Navigate today’s most pressing health industry challenges with a leading global expert by your side.
Meet growing needs for innovative insurance solutions while increasing operational health and improving compliance.
Manage complex risks using data-driven insights, advanced approaches, and deep industry experience.
This is a place where your ideas and insights make an impact. Where an independent, entrepreneurial spirit is an advantage. And where diversity of thought and experience makes us who we are.
Data-driven insight. Deep expertise. Transformative innovation. Since 1947, Milliman has delivered intelligent solutions to improve health and financial security.
Captives & alternative markets
When you own risk, managing it well is your top priority. Milliman helps self-insureds, captive insurers, risk pools with loss and expense liabilities, risk retention alternatives, pricing and funding, financial modeling, and claims management. Our consultants are experts in this specialized field and bring the data and experience required to help you succeed.
We provide independent evaluations of loss and loss adjustment expense liabilities, statements of opinion regarding adequacy of reserves for insurance regulatory and other reporting purposes, and reviews of internal procedures and assumptions.
We assist in evaluating captive carrier feasibility and assistance in evaluating the benefits, costs, and risks of alternative retention limits. We also evaluate commercial insurance proposals and provide information for use in negotiating insurance prices.
We prepare actuarial feasibility studies for internal and regulatory purposes, evaluate funding requirements corresponding to targeted probability levels, evaluate the impact of potential loss variances on funding, and allocate premiums for commercial insurance and/or self-insurance funding among departments.
We do pro forma projections, which include income statements, balance sheets, and cash flow. We provide sensitivity analysis, including various trend and loss scenarios.
We assess and develop loss and loss expense control, audit claim files, and provide independent evaluation of claim service providers. We also analyze case reserves and practices and assess operational design and effectiveness analysis, including various trend and loss scenarios.
A company deciding to retain its risk faces the decision between self-insuring or forming a single-parent captive insurance company.
Over the past decade, captive insurers and their owners making the 831(b) tax election have come under scrutiny from the IRS.
Parametric policies, which pay based on the magnitude of an event, can bridge coverage gaps that are difficult to insure with a traditional indemnity policy.
Risks such as COVID-19, climate change, cyberattacks, and evolving socioeconomic issues are not isolated to one side of a balance sheet, or one fiscal year.
Captive insurance is a narrow niche within the insurance industry that is often not all that well understood, even by insurance professionals.
Learn more on whether single parent captive insurers themselves earn higher profits than other forms of insurance.
Even before the coronavirus, obstacles existed that slowed the uptake of insurtech solutions that targeted the reduction of customers’ losses.
The P&C insurance industry would benefit from more direct collaboration and communication with its customers.
Expenses related to the self-insurance of liabilities for professional liability and workers' compensation coverage are highly exposed to increases in the inflation rate.
Analyze unpaid claims liabilities with industry-leading stochastic and deterministic reserving tools and methods.
Analyze a wide range of claims data to identify those likely to incur high costs, helping optimize management and reduce costs.
Manage extended claims to determine accurate long-term costs and make more effective decisions.
Assess the quality of stochastic unpaid claim distributions used for enterprise risk management and dynamic financial analysis.
A comprehensive platform to evaluate mortgage investment opportunities, trends in the market, and portfolio aggregation.
Assess capital requirements under a wide range of frameworks and get effective strategic advice on how to manage capital.
Enhance your captive with risk retention alternatives, pricing and funding, financial modeling, and claims management.
Understand the impact of a large event on your portfolio, including analysis of loss-expected contract carve outs.
Lower loss and loss adjustment expense costs, get litigation support, and improve claims operations.
Use capital more efficiently to protect against financial risk and comply with growing rating and regulatory requirements.
Embed ERM best practices into your organization to create a structured and sustainable business management process.
Succeed with purchase and divestment of healthcare and insurance assets, whether a single line of business or an entire company.
Uncover valuable information hidden in your data, allowing you to take action on key business insight.
Get help with the actuarial aspects of financial exams, rate filing, and model reviews related to catastrophic risk.
Measure risk appetite and market rates and understand regulatory constraints for a strategic approach to risk retention.
Develop customized workers’ comp solutions that save time and money with state-specific data and expertise.
Ask the tough questions. We’re ready for them.