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A.M.BestTV: Health, Medical Changes Are Driving Captive Activity
[August 15, 2014]

A.M.BestTV: Health, Medical Changes Are Driving Captive Activity

OLDWICK, N.J. --(Business Wire)--

This episode of A.M.BestTV closes out the third day of the annual Vermont Captive Insurance Association (VCIA) Conference, which brought together more than 1,100 brokers, consultants, insurers, captive owners and managers to discuss alternative risk transfer. In this episode, Les Boughner, Deputy CEO, Willis Global Captive Practice and John Lochner, Director, Towers Watson discuss how The Patient Protection and Affordable Care Act (PPACA) and larger health care organizations are creating new, larger roles for captive insurance organizations.

Boughner stated, "We are really seeing a tremendous amount of new activity in new formations as well as the addition of coverage to existing ones, which is really driven by the entire change in risk profiles under the PPACA, since companies now have to provide lifetime maximums and can no longer exclude pre-existing conditions." Lochner added, "The PPACA is resulting in a continuing acceleration of physicians seeking employment typically by joining with hospitals. As a result, these health care providers that have captives have to address these physicians' prior acts as they come into captives."

Click on to view the video program. Full conference coverage can be seen at

Other people who appear in this episode include:

  • Derek Freihaut, Principal and Consulting Actuary, Pinnacle Actuarial Resources;
  • Gary Osborne, President, USA Risk Group;
  • Suzanne Rende, Trust Officer, Key Private Bank;
  • John Cassell, Senior Partner, Spring Consulting Group; and
  • Richard Smith, Presiden, VCIA

Full-length interviews from day three of the event also are available for viewing:

Recent episodes of A.M.BestTV include:

  • Captive Industry Deals With "Explosion of Domiciles": Regulators and industry experts say that significant growth in the captive industry, along with the growing number of U.S. states competing for captive business, means more options exist; however, they worry it could lead to inconsistent regulatory oversight:
  • Captive Leaders Fret About "Regulation by Accident" At the Annual Vermont Captive Insurance Association Conference: Participants say that the Non-Admitted and Reinsurance Reform Act is causing confusion in the captive industry. Small captives also face scrutiny from tax authorities and regulators, according to Meg Green of A.M.BestTV:
  • First Monday: Leading Analysts, Key Topics: A look at rising investment allocations to Schedule BA assets among U.S. property/casualty and life/annuity companies; the U.S. captive composite's continued outperformance over its commercial peers and the potential impact of Mexico's approaching risk-based solvency regime:

A.M.BestTV covers exclusive A.M. Best information and reports, targeted topics and key developments in the (re)insurance industry every Monday, Wednesday and Friday. Sign up for alerts of episodes at View A.M.BestTV episodes at

A.M. Best Company is the world's oldest and most authoritative insurance rating and information source. For more information, visit

Copyright © 2014 by A.M. Best Company, Inc. ALL RIGHTS RESERVED.

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