Lists Flashcards
(241 cards)
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