Axiom Actuarial Consulting, LLC

International Health Fund

Consulted the government of a foreign country in the establishment of a fund intended to cover certain healthcare expenditures incurred by a sector of the population.  We performed the following analyzes:

• Identified suitable mechanisms to create the fund and made appropriate recommendations
• Identified mechanism to capitalize the fund and made appropriate recommendations
• Calculated the size of the fund based on historical claim costs
• Developed scenarios based on historical data and the projected values of key financial drivers
• Developed financial projections to measure the evolving fund size and likely inflows and outflows of capital
• Developed an operational model to run the fund
  

Market Entry Strategic Study--Domestic Carrier

Performed a market entry feasibility study for an entity considering entering the fully insured small group market in one of the States.  We performed the following services:

• Reviewed state regulatory requirements
• Analyzed  competitive market information
• Analyzed the data of self-funded business to establish base line rates
  

Market Entry Strategic Study--International Carrier

Consulted a global insurer interested in entering certain segment of the US health market.  We performed the following services:

• Provided background on the market segment and insights into how historical results and current developments could influence future events
• Performed an industry analysis
• Identified the most important carriers and their key personnel
• Stated strategic considerations on market entry and mid- to long-term profitability
• Developed an operational model to enter this market segment, if so desired
  

Acquisition of a Block of Business

Consulted a diversified company in their acquisition of a block of health and group life business.  We performed the following analyzes:

• Developed experience and projection studies
• Identified areas in underwriting and pricing that were susceptible to improvement and suggested corrective actions
• Developed a rating tool that became the standard model for the acquiring company
  

Restructuring Underwriting and Pricing Protocols

Consulted a diversified company in their management of a health block of business.  We performed the following analyzes:

• Conducted an underwriting audit and suggested corrective actions
• Identified risk factors that were not reflected in the original pricing structure
• Developed a rating model that remedied these problems
  

School Group Health Benefits Plan

Retained as actuarial consultant for a health benefits program covering an association of schools.  We provided the following services:

• Reviewed plan benefits and issued recommendations
• Valued liabilities
• Developed rates
• Reviewed the PPO network
• Recommended reinsurance actions to balance expected profitability with risk
  

Association MEWA Plan

Retained as actuarial consultant by the sponsors of a Multiple Employer Welfare Arrangement.  We provided the following services:

• Designed and priced benefits
• Calculated reserves and conducted experience reviews
• Issued recommendations on reinsurance issues
• Assisted in state filings
  

Strategic and Technical Guidance in New Reinsurance Venture

Retained as a technical advisor to an investor group seeking to establish a new reinsurance company in the Middle East.  We provided the following services:

• Developed strategic recommendations
• Oversaw and reviewed the preparation of feasibility studies  and business plans
• Negotiated with potential international technical partners on behalf of our client
• Entered into discussions with local regulators on behalf of our client
• Assisted in recruiting employees at the senior management level
  

Consultant to a National Insurance Group

Retained as consultant for a group of insurance companies that underwrite stop-loss, fully insured medical and specialty medical lines of business nationwide.  We rendered the following services:

• Reviewed the pricing and underwriting processes of the stop-loss line of business
• Oversaw the actuarial department assigned to the fully insured medical business
• Reviewed reserves and experience reports
• Involved in special projects such as the development of new product lines, entrance into new markets, and acquisitions