Ten questions everyone’s asking about captives

Across the insurance industry, companies are rethinking processes in the age of AI. On this episode of Critical Point, the CEO of a long-term care reinsurer explains how Lean manufacturing principles, including problem-solving and continuous improvement, have helped her teams implement AI to drive value—safely.You can read the episode transcript on our website.

Workers’ compensation insurance claims are staying open longer than ever, driving up costs and pushing more injured employees to litigate. On this episode of Critical Point, two workers’ comp experts—Milliman’s Stephanie Schmidt and the “Riskfluencer” Sandy Avina—unpack this trend and outline several cost-containment strategies for employers. They discuss the impact of comorbidities on workers’ health and healing, why social media is making many employees wrongly assume they need a lawyer, and how nurse case managers, preferred provider networks, and return-to-work programs can help control costs while helping injured workers recover.You can read the episode transcript on our website.

As the world changes, the role of property and casualty (P&C) actuaries is changing too, from the emerging risks they study—including climate change and self-driving cars—to the technologies they employ to devise solutions. On this episode of Critical Point, Milliman recruiter Liz Shickles speaks with two P&C actuarial consultants, Zora Law from Milliman and Dane Grand-Maison from partner firm Eckler, about their own career journeys, the influence of AI (hint: it won’t ever replace learning), and advice for students and other professionals who want to enter the field. You can read the episode transcript on our website.

Since 2005, the Milliman Medical Index (MMI) has estimated annual healthcare costs for people covered by a typical employer-sponsored health plan. To mark the 20th anniversary of the report, MMI authors past and present gathered to review how healthcare has changed over the past two decades. They discussed the impact of the Affordable Care Act and the COVID-19 pandemic, the rise in drug advertising and outpatient care, and how trends might change again in the next 20 years.You can read the episode transcript on our website.

While the number of traditional pensions has been shrinking for decades, one type of defined benefit (DB) plan is expanding: the cash balance plan. Combining features of DB and 401(k) plans, cash balance plans are particularly well-suited to helping small-business owners and highly paid professionals such as doctors and lawyers save for retirement. On this episode of Critical Point, three Milliman employee benefits experts explain why the number of cash balance plans has recently swelled to 25,000, how plans can be tailored to fit organizations of all sizes, and why this hybrid plan style may help address the looming retirement crisis. 

In Europe, flooding was the most prevalent—and most expensive—climate peril last year, making 2024 the “Year of the Flood.” On this episode of Critical Point, five authors of Milliman’s annual Extreme Weather in Europe report assess the toll of flooding in their country and the response from insurers, governing bodies, and communities. They discuss what Italy is doing to protect the insurance industry, how construction in the UK and France may be contributing to flood risk, and why new regulations in Romania and the Benelux region may not do enough to keep pace with climate change. Don’t miss the full Extreme Weather in Europe report, as well as the related paper, Flood risk modelling in Europe, both available at Milliman.com.  

AI has taken the world by storm—but not all insurance companies, or countries, are approaching the technology the same way. On this special episode of Critical Point, experts from Munich Re and Milliman who work across five continents come together for a global conversation exploring how insurers and regulators are approaching AI around the world. Plus, don’t miss Part 1 and Part 2 of this series on AI and insurance. You can read the episode transcript on our website.

Cell and gene therapies have been grabbing news headlines, both for their potential to cure rare diseases and for their million-dollar price tags. Milliman pharmacists and healthcare experts explain why state Medicaid agencies are particularly affected and the strategies many are using for predicting uptake and covering these high costs. You can read the episode transcript on our website. 

Healthcare costs are a hot topic as we approach open enrollment and the presidential election. In this episode of Critical Point, host Deana Bell sits down with Dave Liner and Jason Clarkson, principals at Milliman and co-authors of the Milliman Medical Index (MMI), to discuss the key drivers of 2024’s healthcare costs. They dive into the effects of government programs like Medicaid and the Inflation Reduction Act, the rising use of weight loss medications, and how these factors are shaping healthcare costs for Americans on employer-sponsored insurance. Learn how policy changes and market trends could impact your healthcare expenses and decisions in the coming year.You can read the episode transcript on our website.

Cyber risk, climate change, new pharmaceutical therapies—as companies look for ways to manage increasing costs and unforeseen exposures, captives are a popular mechanism to insure against the unexpected. Around since the 1950s, today there are more than 7,000 captive insurers worldwide, with many headquartered in Vermont, Bermuda, and the Cayman Islands. As these insurance vehicles grow in popularity, Milliman experts answer the top 10 questions everyone’s asking about captives.You can read the episode transcript on our website.