June 30,1998
Note 16
RISK MANAGEMENT
The risk financing and insurance program of the State is managed by the State Insurance Purchasing Board. The Board is responsible mainly for determining the method by which the State shall insure itself against losses by the purchase of insurance to obtain the broadest coverage at the most reasonable cost, determining whether deductible provisions should be included in the insurance con-tract, and whenever appropriate determining whether the State shall act as self-insurer. The schedule below lists the risks of loss to which the State is exposed and the ways in which the State finances those risks.
Risk Financed by | ||
---|---|---|
Risk of Loss | Purchase of Commercial Insurance |
Self- Insurance |
Liability (Torts): | ||
General (State buildings,parks, or grounds) | X | |
Other | X | |
Theft of, damage to, or destruction of assets | X | |
Business interruptions | X | |
Errors or omissions: Professional liability |
X | |
Medical malpractice (University Hospital) |
X | |
Injuries to employees | X | |
Natural disasters | X |
For the general liability risk, the State is self-insured because it has sovereign immunity. This means that the State cannot be sued for liability without its permission. For other liability risks, the State purchases commercial insurance only if the State can be held liable under a particular statute (e.g. per statute the State can be held liable for injuries suffered by a person on a defective State highway), or if it is required by a contract.
For the risk of, theft of, damage to, or destruction of assets (particularly in the automobile fleet), the State insures only leased cars and vehicles valued at more than $100 thousand.
When purchasing commercial insurance, the State may retain some of the risk by assuming a deductible or self-insured retention amount in the insurance policy. This amount varies greatly because the State carries a large number of insurance policies covering various risks. The highest deductible or self-insured retention amount assumed by the State is $25 million, which is carried in a railroad liability policy.
For the last three fiscal years, the amount of settlements did not materially exceed insurance coverage.
Most State employees and retirees participate in three health plans. For one of these plans, the State is self-insured. This plan is administered by an outside vendor which is responsible for the processing and payment of claims. As of June 30, 1998, claims incurred by the plan exceeded claims paid by the plan by $47.4 million.
The State records its risk management activities in the General fund, except for activities related to the medical malpractice risk which are recorded in the John Dempsey Hospital fund. At year end, a liability for unpaid claims is recorded in each fund when it is probable that a loss has occurred and the amount of the loss can be reasonably estimated. The liability is determined based on the ultimate cost of settling the claims, including an amount for claims that have been incurred but not reported and claim adjustment expenses. The liabilities for medical malpractice and for workers' compensation are actuarially determined. The liability for medical malpractice is reported at its present value, using a discount rate of 5%. The portion of the General fund liability considered to be long-term is recorded in the General Long-Term Debt account group. Changes in the claims liability accounts during the last two fiscal years were as follows (amounts in thousands):
General Liability |
Medical Malpractice* |
Workers' Compensation |
Health Plan |
|
---|---|---|---|---|
Balance 6-30-96 | $ 683 | $ 9,064 | $ 268,150 | $ 26,333 |
Incurred claims | 1,859 | - | 58,391 | 282,632 |
Paid claims | (683) | (276) | (43,766) | (248,643) |
Balance 6-30-97 | 1,859 | 8,788 | 282,775 | 60,322 |
Incurred claims | 64 | - | 40,330 | 271,610 |
Paid claims (44,178) | (1,859) | (354) | (44,178) | (44,178) |
Balance 6-30-98 | $ 64 | $ 8,434 | $ 278,927 | $ 47,410 |
* Changes in the liability account are for fiscal years ending on 9-30-96 and 9-30-97.
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