United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 2005-03-04 monographic deposited born digital 92 p. GA 1.13:GAO-05-265R https://www.govinfo.gov/app/details/GAOREPORTS-GAO-05-265R P0b002ee18037b7e2 f:d05265r DGPO 2010-08-12 2011-03-28 GAOREPORTS-GAO-05-265R machine generated eng fdlp REPORT GAOREPORTS-GAO-05-265R GAO-05-265R Comparative analysis Disability insurance Eligibility criteria Federal fund accounts Federal funds Health insurance Insurance Insurance regulation Life insurance Private sector practices Risk management Federal Insurance Correspondence A18878 The federal government assumes insurance risk for a wide range of activities that are funded through numerous federal budget accounts and administered by a variety of federal organizations. For some activities, such as those funded through the National Flood Insurance account, the federal government assumes the entire insurance risk. The federal government also assumes part of the risk for insurance activities that are administered by state and local governments--for example, those funded through the Unemployment Trust Fund or that are partly underwritten by private insurers, such as those funded through the Special Workers' Compensation Expenses account. These insurance risks, whether fully or partially assumed by the federal government, are in lines of insurance that private insurers also recognize: health, life, disability, and property/casualty insurance. The federal government has generally assumed insurance risks for at least two reasons. First, the government may step in when insurance is not widely available because private insurers cannot collectively absorb or affordably price the insurance risk. For example, when private insurers were unable to offer affordable terrorism insurance in the aftermath of September 11, 2001, the federal government created a terrorism insurance program. Second, the federal government has self-insured--that is, elected to pay for losses itself when it has determined that doing so is preferable to purchasing insurance in the private market. For example, the government has self-insured for risks associated with legal settlements and awards to resolve property damage claims, employment litigation, and contract disputes, even though recognized lines of private insurance could cover these risks. Federal insurance activities can be difficult to identify in part because no generally accepted definition of federal insurance exists. They may also be difficult to identify because they may be funded through budget accounts with names and primary activities that are not directly related to federal insurance. For example, the Health Resources Services Administration of the Department of Health and Human Services, has a Medical Malpractice Claims Fund that provides medical liability insurance to physicians at federal health centers. This fund is part of the administration's much larger Health Resources and Services account, whose primary mission is to provide various non-insurance health services to low-income individuals. The malpractice claim fund's fiscal year 2003 outlays of $23 million were a small part of the overall account's outlays of $6.1 billion. Finally, federal insurance activities can be difficult to identify because their costs may be integrated in the account that funds overall agency operations. As part of the committee's in-depth review of insurance regulation, Congress asked us for information on federal insurance activities. On the basis of that request and subsequent discussions with committee staff, this report (1) provides criteria for identifying federal insurance activities and (2) describes federal insurance activities that meet these criteria. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-05-265R/html/GAOREPORTS-GAO-05-265R.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-05-265R/pdf/GAOREPORTS-GAO-05-265R.pdf GAO-05-265R https://www.govinfo.gov/app/details/GAOREPORTS-GAO-05-265R Correspondence GAO-05-265R; Catalogue of Federal Insurance Activities; Comparative analysis Disability insurance Eligibility criteria Federal fund accounts Federal funds Health insurance Insurance Insurance regulation Life insurance Private sector practices Risk management Federal Insurance Volume 60 Page 842 60 Stat. 842