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Accident
Year Experience
Underwriting result based on earned premiums
and ultimate losses from loss events falling within the same twelve-month
accounting period, regardless of when the losses are actually reported,
booked or paid. See Calendar Year
Experience and Underwriting
Year Experience.
Acquisition Costs
Expenses incurred by an insurer or reinsurer in the process of
writing new or renewal business, including producer commissions.
Adjustable Feature
A cost modification provision found in some reinsurance
agreements. Parties agree to adjust final premium rate or final
ceding commissions retrospectively, in accordance with the loss
experience, by formulas set forth in the agreement.
Admitted Assets
Cash and investments that meet criteria for liquidity and safety
set by the National Association of Insurance Commissioners and by individual state
commissioners. Only admitted assets are used in measuring the capacity and soundness
of an insurer. Non-admitted assets, such as overdue receivables, are excluded
from statutory assets and surplus.
Admitted Reinsurance
Reinsurance that is provided by a reinsurer licensed
or authorized in the jurisdiction in question. Cedants may automatically
take credit in that jurisdiction for admitted reinsurance. A cedant
may take credit for non-admitted reinsurance only if it is secured
by a letter of credit, trust agreement or funds withheld. Also called
authorized reinsurance.
Aggregate Limit
The maximum sum of recoveries payable under those reinsurance
agreements that provide an overall maximum loss limitation.
Aggregate Retention
An additional retention kept net by the cedant
of losses otherwise recoverable from the
reinsurer. There are two retentions in a program having an aggregate retention.
The first
retention applies to each risk or occurrence. The second, or aggregate
retention, applies to amounts that would normally be recoverable
from the reinsurer. Only after the aggregate retention is exceeded
can the cedant recover from the reinsurer.
Alien Reinsurer
A non-U.S. domiciled reinsurer writing reinsurance
in the U.S.
Arbitration Clause
A provision in reinsurance agreements that provides
for non-judicial settlement of disputes between parties. Generally,
each party chooses an arbiter; the arbiters agree on an umpire and
these three agree on a resolution of the dispute. Under some clauses,
an unsatisfied party may have the option to seek judicial relief
following an arbitration finding.
Assume
To take over a risk, the converse of cede.
Assumption Reinsurance
A form of reinsurance under which policy administration
and the contractual relationship with the insured, as well as all
liabilities, pass to the reinsurer; the novation of liability is
evidenced by an assumption certificate issued to the insured who,
in some jurisdictions, has the right to refuse the change in insurers.
See Indemnity Reinsurance and
Coinsurance.
Attachment Basis
A provision in reinsurance agreements that determines whether,
and in what manner, a
reinsurance agreement covers a specific loss. See Claims
Made and Occurrence Basis.
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Balance
A reinsurance underwriter's benchmark which measures premium
volume against the limit
exposed under a reinsurance agreement.
Bank
An informal, non-contractual multi-year summing
up of the total premiums ceded to reinsurers less losses paid by
reinsurers over the duration of a layer or program - usually a catastrophe
program. For instance, cessions of $10,000 in premiums for each
of five loss-free years would be said to constitute a $50,000 bank.
Binder
In reinsurance, a preliminary contract signed
by the accepting underwriter which summarizes terms and conditions
of coverage, pending the issuance of a formal contract (which replaces
the binder). See Slip and Cover
Note.
Blended Reinsurance
Reinsurance that integrates in a single contract
traditional risk transfer and financial reinsurance or finite risk reinsurance coverage components. An example would be a contract
that combines catastrophe coverage on a per occurrence basis with
casualty coverage having an aggregate limit and aggregate retention.
Bordereau
A written schedule of insureds, premiums and losses submitted
to reinsurers under certain
types of reinsurance agreements. See Facultative
Automatic.
Brokerage Market
Reinsurers that write business through reinsurance
intermediaries. Reinsurers who do not generally accept such business
are referred to as the direct market.
Burning Cost Ratio
Historical incurred losses (usually excluding IBNR) to an existing
or proposed reinsurance
agreement divided by subject premium. The burning cost ratio, adjusted for IBNR,
other costs and a profit factor is a tool used in making rates for excess of loss
reinsurance.
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Calendar
Year Experience
Underwriting result based on earned premiums
and booked incurred losses (paid losses plus beginning-of-year to
end-of-year changes in case reserves and IBNR) for the same calendar
year accounting period, regardless of the dates of the loss events.
See Accident Year Experience
and Underwriting Year Experience.
Capacity
The % of surplus
or the dollar amount of exposure
that an insurer or Reinsurers
is
willing to place at risk. Capacity may apply to a single risk, a program, a line
of business or an entire book of business.
Capitation
A risk arrangement in a managed care environment in which a
health care provider is paid a fixed amount per month for each enrolled member
in a health plan regardless of the actual number or nature of services provided
to each person. The capitation contract may include a risk-sharing arrangement,
in which there is an allocation of financial results, both favorable and unfavorable,
among the participants to the agreement.
Captive
An insurance or reinsurance subsidiary of an
industrial company, trade association, or not-for-profit organization.
Captives insure or reinsure parent-related business, non-parent
business, or both. Although the number of domestic captives is increasing,
most captives are still located in tax-advantaged offshore domiciles
such as Barbados, Bermuda or the U.K.'s Channel Islands.
Carryover
Provision
A multi-year rating device found in some reinsurance
agreements which provides that a loss to reinsurers in a given time
period may be applied to the results of a previous period (loss
carryback) or may be applied to a future period (loss carryforward).
Case Reserve
Known also as outstanding loss reserves, case reserves are
recorded estimates of
outstanding unpaid liabilities associated with specific reported claims. Case
reserves may
pertain to losses, allocated loss adjustment expenses (ALAE), or both. Case reserves
are
established by the cedant; if the reinsurer believes a case reserve is inadequate,
it may
establish an additional amount known as the additional case reserve (ACR).
Catastrophe
A disaster involving multiple insureds and/or locations. Hurricanes,
tornadoes, explosions and earthquakes are the most common catastrophe examples.
Catastrophe is also
sometimes used to designate a single large loss - generally $5,000,000 or more,
or an event affecting a minimum number of lives, e.g., three. Catastrophe reinsurance
indemnifies the cedant for such losses, subject to an agreed retention and limit.
Cedant
A ceding insurer or a ceding reinsurer. A ceding
insurer is an insurer that underwrites and issues an original, primary
policy to an insured and contractually transfers (cedes) a portion
of the risk to a reinsurer. A ceding reinsurer is a reinsurer that
transfers (cedes) a portion of the underlying reinsurance to a retrocessionnaire.
Ceding Commission
The cedant's acquisition costs and overhead expenses, taxes,
licenses and fees, plus a
fee representing a share of expected profits sometimes expressed
as a % of the gross reinsurance
premium.
Claims Made Basis
A form of reinsurance under which the date of
the claim report is deemed to be the date
of the loss event. Claims reported during the term of the reinsurance
agreement are
therefore covered, regardless of when they occurred. A claims made
agreement is said to "cut off the tail" on liability business
by not covering claims reported after the term of the reinsurance
agreement - unless extended by special agreement. See Occurrence
Basis.
Clash
Cover
A form of reinsurance covering a cedant's exposure to multiple
retentions and a larger single loss than intended by reason of two or more insureds
being involved in the same loss occurrence, or clash. A clash cover absorbs such
additional retentions.
Coded Excess
A form of excess of loss reinsurance under which different
premium rates are applied to
successive bands of primary coverage limits. Coded excess is considered more accurately
to measure exposure than averaging methods.
Coinsurance
Indemnity life reinsurance under which the reserves
as well as the risk are transferred to
the reinsurer; the cedant retains its liability to and contractual
relationship with the
insured. See Modified Coinsurance
and Assumption Reinsurance.
Combined Ratio
The sum of two ratios, one calculated by dividing incurred
losses plus loss adjustment expenses
(LAE) by earned premiums (the calendar year loss ratio), and the other
calculated by dividing all other expenses by written premiums. When applied to
a
company's overall results, the combined ratio is also referred to
as the composite,
statutory or trade ratio. Used in both insurance and reinsurance, a combined ratio
below
100 % is indicative of an underwriting profit.
Commutation
The termination of all obligations between the parties to a
reinsurance agreement, normally accompanied by a final cash settlement. Commutation
may be required by the reinsurance agreement or may be effected by mutual agreement.
CoModCo
A combination of coinsurance and modified coinsurance under
which some part of the
reserves, e.g. deficiency reserves, are a liability of the reinsurer
("co" portion) while some are returned to the cedant ("modco"
portion).
Concurrency
Coordination of the coverage, terms and conditions of a reinsurance
agreement with
those of a contract reinsured or between reinsurance agreements. Reinsurance
agreements are said to be concurrent when there are no gaps or overlaps.
Cover Note
Confirmation by the intermediary
to the cedant of terms and conditions
and %
placed with each reinsurer. In effect, a cover note is a receipt
for slips or binders
received by the intermediary from underwriters on behalf of the cedant.
Credibility
A statistical measure of the reliability of experience data,
based on the size of the sample.
Cut Through Endorsement
An endorsement to a reinsurance agreement which requires that,
in the event of the
cedant's insolvency, any loss covered under the reinsurance agreement be paid
by the
reinsurer directly to the insured (or a third party beneficiary). Also called
assumption endorsement or assumption of liability endorsement (ALE).
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Direct Market
Reinsurers that deal with the cedant through
their account executives, rather than
through intermediaries. See Brokerage
Market.
Direct Premium Written
An insurer's premium income calculated before reflecting reinsurance
inward or outward.
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Errors and Omissions Clause
A provision in reinsurance agreements which is intended to
neutralize any change in
liability or benefits as a result of an inadvertent error by either party.
Excess of Loss
A form of reinsurance under which recoveries are available
when a given loss exceeds the
cedant's retention defined in the agreement.
Experience Refund
Under a reinsurance agreement, that part of the
profits which is returned to the cedant
after recognition of contingency reserves, loss carryforward and
loss carryback
provisions. See Carryover Provision.
Exposure
Measure of vulnerability to loss, usually expressed in dollars
or units.
Extra Contractual
Obligations (ECO)
A generic term that, when used in reinsurance
agreements, refers to damages awarded by a court against an insurer
that is outside of the provisions of the insurance policy, due to
the insurer's bad faith, fraud or gross negligence in the handling
of a claim. Examples are punitive damages and losses in excess of
policy limits.
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Facultative
Reinsurance under which the cedant has the option (faculty)
of submitting and the
reinsurer has the option of accepting or declining individual risks.
Facultative Automatic
A form of property and casualty reinsurance that
is a hybrid between facultative and
treaty. A bordereau of risks ceded is submitted to the reinsurer
that has limited rights to
decline individual risks. See Bordereau
Financial Guaranty
Insurance which indemnifies an insured claimant, obligee or
indemnitee for financial loss
resulting from (a) default or insolvency, (b) changes in interest rate levels,
(c) changes in
currency exchange rates, (d) restrictions imposed by foreign governments, or (e)
changes in the value of specific assets or commodities.
Financial Quota Share
A form of reinsurance that enables a cedant to
increase its statutory surplus by the
amount of the ceding commission in the reinsured unearned premium reserve. Surplus
relief arises because statutory accounting requires insurers and reinsurers to
charge
immediately all acquisition costs to the accounting period in which the business
is written, even when the premium is unearned at the end of the period. Referred
to as pre-paid
acquisition costs in the unearned premium reserve, or the equity in the unearned
premium reserve.
Financial Reinsurance
A form of reinsurance which considers the time value of money
and has loss containment
provisions. One of its objectives is the enhancement of the cedant's financial
statements or operating ratios, e.g., the combined ratio; loss portfolio transfers
and financial quota
shares are examples.
Finite Risk Reinsurance
A form of retrospectively-rated reinsurance in which the reinsurer's
ultimate liability over
the term of the contract is typically limited to no more than 300 % of the premium
ceded.
Its primary objectives are to stabilize earnings and reduce reinsurance costs.
Follow
the Fortunes
A provision in reinsurance agreements, not always specifically
identified as such, in which it is agreed that the reinsurer is bound to the same
fate as the cedant with respect to risks covered.
Foreign Reinsurer
A reinsurer chartered (domiciled) in one state writing business
in another state is
considered to be foreign in the non-domiciliary state. In its own
state, the reinsurer is
considered to be domestic.
Funds Withheld
Assets that would normally be paid over to a
reinsurer but are withheld by the cedant to
permit statutory credit for non-admitted reinsurance, to reduce
a potential credit risk or to
retain control over investments.
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Gross Line
The maximum limit an insurer or reinsurer is
willing to accept before taking reinsurance
into account. Such limits are usually expressed per insured,
per line of business,
etc. See Net Line
Ground
Up Loss
The entire amount of an insurance loss, including deductibles,
before application of any retention or reinsurance. The original loss to the insured,
after recognizing known salvage and subrogation.
Guaranteed Cost Reinsurance
A form of reinsurance that has no adjustable
features. The final premium rate for the
coverage is exactly as set forth ab initio in the contract.
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Honorable Undertaking
A phrase in some reinsurance agreements, usually in the following
context: "This
agreement is considered by the parties hereto as an honorable undertaking, the
purpose
of which is not to be defeated by a strict or narrow interpretation of the language
thereof."
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Incurred But Not Reported (IBNR)
The actuarial estimate of reserves required to pay ultimate
net losses (UNL) after netting out existing reserves on reported but unpaid claims
(case reserves). This estimate
includes an allowance for potential changes in such existing reserves
as well as additional reserves for claims that have already occurred
but are yet to be reported. See Long
Tail Liability.
Indemnity Reinsurance
A form of reinsurance under which the risk but not the administration
is passed to the
reinsurer which indemnifies the cedant for losses covered by the
reinsurance agreement
or treaty. The cedant retains its liability to and its contractual
relationship with the
insured.
Indexing, Indexation
The adjustment of a cedant's retention and the reinsurance
limit by a measure of inflation such as the Consumer Price Index. Under indexation,
the cedant's original retention and
the reinsurance limit are multiplied by the result of dividing the index on the
settlement
date by the index as of the effective date of the reinsurance agreement.
Insolvency Clause
A provision in reinsurance agreements that provides for the
continuance of payments of
the obligations of the reinsurer as though no insolvency had occurred, with appropriate
recognition of additional expenses of the reinsurer caused by the insolvency.
Required in
New York and in certain other states.
Intermediary
A third party in the design, negotiation and administration
of a reinsurance agreement.
Intermediaries recommend to cedants the type and amount of reinsurance to be
purchased and negotiate the placement of coverage with reinsurers.
At Lloyd's of London, called a broker. See Brokerage
Market and Direct Market.
Intermediary Clause
A provision in reinsurance agreements that identifies
the intermediary negotiating the
agreement. Most intermediary clauses shift all credit risk to reinsurers by providing
that:
1) the cedant's payments to the intermediary are deemed payments
to the reinsurer, 2)
the reinsurer's payments to the intermediary are not payments to the cedant until
actually received by the cedant. This clause is mandatory in some states.
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Layer
A horizontal segment of the liability insured, e.g., the second
$100,000 of a $500,000
liability is the first layer if the cedant retains $100,000, but a
higher layer if it retains a
lesser amount. See Pro Rata.
Lead Reinsurer
The reinsurer that negotiates the terms, conditions and premium
rates and first signs on
to the slip; reinsurers that subsequently sign on to the slip under those terms
and
conditions are considered following reinsurers.
Letter of Credit
A financial guaranty issued by a bank that permits the party
to which it is issued to draw funds from the bank in the event of a valid unpaid
claim against the other party; in
reinsurance, typically used to permit reserve credit to be taken with respect
to
non-admitted reinsurance; an alternative to funds withheld and modified coinsurance.
Lloyds
An insurance or reinsurance organization in which individuals
or groups of individuals,
called syndicates, rather than corporations, are at risk.
Long Tail Liability
The liability for claims that do not proceed to final settlement
for some time, often a
decade or more; characterized by a high IBNR. The loss distribution
curve by duration of
payment appears to have a "tail".
Loss Adjustment Expense (LAE)
All expenditures of an insurer associated with its adjustment,
recording and settlement of
claims, other than the claim payment itself. The term encompasses both allocated
loss
adjustment expenses (ALAE), which are loss adjustment expenses identified by a
claim file in the insurer's records, such as attorney's fees; and unallocated
loss adjustment
expenses (ULAE), which are operating expenses not identified by claim file but
functionally associated with settling losses, such as salaries of the claims department.
Loss Development
An actuarial method used to predict ultimate net losses (UNL)
and IBNR. The growth of
paid losses and case reserves is observed at regular intervals to arrive at age-to-age
development %. Also known as "triangulation" for the characteristic
shape of
the tabular data employed.
Loss Event
Any trigger for a recovery under an insurance or reinsurance
agreement. Examples include occurrence, claims made, death or disability.
Losses in Excess
of Policy Limits
A term that, when used in reinsurance agreements,
refers to damages awarded by a court against an insurer in favor
of the insured, due to the insurer's having failed to settle a third
party claim against the insured within the policy limits by reason
of bad faith, fraud
or gross negligence. See Extra
Contractual Obligations and Punitive
Damages.
Loss Portfolio Transfer
A form of financial reinsurance involving the transfer of loss
obligations already incurred
which, when ultimately paid, will exceed the consideration paid to the reinsurer
for undertaking such obligations. The amount by which the transferred
obligations exceed
the consideration paid is the resultant increase to the cedant's statutory surplus.
Loss Ratio
Incurred losses (including applicable IBNR) divided
by earned premium for an accounting or treaty period. Loss ratios
can be calculated on an accident year, calendar year or
underwriting year basis.
Loss Ratio Coverage
A form of stop loss reinsurance under which the
reinsurer pays a portion of the claims
represented by a loss ratio in excess of a specified loss ratio.
For example, "20% in excess of 110%" will result in claims
between 110% and 130% of premium being paid by the
reinsurer.
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Managed Care
Systems designed to integrate the delivery and financing of
health care of the highest
possible quality at the lowest possible cost. In contrast to traditional
fee-for-service
arrangements, under managed care, health care providers (1) agree
to negotiated payment levels for specified services to defined patient
populations, (2) agree to more aggressive utilization and quality
assurance review, and (3) assume financial risk leading to more
severe restriction on patient choice to obtain services outside the network.
Market Cycles
Market-wide fluctuations in the prevailing level
of insurance and reinsurance premiums. A
soft market, characterized by increased competition in which prices are depressed,
is
usually attributed to excess capacity (more sellers than buyers) and/or high interest
rates. A hard market following a soft market is often triggered by a major catastrophe
loss and/or a protracted period of operating losses, combined with declining investment income from falling
interest rates and/or security market values.
Maximum Foreseeable
Loss (MFL)
A property underwriter's estimate of the cost
in the event of a total loss where all loss
control systems (e.g. sprinklers and firewalls) fail. See Probable
Maximum Loss (PML).
ModCo Reserve Adjustment
The net of two modified coinsurance items: the
interest on reserves payable by the
cedant to the reinsurer) less the increase in reserves (payable
to the cedant by the
reinsurer).
Modified Coinsurance
Indemnity life reinsurance that differs from
coinsurance only in that the reserves are
returned to the cedant while the risk remains with the reinsurer;
the cedant is required to pay interest to replace that which would
have been earned by the reinsurer if it had held
the assets corresponding to the reserves in its own investment portfolio.
Originally
devised to permit reserve credit to be taken with respect to a non-admitted
reinsurer, now also used to secure credit and retain control of
investments. See Funds Withheld,
Coinsurance, and Assumption.
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Net Line
The maximum limit an insurer or reinsurer is
willing to accept after taking reinsurance
into account. Such limits are usually expressed per insured,
per line of insurance, etc. See Gross Line.
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Occurrence
An adverse contingent accident or event neither expected nor
intended from the point of view of the insured. With regard to limits on occurrences,
property catastrophe
reinsurance agreements frequently define adverse events having a common cause
and
sometimes within a specified time frame, for example seventy-two
hours, as being one
occurrence. This definition prevents multiple retentions and reinsurance limits
from being exposed in a single catastrophe loss.
Occurrence Basis
A form of reinsurance under which the date of
the loss event is deemed to be the date of the occurrence, regardless
of when reported. See Claims Made Basis.
Offset Clause
A provision in reinsurance agreements which permits each party
to net amounts due
against those payable before making payment; especially important in the event
of
insolvency of one party which ceases to remit amounts due to the other. This clause
is
often challenged by state insurance departments, creditors and others interested
in
maximizing the assets of the insolvent party.
Overline
An inadvertent reinsurance acceptance that results
in a reinsurer committing more
capacity on a single risk than its intended exposure.
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Policy Expense Allowance
An amount payable to the cedant by the reinsurer in lieu of
actual commissions and
expenses incurred by the cedant.
Portfolio
Runoff
A form of reinsurance under which the inforce
business is reinsured to the subsequent anniversaries of the underlying
policies; often accomplished by ceding the unearned premium reserve
on such business.
Premium (Written/Unearned/Earned)
Written premium is premium registered on the books of an insurer
or reinsurer at the time
a policy is issued and paid for. Premium for a future exposure period is said
to be unearned premium. For an individual policy, written premium minus unearned
premium equals earned premium. Earned premium is income for the accounting period
while unearned premium will be income in a future accounting period.
Probable Maximum Loss
(PML)
A property underwriter's estimate of the cost
in the event of a total loss where loss
control systems (e.g. sprinklers and firewalls) operate. Used in
underwriting and in
determining reinsurance limits. See Maximum
Foreseeable Loss (MFL).
Profit Commission
A provision found in some reinsurance agreements which provides
for profit sharing.
Parties agree to a formula for calculating profit, an allowance
for the reinsurer's expenses, and the cedant's share of such profit
after expenses. See Adjustable Features,
Risk Charge, and Experience
Refund.
Pro Rata
A form of reinsurance in which premiums and losses
are shared proportionately between
cedant and reinsurer. One such reinsurance agreement is quota share,
in which the same
% applies to all policies reinsured. Another is surplus
share, in which the
% may vary from policy to policy and usually increases as policy
limits increase.
Provider Excess of Loss
Reinsurance for providers of health care services under capitation
contracts, e.g.,
coverage limiting financial risk of health care providers for individual
patients if the cost of care exceeds a pre-determined limit.
Punitive Damages
A term that, when used in reinsurance agreements,
refers to damages awarded by a court against an insured or against
an insurer in addition to compensatory damages. Punitive damages
are intended to punish the insured or the insurer for willful and
wanton
misconduct and to serve as a deterrent. When the award is against
an insurer, it is
usually related to the conduct of the insurer in the handling of
a claim, and can arise in
both first party and third party coverage situations. See Extra
Contractual Obligations and Losses
in Excess of Policy Limits.
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Rate
The premium rate is the amount of premium charged per exposure
unit, (e.g., 10 cents per $1,000 of exposure).
Rate on Line
A % arrived at by dividing reinsurance
premium by reinsurance limit; the inverse is known as the payback
or amortization period. For example, a $10,000,000 catastrophe
cover with a premium of $2,000,000 would have a rate on line of 20% and a payback
period of five years.
Recapture
The process by which the cedant recovers the liabilities transferred
to a reinsurer.
Refund Reinsurance
A form of reinsurance, typically yearly renewable term, under
which the premium rates are
subject to an experience refund as opposed to being fixed (non-refund).
Reinstatement Premium
An additional premium paid to replenish (reinstate) the limit
consumed in the event of a
loss.
Reinsurance
In effect, insurance that insurance companies buy for their
own protection, "a sharing of
risk." Reinsurance enables an insurance company to (1) expand its capacity;
(2) stabilize
its underwriting results; (3) finance its expanding volume; (4) secure catastrophe
protection against shock losses; (5) withdraw from a class or line of business,
or a
geographical area, within a specified period of time.
Reinsurance
Pool
A multi-reinsurer agreement under which each
reinsurer in the group or pool assumes a
specified portion of each risk ceded to the pool. Contrast with Reinsurance
Wheel.
Reinsurance Wheel
A procedure for retroceding individual life insurance risks
in excess of a reinsurer's own
retention to a group of retrocessionnaires (up to their subscribed
limits) in rotation, the
order being determined by their positions as spokes on an imaginary wheel. The
spokes
need not be of the same length, i.e. limit, and a company may have more than one
spoke. Contrast with Reinsurance Pool.
Reinsurer
A reinsurer contractually accepts a portion of the cedant's
risk. A professional reinsurer is a reinsurer whose principal business is reinsurance,
as opposed to the reinsurance
department of a primary company.
Reserve Adjustment Interest Rate
In modified coinsurance, the interest rate used to calculate
the amount payable by the
cedant in consideration of the reserves being transferred back by the reinsurer.
See
ModCo and Reserve Adjustment.
Retention
The dollar amount or % of each loss retained
by the cedant under a reinsurance
agreement. The point at which the retention is used up is said to be the attachment
point for the reinsurer.
Retrocessionnaire
A reinsurer that contractually accepts from another reinsurer
a portion of the cedant's
underlying reinsurance risk. The transfer is known as a retrocession.
Retrospectively Rated Reinsurance
Reinsurance that provides for adjustments based on contract
experience. Such
adjustments include additional premiums, experience refunds, and for multiple
year
contracts, early termination penalties, or changes to coverage in subsequent years.
Risk Charge
An amount identified in some reinsurance agreements
as specifically to be retained by the
reinsurer for assuming the risk under the policies reinsured; a
share of the profits in
excess of the risk charge is returned to the cedant as an experience
refund.
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Salvage and Subrogation
Those rights of the insured that under the terms
of the policy automatically transfer to the insurer upon settlement
of a loss. Salvage applies to any proceeds from the repaired,
recovered or scrapped property. Subrogation refers to the proceeds
of negotiations or
legal actions against negligent third parties and may apply to either property
or casualty
coverages.
Securitization of Insurance Risk
The transfer or sale, in the form of an investment security,
of the underwriting and timing risks associated with one or more insurance policies.
It is similar in concept to asset
securitization, which involves turning illiquid assets into liquid
instruments that can be
traded freely on the open market (e.g., mortgage-backed securities).
Self-Insurance
Protecting against loss by setting aside one's own funds to
provide for future
contingencies. Through self-insurance it is possible to protect
against high-frequency, low-severity
losses. Utilizing self-insurance eliminates the various
loadings such as acquisition
expense, taxes and general expenses that would be incurred if the
same loss coverage
were secured through an insurance company.
Sliding Scale Commission
A ceding commission that varies inversely with
the loss ratio under the reinsurance
agreement. The scales are not always one to one: for example, as
the loss ratio decreases by 1 %, the ceding commission might
increase only 1/2 %.
Slip
A binder often including more than one reinsurer.
At Lloyd's of London, the slip is carried
from underwriter to underwriter for initialing and subscribing to
a specific share of the risk. See Binder and
Cover Note.
Special Acceptance
A risk that is not otherwise covered - due, for
example, to underwriting class or limit - but is endorsed into the
reinsurance agreement by specific written agreement with underwriters.
Used in treaties and facultative automatics.
Spread
Loss
A form of reinsurance under which premiums are
paid during good years to build up a fund from which losses are
recovered in bad years. This reinsurance has the effect of stabilizing
a cedant's loss ratio over an extended period of time.
Stop Loss
A form of reinsurance under which the reinsurer pays some or
all of a cedant's aggregate
retained losses in excess of a predetermined dollar amount or in
excess of a % of premium. See Loss
Ratio Coverage.
Subject Business
A shorthand way of saying "business of the class, size
and limitations" covered under a
reinsurance agreement.
Subject Premium
The cedant's premiums (written or earned) to which the reinsurance
premium rate is
applied to calculate the reinsurance premium. Often, subject premium is gross/net
written premium income (GNWPI) or gross/net earned premium income (GNEPI) where
the term
"gross/net" means gross before deducting reinsurance premiums for the
reinsurance agreement under consideration, but net after all other adjustments,
e.g., cancellations,
refunds, other reinsurance. Normally, subject premium refers to premium on subject
business. Also known as base premium.
Surplus
The excess of assets over liabilities. Statutory surplus is
an insurer's or reinsurer's capital as determined under statutory accounting rules.
Surplus determines an insurer's or reinsurer's capacity to write business.
Surplus Relief
An increase in the cedant's surplus through financial reinsurance.
Cedants are able to use the increase in surplus to write more business while retaining
reasonable operating ratios, e.g. the combined ratio and the ratio of written
premium to surplus.
Surplus Share
See Pro Rata.
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Target
Risk
In personal lines casualty insurance, a phrase which refers
to celebrities and wealthy individuals. At one time, the Target Risk Exclusion
Clause in property reinsurance listed major bridges, tunnels and art collections
but that clause has been replaced by the Total
Insured Value (TIV) exclusion clause.
Termination
The formal ending of a reinsurance agreement by its natural
expiry, cancellation or
commutation by the parties. Terminations can be either on a cutoff or runoff basis.
Under
cutoff provisions, the parties' obligations are fixed as of the
agreed cutoff date.
Otherwise, obligations incurred while the agreement was in force are run off to
their
natural extinction.
Time Value of Money
Relationship determined by the math of compound interest between
monetary values at
one point in time and their values at other points in time. Implicit in any consideration
of
time value of money are the rate of interest and the period of compounding.
Total Insured Value (TIV)
A provision in reinsurance agreements that excludes
coverage of individual properties in
cases where total insured values across all property lines equal or exceed a certain
level,
e.g., $200,000,000. This clause is used to prevent multiple exposures
to reinsurers on
large single risks.
Treaty
A reinsurance agreement covering a book or class
of business that is automatically
accepted on a bulk basis by a reinsurer. A treaty contains common contract terms
along
with a specific risk definition, data on limit and retention, and provisions for
premium and
duration.
Trust Agreement
An agreement under which certain assets are deposited by one
party (the grantor), for
the sole benefit of another party (the beneficiary), into an account managed by
a third
party (the trustee). In reinsurance, such an agreement is typically established
to permit a
licensed cedant to take credit for non-admitted reinsurance up to
the value of the assets
in trust.
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Uberrimae Fidei
"Utmost good faith". A provision sometimes
found in reinsurance agreements and
considered descriptive of the reinsurance relationship.
Ultimate
Net Loss (UNL)
The loss amount, including covered loss
adjustment expenses (LAE), against which the retention
and the reinsurance limits apply.
Unbundled Services
Term that describes commercial insurance with no administrative
services attached, or
alternatively, administrative services from an insurer without insurance coverage.
Unbundled services are frequently the domain of third party providers done on
a
contractual basis.
Underwriter
An insurer or reinsurer (or an individual person employed by
the insurer or reinsurer) that
assumes risks and "signs below" (underwrites) terms of the insurance
or reinsurance
accepted.
Underwriting
Year Experience
Underwriting result based on written premiums
and ultimate losses from loss events falling within the same accounting
period, where the accounting period is the period covered by the
insurance policy or reinsurance agreement, regardless of when the
premiums and losses are actually reported, booked or paid. See Accident
Year Experience and Calendar
Year Experience.
Unusual Expenses
In life reinsurance, non-routine expenses of the cedant for
claims investigation, legal
defense or rescission actions. The reinsurer typically agrees to pay such expenses
as
distinct from punitive, exemplary or other non-contractual expenses
that it does not
agree to pay.
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Working Layer
The first layer above the cedant's retention wherein moderate
to heavy loss activity is
expected by the cedant and reinsurer. Working layer reinsurance agreements often
include adjustable features to reflect actual underwriting results.
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Yearly Renewable Term
A form of life reinsurance under which the risks, but not the
permanent plan reserves, are
transferred to the reinsurer for a premium that varies each year with the amount
at risk
and the ages of the insureds; may be subject to an experience refund.
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A Final Word...
We would be happy to receive any suggestions for definitions
to be included or changes
to be made in our next edition of the glossary.
Gill and Roeser, Inc.
535 Fifth Avenue
New York, New York 10017
Phone: (212) 972-4880
Fax: (212) 972-4885
Email: mgonyon@gillroeser.com
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