Deborah,
My CCRC participates in a consortium of Mennonite, Quaker, and Bretherin facilities that pool the risk to self-insure. They limit their exposure by re-insuring for claims that exceed a certain high threshold. This produces lower costs because the members have a better risk profile that the market as a whole. It may be that the recognition that claims are paid by the community discourage certain claims, hard to know.
If that's not possible for your community, they should shop. As a businessman, I found that insurance companies exploit the reluctance to shop and change carriers. Our premiums crept up if we didn't constantly look for a better deal.
Richmond Shreve
NaCCRA Board Member
Forum Moderator