Case study: Renewal negotiations with insurance carrier By Frank R. Mucaria | 16 November 2012 The challenge A Taft-Hartley client with 600 subscribers has a fully insured medical plan for its members. Every year, the fund requests that Milliman review the renewal offered by the insurance carrier and negotiate with the carrier to obtain the lowest possible rates. The solution We start by requesting a copy of the renewal letter and underwriting workup from the insurance carrier. We analyze the work done by the carrier and identify factors and other underwriting decisions that we think are more conservative than necessary. We then have a discussion with the carrier’s account management and underwriting teams. During this discussion, we address the underwriting criteria and assumptions that w

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