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DocuSign Envelope ID:A4C366A3-F5D9-473B-9218-AF49BCCA02E0 <br /> CONCEPTUAL, LIABILITY <br /> PROGRAM DESIGN <br /> I <br /> �J c,- >r,%�✓/� y,, r��j rl/� r/ri//ii/ �i vrfr/�rAirrorr r%,i/1 <br /> , <br /> Workers Compensation <br /> We understand you currently take a $150,000 deductible on the Worker's <br /> Compensation program. Upon receipt and review of detailed lass information we <br /> would analyze your historical loss data to determine the right balance between. <br /> your risk retention and risk transfer. We would take into consideration the <br /> County's appetite for risk and ability to fund for losses when making this <br /> determination. <br /> The chart below compares the cost of a guaranteed cost program with a $150,000 <br /> deductible & a self-insured retention prograrn based on the information provided <br /> in the RPP <br /> Program Premium etained Claims Total Coast <br /> losses handling costs <br /> Guaranteed $885,450* 0 Included $885,450 <br /> Cost <br /> $150,000 $500,803 $333,000'"* Included $833,303 <br /> deductible <br /> insured$650,000 tent self- $175,000 $406,000" $47,500 $62.8,500 <br /> estimated <br /> *Used Modified Contribution from NCACC WC Schedule Document <br /> *Data from 7/14114 NCACC lass report and 2012, 2011, & 2010 average recovery assuming this <br /> was retained losses under deductible <br /> n Data from 7/14/14 NCACC loss report and 2012, 2011,. &2010 average incurred since no Claims <br /> would have exceed $650,000 <br /> Qfange County—Request for Brdo er Qualifications and Conceptual Pmposal-September 23,2014 25 <br />