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Market Analysis ~ September Series w w w .insurance.pa.gov w w w .insurance.pa.gov Market Analysis ~ Septem ber Series Presented by: The Pennsylvania I nsurance Departm ent Septem ber 3 0 , Septem ber 1 6 , 2 0 1 0 2 0 1 0 8 a.m . to 3


  1. Market Analysis ~ September Series w w w .insurance.pa.gov w w w .insurance.pa.gov Market Analysis ~ Septem ber Series Presented by: The Pennsylvania I nsurance Departm ent Septem ber 3 0 , Septem ber 1 6 , 2 0 1 0 2 0 1 0 8 a.m . to 3 p.m . 8 a.m . to 3 p.m . Life, Accident & Health Property & Casualty focus focus Tem ple University Harrisburg Conference Center 234 Strawberry Square, Harrisburg, PA 17101 www.temple.edu/ harrisburg R b t L P tt A ti PA I C i i

  2. Market Analysis ~ September Series w w w .insurance.pa.gov Program Overview ~ Setting the Stage Ron Gallagher, Deputy I nsurance Com m issioner rgallagher@state.pa.us  Welcoming Comments and Useful Information  Scanning Today's Program  Brief Overview of the Department  Brief Overview of the PA Market  PA Complaint Overview 2

  3. Market Analysis ~ September Series w w w .insurance.pa.gov Our Sponsors: The Insurance Federation PA Association of Mutual of Pennsylvania, Inc. Insurance Companies 3

  4. Market Analysis ~ September Series w w w .insurance.pa.gov Useful Information W ho is in the audience today? (as of 9/ 24/ 10)  28 Carriers  Legislative Staff  House of Representatives  Senate Banking Committee  7 Law Firms  1 Trade Groups  Maryland Insurance Administration  PA Insurance Department Presenters, Support Staff and Legal Counsel 4

  5. Market Analysis ~ September Series w w w .insurance.pa.gov Scanning Today’s Program : 1 0 :4 5 Market Actions - A Year in 8 :0 0 Registration Review 8 :3 0 Setting the Stage Chris Monahan, Director, Bureau of Ron Gallagher , Deputy Market Conduct Commissioner for Market Regulation 1 1 :1 5 Morning W rap-up/ Questions 9 :0 0 “Undressing” Market Analysis 1 1 :4 5 Lunch (on your own) Jeff Arnold, Market Analysis 1 0 :0 0 The “4 1 1 ” for Carriers and 1 :0 0 W alk in the Regulator‘s Shoes Consultants Participate in a workshop and Cindy Fillman, Director, conduct a market regulation Market Analysis and committee session Education 2 :0 0 Afternoon W rap-up/ Questions 1 0 :3 0 Morning Break 2 :3 0 Roundtable Discussion w ith Deputy Com m issioners 5

  6. Market Analysis ~ September Series w w w .insurance.pa.gov IN S U R A N C E D E P A R T M E N T O ffic e o f G e n e ra l C o u n s e l In s u r a n c e C o m m is s io n e r O ffic e o f th e B u d g e t O ffic e o f C h ie f C o u n s e l C o m p tro lle r’s O ffic e A d m in is tra tiv e H e a rin g s C o m m u n ic a tio n s O ffic e P o lic y O ffic e L e g is la tiv e O ffic e O ffic e D e p u ty In s u ra n c e D e p u ty In s u ra n c e D e p u ty In s u ra n c e D e p u ty In s u ra n c e D e p u ty In s u ra n c e D e p u ty In s u ra n c e C o m m is s io n e r fo r L iq u id a tio n s , C o m m is s io n e r fo r In s u ra n c e C o m m is s io n e r fo r M e d ic a l C o m m is s io n e r fo r C o rp o ra te C o m m is s io n e r fo r M a rk e t C o m m is s io n e r fo r C H IP P ro d u c t R e g u la tio n a n d R e h a b ilita tio n s , a n d S p e c ia l C a re A v a ila b ility a n d a n d F in a n c ia l R e g u la tio n R e g u la tio n a n d A d u lt B a s ic In s u ra n c e A d m in is tra tio n F u n d s R e d u c tio n o f E rro r (M C A R E ) B u re a u o f A d m in is tra tio n B u re a u o f B u re a u o f L iq u id a tio n s a n d D iv is io n s : C o n s u m e r S e rv ic e s B u re a u o f M e d ic a l B u re a u O f F in a n c ia l D iv is io n s : R e h a b ilita tio n s A d m in is tra tio n H u m a n R e s o u rc e s a n d E q u a l M a lp ra c tic e A d m in is tra tio n E x a m in a tio n s P o lic y a n d P la n n in g E m p lo y m e n t O p p o rtu n ity D iv is io n s : R e g io n a l O ffic e s : Q u a lity A s s u ra n c e D iv is io n s : B u d g e t A s s e t M a n a g e m e n t H a rris b u rg O p e ra tio n s S u p p o rt S u p p o rt S e rv ic e s O ffic e M a n a g e m e n t P h ila d e lp h ia O p e ra tio n s S u p p o rt M a rk e tin g a n d O u tre a c h P o lic y A d m in is tra tio n B u re a u o f P ro p e rty a n d B u re a u o f C o m p a n y L ic e n s in g B u re a u o f M a rk e t C o n d u c t C a s u a lty In s u ra n c e a n d F in a n c ia l A n a ly s is D iv is io n s : D iv is io n s : B u re a u o f M C A R E D iv is io n s : B u re a u o f L iq u id a tio n C la im s A c tu a ria l R e v ie w L ife a n d H e a lth M a rk e t C la im s A d m in is tra tio n F in a n c ia l A n a ly s is D iv is io n s : C o n d u c t P o lic y R e v ie w D iv is io n s : C o m p a n y L ic e n s in g P ro p e rty a n d C a s u a lty P ro p e rty a n d C a s u a lty M a rk e t C la im s A d m in is tra tio n L ife , A c c id e n t, a n d H e a lth C o n d u c t S u p p o rt P h ila d e lp h ia R e g io n a l O ffic e E a s te rn R e g io n B u re a u o f L ife In s u ra n c e B u re a u o f L ic e n s in g a n d C e n tra l R e g io n D iv is io n s : E n fo rc e m e n t W e s te rn R e g io n A c tu a ria l R e v ie w D iv is io n s : B u re a u o f S p e c ia l F u n d s P o lic y R e v ie w D iv is io n s : L ic e n s in g S e rv ic e s A u to C A T F u n d In fo rm a tio n S e rv ic e s W o rk e rs C o m p e n s a tio n S e c u rity L ic e n s in g C o m p lia n c e F ie ld In v e s tig a tio n s F u n d B u re a u o f A c c id e n t a n d H e a lth U n d e rg ro u n d S to ra g e T a n k F ra u d In s u ra n c e In d e m n ific a tio n F u n d D iv is io n s : A c tu a ria l D iv is io n P o lic y R e v ie w B u re a u o f M a rk e t A n a ly s is a n d E d u c a tio n M a rk e t S u rv e illa n c e D iv is io n 6

  7. Market Analysis ~ September Series w w w .insurance.pa.gov Office of Market Regulation Deputy Insurance Commissioner Ron Gallagher Program Analyst rgallagher@state.pa.us Executive Secretary Christine Diep Lori Magaro 783-2196 cdiep@state.pa.us lmagaro@state.pa.us 787-1683 787-6174 Bureau of Market Bureau of Licensing and Bureau of Market Analysis and Bureau of Consumer Services Conduct Enforcement Education Carolyn Morris, Director Christopher Monahan, Director Jack Yanosky, Director Cindy Fillman, Director camorris@state.pa.us cmonahan@state.pa.us jyanosky@state.pa.us cfillman@state.pa.us 783-9862 787-9100 705-0020 783-2011 Sharon Fraser Compliance Division Philadelphia Regional L & H Market Conduct Bureau Support Jim Krebs Office Yonise Paige shfraser@state.pa.us jkrebs@state.pa.us Leslie Pierce ypaige@state.pa.us 705-0005 705-0146 Outreach Division lpierce@state.pa.us 783-3029 Cindy Fillman 215-560-2630 Information Services cfillman@state.pa.us Licensing Division Division Harrisburg Regional 783-2011 P & C Market Conduct Adriane Force Ann Barnett Office Chet Derk aforce@state.pa.us abarnett@state.pa.us Roger Lisi cderk@state.pa.us 787-3842 783-2186 rlisi@state.pa.us 787-4373 Market Analysis 705-4395 Field Investigations Division Fraud Division Division Vacant, Supervisor Deborah Lee Robert Downie Complaint Intake Unit dlee@state.pa.us rdownie@state.pa.us Brenda John 787-0166 772-3598 bjohn@state.pa.us 783-2153 7

  8. Market Analysis ~ September Series w w w .insurance.pa.gov Overview of the PA Market:  $81 billion in Annual Premium  $41 million to GF annually  5 th Largest Market in US (approx)  12 th Largest Market in World  $18.5 million budget annually (approx)  288 Domestic carriers  220 positions (approx on  1,869 licensed carriers regulatory only)  181,327 licensed producers  72,301 residents  109,026 non-resident 8

  9. Market Analysis ~ September Series w w w .insurance.pa.gov Overview of the PA Market ~ State Budget: States in Descending Order of 2010 Budget State 2010 Rank New York $556,976,000 1 California $240,051,000 2 Florida $114,423,066 3 Texas $102,547,440 4 Ohio $94,830,371 5 Kentucky $40,532,900 6 West Virginia $40,473,933 7 North Carolina $29,863,635 8 Louisiana $29,387,018 9 New Jersey $29,198,000 10 Michigan $29,020,800 11 Maryland $27,361,093 12 Virginia $26,256,198 13 Delaware $25,087,000 14 Connecticut $24,828,742 15 Washington $23,182,000 16 Illinois $22,619,000 17 Pennsylvania $21,807,000 18 Alabama $20,404,588 19 Arizona $19,439,700 20 9

  10. Market Analysis ~ September Series w w w .insurance.pa.gov Overview of the PA Market: States in Descending Order of 2008 Premium Volume State 2008 Rank California $220,922,831,947 1 New York $150,859,397,709 2 Florida $105,328,277,735 3 Texas $99,037,673,043 4 Pennsylvania $81,078,728,038 5 Illinois $59,598,002,201 6 New Jersey $59,467,162,770 7 Ohio $55,366,587,161 8 Michigan $50,998,104,902 9 Massachusetts $43,551,960,738 10 10

  11. Market Analysis ~ September Series w w w .insurance.pa.gov Overview of the PA Market: Groups which account for 95.05% of the Total A & H Direct Premium in PA 2009 0.90 35 0.80 30 0.70 25 Complaint Index 0.60 Market Share (percentage) 20 Note: 0.50 The 2009 0.40 15 market share 0.30 information 10 came from 0.20 5 the NAIC as 0.10 of May 4, 0.00 0 2010. Independe Hospital UPMC Health United Coventry Capital Aetna Highmark nce Blue Geisinger Serv Assn Health Partners of Health Corp Blue Cross Cross of NEPA Systems Philadelphi 0.81 0.03 0.31 0.32 0.53 0.16 0.49 0.71 0.14 0.01 Complaint Index Market Share 5.61 3.07 30.81 28.35 4.86 3.1 6.01 2.37 8.47 2.4 Health Care Groups 11

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