Health, Long-term Care, Disability, & Employee Benefits

Brokers and Third-Party Administrators

Our consultants provide the following services to brokers and third party administrators (TPAs):

Services

Group Medical Funding Studies

  • Premium equivalent rate development
  • Plan design modeling
  • Stop loss attachment optimization
  • Network discount analysis

Self-Insured Feasibility Studies

  • Assess the feasibility of a fully insured group switching their funding to a self-insured funding method
  • Ability to illustrate multiple ISL stop loss attachment points
  • Monte Carlo simulation utilized to quantify employer volatility levels

Medicare Creditable Coverage Testing

  • Testing employer plan designs to evaluate compliance with minimum Actuarial Value (AV) requirements
  • Issuing a report in support of employer creditable coverage notices

Incurred But Not Paid Valuation

  • Develop estimates of IBNR/IBNP claims
  • External auditor support

Captive Feasibility Studies

  • Assess the feasibility of a fully insured group switching their funding to a self-insured funding method
  • Ability to illustrate multiple ISL stop loss attachment points
  • Monte Carlo simulation utilized to quantify employer volatility levels

Reference-Based Pricing

  • Quantify the financial impact of utilizing a reference based pricing reimbursement model

M&A Due Diligence

  • Buy-side and sell-side due diligence analysis of employee benefits

OPEB Actuarial Modeling

  • FASB and GASB actuarial valuations of post-employment benefits

Meet The Team

Frank Huang

Head of P&C Actuarial Solutions

Michael Berman, FSA, MAAA

Director, Actuarial Solutions

Get In Touch

    What would you like to discuss with us?

    Group Medical Funding StudiesMedicare Creditable Coverage TestingIncurred But Not Paid ValuationCaptive Feasibility StudiesReference-Based PricingQuantify the financial impact of utilizing a reference based pricing reimbursement modelM&A Due DiligenceOPEB Actuarial Modeling

    Davies Solutions

    Claims Solutions

    We work with insurers, brokers, MGAs, corporates and public entities to deliver great customer service and improved underwriting performance, through efficient management of the claims process.

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    Insurance Services

    Our Insurance Services capability is deep, but simply defined, with our teams aligned to our core insurance markets: Intermediaries, Insurer & Market and Captives. We work with Lloyd’s syndicates, MGAs, brokers, insurers, reinsurers and international captive owners.

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    Consulting

    We help organizations seeking to harness the power of automation and digital transformation helping them gain competitive edge, to streamline their delivery and service, and to manage operating costs.

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    Technology

    The service you deliver is integral to the success of your business. With the right technology, Davies can help you to heighten your customer experience, improve underwriting performance, and streamline processes.

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