Ch 1 Relationship between product pricing & underwriting Flashcards

1
Q

what has significant impact on ultimate product cost

A

target market
product features
sales approach
underwriting process

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2
Q

key component of product offering

A

profit expectation

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3
Q

surplus

A

capital held above expected needs of product in order to ensure all policyholder claims will be met
-assigned based on product’s design

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4
Q

RBC formula

A

focuses on material risks for product type
-amount beyond level of reserves being held

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5
Q

RBC focuses on/ surplus must cover

A
  1. asset risk: risk that assets supporting product line lose some or all of their value
  2. underwriting/insurance risk: risk that price for product is inadequate and/or UW standards were not maintained
  3. other risk: all other risk including business, interest rates, political etc.
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6
Q

Pricing components that affect profitability

A
  1. Mortality
  2. Lapse rates
  3. Expense levels
  4. Interest rates
  5. Regulation components
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7
Q

mortality

A

single biggest cost
being overly aggressive can erode all expected profitability

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8
Q

stringent criteria

A

to be able to offer competitive rates
ex. cardiovascular risk: better bp, cholesterol, chol/hdl ratio, family hx and other factors

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9
Q

stringent UW means

A
  1. expected mortality decreases on block of policies that qualify at tighter level of criteria. lower=more competitive prices.
  2. fewer will qualify under more stringent requirements
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10
Q

least homogenous group

A

miss qualifying for preferred but slightly better than standard.
1. will find another company w/ less restrictive criteria
2. will drop out of buying pool
3. will purchase standard policy from you

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11
Q

lapse rates

A

50-100x more lapses than deaths
level premium structure while mortality clearly increasing
early duration lapses hurt profitability, later lapses improve
average 5 yrs to recover expenses incurred upon issue

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12
Q

expense levels

A

include agent compensation, corporate overhead, support of agency system, advertising, UW expenses
balance following factors:
1. cost of requirement
2. corresponding mortality savings that occur due to obtaining requirement
3. PIs adverse reaction to requirements for desired coverage
4. time taken to issue

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13
Q

interest rate

A

higher asset accumulation = more effect by interest rate

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14
Q

regulation components

A
  1. reserve basis: US statues by state/Canada statutes by federal
    standards include underlying mortality table, max interest rates, methodology to be used
  2. non-forfeiture laws: allows for return of excess premium if choose to lapse policy
  3. surplus needs: risk-based capital, safety net beyond reserves
  4. tax law: state can levy tax on premium revenue received
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15
Q

insurer income based and affected by

A

corporate tax rate
tax reserves
deferred acquisition cost (DAC) tax

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16
Q

tax reserves

A

lower reserves are, higher current income. increasing tax burden

17
Q

deferred acquisition cost tax (DAC)

A

upon issue of policy there are immediate expenses, way to disallow full deductibility of acquisition expenses in year incurred and force to be recognized over 10 yr period in effort to increase current income to speed up payment of taxes

18
Q

Canada corporte taxes

A

federal level: relate to company’s income
provincial: relate to premiums

19
Q

Pricing Development - 2 main decision processes

A
  1. Underwriting Requirements
  2. Reasonableness of pricing expectations
20
Q

protective value

A

relationship of mortality savings from a requirement to cost of administering the particular requirement

21
Q

valid protective value study evaluates

A
  1. which requirement identifies underlying impairment
  2. PI’s behavior: requirements can extend process and increase risk of not taken policies
22
Q

protective value studies analyze

A

policy size
timeliness of info/policy holder behavior
relative competitiveness

23
Q

mortality discount

A

accounts for amount of selectness or length of select period.
confirmation through UW process that individual does not have given impairment vs group of people where it is unknown if same impairment is present or not. Further one is from UW, greater chance impairment has occurred, lost track as to whether impairment has afflicted an individual at point past issue.
Look at competitors when establishing requirement guidelines, want to be at market.

24
Q

what to consider how UW requirements & UW process relate to mortality results

A

-judgement of value of set of UW requirements, different set of parameters deliver different mortality results
-get what you pay for concept

25
Q

changes to UW requirements/grid or exceptions

A

every part of UW process adds significant amount to discount, not all requirements provide same amount of savings. Change in UW process outside published guidelines causes subtle differences.
Red flags: historical behavior of UW dept reflected in underlying cost structure and mortality results. If APS ordering is relaxed, actuary needs to know, affects future assumptions.
Exceptions: have impact on mortality, document and analyze type and frequency.