The ALS Group Risk Management Articles

We manage more than a quarter billion dollars of premiums for a diverse range of clients around the globe. 

Out of Pocket Limits Changes Begin in 2014

In employers’ 2014 plan year, all companies must ensure their non-grandfathered plans adhere to a single out of pocket (OOP) maximum for their employee’s health care plan expenses. This requirement applies to both fully insured and self-insured plans. Going forward, the OOP limit must include all spending on medical, prescription drugs and both mental health and substance abuse treatment benefits. Actuarial estimates indicate this change could increase employer health care costs between 1.5% and 2% next year.

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Human Error and Enterprise Risk Management

When evaluating your company’s risks, one concept that is frequently overlooked is the idea of how human error could impact your organization.  Until recently, there has been very little written on this subject. However, in the recent issue of the RIMS Risk Management Magazine, an article by Tony Kern and David McKay touched on this point and successfully demonstrated how human error is one risk that companies must continually monitor.

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Can You Identify Red Flags in the Life of a Workers’ Injury?

Certain indicators early in the life of a workers’ injury are red flags — a strong possibility your employee’s healing will be delayed or that the claim may be fraudulent. If you notice any of the following signs, discuss the claim with your adjuster as soon as possible. Once the management of a workers’ compensation injury goes astray, it is usually difficult to bring it back to center.

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Safety is Not an Accident

A recent Wall Street Journal article highlighted the differences in safety records between small and large drilling companies.  Essentially, the large drilling companies (i.e. market cap in excess of $50 billion) realized a 183% reduction in safety violations per rig drilled compared to small companies (i.e. those with a market cap of less than $2 billion).  While it is tempting to take the viewpoint that “bigger is always better”, in this case that is not necessarily true.  There are some small drilling companies with outstanding safety records (some actually performing better than the “big boys”).  The question is, “What did their management team do to drive great results from operations?”

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Employers Beware of the Rising Health Care Costs

Employers should be concerned about the possibility of higher health care costs in 2014. Depending on the industry, some employers may be hit with premium increases and could possibly see penalties. For instance, employers in the hospitality sector such as retail and restaurant industries could see average increases of 60 percent in their health care costs. According to a report last month from the Society of Actuaries, the reasons for these increases are being attributed to the greater use of health care services by individuals who had previously had no coverage, and they further predict that the claims costs could increase by another 32% as early as 2017.

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Workers Compensation Rating Change Is Here – Were You Prepared?

In January of this year the National Council on Compensation Insurance (NCCI) changed the methodology of determining an individual employer’s experience modification factor.  In a blog published in July of last year, we warned our Clients and Friends of the Firm about the upcoming change and significant impact it may have on their workers’ compensation premiums. In the same blog we explained how a company’s loss history will impact premiums for at least three (3) years after losses occur.

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Long-term Care Insurance – Not All Policies Are Created Equal

Many Baby-Boomers have helped one or more of their parents with the difficult emotional and financial decisions related to long-term continuing care.  While Medicare covers skilled nursing care, it does not pay for continuing care in nursing homes or assisted-living facilities.  Nor does Medicare pay for home attendants, who provide personal care, such as bathing and dressing, which can easily cost $500 or more a day.  In response to their financial advisor’s recommendations and their involvement with their parent’s experience(s), many “Boomers” have purchased long-term care insurance to cover a significant percentage of these costs.

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Crisis Response Planning

Last week we spoke about the importance of reputational risk management. We offered you some tips on what you can do to be proactive and actively seek out and be informed on what is being said about your organization. Now, you can monitor and measure all you want, but eventually, a crisis will occur, and the purpose of this post is to advise you on what to do when something does actually happen. Of course, all crisis response plans should be tailored and unique to your specific organization’s culture, goals and problem. A 2005 survey of senior risk managers by the Economist Intelligence Unit found that less than half of

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Our areas of expertise include:

  • Enterprise Risk Management (ERM)
  • Cyber Security & Cyber Liability Insurance
  • Construction Management
  • Customized Risk Management Assessments (RMAs)

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