Unallocated Loss Adjustment Expense – ULAE Not ALAE

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Definition –  ULAE – Unallocated Loss Adjustment Expense

Unallocated loss adjustment expense, better known as ULAE – love those acronyms is one of those terms that does not show up on a loss run, or does it?  Let us look at a standard definition first.  We can then cover a few points on this rarely-discussed insurance term.

I was cleaning out and responding to the end-of-year questions from the newsletter and blog readers.  I came across this emailed question from a self-insured.

I was in a meeting with our agent/broker when the term unallocated loss adjustment expenses was mentioned.  Are we charged for those expenses?”

ULAE vs. ALAE

That is a great question.  I first heard it in a meeting when I worked for a workers comp TPA (Third Party Administrator.  I had seen the term on a few claims loss runs over the years,  but I did not really think anything of it.  I was more concerned with ALAE or Allocated Loss Adjustement Expense.

All insurance companies deal with this hard-to-estimate figure.  Think of ALAE  as costs that can be attributed to a certain claim. Almost any claims loss run will have the column ALAE or Allocated as the heading.  Defense attorney fees, independent medical exam fees, court costs, and many more.

Insurance carriers reserve for ULAE just like ALAE.  ULAE represents utilities, claims staff salaries, building rent, and a very long list of other items.  The IRS has a great list, which can be found here.

Insurance carriers and TPAs are businesses that have to cover their expenses to stay afloat.  We all have seen TPAs and carriers that went into receivership because they could not cover those expenses.

An article that explains ULAE in plain speak said that –

Combined with allocated expenses, unallocated loss adjustment expenses help estimate the total claims and processing costs an insurer will pay.

Since ULAE doesn’t tie to a specific claim, there’s no loss or report date, complicating calculations.

Bottom Line

To answer the original question – Yes, you do pay for ULAE, but not directly.  A TPA for self-insureds will usually list that they may charge for unallocated loss adjustment expenses as part of those fees.  Insurance carriers build it into their premiums. Reading your policy or TPA services agreement may reveal that you are being charged for those expenses.

unallocated loss expense pic father reading paper
Public Domain – Bruno_Liljefors

 

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James J Moore - Workers Comp Expert

Raleigh, NC, United States

About The Author...

James founded a Workers’ Compensation consulting firm, J&L Risk Management 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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