Insurance Company Types and Risk Management

Stock Insurance Companies

  • Insurers traded on the New York Stock Exchange (e.g., Aflac, Allstate, GEICO, Progressive).
  • Stockholders provide capital.
  • Profits are shared with stockholders via dividends.
  • Also known as "non-participating insurers" because policyholders typically don't receive dividends unless they are also stockholders.

Mutual Insurance Companies

  • No shareholders; owned by policyholders.
  • Not publicly traded.
  • Policyholders are like stockholders: they elect the board of directors.
  • Share in company gains through dividends.
  • Known as "participating insurers" because policyholders participate in the company's profits.
  • Examples: Nationwide, New York Life, and State Farm.

Reinsurance

  • Insurance for insurers; allows insurers to share risk.
  • The reinsurer pays a percentage of the company's losses or losses exceeding a predetermined amount.
  • Benefits insurance companies, especially in cases of catastrophic loss.
  • Example: September 11th terrorist attacks (estimated cost to insurance industry: 32,500,000,00032,500,000,000).
  • Reinsurance helped the industry recover two-thirds of its losses.

Reciprocal Insurers

  • Unincorporated organizations of subscribers operating through an attorney in fact.
  • A group of people or organizations that insure each other.
  • Always non-profit.
  • Members pay premiums into individual accounts.
  • Expenses are spread equally among members if a claim is made.
  • An advisory group of subscribers hires an attorney in fact for administration, underwriting, sales, promotion, and claims handling.

Fraternal Benefit Societies (or Fraternal Associations)

  • Nonprofit mutual aid organizations primarily engaged in charitable or benevolent activities.
  • Offer members insurance against death, disease, and disability.
  • Members share common interests (e.g., religion, occupation, or ethnic background).
  • Examples: The Elks, Catholic United Financial, and Sons of Norway.
  • Funded by the sale of financial services and life insurance to members.
  • Insurance benefits are assessable; benefits must have a set monetary value.
  • Members are both providers and recipients of benefits.
  • Members may be required to pay their share of deficiencies if the society's claims-paying ability is impaired.

Self-Insurance

  • An individual or company sets aside money for potential losses instead of paying premiums to an insurer.
  • The employer or individual assumes the risk but gains greater control and transparency in plan design and claims.
  • Example: A small company with few employees and low risk covering health or disability benefits itself.

Captive Insurance Companies

  • Formed by large businesses to self-insure.
  • Exist solely to serve their parent company.
  • The parent company pays premiums and files claims as usual.
  • Profits made by the captive insurance company go back to the parent company.
  • Example: Ashley River Insurance Company (captive insurer of Dollar General).
  • Provides workers' compensation, stop-loss medical insurance, and non-property liability insurance.
  • Not permitted in all states.

Risk Retention Groups (RRGs)

  • Companies pool resources to create a shared captive insurer.
  • Can provide all types of liability coverage to their members except workers' compensation insurance.
  • Owned by their members (like mutual insurance companies).
  • A form of self-insurance and are not subject to all the regulations governing traditional insurers, but they do pay premium taxes.
  • Subject to examination by the State Insurance Commissioner and the state's unfair claim settlement practice laws.
  • Authorized by the Federal Product Liability Risk Retention Act of 1981 and the Liability Risk Retention Act of 1986.
  • Businesses in the same industry can form an RRG to avoid premium fluctuations and tailor coverage for their needs.
  • Example: RRG for physicians retaining lawyers specializing in medical malpractice claims.
  • All members must be in similar business endeavors.
  • Need to be licensed in one state but don't have to be licensed in every state in which they operate.
  • Examples: United Educators (UE) and the Alliance of Nonprofits for Insurance (ANI).

Lloyd's of London

  • An insurance marketplace dating back to the late seventeenth century.
  • Started with marine insurance but expanded to property, liability, and reinsurance.
  • A marketplace where insurance brokers do business with underwriters to share/transfer risks.
  • Members pay a fee to cover the costs of running the association but are not financially responsible for all other Lloyd's members.