Ch 4 Flashcards
What are the additional purposes underwriting serves to achieve profitability?
- Guarding against adverse selection
- Ensuring adequate policyholders’ surplus
- Enforcing underwriting guidelines
What is the main purpose of underwriting?
To develop and maintain a profitable book of business.
How do underwriters minimize the effects of adverse selection?
Underwriters minimize the effects of adverse selection by carefully selecting the applicants whose loss exposures they are willing to insure, charging appro- priate premiums for the applicants that they do accept with premiums that accurately reflect the loss exposures, and monitoring applications and books of business for unusual patterns of policy growth or loss.
Under statutory accounting principles (SAP), an insurer’s total admitted assets minus its total liabilities. Formula: Assets - Liabilities
Policyholders’ Surplus
Capacity
The amount of business an insurer is able to write, usually based on a comparison of the insurer’s written premiums to its policyholders’ surplus. The maximum safe premium volume based on surplus.
Underwriting Authority
The scope of decisions that an underwriter can make without receiving approval from someone at a higher level. Limits the decisions an underwriter may make without approval from a superior. Authority levels vary by GRADE LEVEL.
Line Underwriter
Underwriter who is primarily responsible for implementing the steps in the underwriting process. Makes direct operating decisions.
Staff Underwriter
Underwriter who is usually located in the home office and who assists underwriting management with making and implementing underwriting policy. Advises, supports, and services line underwritings
What limits an insured’s capacity?
Regulatory guidelines and the insurer’s own voluntary constraints.
How do underwriters ensure adequacy of the policyholders’ surplus?
Adhering to underwriting guidelines, making certain that all loss exposures are correctly identified, and charging adequate premium for accepted applications.
What is the main focus of staff underwriters and who do they work with?
Managing the risk selection process. They work with the line underwriters and coordinate decisions with other departments to manage the insurance product, pricing, an guidelines.
What is the main focus of line underwriters and who do they work with?
Evaluating new submissions and renewal underwriting. They work with producers and applicants.
Line underwriter activities.
- Select insured
- Classify and price accounts
- Recommend or provide coverage
- Manage a book of business
- Support producers and insureds
- Coordinate with marketing efforts
Staff underwriter activities.
- Research the market
- Formulate underwriting policy
- Revise underwriting guidelines
- Evaluate loss experience
- Research and develop coverage forms
- Review and revise pricing plans
- Arrange treaty reinsurance
- Assist others with complex accounts
- Conduct underwriting audits
- Participate in industry associations
- Conduct education and training
Which goals does effective account selection attain?
- avoid adverse selection
- charging adequate premiums or accounts with higher than average chance of loss.
- selecting better-than-average accounts for which the premium charged will be more than adequate
- rationing an insured’a available capacity to obtain an optimum spread of loss exposures by location, class, size of risk, and line of business.
The process of grouping accounts with similar attributes so that they can be priced appropriately.
Classification.
What happens if a risk is classified incorrectly?
If too high, insured may leave carrier.
If too low, premium is inadequate.
Why do underwriters sometimes have to determine an applicant’s insurance needs?
Some applicants use alternate risk transfer for some exposures but use insurance for others. Underwriters have to ask questions to make sure there are no gaps. They may have to broaden coverage as a result.
Why do underwriters sometimes have to narrow coverage?
Producers sometimes request broader coverage than the insurer offers. Instead if declining coverage, the insurer may propose higher deductibles or fewer causes of loss.
An insurance policy that is specifically drafted according to terms negotiated between a specific insured (or group of insureds) and an insurer.
Manuscript policy.
What do production underwriters do?
Confer personally with producers and assist them with developing accounts that are acceptable to the insurer.
Staff underwriters’ market research includes an ongoing evaluation of which items?
- effects of adding or deleting entire types of business
- effects of expanding into additional states or retiring from states presently serviced
- optimal product mix in the book of business.
- premium volume goals
A guide to individual and aggregate policy selection that supports an insurer’s mission statement.
Underwriting policy.
Explain the factors to consider in extending underwriting authority to producers
Insurer’s philosophy, the experience and profitability of the producer, and the type of insurance involved
Describe the purpose of underwriting and the effect of adverse selection on the insurance selection process
Purpose of underwriting is to develop and maintain a profitable book of business for the insurer. Adverse selection occurs when applicants for insurance present a higher-than-average probability for loss. To minimize the effects of adverse selection, underwriters must select those risks that meet company guidelines and charge premiums that adequately reflect the policyholders’ exposure to loss
What factors may affect an insurer’s reliance on producers to field underwriter?
the producer involved, the types of business, and the marketing system used
What are the steps in the underwriting decision-making process?
1) Evaluate loss exposures,
2) Determine underwriting alternatives,
3) select an underwriting alternative, 4) determine the appropriate premium,
5) Implement the underwriting decision,
6) Monitor the loss exposures
What four major modifications can be made or recommended to make a submission more acceptable to an underwriter?
1) require loss control measures,
2) change insurance rates, rating plans, or policy limits,
3) amend policy terms and conditions,
4) use facultative reinsurance
Distinguish between line and staff underwriting positions
Line underwriters are primarily responsible for implementing the steps in the underwriting process. Line underwriters are generally in branch or regional offices. Staff underwriting activities usually take place at the home-office level and involve assisting underwriting management with making and implementing underwriting policy
Describe the major line underwriting activities
Underwriters are responsible for implementing the steps in the underwriting process, which include evaluating loss exposures, determining appropriate premiums, and monitoring loss exposures. Underwriters also assist with determing appropriate coverage and provide ongoing service to producers and policyholders
Describe the major staff underwriting activities
Researching the market, researching and developing coverages, evaluating underwriting experience, reviewing and revising rating plans, formulating underwriting policy, preparing underwriting guides, conducting underwriting audits, and assisting in education and training
Explain how financial capacity affects underwriting policy
If a particular type of business is experiencing a level of losses that exceeds the level anticipated by the rate, the insurer might decide to stop pursuing that class of business. When establishing underwriting policy, insurers must also consider the effect of catastrophic losses and might decide to limit their writing of a given type of insurance in a particular territory
Explain how regulation affects underwriting policy
Regulation affects rate levels and forms used by insurers. If rate levels within a territory are inadequate in relation to claim costs, an insurer might decide to withdraw from that type of insurance within the specific judgement
Explain how personnel and physical resources affect underwriting policy
Insurers require a sufficient number of properly trained underwriters with specialized expertise in those types of insurance the company provides. Insurers also must have personnel where they are needed.
Explain how reinsurance affects underwriting policy
The price and availability of reinsurance treaties might affect which type of insurance is written
How do underwriting guides direct an insurer’s underwriting activities?
Underwriting guides provide for structured decisions and identify the major elements that line underwriters should evaluate for each type of insurance
Explain why and how underwriting audits are usually conducted
These audits determine whether underwriters are properly implementing underwriting policy. They are conducted by one underwriter or a team of underwriters from the home office who review selected policies
IIA Insurance Company recognizes that the combined ratio should not be the sole measure used to evaluate underwriting performance. Describe other, nonfinancial measures available to IIA
Other measures available include reviewing adherence to selection and pricing standards; the product mix; the number of accommodated risks written; the retention ratio or the number of policies renewed out of the total available for renewal; and the success ratio that indicates how many policies were written out of the total number of quotations for coverage that were provided. Standards for service to producers are another measure of performance