Given the purpose and composition of state high risk pools, a broad actuarial perspective is needed to successfully work with all stakeholders. Tillit Consulting can assist this market segment through the following actuarial activities:

• Analysis and development of marketplace premium rate levels,
• Evaluation of benefit plan differences,
• Projection of claim costs by benefit plans and development of annual budget projections,
• Unpaid claim reserve estimation and/or certifications,
• Projection of revenue requirements, including member premium levels and alternative revenue assessments (member companies and/or general revenue funding requirements).

In addition to assisting with traditional actuarial activities, Tillit Consulting has assisted in the selection of high risk pool vendors, such as writing carriers and disease management companies. Our assistance has included the detailed evaluation of provider reimbursement levels and the financial return on investment of disease management programs.