Lists Flashcards
Technical reserves comprise…
Past events:
- IBNR
- RBNS (outstanding reported claims)
- claims handling expenses
- re-opened claims
Future events:
- UPR
- AURR
Smoothing:
- catastrophe reserves
- claims equalization reserves
Methods to calculate RBNS reserves
1) Case-by-case estimates
2) Using statistical methods for totals
The size of the free reserves is an important determinant of…
1) The amount of business the company can write
2) The size of the risks the company can take on
3) The level of risk present in the investment strategy
4) The need for reinsurance
Sources of recoveries
Reinsurers
Other insurers
Salvages
Liable third parties
Claim characteristics
FF DIVAS Have No Clue
Fraudulent claims
Frequency
Delay patterns
Inflation
Variability of claims
Accumulations
Severity
Heterogeneity of risks
Non-independence of risks
Changes to risks
Aspects of products to consider (in table)
1) Benefits
2) Insured perils
3) Basis for cover
4) Measures of exposure to which premiums are related
5) Claim characteristics
6) Risk and rating factors
Requirements for a risk to be insurable
First three:
1) Insurable interest
2) Financial and reasonably quantifiable nature
3) Compensation commensurate with loss
Other six:
1) Loss events should be independent
2) Loss events should have a low probability of occurrence
3) Insurer must have an ultimate cap on their liability
4) Moral hazard must be eliminated
5) There must be sufficient data to price the risk
6) Risks should be similar so volatility can be reduced through pooling
Aims of having a deductible / excess / franchise
1) Reduces the amount of each claim by the excess
2) Reduces the number of claims
3) Eliminates small claims just above the excess, resulting in cost saving
4) Arguably reduces moral hazard
5) May enable company to reduce premiums
Situation where exclusions are useful
1) Policyholder is at an advantage through possessing greater personal information about the likelihood of a claim
2) The claim event is largely under the control of the policyholder
3) The claim event would be very difficult to verify
4) Loss occurs as part of the normal course of events
5) Risk cannot be reliably estimated by the insurer
6) Probability of loss is very high
7) Where the risk if covered by a third party or another contract
7) To reduce premiums for competitive reasons
8) To reduce the risk of moral hazard and fraud
Types of GI products
Liability insurance
Property insurance
Financial loss insurance
Fixed benefit insurance
How to reduce fraudulent claims
1) Watertight, regularly checked policy wording
2) Random spot checks on claims
3) A small number of approved service providers for repairs
4) Publicity to advise against it
Aims of exclusions
1) To limit the scope of the policy and make it more appropriate for the target market
2) To reduce the premium for competitive reasons
3) To reduce the risk of moral hazard and fraud
Exclusions may apply to…
1) Particular perils e.g. Terrorism and war
2) To losses of particular types e.g. Losses of cash
Types of liability insurance
Prodding Electrical Points May be Painful, Must Avoid Doing Erroneously Ever
Professional indemnity a.k.a. E&O
Employer’s liability / workers’ compensation
Product liability
Motor third party
Public liability
Marine liability cover
Aviation liability cover
Directors’ and officers’ liability
Environmental and pollution liability
Errors and omissions liability a.k.a. PI
Types of property damage insurance
Rolling My Car May Lose me Auto-insurance CGEE
Residential property
Marine craft
Commercial property
Moveable property
Land vehicles
- - private motor
- - commercial motor
- - motorcycle
- - motor fleet
Aviation craft
Goods in transit
Construction
Engineering plant and machinery
Crop insurance
Types of financial loss insurance
Peculiar Friends Interrupt Business, Can Lose ‘Em
Pecuniary loss cover (credit insurance)
- - trade credit
- - mortgage indemnity
Fiduciary guarantee cover
Business interruption cover
Creditors insurance
Legal Expenses cover
Types of fixed benefit insurance
Unemployed Healthcare workers Personalise Accidents
Unemployment cover
Healthcare cover
Personal accident cover
What generally constitutes a fraudulent claim?
1) False claims
2) Invalid claims
3) Genuine exaggerated claims
The rate of fraudulent claims has been observed to increase in times of economic hardship
Potential reasons for under-insurance
Deliberate:
1) Full insurance may be too expensive
2) The policyholder may believe the the maximum possible loss on any one policy is much smaller than the total value of the insured property e.g. Only insuring the bottom two storeys on a skyscraper against flood damage (This is done with the full knowledge and consent of the insurer and is known as “first loss” cover)
Non-deliberate:
1) Policyholder may not keep an up-to-date list of inventory items
2) Lack of knowledge on the part of the policyholder when valuing items
When is funded accounting most useful?
1) When the underwriting year is fundamentally important
2) When there are significant delays in premium and claim settlement
List the main accounting principles
Accountants Get Prudish Speaking about Concepts
1) Accruals
2) Going concern
3) Prudence
4) Separate valuation of assets and liabilities
5) Consistency
What may distort the picture given in the published accounts and make comparison to other companies difficult?
1) Varying strengths of reserving basis
2) Differences in the basis for valuing assets
3) Changes in the mix of business from one year to the next
4) Treatment in accounts of realized and unrealized capital gains and losses
Accounting ratios
Operational ratios: (PECCCI)
1) Loss ratio
2) Expense ratio
3) Commission rate
4) Combined ratio
5) Proportion reinsured
6) Investment return
Profit ratios: (PR)
1) Profit Margin
2) Return on Capital
Financial strength ratios: (SA)
1) Solvency ratio
2) Assets:Liabilities
Other:
1) Claims settlement pattern
Aims of accounting ratios
1) Assess the profitability and financial strength of an insurer frok its accounts
2) Aid comparisons over time and between companies
List the three cohorts by which claims can be grouped
1) Underwriting year (consistent with funded accounting)
2) Accident year (consistent with annual accounting)
3) Reporting year
List the main providers of general insurance
1) Specialist insurance companies
- composite insurance companies
- general insurance companies
2) Lloyd’s syndicates
3) The London Market
4) Self-insuring groups
- captive insurance companies
- protection and indemnity (P&I) clubs
- pools
List the main providers of reinsurance
1) Specialist reinsurance companies
2) Direct insurers who also sell reinsurance
3) The London Market
4) Lloyd’s syndicates
5) Capital markets
- securitisation
- sidecars
- weather derivatives
- contingent capital (committed capital)
List the reasons for setting up a captive insurer
1) Focusing effort on risk management
2) Managing the overall insurance spend
3) Access to the reinsurance market
4) Providing insurance cover not available elsewhere
5) Tax or regulatory advantages
Two primary areas addressed by regulation
1) Information asymmetries
2) Maintaining confidence
Regulation may target the following areas
1) Restrictions on underwriting
2) Capital requirements
3) Investment requirements
4) Reporting requirements
5) Authorisation requirements
6) Other requirements to protect policyholders
List the disadvantages of regulation
1) Monitoring and compliance costs
2) Fewer business opportunities
3) Lower investment returns
4) Barriers to entry
5) Higher costs passed on to policyholders
6) Fewer economies of scale
7) Less insurance provision to some sectors of the population
List the restrictions and requirements a regulator might put in place on underwriting
1) On amount/type of business that can be written
2) Limits on contract terms and premium rates that can be charged
3) Restrictions on info that may be used in underwriting and premium rating
4) Requirements to publish premium rates before they can be used
5) Restrictions on countries a GI company can write business in
6) Mandatory restrictions on cover
7) Prohibiting illegal products being sold
8) Requirements to offer certain cover
List the restrictions and requirements a regulator might put in place on capital
1) The requirement to deposit assets to back claims reserves
2) Requirement to jold a claims equalization reserve
3) Requirement to maintain a minimum level of solvency
4) The use of prescribed bases to calculate premiums, asset values and liabilities to demonstrate solvency
5) The requirement for risk-based capital calulations
List the restrictions and requirements a regulator might put in place on investments
1) Restrictions on the type of or amount of certain assets allowed to demonstrate solvency
2) Prevention from holding certain assets
3) Requirement to hold prescribed assets
4) Restrictions on the currency, domicile and duration of assets allowed to demonstrate solvency
5) Restrictions on the amount of investment in any one company or grouo
6) Custodianship of assets
List the restrictions and requirements a regulator might put in place on reporting
1) Disclosure/transparency of reporting requirements
2) Requirement for a statement of actuarial opinion
3) Restrictions on the type of reinsurance that may be used
4) Restrictions on the discounting of liabilities and discount rates that can be used
5) Requirements fo GI companies to be audited
List the restrictions and requirements a regulator might put in place on authorisation
1) Initial authorization of new insurance companies
2) Licensing agents to sell insurance and requirements on the method of sale
3) Requirements for management to be fit and proper
List the other restrictions and requirements a regulator might put in place to protect policyholders
1) Requirements to purchase reinsurance
2) Legislation to protect policyholders should GI insurance companies fail
3) The requirement to pay levies to consumer protection bodies
4) A cooling off period
5) Advertising restrictions
6) Regulations with respect to TCF
7) Restrictions with respect to anti-competitive behaviour
List the most relevant economic factors to the GI market
1) Claims inflation
2) The underwriting cycle
3) Investment conditions
4) Currency movements
List the most relevant legal, political and social factors to the GI market
1) Court awards
2) Legislative changes
3) Trends in behaviour and awareness
List the most relevant climate and environmental factors to the GI market
1) Weather
2) Catastrophes
3) Latent claims
Which factors facilitate the underwriting cycle?
1) Low barriers to entry
2) The delay until profitability of business written is known
3) Simplistic capital regimes
4) Marginal costing
List the reasons for retrocession
1) To gain additional capacity
2) To contain or reduce risk of loss on a specific or aggregate basis
Advantage of facultative reinsurance
The flexibility offered to both direct writer and reinsurer
Disadvantages of facultative reinsurance (to insurer)
1) It is time-consuming and costly
2) There is no certainty that the required cover will be available when needed
3) Even if cover is available, the price and terms may be unacceptable
4) The primary insurer may not be able to accept a large risk until it has found reinsurance cover - it cannot accept business immediately and this might reduce its standing in the market
Advantages of treaty reinsurance (for insurer)
1) Efficiency - risks are reinsured automatically. This is administratively quicker and cheaper
2) Certain - the direct writer knows what reinsurance is available and on what terms
Disadvantage of treaty reinsurance
Inflexibility - once the treaty is set up, then both parties must operate within the terms of the treaty
The treaty must be precise when defining…
1) What is and is not covered
2) The financial arrangements (premiums, commissions, timing of payments)
3) The obligations of both parties
List the factors on which the an insurer’s need for reinsurance depends
1) The size of the insurer
2) Its experience in the marketplace
3) Its portfolio of risks
4) The types of business written
5) Its level of free assets
When might an insurer need a reinsurer’s expertise?
1) When entering new markets
2) When writing in new territories
3) When developing a new product
4) When writing unusual risks
List the different ways of writing traditional reinsurance
1) Facultative
2) Treaty
3) Proportional
- Quota share
- Surplus
4) Non-proportional
- Excess of loss
- - Risk XoL
- - Aggregate XoL
- - Catastrophe XoL
- Stop loss
5) Policies-incepting basis/risks-attaching basis (Usually ised for proportional reinsurance)
6) Losses-occuring basis (Usually used for non-proportional reinsurance)
7) Claims made
Advantages of quota share (to the insurer)
1) Spreads risk (enabling insurers to write larger portfolios of risk and encourages reciprocal business)
2) Directly improves the solvency ratio and helps the insurer to satisfy the statutory solvency requirement
3) Is administratively simple
4) Enables reinsurance commission (which may help with cashflow)
Disadvantages of quota share (to the insurer)
1) It cedes the same portion of low-variance and high-variance risks
2) It cedes the same proprtion of each risk, regardless of size
3) It passes a share of any profit on to the reinsurer
4) It does not cap very large claims, thus does not effectively protect the insurer from catastrophes
Advantages of surplus reinsurance (to the insurer)
1) It enables the insurer to write larger risks, which might otherwise be beyond its writing capacity (particularly suitable for large property risks, which are large enough to merit the individual attention)
2) It enables the insurer to choose, within limits, the size of the risks it will retain (helping control overall business volumes and fine-tune experience)
3) It is useful for those classes where a wide variation can occur in thebsize of risks
4) It helps to spread risks
5) It helps to diversify exposure
6) Enables commission (which may help with cashflow)
Disadvantages of surplus reinsurance (to the insurer)
1) The administration is more complicated than for quota share (owing to the need to assess and record separately for each risk the amount to be ceded)
2) The treaty terms may not be flexible enough
3) Is unsuitable for:
- unlimited covers
- personal lines cover where the potential losses are small compared to the insurer’s resources
Advantages of excess of loss (to the insurer)
1) It allows an insurer to accept risks that could lead to large claims
2) It reduces the risk of insolvency from a large claim, aggregation of claims or a catastrophe
3) It stabilizes the technical results of the insurer by reducing claim fluctuations, thus smoothing results
4) It helps make more efficient use of the capital by reducing the variance of the claim payments
Disadvantage of excess of loss (to the insurer)
1) Reinsurance premiums are likely to be higher than recoveries in the long run - premiums will depend on risk appetite in market
List the main features of financial reinsurance
1) Limited assumption of risk by the reinsurer
2) Risk transfer and risk financing are combined
3) Sharing of the results with the cedant
4) Explicit inclusion of investment income in the contract
5) Multi-year contract term
List the main types of financial reinsurance (finite risk reinsurance)
1) Pre-funded arrangements
2) Post-funded arrangements
FIST
Financial quota share
Industry loss warranties
Spread loss covers
Time and distance deals
List the circumstances under which run-off reinsurance may be sought
1) Corporate restructuring
2) Mergers and acquisitions
3) When closing lines of business
4) Economic changes in the value of the liability
5) Regulatory, accounting or tax changes
6) Legal developments
List the two main types of run-off reinsurance
1) Adverse development cover
2) Loss portfolio transfers
Advantages of LPTs
1) They can improve the credit rating of the original insurer
2) The new insurer will gain diversification if not already in this area and achieve a larger client database
Disadvantages of LPTs
1) Assets may need to be realised to pass across the value of the reserves to the accepting insurer (particularly important if there is mismatching or if tax losses would be crystallised)
2) If the new insurer defaults, this can damage the reputation of the original insurer
3) The transfer may require the buy-in of existing reinsurers
4) There will be an associated cost to the original insurer of the risk transfer, which will depend on the current risk appetite of the market
List the two functions of the ceding commission
1) Contributes to costs incurred by direct writer
2) Implicitly prices for risk taken on by reinsurer
The degree to which reinsurers can influence the underwriting and claims management of the direct writer will depend on…
1) The wording of the treaty
2) The nature of the relationship between the parties
Steps to take when analysing need for reinsurance
1) Analyse the classes of insurance sold
2) Analyse the needs of the direct writer
3) Consider all the different reasons for using reinsurance
4) Consider the different types of reinsurance and use a process of elimination
List the factors that determine the choice of reserving methodology and basis
1) The purpose of the reserving exercise
2) The data available
3) Historical trends and patterns
4) The factors that determine development of claims
5) The timing of run-off of liabilities
6) The class of business
7) The age of the business
If not specified, the discount rate needs to be determined based on…
1) Currency of liabilities
2) Nature of liabilities and assets
3) Risk-free yield curve at the valuation date
List the three accounting bases used for published accounts
1) Going concern basis
2) Run-off basis
3) Break-up / wind-up basis
When communicating the uncertainty of results, an actuary should….
1) Be consistent with vocabulary used by other professionals
2) Explain terms used
3) Emphasise the bigger isssues
4) Emphasise the unusual issues
5) Ensure stakeholders understand the level of uncertainty
6) Present the range of outcomes for possible scenarios
7) Show numerical consequences for changes in assumptions
8) Comment on uncertainty in context of scope and purpose of investigation
9) Avoid misunderstandings
List the most popular reserving methods
1) Triangulation/statistical methods
- Basic chain ladder method
- Inflation-adjusted chain ladder method
- Expected loss ratio method
- Bornhuetter-Ferguson method
- Average cost per claim method
- Cape Cod method
7) Berquist-Sherman method
8) Curve fitting
9) Factor-based approaches
10) Exposure-based approaches
11) Case by case estimates
Advantage of grouping by accident year
All claims stem from the same exposure cohort (so are usually subject to the same risk environment)
Disadvantage of grouping by accident year
Full number or amount of claims in cohort is not known until the last claim is reported. This relies on detailed claims records being maintained over many years.
Advantages of grouping by underwriting year
1) We can follow the total outcomes of all policies written in each year
2) Terms, rates and conditions are often more stable by underwriting year
Advantage of grouping by underwriting year
It will take more than a year before all the claims under an underwriting year cohort emerge (exacerbated by reporting delays)
Advantages of grouping by reporting year
No further claims will be added to the cohort after the end of the reporting period. Thus, at the end of the cohort-defining reporting period there is a known group of claims to be tracked during the run-off
Disadvantages of grouping by reporting year
1) Projection methods based on this cohort will not include IBNR
2) Claims will have come from several exposure periods, thus this method will not pick up on changes in exposure or risk profile
3) It is difficult to find an exposure measure that would correspond to the definition of risk under the claims being developed (possibilities include ave premium and current premium)
Strengths of the chain ladder method
1) Can be applied to a wide variety of sets of data
2) Can be used to project triangle data to ultimate run-off
3) Can be easily modified to allow for data distortions
4) Conceptually straightforward and easy to relate results back to pattern of development
5) Can be used as a starting point for other methods
6) Can easily incorporate inflation (both past and future)
Weaknesses of the chain ladder method
1) Results can be distorted by unusual experience
2) Limited use for recent cohorts with little development (particularly for long-tailed classes)
3) Considerable care is needed in applying this method to prevent unusual features in the data having a significant impact on the results
Strengths of the expected loss ratio method
1) Not distorted by anomalous data
2) Straightforward
Weaknesses of the expected loss ratio method
1) Ignores the pattern of claims development to date
2) Difficult to adjust for large claims
3) If loss ratios are derived from past years, rhis method will replicate past biases
4) The benchmarks used may not be appropriate as the business written may be different to that to which the benchmarks relate
5) Ultimate loss ratios (ULR) from previous years may be under- or overstated due to fluctuations in experience
6) ULRs from previous years may become unsuitable for use due to changes in environment
7) Underlying assumptions can be subjective
8) Changes in premium rates invalidates use of old loss ratios
ULR
Ultimate Loss Ratio
Strengths of the Bornhuetter-Ferguson method
1) Incorporates both historic claims run-off patterns and estimated ultimate loss ratios
2) Can be used when claims data is at a very early stage of development
Weaknesses of the Bornhuetter-Ferguson method
It can be difficult to gather information for the a prior estimate of ULR, upon which projections are very dependent when there is limited historic run-off data
Strengths of average cost per claim (ACPC) method
1) Easy to understand and communicate
2) Provides information on both claim numbers and claim amounts
3) Data required is generally available (particularly for direct business)
4) Can be used in conjunction with other methods
5) Helps explain volatile data and results when data contain only a small number of claims
6) Can be applied to settled claims even when reserving protocols have changed over development history
7) Can be useful as a basis for estimating latent claims
Weaknesses of ACPC method
1) Can be distorted by reopened claims, nil claims and partial payments
2) Assumes that the distribution of claims is the same for each origin year or settlement year
3) Needs detailed information on both amounts and numbers of claims
4) Small data samples may lead to volatile projection results
When to use the chain ladder method
When we have a sufficient number of years of historical data that are homogeneous and consistent
When to use the expected loss ratio method
1) To check other methods (since it ia so simple to apply)
2) When data is scanty, unreliable or missing
When to use the Bornhuetter-Ferguson method
1) Where avaliable data is sparse (which is the case for more recent origin cohorts and cohorts from longer-tailed portfolios)
2) Where premium volumes are so small that claims activity is expected to be extremely volatile
3) At shorter durations
When to use the ACPC method
We can only apply the method when appropriate size and number data is available.
This method provides more detailed information than others, but is not warranted when claim numbers or ACPC is not meaningful
List the types of data that can be projected in a triangle
Premiums
Individual claim sizes
Aggregate claim amounts
Claim numbers
For:
Reported claims
Paid claims
Incurred claims
Reopened claims
Under SAM, the best estimate is characterised as…
1) A point estimate
2) Not inherently optimistic or pessimistic
3) Based on sound and appropriate actuarial/statistical techniques
4) Based on current and credible information
List the factors that may affect the stability of the claims development pattern
1) Distortions in data
2) Changes in terms and conditions
3) Changes in claims handling processes
4) Changes in the mix of business
5) Changes in average policy length
6) Changes in commencement of writing policies
7) Seasonality
8) Claims reviews
9) Market-wide initiatives
10) Changes in reserving policy
11) Developments in business, economic and legal environments
12) Large claims
13) Inflation
14) Latent claims
15) Catastrophes
List the steps to be followed when carrying out a basic chain ladder calculation
Assuming we’re using aggregate claim amounts
1) Tabulate claims on a cumulative basis by origin year and development year
2) Calculate the development ratios
3) Apply these ratios to complete the table
4) From the cumulative results find the amounts expected for wach future origin year/development year cell
List the terms used to identify the sources of uncertainty or error
1) Process uncertainty
2) Parameter uncertainty
3) Model error
4) Systemic error
Advantages of using alternative sets of assumptions
1) It is very simple to perform on deterministic or stochastic models
2) The use of judgement can allow for atypical volatility in historical data
Disadvantages of using alternative sets of assumptions
1) We assign no explicit probability to each set of parameters, so we cannot estimate the distribution of future outcomes
2) This method ignores model uncertainty
3) Applying this method to a deterministic model does not allow for process uncertainty