The Office of the State Actuary (OSA) is responsible for providing recommendations to the Long-Term Services and Supports (LTSS) Trust Commission and the Legislature on actions necessary to achieve and maintain trust solvency, per Chapter 50B.04.030 RCW. In addition, OSA will perform actuarial valuations of the WA Cares Fund beginning in 2024 (the LTSS trust fund was renamed the WA Cares Fund in April 2021).


OSA Reports & Resources

Summary analysis and commentary from the OSA on Milliman’s 2020 Study.
   Actuarial Status of the WA Cares Program, OSA, March 2022

Frequently asked questions regarding the WA Cares Fund actuarial projections.
   OSA FAQ regarding the WA Cares Program, January 2022

Recommendations from OSA to the LTSS Trust Commission and the Legislature on actions necessary to achieve and maintain trust solvency.
   OSA Report on LTSS Trust Solvency, 2021

Recommendations from OSA to the LTSS Trust Commission and the Legislature on actions necessary to achieve and maintain trust solvency.
   OSA Report on LTSS Trust Solvency, 2020

Milliman Actuarial Studies / Reports

Milliman’s analysis updating the 2020 study to incorporate private market exemption data through March 3, 2022.
   Base Plan Updated to Reflect ESD Opt-Out Data, April 2022

Millman’s analysis on premium impacts of various scenarios to include current near retirees.
   Analysis of Near Retirees Modeling Alternatives, January 2022

Millman’s analysis on premium impacts of voluntary opt-out for military spouses and certain veterans.
   Analysis of Voluntary Military Opt-Outs, December 2021

Milliman’s analysis on the financial impact to the Washington Medicaid program due to the WA Cares Fund.
   WA Cares Fund Savings for the Medicaid Program, November 2021

Millman’s analysis on premium impacts of benefit eligibility workgroup alternatives impacting near-retirees, non-residents, and nonimmigrant visa holders.
   Additional Modeling for Benefit Eligibility Workgroup, September 2021

Milliman’s analysis on the 2020 LTSS Trust Commission recommendations to the Legislature.
   Analysis of Washington LTSS Trust Program – Commission Recommendations

The most recent actuarial analysis on the LTSS Trust Program. OSA contracted with Milliman to perform this study based on the enacted version of the program.
   WA LTSS Trust Actuarial Study by Milliman, 2020

LTSS Trust Commission Risk Management

The WA Cares Fund Risk Management Framework was approved by the LTSS Trust Commission on November 10, 2021, and includes information on the following:

  • Funding goal (desired outcomes for the program)
  • Risk management approach (to support the funding goal)
  • Risk management reporting and metrics (to support and inform the approach)
  • Response strategies (when the funding goal is not met or is threatened)
  • Sharing the risk management framework with other entities.

   LTSS Trust Commission Risk Management Framework, November 2021

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Last Reviewed: 01/21/2022

Last Updated: 01/21/2022