OSA reports and resources are typically updated annually.

Summary Report

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Summary analysis and commentary from the OSA on Milliman’s 2022 Study.
Executive Summary of 2022 Actuarial Analysis, January 2023

Frequently Asked Questions

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

Solvency Reports

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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, 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

This work is performed at the request of the LTSS Trust Commission and the Legislature to support evaluating policy changes and better understand program solvency. Analysis from Milliman is published as soon as publicly available.

2022

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Milliman’s analysis updated the 2020 study to refresh underlying modeling assumptions and reflect more up-to-date program parameters.
2022 WA Cares Fund Actuarial Study

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Milliman’s analysis on four alternative program features.
2022 Additional Modeling Requests, November 2022

Milliman’s feasibility analysis on portable benefits.
Portability Workgroup Analysis, November 2022

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

Milliman’s analysis on preliminary feasibility analysis – private market opt-out recertification.
Recertification Analysis, September 2022

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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

2021

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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

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2020

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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

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

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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