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Workers Comp Insurance Pools Like Fully Self-Insured Programs

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Workers Comp Insurance Pools  – Acting Like A Fully Self-Insured

Workers Comp Insurance Pools were a great way to save on premiums in the past. Homogeneous employers were grouped together into risk pools and each member of the pool paid their share of the Workers Comp total costs. The Insurance Pool Administrator which operated as a hybrid TPA would adjust the claims, handle all filings, and handle all administrative duties for a fee.

Vector Graphic of Coins And Cell Phone Like Insurance Pools Fully Self-Insured With Graph Chart
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These are not as popular as they were in the 1990s due to the law of large numbers. Risk pools such as trucking, construction, food service, etc. did not have enough members to spread the risk. One or two members having a very poor Experience Rating would over-burden the rest of the pool. The pools were often not large enough to offset the employers with many or a few very serious claims. Insurance Pools are still in existence.

If you are considering joining an insurance pool, make sure you have an expert or a team of experts analyze the pool before signing on. We received many calls and emails on trucking pools where the employer had very few claims and their Workers Comp premium doubled.

There are now very many hybrid insurance pools that may save an employer on premiums. Once again, please make sure that the pool is healthy before turning your Workers Comp program over to a pool administrator.

2020 Update –

Captives that function as insurance pools could not escape the Law of Large Numbers.  Many of them have folded or have charged their member insureds incredibly high rates even after the employer left the pool.

Your premiums are heavily affected by other group members.  Check to make sure of what companies exist in your group before you sign any captive workers comp insurance pool agreements.

Next Up – Large Deductibles – some surprises

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James Moore

Raleigh, NC, United States

About The Author...

James founded a Workers’ Compensation consulting firm, J&L Risk Mgmt Consultants, Inc. in 1996. J&L’s mission is to reduce our clients’ Workers Compensation premiums by using time-tested techniques. J&L’s claims, premium, reserve and Experience Mod reviews have saved employers over $9.8 million in earned premiums over the last three years. J&L has saved numerous companies from bankruptcy proceedings as a result of insurance overpayments.

James has over 27 years of experience in insurance claims, audit, and underwriting, specializing in Workers’ Compensation. He has supervised, and managed the administration of Workers’ Compensation claims, and underwriting in over 45 states. His professional experience includes being the Director of Risk Management for the North Carolina School Boards Association. He created a very successful Workers’ Compensation Injury Rehabilitation Unit for school personnel.

James’s educational background, which centered on computer technology, culminated in earning a Masters of Business Administration (MBA); an Associate in Claims designation (AIC); and an Associate in Risk Management designation (ARM). He is a Chartered Financial Consultant (ChFC) and a licensed financial advisor. The NC Department of Insurance has certified him as an insurance instructor. He also possesses a Bachelors’ Degree in Actuarial Science.

LexisNexis has twice recognized his blog as one of the Top 25 Blogs on Workers’ Compensation. J&L has been listed in AM Best’s Preferred Providers Directory for Insurance Experts – Workers Compensation for over eight years. He recently won the prestigious Baucom Shine Lifetime Achievement Award for his volunteer contributions to the area of risk management and safety. James was recently named as an instructor for the prestigious Insurance Academy.

James is on the Board of Directors and Treasurer of the North Carolina Mid-State Safety Council. He has published two manuals on Workers’ Compensation and three different claims processing manuals. He has also written and has been quoted in numerous articles on reducing Workers’ Compensation costs for public and private employers. James publishes a weekly newsletter with 7,000 readers.

He currently possess press credentials and am invited to various national Workers Compensation conferences as a reporter.

James’s articles or interviews on Workers’ Compensation have appeared in the following publications or websites:

  • Risk and Insurance Management Society (RIMS)
  • Entrepreneur Magazine
  • Bloomberg Business News
  • WorkCompCentral.com
  • Claims Magazine
  • Risk & Insurance Magazine
  • Insurance Journal
  • Workers Compensation.com
  • LinkedIn, Twitter, Facebook and other social media sites
  • Various trade publications

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