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Business Operations
Primary sources of internal capital ; produces revenue through net income or unrealized capital gains ; generate funds from premiums received when selling policies
Unrealized Capital Gain
The profit not yet earned on a held asset when it exceeds its original purchase price but has not been sold
Net Income
Underwriting profit and investment income and gains ; funds can be generated from insurance operations that can then be invested ; investment income and realized capital gains
Gains on stocks and bonds
Carried at market value ; unrealized capital gains directly increase policyholders’ surplus ; gains not counted as income
Unearned Premium Reserve
An insurer liability representing the amount of premiums received that are not yet earned ; premiums can only be earned as the period unfolds ; proportionate to premium in case it must be returned during a mid-term cancellation ; zero when premium is fully earned
Loss Reserve
In financial statements, a liability on an insurer’s balance sheet that shows the estimate amount that will be required to settle claims that have occurred but have not yet been paid
Assets and Liabilities on the balance sheet
May provide an additional source of capital
Valuation of los reserves
Cannot be done precisely, so it is reviewed for reasonableness ; a small adjustment may have a significant impact on policyholders’ surplus and business activities ; reductions will reduce loss expenses in the year the adjustment is made and increase net income and policyholders’ surplus
Discounting loss reserves
Directly increases policyholders’ surplus ; not allowed in statutory accounting ; explicitly permitted or approved by regulators for long-tail lines
Sell and Leasback
Used to increase capital ; owner sells the asset at fair market value to another party, then leases it back from the new owner ; can be useful in reducing liabilities by selling heavily mortgaged properties
Dividend Policy Decision Factors
Access to external sources of capital, expected rate of return on investment opportunities, dividends as an indicator of the company’s prospective performance, tax considerations, and investor attitude toward uncertainty
Access to external sources of capital
It usually costs more to generate capital from external sources, i.e. borrowing or issuing stock, compared to just retaining profits
Expected rate of return on investment opportunities
If it is lower than what is available to stockholders, management should consider using its free cash to pay dividends
Dividends as an indicator of the company’s prospective performance
A popular reason for increasing cash dividend payments us due to the belief that higher dividends will crease higher market prices for the shares because it reflects management’s optimism regarding company performance ; reducing dividends may be perceived as a negative signal that should lead to a reduction in share value
Tax considerations
Shareholders are taxed on dividends when they are declared ; if dividends are foregone and instead invested, the stockholder is not immediately taxed and should receive a benefit in the form of increased stock value
Investor attitude toward uncertainty
Shareholders might prefer current dividends over potentially higher future returns because uncertainty increases with the length of the planning horizon
Ways to reduce risk
Reduce the need for capital (limit expansion or reduce the amount of business written), refrain from writing or withdraw from riskier segments of business (long-tail liability lines or property in hurricane-prone areas), or attempt to manage the effect of social inflation on long-tail claims
Long-Tail Claim
A claim that is characterized by an extended delay between the claim’s triggering event and the reporting of the event to the insurer
Equity Capital
The money insurers raise from investors in exchange for stock in the company ; more expensive than issuing long-term debt
Benefit of equity capital
Does not increase financial stress because failing to pay dividends is not considered a default
Long-Term Debt
Either in the form of bonds or surplus notes ; external source of capital
Bond
Type of long-term debt ; the issuer (insurer) pays a set annual rate of interest and repays the borrowed sum on a specified date ; liability is shown on the statutory balance sheet as borrowed money
Surplus Notes
Function like bonds ; main method for mutual insurers because they cannot issue stock ; classified as policyholders’ surplus on statutory balance sheet
Reinsurance
The transfer of insurance risk from one insurer to another through a contractual agreement under which one insurer (the reinsurer) agrees, in return for a reinsurance premium, to indemnify another insurer (the primary insurer) for some or all of the financial consequences of certain loss exposures covered by the primary’s insurance policies
Loss Portfolio Transfer (LPT)
An insurer sells some of its policies to a reinsurer, also taking over the loss reserves to pay the policies ; the insurer transfers the risk and removes the associated liabilities ; used most often to withdraw from a segment of business than as a source of business
Surplus relief
Statutory accounting requires all expenses associated with the sale of a policy to be recognized when the policy is sold ; results in temporary surplus reduction ; insurer receive a commission in a reinsurance contract that offsets this temporary reduction
Reduced exposure to risk (reinsurance)
Renting additional capital from reinsurers ; helps avoid maintaining capital for potentially serious but unlikely losses
Securitization of Risk
The use of securities or financial instruments (stocks, bonds, commodities, financial futures) to finance an insurer’s exposure to catastrophic loss
Insurance-Linked Securities (ILS)
Issued by insurers ; transfers some of the risk that’s been absorbed by issuing policies ; typica;;y used for catastrophe risks
Securitization Process
Insurer pays cash into special purpose vehicle (SPV) ; SPV sells ILS to investors ; SPV retains the principal from sales until either the loss threshold is met (SPV will reimburse qualifying losses) or the security expires (principal is returned to investors) ; loss threshold is determinedby actual losses or index of insured losses by a group of insurers
Special Purpose Vehicles (SPV)
A facility established for the purpose of purchasing income-producing assets from an organization, holding title to them, and then using those assets to collateralize securities that will be sold to investors
Catastrophe Bonds
A type of insurance-linked security that is specifically designed to transfer insurable catastrophe risk to investors ; usually three year maturity, but often rolled over
Catastrophe bond process
Issued by SPV’s owned by large reinsurers, insurers, or large corporations to act as intermediaries ; transfer the risk directly to the investor in the bond
Catastrophe bond rating
Often rated by an agency ; rated based on its probability of default resulting from the occurrence of its triggering event and the accompanying loss of interest and/or principal ; probability is determined using catastrophe models ; many are below investment grade and therefore pay a higher interest rate (to compensate for the additional risk being assumed)
Amount of capital an insurer needs
Depends on the size of writing, the type of business being written, and the types of assets held
Risk-Based Capital (RBC)
Amount of capital an insurer needs to support its operations, given the insurer’s risk characteristics ; requirements consider underwriting risk, asset risk, credit risk, and reserve risk ; correlate to the risks assumed by that insurer
Underwriting Risk
A measure of the loss volatility of the types of insurance sold by an insurer
Credit Risk
The risk that customers or other creditors will fail to make promised payments as they come due
RBC Minimum
200%
RBC Model Law
Insurance regulators can take action before an insurer becomes too financially weak to be rehabilitated
RBC Formula
Provides an objective test of an insurer’s solvency and matches regulatory action to the level of solvency concern
Company Action Level
First level of regulatory intervention ; insurer must submit a comprehensive financial plan identifying factors that caused the problem and proposing corrective action ; 150% - 200% of the minimum RBC amount
RBC formula benefit for insurers
Can perform complex by mechanical calculation themselves to know whether they will come under regulatory scrutiny
RBC formula benefit for state regulators
Regulatory intervention is not arbitrary or motivated by political factors
RBC formula benefit for policyholders
Greater security that potential financial security of their insurers will be addressed by either the company or regulators
RBC Formula adjustment
Using covariance ; adjusts the sum of the capital requirements, so they do not need to be added together
Asset Risk
A decrese in asset value will reduce policyholders’ surplus ; considers investments in subsidiaries, fixed income assets (bonds and loans), equity assets (common and preferred stock) ; riskier assets need more capita ; multiply the NAIC value by a factor in the RBC booklet
Credit Risk
Most significant is the chance that one or more of the insurer’s reinsurers won’t be able to pay amounts due under reinsurance agreements ; interest, dividends, federal income tax recoverables, real estate income due and accrued, etc.
200% or more of the minimum RBC amount
No Action Required level ; no action required from either the insurer or regulator
100% - 150% of the minimum RBC amount
Regulatory Action Level ; the regulator is required to conduct an examination or analysis as deemed necessary ; the insurer is required to file a comprehensive financial plan with the state regulator
70% - 100% of the minimum RBC amount
Authorized Control Level ; the regulator may place the insurer under regulatory control but is not required to do so
70% or lower of the minimum RBC amount
Mandatory Control Level ; the insurance regulator is required to place the insurer under regulatory control
Action an insurer can take if they are having difficulty meeting the RBC minimum
Reduce its risk exposures or increase capital
NAIC Risk Management and Own Risk and Solvency Assessment (ORSA)
A model act requiring a risk and solvency self-assessment by insurers with a focus on ERM-related planning and processes ; promotes ERM principles, advocates financial soundness, and challenges insurers to effectively manage their risks and prospectively determine capital adequacy
ORSA Basics
Requires insurers to assess their current and probable future solvency by aligning capital adequacy with its risks, risk appetite, and current and future business planes ; ensure multiyear plans are achieved with managed risk and sufficient capital ; principles based ; provides help and facilitation ; each report is unique ; has requirements but allows discretion on amount of details
Summary Report
Requirement of ORSA ; when an insurer’s annual premium surpasses certain thresholds ; a commissioner may require it if an insurer appears to be in a deteriorating condition
Risk Management Framework
Section of ORSA ; describes insurer’s risk management policy ; the types and amount of risk it can and must take to achieve objectives ; list of risk categories, description of how its managed, policies for claims, underwriting, details on how the risk appetite aligns with risk management strategy
Assessment of Risk Exposure
Section of ORSA ; quantitative assessment of risk exposures ; in normal and stressed situations, considering operational, credit, cash flow, and market conditions ; encouraged to determine the level of stress for each risk that could cause failure, given their current capital ; description of the model process and calibrations
Prospective Solvency Assessment
Section of ORSA ; uses findings to determine the level of capital necessary to manage and maintain the insurer’s current business and future business for two to five years ; should demonstrate that they have the financial capacity to achieve its financial plans