F102 Summaries P1 Flashcards
product cycle elements
- product design
- pricing
- marketing and sales
- underwriting
- claims management
- experience monitoring
- valuation
main risks to endowment assurances
investment returns
expenses
withdrawals, especially when the asset share is negative
mortality, including anti-selection risk
capital requirements of the business depend on
contract design
premium payment frequency - single vs regular
the relationship between the pricing and supervisory reserving bases
the additional solvency capital requirements - legislation
the level of initial expenses
issues that cause confusion for IP policies
- the definition of incapacity and the measures of fitness to work are not always open to objective assessment
- payouts are not always linked to current salary
- it may be necessary to apply benefit limits
- underwriting can be complex - due to occupation or past medical history
- there may be exclusions
what are the different ways in which IP benefits can vary
benefits can:
- increase at a specified rate from the start of the policy (with corresponding increase in premiums)
- increase at a specified rate during any period for which benefits are payable
- be paid at a reduced rate if the insured returns to work part time or works with a reduced salary
- be subject to a deferred period at the start of each period of incapacity
- be subject to linked claims period
- be increased without further evidence of health due to life events. e.g. new child
examples of occupational definitions under IP
- inability to perform own occupation
- inability to perform own occupation and any other suited occupation by education, status or training
- inability to perform own occupation for an initial period of claim followed by inability to perform any occupation thereafter
- inability to perform any occupation.
what are the alternatives to occupational definition under IP
functional assessment tests
activities of daily living
activities of daily working
personal capability assessment (mental health)
IP products include the following risks to the insurer
- claim inception and termination rates, including anti selection
- selective and normal withdrawals
- to a lesser extent, mortality, expenses and investment
- capital requirements will normally be low
standalone CI
where the sum insured is only paid on the diagnosis of an insured condition. no payment is made on death. the insurer may impose a survival period on standalone policies to distinguish between a critical illness event and death.
CI rider to life policy
where the sum insured relating to CI is paid on the diagnosis of the CI and the sum insured amount relating to the death benefit is paid on the death of the life assured. (2 possible payments)
accelerated CI
where the sum insured is paid on the diagnosis of an insured condition or death, whichever occurs first.
needs met by CI policies
- income can be provided when the individual cannot work as a result of a CI
- the benefit can be used to repay a mortgage or other loan
- medical costs can be funded when the CI requires surgery or treatment
- business partners can purchase CI on each other in order to fund the buyout of the stake in the partnership
- it can fund a change of lifestyle in order to improve the claimants health
- other
- recuperation after illness
- taxation planning
- medical aids - installation of specialist equipment in the home
criteria for inclusion of illness under CI
- it is a condition perceived by the public to be serious and occur frequently
- each condition covered can be defined clearly so that there is no ambiguity at the time of claim
- sufficient data is available to price the benefit
needs met by tiered CI
- benefits are a closer fit possibly to medical distress and financial needs
- benefits may be deemed more comprehensive and more fair than the traditional CI
cons of tiered CI
- a tiered benefits product is more complex than a standard CI contract, making it hard to compare across providers.
- there is potential for higher degree of claims disputes
main risks of CI to insurer
- diagnosis rates, including anti-selection
- selective and normal withdrawals
- expenses, and to a lesser extent, investment risk
- capital requirements will normally be low