Scott Reese Published in IRMI’s Captive Insurance Company Reports
Echo Assurance founder and CEO Scott Reese authored “Underwriting Credibility Before Captive Insurance Formation in Senior Living and Long-Term Care,” published in the May 2026 issue of Captive Insurance Company Reports (CICR) by the International Risk Management Institute (IRMI).
The article tackles a problem that stalls captive formations across senior living: most operators have limited or nonstandard loss experience, making it difficult to project claims for a new captive. Regulators and fronting insurers require rigorous demonstration of risk transfer — evidence, not optimism.
Reese’s framework gives sponsors a practical path:
- The Evidence Stack Model — a five-level maturity scorecard across data integrity, leading indicators, governance, actuarial readiness, and claims controls.
- QAPI-to-underwriting flow — translating CMS quality data (QAPI programs, PBJ staffing hours, Five-Star ratings) into objective underwriting evidence.
- Loss-driver taxonomy — segmenting claims by category (falls, pressure injuries, improper care) rather than blending distinct loss processes.
- Retention stress-testing — modeling adverse multi-year loss scenarios against capital and premium contributions.
- Claims governance — a RACI decision-rights matrix clarifying who owns reserves, settlements, and escalation.
- Credibility-weighted loss picks — blending the sponsor’s own experience with industry benchmarks as data credibility grows.
IRMI’s editors have already invited Reese to contribute again.
The full article appears in the May 2026 issue of Captive Insurance Company Reports, available to IRMI subscribers: https://www.captive.com/news/explore-key-captive-insurance-topics-in-may-cicr-ai-reinsurance-and-strategy