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The Actuary as Expert Witness

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CAS Seminar on Ratemaking - March, 2003





REG-1

The Actuary as Expert Witness





Charles L. McClenahan

10 South Wacker Drive, Chicago, IL 60606

AGENDA









 What is an Expert Witness?

 Venues for the Actuarial Expert

 Issues for the Actuarial Expert

 Training for the Actuarial Expert









CAS Seminar on Ratemaking - March, 2003 2

AGENDA (Continued)









 Professional Standards

 Working with Attorneys

 Practical Examples

 Some Advice









CAS Seminar on Ratemaking - March, 2003 3

What is an Expert Witness?









CAS Seminar on Ratemaking - March, 2003 4

What is an Expert Witness?









 An expert is a person who has





made all the mistakes that can

be made in a very narrow area.”



- Niels Bohr







CAS Seminar on Ratemaking - March, 2003 5

What is an Expert Witness?









 ASOP #17 - Expert Testimony by Actuaries



Expert - One who is qualified by knowledge,

skill, experience, training, or education to render

an opinion or otherwise testify concerning the

matter at hand









CAS Seminar on Ratemaking - March, 2003 6

What is an Expert Witness?









 Federal Rules of Evidence - Rule 702



Testimony by Experts - If scientific, technical,

or other specialized knowledge will assist the trier

of fact to understand the evidence or to determine

a fact in issue, [an expert witness] may testify

thereto in the form of an opinion or otherwise.









CAS Seminar on Ratemaking - March, 2003 7

What is an Expert Witness?









 Lay (non-expert) witnesses may not offer opinion

testimony





 Expert witnesses may offer opinions based upon

knowledge, skill, experience, training or education









CAS Seminar on Ratemaking - March, 2003 8

Venues for the Actuarial Expert









 Rate or other administrative hearings

 Arbitration, ADR, or other extra-judicial proceedings

 Depositions, declarations and affidavits

 Testimony in court









CAS Seminar on Ratemaking - March, 2003 9

Issues for the Actuarial Expert









 Actuarial present values - benefits, divorce

 Adequacy of rates, reserves

 Impact of financing alternatives

 Actuarial malpractice

 Relationship between risk and return

 Insurance company valuation









CAS Seminar on Ratemaking - March, 2003 10

Training for the Actuarial Expert









CAS Seminar on Ratemaking - March, 2003 11

Training for the Actuarial Expert









 An expert is a person who





avoids small error as he sweeps

on to the grand fallacy.”

-

Benjamin Stolberg









CAS Seminar on Ratemaking - March, 2003 12

Training for the Actuarial Expert









 Federal Rules of Evidence - Rule 703

The facts or data in the particular case upon

which the expert bases an opinion or inference

may be those perceived by or made known to the

expert at or before the hearing. If of a type

reasonably relied upon by experts in the particular

field in forming opinions or inferences upon the

subject, the facts or data need not be admissible

in evidence.







CAS Seminar on Ratemaking - March, 2003 13

Training for the Actuarial Expert









 Three Sources for Facts or Data



– Firsthand observation by expert





– Presentation at the trial





– Presentation outside of court









CAS Seminar on Ratemaking - March, 2003 14

Sources for Facts or Data









 Firsthand Observation by Expert



– Example - testimony by treating physician





– Actuarial expert testimony generally not firsthand

observation









CAS Seminar on Ratemaking - March, 2003 15

Sources for Facts or Data









 Presentation at the Trial



– Hypothetical questions, or





– Expert attends trial, hears testimony









CAS Seminar on Ratemaking - March, 2003 16

Sources for Facts or Data









 Presentation outside of court



– Extends beyond expert’s own perception





– Must be “of a type reasonably relied upon by experts in the

particular field”









CAS Seminar on Ratemaking - March, 2003 17

Training for the Actuarial Expert









 Additional Skills Required



– Ability to explain complex issues simply

– Ability to construct logical sequence of questions

– Ability to stand up under cross-examination

– Ability to work quickly under pressure

– Good memory -short/long term- for prior testimony









CAS Seminar on Ratemaking - March, 2003 18

Professional Standards









CAS Seminar on Ratemaking - March, 2003 19

Professional Standards









 Qualification Standards





 ASP 17 - Expert Testimony by Actuaries





 ASP 9 - Documentation and Disclosure









CAS Seminar on Ratemaking - March, 2003 20

Professional Standards









 Qualification Standards





– Code of Professional Conduct - Precept 2





– Qualification Standards for Prescribed Statements of

Actuarial Opinion









CAS Seminar on Ratemaking - March, 2003 21

Professional Standards









 ASP 17 - Expert Testimony by Actuaries





– Revised effective July 15, 2002





– Standard provides good guidance and useful advice









CAS Seminar on Ratemaking - March, 2003 22

Professional Standards









 ASP 9 - Documentation and Disclosure





– Requires documentation whether or not there is a legal

requirement





– Must be sufficient for another actuary to evaluate work





– Incorporates Statements of Principles









CAS Seminar on Ratemaking - March, 2003 23

Working With Attorneys









CAS Seminar on Ratemaking - March, 2003 24

Working With Attorneys









 An expert knows all the





answers - if you ask the right

questions.”

- Unknown









CAS Seminar on Ratemaking - March, 2003 25

Working With Attorneys









 Q: Now doctor, isn't it true that when a person dies in his

sleep, he doesn't know about it until the next morning?









CAS Seminar on Ratemaking - March, 2003 26

Working With Attorneys









 Lawyer: "Now, Mrs. Johnson, how was your first marriage

terminated?"





 Witness: "By death."





 Lawyer: "And by whose death was it terminated?"









CAS Seminar on Ratemaking - March, 2003 27

Working With Attorneys









 Problems Presented by Actuaries



– Threatening Subject





– Personality (or Lack Thereof)





– Complex Issues









CAS Seminar on Ratemaking - March, 2003 28

Working With Attorneys









 Threatening Subject



– Jury hates, doesn’t understand math





– Actuary must make it interesting





– Actuary must keep it simple









CAS Seminar on Ratemaking - March, 2003 29

Working With Attorneys









 Personality



– “I’m not weird, just unusual”





– “I understand this is difficult”





– “I’m here to help you understand”









CAS Seminar on Ratemaking - March, 2003 30

Working With Attorneys









 Complex Issues





– Actuary must simplify





– Visual aids where possible





– Do not condescend or patronize









CAS Seminar on Ratemaking - March, 2003 31

Working With Attorneys









 Problems Created by Attorneys



– Attempting to paraphrase





– Attempting to stretch or bend opinion





– Attempting to summarize









CAS Seminar on Ratemaking - March, 2003 32

Working With Attorneys









 Attempting to Paraphrase



– Language of actuarial science very precise





– Each word can be important





– Ask the question as written

 Precise questions yield predictable answers







CAS Seminar on Ratemaking - March, 2003 33

Working With Attorneys









 Attempting to Stretch or Bend Opinion





– Expert has obligation to avoid misleading testimony





– Limitations and underlying assumptions must be disclosed









CAS Seminar on Ratemaking - March, 2003 34

Working With Attorneys









 Attempting to Summarize





– Lawyers like simple answers





– Rarely are the answers simple





– Expert has obligation to avoid misleading









CAS Seminar on Ratemaking - March, 2003 35

Working With Attorneys









 Jargon





– Actuaries Have Their Own Language

 “Cohort” “Credibility” “Severity” “Convolution”





– Best to Avoid Jargon

 “Group” “Weight” “Average Loss” “Possible Event”









CAS Seminar on Ratemaking - March, 2003 36

Practical Examples









CAS Seminar on Ratemaking - March, 2003 37

Practical Examples









 When facts are few, experts are





many.”

- Donald R. Gannon









CAS Seminar on Ratemaking - March, 2003 38

Practical Examples









 Rate Hearing





 Civil Litigation





 Criminal Trial









CAS Seminar on Ratemaking - March, 2003 39

Rate Hearing









 Generally One of Three Parties





– Filer





– Regulator





– Consumer Advocate









CAS Seminar on Ratemaking - March, 2003 40

Rate Hearing









 Quasi-judicial

 Before Hearing Officer (Usually Regulator)

 Departures from Rules of Evidence

 Often Pre-Filed Testimony

 High Degree of Actuarial Advocacy









CAS Seminar on Ratemaking - March, 2003 41

Rate Hearing









 Advantages



– General understanding of actuarial issues





– Low expectations





– Reliance on pre-filed testimony









CAS Seminar on Ratemaking - March, 2003 42

Rate Hearing









 Disadvantages





– Advocacy often trumps expertise





– Rules, Regulations, Rulings





– Politics, Politics, Politics









CAS Seminar on Ratemaking - March, 2003 43

Rate Hearing









 Recommendations



– Know the filing, the history, the environment





– Understand the theoretical underpinnings





– Don’t overstate precision or reliability





– Advocacy should not define testimony





CAS Seminar on Ratemaking - March, 2003 44

Rate Hearing









 Example: What is the proper profit provision and how

should it be reflected in the rates?









CAS Seminar on Ratemaking - March, 2003 45

Civil Litigation









CAS Seminar on Ratemaking - March, 2003 46

Civil Litigation









 State or Federal Court

 Bench Trial or Jury Trial

 Relies Heavily on Depositions

 Generally Formal Expert Reports

 Some Actuarial Advocacy









CAS Seminar on Ratemaking - March, 2003 47

Civil Litigation









 Advantages



– Adequate time, documents for preparation





– Much testimony through deposition





– Less advocacy than rate hearings









CAS Seminar on Ratemaking - March, 2003 48

Civil Litigation









 Disadvantages



– Little understanding of actuarial issues





– Juries lack education, focus





– Cross-examination brutal









CAS Seminar on Ratemaking - March, 2003 49

Civil Litigation







 Recommendations



– Thorough knowledge of subject matter





– Triple-check all calculations





– Mock cross-examination





– Be consistent with prior testimony





– Document everything

CAS Seminar on Ratemaking - March, 2003 50

Civil Litigation









 Example: Should the reserving actuary have anticipated

all or part of the adverse development?









CAS Seminar on Ratemaking - March, 2003 51

Criminal Trial









CAS Seminar on Ratemaking - March, 2003 52

Criminal Trial









 Advantages





– Interesting application of actuarial science





– Chance to meet a new group of people









CAS Seminar on Ratemaking - March, 2003 53

Criminal Trial









 Disadvantages



– Pressure





– Threats - real or implied









CAS Seminar on Ratemaking - March, 2003 54

Criminal Trial









 Recommendations





– Avoid advocacy at all costs





– Act as though you were the expert for both sides





– Keep it simple









CAS Seminar on Ratemaking - March, 2003 55

Criminal Trial









 Example: What are the chances that four homes owned by

a single individual over a nine year period would be

substantially destroyed by fire through random

occurrence?









CAS Seminar on Ratemaking - March, 2003 56

Some Advice









 “If the world should blow itself up,

the last audible voice would be that

of an expert saying it can’t be

done.” - Peter Ustinov





CAS Seminar on Ratemaking - March, 2003 57

Some Advice









 Rate hearing experience before litigation





 Deposition before court testimony





 Mock cross-examination





 If you don’t love it, don’t do it





CAS Seminar on Ratemaking - March, 2003 58

The Actuary as Expert Witness









 “If your mind is empty, it is always ready for

anything; it is open to everything. In the

beginner’s mind there are many possibilities;

in the expert’s mind there are few.”

- Shunryu Suzuli









CAS Seminar on Ratemaking - March, 2003 59



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