Risk Pooling (2024)

Risk pooling is the process of combining assets and liabilities across employers to produce large, risk sharing pools. Risk sharing pools dramatically reduce or eliminate large fluctuations in an employer's retirement contribution rate caused by unexpected demographic events.

Sections 20840, 20841, and 20842 of the California Government Code allow the CalPERS Board to create risk pools and mandate public agency participation in the pools. Risk pooling for public agencies went into effect with the June 30, 2003, first-pooled valuations. The first-pooled contribution rates became effective July 1, 2005.

Pools were initially created according to their benefit formula and employee classification (miscellaneous or safety). Pension reform in 2012 introduced new miscellaneous and safety benefit formulas for all new hires effective January 2013. This essentially closed all previous pools to all new employees, which negatively affected the payroll growth assumption. In May 2014, the CalPERS Board approved a change to combine all existing pools into two pools, one for all miscellaneous groups and one for all safety groups. For additional information on changes to the risk pooling structure, refer to the Board's actuarial policies.

Mandatory Risk Pool Participation

Participation in either the miscellaneous or safety risk pool is mandatory for public agencies with fewer than 100 active members.

  • Mandated participation occurs on an annual basis. If a rate plan has less than 100 active members on any valuation date, the plan will be placed into the risk pool (safety or miscellaneous) effective on that valuation date.
  • Once a plan is in a risk pool, it may not leave and become a stand-alone plan, even if it grows to have more than 100 active members.
  • Pooling will not affect your ability to contract for additional benefits or reclassify employees.
  • The threshold for mandated participation is based on the active membership of the rate plan. For example, an employer with a miscellaneous plan with 175 active members and a safety plan with 50 active members would be required to have its safety plan in a risk pool, but not its miscellaneous plan.

Voluntary Risk Pool Participation

Public agency plans with more than 100 active members may voluntarily join a risk pool. Call us at 888 CalPERS (or 888-225-7377) for more information.

Risk Pool Benefits

Mandated Benefits

Government Code Section 20840(e) requires each risk pool contain certain benefits. Mandated benefits become effective on July 1 of the contribution year set by the valuation.

Mandated benefits include:

  • Cancellation of payments for service credit purchase upon industrial disability retirement (Section 21037)
  • Credit for unused sick leave (Section 20965)
  • Local system service credit included in basic death benefit (Section 21536)
  • Military service credit as public service (Section 21024)
  • Military service credit for retired persons (Section 21027)
  • Pre-retirement optional settlement 2 death benefit (Section 21548)
  • Public service credit for Peace Corps or America Corps: VISTA Service (Section 21023.5)
  • Public service credit for periods of layoff (Section 21022)
  • Public service credit for service rendered to a nonprofit corporation (Section 21026)

Optional Benefits

All optional benefits are available to plans participating in risk pools; they can vary within the same pool. We assign each optional benefit to one of three classifications based on the cost impact of the benefit. When new benefits become available as a result of legislation, our chief actuary will determine their classification in accordance with Board-approved criteria. Employers contracting for a more expensive optional benefit are required to pay a surcharge in excess of their pool's rate.

  • Class 1
  • Class 2
  • Class 3

Class 1

Class 1 benefits may vary by rate plan within each risk pool. Agencies contracting for Class 1 benefits are required to pay a surcharge.

Class 1 benefits include:

  • Cost-of-Living Adjustment (COLA) - available choices are 3, 4, or 5 percent COLA (Section 21335)
  • Employee contribution rate for California State University auxiliary organizations reduced to state member level (Section 20680)
  • Employees sharing cost of additional benefits (Section 20516)
  • Employer paid member contribution converted to pay rate during the final compensation period (Section 20692)
  • Improved industrial disability allowance for local safety members (Section 21430)
  • Increased industrial disability allowance to 75 percent of final compensation (Section 21428)
  • Industrial disability retirement for local miscellaneous members (Section 21151)
  • Post-retirement survivor allowance (Sections 21624, 21626, 21628)

Class 2

Class 2 benefits may vary by rate plan within each risk pool. Agencies contracting for Class 2 benefits will be required to pay the full one-time cost of the benefit. Class 2 benefits are the optional benefits, other than Class 1 benefits, that meet both of the following criteria:

  • No impact on the ongoing cost (normal cost) of the risk pool
  • Provide a one-time increase in benefit with an identifiable increase in accrued liabilities

Class 2 benefits include:

  • Credit for local retirement system service for employees of agencies contracted on a prospective basis (section 20530.1)
  • Golden Handshakes - two years additional service credit (Section 20903)
  • Limit prior service to members employed on contract date (Section 20938)
  • Military service credit (Section 20996)
  • One-time, 1 to 6 percent, ad hoc Cost-of-Living Adjustment (COLA) increases for members who retired or died prior to January 1, 1998 (Section 21328)
  • Prior service credit for employees of an assumed agency function (Section 20936)
  • Public service credit for employees of an assumed agency or function (Section 21025)
  • Public service credit for limited prior service (Section 21031)

Class 3

Class 3 benefits may vary by rate plan within each risk pool. However, the employer contribution rate will not vary within the risk pool due to the Class 3 benefits. Class 3 benefits are the optional benefits that impact the ongoing cost (normal cost) of the risk pool by no more than 0.25 percent of payroll.

Class 3 benefits include:

  • Alternate death benefit for local fire members credited with 20 or more years of service (Section 21547.7)
  • Improved nonindustrial disability allowance (Section 21427)
  • Optional membership for part-time employees (Section 20325)
  • Partial service retirement (Section 21118)
  • Post-retirement lump sum death benefit
    • $600 (Section 21622)
    • $2,000 (Section 21623.5)
    • $3,000 (Section 21623.5)
    • $4,000 (Section 21623.5)
    • $5,000 (Section 21623.5)
  • Public service credit for California Senate Fellows, Assembly Fellowship, Executive Fellowship, or Judicial Administration Fellowship programs (Section 21020.5)
  • Removal of contract exclusions prospectively only (Section 20503)
  • Special death benefit for local miscellaneous members (Section 21540.5)

Resources

  • If we have more than 100 employees, why are we mandated into a risk pool?

    Mandated participation in risk pools is based on the number of active employees in each rate plan as of June 30, 2003. If you have both miscellaneous employees and safety employees, look at the total number of employees in each category. For example, if you have 80 miscellaneous employees in your miscellaneous plan and 40 safety employees in your safety plan, both rate plans are in a risk pool, even though you have more than 100 active employees.

  • If we were mandated into a pool, is our rate affected by other employers granting industrial disability retirements (IDR)?

    Risk pooling stabilizes rate fluctuations caused by unexpected events. The impact of a single employer's unexpected demographic events, such as IDR, service retirements, and deathsis shared by all of the employers within the pool. Risk pools can deliver the additional benefit of focusing your attention on events such as disability retirement, thereby promoting more uniform and consistent practices among all employers in the risk pool. Fair, impartial, and consistent decisions on disability retirements will promote lower rates for every employer in the pool.

  • What do we need to do for our contract to reflect the benefit provisions that will be mandated once we join a pool?

    No changes to the contract are necessary. Each contract contains language ensuringall mandated benefit provisions apply to the members covered under the contract.

Risk Pooling (2024)

FAQs

Risk Pooling? ›

A health insurance risk pool is a group of individuals whose medical costs are combined to calculate premiums. Pooling risks. together allows the higher costs of the less healthy to be offset by the relatively lower costs of the healthy, either in a plan overall or within a premium rating category.

What is the meaning of pooling of risk? ›

Definition of 'risk pooling'

Risk pooling is the practice of sharing all risks among a group of insurance companies. With risk pooling arrangements, instead of participants transferring risk to someone else, each company reduces their own risk.

What is risk pooling for dummies? ›

Risk pooling suggests that demand variability is reduced if one aggregates demand across locations because as demand is aggregated across different locations, it becomes more likely that high demand from one customer will be offset by low demand from another.

What is the difference between risk transfer and risk pooling? ›

Risk pooling is one of several strategies that humans use to manage risk. Risk pooling is a form of risk transfer, and risk transfer is the only risk-management strategy that requires social interaction.

What is the concept of pooling? ›

In resource management, pooling is the grouping together of resources (assets, equipment, personnel, effort, etc.) for the purposes of maximizing advantage or minimizing risk to the users.

What is an example of risk pooling? ›

Risk pooling can be used in a wide variety of inventory control decisions. For example: the problem of choosing between separate warehouses that independently service their local areas versus one that is centralized and services all areas is easily resolved by thinking of the problem in terms of risk pooling.

Is risk pooling good or bad? ›

Risk pools can provide less expensive coverage, but they have their drawbacks. For example, many risk pools serve members within a limited geographic area, and when a catastrophic event hits that area, risk pool funds may be inadequate to cover all claims.

What are the two types of risk pooling? ›

There are essentially four classes of approach to risk pooling [7] : 1) no risk pool, 2) unitary risk pool, 3) fragmented risk pools, 4) integrated risk pools, and below are their definitions: 1) no risk pool: When there is no risk pooling, individuals are responsible for meeting their own health care costs as they ...

What is the main disadvantage of risk pooling? ›

Most Common Concerns With Risk Pooling

One drawback of risk pooling is that members have no control over the underlying loss control and claims management of other pool members from whom they are assuming losses.

What does high risk pool mean? ›

High-risk pool plans offer health insurance coverage that is subsidized by a state government. Typically, your premium is up to twice as much as you would pay for individual coverage if you were healthy.

What are the three types of risk transfer? ›

The following are the methods of transferring risk:
  • Insurance policy. An insurance policy allows a policyholder to transfer risk from themselves to an insurance company. ...
  • An indemnification clause in contracts. ...
  • Derivatives. ...
  • Outsourcing. ...
  • Review certificates of insurance for multi-year relationships.
Oct 20, 2022

What is risk pooling advantages? ›

Benefits: The main benefit of Risk Pooling is that it helps to keep insurance premiums affordable by spreading risk across a larger group of policyholders. This can make coverage more accessible to a wider range of people, including those who may not be able to afford coverage otherwise.

How does risk pooling relate to car insurance? ›

Car insurance companies must participate in the state pool and they must accept drivers who are assigned to them. If you are in the assigned risk pool, you'll get coverage no matter what's on your driving history, even if you have a bunch of speeding tickets or DUI convictions.

Why do we need pooling? ›

Pooling facilitates dimensionality reduction, introduces translation invariance, and assists feature extraction. The different pooling layers (Max, Average, and Global pooling) are commonly used in image recognition and processing tasks.

What is the pooling of insurance terms? ›

Pooling is a system in which a large number of people purchase insurance as a group in order to lessen the cost of coverage. Essentially, the members of the pool who are deemed low-risk compensate for the elevated cost of insuring those who are high-risk.

Why is pooling important in insurance? ›

The main reason to pool benefits is to manage risk. If an employer chose not to insure or pool any employee benefits coverage, they would be required to pay all the claims. If claims were a bit higher than anticipated, the company would have to come up with the money to pay them.

What are the three types of risk pool? ›

A risk pool is a group of people who will be covered by a healthcare insurance plan. Insurance plans evaluate the financial history and health status of the risk pool to estimate future healthcare costs. There are three types of pools: individual, large-employer and multiple-employer.

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