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Things that make you go “Hmmm”

Tuesday, Mar 15, 2005

Medical malpractice payouts have fallen 10% at the state’s largest physician insurer, but executives don’t appear ready to cut doctors’ insurance premiums yet.

ISMIE Mutual Insurance Co. paid out $150.4 million to cover medical malpractice claims in 2004, down 10% from 2003. Premiums charged to doctors exceeded that payout by $270.1 million, the insurer’s March 1 annual filing with the Illinois Department of Insurance shows. The surplus set aside to cover unexpected losses also grew 5.3% to $212.5 million.

CEO Alexander Lerner’s 2004 compensation rose to $947,793, up 6.7% from 2003. […]

The hike in premiums and the dip in claims have bolstered ISMIE’s finances. The insurer in 2004 took in $411.4 million in premiums, recorded $40.7 million in investment income and set aside $266.3 million against future claims. ISMIE reported a total bottom-line profit of $11.7 million in 2004. That’s down 41% from 2003, when the insurer posted a profit of $19.8 million on premiums of $341.8 million.

Meanwhile, ISMIE’s chief executive, Mr. Lerner, got an $80,000 bonus in 2004, bringing his total compensation to $947,793, according to insurance department filings.

Mr. Lerner’s 2003 compensation was more than twice that of R. Kevin Clinton, president and CEO of Michigan-based American Physicians Capital Inc., a malpractice insurer of similar size.

There’s too much stuff in this story to post here. If you have any interest in this topic, you should read it all.

- posted by Rich Miller


12 Comments
  1. - Anonymous - Tuesday, Mar 15, 05 @ 9:00 am:

    And the writer “omitted” the fact that the same report shows defender of the salaries, board chairman Jensen, knocked down over $226,000 in salary & expenses. Sweet! Bet some of the insured did not get that much in 2004.


  2. - Anonymous - Tuesday, Mar 15, 05 @ 10:30 am:

    I’m shocked,SHOCKED to find the miracle of medical malpractice “reform” isn’t spreading any love to doctors or their patients.

    -Captain Renault


  3. - Pat Collins - Tuesday, Mar 15, 05 @ 1:03 pm:

    What industry do you know of that, when it’s had a few bad years, doesn’t try to improve the balance sheet before lowering prices??

    Of course, trial lawyers make less than that, don’t they? :)


  4. - Anonymous - Tuesday, Mar 15, 05 @ 1:45 pm:

    “Trial Lawyers make less than that, don’t they? :)”

    Difference is, you don’t see them in the paper every day crying poor. Let’s at least try to call it as it is and stop the deception. However, the Medical Society doesn’t deceive, do they? :)

    Or should I say the doctors…no wait, the medical society is an insurance company…not a doctor’s group…and obviously not working in the doctor’s best interest.


  5. - the other anonymous - Tuesday, Mar 15, 05 @ 3:22 pm:

    Actually, only the most successful of trial lawyers (or firms) would show a profit of $900,000+, let alone $11 million.

    Besides, the people who really bear the brunt of tort caps are the most seriously injured. You don’t get a multi-million verdict unless there’s a serious injury and some pretty clear indication of liability.

    Here’s an argument against tort caps that the trial lawyers aren’t likely to use, but it’s true nonetheless. Tort caps do nothing to stem frivolous lawsuits because most frivolous lawsuits get settled well under the caps. It’s not the top trial lawyers who file frivolous lawsuits; and the multi-million dollar verdicts are not driving insurance pay-outs.

    Why would insurance companies push for tort caps? The Crain’s article provides one reason: blaming high verdicts allows the malpractice carriers to justify increasing their rates.


  6. - Anonymous - Tuesday, Mar 15, 05 @ 3:39 pm:

    Here is the most amazing press release yet. Notice the pinhead, do gooders, Cindi and Kent, fail to note the US Chamber does not disclose where it gets its money. Before anyone worries about other “reforms” we should start with the basics

    Supreme Court Contributors Rocket to Top of Illinois’ Donors List

    Full 2003-2004 Campaign Finance Analysis Posted to ilcampaign.org

    CHICAGO and SPRINGFIELD, Ill., March 15 /PRNewswire/ — The U.S. Chamber
    of Commerce has become the largest political donor in Illinois, according to
    new figures released by the Illinois Campaign for Political Reform and the
    Sunshine Project.
    The U.S. Chamber, which previously has not made the Donors List, gave
    $2,050,000 during the 2003-2004 election cycle, edging out last cycle’s leader
    the Illinois Education Association for first place. Analysis of receipts and
    expenditures of all candidates for state legislative and supreme and appellate
    court in the 2003-2004 election cycle is now available on-line at
    http://www.ilcampaign.org .
    “Illinois’ 2004 Supreme Court contest has changed the political
    landscape,” said Cindi Canary, Executive Director of ICPR. “New groups
    vaulted to the top of the donor list, all as a result of one judicial
    election.” The U.S. Chamber gave the bulk of its money to the Illinois
    Republican Party, which spent the funds on the Supreme Court race.
    The 2004 Supreme Court election shattered national records for spending on
    a high court contest. The race between Republican Lloyd Karmeier and Democrat
    Gordon Maag generated more than $9 million in spending, more than seven times
    the previous Illinois record and twice the previous national record. Karmeier
    won the election.
    Other new entrants to the Top Donors List include the Illinois Civil
    Justice League (#3), a proponent of tort reform, and Justice for All PAC (#4),
    which supported the candidate favored by trial lawyers and labor unions.
    Totals are based on giving to legislative candidates and caucuses, state
    political parties, and candidates for Appellate and Supreme Court.
    “Particularly striking is that much of this giving came in the last six
    weeks of the campaign, including all of the money from the U.S. Chamber,” said
    Kent Redfield, Director of the Sunshine Project. “The IEA, which had
    previously topped the List, takes two years to give that sort of money. The
    U.S. Chamber surpassed them with astonishing speed.”
    The Sunshine Database was the first in the nation to put state-level
    campaign finance data into a searchable on-line format. It now includes
    hundreds of thousands of individual contributions and expenditures by hundreds
    of candidates for public office. Unlike the State Board of Elections
    database, the Sunshine Database standardizes the names of all donors and
    vendors, codes receipts and expenditures by industry, and includes profiles of
    the largest donors.
    The new data updates the lists of Career Patrons, the top lifetime donors
    to all six statewide constitutional officers, and to the four legislative
    leaders. And it includes top individual donors as well as lists of the most
    expensive elections in state history.
    ICPR was founded in 1997 by the late U.S. Senator Paul Simon. ICPR is a
    non-profit, non-partisan public interest group that conducts research and
    advocates reforms to promote public participation in government, address the
    role of money in politics and encourage integrity, accountability, and
    transparency in government.
    The Sunshine Project is based at the University of Illinois at Springfield
    and is funded by the Joyce Foundation. Its goal is to increase public
    awareness and understanding of the role of money in Illinois politics.


  7. - Anonymous - Tuesday, Mar 15, 05 @ 6:27 pm:

    First, 3:39 anon., Redfield isn’t a pinhead, and you make it sound like being a do-gooder is a bad thing. So they didn’t mention your biggest problem with the current law, poor baby.


  8. - Eye Doc - Tuesday, Mar 15, 05 @ 7:25 pm:

    After Texas capped noneconomic damages, the number of malpractice lawsuits in that state fell by about fifty percent. If that doesn’t prove conclusively that there were a lot of frivilous lawsuits being filed than I don’t know what does.

    And this argument that caps hurt seriously injured patients is crap. They still get compensated for their real economic damages.

    Someday, the gravy train is finally going to come to end in Illinois and the extortionists on the Illinois Bar will actually have to get real jobs. Or, I suppose they can go find some other group of people to blackmail.


  9. - the other anonymous - Tuesday, Mar 15, 05 @ 10:04 pm:

    hey, eye doc:

    I’ll look into the Texas stats. I don’t know that they prove anything conclusively (esp. if TX caps were accompanied by other reforms), but it’s an interesting factoid.

    On the other hand: you’ve got to be kidding thinking that $500K or $250K compensates someone for major injuries! You’re an eye doc (or at least you play one on this board). So, let’s take an injury where a 25-year-old loses sight in one eye. If he or she is a white collar professional, he can probably continue working with no real loss of wages. But the injured person is deprived of a variety of non-economic activities as a result of the loss of depth perception, etc.

    Do you really think that $500K is fair in this case? If you do, I’ll find another eye doc, please — someone who is maybe a little more compassionate and caring.


  10. - the other anonymous - Tuesday, Mar 15, 05 @ 10:22 pm:

    oops, sorry for the multiple posts. Blogger is acting weird.

    Rich, feel free to delete redundant posts.


  11. - wildcat - Wednesday, Mar 16, 05 @ 2:26 pm:

    So how about we give the guy with the eye injury $50 million. Does that make things better?

    And congrats to Wojo for getting his boys to write in on this issue.

    While you’re checking out Texas’ malpractice situation, why don’t you look how many insurers are writing in the state now compared to pre-constitutional amendment.


  12. - Anonymous - Wednesday, Mar 16, 05 @ 3:14 pm:

    It would be interesting to see how many companies would write in Illinois if ISMIE opened up its books. As it is, medical insurance appears by this account to be quite a lucrative business.


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