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Mega Trends in Workers Compensation Past, Present and Future 16th Annual AMCOMP Conference Las Vegas, NV March 27, 2014 Download at www.iii.org/presentations Robert P. Hartwig, Ph.D., CPCU, President & Economist Insurance Information Institute 110 William Street New York, NY 10038 Tel: 212.346.5520 Cell: 917.453.1885 [email protected] www.iii.org Presentation Outline The Post-Crisis Economy & Workers Compensation The scars of the “Great Recession” are still visible on the WC line The New American Labor Force The Reindustrialization of America The Future of Healthcare in the United States WC’s future in inextricably linked to influences in this key sector Workers Compensation Operating Result Update Workers Compensation: The Next 100 Years Q&A 2 The Slow and Uneven Nature of the Economic Recovery Is Changing the WC Playing Field Despite a Still-Sluggish Economy, there Are Potent Growth Drivers for Workers Comp and Commercial Insurers in General 3 US Real GDP Growth* -7% 5.0% -0.3% 2014/15 are expected to see a modest acceleration in growth -8.9% 2000 2001 2002 2003 2004 2005 2006 07:1Q 07:2Q 07:3Q 07:4Q 08:1Q 08:2Q 08:3Q 08:4Q 09:1Q 09:2Q 09:3Q 09:4Q 10:1Q 10:2Q 10:3Q 10:4Q 11:1Q 11:2Q 11:3Q 11:4Q 12:1Q 12:2Q 12:3Q 12:4Q 13:1Q 13:2Q 13:3Q 13:4Q 14:1Q 14:2Q 14:3Q 14:4Q 15:1Q 15:2Q 15:3Q 15:4Q -9% -5.3% -5% Recession began in Dec. 2007. Economic toll of credit crunch, housing slump, labor market contraction was severe -3.7% -3% -1.8% -1% 2.3% 2.2% 2.6% 2.4% 0.1% 2.5% 1.3% 4.1% 2.0% 1.3% 3.1% 0.4% 1.1% 2.5% 4.1% 2.6% 1.9% 2.8% 3.0% 3.1% 3.0% 3.0% 3.0% 2.9% 1% 1.4% 3% 1.3% 5% The Q4:2008 decline was the steepest since the Q1:1982 drop of 6.8% 1.1% 1.8% 2.5% 3.6% 3.1% 2.7% 0.5% 3.6% 3.0% 1.7% 7% 4.1% Real GDP Growth (%) Demand for Insurance Should Increase in 2014/15 as GDP Growth Accelerates Modestly and Gradually Benefits the Economy Broadly * Estimates/Forecasts from Blue Chip Economic Indicators. Source: US Department of Commerce, Blue Economic Indicators 3/14; Insurance Information Institute. 4 Real GDP by State Percent Change, 2012: Highest 25 States North Dakota was the economic growth juggernaut of the US in 2012—by far 13.4 10 Only 10 states experienced growth in excess of 3%, which is what we would see nationally in a more typical recovery 8 2.0 2.1 2.1 2.1 2.2 2.2 2.2 2.2 2.4 2.4 2.4 2.1 2 2.4 2.7 2.7 3.3 3.3 3.3 3.4 3.5 3.5 3.6 4 3.9 6 4.8 Percent Change (%) 12 2.6 14 0 ND TX OR WA CA MN UT IN TN WV NC SC AZ FL IA MD MS MA MI OH US CO GA MT OK MO Sources: US Bureau of Labor Statistics; Insurance Information Institute. 5 Connecticut was the only state to shrink in 2012 -0.1 0.2 0.2 0.2 0.2 0.4 0.5 0.5 0.7 1.1 1.1 1.2 1.2 1.3 1.3 1.4 1.4 1.4 1.5 1.5 1.5 1.5 1.6 1.7 1.9 2.0 1.8 1.6 1.4 1.2 1.0 0.8 0.6 0.4 0.2 0.0 -0.2 -0.4 Growth rates in 8 states (and DC) were still below 1% in 2012 1.3 Percent Change (%) Real GDP by State Percent Change, 2012: Lowest 25 States IL PA HI LA NE NV WI KS KY RI AR NJ NY AL VT AK VA DC ME NH ID DE NM SD WY CT Sources: US Bureau of Labor Statistics; Insurance Information Institute. 6 Consumer Sentiment Survey (1966 = 100) 80 75 70 65 55.7 59.5 60.9 64.1 85 74.4 73.6 73.6 72.2 73.6 76 67.8 68.9 68.2 67.7 71.6 74.5 74.2 77.5 67.5 69.8 74.3 71.5 63.7 90 60 50 45 40 Impact of 2011 budget impasse Optimism among consumers dropped in Q3 2013 as the government shutdown created uncertainty, then rebounded though the harsh winter took a toll Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11 Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Mar-12 Apr-12 May-12 Jun-12 Jul-12 Aug-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 Mar-14 55 69.9 75.0 75.3 76.2 76.4 79.3 73.2 72.3 74.3 82.6 82.7 74.5 73.8 77.6 78.6 76.4 84.5 84.1 85.1 82.1 77.5 73.2 75.1 82.5 81.2 81.6 79.9 January 2010 through March 2014 Consumer confidence has been low for years amid high unemployment, falling home prices and other factors adversely impact consumers, but improved substantially over the past 2+ years, though uncertainty in Washington sometimes takes a toll. Source: University of Michigan; Insurance Information Institute 8 New Private Housing Starts, 1990-2019F 1.9 1.7 1.5 1.3 1.1 0.9 0.7 0.5 New home starts plunged 72% from 2005-2009; A net annual decline of 1.49 million units, lowest since records began in 1959 1.31 1.44 1.50 1.51 1.50 2.1 0.55 0.59 0.61 0.78 0.92 1.09 1.19 1.01 1.20 1.29 1.46 1.35 1.48 1.47 1.62 1.64 1.57 1.60 1.71 1.85 1.96 2.07 1.80 1.36 0.91 Job growth, low inventories of existing homes, low mortgage rates and demographics should continue to stimulate new home construction for several more years (Millions of Units) 0.3 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14F15F16F17F18F19F Insurers Are Continue to See Meaningful Exposure Growth in the Wake of the “Great Recession” Associated with Home Construction: Construction Risk Exposure, Surety, Commercial Auto; Potent Driver of Workers Comp Exposure Source: U.S. Department of Commerce; Blue Chip Economic Indicators (3/14 and 3/13); Insurance Information Institute. 9 Commercial & Industrial Loans Outstanding at FDIC-Insured Banks, Quarterly, 2006-2013* $1.6 $1.5 $1.4 $1.3 $1.2 $1.1 Recession In nominal dollar terms, this is an all-time high. $1.13 $1.16 $1.18 $1.22 $1.25 $1.30 $1.39 $1.44 $1.48 $1.49 $1.50 $1.49 $1.43 $1.37 $1.27 $1.21 $1.18 $1.17 $1.17 $1.18 $1.20 $1.24 $1.28 $1.35 $1.37 $1.42 $1.46 $1.51 $1.53 $1.56 $1.57 $Trillions 06:Q1 06:Q2 06:Q3 06:Q4 07:Q1 07:Q2 07:Q3 07:Q4 08:Q1 08;Q2 08:Q3 08:Q4 09:Q1 09:Q2 09:Q3 09:Q4 10:Q1 10:Q2 10:Q3 10:Q4 11:Q1 11:Q2 11:Q3 11:Q4 12:Q1 12:Q2 12:Q3 12:Q4 13:Q1 13:Q2 13:Q3 $1.0 Outstanding loan volume has been growing for over two years and (as of year-end 2012) surpassed previous peak levels. *Latest data as of 2/2/2014. Source: FDIC at http://www2.fdic.gov/qbp/ (Loan Performance spreadsheet); Insurance Information Institute. 10 55 50 45 40 50.7 52.7 54.1 54.6 54.8 53.5 53.7 52.8 53.9 54.6 56 57.1 59.4 59.7 56.3 54.4 53.3 53.4 53.8 52.6 52.6 52.6 52.6 53.0 56.8 56.1 55.0 53.7 54.1 52.7 52.9 54.3 55.2 54.8 54.8 55.7 55.2 56.0 54.4 53.1 53.7 52.2 56.0 58.6 54.4 55.4 53.9 53.0 54.0 51.6 60 Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11 Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Mar-12 Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 ISM Non-Manufacturing Index (Values > 50 Indicate Expansion) January 2010 through February 2014 65 Optimism among nonmanufacturers was hurt by the uncertainty in Washington, but remains resilient Non-manufacturing industries have been expanding and adding jobs. This trend is likely to continue through 2014. Source: Institute for Supply Management at http://www.ism.ws/ismreport/nonmfgrob.cfm; Insurance Information Institute. 11 Business Bankruptcy Filings, 1980-2013 1980-82 1980-87 1990-91 2000-01 2006-09 90,000 80,000 40,000 30,000 20,000 10,000 0 58.6% 88.7% 10.3% 13.0% 208.9% 2013 bankruptcies totaled 33,212, down 17.1% from 2012—the fourth consecutive year of decline. Business bankruptcies more than tripled during the financial crisis. 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 50,000 43,694 48,125 70,000 60,000 69,300 62,436 64,004 71,277 81,235 82,446 63,853 63,235 64,853 71,549 70,643 62,304 52,374 51,959 53,549 54,027 44,367 37,884 35,472 40,099 38,540 35,037 34,317 39,201 19,695 28,322 43,546 60,837 56,282 47,806 40,075 33,212 % Change Surrounding Recessions Significant Exposure Implications for All Commercial Lines as Business Bankruptcies Begin to Decline Sources: American Bankruptcy Institute (1980-2012) at http://www.abiworld.org/AM/AMTemplate.cfm?Section=Home&TEMPLATE=/CM/ContentDisplay.cfm&CONTENTID=61633; 2013 data from United States Courts at http://news.uscourts.gov; Insurance Information Institute. 12 Nonfarm Payroll (Wages and Salaries): Quarterly, 2005–2013:Q4 Billions $7,500 Latest (2013:Q4) was $7.23 trillion, a new peak--$980B above 2009 trough $7,250 $7,000 $6,750 Prior Peak was 2008:Q1 at $6.60 trillion $6,500 Payrolls are 15.7% above their 2009 trough and up 2.0% over the past year $6,250 $6,000 $5,750 Recent trough (2009:Q3) was $6.25 trillion, down 5.3% from prior peak 05:Q1 05:Q2 05:Q3 05:Q4 06:Q1 06:Q2 06:Q3 06:Q4 07:Q1 07:Q2 07:Q3 07:Q4 08:Q1 08:Q2 08:Q3 08:Q4 09:Q1 09:Q2 09:Q3 09:Q4 10:Q1 10:Q2 10:Q3 10:Q4 11:Q1 11:Q2 11:Q3 11:Q4 12:Q1 12:Q2 12:Q3 12:Q4 13:Q1 13:Q2 13:Q3 13:Q4 $5,500 Note: Recession indicated by gray shaded column. Data are seasonally adjusted annual rates. Sources: http://research.stlouisfed.org/fred2/series/WASCUR; National Bureau of Economic Research (recession dates); Insurance Information Institute. 13 12 Industries for the Next 10 Years: Insurance Solutions Needed Health Care Health Sciences Energy (Traditional) Alternative Energy Petrochemical Agriculture Natural Resources Technology (incl. Biotechnology) Many industries are poised for growth, though insurers’ ability to capitalize on these industries varies widely Light Manufacturing Insourced Manufacturing Export-Oriented Industries Shipping (Rail, Marine, Trucking, Pipelines) 14 CONSTRUCTION INDUSTRY OVERVIEW & OUTLOOK The Construction Sector Is Critical to the Economy and the WC Insurers 15 Value of New Private Construction: Residential & Nonresidential, 2003-2013* Billions of Dollars New Construction peaks at $911.8. in 2006 Trough in 2010 at $500.6B, after plunging 55.1% ($411.2B) $1,000 $900 $800 $15.0 2013: Value of new pvt. construction hits $667.5B, up 33% from the 2010 trough but still 27% below 2006 peak $613.7 $700 $600 $500 $311.5 $298.1 $400 $300 $261.8 Non Residential Residential $200 $100 $356.0 $238.8 $0 03 04 05 06 07 08 09 10 11 12 13* Private Construction Activity Is Moving in a Positive Direction though Remains Well Below Pre-Crisis Peak; Residential Dominates *2013 figure is a seasonally adjusted annual rate as of December. Sources: US Department of Commerce; Insurance Information Institute. 16 Value of Construction Put in Place, January 2014 vs. January 2013* Growth (%) Private: +12.3% 20% 12.3% 15% 10% Public: +2.5% 14.6% 9.3% 9.7% 3.0% 2.5% 5% 0% -5% -10% -15% -20% Private sector construction activity is now up in the residential and nonresidential segments Public sector construction activity remains low but is no longer contracting -25% -22.2% Total Construction Total Private Residential-Construction Private NonResidential-Private Total Public Construction ResidentialPublic NonResidential-Public Overall Construction Activity is Up, But Growth Is Almost Entirely in the Private Sector as State/Local Government Budget Woes Continue *seasonally adjusted Source: U.S. Census Bureau, http://www.census.gov/construction/c30/c30index.html ; Insurance Information Institute. 18 Value of Private Construction Put in Place, by Segment, Jan. 2014 vs. Jan. 2013* Growth (%) Led by the Residential Construction, Lodging, Communication and Office segments, Private sector construction activity is rising after plunging during the “Great Recession.” 60% 47.8% 50% 41.0% 40% 30% 20% 12.3% 10% 14.6% 17.0%14.9% 9.7% 13.8% 7.8% 7.9% 1.7% 0.9% 0% -10% -3.9% Manufacturing Power Communication Transportation Amusement & Rec. Educational Health Care Commercial Office Lodging Total Nonresidential Residential Total Private Construction Religious -12.2% -20% Private Construction Activity is Up in Most Segments, Including the Key Residential Construction Sector; Bodes Well for Early 2014 *seasonally adjusted Source: U.S. Census Bureau, http://www.census.gov/construction/c30/c30index.html ; Insurance Information Institute. 19 Private Construction by Segment/Project Type, Jan. 2014 vs. Jan. 2013* Shopping malls/centers and warehouse construction are among the strongest nonresidential segments Growth (%) 42.6%41.0% 33.4% 28.0% 21.0% 17.0% 20.6% 5.0% 0.9% 0.6% -1.6% -3.9%-5.9% -3.6% Special Care Medical Building Hospitals Warehouse: Mini-Storage Warehouse: Commercial Other Stores Building Supply Shopping Mall Retail: General Merchandise Retail: Shopping Center Food/Beverage Automotive Office: Financial Office: General Residential: Multi-Family Drug Store -16.6% -30.3% -24.2% Residential: Single Family Total Private Construction 50% 40% 30% 20% 12.3% 10% 0% -10% -20% -30% -40% Private Construction Activity is Up in Many Segments, Including the Key Residential Construction Sector, But Down in a Few *seasonally adjusted Source: U.S. Census Bureau, http://www.census.gov/construction/c30/c30index.html ; Insurance Information Institute. 20 Florida Total Private Housing Starts, 2000 – 2017F (Thousands of Units) CRASH, CRATER, RECOVERY Homebuilding in FL continues to recover, but employment and WC exposures will take more than a decade to recover The economic outlook for most of the US is positive for the first time in many years Source: University of Central Florida Institute for Economic Competitiveness: http://iec.ucf.edu/post/2014/01/07/Florida-Metro-Forecast-December-2013.aspx 21 Value of New Federal, State and Local Government Construction: 2003-2013* ($ Billions) $350 Austerity Reigns Construction across all levels of government peaked at $314.9B in 2009 Govt. construction is still shrinking, down $40.5B or 12.9% since 2009 peak $308.7 $314.9 $289.1 $300 $304.0 $286.4 $279.0 $274.4 2011 2012 2013* $255.4 $250 $216.1 $220.2 2003 2004 $234.2 $200 $150 $100 $50 $0 2005 2006 2007 2008 2009 2010 Government Construction Spending Peaked in 2009, Helped by Stimulus Spending, but Continues to Contract As State/Local Governments Grapple with Deficits and Federal Sequestration Takes Hold *2013 figure is a seasonally adjusted annual rate as of December. Sources: US Department of Commerce; Insurance Information Institute. 22 Value of Public Construction Put in Place, by Segment, Jan. 2014 vs. Jan. 2013* 7.8% 8.7% 3.6% 3.0% -6.2% -9.9% -3.0% -0.6% -6.2% -10.8% -15.1% -22.2% Conservation & Develop. Water Supply Sewage & Waste Disposal Highway & Street Power Transportation Amusement & Rec. Public Safety Educational Health Care Commercial Office -27.8% Total Nonresidential Total Public Construction 20% 15% 10% 5% 2.5% 0% -5% -10% -15% -20% -25% -30% Highway, Transport, and Power projects lead public sector construction 15.3% Public sector construction activity is down substantially in most segments, a situation that will likely persist, dragging on public entity risk exposures Residential Growth (%) Public Construction Activity is Down in Many Segments as State and Local Budgets Remain Under Stress; Improvement Possible in 2014. *seasonally adjusted Source: U.S. Census Bureau, http://www.census.gov/construction/c30/c30index.html ; Insurance Information Institute. 23 Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11 Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 2/30/2 Mar-12 Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 Aug-13 Sep-12 Oct-13 Nov-13 Dec-13 Jan-14 Jan-14 (Thousands) 6,000 5,900 5,800 5,700 5,600 5,500 5,581 5,522 5,542 5,554 5,527 5,512 5,497 5,519 5,499 5,501 5,497 5,468 5,435 5,478 5,485 5,497 5,524 5,530 5,547 5,546 5,583 5,576 5,577 5,612 5,629 5,644 5,640 5,636 5,615 5,622 5,627 5,630 5,633 5,649 5,673 5,711 5,735 5,783 5,799 5,792 5,791 5,801 5,804 5,805 5,822 5,830 5,849 5,876 5,926 5,941 Construction Employment, Jan. 2010—February 2014* Construction employment is +506,000 above Jan. 2011 (+9.3%) trough 5,400 Construction and manufacturing employment constitute 1/3 of all payroll exposure. *Seasonally adjusted. Sources: US Bureau of Labor Statistics at http://data.bls.gov; Insurance Information Institute. 25 Construction Employment, Jan. 2003–February 2014 (Thousands) Construction employment as of Feb. 2014 totaled 5.941 million, an increase of 506,000 jobs or 9.3% from the Jan. 2011 trough Construction employment peaked at 7.726 million in April 2006 8,000 7,500 Construction employment troughed at 5.435 million in Jan. 2011, after a loss of 2.291 million jobs, a 29.7% plunge from the April 2006 peak 7,000 6,500 6,000 The “Great Recession” and housing bust destroyed 2.3 million constructions jobs 5,500 5,000 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 The Construction Sector Could Be a Growth Leader in 2014 as the Housing Market, Private Investment and Govt. Spending Recover. WC Insurers Will Benefit. Note: Recession indicated by gray shaded column. Sources: U.S. Bureau of Labor Statistics; Insurance Information Institute. 26 The New American Labor Force The Recovery’s Winners and Losers Are Reshaping the Sources of WC’s Payroll Exposure Base 27 Unemployment and Underemployment Rates: Still Too High, But Falling January 2000 through February 2014, Seasonally Adjusted (%) 18 "Headline" Unemployment Rate U-3 16 Unemployment + Underemployment Rate U-6 U-6 went from 8.0% in March 2007 to 17.5% in October 2009; Stood at 12.6% in Feb. 2014. 8% to 10% is “normal.” 14 12 10 8 6 4 As the unemployment rate approaches 6%, the Fed will begin signaling on shortterm rates 2 “Headline” unemployment was 6.7% in February 2014. 4% to 6% is “normal.” Jan Jan Jan Jan Jan Jan Jan Jan Jan Jan Jan Jan Jan Jan Jan 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 Stubbornly high unemployment and underemployment constrain overall economic growth, but the job market is now clearly improving. Source: US Bureau of Labor Statistics; Insurance Information Institute. 28 US Unemployment Rate Forecast 2007:Q1 to 2015:Q4F* 8% 7% 6% 5% Unemployment peaked at 10% in late 2009. 9.3% 9.6% 10.0% 9.7% 9.6% 9.6% 9.6% 8.9% 9.1% 9.1% 8.7% 8.3% 8.2% 8.0% 7.8% 7.7% 7.6% 7.3% 7.0% 6.6% 6.5% 6.3% 6.2% 6.1% 6.0% 5.9% 5.8% 9% Jobless figures have been revised slightly downwards for 2014/15 8.1% 10% 4.5% 4.5% 4.6% 4.8% 4.9% 5.4% 6.1% 6.9% 11% Rising unemployment eroded payrolls and WC’s exposure base. Unemployment forecasts have been revised slightly downwards. Optimistic scenarios put the unemployment as low as 6.0% by Q4 of this year. 07:Q1 07:Q2 07:Q3 07:Q4 08:Q1 08:Q2 08:Q3 08:Q4 09:Q1 09:Q2 09:Q3 09:Q4 10:Q1 10:Q2 10:Q3 10:Q4 11:Q1 11:Q2 11:Q3 11:Q4 12:Q1 12:Q2 12:Q3 12:Q4 13:Q1 13:Q2 13:Q3 13:Q4 14:Q1 14:Q2 14:Q3 14:Q4 15:Q1 15:Q2 15:Q3 15:Q4 4% * = actual; = forecasts Sources: US Bureau of Labor Statistics; Blue Chip Economic Indicators (3/14 edition); Insurance Information Institute. 29 (600) (800) (1,000) Monthly losses in Dec. 08–Mar. 09 were the largest in the post-WW II period -776 -693 -821 -698 -810 -801 -426 -422 -486 (400) -232 -272 -232 -141 -271 -294 -38 -15 -71 -115 -106 -221 -215 -206 -261 -258 (200) 231 170 126 32 64 81 55 57 400 113 192 94 110 120 117 107 199 149 94 72 223 231 320 166 186 219 125 268 177 191 222 364 228 246 102 131 75 172 136 159 255 211 215 219 263 164 188 222 201 170 180 153 247 272 86 145 162 20 3 3 0 52 52 200 Jan-07 Feb-07 Mar-07 Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11 Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Mar-12 Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 Monthly Change in Private Employment January 2007 through February 2014 (Thousands, Seasonally Adjusted) 600 Jobs Created 2013: 2.368 Mill 2012: 2.294 Mill 2011: 2.400 Mill 2010: 1.277 Mill Source: US Bureau of Labor Statistics: http://www.bls.gov/ces/home.htm; Insurance Information Institute 162,000 private sector jobs were created in February Private Employers Added 8.34 million Jobs Since Jan. 2010 After Having Shed 5.01 Million Jobs in 2009 and 3.76 Million in 2008 (State and Local Governments Have Shed Hundreds of Thousands of Jobs) 30 Cumulative Change in Private Sector Employment: Jan. 2010—Feb. 2014 Millions 7.0 6.0 5.0 4.0 3.0 2.0 1.0 0.0 -1.0 6.805 7.027 7.228 7.398 7.578 7.731 7.978 8.250 8.336 8.481 8.643 8.0 Job gains and pay increases have added nearly $1 trillion to payrolls since Jan. 2010 0.020 -0.018 0.095 0.287 0.381 0.491 0.611 0.728 0.835 1.034 1.183 1.277 1.349 1.572 1.803 2.123 2.289 2.475 2.694 2.819 3.087 3.264 3.455 3.677 4.041 4.269 4.515 4.617 4.748 4.823 4.995 5.131 5.290 5.545 5.756 5.971 6.190 6.453 9.0 Cumulative job gains through Feb. 2014 totaled 8.64 million Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11 Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Mar-12 Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 10.0 6.617 January 2010 through February 2014* (Millions) Private Employers Added 8.64 million Jobs Since Jan. 2010 After Having Shed 4.98 Million Jobs in 2009 and 3.80 Million in 2008 (State and Local Governments Have Shed Hundreds of Thousands of Jobs) Source: US Bureau of Labor Statistics: http://www.bls.gov/ces/home.htm; Insurance Information Institute 32 Cumulative Change in Government Employment: Jan. 2010—Dec. 2013 200 0 -200 -400 -600 -800 287 400 Government at all levels has shed more than 600,000 jobs since Jan. 2010 even as private employers created 8.14 million jobs, though losses may now be stabilizing. Jan-10 4 Feb-10 -10 Mar-10 33 Apr-10 92 May-10 Jun-10 Jul-10 98 Aug-10 -68 Sep-10 -224 Oct-10 -184 Nov-10 -194 Dec-10 -213 Jan-11 -224 -271 Feb-11 -289 Mar-11 -288 Apr-11 -356 May-11 -324 Jun-11 -452 Jul-11 -449 Aug-11 -480 Sep-11 -488 Oct-11 -511 Nov-11 -530 Dec-11 Jan-12 -542 Feb-12 -536 Mar-12 -539 Apr-12 -547 May-12 -574 Jun-12 -565 Jul-12 -589 Aug-12 -555 Sep-12 -535 Oct-12 -592 Nov-12 -601 Dec-12 -606 Jan-13 -622 -609 Feb-13 -621 Mar-13 -610 Apr-13 May-13 -621 Jun-13 -643 Jul-13 -654 Aug-13 -623 Sep-13 -616 Oct-13 -633 Nov-13 -618 Dec-13 -631 600 511 January 2010 through Dec. 2013* (Millions) Temporary Census hiring distorted 2010 figures Cumulative job losses through Dec. 2013 totaled 631,000 Governments at All Levels are Under Severe Fiscal Strain As Tax Receipts Plunged and Pension Obligations Soared During the Financial Crisis: Sequestration Will Add to this Toll Source: US Bureau of Labor Statistics http://www.bls.gov/data/#employment; Insurance Information Institute 33 Net Change in Government Employment: Jan. 2010—Dec. 2013* State government employment fell by 1.9% since the end of 2009 but is recovering while Federal employment is down by 3.8% and deteriorating (Thousands) 0 -100 -100 -107 -200 -300 -400 -424 -500 -600 -700 Local government employment shrank by 424,000 from Jan. 2010 through Dec. 2013, accounting for 67% of all government job losses, negatively impacting WC exposures for those cities and counties that insure privately -631 Total Local State *Cumulative change from prior month; Base employment date is Dec. 2009. Source: US Bureau of Labor Statistics http://www.bls.gov/data/#employment; Insurance Information Institute Federal 34 6.2 6.2 6.4 6.4 6.4 6.4 6.5 6.5 6.5 6.7 6.7 6.8 6.9 6.9 7.0 7.1 7.1 7.1 7.3 7.4 7.4 7.7 8.7 8.5 8.0 8 In February, 29 states had over-the-month unemployment rate decreases, 10 states had increases, and 11 states and the District of Columbia had no change. 7.8 Unemployment Rate (%) 10 9.0 Unemployment Rates by State, February 2014: Highest 25 States* 6 4 2 0 RI IL NV CA KY MI DC MS AZ AR GA NJ CT OR TN NY US NM AK MA OH AL MO NC WA FL PA *Provisional figures for February 2014, seasonally adjusted. Sources: US Bureau of Labor Statistics; Insurance Information Institute. 35 Unemployment Rates by State, February 2014: Lowest 25 States* 3.6 3.6 3.7 3.9 4.2 4.4 4.5 4.6 4.7 2.6 3 4.9 5.7 5.7 5.7 6.0 6.1 6.1 6.1 4 4.9 5.1 5.0 5 6.0 6 5.3 Unemployment Rate (%) 6.1 7 4.8 In February, 29 states had over-themonth unemployment rate decreases, 10 states had increases, and 11 states and the District of Columbia had no change. 2 1 0 CO IN ME WI DE WV MD SC TX ID MT OK KS VA MN NH HI LA IA WY UT VT NE SD ND *Provisional figures for February 2014, seasonally adjusted. Sources: US Bureau of Labor Statistics; Insurance Information Institute. 36 Payroll vs. Workers Comp Net Written Premiums, 1990-2013E Payroll Base* $Billions $7,000 WC NWP $Billions Wage & Salary Disbursements 3/01-11/01 WC NPW 7/90-3/91 $50 12/07-6/09 $45 WC premium volume dropped two years before the recession began $6,000 $5,000 $40 $35 WC net premiums written were down $14B or 29.3% to $33.8B in 2010 after peaking at $47.8B in 2005 $4,000 $3,000 +8.5% in 2013E E 13 12 11 10 09 08 07 06 05 04 03 02 01 00 99 98 97 96 95 94 93 92 91 $25 90 $2,000 $30 Continued Payroll Growth and Rate Increases Suggest WC NWP Will Grow Again in 2014; +8.6% Growth Estimated for 2013 *Private employment; Shaded areas indicate recessions. WC premiums for 2012 are I.I.I. estimate based YTD 2013 actuals. Sources: NBER (recessions); Federal Reserve Bank of St. Louis at http://research.stlouisfed.org/fred2/series/WASCUR ; NCCI; I.I.I. 39 Labor Force Participation Rate by Gender, 1948—2013 (Percent) 86.6% or working age men participated in the labor force in 1948 compared to 32.7% or women 100% 90% By 2013, the labor force participation rate for men had declined to 69.7% while the participation rate for women had risen to 57.2% 80% 70% 60% 50% By 2013, 57.2% of working age women participated in the labor force, up from 32.7% in 1948 but down from its all time high of 60.0% in 1999 40% 30% 20% 10% Men Women 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 0% Sources: U.S. Bureau of Labor Statistics; Insurance Information Institute. 40 Labor Force Participation by Sex and Education through the Crisis: 2006, 2010 and 2013 Unemployment Rate (%) 2006 2010 2013 16% Workers lacking a college Men were hit harder and degree suffer from much continue to do worse than higher rates of women in the job market. unemployment Women are likely to do better than men for the indefinite future. 13.9% 14% 11.5% 12% 10% 9.6% 10.5% 7.6% 7.4% 8% 9.7% 8.6% 7.1% 7.9% 5.9% 6% 4.6% 4% 4.6% 4.6% 4.1% 6.0% 5.0% 2.2% 2% 0% All Men Women Less than HS HS Diploma, Diploma No College Bachelor's Degree or Higher The composition and character of the U.S. labor force is changing rapidly. Winners and losers have clearly emerged. What does this mean for WC? Sources: U.S. Bureau of Labor Statistics; Insurance Information Institute. 41 Unemployment Rates by Age and Race: 2006, 2010 and 2013 Unemployment among younger workers remains a chronic problem Unemployment Rate (%) 2006 2010 Unemployment among some minority groups remains far above prerecession levels 2013 30% 24.9% 22.9% 25% 20% 18.0% 15.3% 13.5% 15% 10% 5% 10.0% 9.6% 7.4% 4.6% 16.0% 13.1% 12.5% 9.0% 9.1% 5.2% 8.7% 6.5% 4.0% 0% All 16-19 16-24 Source: U.S. Bureau of Labor Statistics; Insurance Information Institute. Black or African American Hispanic or Latino White 42 24% 31.1% 32.2% 32.2% 32.5% 31.8% 31.8% 31.7% 32.9% 26% 22.1% 22.5% 22.3% 23.0% 22.8% 23.0% 22.9% 23.5% 24.4% 24.4% 24.3% 24.9% 24.4% 24.4% 24.8% 25.2% 25.2% 26.3% 26.5% 26.2% 28% The brown bars indicate recessions. 27.9% 27.2% 27.0% 27.4% 27.9% 27.3% 27.8% 27.6% 26.8% 27.6% 30% 27.9% 28.5% 28.7% 29.3% 29.5% 32% 2011.3 34% 30.8% 29.3% 30.1% 29.1% 30.3% 30.1% 30.9% 31.0% 30.7% 31.0% 31.4% 30.9% 31.2% 31.6% 31.3% 31.5% 31.4% 1 in 3 in this age group are working. Virtually none of them are “baby boomers” 32.8% 32.3% Labor Force participation rate 2011.1 Labor Force Participation Rate, Ages 65-69, Quarterly, 1998:Q1-2013:Q2 2013.1 2012.3 2012.1 2010.3 2010.1 2009.3 2009.1 2008.3 2008.1 2007.3 2007.1 2006.3 2006.1 2005.3 2005.1 2004.3 2004.1 2003.3 2003.1 2002.3 2002.1 2001.3 2001.1 2000.3 2000.1 1999.3 1999.1 1998.3 20% 1998.1 22% The labor force participation rate for workers 65-69 might grow even faster in the future as seniors find they can’t fully retire on their meager retirement savings. Not seasonally adjusted. Sources: US Bureau of Labor Statistics, US Department of Labor; Insurance Information Institute. 9% Source: US Bureau of Labor Statistics, US Department of Labor; Insurance Information Institute. The labor force participation rate for workers 70-74 grew by about 50% since 1998. Growth stalled during and after the Great Recession but has since resumed. 2013.1 2012.3 2012.1 2011.3 2011.1 2010.3 2010.1 2009.3 2009.1 2008.3 2008.1 2007.3 2007.1 2006.3 2006.1 2005.3 2005.1 2004.3 2004.1 2003.3 2003.1 2002.3 Labor Force participation rate 2002.1 2001.3 2001.1 2000.3 2000.1 1999.3 1999.1 15% 1998.3 18% 12.5% 12.2% 12.4% 12.9% 12.4% 13.6% 13.1% 13.1% 13.3% 13.5% 13.6% 13.8% 14.4% 13.7% 14.2% 14.2% 13.8% 14.2% 14.0% 14.0% 14.4% 14.4% 14.6% 14.9% 14.9% 15.4% 15.6% 15.3% 16.4% 17.0% 15.8% 16.2% 16.7% 16.9% 17.2% 17.0% 16.7% 16.8% 18.0% 17.5% 17.3% 16.9% 18.6% 18.2% 17.7% 17.9% 18.9% 19.2% 18.0% 18.1% 17.4% 18.4% 18.0% 18.4% 19.3% 19.5% 19.2% 19.1% 19.9% 19.6% 18.8% 19.3% 21% 1998.1 Labor Force Participation Rate, Ages 70-74, Quarterly, 1998:Q1-2013:Q2 Nearly 1 in 5 in this age group is working. A dozen years ago it was 1 in 8. 12% The Reindustrialization of America American Industrial Might Is Making a Comeback A Golden Opportunity for Workers Comp Insurers? 50 Dollar Value* of Manufacturers’ Shipments Monthly, Jan. 1992—Dec. 2013 $ Millions $500,000 The value of Manufacturing Shipments in Dec. 2013 was $492.7B—a near record high. $400,000 $300,000 Ja n92 Ja n93 Ja n94 Ja n95 Ja n96 Ja n97 Ja n98 Ja n99 Ja n00 Ja n 01 Ja n 0 Ja 2 n 03 Ja n 04 Ja n 05 Ja n 06 Ja n 07 Ja n 08 Ja n 09 Ja n 10 Ja n 1 12 1 -J an 13 -J an $200,000 Monthly shipments in Dec. 2013 exceeded the pre-crisis (July 2008) peak. Manufacturing is energy-intensive and growth leads to gains in many commercial exposures: WC, Commercial Auto, Marine, Property, and various Liability Coverages. *seasonally adjusted; Dec. 2013 is preliminary; data published February 4, 2014. Source: U.S. Census Bureau, Full Report on Manufacturers’ Shipments, Inventories, and Orders, http://www.census.gov/manufacturing/m3/ 51 55 45 40 51.4 52.5 52.5 51.8 52.2 53.1 54.1 51.9 53.3 54.1 52.5 50.2 50.5 50.7 51.6 51.7 49.9 50.2 53.1 54.2 51.3 50.7 49.0 50.9 55.4 55.7 56.2 56.4 57.3 57.0 51.9 53.2 50 58.3 57.1 60.4 59.6 57.8 55.3 55.1 55.2 55.3 56.9 58.2 58.5 60.8 61.4 59.7 59.7 54.2 55.8 60 Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11 Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Mar-12 Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 ISM Manufacturing Index (Values > 50 Indicate Expansion) January 2010 through February 2014 65 Manufacturing continued to expand in early 2014 The manufacturing sector expanded for 48 of the 50 months from Jan. 2010 through February 2014. Weakness in early 2014 stems largely from harsh winter weather and weakness in China. Source: Institute for Supply Management at http://www.ism.ws/ismreport/mfgrob.cfm; Insurance Information Institute. 52 Manufacturing Growth for Selected Sectors, 2013 vs. 2012* Growth (%) Non-Durables: +0.2% Durables: +3.4% 14.0% 8.1% Manufacturing of durable goods was especially strong in 2012 but weakened in 2013 3.0% 0.2% 0.0% Textile Products Food Products Non-Durable Mfg. Transportation Equip. Computers & Electronics Electrical Equip. Machinery Fabricated Metals Primary Metals Plastics & Rubber -0.5% -1.8% -3.4% Wood Products 6.9% 3.1% 2.7% Chemical 0.4% 1.3% Petroleum & Coal 3.1% Durable Mfg. All Manufacturing 16% 14% 12% 10% 8% 6% 4% 1.7% 2% 0% -2% -4% -6% Manufacturing Is Expanding—Albeit Slowly—Across a Number of Sectors that Will Contribute to Growth in Insurable Exposures Including: WC, Commercial Property, Commercial Auto and Many Liability Coverages *Seasonally adjusted; Date are YTD comparing data through November 2013 to the same period in 2012. Source: U.S. Census Bureau, Full Report on Manufacturers’ Shipments, Inventories, and Orders, http://www.census.gov/manufacturing/m3/ 53 Durable Manufacturing: New Order Growth and Shipments, 2013 Most manufacturing sectors indicate order growth outstripping shipments, a favorable indicator for investment and expansion Growth (%) Shipments 10.1%10.2% 8.3% 7.8% 6.4% 3.6% 5.7% 3.9% 3.6% 2.9% 2.3% 1.3% 1.2% Non-Defense Capital Goods Motor Vehicles & Parts Communications Equipment Computers & Elect. Eq. Machinery Fabricated Metals Primary Metals -3.2%-2.8% All Durable Mfg: Non-Defense 12% 10% 8% 6% 4% 2% 0% -2% -4% New Orders Manufacturing Is Expanding: New orders exceed shipments which suggests the industry is in an expansionary phase *Seasonally adjusted; Date are advance report YTD data comparing data through December 2013 to the same period in 2012. Source: U.S. Census Bureau, Full Report on Manufacturers’ Shipments, Inventories, and Orders, http://www.census.gov/manufacturing/m3/ 54 Recovery in Capacity Utilization is a Positive Sign for Commercial Exposures March 2001 through December 2013 “Full Capacity” Percent of Industrial Capacity 82% 80% Hurricane Katrina The US operated at 79.2% of industrial capacity in Dec. 2013, well above the June 2009 low of 66.9% but is still below pre-recession levels. 78% 76% 70% 68% 66% March 2001November 2001 recession December 2007June 2009 Recession Source: Federal Reserve Board statistical releases at http://www.federalreserve.gov/releases/g17/Current/default.htm. Dec 72% The closer the economy is to operating at “full capacity,” the greater the inflationary pressure Mar 01 Jun 01 Sep Dec Mar 02 Jun 02 Sep Dec Mar 03 Jun 03 Sep Dec Mar 04 Jun 04 Sep Dec Mar 05 Jun 05 Sep Dec Mar 06 Jun 06 Sep Dec Mar 07 Jun 07 Sep Dec Mar 08 Jun 08 Sep Dec Mar 09 Jun 09 Sep Dec Mar 10 Jun 10 Sep Dec Mar 11 Jun 11 Sep Dec Mar 12 Jun 12 Sep Dec Mar 13 Jun 13 Sep 74% 55 55 Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11 Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 2/30/2 Mar-12 Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 12,250 12,000 11,750 11,500 11,460 11,460 11,466 11,497 11,531 11,539 11,558 11,548 11,554 11,555 11,577 11,590 11,624 11,662 11,682 11,707 11,715 11,724 11,747 11,760 11,762 11,770 11,769 11,797 11,841 11,870 11,910 11,920 11,926 11,935 11,957 11,943 11,925 11,931 11,938 11,951 11,965 11,988 11,984 11,977 11,972 11,965 11,948 11,963 11,993 12,011 12,046 12,053 12,059 12,065 Manufacturing Employment, Jan. 2010—February 2014* (Thousands) Since Jan 2010, manufacturing employment is up (+605,000 or +5.3%) and still growing. 11,250 Manufacturing employment is a surprising source of strength in the economy. Employment in the sector is at a multi-year high. *Seasonally adjusted; Jan. and Feb. 2014 are preliminary Sources: US Bureau of Labor Statistics at http://data.bls.gov; Insurance Information Institute. 56 Business Investment: Expected to Accelerate, Fueling Commercial Exposure Growth Accelerating business investment will be a potent driver of commercial property and liability insurance exposures and should drive employment and WC payroll exposures as well (with a lag) 9% 8% 7.8% 6.3% 7% 6% 4.9% 5% 4% 3% 2.5% 2% 1% 0% 2013 2014F 2015F Source: IHS Global Insights as of Jan. 13, 2014; Insurance Information Institute. 2016F 57 U.S. Natural Has Imports and Exports, 1990 - 2040 Trillions of Cubic Feet The US is now the largest gas producer in the world, though Russia is the largest exporter. The US needs to invest in its pipeline and LNG infrastructure and expedite regulatory approval to realize its full export potential Sources: US Energy Information Administration, Annual Energy Outlook 2014 Early Release Overview; ;Insurance Information Institute. 58 Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11 Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 2/30/2 Mar-12 Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 220 210 200 190 180 170 160 156.4 156.4 156.7 157.6 158.7 157.8 158.0 159.5 160.0 161.5 161.2 161.2 163.1 164.4 166.6 169.3 170.1 171.0 172.5 173.6 176.3 178.2 178.5 180.9 181.9 183.1 184.8 185.2 185.7 186.8 187.6 188.0 188.0 188.2 190.0 191.7 191.9 193.4 192.4 192.6 193.1 193.3 195.0 196.5 199.7 200.6 203.0 204.1 206.1 207.8 Oil & Gas Extraction Employment, Jan. 2010—Feb. 2014* (Thousands) Oil and gas extraction employment is up 32.9% since Jan. 2010 as the energy sector booms. Domestic energy production is essential to any robust economic recovery in the US. *Seasonally adjusted Sources: US Bureau of Labor Statistics at http://data.bls.gov; Insurance Information Institute. Highest since Aug. 1986 150 59 Growth in Health Professions, 1991-2013 (Percent Annual Change) Average Annual Growth Average Healthcare: 2.5% Total Nonfarm: 1.0% 7.0 5.0 3.0 1.0 -1.0 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1993 1992 -5.0 1991 -3.0 1994 The U.S. economy lost more than 8 million jobs during the Great Health care Recession, but health sector Total nonfarm employment expanded Healthcare employment has continued to grow in good times and bad - including the Great Recession. Sources: Bureau of Labor Statistics, Insurance Information Institute. 60 Occupations Ranked by Projected Percentage Growth, 2012-2022F (Millions) 28.1 Healthcare Support 21.5 21.4 20.9 Healthcare Practitioners Construction Personal Care and Service 18 17.2 Computer and Math Social Service 12.5 12.5 11.1 10.8 10.7 10.1 9.6 9.4 8.6 7.9 7.3 7.3 7.2 7 6.8 Business & Financial Groundskeeping/Janitorial Education All Occupations Legal Life, Phys and Social Science Repair Food Preparation Transportation Fire, Police, Etc. Architects and Engineers Sales Management Arts and Media Administrative Support Production Farming Healthcare professions are expected to grow at 2 to nearly 3 times employment growth overall 0.8 -3.4 Source: Bureau of Labor Statistics, Insurance Information Institute. 61 The Future of Healthcare in America Workers Comp Is Increasingly Along for the Ride in the American Health Care Saga 62 U.S. Health Care Expenditures, 1965–2022F $ Billions $5,000 $4,000 $3,000 $2,000 $1,000 $0 65 $42.0 66 $46.3 67 $51.8 68 $58.8 69 $66.2 70 $74.9 71 $83.2 72 $93.1 73 $103.4 74 $117.2 75 $133.6 76 $153.0 77 $174.0 $195.5 78 $221.7 79 $255.8 80 $296.7 81 $334.7 82 $369.0 83 $406.5 84 $444.6 85 $476.9 86 $519.1 87 $581.7 88 $647.5 89 $724.3 90 $791.5 91 $857.9 92 $921.5 93 $972.7 94 $1,027.4 95 $1,081.8 96 $1,142.6 97 $1,208.9 98 $1,286.5 99 $1,377.2 00 $1,493.3 01 $1,638.0 02 $1,775.4 03 $1,901.6 04 $2,030.5 05 $2,163.3 06 $2,298.3 07 $2,406.6 08 $2,501.2 09 $2,600.0 10 $2,700.7 11 $2,806.6 12 $2,914.7 13 $3,093.2 14 $3,273.4 15 $3,458.3 16 $3,660.4 17 $3,889.1 18 $4,142.4 19 $4,416.2 20 $4,702.0 21 $5,008.8 22 $6,000 From 1965 through 2013, US health care expenditures had increased by 69 fold. Population growth over the same period increased by a factor of just 1.6. By 2022, health spending will have increased 119 fold. U.S. health care expenditures have been on a relentless climb for most of the past half century, far outstripping population growth, inflation of GDP growth Sources: Centers for Medicare & Medicaid Services, Office of the Actuary at http://www.cms.gov/Research-Statistics-Data-and-Systems/StatisticsTrends-and-Reports/NationalHealthExpendData/NationalHealthAccountsProjected.html accessed 3/14/14; Insurance Information Institute. 63 National Health Care Expenditures as a Share of GDP, 1965 – 2022F* % of GDP 20% 18% 16% Health care expenditures as a share of GDP rose from 5.8% in 1965 to 18.0% in 2013 and are expected to reach 19.9% of GDP by 2022 2022 19.9% 2010: 17.9% 14% 12% 10% 1990: 12.5% 8% 6% 2% 0% 1965 5.8% Since 2009, heath expenditures as a % of GDP have flattened out at about 18%--the question is why and will it last? 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 4% 1980: 9.2% 2000: 13.8% Sources: Centers for Medicare & Medicaid Services, Office of the Actuary at http://www.cms.gov/Research-Statistics-Data-and-Systems/StatisticsTrends-and-Reports/NationalHealthExpendData/NationalHealthAccountsProjected.html accessed 3/14/14; Insurance Information Institute. Rate of Health Care Expenditure Increase Compared to Population, CPI and GDP 8000% Accelerating business investment will be a potent driver of commercial property and liability insurance exposures and should drive employment and WC payroll exposures as well (with a lag) 1965: $42.0 Bill 2013: $2,914.7 Bill 6839.8% 7000% 1965: $719.1 Bill 6000% 2013: $16,797.5 Bill 5000% 4000% 3000% 1965: 194.3 Mill 2235.9% 2013: 317.0 Mill 2000% 1000% 650.7% 63.1% 0% Population Source: Insurance Information Institute research. CPI GDP Health Care Expenditures 65 Medical Cost Inflation vs. Overall CPI, 1995 - 2013 Though moderating, medical inflation will continue to exceed inflation in the overall economy 5% 4% 3% 2% 1% Average Annual Growth Average Healthcare: 3.8% Overall CPI: 2.4% 0% Change in Medical CPI CPI-All Items -1% 95 96 97 98 99 00 01 02 03 04 05 06 07 08 Sources: Med CPI from US Bureau of Labor Statistics, WC med severity from NCCI based on NCCI states. 09 10 11 12 13 Possible Effects of the Affordable Care Act (“ObamaCare”) on Workers Compensation 67 WC Medical Severity Generally Outpaces the Medical CPI Rate 16% 13.5% 14% 12% 10.6% 10.1% 10% Average annual increase in WC medical severity form 1995 through 2011 was well above the medical CPI (6.8% vs. 3.8%), but the gap is narrowing. 8.8% 8.3% 7.7% 7.4% 8% 7.8% 6.3% 6.6% 7.3% 5.4% 6% 5.1% 4% 5.4% 4.5% 3.5% 2% 2.8% 3.2% 3.5% 4.1% 96 97 4.0% 4.4% 4.2% 4.0% 98 99 00 01 02 03 04 05 06 3.6% 4% 4.4% 3.7% 3.2% 3.4% 3.0% 3% Change in Medical CPI Change Med Cost per Lost Time Claim 0% 95 4.6% 4.7% 4.1% 07 08 Sources: Med CPI from US Bureau of Labor Statistics, WC med severity from NCCI based on NCCI states. 09 1.4% 10 11 12 A Few Potential Impacts of the ACA on Workers Compensation Issue Surge in People Covered by Health Insurance Electronic Health Records Concern Contravening Argument • System is overwhelmed • • MD shortage • Patient care adversely impacted Over time, people will have access to preventative care, improving the general health of the population • Greater use of PA’s, etc. • • Cost Computerization of patient data could help flag issues and improve risk management and improve patient outcomes • Provider/patient may • prefer claim handled via WC system Reduction in uninsured population reduces shifting Claim Shifting Source: Insurance Information Institute research; WCRI. 69 ACA Impact on WC May Occur via Changes in Rates Set by State Regulators ● WC rates often tied to WC but can change for reasons independent of this link ● There could be both positive and negative effects of a cut in Medicare rates on WC performance in states which tie reimbursement to Medicare – WC reimbursement rates would go down – Doctors may be unwilling to see WC patients: 64% of Dr.’s surveyed said they would stop accepting new Medicare patients if planned rate cuts go through; some of these same doctors may also refuse WC patients if WC rates also decrease ● These effects would likely be short lived – All states which tie their fee schedules to Medicare already increase the Medicare rates to set WC rates, so any drop in the Medicare rates would likely be soon offset by a higher WC adjustment 350% WC Maximum Allowable Reimbursement Rates 300% as Percentage of Medicare 250% 200% WC rates tied to Medicare 150% WC rates not tied to Medicare 100% SOURCE: NCCI Annual Issues Symposium 2009, Medicare’s Impact on Workers’ Compensation, AMA: “Physicians’ reactions to the Medicare physician payment cuts” from 3/13/13 presentation by Christopher Cunniff, FCAS, of Liberty Mutual. AK IL RI ID NV OR CT NE AL MS LA TN NM AZ MO ME MN GA OK AR WY SD KS KY SC ND CO WA OH PA NC NY VT UT MI TX CA FL MD WV MA 0% HI 50% PPACA May Have Distinct Impacts on WC Depending on Claim Frequency/Severity Industry Portfolio by Claim Type Potential ACA Impact (Relative Volume by Claim Frequency & Paid Dollars) High Ex: med only, Volume, Low quick to settle, <25K Severity • Expanded coverage may shift some small claims to the health insurance system (+) • Physician access problems could lead to indemnity increases and may bleed into the complicated cases (-) • Preventative care and early record keeping decreases WC comorbidities (+) • Soft tissue treatments, a large portion of “slow burn claims,” may decrease in cost (+) Ex: back pain Complicated claims, very litigious Catastrophic Ex: spinal cord injury, multiple Injuries • No significant impacts trauma claims Frequency Distribution Paid Dollars Distribution SOURCE: Dr. Glenn Pransky, Liberty Mutual Research Institute for Health & Safety extracted from from 3/13/13 presentation by Christopher Cunniff, FCAS, of Liberty Mutual: Impacts of Healthcare Reform on Workers Compensation, States of Play | Management of HealthInsurance Exchanges & ObamaCare Some states are running new health-insurance exchanges on their own. Other are leaving some or all of the task to the federal government. WA Federally Run exchange State-run exchange MT ME ND MN OR ID WI SD WY Federal and state joint-run exchange UT PA IA IL IN OH CO CA WV KS MO OK NM VA NJ DE MD KY NC TN AZ MA RI CT MI NE NV NY VT NH AR SC MS AL RI GA AK CT TX LA NJ FL HI DE MD DC Source: Wall Street Journal, September 20, 2013. 73 Number of People Signed Up for Health Care Under the ACA, Oct. 1 – March 1 As of March 1, 4.2 million people have signed up for coverage under the ACA since enrollment opened on Oct. 1, 2013 UPDATE HHS announced that enrollment as of 3/16 now exceeds 5 million 759,800 Source: Centers for Medicare and Medicaid as of March 7, 2014: http://aspe.hhs.gov/health/reports/2014/MarketPlaceEnrollment/Mar2014/ib_2014mar_enrollment.pdf 74 Projected Number of People with No Health Insurance, 2013—2022* Millions By 2018 the number of people under age 65 without insurance is expected to drop by 25 million (~45%) 65 55 55 44 45 37 35 30 31 2018F 2022F 25 15 5 2013E 2014F 2015F The projected decline in the uninsured population is very sensitive to the enrollment rate under the Affordable Care Act *Under age 65. Sources: Centers for Medicare & Medicaid Services, Office of the Actuary at http://www.cms.gov/Research-Statistics-Data-and-Systems/StatisticsTrends-and-Reports/NationalHealthExpendData/NationalHealthAccountsProjected.html accessed 3/14/14; Insurance Information Institute. 75 Will Skill Shortages in the Medical Field Adversely Impact WC? Concern that the ACA Will Overwhelm the Healthcare Delivery System, Harming Outcomes 76 Physician Supply and Demand, 2008–2020 A potential large and growing physician gap looms over the next decade, with potential for users of health care Source: American Association of Medical Colleges https://www.aamc.org/advocacy/campaigns_and_coalitions/fixdocshortage/; Insurance Information Institute. 77 Growth in Healthcare Profession by Skill Level, 2012 – 2022F (Thousands of Jobs) +697,000 +24.1% 2,000 2,196 3,242 +425,000 +24.0% 1,771 3,000 2,492 2,893 4,000 +750,000 +30.1% 3,590 5,000 +1.015 Mill +20.3% 5,005 6,000 6,020 7,000 1,000 0 Practitioners, including RNs Technicians, including LPNs 2012 Source: Bureau of Labor Statistics, Insurance Information Institute. Aides Other 2022 80 Workers Compensation Operating Environment The Weak Economy and Soft Market Have Made the Workers Comp Operating Increasingly Challenging 81 Workers Compensation Combined Ratio: 1994–2014F 104.0 105.0 109.0 115.0 115.0 110.6 104.5 103.5 102.7 105.1 112.6 108.6 101.0 98.5 100 100.0 105 97.0 110 102.0 115 107.0 120 121.7 115.3 125 118.2 130 WC results have improved markedly since 2012 95 90 85 80 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13F 14F Workers Comp Results Began to Improve in 2012. Underwriting Results Deteriorated Markedly from 20072010/11 and Were the Worst They Had Been in a Decade. Sources: A.M. Best (1994-2009); NCCI (2010-2012P) and are for private carriers only; Insurance Information Institute (2013-14). 82 Return on Net Worth, 2003-2012, Workers Comp vs. All P/C Lines US WComp (Percent) US All P/C Lines 16% 14% Average: 2003-2012 WC: 7.1% All P/C Lines: 7.9% 14.4% 12% 10.1% 10% 9.5% 8% 6.9% 10.0% 10.0% 12.5% 9.0% 9.6% 5.3% 6% 8.0% 5.1% 4.2% 6.3% 6.2% 3.9% 4% 5.9% 5.8% 4.9% 2% 2.4% 0% 03 04 05 06 07 08 09 10 11 12 WC Has Been Marginally Less Profitable than the P/C Insurance Industry Overall Sources: NAIC, Report on Profitability by Line by State in 2012. 83 Workers Comp Return on Net Worth, 2012 Top 25 States 9.4 9.1 9.0 8.9 8.7 8.6 8.5 8.4 8.3 8.1 ME FL KS MS KY MN HI TN NH 9.8 AK NE 9.9 VT 10.6 TX 9.9 10.6 AL 10 MA 10.7 AR 12.9 MI 12 9 states posted double-digit profits in WC in 2012 11.1 13.0 NV* 12.2 13.0 14 MT* 16 14.3 Percent 8 6 4 SD WV 0 DC 2 Sources: NAIC; Insurance Information Institute * Denotes results exclude state funds. Other state funds are included in results 84 Workers Comp Return on Net Worth, 2012 Percent 3.7 3.7 ID NM 4.2 NJ 3.9 4.3 WI CO* 4.3 RI 3.9 4.3 CT 4 CA 4.4 5.3 5 NC 6.2 PA* 5.0 6.2 MO AZ 6.3 UT 5.1 6.3 LA IL 6.4 MD* 6 In 2012, in 7 states the Return on Net Worth was under 4% 5.9 6.4 6.7 SC* IA 6.7 7 OR 6.9 7.5 8 Bottom 25 States Sources: NAIC; Insurance Information Institute * Denotes results exclude state funds. Other state funds are included in results. OK* NY GA US VA 0 IN 1 DE 1.0 2 1.8 2.0 3 85 Workers Compensation Medical Severity Moderate Increase in 2012 Medical Claim Cost ($000s) 30 Average Medical Cost per Lost-Time Claim +3% +3.6% AnnualChange Change1991–1993: 1991–1993: +1.9% +1.9% Annual AnnualChange Change1994–2001: 1994–2001: +8.9% +8.9% Annual AnnualChange Change2002–2011: 2002–2010: +5.7% +6.0% Annual 25 +4.1%+1.4% +6.6% +6.3% +5.4% +7.8% Cumulative Change = 252% (1991-2012p) 20 +5.4% +7.7% $28.5 $26.7 $26.4 $23.7 $22.3 $21.2 $18.7 $17.3 $14.0 $13.1 $9.2 $8.8 $8.1 $8.2 $8.1 5 $9.9 +6.8%+1.3%-2.1% $11.8 +7.4% +9.0%+5.1% $10.9 10 $15.9 +8.3% +10.1% $19.7 +7.3% +10.6% 15 $25.3 +13.5% $27.7 +8.8% Accident Year 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20112012p Accident Year 2012p: Preliminary based on data valued as of 12/31/2012. 1991-2011: Based on data through 12/31/2011, developed to ultimate Based on the states where NCCI provides ratemaking services including state 87 funds, excluding WV; Excludes high deductible policies. Workers Comp Indemnity Claim Costs: Small Increase in 2012 Average Indemnity Cost per Lost-Time Claim Indemnity Claim Cost ($ 000s) Average indemnity costs per claim were up 1% in 2012 to $22,400 25 23 +2.2% +1% +8.8%+0.7% -3.0% +6.2% 21 Annual Change 1991–1993: Annual Change 1994–2001: Annual Change 2002–2011: 19 17 -1.7% +7.3% +3.2% +4.6%+1.0% +3.1% +9.2% +5.6% +3.1% +10.1% $22.4 $22.2 $21.7 $20.8 $19.2 $18.2 $17.7 $16.7 $16.2 $14.8 $13.5 $12.2 $11.2 $10.4 $9.8 $9.7 $9.2 $9.5 7 $9.8 9 $17.5 +9.0% +7.7% +5.9% 11 +1.0%-3.1% +4.9%+1.7% -2.8% 13 $22.4 +10.1% $22.2 15 5 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012p Accident Year 2012p: Preliminary based on data valued as of 12/31/2012. 1991-2011: Based on data through 12/31/2011, developed to ultimate Based on the states where NCCI provides ratemaking services including state funds, excluding WV; Excludes high deductible policies. Workers Compensation Lost-Time Claim Frequency Declined in 2012 Lost-Time Claims Percent 12 11 Cumulative Change of –55.4% (1991–2011 adj.) 10 8 Frequency Change: 2007—2012 6 Contracting: 7.97.1 -9.3% 4 Manufacturing: 13.612.0 -11.8% 2 Indicated Adjusted 3.8 0.5 0.3 0 -0.9 -2 -6 -8 -10 -2.2 -2.3 -4 -4.2 -4.4 -4.5 -6.5 -3.9 -3.7 -4.5 -4.1 -4.5 -4.5 -4 -4.3 -5.7 -6.9 -5.0 -6.6 -9.2 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20112012p Accident Year *Adjustments primarily due to significant audit activity. 2012p: Preliminary based on data valued as of 12/31/2012 1991–2011: Based on data through 12/31/2011, developed to ultimate Based on the states where NCCI provides ratemaking services, including state funds; excludes high deductible policies Frequency is the number of lost-time claims per $1M pure premium at current wage and voluntary loss cost level 89 Workers Compensation Premium: Second Consecutive Year of Increase Net Written Premium $ Billions 50 46.5 State Funds ($ B) 47.8 46.5 44.3 Private Carriers ($ B) 42.3 40 31.0 31.3 30 34.6 33.8 32.1 29.8 30.5 29.1 28.2 26.3 26.9 25.9 25.0 10 36.4 28.6 20 31.0 31.3 29.8 30.5 29.1 39.6 39.3 37.7 34.7 26.3 25.2 25.0 26.1 24.2 23.3 22.3 29.2 31.1 37.8 38.6 37.6 33.8 30.3 29.9 32.3 35.2 Pvt. Carrier NWP growth was +9.0% in 2012, the best since 2005 0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20112012p p Preliminary Calendar Year Source: 1990–20102p Private Carriers, Annual Statement Data, NCCI. 1996–2012p State Funds: AZ, CA, CO, HI, ID, KY, LA, MD, MO, MT, NM, OK, OR, RI, TX, UT Annual Statements State Funds available for 1996 and subsequent Direct Premiums Written: Workers’ Comp Percent Change by State, 2007-2012* -10.2 -10.8 -11.6 NM TX MD -5.4 PA -9.7 -4.7 VA AK -3.9 IL -9.2 -3.6 MN US -2.7 MI -9.1 -2.5 NJ VT -1.8 WI -6.8 -1.1 IN NH -0.3 0.2 CA NE 0.8 CT KS NY SD IA 4.0 12.4 18.8 21.7 27.9 30 25 20 15 10 5 0 -5 -10 -15 -20 -25 -30 OK Pecent change (%) Top 25 States *Excludes monopolistic fund states: ND, OH, WA, WY as well as WV, which transitioned to a competitive structure during this period. Sources: SNL Financial LC.; Insurance Information Institute. 93 Direct Premiums Written: Worker’s Comp Percent Change by State, 2007-2012* *Excludes monopolistic fund states: ND, OH, WA, WY as well as WV, which transitioned to a competitive structure during this period. Sources: SNL Financial LC.; Insurance Information Institute. NV DE HI -49.1 -43.4 -38.3 -35.1 FL OR UT AZ MO AL SC NC ME LA ID AR GA MS RI MA DC States with the poorest performing economies also produced the most negative net change in premiums of the past 5 years -33.9 -26.0 KY -31.8 -25.5 CO -27.4 -24.6 MT -21.9 -20.8 -19.9 -18.3 -17.8 -16.9 -16.6 -16.0 -15.9 -15.5 -15.4 -14.3 -12.9 -12.1 -10 -15 -20 -25 -30 -35 -40 -45 -50 -55 -60 TN Pecent change (%) Bottom 25 States 94 Change in Commercial Rate Renewals, by Line: 2013:Q3 Percentage Change (%) Workers Comp rate increases are large than any other line, followed by Property lines 7.0% 6.0% 5.8% 4.7% 2.7% 2.9% 2.9% Umbrella General Liability 3.3% 3.5% Commercial Property 2.9% Business Interruption 3.0% Construction 4.0% Commercial Auto 5.0% 2.0% 5.4% 1.0% Workers Comp EPL D&O 0.0% Surety 1.0% Major Commercial Lines Renewed Uniformly Upward in Q3:2013 for the 9th Consecutive Quarter; Property Lines & Workers Comp Leading the Way; Cat Losses and Low Interest Rates Provide Momentum Going Forward Note: CIAB data cited here are based on a survey. Rate changes earned by individual insurers can and do vary, potentially substantially. Source: Council of Insurance Agents and Brokers; Insurance Information Institute. 97 3.4% 3.7% 6.2% 7.0% 6.0% 6.1% 5.8% 5.1% 5.1% 3.2% 3.6% 4.1% 4.7% 3.9% 4.4% 4.1% 4.4% 3.9% 4% 4.3% 5% 4.0% 6% 4.4% 7% 5.5% 8% 6.0% 9% 5.6% 10% 8.6% P/C growth is expected to remain fairly stable through 2015 7.5% (Percent) 8.0% Growth in Direct Written Premium by Line, 2013-2015F* 3% 2% 1% 0% All Lines Personal Lines Commercial Lines Personal Homeowners Commercial Auto Auto 2013F Source: Conning. 2014F WC CMP GL 2015F 99 INVESTMENTS: THE NEW REALITY Investment Performance is a Key Driver of Profitability Depressed Yields Will Necessarily Influence Underwriting & Pricing 103 Property/Casualty Insurance Industry Investment Income: 2000–2013*1 ($ Billions) $60 $54.6 $52.3 $50 $40 $51.2 $49.5 $49.2 $47.1 $38.9 $38.7 $37.1 $36.7 01 02 $39.6 $47.7 $47.6 $45.8 Investment earnings are running below their 2007 pre-crisis peak $30 00 03 04 05 06 07 08 09 10 11 12 13* Investment Income Fell in 2012 and is Falling in 2013 Due to Persistently Low Interest Rates, Putting Additional Pressure on (Re) Insurance Pricing 1 Investment gains consist primarily of interest and stock dividends.. *Estimate based on annualized actual 9M:2013 investment income of $34.338B. Sources: ISO; Insurance Information Institute. U.S. Treasury Security Yields: A Long Downward Trend, 1990–2014* 9% Yields on 10-Year U.S. Treasury Notes have been essentially below 5% for a full decade. 8% 7% 6% U.S. Treasury yields plunged to historic lows in 2013. Only longer-term yields have rebounded. 5% 4% 3% 2% 1% 0% Recession 2-Yr Yield 10-Yr Yield '90 '91 '92 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 Since roughly 80% of P/C bond/cash investments are in 10-year or shorter durations, most P/C insurer portfolios will have low-yielding bonds for years to come. *Monthly, constant maturity, nominal rates, through February 2014. Sources: Federal Reserve Bank at http://www.federalreserve.gov/releases/h15/data.htm. National Bureau of Economic Research (recession dates); Insurance Information Institute. 109 Treasury Yield Curves: Pre-Crisis (July 2007) vs. Feb. 2014 6% 5% 4% 3% 2% 4.82% 4.96% 5.04% 4.96% 4.82% 4.82% Treasury yield curve remains near its most depressed level in at least 45 years. Investment income is falling as a result. Even as the Fed “tapers” rates are unlikely to return to pre-crisis levels anytime soon 4.88% 5.00% 4.93% 5.00% 5.19% 3.66% 3.38% 2.71% 2.15% 1.40% 0.69% 1% 0.05% 0.05% 0.08% 0.12% 1M 3M 6M 1Y 0.33% Feb. 2014 Yield Curve Pre-Crisis (July 2007) 0% 2Y 3Y 5Y 7Y 10Y 20Y 30Y The Fed Is Actively Signaling that it Is Determined to Keep Rates Low Until Unemployment Drops Below 6.5% or Until Inflation Expectations Exceed 2.5%; Low Rates Add to Pricing Pressure for Insurers. Source: Federal Reserve Board of Governors; Insurance Information Institute. 110 Outlook for U.S. Treasury Bond Yields Through 2015 Long-term yields should begin to normalize in 2014 but short-term yields will remain very low until 2015 % Yield 4.20 4.5 4.0 3.5 3-Month 5-Year 3.50 10-Year 3.0 2.35 2.5 2.0 1.80 1.80 1.5 1.40 1.17 0.76 1.0 0.5 2.30 0.10 0.09 0.06 0.0 2012 2013 2014F 2015F Longer-tail lines like MPL and workers comp will benefit the most from the normalization of yields Source: Federal Reserve Board of Governors (2012-2013), Swiss Re (2014-2015); Insurance Information Institute. 112 Financial Strength & Underwriting History Suggests that WC, Like Other Long-Tailed Lines Is Much More Difficult to Underwrite 113 P/C Insurer Impairments, 1969–2012 Impairments among P/C insurers remain infrequent 0 16 19 21 14 15 21 34 35 18 19 12 16 18 31 29 9 13 12 9 9 11 5 7 8 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 10 15 12 20 16 14 13 19 30 31 34 34 40 36 41 50 49 50 47 49 50 48 55 60 60 58 70 The Number of Impairments Varies Significantly Over the P/C Insurance Cycle, With Peaks Occurring Well into Hard Markets Source: A.M. Best Special Report “Pace of P/C Impairments Slowed in 2012; Auto Writers, RRGs Continued to Struggle,” June 2013; Insurance Information Institute. 114 P/C Insurer Impairment Frequency vs. Combined Ratio, 1969-2012 120 Combined Ratio after Div P/C Impairment Frequency 2.0 1.8 1.6 1.4 110 1.2 1.0 105 0.8 100 0.6 Impairment Rate Combined Ratio 115 0.4 95 2012 impairment rate was 0.69%, down from 1.11% in 2011; the rate is lower than the 0.82% average since 1969 0.0 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 90 0.2 Impairment Rates Are Highly Correlated With Underwriting Performance and Reached Record Lows in 2007; Recent Increase Was Associated Primarily With Mortgage and Financial Guaranty Insurers and Not Representative of the Industry Overall Source: A.M. Best; Insurance Information Institute 115 Number of Recessions Endured by P/C Insurers, by Number of Years in Operation Number of Recessions Since 1860 35 Insurers are true survivors—not just of natural catastrophes but also economic ones 32 30 27 25 20 20 13 15 10 8 5 0 1-50 51-75 76-100 101-125 126-150 Number of Years in Operation Many US Insurers Are Close to a Century Old or Older Sources: Insurance Information Institute research from National Bureau of Economic Research data. 116 Reasons for US P/C Insurer Impairments, 1969–2012 Historically, Deficient Loss Reserves and Inadequate Pricing Are By Far the Leading Cause of P-C Insurer Impairments. Investment and Catastrophe Losses Play a Much Smaller Role Reinsurance Failure Sig. Change in Business Misc. Investment Problems 3.1% 3.5% 8.4% 6.6% Deficient Loss Reserves/ Inadequate Pricing (Overstatement of Assets) 43.4% 8.0% Affiliate Impairment 7.1% Catastrophe Losses 7.2% Alleged Fraud 12.6% Rapid Growth Source: A.M. Best Special Report “Pace of P/C Impairments Slowed in 2012; Auto Writers, RRGs Continued to Struggle,” June 2013; Insurance Information Institute. 117 Top 10 Lines of Business for US P/C Impaired Insurers, 2000–2012 Medical Professional Liability Accounts for Only About 2% of Industry DPW but 6.7% of Insurer Impairments Other Title Surety 8.6% 4.0% 19.7% Workers Comp 4.8% Med Mal 6.7% 22.2% Other Liability 8.6% Pvt. Passenger Auto 7.3% Commercial Auto Liability 8.8% Commercial Multiperil 9.2% Homeowners Source: A.M. Best Special Report “Pace of P/C Impairments Slowed in 2012; Auto Writers, RRGs Continued to Struggle,” June 2013; Insurance Information Institute. . 118 Workers Compensation The NEXT 100 Years 119 Workers Compensation Timeline Industrialization of US in the Late 19th/Early 20th Century Led to Increasing & Unacceptably High Number of Deaths and Injuries Among Workers In 1912, an estimated 18,000 to 23,000 workers were killed on the job (compared to 5,071 in 2008) and approximately 4.7 million (12% or workforce) suffered a nonfatal illness or injury (compared to 3.7 million 2008) The 1912 death/injury rates would imply 75,600 deaths and 17 million injuries today More awareness of broader impacts on families of injured/killed workers Workers Could Seek Redress Under Tort Law, But Seldom Prevailed Employers usually won suits filed by injured workers by arguing: – Contributory Negligence: Employee was at least partially to blame for the accident – Assumed Risk: By taking the job, the employee understood the hazards involved – Fellow Servant Rule: A fellow worker caused the accident, so the employer was not at fault European Countries Began to Implement Workers Compensation Programs Germany (1884); England (1897) Insurers Began to Sell Commercial Liability Coverage in the Late 1800s Coverage for inadvertent errors became more commonplace In the workforce, such policies became the first employer liability policies Source: Insurance Information Institute. 121 Cumulative Number of WC Laws Passed, 1910-1920 45 No. of states 37 40 32 35 42 43 1919 1920 38 32 30 22 25 24 20 15 New York was the first state to pass a WC law in 1910, and Ohio was one of the first ten when its law passed in 1911. By 1920, 43 of the 48 states at that time had passed WC laws 13 10 10 5 1 0 1910 1911 1912 1913 1914 1915 1916 1917 1918 Source: http://eh.net/encyclopedia/article/fishback.workers.compensation; Insurance Information Institute. 123 Workers Compensation: 4 Predictions for the Next 100 Years 1. The Workplace Will Become Safer Continuation of a nearly century long trend Deaths and injuries will continue to fall and perhaps plummet due to improvements in risk management, technology and medicine Technologies such as autonomous (driverless vehicles) will likely be a reality within 2025 years causing motor-vehicle related fatalities and injuries (including MSDs) to fall 2. The Footprint of Federal Regulation on Insurance Will Increase TRIA: Workers comp is arguably the most TRIA-dependent line Post-Dodd-Frank: One (and in the future perhaps more) Systemically Important Financial Institution (SIFI) is a big WC insurer; The Fed is the ultimate regulator of SIFIs Other WC insurers and reinsurers could be designated as Internationally Active Insurance Group (IAIG); Impact of this in the US is still unclear; More capital? Federal Insurance Office (FIO): Pushing for greater consistency in state regulation Affordable Care Act and subsequent healthcare legislation Will the federal government take direct interest in WC? – It already has (e.g., TRIA) but will not seek to completely usurp states – As WC medical loss share rises, WC will get pulled into a tighter federal orbit Insurers could once again resurrect the Optional Federal Charter debate Bottom Line: The federal regulatory camel’s nose is under the tent; The hump is next. Source: Insurance Information Institute. 124 Workplace Fatalities, 1945-2012 18,000 Fatalities Rate per 100,000 Workers 16,000 35 30 25 Fatalities 12,000 10,000 20 8,000 15 6,000 10 4,000 5 45 50 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 2,000 0 Rate per 100,000 Workers 14,000 0 Workplace deaths and injury rates have been falling for decades—trends that will likely continue for many years to come Source: Bureau of Labor Statistics; National Safety Council; Insurance Information Institute U.S. Workforce Injury & Illness Rates, 1973-2012 (Injuries and Illnesses per 100 Full-Time Workers) 20.0 Total Manufacturing 16.0 Construction 12.0 8.0 4.0 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 0.0 Workplace injury rates have declined in all industries from 11.0 in 1973 to 3.4 in 2012; in the same period injury rates in manufacturing declined from 15.3 to 4.3 and in construction from 19.8 to 3.7. Sources: Bureau of Labor Statistics; Insurance Information Institute 126 Frequency: 1926–2009 A Long-Term Drift Downward Manufacturing – Total Recordable Cases Rate of Injury and Illness Cases per 100 Full-Time Workers 30 25 20 15 10 5 '26 '28 '30 '32 '34 '36 '39 '41 '43 '45 '47 '49 '52 '54 '56 '58 '60 '62 '65 '67 '69 '71 '73 '75 '78 '80 '82 '84 '86 '88 '91 '93 '95 '97 '99 '01 '04 '06 '08 '10 0 Note: Recessions indicated by gray bars. Sources: NCCI from US Bureau of Labor Statistics; National Bureau of Economic Research. 127 Workers Compensation: 5 Predictions for the Next 100 Years 3. Businesses Will Retain More Risk Large deductible programs, self-insurance and use of captives will grow Driven by more sophisticated risk management throughout corporate America and buildup of cash on corporate balance sheets (phenomenon of increased risk retention is occurring for most types of property and liability risks) Some catastrophic WC exposures could be securitized 4. Medical Costs Will Continue to Rise Technology, advancements in medicine will drive costs higher Co-morbidities persist but may plateau; May improve over the span of decades Supply/Demand imbalances for med services unlikely to persist beyond next 20 years Consolidation in the healthcare space is likely; Net impact is upward price pressure Digitization of patient med records per ACA is costly but ultimately should save money BUT: “Big Data” drive should improve patient outcomes and lower costs IF: Population projections are correct, aging will be less of an issue after 2030 or so AND: People will live significantly longer but will not work that much longer Source: Insurance Information Institute. 129 Insurance Information Institute Online: www.iii.org Thank you for your time and your attention! Twitter: twitter.com/bob_hartwig Download at www.iii.org/presentations 130