Study 1: The Commercial Insurance Context Flashcards

Describe factors that are leading to the evolution of business. Describe they key players in Canadian commercial insurance. Describe key components that impact the insurance Industry's market dynamics. Describe the bodies that regulate the Canadian commercial insurance industry and the main objectives of the regulations. Describe themes that are becoming increasingly relevant as the commercial insurance industry evolves.

1
Q

What is the meaning of Direct Writer?

A

Insurance company selling directly to the public and not through independent agents or brokers.

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2
Q

What is the meaning of Insured?

A

Any person, including a corporation, covered by an insurance policy.

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3
Q

What is the meaning of Insurer?

A

The insurance company that undertakes to indemnify for losses and perform other insurance-related operations.

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4
Q

What is the meaning of Loss Ratio?

A

The ratio of total losses paid out in claims plus adjustment expenses divided by the total earned premiums. Usually expressed as a percentage.

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5
Q

What is the meaning of Broker?

A

A licensed independent person or firm who acts on behalf of an insured in placing business with insurance companies.

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6
Q

What is the meaning of Producer?

A

A broker or an agent who sells insurance.

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7
Q

What is the meaning of Reinsurance?

A

Insurance purchased by an insurance company from another insurance company (reinsurer) to provide it protection against large losses on cases it has already insured. Essentially, insurance for insurance companies.

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8
Q

What is the meaning of Cede?

A

An insurer’s transferral or signing over part of an insurance risk to a reinsurer.

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9
Q

What is the meaning of Premium?

A

The price of insurance protection for a specific risk for a specified period of time.

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10
Q

What is the meaning of Capacity?

A

The measure of an insurer’s ability to issue a contract of insurance. Measured usually by the largest amount it will accept on a given risk or, in certain situations, by the maximum volume of business that the company is prepared to accept.

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11
Q

What is the meaning of Soft Market?

A

A phase of the insurance market cycle in which insurers increase the amount of coverage they are willing to write, causing supply to increase and premiums to fall.

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12
Q

What is the meaning of Hard Market?

A

A phase of the insurance market cycle in which insurers reduce the amount of coverage they are willing to write, causing supply to shrink and premiums to rise.

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13
Q

What are two ways that a Hard Market can arise?

A

1) A hard market can occur as a result of very large unexpected losses that can cause a depletion of capital within the insurance and reinsurance sectors.
2) A hard market may also arise from a gradual lowering of underwriting standards that occur during a soft market cycle, leading to a greater loss experience over time.

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14
Q

What is the meaning of Class Action?

A

A civil procedure used to secure a judicial remedy for a group of persons who have common interests in an actionable cause. The group’s common interests arise from the issues of fact surrounding the case and from issues of law.

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15
Q

What is the meaning of Punitive Damages?

A

Damages in excess of those required to compensate the plaintiff for the wrong done, which are imposed in order to punish the defendant because of the particularly wanton or wilful nature of his or her wrongdoing. Also called “exemplary damages”.

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16
Q

What is the meaning of Insurance Claims Catastrophe?

A

A sudden and unexpected event causing many insured claims, often on a large scale. The event often creates an urgent situation of need for policyholders that is a challenge to service due to the scarcity of resources in the aftermath.

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17
Q

What is the Insurance Bureau of Canada (IBC)?

A

The trade association of the property/casualty insurance industry in Canada. It concerns itself with such matters as public relations, the collection of statistics, the promulgation of forms, etc. It has a substantial permanent staff but also many committees made up of volunteers from the senior ranks of insurance companies.

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18
Q

What is the Insurance Broker’s Association of Canada (IBAC)?

A

As the national voice of 25,000 home, car, and business insurance brokers in Canada, IBAC represent their interests to the federal government. The IBAC develops national licensing courses and professional development programs for brokers for delivery through its 11 provincial/regional associations.

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19
Q

What is the meaning of Solvency?

A

A business entity’s ability to meet its long-term financial commitments.

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20
Q

What is the meaning of Reinsurer?

A

An insurance company but reinsurance primary insurance company.

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21
Q

What is the Minimum Capital Test (MCT)?

A

A measure of solvency applied to insurance companies by the Office of the Superintendent of Financial Institutions (OFSI). It shows whether insurers have assets worth at least a certain multiple of the amount of their liabilities, as well as a margin of additional assets.

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22
Q

What is the meaning of Underwriter?

A

The insurance company or group that underwrites or insurers a particular risk. The individual within an insurance company whose responsibility it is to accept or reject business in the particular line in which she specialises and, in this way, choose the risks her principles are prepared to underwrite.

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23
Q

Sometimes, business evolution is the cause of societal changes, such as the founding of companies like Facebook or YouTube. In order for businesses to navigate this complex, ever-changing environment, what do they need to do?

A

They need to take risks and be able to mitigate some of those risks, which is where insurance comes in.

24
Q

Insurance for professionals, businesses, organisations, and government is categorised as what?

A

Commercial Insurance

25
Q

Why is the automation that has occurred in much of personal lines insurance not possible in commercial insurance?

A

Because commercial insurance is not a one size fits all business.

26
Q

How is the broker’s relationship with the client and underwriter different when comparing personal lines insurance and commercial insurance?

A

Brokers need to spend more time with clients, truly learning about and understanding their business. As well, underwriters and brokers need to have strong relationships so they can negotiate the best policies for clients at the best prices.

27
Q

What three categories have played a major role in the evolution of business and force companies to change their operating procedures, goals, and strategies?

A

Technological developments, Climate risk and Globalization.

28
Q

What are Technological Developments?

A

Technological evolution improves business processes, productivity, efficiencies, and people’s personal lives. It changes how businesses are managed, how people learn, how friends interact with each other, and how future technology changes are derived.

29
Q

Name the 4 technological revolutions.

A

1) The Industrial Revolution (1760-1840)
2) The technical Revolution (1870-1920)
3) The scientific/Technical Revolution (1940-1970)
4) The Information and Telecommunications Revolution (1975-present).

30
Q

In terms of insurance needs, what are some concerns for businesses?

A

1) Goods being carried across larger distances have an increased potential for damage from accidental vehicle upset.
2) The mechanical breakdown of production line equipment could lead to huge repair costs and loss of contracts.
3) Personal data and sensitive information are prone to electronic data theft, and network systems are susceptible to cyber attacks.

31
Q

What are 3 ways that technological development has helped make policy issuance, claims handling, and risk analysis easier for individual insurance companies?

A

1) Delivery of policies have evolved from handwritten policies to eDocs or electronic formats.
2) Complex integrated policy management systems and claims handling systems have been developed to reduce handling times.
3) Automated underwriting can be accessed by anyone on the Internet, and claims can be reported, analyzed, and paid through an app on a smart phone.

32
Q

What are 4 of the factors businesses must consider as it relates to climate risks?

A

1) Their physical location and its ability to withstand environmental conditions
2) Their business activities and employees
3) The link, location, and diversity of their supply chain
4) Their customer base

33
Q

Who are the key players in the Canadian Commercial Insurance Market?

A

Consumers, insurers, brokers, reinsurance companies, regulatory bodies, other supporting players.

34
Q

What is one of the primary purposes of commercial insurance?

A

To increase the financial security of corporations and institutions, allowing them to confidently participate in the business economy.

35
Q

What is one unique attribute to the Canadian insurance market?

A

Some insurers are provincial Crown corporations that provide government-run insurance.

36
Q

In which provinces and/or territories are insurance products provided by the government?

A

British Columbia, Saskatchewan, Manitoba, and Quebec.

37
Q

What defines the strength of a company’s ability to balance underwriting knowledge and claims services?

A

Loss ratios

38
Q

What is the goal of reinsurance?

A

To give insurers peace of mind, protecting them from losses they cannot absorb. Reinsurance allows insurers to feel confident that a major unplanned event or negative trend will not cost them, their policyholders, and their shareholders any undue financial.

39
Q

Name 5 key players in the commercial insurance market.

A

Independent adjusters, inspection company/independent inspectors, preferred contractors/restoration companies, preferred repair garages, education and data collection companies (Insurance Bureau of Canada, Insurance Institute of Canada, Fire Underwriters Survey, and so on)

40
Q

What happens when companies run short on capacity or experience large losses or a frequency of claims in a market segment?

A

This can result in higher premiums as consumers scramble to find better rates, or even to find a market for their risk at all.

41
Q

What are the 3 factors that affect market cycles?

A

Economic conditions, legal climate, catastrophes

42
Q

What determines the shift between soft and hard markets?

A

The industry’s level of capacity

43
Q

What causes soft market conditions?

A

Access financial capacity

44
Q

What are 4 things underwriters must do as a result of a soft market?

A

Lower premium rates/deductibles, relax policy terms and conditions, relax loss prevention and control measures, write classes of business but they would not normally write

45
Q

What causes hard market conditions?

A

After a few years of soft market conditions, where a large volume of business is written for a low premium, losses and expenses will begin to exceed the premium brought in, hindering profitability. If the investment environment weekends during this time, the capital depletion of insures worsens; this environment will eventually invite a hard market.

46
Q

What are 8 things underwriters must do as a result of a hard market?

A

1) Approach each risk very cautiously
2) Set more exacting underwriting standards
3) Give loss control and loss prevention measures significant consideration
4) Tighten policy terms to limit exposures
5) Make substantial rate increases
6) Terminate relationships with brokers with unprofitable results or with only a small volume of business
7) Withdraw from a jurisdiction, a class of business, or an individual risk when sufficient market share has not been gained or a portfolio or individual risk is not profitable 8) Withdraw from the market altogether by selling the policy to another insurer or placing it into what is known as run-off

47
Q

Name three conditions that may trigger a hard market.

A

Economic conditions, legal climate, catastrophes

48
Q

What is the Office of the Superintendent of Financial Institutions (OSFI)?

A

The primary regulator of federally chartered Canadian and foreign property and casualty insurance companies. Its mission is to protect the interests of depositors, policyholders, pension plan members, and creditors of financial institutions from undue loss, and to advance and administer a regulatory framework that contributes to public confidence in a competitive financial system.

49
Q

What are the factors assessed by the OSFI?

A

Insurance risk, how risks are underwritten, legal and regulatory compliance, disaster recovery plan

50
Q

What does the Insurance Bureau of Canada (IBC) do?

A

They liaise with government, industry-related bodies, and other associations to identify regulatory issues, to secure legislative efficiency and harmonization, and to promote self-regulation for the insurance industry. It develops industry positions, brief, and responses to regulatory issues. In addition, it creates standard wording that have been adopted and adapted by many IBC member companies. Additionally, IBC supports efforts to address issues arising from privacy laws.

51
Q

What is the Financial Consumer Agency of Canada (FCAC)?

A

An independent body established by the federal government to oversee consumer issues and expand consumer education in the financial sector. The FCAC promoteS a greater awareness of the financial system and the rights and responsibilities of consumers. The agency helps consumers get information they need to become more informed about financial products and services.

52
Q

What is the Canadian Council of Insurance Regulators (CCIR)?

A

Focuses on improving the efficiency and effectiveness of the Canadian regulatory framework. Its overall goal is to simplify, coordinate, and harmonize the regulation of insurance in Canada.

53
Q

What is the Insurance Brokers Association of Canada (IBAC)?

A

Liaises with government, consumer groups, and insurance companies to safeguard the interests of independent insurance brokers throughout the Canadian insurance industry.

54
Q

What are 3 factors involved in the evolution of commercial insurance?

A

Building strong relationships, the rise of risk management, understanding exposures

55
Q

What are the 2 types of relationships in the commercial community?

A

The broker-client relationship, the broker-underwriter relationship