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O COVER THE COST of workers’ compensation for its employees working in downtown Washington, the Washington Post currently pays annual premiums of approximately $700,000. And the only way the Post, an account that insurers aggressively sought prior to Sept. 11, 2001, can get that coverage is through the residual market — a last resort for companies that otherwise cannot get insurers to cover their risks. The Post’s experience is not extraordinary. A number of other premier Washington establishments — including the National Geographic Society, the British Embassy, and the Kennedy Center — have had to resort to the residual Rich Hofmann, standing, fields questions at the Academy briefing. market because insurers refuse to voluntarily and directly underwrite their workers’ compensation risk, compensation insurance. Current laws in all states and said Barry Llewellyn, an Academy member who is senior the District of Columbia mandate that employers carry divisional executive for the National Council on Compen- workers’ compensation insurance and that those policies sation Insurance, a nonprofit industry group that manages cannot exclude terrorism or war risks. a database of workers’ compensation information. In response to the Sept. 11 terror attacks, Congress Llewellyn was part of a panel that offered sobering passed the Terrorism Risk Insurance Act (TRIA) in 2002 to statistics to an overflow audience of congressional staff, provide a short-term federal backup for insurers offering journalists, and other policy-makers at the Academy’s June terrorism insurance. But TRIA is due to expire in 2005, 29 Capitol Hill briefing on terrorism’s effect on workers’ See WORKERS' COMPENSATION, Page 4
Inside Life After TRIA The Extreme Events Committee considers what’s next . . . . . . . . . . . PAGE 4 Membership Milestone Academy rolls now top 15,000 . . . . . . . . . . . PAGE 6 Educating the Electorate The Social Insurance Committee prepares for the 2004 election . . . PAGE 6 Prepare for C-3 Phase 2 An Academy seminar will bring you up to speed . . . . . . . . . . . . . PAGE 8 Annual Meeting Schedule and registration information . . . . . . . SEE BACK
HSAs: Good Idea, Needs Work BY
PATRICK COLLINS
U
in a dark room running stochastic simulations and don’t get out much, you’ve probably heard some of the buzz on health savings accounts (HSAs), which were created as part of the Medicare Modernization Act of 2003. It’s safe to say that opinions differ. Some believe that these accounts will revolutionize the way people save to meet their health care needs. Others contend that HSAs are an ingenious way of undercutting employer-provided health care coverage. While this debate rages, we are left with the task of figuring out how to properly integrate these accounts and related high deductible health plans (HDHPs) into NLESS YOU’VE BEEN STUCK
an individual or group product. The provisions are relatively straightforward, but as with any new legislation, there are loose ends. Over the last few months, the Academy’s Health Savings Account Subgroup has corresponded with the Treasury Department about a number of gray areas. Recently, Treasury released helpful clarifying guidance. Preventive Care—Definition Preventive care expenses that aren’t subject to the HDHP deductible (as further defined by recent guidance) mirror traditional preventive benefits: annual physicals, immunizations, screening services, routine prenatal and well-child care, and tobacco cessation See HSAs, Page 5
Actuarial UPDATE
W o r k e r s ’ C o m p I n s u r a n c e a n d Te r r o r i s m
A CTUARIES