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25 J. Ins. Regul. [i] (2006-2007)

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                                          Editors' Perspective



    As  the price  of medical  malpractice insurance continues to  be high,
policymakers and regulators are looking at this product and companies, trying to
find ways  to address costs. One element  of price is profit. In their article,
Assessing Financial Performance in Medical Professional Liability Insurance,
Professors Rob  Hoyt   and Lawrence   Powell  offer new  insights about the
profitability of this industry. They conclude that this industry is not excessively
profitable and do  not find evidence  that medical malpractice insurance  is
overpriced.
    Mark   DeBofsky,  J.D., in an article called Discretionary Clauses and
Insurance, discusses the historic basis for such clauses - ERISA   and  its
interpretation by the courts, the impact of such clauses on workers and their
families when making  claims for benefits and a barrage of federal court cases
resulting in outcomes that are inconsistent and have adverse implications for
public policy that seeks to protect workers and their families. He concludes by
encouraging state lawmakers to prohibit such clauses in insurance contracts.
    Professors Cassandra Cole and  Kathleen McCullough,  in an article called
A Review  of the Issues Surrounding Fair Share Health Care Bills, examine a
recent wave  of proposals in state legislatures that seek to make employers,
which  do not already, provide for a certain level of health benefits to workers.
They  discuss factors leading to the development of fair share health care bills,
the key aspects of the bills, and litigation involving existing fair share health
care laws. The  article also provides a summary  of the bills to assist state
policymakers comparing  the differences and similarities in the proposals among
the states.
    Finally, Christopher O'Brien, director of the Centre for Risk and Insurance
Studies  at Nottingham   University  Business  School,  in  a paper   called
Modernizing   Insurance  Solvency  Regulation:  Evidence  from  the  UK,
examines  the  changes in  the solvency  regime for  insurers in the United
Kingdom,   recently introduced by the UK's  regulator, the Financial Services
Authority (FSA). It also discusses recent actions by the European Commission
in reviewing  its insurance solvency regime, aiming  to make  it more  risk-
sensitive. O'Brien recommends that because the FSA's approach has been well
received in the UK, the European Commission should take into account some of
the implications from the FSA's approach.


© 2006 National Association of Insurance Commissioners