Critical Point

AI has taken the world by storm—but not all insurance companies, or countries, are approaching the technology the same way. On this special episode of Critical Point, experts from Munich Re and Milliman who work across five continents come together for a global conversation exploring how insurers and regulators are approaching AI around the world. Plus, don’t miss Part 1 and Part 2 of this series on AI and insurance. 

You can read t...

Healthcare costs are a hot topic as we approach open enrollment and the presidential election. In this episode of Critical Point, host Deana Bell sits down with Dave Liner and Jason Clarkson, principals at Milliman and co-authors of the Milliman Medical Index (MMI), to discuss the key drivers of 2024’s healthcare costs. They dive into the effects of government programs like Medicaid and the Inflation Reduction Act, the rising use o...

Cyber risk, climate change, new pharmaceutical therapies—as companies look for ways to manage increasing costs and unforeseen exposures, captives are a popular mechanism to insure against the unexpected. Around since the 1950s, today there are more than 7,000 captive insurers worldwide, with many headquartered in Vermont, Bermuda, and the Cayman Islands. As these insurance vehicles grow in popularity, Milliman experts answer the to...

Drugmakers are taking steps to make sure clinical trials include participants from a variety of backgrounds—and they are steadily making progress, as evidenced by new studies of multiple sclerosis and sickle cell disease. Milliman health researchers Ellyn Russo and Chris Page unpack a history of distrust in medical research, the implications of failing to attract diverse study participants, and how simple strategies like rideshare ...

Life insurers have historically invested their portfolios in the relative safety of mortgages and bonds, but economic volatility, sticky inflation, and other headwinds have spurred many insurance companies to diversify into alternatives, a trend explored in a recent Milliman paper. On this episode of Critical Point, three of the paper’s authors discuss two alternative asset classes that are particularly attractive to insurers in to...

For decades, companies with traditional pensions have been freezing those plans and replacing them with defined contribution options to help their employees save for retirement. But IBM made headlines when it restored its defined benefit program in early 2024. Three Milliman pension actuaries discuss this choice, new hybrid DB plan designs, and how plan sponsors can avoid the mistakes that led them to close their pension plans in t...

Actuaries are vital to the insurance industry and national economies, but the profession is still emerging in many developing countries. That’s why Milliman and the United Nations Development Programme have launched a program to increase actuarial capacity around the world. In this episode, five Milliman volunteers reflect on the initiative’s first year and their work in 10 countries, from Nigeria to Nepal.

You can read th...

In our second Critical Point episode about AI applications in insurance, we drill down into the topic of machine learning and particularly its evolving uses in healthcare. Milliman Principal and Consulting Actuary Robert Eaton leads a conversation with fellow data science leaders about the models they use, the challenges of data accessibility and quality, and working with regulators to ensure fairness. They also pick sides in the g...

Insurers are feeling the heat as another record-breaking summer finally cools off. In this episode of Critical Point, Milliman leaders Rich Moyer, Garrett Bradford, and Andi Shah—who have studied the impact of extreme heat from the Middle East to Europe to North Carolina—discussed the ramifications on property, workers’ compensation, health, and other types of insurance. They also talk about data, including available sources for me...

After 2022’s rollercoaster of soaring interest rates and plunging investment returns, sponsors of single-employer defined benefit plans face a key choice as they calculate the 2023 variable rate premium they’ll pay to the Pension Benefit Guaranty Corporation (PBGC). Milliman pension actuaries Casey Baldwin and Ryan Cook spoke with Nina Lantz about using the full yield curve, not being afraid of the five-year lock-in, and how switch...

As companies embrace diversity, equity, and inclusion efforts, many are realizing their benefit policies and communications can help address health inequities and be more inclusive. From modernizing the language in plan documents, to simplifying fertility care for same-sex couples, to not showing a skinny marathoner in the ads for your fitness challenge, Milliman’s Chief Diversity, Equity, and Inclusion Officer joined health benefi...

When the SECURE 2.0 Act passed in late 2022, it introduced 92 provisions affecting retirement plans—and created a long to-do list for plan professionals. In this episode of Critical Point, Milliman employee benefits expert Nina Lantz talks with Brandy Cross, our director of defined contribution (DC) plan compliance, about how DC plans are coping. 

Learn which provisions plan sponsors are addressing first, and why it’s OK to wait bef...

In this companion episode to our look at SECURE 2.0 and defined contribution (DC) plans, Milliman employee benefits expert Nina Lantz explores how the new retirement law affects single-employer pensions. She talks with Milliman Consulting Actuary William Strange about what it means for retirement that life expectancy is rising more slowly, how companies can incentivize long-term employees, and why a reduction in insurance premiums ...

More than three years after the coronavirus shut down the world, the Biden administration announced in early 2023 the end of the U.S. National Emergency and the Public Health Emergency, two declarations that had mandated health insurance coverage of COVID-19 tests and vaccines, among other requirements. As these regulations are now rolled back, what does that mean for employer-sponsored health plans? 

In this episode of Critical Poi...

As climate change causes more storms and floods, residents of coastal areas are being forced to move inland—driving up rents and displacing current residents of those regions. Milliman recently studied this issue in a paper called “Climate Displacement in New York City: Making Space for Our Neighbors,” published with Rebuild by Design, a nonprofit that helps communities build resilience. On this episode of Critical Point, two of th...

Hear from Milliman’s first female principal, Peggy Pearson, about her path from homemaker (and home economics major) to actuarial leader, all while breaking through the cultural barriers of the time. In honor of Milliman’s 75th anniversary, Peggy sits down with current Milliman principals Angela Bolduc and Kim Guerriero to discuss how she “got into actuarial work on a dare,” her experience as a female leader in a primarily male-dom...

Church retirement plan sponsors face unique considerations. While helping to position their clergy and other plan members for a secure future, they also must stay competitive across the wider benefits landscape to recruit and retain lay employees. For a look at how one diocese manages these pressures, Milliman actuaries Jake Pringle and Delbert Zamora sat down with Gary Patton, HR director for the Diocese of Fort Worth, Texas.
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