This is my guess too. Bonuses are paid quarterly, insurance premiums are negotiated yearly. PHB gets their cheddar before the bill comes due. The long term f

This is my guess too. Bonuses are paid quarterly, insurance premiums are negotiated yearly. PHB gets their cheddar before the bill comes due. The long term fix is to properly reconnect incentives, so that PHBs making risky decisions also carry that risk.