System and method for predicting, comparing and presenting the cost of self insurance versus insurance and for creating bond financing when advantageous

• US 6,009,402 A
• Filed: 07/28/1997
• Issued: 12/28/1999
• Est. Priority Date: 07/28/1997
• Status: Expired due to Fees

• Current Assignee: Brian L. Whitworth
• Original Assignee: Brian L. Whitworth
• Inventors: Whitworth, Brian L.
• Primary Examiner(s): Cosimano, Edward R.
• Application Number:
  US08/901,762
• Time in Patent Office: 883 Days
• Field of Search: 705/1, 705/4, 705/36, 705/400
• US Class Current: 705/4
• CPC Class Codes: G06Q 30/0283 Price estimation or determination
• CPC Class Codes: G06Q 40/08 Insurance

Abstract

A system and method for predicting, comparing, and presenting the cost of self insurance versus insurance for property, casualty, or employee benefit liabilities, and for creating bond financing when advantageous. For a self insured entity, the cost of insurance is estimated by reviewing available data from actuarial studies, claims audits, loss runs, similar self insureds, recent similar insurance deals and rating agencies. These preliminary pricing estimates are used to decide if pursuing insurance is likely to provide savings to the self insured. Suggested pricing estimates are also provided to facilitate marketing the program to insurance carriers. If a carrier offers an insurance program which provides savings and the insured entity requires bond financing, the system is adapted to calculate bond payments based on budget constraints or claims payout patterns.

Claims

1. A system for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance employing a computer, a video monitor, a printer, and at least one user input mechanism, the system comprising:

a computer executable program or programs adapted to;

estimate a cost of self insurance by processing self insurance information;

estimate a cost of insurance and savings realized by replacing self insurance with insurance by processing insurance information;

adjust said savings where said cost of self insurance is not equal to an average cost of self insurance;

generate and provide, to the video monitor, data usable by the video monitor to generate at least one visual display representing a preliminary evaluation questionnaire;

enable a user of the computer to input said insurance information with the user input mechanism at said preliminary evaluation questionnaire;

generate data usable by the computer to provide an indication of said cost of a liability, said cost of insurance, and said savings;

determine a plurality of payout patterns for a premium financing mechanism employed to pay for said insurance; and

generate data usable by the computer to provide an indication of said payout pattern.

2. A method for predicting, comparing, and presenting a cost of a liability versus a cost of insurance, the method comprising the steps of:

estimating a cost of a liability by processing liability information;

estimating a cost of insurance and savings realized by replacing said liability with insurance by processing insurance information;

adjusting said savings where said cost of a liability is not equal to an average cost of said liability;

providing an indication of said cost of a liability, said cost of insurance, and said savings;

determining a payout pattern for a premium financing mechanism employed to pay for said insurance; and

providing an indication of said payout pattern.

3. The method for predicting, comparing, and presenting a cost of a liability versus a cost of insurance of claim 2 wherein:

said liability comprises self insurance; and

said premium financing mechanism comprises a municipal bond.

4. The method for predicting, comparing, and presenting a cost of a liability versus a cost of insurance of claim 2 wherein:

said payout pattern is determined such that a net present value of said payout pattern is equal to a principal of said premium financing mechanism.

5. A method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance, the method comprising the steps of:

estimating a cost of self insurance by processing self insurance information;

estimating a cost of insurance and savings realized by replacing self insurance with insurance by processing insurance information; and

estimating a cost of a premium financing mechanism proposed to pay for said insurance in consideration of regulatory and budget constraints.

6. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 5 wherein:

said self insurance information includes data from an actuarial study.

7. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 5 wherein:

said self insurance information includes;

estimates of ultimate losses for at least one past year;

estimates of ultimate losses for at least one upcoming year; and

an estimate of a portion of ultimate losses that will be paid in a budget year.

8. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 5 wherein:

said self insurance information includes data contained within a self insurer'"'"'s report filed with a regulatory body.

9. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 5 wherein:

said self insurance information includes estimates of costs and cash flows calculated from loss, exposure and expense data of a self insured entity and industry loss rates and payout patterns.

10. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 5 wherein said step of estimating a cost of insurance and savings further comprises:

applying a regression analysis to said insurance information.

11. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 5 wherein:

said insurance information includes data from an audit of an employer'"'"'s claims.

12. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 5 wherein:

said insurance information includes data from a preliminary evaluation questionnaire.

13. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 5 wherein:

said self insurance information includes ultimate losses and cash flows by budget year.

14. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 13 wherein:

said ultimate losses are forecast using incurred loss and paid loss development methods.

15. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 5 wherein:

said insurance information includes regression variables.

16. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 15 wherein said step of estimating a cost of insurance and savings further comprises:

applying a regression analysis to said regression variables.

17. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 16 wherein:

said regression variables include at least one of;

a state of operation regression variable;

an industry regression variable;

a portion of claims currently litigated regression variable;

a number of employees regression variable; and

a carrier regression variable.

18. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 5 wherein said step of estimating a cost of insurance and savings further comprises:

analyzing benchmarking data to determine whether an employer is likely to obtain more or less savings than similar employers.

19. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 18 wherein:

said benchmarking data includes losses, claim counts, payroll, and employee count by year for a plurality of self insured employers.

20. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 18 wherein:

said benchmarking data is stored in a benchmarking database which has been check summed against client data from which said benchmarking data was originally obtained.

21. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 5 further comprising the step of:

providing a benchmarking comparison of a loss experience of an employer with loss experiences of other employers.

22. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 21 wherein:

said benchmarking comparison includes a comparison of losses as a percentage of a payroll.

23. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 21 wherein:

said benchmarking comparison includes an indication of loss trends over time.

24. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 21 wherein:

said benchmarking comparison includes an indication of loss rates attributable to changes in a payroll over time for a particular employer versus a group of similar employers.

25. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 5 further comprising the step of:

identifying a particular premium financing mechanism to pay for said insurance.

26. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 25 wherein:

said premium financing mechanism comprises a bond.

27. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 26 wherein:

interest rates associated with said bond vary over a term of said bond in a manner known before said bond is issued.

28. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 5 wherein:

said insurance information includes data from a database of recent deals.

29. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 28 wherein:

said data from a database of recent deals includes data from insurance quotes.

30. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 29 wherein:

said data from insurance quotes includes at least one of;

type of coverage data;

date of quote data;

carrier data;

states of operation of employers data;

size of employers data;

industry SIC code; and

private, not for profit, or public sector status of employers data.

31. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 28 wherein:

said data from a database of recent deals includes data from a survey.

32. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 28 wherein said step of estimating a cost of insurance and savings further comprises:

applying a grouping analysis to selected data of said data from a database of recent deals.

33. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 5 further comprising the step of:

determining a payout pattern for said premium financing mechanism.

34. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 33 wherein:

said payout pattern comprises a level payout pattern.

35. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 33 wherein:

said payout pattern comprises an arbitrary payout pattern.

36. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 33 wherein:

said payout pattern comprises a fixed amount of savings payout pattern.

37. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 33 wherein:

said payout pattern comprises an upfront savings payout pattern.

38. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 37 wherein said step of determining a payment pattern further comprises:

starting with a last payment of said upfront savings payout pattern, sequentially calculating payments of said upfront savings payout pattern until a net present value of said upfront savings payout pattern equals a principal of said premium financing mechanism.

39. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 33 wherein:

said payout pattern comprises a fixed percentage savings payout pattern.

40. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 39 wherein said step of determining a payment pattern further comprises:

determining payments of said fixed percentage savings payout pattern by setting said payments at a constant percentage of estimated costs of said self insurance.

41. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 5 further comprising the step of:

providing a simulation of sensitivities of savings and premium estimates to changes in a plurality of risk factors.

42. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 41 wherein:

said plurality of risk factors have varying partial regression coefficients.

43. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 41 wherein:

said plurality of risk factors include variations in an interest rate a carrier uses for discounting cash flows.

44. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 41 wherein:

said plurality of risk factors include variations in a carrier'"'"'s expected payout pattern.

45. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 41 wherein:

said plurality of risk factors include variations in a carrier'"'"'s expected profit margin.

46. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 41 wherein:

said plurality of risk factors include variations in a number of years a carrier takes to close all claims.

47. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 41 wherein:

said plurality of risk factors include variations in a length of financing period.

48. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 41 wherein:

said plurality of risk factors include variations in a difference between a bond interest rate and an interest rate of a carrier.

49. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 41 wherein:

said plurality of risk factors include variations in bond fees.

50. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 41 wherein:

said plurality of risk factors include variations in fees for professional services.

51. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 41 wherein:

said simulation provides an indication of a range of possible savings.

52. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 41 wherein:

said simulation provides an indication of a range of possible premiums.

53. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 41 wherein:

said simulation provides an indication of a likelihood of obtaining a particular premium.

54. The method for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 41 wherein:

said simulation provides an indication of a likelihood of obtaining a particular amount of savings.

55. A system for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance utilizing a computer, a video monitor, a printer, and at least one user input mechanism, and at least one output mechanism, the system comprising:

at least one computer executable program adapted to;

accept user input regarding self insurance and insurance using at least one user input mechanism, estimate a cost of self insurance by processing self insurance information; and

estimate a cost of insurance and savings realized by replacing self insurance with insurance by processing insurance information;

generate and provide output data regarding a cost of self insurance versus a cost of insurance, said output being provided to at least one computer output mechanism.

56. The system for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 55 wherein:

said computer executable program is further adapted to;

generate data usable by the computer to provide an indication of said cost of a liability, said cost of insurance, and said savings.

57. The system for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 55 wherein:

said computer executable program is further adapted to;

generate data usable by the computer to provide an indication of a benchmarking comparison of a loss experience of an employer with loss experiences of other employers.

58. The system for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 55 wherein:

said computer executable program is further adapted to;

generate data usable by the computer to provide an indication of a simulation of sensitivities of savings and premium estimates to changes in a plurality of risk factors.

59. The system for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 55 wherein:

said computer executable program is further adapted to;

determine a payout pattern for a premium financing mechanism employed to pay for said insurance; and

generate data usable by the computer to provide an indication of said payout pattern.

60. The system of claim 55, wherein said output mechanism comprises at least one of the group consisting of:

A printer;

A video monitor; and

A memory device.

61. The system for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 55 wherein:

said computer executable program is further adapted to;

determine a plurality of payout patterns for a premium financing mechanism employed to pay for said insurance.

62. The system for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 61 wherein:

said plurality of payout patterns comprise;

a level payout pattern;

an upfront savings payout pattern;

an arbitrary payout pattern;

a fixed amount of savings payout pattern; and

a fixed percentage savings payout pattern.

63. The system for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 55 wherein:

said computer executable program is further adapted to;

generate, for a plurality of costs, data corresponding to a graphical representation of components of said costs expected to be paid during a plurality of contiguous time intervals and of a total cost expected to be paid during each of said time intervals.

64. The system for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 63 wherein:

said time intervals comprise fiscal years.

65. The system for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 63 wherein:

said computer executable program is further adapted to;

provide said data corresponding to a graphical representation to the video monitor in a format usable by the video monitor.

66. The system for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 63 wherein:

said computer executable program is further adapted to;

provide said data corresponding to a graphical representation to the printer in a format usable by the printer.

67. The system for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 63 wherein:

said computer executable program is further adapted to;

receive said self insurance information directly from a data file containing information within a self insurer'"'"'s report.

68. The system for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 63 wherein:

said computer executable program is further adapted to;

receive said insurance information from data entered into a preliminary evaluation questionnaire.

69. The system for predicting, comparing, and presenting a cost of self insurance versus a cost of insurance of claim 68 wherein:

said computer executable program is further adapted to;

generate and provide, to the video monitor, data usable by the video monitor to generate at least one visual display representing said preliminary evaluation questionnaire; and

prompt a user of the computer to input said insurance information with the user input mechanism at said preliminary evaluation questionnaire generated by the video monitor.