APN401 - Establishing Technical Provisions for Short-Term Insurers Flashcards
Purpose of APN401
To assist ASSA members in discharging their professional responsibility in relation to the valuation of a short-term insurer’s technical provisions.
3 Valuations of short-term insurers’ technical provisions that are regularly required
- published financial accounts
- statutory reporting
- calculation of the insurer’s tax liability
Published financial reporting needs to comply with (2)
- the Companies Act, 2008 (Act 71 of 2008)
- the Short-Term Insurance Act, 1998 (Act 53 of 1998)
Statutory Reporting needs to comply with
the Short-Term Insurance Act, 1998 (Act 53 of 1998) and associated Board Notices and Directives.
To use an alternative method of calculating technical reserves / UPP / IBNR, the insurer needs to …
Apply to the FSB for approval before this method is applied for statutory reporting. The application must be accompanied by a report signed by an actuary who is in the possession of a valid and appropriate practicing certificate issued by ASSA.
Claims provisions would incorporate (6)
- case estimates
- provision for future development on known claims (incurred but not enough reported)
- estimates for reopened claims
- provision for claims incurred but not reported
- profit commission and/or sliding scale contingent commission provisions; and
- claims handling expenses
Premium provisions
Set up to provide for future claim payments arising from future events insured under existing policies for which premiums have already been received.
5 Issues to consider when determining what the “cash-back” bonus provisions should include
- Benefits payable as per policy-wording
- Status of policy at valuation date, i.e. accumulated bonus or zero accumulated bonus due to recent claims experience
- Anticipated claims that will be made between valuation date and bonus-payment date
- Anticipated lapse rates
- Anticipated premium increases
The member should have an understanding of (6), which may materially affect the estimation of the technical provisions.
- nature of coverage, including any unusual terms and conditions of contracts
- underwriting strategy and the nature and mix of risks underwritten
- benefits pyable under policy terms or by virtue of legislation, including deductibles and limits
- reinsurance arrangements, including any special or unusual features of the reinsurance arrangements that might affect reinsurance recoveries.
- claim management philosophies, rules and guidelines, and the insurer’s practices in setting case estimates.
- monitoring reports that the insurer prepares of its claim and underwriting guidelines, and
- changes in data quality or interpretation when staff turnover affects key positions, where personnel have a central role in the preparation of accounts or other relevant data.
Claims experience analysis should include some or all of (8)
- CLAIM FREQUENCY relative to some measure of exposure
- RATE OF REPORTING claims
- RATE OF SETTLEMENT
- DEVELOPMENT of payments
- adequacy of CASE ESTIMATES
- incidence of LARGE CLAIMS
- overall pattern of CLAIM OCCURRENCE over the duration of the policy period
The member should be familiar with (6) changes and trends that may affect the value of the technical provisions.
- economic
- technological
- medical
- environmental
- regulatory
- social
changes and trends
Analysis of experience should take into account special features, including (6)
Developments & trends in experience:
- changes in deductibles
- aggregate limits
- claims handling procedures
- the mix of business within the portfolio
- changes in legislation
- the impact of large claims paid and outstanding
APN401:
treatment of VAT
VAT is normally excluded from claims provisions, consistent with the accounting treatment of premiums and claims.
Should experience be gross/net of recoveries?
Experience should normally be analysed on a gross of recoveries basis.
In both claims and premium provisions, explicit allowance for reinsurance and other recoveries, such as third party recoveries, salvage and subrogation needs to be made.
APN401:
Obtaining central estimates
The central estimate is intended to be the mean of the underlying probability distribution when using a stochastic method.
Quantifiable trends must be recognised in the central estimate.
The member is required to determine the central estimate of the liability and recommend technical provisions no less than the central estimate.
Published financial reporting falls under …
the Registrar of Companies
IFRS 4 (AC 141) Insurance Contracts
Deals with the recognition, measurement and disclosure of insurance contracts.
The measurement will continue to be based on the principles applied at adoption of IFRS 4.