issues in Reintegration of Military Veterans

Page 104: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Exposure Issues AssociatedWith War in Iraq

• By the time “major operations” are completed in Iraq and Afghanistan, likely that more than 500,000 military personnel will have be deployed, some more than once

• About 40% of these are National Guard and Reserves• Pentagon planning for presence of 100,000+ through 2009

with 25% Reserve/Guard component• About 4.2% of troops in Iraq are physically injured

18,229 physically injured so far; many 1000s more yet to comeMost will return to civilian workforce; some w/impairment

• Nearly 30% of soldiers deployed to Iraq exhibit some post-deployment symptoms of mental health problems, including depression, anxiety and PTSD; Alcohol issueEstimated that 100,000+ may need some mental health helpOnly a minority will actually ever receive it

Page 105: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Why Does this Matter forWorkers Compensation?

• Tens of thousands of soldiers will re-enter the civilian workforce having suffered some physical injurySome will require accommodationPossibility of reinjury/second injuryMany injuries undiagnosed, incl. Traumatic Brain Injuries

• 100,000+ will have suffered some mental health issuesHow will lack of treatment manifest itself in the workplace?When?

• Costs to VA are already staggeringVA spent $4.3 billion on PTSD disability payments in 2004 (excl.

med costs)• Could be some cost shifting to WC for both physical and

“stress” (ultimately mental health related) injuries• Outcome of war, community/family can have effect on

incidence of psychological disorders

Page 106: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Why Does this Matter forWorkers Compensation?

• Post Traumatic Stress Disorder, or PTSD, is a psychiatric disorder that can occur following the experience or witnessing of life-threatening events such as military combat, natural disasters, terrorist incidents, serious accidents, or violent personal assaults like rape.*

• While Most Vets Function Normally, PTSD & Related

Issues that Can Affect Workers Comp Injury Frequency and/or SeverityDepression Sleep DeprivationSubstance Abuse Marital/Family ProblemsOccupational Instability Social MaladjustmentAnxiety

*Source: National Center for PTSD; http://www.ncptsd.va.gov/facts/general/fs_what_is_ptsd.html accessed August 20, 2005.

Page 107: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Death Rates for Combat Troops vs. High-Risk Civilian Occupations*

887.3

235.1

92.4 92.4 86.4 47.0 37.5

CombatArms

CombatArms

Support

Loggers AircraftPilots

Fisherman StructuralIron &Steel

Farmers/Ranchers

A soldier in Iraq is nearly 10 times more likely to be killed than civilians in

the most dangerous occupations

*Military data are for the period March 2003 through May 2005. Civilian data are for 2004.Source: Brookings Institution, Iraq Index Archive, updated June 5, 2006; US Bureau of Labor Statistics.

Death Rates per 100,000 Employees

Page 108: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Deaths: March 19, 2003 through May 31, 2006

0

20

40

60

80

100

120

140

160

Mar

-03

May

-03

Jul-

03

Sep-

03

Nov

-03

Jan-

04

Mar

-04

May

-04

Jul-

04

Sep-

04

Nov

-04

Jan-

05

Mar

-05

May

-05

Jul-

05

Sep-

05

Nov

-05

Jan-

06

Mar

-06

May

-06

Military PersonnelKilled in Iraq

Source: Brookings Institution, Iraq Index Archive, updated June 5, 2006. *Through 6/16/06.

Deaths can fluctuate

dramatically from month to

month

More than 2,500 US troops have been killed in Operation Iraqi Freedom*

Page 109: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Injury Count from March 19, 2003through May 31, 2006

0

200

400

600

800

1,000

1,200

1,400

1,600

Mar

-03

Apr

-03

May

-03

Jun-

03Ju

l-03

Aug

-03

Sep-

03O

ct-0

3N

ov-0

3D

ec-0

3Ja

n-04

Feb

-04

Mar

-04

Apr

-04

May

-04

Jun-

04Ju

l-04

Aug

-04

Sep-

04O

ct-0

4N

ov-0

4D

ec-0

4Ja

n-05

Feb

-05

Mar

-05

Apr

-05

May

-05

Jun-

05Ju

l-05

Aug

-05

Sep-

05O

ct-0

5N

ov-0

5D

ec-0

5Ja

n-06

Feb

-06

Mar

-06

Apr

-06

May

-06

Non-Fatal Injuries to Military Personnel Deployed in Iraq

Source: Brookings Institution, Iraq Index Archive, updated June 5, 2006.

Injury counts can fluctuate

dramatically from month to month

18,229 military personnel were

reported wounded through May 2006 in Operation Iraqi Freedom. Their

issues have received relatively little

attention.

Page 110: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Injury Rate of Troops Deployed in Iraq May 2003 through May 2006 (Injuries as % of Total Troops Deployed)

0.0

0.2

0.4

0.6

0.8

1.0

1.2

May

-03

Jun-

03Ju

l-03

Aug

-03

Sep-

03O

ct-0

3N

ov-0

3D

ec-0

3Ja

n-04

Feb

-04

Mar

-04

Apr

-04

May

-04

Jun-

04Ju

l-04

Aug

-04

Sep-

04O

ct-0

4N

ov-0

4D

ec-0

4Ja

n-05

Feb

-05

Mar

-05

Apr

-05

May

-05

Jun-

05Ju

l-05

Aug

-05

Sep-

05O

ct-0

5N

ov-0

5D

ec-0

5Ja

n-06

Feb

-06

Mar

-06

Apr

-06

May

-06

Non-Fatal Physical Injury RatesAmong Troops in Iraq

Source: Insurance Information Institute calculations based in data from the Brookings Institution, Iraq Index Archive, updated June 5, 2005.

About 1-in-300 troops is wounded in any given month. On an annual

basis, a soldier in Iraq has about a 4.1% chance of

being wounded

Page 111: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Troops Deployed from May 2003 through April 2006

100

110

120

130

140

150

160

May

-03

Jun-

03Ju

l-03

Aug

-03

Sep-

03O

ct-0

3N

ov-0

3D

ec-0

3Ja

n-04

Feb

-04

Mar

-04

Apr

-04

May

-04

Jun-

04Ju

l-04

Aug

-04

Sep-

04O

ct-0

4N

ov-0

4D

ec-0

4Ja

n-05

Feb

-05

Mar

-05

Apr

-05

May

-05

Jun-

05Ju

l-05

Aug

-05

Sep-

05O

ct-0

5N

ov-0

5D

ec-0

5Ja

n-06

Feb

-06

Mar

-06

Apr

-06

Troop Strength Levels in Iraq Guarantee Significant Flow of Injured

Source: Brookings Institution, Iraq Index Archive, updated June 5, 2006.

To date, 54% of troops have been National Guard or Reservists, meaning 100,000+ people eventually looking to

be returned to the workforce soon

Page 112: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Status of Personnel Deployed to Iraq and Afghanistan*

61.3% 70.6%86.7% 93.5% 89.1%

24.0%18.8%

14.8% 10.6% 13.3% 6.5% 10.9%

0%

20%

40%

60%

80%

100%

Army Air Force Marines Navy CoastGuard

Reserves

National Guard

Active Duty

Nearly 40% of Army and 30% of Air Force personnel deployed to Iraq and Afghanistan

are National Guard or Reservists

*September 2001 through January 2005. (latest available).Source: Brookings Institution, Iraq Index Archive, updated June 5, 2006.

Page 113: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Reported Mental Health Problems Among Army & Marine Personnel

After Iraq Deployment*

15.2% 14.7%17.5%

15.7%18.0%

19.9%

27.9% 29.2%

0%

5%

10%

15%

20%

25%

30%

35%

Army Study Group Marine Study Group

DepressionAnxietyPTSDAny of These

Nearly 30% of returning army and marine personnel exhibit at least one

symptom of mental illness.

Source: Hoge, et al, “Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care,” New England Journal of Medicine, v. 351, no.1, July 1, 2004, pp. 13-22.

Page 114: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

War Takes a Toll on Mental Health of Military

Source: Han Kang and Kenneth Hyams, Department of Veterans Affairs.

3.0%

6.0%

10.0%

13.0%

19.0%

26.0%

Feb. 13 Jun. 28 9-Dec

Post Traumatic Stress Disorder Any Mental Heath Problem

Incidence of PTSD more than tripled and other

mental health problems doubled in 2004

Page 115: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Reported Alcohol Misuse Among Army & Marine Personnel After Iraq Deployment

17.2%

24.2%

29.4%

0%

5%

10%

15%

20%

25%

30%

35%

Army Study Group Marine Study Group

Before Deployment

After Deployment

Sharp increase in alcohol misuse reported following deployment

Source: Hoge, et al, “Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care,” New England Journal of Medicine, v. 351, no.1, July 1, 2004, pp. 13-22.

N/A

Page 116: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Combat Experience of US ArmySoldiers Deployed to Iraq

93%

89%

86%

86%

80%

77%

69%

65%

50%

48%

38%

22%

22%

21%

14%

14%

8%

95%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Seeing Dead Bodies/RemainsShot At/Receiving Small Arms Fire

Being Attacked/AmbushedReceiving Artillery, Rocket, Mortar

Knowing Someone Killed/Ser. InjuredClearing/Searching Homes

Shooting/Directing Fire at EnemyIll/Injured Women/Child Couldn't

Seeing Dead/Serious Inj. AmericansHandling/Uncovering Human

Resp. for Death of Enemy CombatantParticipating in Demining Ops

Buddy Shot/Hit Near YouEngaged in Hand-to-Hand Combat

Saved Soldier/Civilian LifeBeing Wounded or Injured

Responsible for Noncombatant DeathClose Call/Hit but Saved by Gear

Source: Hoge, et al, “Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care,” New England Journal of Medicine, v. 351, no.1, July 1, 2004, pp. 13-22.

Soldiers have experienced large numbers of potentially

life-altering events-both physical and psychological

Page 117: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Few Troops Who Need Mental Health Help Actually Receive It*

78%

43% 40%

27%

Acknowledged aProblem

Interested inReceiving Help

Received Help (fromany professional in

past year)

Received Help (frommental health prof.

in past year)

Among troops with signs of major depression, generalized anxiety or PTSD,

only about 1-in-4 (27%) will receive treatment from a mental health professional

*Among troops whose survey response met screening criteria for major depression, anxiety or PTSD.Source: Hoge, et al, “Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care,” New England Journal of Medicine, v. 351, no.1, July 1, 2004, pp. 13-22.

Page 118: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Reasons Why Troops Don’t Seek Treatment for Mental Health Issues

63%

59%

55%

51%

50%

45%

41%

38%

25%

22%

18%

65%

0% 10% 20% 30% 40% 50% 60% 70%

Perceived as Weak

Unit Leadership Might Treat Differently

Unit Members Might Lose Confidence in Me

Difficulty Getting Time Off for Treatment

Leaders Would Blame Me for Problem

Would Harm My Career

Difficult to Schedule Appointment

Too Embarrassing

Don't Trust Mental Health Professionals

Mental Health Care Doesn't Work

Don't Know Where to Get Help

Don't Have Adequate Transportation

Source: Hoge, et al, “Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care,” New England Journal of Medicine, v. 351, no.1, July 1, 2004, pp. 13-22.

Stigma of mental health problems

remains

Page 119: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

What Can/Should Employers,WC Insurers (esp. Claims Staff) Do?

• Be aware of physical injuries sustained in theater by returning/new employees who served in military combat roles or as contractors in war zones

• Be aware of possible mental health issuesMonitoring is probably wise, esp. in stressful jobs or jobs involving

operation of heavy equipment and driving Most former military will have no major problem readjustingSome will, so know how to get them help

• Most employers, claims people may mistake root cause of workplace. Not trained to recognize warning signs.

• Veteran’s who were wounded or suffer from service-related mental health problems entitled to lifetime medical benefits from the Veterans AdministrationNOTE: Many may be undiagnosed (barely ¼ see MH prof.)

• Be aware of local VA resources: http://www.va.gov/rcs/ VA Readjustment Counseling Service: 800-905-4675

Page 120: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

The Defense Base Act:What is It & Its Relationship to WC?

• Congress passed DBA in 1941 to cover construction workers in lend/lease military bases outside continental US & broadened several times since

• DBA extends USL&H Act to civilian workers on bases overseas & contractors employees outside USAdministered by US Department of Labor

• Covers all US citizens employed on job site (e.g., Iraq), 3rd party and local nationals, subcontractors

Page 121: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Claims Under Defense Base Actin Iraq (As of June 2005)

987

304

1,350

317220

No Lost Time Lost Time < 4Days

Lost Time > 3Days

Death Other

Premiums are high for US contractors operating abroad. Death rate among

contractors is high, reflecting hazardous work in a war zone

Source: US Department of Labor

Page 122: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Degenerative Neurological Diseases &

Occupational Risk

The Next Frontier for Workers Comp?

Page 123: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Occupational Groups Showing Elevated Incidence of PSD or AD

Presenile Dementia1. Clergy2. Dentists3. Graders/Sorters4. Hairdressers/

Cosmotologists5. Social Workers6. Teachers (prim/sec.)7. Farmers**Under age 65 only

Alzheimer’s Disease1. Aircraft Mechanics2. Bank Tellers3. Clergy4. Hairdressers/Cosmo.5. Painters/Sculptors6. Secretaries7. Teachers (prim/sec.)8. Farmers**Under age 65 only

Source: Park, Robert M., et al, “Potential Occupational Risks for Neurodegenerative Diseases,” AmericanJournal of Industrial Medicine, 48: 63-77 (2005).

Page 124: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Occupational Groups Showing Elevated Incidence of PD or MND

Parkinson’s Disease

1. Biological Scientists

2. Post-Secondary Teachers

3. Clergy

4. Other Religious Workers

5. Welding**For deaths under age 65 only

Motor Neuron Disease

1. Graders & Sorters (non-agricultural)

2. Hairdressers

3. Teachers (prim/sec.)

4. Veterinarians

5. Farmers

Source: Park, Robert M., et al, “Potential Occupational Risks for Neurodegenerative Diseases,” AmericanJournal of Industrial Medicine, 48: 63-77 (2005).

Page 125: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Casual Theories About Occupations With Elevated Odds of

Neurodegenerative Diseases

Profession Associative Theory

Hairdressers Increased risk of PSD, AD and MND, suggesting risk associated with dyes, components of hair care products & other exposures in hairdressing, manicure

Farmers Increased risk for all 4 NDDs, esp. before age 65. Suggests risk associated with pesticides.

Teachers, Clergy & Other Professionals

Elevated risk for all 4 NDDs described as “perplexing.” Possibly educated professionals at lower risk of death for other diseases (less smoking, better health care). Mixed/no evidence of educational attainment link. Risk factors for teachers may include stress and exposure to infectious agents.

Welding PD-like disorder associated with manganese fumes from arc-welding (manifestation of manganism). Studies in US, Europe, Korea suggest link.

Page 126: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

TRIA EXTENSION

The Burden Grows

Page 127: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Insurance Industry Retention Under TRIA ($ Billions)

$10.0$12.5

$15.0

$25.0$27.5

$0

$5

$10

$15

$20

$25

$30

$35

Year 1(2003)

Year 2(2004)

Year 3(2005)

Year 4(2006)

Year 5(2007)

$ B

illi

ons

Source: Insurance Information Institute

•Individual company retentions rise to 17.5%

in 2006, 20% in 2007

•Above the retention, federal govt. pays 90% in

2006, 85% in 2007

Extension

Congress & Administration

want TRIA dead

Page 128: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Terrorism Coverage Take-Up Rate Rising

Source: Marsh, Inc.; Insurance Information Institute

23.5% 26.0%

32.7%

44.2% 46.2% 44.0%48.0%

55.0%

2003:II 2003:III 2003:IV 2004:I 2004:II 2004:III 2004:IV 2005August

Terrorism take-up rate for non-WC risk rose through

2003, 2004 and 2005

TAKE UP RATE FOR WC COMP TERROR

COVERAGE IS 100%!!

Page 129: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

$169

$151

$140

$145

$150

$155

$160

$165

$170

$175

2004 2006E

$ B

illio

ns

Shrinkage in 2006 (-11%) surplus is due to elimination

of several lines covered under TRIA though 2005 but

dropped under the Act’s extension effective 1/1/06

*2006 figure uses 2005 estimated year-end surplus and premiums by line as basis for calculations.Source: Insurance Information Institute.

(Billions of Dollars)

Surplus Under TRIA/TRIEA Covered Lines

Page 130: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Insured Loss Estimates: Large CNBR Terrorist Attack ($ Bill)

Type of Coverage New York WashingtonSan

FranciscoDes

Moines

Group Life $82.0 $22.5 $21.5 $3.4

General Liability 14.4 2.9 3.2 0.4

Workers Comp 483.7 126.7 87.5 31.4

Residential Prop. 38.7 12.7 22.6 2.6

Commercial Prop. 158.3 31.5 35.5 4.1

Auto 1.0 0.6 0.8 0.4

TOTAL $778.1 $196.8 $171.2 $42.3

Source: American Academy of Actuaries, Response to President’s Working Group, Appendix II, April 26, 2006.

Page 131: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Insured Loss Estimates: Medium CNBR Terrorist Attack ($ Bill)

Type of Coverage New York WashingtonSan

FranciscoDes

Moines

Group Life $37.7 $22.5 $21.5 $3.4

General Liability 7.3 2.9 3.2 0.4

Workers Comp 313.2 126.7 87.5 31.4

Residential Prop. 10.3 12.7 22.6 2.6

Commercial Prop. 77.8 31.5 35.5 4.1

Auto 0.2 0.6 0.8 0.4

TOTAL $446.5 $106.2 $92.2 $27.3

Source: American Academy of Actuaries, Response to President’s Working Group, Appendix II, April 26, 2006.

Page 132: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Insured Loss Estimates: Truck Bomb Terrorist Attack ($ Bill)

Type of Coverage New York WashingtonSan

FranciscoDes

Moines

Group Life $0.3 $0.2 $0.3 $0.1

General Liability 1.2 0.4 0.7 0.2

Workers Comp 3.5 2.8 3.9 1.5

Residential Prop. 0.0 0.0 0.0 0.0

Commercial Prop. 6.8 2.1 3.9 1.2

Auto 0.0 0.0 0.0 0.0

TOTAL $11.8 $5.5 $8.8 $3.0

Source: American Academy of Actuaries, Response to President’s Working Group, Appendix II, April 26, 2006.

Page 133: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Potential Insured Losses from Terrorist Attack on Major Corporate HQ

in Houston* ($Billions)

Workers Comp, $4.6

Property, $3.9

Liability, $1.0

Life, $0.5

*Break down is based on $10 billion loss estimate. Range of estimates is $10 - $12 billion. Source: RMS.

Potential losses in all major

cities are large

Page 134: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Summary• Personal & Commercial lines picture is bright for 2006, assuming

“normal” CAT loss activity• WC results continue to improve

Frequency, investment trends favorable Indemnity trends more favorable than medical

• Rising investment returns insufficient to support deep soft market in terms of price, terms & conditions

• Clear need to remain underwriting focused• How/where to deploy/redeploy capital??• Major Challenges:

Slow Growth Environment AheadMaintaining price/underwriting disciplineManaging variability/volatility of results

Page 135: State of the Workers Compensation Insurance Industry: Calm Amid the Storms? 2006 AASCIF Annual Conference Branson, MO June 19, 2006 Robert P. Hartwig,

Insurance Information Institute On-Line

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