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Insurance
The whats, the whys, & the hows
of the business & regulation
Liyana Mahirah
20 Sept 2018
Roadmap
1. Introduction to Insurance
2. Insurance Lines & Products
3. Roles of Insurers & Intermediaries, Organisational Forms & Distribution Systems
4. Regulation of Insurance
5. Role of Compliance
Introduction to
Insurance
1
“Insurance”
What is insurance?
A contract where an insurer promises to pay the insured
party a sum of money if one or more specified events
occurs in the future, in return for regular small
payments (“premiums”).
What is insurance?
• The business of insurance is risk
• A social device for spreading the chance of financial loss among a large group of people
• When a company/individual buys insurance, they transfer the cost of a potential loss to
the insurance company in exchange for a fee (premium)
• Insurance companies then invest the funds to grow them, and pay out when there’s a claim
Why do we need insurance?
Why do we need insurance?
Reduce exposure to the effects of particular risks.
• For example, insurance for individuals can do the following.
o Health insurance helps pay your bills should you develop certain illnesses or suffer from injury or
disability.
o Income protection safeguards your salary by replacing it should you become unable to work.
o Life insurance provides financially for your loved ones should you become unable to work. Having
this type of insurance enables them to continue enjoying a comfortable lifestyle with minimum
worry.
o Education and retirement plans allow you to achieve what is important to you – be it an overseas
education for your children or a comfortable standard of living during your retirement years.
o Endowment plans do more than help you build up savings to pass on to your spouse or children.
They can also be used to cover medium- to long-term goals, such as a property upgrade, higher
education, and perhaps fund a break from work.
Vocabulary of an insurance plan
1. Policies - Legal contract setting out the rights and obligations of the policyholder & the
insurance company
2. Coverage - Protection provided by an insurance policy
3. Limits – Maximum amount an insurance company will pay for a covered loss
4. Deductibles – The amount a policyholder agrees to pay out-of-pocket in case of a loss;
Insurance company pays the remaining amount, up to the limit
(Ancient) History of Insurance
• 3000 BC - Chinese merchants who wanted to manage the risk of dividing cargo
amongst several vessels to reduce the losses should a vessel with cargo fail to
complete its voyage
o A type of “bottomry” – a pledge of the boat (part of entire) against a particular debt
o No evidence of a contract, indemnification or third party involvement
• 1750 BC – Hammurabi’s Code & the establishment of the law governing loss
• 476 AD (Middle Ages) - A form of insurance developed to bury the dead &
provide for remaining family members formed into Benefit Societies and then
developed into Guilds.
• ~1100 – 1200 AD – many regions established common rules specific to maritime
trade, which was the predominant form of commerce
(pre 17th century, insurance mainly confined to maritime trade)
(Modern) History of Insurance
• 1688 - Lloyd’s Coffee House & the birth of modern
insurance/underwriters
o London was the centre of trade, increasing the demand for insurance of
ships and cargoes
o Ship merchants would request brokers to take policy from 1 merchant to
another until the risk was fully covered
o Broker ensured that policies were underwritten only by people of sufficient
financial integrity
• 18th century – Lloyd’s became more formalized
o Rival companies were formed
• Lloyd’s Act 1871
o Corporate body
o Unique from other competitors
o Multiple financial backers (individuals and corporates) grouped as
syndicates who come to pool & spread risks
Concepts in Insurance
1. Risk and uncertainty
2. Pooling and diversification of risk through insurance
3. Efficiency and equity
4. Conditions for insurability
5. Asymmetric information problem
6. Principles of indemnity and insurable interest
Concepts in Insurance
1. Risk & Uncertainty
• Risk – a condition in which more that one outcome is possible
o Pure risk – no chance of economic gain and uncertainty about whether a financial loss will occur or
how much the loss will be
o Speculative risk – involves the chance of gain or loss, is not insurable in theory (e.g. gambling)
o For the purposes of insurance, is defined as the possibility of financial loss
• Uncertainty – the perception of risk, which may or may not correspond to reality
• Peril – an event which causes a loss (e.g. fires, earthquakes, premature death)
• Risk is endemic to life & business
• Risk-averse individuals/companies want to manage risk
Concepts in Insurance
1. Risk & Uncertainty
• Main ways to manage risk
o Avoidance – choosing not to participate in an activity because of the risk involved (e.g. not getting a
driver’s license)
o Retention – saving money in case of future losses (e.g. putting $1000 in a savings account in case of a
car accident)
o Transfer – passing the risk on to a company (e.g. paying a monthly fee for an insurance policy and
expecting the insurance company to protect your assets)
Concepts in Insurance
1. Risk & Uncertainty
Type of risk
Can a person
control?
Can insurers
discriminate?
1 Personal traits √
2 Personal fault √ √
3 Fault of another
4 Acts of God √
Basic types of risk
Concepts in Insurance
2. Pooling & diversification of risk through
insurance
• Pooling of loss - How people/companies can reduce the pure
risk they face through insurance mechanisms designed to
transfer & diversify risk across a wider base of exposures
and/or over time
• Members of the group share all losses that are incurred by the
members
• i.e. they exchange a smaller, more certain financial contribution
for protection against a larger, more uncertain loss
Concepts in Insurance
2. Pooling & diversification of risk through
insurance
• Uncertainty & the law of large numbers – makes insurance
valuable.
o Risk & uncertainty is reduced through loss sharing
o There is greater predictability of losses by increasing the number of
members
• Pooling losses =/= equal contribution to the ‘pool’
o In practice, the risk of the members in the pool will vary
Concepts in Insurance
3. Efficiency & equity
• Efficiency – the highest level of efficiency is achieved when resources are used in the best
way possible to maximize social welfare
• Equity – “fairness”. Different interpretations to different people
o E.g.. 1: all insureds should pay the same premiums/receive the same benefits from insurance
contracts, regardless of the relative risk
o E.g. 2: ability to pay. Those with greater resources would be expected to pay more than those with
fewer resources
o E.g. 3: individuals should pay costs according to the benefits they receive
Concepts in Insurance
4. Conditions for insurability
• Risk exposures should meet conditions to be insurable (in a private market)
• The further they diverge from the conditions, the less insurable they become
• 4 conditions for insurability
o Many independent and identically distributed exposure units
o Premium should be economically feasible
o Losses should be unintentional and accidental
o Losses should be easily determinable
Concepts in insurance
• Adverse selection
o When high risk individuals are more likely
to buy insurance than low risk insurance
o Avoided through accurate risk
classification & commensurate premiums
 Accurate information
 Pricing measures
 Underwriting measures
 Policy design measures
• Moral hazard
o Occurs when having insurance causes
insureds to change their behavior
o Solutions
 Cost sharing with insureds
(deductibles, policy limits, co-
insurance)
 Premiums discounts/credits for
safety measures
 Setting policy terms and
conditions
 Declining to provide coverage in
situations where moral hazard is a
serious concern
5. Asymmetric information problem
Concepts in Insurance
5. Principles of indemnity and insurable interest
• Indemnity – insureds should not profit from a covered loss, but should be restored to no
better than their financial position prior to the loss
o Found in most property and liability contracts
o Losses in these contracts are settled on the basis of actual cash value/fair market value
o Exceptions
 Valued policy – pays face amount of insurance regardless of actual cash value. For difficult to
value items e.g. rare antiques
 Replacement cost contracts – cost of replacing the insured property is paid with no deduction
for depreciation. Minimum ratio of market value to replacement cost needs to be met
 Life insurance – valued policies to pay a stated benefit in the event of the insured’s death.
Exempted from principle of indemnity due to the embedded savings element.
Concepts in Insurance
5. Principles of indemnity and insurable interest
• Insurable interest – insured must suffer some form of loss/harm is the insured event
occurs
o Reduces gambling
o Reduces moral hazard
o Measures insured loss
Insurance within the financial services sector
Monetary financial
institutions
Central banks
Deposit-taking
corporations (except the
central bank)
Insurance corporations
and pension funds
Insurance companies
Pension funds
Other financial
corporations
Non-money market funds
Financial intermediaries
(other than insurance
companies & pension funds)
Captive financial
institutions and
moneylenders
Public financial institutions
* The Financial Corporations Sector and its Subsectors, United Nations Statistics Division
The insurance market
• Gross premiums of
SGD$3.97 billion
• Total asset worth of
SGD$11.14 billion
Insurance Lines & Products
2
Insurance Lines & Products
Life insurance
• Term life
• Whole life
• Interest-sensitive life
insurance
• Endowment policies
• Annuities
Property-liability
• Fire and homeowners
multi-peril insurance
• Marine
• Casualty
• Surety, financial
guaranty and title
insurance
Disability & Health
• Disability
• Medical expense
• Medicare
Life Insurance & Annuities
Type Description
1 Term Protection for a finite number of years. Renewable.
2 Whole life Pays for face value of contract when insured dies regardless of when it occurs
3 Universal life
Interest sensitive. Combines elements of term and whole life insurance
After paying initial set premium, policyowners can vary the premiums they pay
Others: variable life, adjustable life, variable premium
Is uncertain in any given year, but certain in the long run
Life Insurance & Annuities
Is uncertain in any given year, but certain in the long run
Type Description
4 Endowment
Pay a death benefit only upon death of insured during a fixed period of time or at the end of the policy period,
whoever is sooner
Accumulates specific cash value that can be used by the policyowner with the savings element protected
5 Annuities
Designed to systematically liquidate a principal sum
Insurer agrees to pay the insured a certain sum for a specified period of time that could be a # of years or the
lifespan
Objective: to protect the insurer against that contingency that they will outlive other types of income
Property-Liability Insurance
Type Coverage
1 Fire Losses to buildings and personal property from fire
2 Homeowners
Protection for persons’ home and belongings against a specified number of perils:
1. Property damage to dwelling
2. Additional living expenses
3. Personal liability
4. Medical payments
3 Marine
Losses /damage to property due to perils associated with transportation
Some types:
1. Cargo
2. Hull
3. Marine liability
4. Freight
Protects insureds against losses due to damage or loss of property and legal liability
Property-Liability Insurance
Type Coverage
1 Fire Losses to buildings and personal property from fire
2 Homeowners
Protection for persons’ home and belongings against a specified number of perils:
1. Property damage to dwelling
2. Additional living expenses
3. Personal liability
4. Medical payments
3 Marine Losses /damage to property due to perils associated with transportation
Protects insureds against losses due to damage or loss of property and legal liability
Property-Liability Insurance
Type Coverage
1 Fire Losses to buildings and personal property from fire
2 Homeowners
Protection for persons’ home and belongings against a specified number of perils:
1. Property damage to dwelling
2. Additional living expenses
3. Personal liability
4. Medical payments
3 Marine Losses /damage to property due to perils associated with transportation
Protects insureds against losses due to damage or loss of property and legal liability
Property-Liability Insurance
Type Coverage
4 Casualty
Protection against damages to property & losses from legal liability
1. Auto
2. Commercial multi-peril
3. Medical malpractice
4. Worker’s compensation
5. General liability
6. Mortgage and financial
guaranty
7. Aircraft
8. Class
9. Burglary & theft
10. Boiler and machinery
5
Surety, financial
guaranty and title
insurance
To secure interests of lenders and other creditors
Protects insureds against losses due to damage or loss of property and legal liability
Disability & Health Insurance
Type Description
1 Disability income
Periodic payments when the insured is unable to work because of illness, disease or injury
Meant to replace a portion of the income lost
2
Medical expense
insurance
Benefits for medical services
To protect against wage loss and medical costs
Roles of Insurers &
Intermediaries,
Organisational Forms &
Distribution Systems
3
Functions performed by insurers & intermediaries
1. Product design
2. Pricing
3. Production & Distribution
4. Underwriting
5. Loss Settlement
6. Investment
7. Reinsurance
Functions performed by insurers & intermediaries
1. Product Design
• Products – policies or contracts that specify the obligations between insurers &
insureds
• Insurers determine consumers’ risk-management and transfer needs and
develop insurance contracts that will meet the needs consistent with basic
insurance principles
Functions performed by insurers & intermediaries
1. Product Design
• Provisions
o Perils
o Coverage amounts and limits
o Deductibles/retentions
o Co-insurance provisions
o Coverage exclusions
o Basis of loss settlement
o Additional coverages
• Bundle of services
o Risk transfer
o Risk assessment
o Loss prevention
o Claims management
o Investment management
Functions performed by insurers & intermediaries
2. Pricing
• Determining the amount the insured must pay to
o Finance the loss prevention/potential insurance benefits the insured will receive
o Administrative expenses
o Cost of capital
• Usually prospective, determined in advance
Functions performed by insurers & intermediaries
2. Pricing
• 3 components to gross premiums
o Pure premium
o Expenses
o Benefits
• Depends on type of insurance
o Property-liability & Accident-Health
o Life insurance & annuities
Profits
USD$29.2 B (4.6%)
Expenses
USD$292.2 B (34.4%)
Benefits
USD$515.1 B (61%)
Property/liability data
for 1996
Functions performed by insurers & intermediaries
3. Production & Distribution
• Marketing & sale of insurance contracts, usually through intermediaries (agents/brokers)
• Agents
• Brokers
Functions performed by insurers & intermediaries
3. Production & Distribution
• Marketing & sale of insurance contracts, usually through intermediaries (agents/brokers)
• Agents
o Act on behalf of insurers, do not represent interests of consumers per se
o Submits policy applications and premiums
o Receive commissions or a salary
o Types
 Independent agents – can represent more than 1 insurer (not allowed in Singapore – agents
must be ‘bound’ to a principal’)
 Exclusive/captive agents – represent 1 insurer, either as employees or independent
contractors
Functions performed by insurers & intermediaries
3. Production & Distribution
• Marketing & sale of insurance contracts, usually through intermediaries (agents/brokers)
• Brokers
o Represent and advise buyers
o More common
o Sometimes provide a range of services (e.g. risk management advise)
o Compensated on a commission/fee-for-service basis
Functions performed by insurers & intermediaries
4. Underwriting
• Also provided by non-insurance financial institutions
o Banks
o Investment houses
• Guarantee payment in case of damage/financial loss and accept the financial risk for
liability arising from the guarantee
• Derives from the Lloyd’s of London insurance market
Functions performed by insurers & intermediaries
4. Underwriting
• Types of underwriting
o Securities underwriting
o Bank underwriting
o Insurance underwriting
Functions performed by insurers & intermediaries
4. Underwriting
• Types of underwriting
o Securities underwriting – investment banks that raise capital for investors on behalf of corporations
and governments that issue securities. Used during a public offering in a primary market
o Bank underwriting – detailed credit analysis preceding the granting of a loan, based on credit
information given by the borrowers
 Commercial loan
 Commercial/business underwriting
Functions performed by insurers & intermediaries
4. Underwriting
• Types of underwriting
o Insurance underwriting – evaluate the risk and exposures of potential clients
 Decide how much coverage client should receive + how much to be paid or whether to even accept the
risk and insure
 Need to measure risk exposure + determine the premium
 The underwriter protects the company’s book of business from risks they feel will make a loss and issue
insurance policies at a premium commensurate with the risk
 Categories of exclusion
 Moral hazard – consequences of the customer’s actions are insured, making customer more
likely to take costly actions
 Correlated causes – can affect a large number of customers at the same time, potentially
bankrupting the insurance industry
Functions performed by insurers & intermediaries
4. Underwriting
• Risk assessment
• Classification
• Selection }
Risk
Appropriate
policy/premium
Functions performed by insurers & intermediaries
5. Loss settlement
• To pay claims/benefit obligations arising out of insurance contract according to the
provisions of the contract
• Must be consistent with insurance contract provisions and assumptions underlying the
insurer’s pricing and financial structure
• Steps
o Determine if covered loss has occurred
o Fair and prompt payment of valid claims
 Otherwise, insured can file a compliant/sue
• Alternatives
o Advice and assistance (e.g. temp housing)
o Case management service (e.g. workers compensation)
o Claims management
Functions performed by insurers & intermediaries
6. Investment
• Reserves that insurers hold for unearned premiums, unpaid losses and other contingencies
must be invested along with surplus
• Need to recover the time-cost of money and promote efficiency
• Income earned allows insurers to discount premiums and/or improve benefits
Functions performed by insurers & intermediaries
7. Reinsurers
• Reinsurance – purchase of insurance by an insurer to cover all/a portion of
its loss payments on its insurance contracts
• Insurer cedes premiums and losses from its book to a reinsurer
• Reinsurer assumes the premiums/losses and pays a commission to the
insurer to cover transaction costs
• Why?
o Risk diversification
o Economies of scale
o Protect surplus from higher than anticipated underwriting losses
Functions performed by insurers & intermediaries
7. Reinsurers
• Cessision
o The transfer of liability from the primary insurer (the person that issued the insurance
contract) to another insurer (the re-insurance company)
o This Business placed with a re-insurer is called cessision
• Retrocession
o When the re-insurer cedes part of the assumed liability to another re-insurance
company
• Why?
o No single insurer has the financial capacity to extend an unlimited amount of
insurance coverage (contracts) in any line of business
o If a risk is too large for a single insurance company, can be spread over several
companies (“coinsurance”)
Functions performed by insurers & intermediaries
7. Reinsurers
• Cessision
o The transfer of liability from the primary insurer (the person that issued the insurance
contract) to another insurer (the re-insurance company)
o This Business placed with a re-insurer is called cessision
• Retrocession
o When the re-insurer cedes part of the assumed liability to another re-insurance
company
• Why?
o No single insurer has the financial capacity to extend an unlimited amount of
insurance coverage (contracts) in any line of business
o If a risk is too large for a single insurance company, can be spread over several
companies (“coinsurance”)
Reinsurers
Types of intermediaries/entities (International)
Type Description
1 Stock insurers
Owned by owners/stockholders, who make initial capital investment
Profit-making company
Prices charged are final, no contingent liability
2 Mutual insurers
Owned by policyholders instead of stockholders
Not profit-making per se, earnings are returned to policyholders as dividends
Funded through
1. Pure/retroactive assessment
2. Advance premiums
3 Reciprocal insurers
Unincorporated group of individuals/subscribers who exchange risk
Each member is both insurer and insured
Attorney-in-fact is granted power of attorney
Primarily for auto insurance
Types of intermediaries/entities (International)
Type Description
4 Lloyd’s associations
For-profit proprietary organisations
Underwriter-member is always an individual insurer
Individual insurers (“names”) write risks on a cooperative basis
Each member assumes risks personally, organization bears no obligation
Usually for larger, unique, and higher-risk insurance policies (high potential returns + flexibility)
e.g. Lloyd’s of London
5
Health expense
associations
Membership group organised by hospitals in a geographic area to provide hospital expense
prepayment coverage
Regulation of
Insurance
4
Framework in Singapore
Regulatory Body
MAS
(licensing,
authorization,
supervision)
Governing Laws
1. Insurance Act
2. General Insurance
Agents’ Regulations
3. Financial Advisors Act
4. Deposit Insurance Act
5. Policies of Assurance Act
6. Marine Insurance Act
7. Motor Vehicles (Third
Party Risks and
Compensation) Act
8. The Work Injury
Compensation Act
Scope
1. All insurers
2. Life insurers
3. General insurance
4. Insurance Brokers
Associations
1. Life Insurance Association
2. General Insurance Association and
its Agents Registration Board
3. Singapore Reinsurance
Association
4. Singapore Insurance Brokers
Association
5. Association of Financial Advisers
Overview of insurance regulation
• Correct market failures that would otherwise cause insurers to:
o Incur an excessive risk of insolvency
o Engage in market abuses that hurt consumers
• Other goals:
o Protect public interest, promote competitive markets and facilitate the fair equitable treatment of
insurance consumers
o Promote the reliability, solvency and financial solidity of insurance
General Principles of Insurance Regulation
1. Licensing
2. Financial standards
a) Capital standards
i. Fixed minimum capital and surplus
requirements
ii. Risk based capital
b) Reserve requirements
c) Investment restrictions
3. Solvency monitoring
a) Financial reporting
b) Financial analysis & early-warning
systems
c) Assessments
4. Intervention & Guaranty Funds
a) Intervention & Receivership
b) Guaranty associations
5. Other regulatory standards
6. Insolvency
General Principles of Insurance Regulation
1. Licensing
• Insurance & reinsurance-type activities are regulated by the MAS
o Assuming risk or liability under policies.
o Receiving proposals for policies.
o Issuing policies.
o Collecting premiums.
• Insurance and reinsurance intermediaries (i.e. “agents”) can operate without written
authorization if he is a:
o Licensed financial adviser.
o Person exempt from holding a financial adviser's licence (other than a licensed insurer) in respect of
any financial advisory service under specific provisions of the Financial Advisers Act (Cap. 110).
o Representative of a person as specified in the Insurance Act.
General Principles of Insurance Regulation
1. Licensing
• Insurance and reinsurance intermediaries who are brokers can operate without
registration if they are one of the following entities:
o Banks under the Banking Act (Cap 19).
o Merchant banks approved as financial institutions and approved to carry on business as insurance
brokers under the Monetary Authority of Singapore Act (Cap. 186).
o Licensed financial advisers under the Financial Advisers Act (Cap. 110).
o Holders of a capital markets services licence under the Securities and Futures Act (Cap. 289).
o Finance companies that have been granted an exemption to carry on business as insurance broker
under the Finance Companies Act (Cap. 108).
o Direct insurers licensed to carry on life business.
o Other persons or classes of persons as may be specified, and subject to any conditions imposed by
MAS.
General Principles of Insurance Regulation
1. Licensing
1. Insurers and reinsurers with an
establishment in Singapore must be ‘licensed’
1. Singapore incorporated entities (including
subsidiaries of foreign insurers)
2. Branches of foreign insurers
2. Reinsurers without an operating presence in
Singapore ‘authorised’ to solicit business and
collect premiums in Singapore
3. Foreign insurer scheme allows members of
the scheme to:
1. write business
2. establish and maintain insurance funds
3. generally carry on business
4. Representative offices must be ‘registered’
5. Approved Marine, Aviation and Transit
("MAT") insurers can operate in Singapore if
they are approved
• No physical presence needed
• Do not carry on insurance business other than
the collection/receipt of premiums in relation
to MAT
General Principles of Insurance Regulation
1. Licensing
• Insurers are limited to the type of insurance they can carry on under the terms of their
license
o Licenses for life insurance business – life policies, long term accident and health policies
o Licenses for general insurance business – all types of insurance business except life policies
• Reinsurers are not subject to restrictions
General Principles of Insurance Regulation
1. Licensing
Insurance Brokers
1. Limited products
2. Duty for pre-contractual disclosure
3. Duty to not misrepresent
4. Need to be qualified and fulfil the
requirements under the Insurance Act
Financial Advisors
1. Entire range of financial products
2. Additional licensing requirements
3. Additional checks on the conduct of
business
General Principles of Insurance Regulation
2. Financial standards
• Capital standards
o Fixed minimum capital and surplus requirements
o Risk based capital
General Principles of Insurance Regulation
2. Financial standards
• Capital standards
o Fixed minimum capital and surplus requirements
SGD$ 5 million
• Only ILP
or
• Short-term
accident & health
policies
SGD$10 million
• Businesses other
than ILP and
accident & health
policies
SGD$25 million
• Reinsurers
General Principles of Insurance Regulation
2. Financial standards
• Capital standards
o Risk based capital
 A realistic assessment of the capital requirements for the risks being run
 Risk-focused
 Greater Transparency
 Consistency in valuation of assets and liabilities
 Clear information on financial strength
 In line with international framework – Solvency II
 Insurance companies are to hold capital as calculated against its Total Risk Requirement (insurance risk + asset
portfolio risks + asset concentration risks)
General Principles of Insurance Regulation
2. Financial standards
• Capital standards
o Risk based capital
 creates a more conducive environment for insurers to invest
 policyholders will benefit from better product pricing and asset allocation decisions made by insurers.
 encourages better asset-liability management among insurers
 avoids insolvency
 insurers can better offer long-term retirement solutions to policyholders
 minimise the impact of short-term market volatility
General Principles of Insurance Regulation
3. Solvency monitoring
• Financial reporting
o Insurance (Accounts and Statements) Regulations 2004
• Financial analysis & early-warning systems
o Insurance (Valuation and Capital) Regulations 2004
• Potential right of inspection
General Principles of Insurance Regulation
3. Solvency monitoring
• Financial reporting
• Financial analysis & early-warning systems
• Potential right of inspection
General Principles of Insurance Regulation
4. Intervention & Guaranty Funds
• Intervention & Receivership – Singapore’s “Insurance Fund”
o Guidelines on the Implementation of Insurance Fund Concept (2009)
o Sets out operational safeguards necessary for:
 Establishment of the insurance funds
 Segregation of assets of registered insurers
 Secures a minimum level of asset protection
 Ensures all assets + liabilities + expenses are property attributed to the fund
• Guaranty associations
General Principles of Insurance Regulation
5. Other regulatory standards
• Insurers & reinsurers:
o Establishing and maintaining a register of Singapore and offshore policies, if the insurer carries on
business relating to Singapore and offshore policies.
o Establishing and maintaining a separate insurance fund for each class of insurance business carried
on by the insurer in respect of its Singapore and offshore policies.
o Complying with fund solvency and capital adequacy requirements under relevant legislation and MAS
directions.
o Investing and maintaining the assets of any insurance fund in accordance with MAS directions, and
ensure the maintenance of assets in a way deemed appropriate by MAS.
o Investigating the financial condition of each class of business carried on for every accounting period,
and ensuring that such investigation is duly carried out by an actuary appointed with the approval of
MAS.
General Principles of Insurance Regulation
5. Other regulatory standards
• Brokers
o Preparation and maintenance of statements of accounts, books and other documents that can
explain the transactions and financial position of the broker
o Lodgement of these documents with the MAS
o Annual audit of account
General Principles of Insurance Regulation
6. Insolvency
• Where an insurer is unable to meet its obligations or becomes insolvent, its liabilities must
be distributed in the following order of priority (Insurance Act):
o Any levy due and payable under the Deposit Insurance and Policy Owners' Protection Schemes Act
2011
o Protected liabilities under the Deposit Insurance and Policy Owners' Protection Schemes Act 2011, up
to the amount paid or payable out of the Policy Owners' Protection Life Fund or Policy Owners'
Protection General Fund by the deposit insurance and policy owners' protection fund agency
o Liabilities incurred in respect of direct policies that are not protected under the Deposit Insurance
and Policy Owners' Protection Schemes Act 2011
o Liabilities incurred in respect of reinsurance policies
Notices – All Insurers
1. MAS 101: Maintenance of insurance funds
2. MAS 102: Margins of Solvency
3. MAS 103: Statutory Deposits and Bank Covenants
4. MAS 105: Appointment of custodians and fund
manager
5. MAS 106: Appointment of Director, Chairman and
Key Executive Person
6. MAS 108: Staff agency business
7. MAS 109:Lending of Singapore Dollar to non-
resident Financial Institutions
8. MAS 110: Comprehensive co-payment insurance
scheme
9. MAS113: Notice on Securities Borrowing and
Leading Activities
10. MAS 114: Reinsurance management
11. MAS 115: Residential property loans
12. MAS 116: Bridging loans for the purchase of
immovable properties
13. MAS 117: Training and competency requirement–
health insurance module
14. MAS 118: Unsecured Credit Facilities to Individuals
15. MAS 119: Electronic Submission of Annual Returns
Notices – All Insurers
16. MAS 120: Disclosure and advisory process
requirements for accident and health
17. MAS 121: Captive Insurance – Writing of
In-House and Non In-House Risks
18. MAS 122: Asset & Liability Exposures for
Insurers
19. MAS 123: Reporting of Suspicious
Activities and Incidents of Fraud
20. MAS 124: Public Disclosure Requirements
21. MAS 125: Investments of Insurers
22. MAS 126: Enterprise Risk Management for
Insurers
23. MAS 127: Technology Risk Management
24. MAS 128: Computation of Total Debt
Servicing Ratio for Property Loans
Notices – General Insurers
1. MAS 201: Quarterly and Other returns
2. MAS 210: Actuarial Investigation of
General Insurance Policy Liabilities
3. MAS 211: Minimum and Best Practice
Training and Competency Standards for
Direct General Insurers
Notices – Life Insurers
1. MAS 301: Quarterly and Other Returns
2. MAS 302: Product Development and
Pricing
3. MAS 303: Mortality Studies of Assured
Lives
4. MAS 306: Market Conduct Standards for
life insurers providing financial advisory
services (as defined under FAA)
5. MAS 307:Investment-linked life insurance
policies
6. MAS 309: Mortality Tables for Minimum
Reserves Calculation
7. MAS 314: Prevention of money laundering
and countering the financing of terrorism
8. MAS 318: Market Conduct Standards for
Direct Life Insurer as a Product Provider
9. MAS 319: Valuation of policy liabilities of
life business
10. MAS 320: Management of participating
life insurance business
11. MAS 321: Direct Purchase Insurance
Products
12. MAS 322: Information to be Submitted
Relating to the Web-Aggregator
Notices – Insurance Brokers
1. MAS 501: Quarterly Statement on Ageing
of Premiums Owing to Insurers
2. MAS 502: Minimum Standards and
Continuing Professional Development for
Insurance Brokers and their Broking staff
3. MAS 504: Reporting of Misconduct of
Broking Staff by Insurance Brokers
4. MAS 505: Notice on Reporting of
Suspicious Activities & Incidents of Fraud
5. MAS 506: Notice on Technology Risk
Management
Role of the government in insurance
1. Ensure that those who are licensed are competent and will have sufficient scale
2. Ensuring sufficient competition to prevent cartels from developing limiting numbers to a
level that prevents pyramid structures (e.g. cash flow underwriting)
3. Protect the public
Role of Compliance in
Insurance
5
Risks of an insurance company
• Data risk
• Underwriting risk
• Pricing risk
• Reserving risk
• Asset liability management risk
• Insurance fraud risk
• Solvency risk
• Investment default risk
Compliance within the internal control system
Compliance function within the internal control system
Compliance function within the internal control system
Role of compliance
• Protect the business and protect customers
• Ensure all participants are adequately covered
• “Risk-based reviews” of registers/issues
o Regulatory reporting
o Permissions
o Complaints
o Claims
o Gifts/benefits
o Conflicts of interest
Issues & challenges for compliance
• Product complexity
• Poor disclosure
• Conflict of interest
• Poor complaint handling
• Data Privacy
• Hard selling
• Lack of suitability
• Misrepresentation
• Poor documentation
• Customer risks
• Comparison difficulties
Risk Management
• Why?
o Minimise insurable losses
o The scope of cover which is required to cover the risks which need to be insured against
o The types of risks which a company would find more economical to minimise and bear itself
o The age old question of sourcing for the most suitable insurer who provides the widest cover at the
best rates
o In the course of renewal of cover
o In the event of claims, the broker’s expertise is required in determining the appropriate policy
Risk Management
• The concept underlying an insurance policy is that of risk transfer
• Risk management function of insurance policies bears crucial socio-economic significance
• Hedges against risks and uncertain losses that individuals/entities might be unable or
unwilling to bear
• Risk management strategies need to:
o Deal with risk
o Mitigate risk
o Clearly identify hose responsible for implementation
o Reflect expected prudent behaviour
o Proactive reviews
Risk Management
• Scope
o Underwriting and provisioning
o Reinsurance
o Investments
o Concentrations
o Asset–liability management
o Derivatives
o Liquidity management
o Business and operational strategies and processes (including business continuity planning and
outsourcing)
Governance
• Ensure proper oversight and transparency
• oversee insurance business line activities and product development and related
underwriting, pricing, reinsurance strategies and provisioning needs
• Ensure the effectiveness, soundness and integrity of the overall control system
Guidelines on Corporate Governance for Financial Holding Companies, Banks,
Direct Insurers, Reinsurers and Captive Insurers which are Incorporated in
Singapore
Governance – Board & Senior Management
• Financial reporting framework
• High Quality accounting principles
• Fairly represented
• Solvency position of the insurer
• Assess capital, borrowing and liquidity needs
Financial Position
• Have the requisite insurance, financial, accounting,
actuarial, management and leadership skills
• Demonstrate independence and exercise objective and
impartial judgement in the affairs of the insurer
Fitness & Propriety
Governance – Actuaries
• Insurance (Actuaries) Regulations
• Certified actuary must be appointed
• Reports to any of Board or Committee
• Duties:
o formulating a suitable policy
o assisting any risk management activity for its business
o assisting in product pricing and development
MAS’ Financial Advisory Industry Review
• “FAIR” – comprehensive evaluation of the FA industry, done with the Life Insurance
Association of Singapore
• Aims
o raising the competence of financial advisory representatives
o raising the quality of financial advisory firms
o making financial advice a dedicated service
o lowering distribution costs
o promoting a culture of fair dealing
o Guidelines on Fair Dealing
MAS’ Financial Advisory Industry Review
• Regulatory Implementation – changes were made in 2015 to:
o Financial Advisors’ Act
o Insurance Act
o Subsidiary Legislation
MAS’ Financial Advisory Industry Review
• Initiatives/implementation
o Balanced Scorecard Remuneration Framework (for Representatives and Supervisors)
o Restrictions on Non-Financial Advisory Activities for Representatives and Standalone Financial
Advisory Firms
o Banning of Short-Term Incentives
o Continuing Professional Development (minimum of 30 hours annually)
the end
Qs?

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Training - Insurance

  • 1. Insurance The whats, the whys, & the hows of the business & regulation Liyana Mahirah 20 Sept 2018
  • 2. Roadmap 1. Introduction to Insurance 2. Insurance Lines & Products 3. Roles of Insurers & Intermediaries, Organisational Forms & Distribution Systems 4. Regulation of Insurance 5. Role of Compliance
  • 5. What is insurance? A contract where an insurer promises to pay the insured party a sum of money if one or more specified events occurs in the future, in return for regular small payments (“premiums”).
  • 6. What is insurance? • The business of insurance is risk • A social device for spreading the chance of financial loss among a large group of people • When a company/individual buys insurance, they transfer the cost of a potential loss to the insurance company in exchange for a fee (premium) • Insurance companies then invest the funds to grow them, and pay out when there’s a claim
  • 7. Why do we need insurance?
  • 8. Why do we need insurance? Reduce exposure to the effects of particular risks. • For example, insurance for individuals can do the following. o Health insurance helps pay your bills should you develop certain illnesses or suffer from injury or disability. o Income protection safeguards your salary by replacing it should you become unable to work. o Life insurance provides financially for your loved ones should you become unable to work. Having this type of insurance enables them to continue enjoying a comfortable lifestyle with minimum worry. o Education and retirement plans allow you to achieve what is important to you – be it an overseas education for your children or a comfortable standard of living during your retirement years. o Endowment plans do more than help you build up savings to pass on to your spouse or children. They can also be used to cover medium- to long-term goals, such as a property upgrade, higher education, and perhaps fund a break from work.
  • 9. Vocabulary of an insurance plan 1. Policies - Legal contract setting out the rights and obligations of the policyholder & the insurance company 2. Coverage - Protection provided by an insurance policy 3. Limits – Maximum amount an insurance company will pay for a covered loss 4. Deductibles – The amount a policyholder agrees to pay out-of-pocket in case of a loss; Insurance company pays the remaining amount, up to the limit
  • 10. (Ancient) History of Insurance • 3000 BC - Chinese merchants who wanted to manage the risk of dividing cargo amongst several vessels to reduce the losses should a vessel with cargo fail to complete its voyage o A type of “bottomry” – a pledge of the boat (part of entire) against a particular debt o No evidence of a contract, indemnification or third party involvement • 1750 BC – Hammurabi’s Code & the establishment of the law governing loss • 476 AD (Middle Ages) - A form of insurance developed to bury the dead & provide for remaining family members formed into Benefit Societies and then developed into Guilds. • ~1100 – 1200 AD – many regions established common rules specific to maritime trade, which was the predominant form of commerce (pre 17th century, insurance mainly confined to maritime trade)
  • 11. (Modern) History of Insurance • 1688 - Lloyd’s Coffee House & the birth of modern insurance/underwriters o London was the centre of trade, increasing the demand for insurance of ships and cargoes o Ship merchants would request brokers to take policy from 1 merchant to another until the risk was fully covered o Broker ensured that policies were underwritten only by people of sufficient financial integrity • 18th century – Lloyd’s became more formalized o Rival companies were formed • Lloyd’s Act 1871 o Corporate body o Unique from other competitors o Multiple financial backers (individuals and corporates) grouped as syndicates who come to pool & spread risks
  • 12. Concepts in Insurance 1. Risk and uncertainty 2. Pooling and diversification of risk through insurance 3. Efficiency and equity 4. Conditions for insurability 5. Asymmetric information problem 6. Principles of indemnity and insurable interest
  • 13. Concepts in Insurance 1. Risk & Uncertainty • Risk – a condition in which more that one outcome is possible o Pure risk – no chance of economic gain and uncertainty about whether a financial loss will occur or how much the loss will be o Speculative risk – involves the chance of gain or loss, is not insurable in theory (e.g. gambling) o For the purposes of insurance, is defined as the possibility of financial loss • Uncertainty – the perception of risk, which may or may not correspond to reality • Peril – an event which causes a loss (e.g. fires, earthquakes, premature death) • Risk is endemic to life & business • Risk-averse individuals/companies want to manage risk
  • 14. Concepts in Insurance 1. Risk & Uncertainty • Main ways to manage risk o Avoidance – choosing not to participate in an activity because of the risk involved (e.g. not getting a driver’s license) o Retention – saving money in case of future losses (e.g. putting $1000 in a savings account in case of a car accident) o Transfer – passing the risk on to a company (e.g. paying a monthly fee for an insurance policy and expecting the insurance company to protect your assets)
  • 15. Concepts in Insurance 1. Risk & Uncertainty Type of risk Can a person control? Can insurers discriminate? 1 Personal traits √ 2 Personal fault √ √ 3 Fault of another 4 Acts of God √ Basic types of risk
  • 16. Concepts in Insurance 2. Pooling & diversification of risk through insurance • Pooling of loss - How people/companies can reduce the pure risk they face through insurance mechanisms designed to transfer & diversify risk across a wider base of exposures and/or over time • Members of the group share all losses that are incurred by the members • i.e. they exchange a smaller, more certain financial contribution for protection against a larger, more uncertain loss
  • 17. Concepts in Insurance 2. Pooling & diversification of risk through insurance • Uncertainty & the law of large numbers – makes insurance valuable. o Risk & uncertainty is reduced through loss sharing o There is greater predictability of losses by increasing the number of members • Pooling losses =/= equal contribution to the ‘pool’ o In practice, the risk of the members in the pool will vary
  • 18. Concepts in Insurance 3. Efficiency & equity • Efficiency – the highest level of efficiency is achieved when resources are used in the best way possible to maximize social welfare • Equity – “fairness”. Different interpretations to different people o E.g.. 1: all insureds should pay the same premiums/receive the same benefits from insurance contracts, regardless of the relative risk o E.g. 2: ability to pay. Those with greater resources would be expected to pay more than those with fewer resources o E.g. 3: individuals should pay costs according to the benefits they receive
  • 19. Concepts in Insurance 4. Conditions for insurability • Risk exposures should meet conditions to be insurable (in a private market) • The further they diverge from the conditions, the less insurable they become • 4 conditions for insurability o Many independent and identically distributed exposure units o Premium should be economically feasible o Losses should be unintentional and accidental o Losses should be easily determinable
  • 20. Concepts in insurance • Adverse selection o When high risk individuals are more likely to buy insurance than low risk insurance o Avoided through accurate risk classification & commensurate premiums  Accurate information  Pricing measures  Underwriting measures  Policy design measures • Moral hazard o Occurs when having insurance causes insureds to change their behavior o Solutions  Cost sharing with insureds (deductibles, policy limits, co- insurance)  Premiums discounts/credits for safety measures  Setting policy terms and conditions  Declining to provide coverage in situations where moral hazard is a serious concern 5. Asymmetric information problem
  • 21. Concepts in Insurance 5. Principles of indemnity and insurable interest • Indemnity – insureds should not profit from a covered loss, but should be restored to no better than their financial position prior to the loss o Found in most property and liability contracts o Losses in these contracts are settled on the basis of actual cash value/fair market value o Exceptions  Valued policy – pays face amount of insurance regardless of actual cash value. For difficult to value items e.g. rare antiques  Replacement cost contracts – cost of replacing the insured property is paid with no deduction for depreciation. Minimum ratio of market value to replacement cost needs to be met  Life insurance – valued policies to pay a stated benefit in the event of the insured’s death. Exempted from principle of indemnity due to the embedded savings element.
  • 22. Concepts in Insurance 5. Principles of indemnity and insurable interest • Insurable interest – insured must suffer some form of loss/harm is the insured event occurs o Reduces gambling o Reduces moral hazard o Measures insured loss
  • 23. Insurance within the financial services sector Monetary financial institutions Central banks Deposit-taking corporations (except the central bank) Insurance corporations and pension funds Insurance companies Pension funds Other financial corporations Non-money market funds Financial intermediaries (other than insurance companies & pension funds) Captive financial institutions and moneylenders Public financial institutions * The Financial Corporations Sector and its Subsectors, United Nations Statistics Division
  • 24. The insurance market • Gross premiums of SGD$3.97 billion • Total asset worth of SGD$11.14 billion
  • 25. Insurance Lines & Products 2
  • 26. Insurance Lines & Products Life insurance • Term life • Whole life • Interest-sensitive life insurance • Endowment policies • Annuities Property-liability • Fire and homeowners multi-peril insurance • Marine • Casualty • Surety, financial guaranty and title insurance Disability & Health • Disability • Medical expense • Medicare
  • 27. Life Insurance & Annuities Type Description 1 Term Protection for a finite number of years. Renewable. 2 Whole life Pays for face value of contract when insured dies regardless of when it occurs 3 Universal life Interest sensitive. Combines elements of term and whole life insurance After paying initial set premium, policyowners can vary the premiums they pay Others: variable life, adjustable life, variable premium Is uncertain in any given year, but certain in the long run
  • 28. Life Insurance & Annuities Is uncertain in any given year, but certain in the long run Type Description 4 Endowment Pay a death benefit only upon death of insured during a fixed period of time or at the end of the policy period, whoever is sooner Accumulates specific cash value that can be used by the policyowner with the savings element protected 5 Annuities Designed to systematically liquidate a principal sum Insurer agrees to pay the insured a certain sum for a specified period of time that could be a # of years or the lifespan Objective: to protect the insurer against that contingency that they will outlive other types of income
  • 29. Property-Liability Insurance Type Coverage 1 Fire Losses to buildings and personal property from fire 2 Homeowners Protection for persons’ home and belongings against a specified number of perils: 1. Property damage to dwelling 2. Additional living expenses 3. Personal liability 4. Medical payments 3 Marine Losses /damage to property due to perils associated with transportation Some types: 1. Cargo 2. Hull 3. Marine liability 4. Freight Protects insureds against losses due to damage or loss of property and legal liability
  • 30. Property-Liability Insurance Type Coverage 1 Fire Losses to buildings and personal property from fire 2 Homeowners Protection for persons’ home and belongings against a specified number of perils: 1. Property damage to dwelling 2. Additional living expenses 3. Personal liability 4. Medical payments 3 Marine Losses /damage to property due to perils associated with transportation Protects insureds against losses due to damage or loss of property and legal liability
  • 31. Property-Liability Insurance Type Coverage 1 Fire Losses to buildings and personal property from fire 2 Homeowners Protection for persons’ home and belongings against a specified number of perils: 1. Property damage to dwelling 2. Additional living expenses 3. Personal liability 4. Medical payments 3 Marine Losses /damage to property due to perils associated with transportation Protects insureds against losses due to damage or loss of property and legal liability
  • 32. Property-Liability Insurance Type Coverage 4 Casualty Protection against damages to property & losses from legal liability 1. Auto 2. Commercial multi-peril 3. Medical malpractice 4. Worker’s compensation 5. General liability 6. Mortgage and financial guaranty 7. Aircraft 8. Class 9. Burglary & theft 10. Boiler and machinery 5 Surety, financial guaranty and title insurance To secure interests of lenders and other creditors Protects insureds against losses due to damage or loss of property and legal liability
  • 33. Disability & Health Insurance Type Description 1 Disability income Periodic payments when the insured is unable to work because of illness, disease or injury Meant to replace a portion of the income lost 2 Medical expense insurance Benefits for medical services To protect against wage loss and medical costs
  • 34. Roles of Insurers & Intermediaries, Organisational Forms & Distribution Systems 3
  • 35. Functions performed by insurers & intermediaries 1. Product design 2. Pricing 3. Production & Distribution 4. Underwriting 5. Loss Settlement 6. Investment 7. Reinsurance
  • 36. Functions performed by insurers & intermediaries 1. Product Design • Products – policies or contracts that specify the obligations between insurers & insureds • Insurers determine consumers’ risk-management and transfer needs and develop insurance contracts that will meet the needs consistent with basic insurance principles
  • 37. Functions performed by insurers & intermediaries 1. Product Design • Provisions o Perils o Coverage amounts and limits o Deductibles/retentions o Co-insurance provisions o Coverage exclusions o Basis of loss settlement o Additional coverages • Bundle of services o Risk transfer o Risk assessment o Loss prevention o Claims management o Investment management
  • 38. Functions performed by insurers & intermediaries 2. Pricing • Determining the amount the insured must pay to o Finance the loss prevention/potential insurance benefits the insured will receive o Administrative expenses o Cost of capital • Usually prospective, determined in advance
  • 39. Functions performed by insurers & intermediaries 2. Pricing • 3 components to gross premiums o Pure premium o Expenses o Benefits • Depends on type of insurance o Property-liability & Accident-Health o Life insurance & annuities Profits USD$29.2 B (4.6%) Expenses USD$292.2 B (34.4%) Benefits USD$515.1 B (61%) Property/liability data for 1996
  • 40. Functions performed by insurers & intermediaries 3. Production & Distribution • Marketing & sale of insurance contracts, usually through intermediaries (agents/brokers) • Agents • Brokers
  • 41. Functions performed by insurers & intermediaries 3. Production & Distribution • Marketing & sale of insurance contracts, usually through intermediaries (agents/brokers) • Agents o Act on behalf of insurers, do not represent interests of consumers per se o Submits policy applications and premiums o Receive commissions or a salary o Types  Independent agents – can represent more than 1 insurer (not allowed in Singapore – agents must be ‘bound’ to a principal’)  Exclusive/captive agents – represent 1 insurer, either as employees or independent contractors
  • 42. Functions performed by insurers & intermediaries 3. Production & Distribution • Marketing & sale of insurance contracts, usually through intermediaries (agents/brokers) • Brokers o Represent and advise buyers o More common o Sometimes provide a range of services (e.g. risk management advise) o Compensated on a commission/fee-for-service basis
  • 43. Functions performed by insurers & intermediaries 4. Underwriting • Also provided by non-insurance financial institutions o Banks o Investment houses • Guarantee payment in case of damage/financial loss and accept the financial risk for liability arising from the guarantee • Derives from the Lloyd’s of London insurance market
  • 44. Functions performed by insurers & intermediaries 4. Underwriting • Types of underwriting o Securities underwriting o Bank underwriting o Insurance underwriting
  • 45. Functions performed by insurers & intermediaries 4. Underwriting • Types of underwriting o Securities underwriting – investment banks that raise capital for investors on behalf of corporations and governments that issue securities. Used during a public offering in a primary market o Bank underwriting – detailed credit analysis preceding the granting of a loan, based on credit information given by the borrowers  Commercial loan  Commercial/business underwriting
  • 46. Functions performed by insurers & intermediaries 4. Underwriting • Types of underwriting o Insurance underwriting – evaluate the risk and exposures of potential clients  Decide how much coverage client should receive + how much to be paid or whether to even accept the risk and insure  Need to measure risk exposure + determine the premium  The underwriter protects the company’s book of business from risks they feel will make a loss and issue insurance policies at a premium commensurate with the risk  Categories of exclusion  Moral hazard – consequences of the customer’s actions are insured, making customer more likely to take costly actions  Correlated causes – can affect a large number of customers at the same time, potentially bankrupting the insurance industry
  • 47. Functions performed by insurers & intermediaries 4. Underwriting • Risk assessment • Classification • Selection } Risk Appropriate policy/premium
  • 48. Functions performed by insurers & intermediaries 5. Loss settlement • To pay claims/benefit obligations arising out of insurance contract according to the provisions of the contract • Must be consistent with insurance contract provisions and assumptions underlying the insurer’s pricing and financial structure • Steps o Determine if covered loss has occurred o Fair and prompt payment of valid claims  Otherwise, insured can file a compliant/sue • Alternatives o Advice and assistance (e.g. temp housing) o Case management service (e.g. workers compensation) o Claims management
  • 49. Functions performed by insurers & intermediaries 6. Investment • Reserves that insurers hold for unearned premiums, unpaid losses and other contingencies must be invested along with surplus • Need to recover the time-cost of money and promote efficiency • Income earned allows insurers to discount premiums and/or improve benefits
  • 50. Functions performed by insurers & intermediaries 7. Reinsurers • Reinsurance – purchase of insurance by an insurer to cover all/a portion of its loss payments on its insurance contracts • Insurer cedes premiums and losses from its book to a reinsurer • Reinsurer assumes the premiums/losses and pays a commission to the insurer to cover transaction costs • Why? o Risk diversification o Economies of scale o Protect surplus from higher than anticipated underwriting losses
  • 51. Functions performed by insurers & intermediaries 7. Reinsurers • Cessision o The transfer of liability from the primary insurer (the person that issued the insurance contract) to another insurer (the re-insurance company) o This Business placed with a re-insurer is called cessision • Retrocession o When the re-insurer cedes part of the assumed liability to another re-insurance company • Why? o No single insurer has the financial capacity to extend an unlimited amount of insurance coverage (contracts) in any line of business o If a risk is too large for a single insurance company, can be spread over several companies (“coinsurance”)
  • 52. Functions performed by insurers & intermediaries 7. Reinsurers • Cessision o The transfer of liability from the primary insurer (the person that issued the insurance contract) to another insurer (the re-insurance company) o This Business placed with a re-insurer is called cessision • Retrocession o When the re-insurer cedes part of the assumed liability to another re-insurance company • Why? o No single insurer has the financial capacity to extend an unlimited amount of insurance coverage (contracts) in any line of business o If a risk is too large for a single insurance company, can be spread over several companies (“coinsurance”)
  • 54. Types of intermediaries/entities (International) Type Description 1 Stock insurers Owned by owners/stockholders, who make initial capital investment Profit-making company Prices charged are final, no contingent liability 2 Mutual insurers Owned by policyholders instead of stockholders Not profit-making per se, earnings are returned to policyholders as dividends Funded through 1. Pure/retroactive assessment 2. Advance premiums 3 Reciprocal insurers Unincorporated group of individuals/subscribers who exchange risk Each member is both insurer and insured Attorney-in-fact is granted power of attorney Primarily for auto insurance
  • 55. Types of intermediaries/entities (International) Type Description 4 Lloyd’s associations For-profit proprietary organisations Underwriter-member is always an individual insurer Individual insurers (“names”) write risks on a cooperative basis Each member assumes risks personally, organization bears no obligation Usually for larger, unique, and higher-risk insurance policies (high potential returns + flexibility) e.g. Lloyd’s of London 5 Health expense associations Membership group organised by hospitals in a geographic area to provide hospital expense prepayment coverage
  • 57. Framework in Singapore Regulatory Body MAS (licensing, authorization, supervision) Governing Laws 1. Insurance Act 2. General Insurance Agents’ Regulations 3. Financial Advisors Act 4. Deposit Insurance Act 5. Policies of Assurance Act 6. Marine Insurance Act 7. Motor Vehicles (Third Party Risks and Compensation) Act 8. The Work Injury Compensation Act Scope 1. All insurers 2. Life insurers 3. General insurance 4. Insurance Brokers Associations 1. Life Insurance Association 2. General Insurance Association and its Agents Registration Board 3. Singapore Reinsurance Association 4. Singapore Insurance Brokers Association 5. Association of Financial Advisers
  • 58. Overview of insurance regulation • Correct market failures that would otherwise cause insurers to: o Incur an excessive risk of insolvency o Engage in market abuses that hurt consumers • Other goals: o Protect public interest, promote competitive markets and facilitate the fair equitable treatment of insurance consumers o Promote the reliability, solvency and financial solidity of insurance
  • 59. General Principles of Insurance Regulation 1. Licensing 2. Financial standards a) Capital standards i. Fixed minimum capital and surplus requirements ii. Risk based capital b) Reserve requirements c) Investment restrictions 3. Solvency monitoring a) Financial reporting b) Financial analysis & early-warning systems c) Assessments 4. Intervention & Guaranty Funds a) Intervention & Receivership b) Guaranty associations 5. Other regulatory standards 6. Insolvency
  • 60. General Principles of Insurance Regulation 1. Licensing • Insurance & reinsurance-type activities are regulated by the MAS o Assuming risk or liability under policies. o Receiving proposals for policies. o Issuing policies. o Collecting premiums. • Insurance and reinsurance intermediaries (i.e. “agents”) can operate without written authorization if he is a: o Licensed financial adviser. o Person exempt from holding a financial adviser's licence (other than a licensed insurer) in respect of any financial advisory service under specific provisions of the Financial Advisers Act (Cap. 110). o Representative of a person as specified in the Insurance Act.
  • 61. General Principles of Insurance Regulation 1. Licensing • Insurance and reinsurance intermediaries who are brokers can operate without registration if they are one of the following entities: o Banks under the Banking Act (Cap 19). o Merchant banks approved as financial institutions and approved to carry on business as insurance brokers under the Monetary Authority of Singapore Act (Cap. 186). o Licensed financial advisers under the Financial Advisers Act (Cap. 110). o Holders of a capital markets services licence under the Securities and Futures Act (Cap. 289). o Finance companies that have been granted an exemption to carry on business as insurance broker under the Finance Companies Act (Cap. 108). o Direct insurers licensed to carry on life business. o Other persons or classes of persons as may be specified, and subject to any conditions imposed by MAS.
  • 62. General Principles of Insurance Regulation 1. Licensing 1. Insurers and reinsurers with an establishment in Singapore must be ‘licensed’ 1. Singapore incorporated entities (including subsidiaries of foreign insurers) 2. Branches of foreign insurers 2. Reinsurers without an operating presence in Singapore ‘authorised’ to solicit business and collect premiums in Singapore 3. Foreign insurer scheme allows members of the scheme to: 1. write business 2. establish and maintain insurance funds 3. generally carry on business 4. Representative offices must be ‘registered’ 5. Approved Marine, Aviation and Transit ("MAT") insurers can operate in Singapore if they are approved • No physical presence needed • Do not carry on insurance business other than the collection/receipt of premiums in relation to MAT
  • 63. General Principles of Insurance Regulation 1. Licensing • Insurers are limited to the type of insurance they can carry on under the terms of their license o Licenses for life insurance business – life policies, long term accident and health policies o Licenses for general insurance business – all types of insurance business except life policies • Reinsurers are not subject to restrictions
  • 64. General Principles of Insurance Regulation 1. Licensing Insurance Brokers 1. Limited products 2. Duty for pre-contractual disclosure 3. Duty to not misrepresent 4. Need to be qualified and fulfil the requirements under the Insurance Act Financial Advisors 1. Entire range of financial products 2. Additional licensing requirements 3. Additional checks on the conduct of business
  • 65. General Principles of Insurance Regulation 2. Financial standards • Capital standards o Fixed minimum capital and surplus requirements o Risk based capital
  • 66. General Principles of Insurance Regulation 2. Financial standards • Capital standards o Fixed minimum capital and surplus requirements SGD$ 5 million • Only ILP or • Short-term accident & health policies SGD$10 million • Businesses other than ILP and accident & health policies SGD$25 million • Reinsurers
  • 67. General Principles of Insurance Regulation 2. Financial standards • Capital standards o Risk based capital  A realistic assessment of the capital requirements for the risks being run  Risk-focused  Greater Transparency  Consistency in valuation of assets and liabilities  Clear information on financial strength  In line with international framework – Solvency II  Insurance companies are to hold capital as calculated against its Total Risk Requirement (insurance risk + asset portfolio risks + asset concentration risks)
  • 68. General Principles of Insurance Regulation 2. Financial standards • Capital standards o Risk based capital  creates a more conducive environment for insurers to invest  policyholders will benefit from better product pricing and asset allocation decisions made by insurers.  encourages better asset-liability management among insurers  avoids insolvency  insurers can better offer long-term retirement solutions to policyholders  minimise the impact of short-term market volatility
  • 69. General Principles of Insurance Regulation 3. Solvency monitoring • Financial reporting o Insurance (Accounts and Statements) Regulations 2004 • Financial analysis & early-warning systems o Insurance (Valuation and Capital) Regulations 2004 • Potential right of inspection
  • 70. General Principles of Insurance Regulation 3. Solvency monitoring • Financial reporting • Financial analysis & early-warning systems • Potential right of inspection
  • 71. General Principles of Insurance Regulation 4. Intervention & Guaranty Funds • Intervention & Receivership – Singapore’s “Insurance Fund” o Guidelines on the Implementation of Insurance Fund Concept (2009) o Sets out operational safeguards necessary for:  Establishment of the insurance funds  Segregation of assets of registered insurers  Secures a minimum level of asset protection  Ensures all assets + liabilities + expenses are property attributed to the fund • Guaranty associations
  • 72. General Principles of Insurance Regulation 5. Other regulatory standards • Insurers & reinsurers: o Establishing and maintaining a register of Singapore and offshore policies, if the insurer carries on business relating to Singapore and offshore policies. o Establishing and maintaining a separate insurance fund for each class of insurance business carried on by the insurer in respect of its Singapore and offshore policies. o Complying with fund solvency and capital adequacy requirements under relevant legislation and MAS directions. o Investing and maintaining the assets of any insurance fund in accordance with MAS directions, and ensure the maintenance of assets in a way deemed appropriate by MAS. o Investigating the financial condition of each class of business carried on for every accounting period, and ensuring that such investigation is duly carried out by an actuary appointed with the approval of MAS.
  • 73. General Principles of Insurance Regulation 5. Other regulatory standards • Brokers o Preparation and maintenance of statements of accounts, books and other documents that can explain the transactions and financial position of the broker o Lodgement of these documents with the MAS o Annual audit of account
  • 74. General Principles of Insurance Regulation 6. Insolvency • Where an insurer is unable to meet its obligations or becomes insolvent, its liabilities must be distributed in the following order of priority (Insurance Act): o Any levy due and payable under the Deposit Insurance and Policy Owners' Protection Schemes Act 2011 o Protected liabilities under the Deposit Insurance and Policy Owners' Protection Schemes Act 2011, up to the amount paid or payable out of the Policy Owners' Protection Life Fund or Policy Owners' Protection General Fund by the deposit insurance and policy owners' protection fund agency o Liabilities incurred in respect of direct policies that are not protected under the Deposit Insurance and Policy Owners' Protection Schemes Act 2011 o Liabilities incurred in respect of reinsurance policies
  • 75. Notices – All Insurers 1. MAS 101: Maintenance of insurance funds 2. MAS 102: Margins of Solvency 3. MAS 103: Statutory Deposits and Bank Covenants 4. MAS 105: Appointment of custodians and fund manager 5. MAS 106: Appointment of Director, Chairman and Key Executive Person 6. MAS 108: Staff agency business 7. MAS 109:Lending of Singapore Dollar to non- resident Financial Institutions 8. MAS 110: Comprehensive co-payment insurance scheme 9. MAS113: Notice on Securities Borrowing and Leading Activities 10. MAS 114: Reinsurance management 11. MAS 115: Residential property loans 12. MAS 116: Bridging loans for the purchase of immovable properties 13. MAS 117: Training and competency requirement– health insurance module 14. MAS 118: Unsecured Credit Facilities to Individuals 15. MAS 119: Electronic Submission of Annual Returns
  • 76. Notices – All Insurers 16. MAS 120: Disclosure and advisory process requirements for accident and health 17. MAS 121: Captive Insurance – Writing of In-House and Non In-House Risks 18. MAS 122: Asset & Liability Exposures for Insurers 19. MAS 123: Reporting of Suspicious Activities and Incidents of Fraud 20. MAS 124: Public Disclosure Requirements 21. MAS 125: Investments of Insurers 22. MAS 126: Enterprise Risk Management for Insurers 23. MAS 127: Technology Risk Management 24. MAS 128: Computation of Total Debt Servicing Ratio for Property Loans
  • 77. Notices – General Insurers 1. MAS 201: Quarterly and Other returns 2. MAS 210: Actuarial Investigation of General Insurance Policy Liabilities 3. MAS 211: Minimum and Best Practice Training and Competency Standards for Direct General Insurers
  • 78. Notices – Life Insurers 1. MAS 301: Quarterly and Other Returns 2. MAS 302: Product Development and Pricing 3. MAS 303: Mortality Studies of Assured Lives 4. MAS 306: Market Conduct Standards for life insurers providing financial advisory services (as defined under FAA) 5. MAS 307:Investment-linked life insurance policies 6. MAS 309: Mortality Tables for Minimum Reserves Calculation 7. MAS 314: Prevention of money laundering and countering the financing of terrorism 8. MAS 318: Market Conduct Standards for Direct Life Insurer as a Product Provider 9. MAS 319: Valuation of policy liabilities of life business 10. MAS 320: Management of participating life insurance business 11. MAS 321: Direct Purchase Insurance Products 12. MAS 322: Information to be Submitted Relating to the Web-Aggregator
  • 79. Notices – Insurance Brokers 1. MAS 501: Quarterly Statement on Ageing of Premiums Owing to Insurers 2. MAS 502: Minimum Standards and Continuing Professional Development for Insurance Brokers and their Broking staff 3. MAS 504: Reporting of Misconduct of Broking Staff by Insurance Brokers 4. MAS 505: Notice on Reporting of Suspicious Activities & Incidents of Fraud 5. MAS 506: Notice on Technology Risk Management
  • 80. Role of the government in insurance 1. Ensure that those who are licensed are competent and will have sufficient scale 2. Ensuring sufficient competition to prevent cartels from developing limiting numbers to a level that prevents pyramid structures (e.g. cash flow underwriting) 3. Protect the public
  • 81. Role of Compliance in Insurance 5
  • 82. Risks of an insurance company • Data risk • Underwriting risk • Pricing risk • Reserving risk • Asset liability management risk • Insurance fraud risk • Solvency risk • Investment default risk
  • 83. Compliance within the internal control system
  • 84. Compliance function within the internal control system
  • 85. Compliance function within the internal control system
  • 86. Role of compliance • Protect the business and protect customers • Ensure all participants are adequately covered • “Risk-based reviews” of registers/issues o Regulatory reporting o Permissions o Complaints o Claims o Gifts/benefits o Conflicts of interest
  • 87. Issues & challenges for compliance • Product complexity • Poor disclosure • Conflict of interest • Poor complaint handling • Data Privacy • Hard selling • Lack of suitability • Misrepresentation • Poor documentation • Customer risks • Comparison difficulties
  • 88. Risk Management • Why? o Minimise insurable losses o The scope of cover which is required to cover the risks which need to be insured against o The types of risks which a company would find more economical to minimise and bear itself o The age old question of sourcing for the most suitable insurer who provides the widest cover at the best rates o In the course of renewal of cover o In the event of claims, the broker’s expertise is required in determining the appropriate policy
  • 89. Risk Management • The concept underlying an insurance policy is that of risk transfer • Risk management function of insurance policies bears crucial socio-economic significance • Hedges against risks and uncertain losses that individuals/entities might be unable or unwilling to bear • Risk management strategies need to: o Deal with risk o Mitigate risk o Clearly identify hose responsible for implementation o Reflect expected prudent behaviour o Proactive reviews
  • 90. Risk Management • Scope o Underwriting and provisioning o Reinsurance o Investments o Concentrations o Asset–liability management o Derivatives o Liquidity management o Business and operational strategies and processes (including business continuity planning and outsourcing)
  • 91. Governance • Ensure proper oversight and transparency • oversee insurance business line activities and product development and related underwriting, pricing, reinsurance strategies and provisioning needs • Ensure the effectiveness, soundness and integrity of the overall control system Guidelines on Corporate Governance for Financial Holding Companies, Banks, Direct Insurers, Reinsurers and Captive Insurers which are Incorporated in Singapore
  • 92. Governance – Board & Senior Management • Financial reporting framework • High Quality accounting principles • Fairly represented • Solvency position of the insurer • Assess capital, borrowing and liquidity needs Financial Position • Have the requisite insurance, financial, accounting, actuarial, management and leadership skills • Demonstrate independence and exercise objective and impartial judgement in the affairs of the insurer Fitness & Propriety
  • 93. Governance – Actuaries • Insurance (Actuaries) Regulations • Certified actuary must be appointed • Reports to any of Board or Committee • Duties: o formulating a suitable policy o assisting any risk management activity for its business o assisting in product pricing and development
  • 94. MAS’ Financial Advisory Industry Review • “FAIR” – comprehensive evaluation of the FA industry, done with the Life Insurance Association of Singapore • Aims o raising the competence of financial advisory representatives o raising the quality of financial advisory firms o making financial advice a dedicated service o lowering distribution costs o promoting a culture of fair dealing o Guidelines on Fair Dealing
  • 95. MAS’ Financial Advisory Industry Review • Regulatory Implementation – changes were made in 2015 to: o Financial Advisors’ Act o Insurance Act o Subsidiary Legislation
  • 96. MAS’ Financial Advisory Industry Review • Initiatives/implementation o Balanced Scorecard Remuneration Framework (for Representatives and Supervisors) o Restrictions on Non-Financial Advisory Activities for Representatives and Standalone Financial Advisory Firms o Banning of Short-Term Incentives o Continuing Professional Development (minimum of 30 hours annually)

Editor's Notes

  1. Thanks for showing up, as a preamble I’m going to be exploring some of the underlying concepts of insurance rather than being product focused (although I will go into that detail). Please be prepared for a little bit of recklessly used economics term from my high sch econs classes
  2. This is how I’ve structured my slides – if you have questions throughout the presentation, please consider that I’m covering it later on in the slides before asking a question [for the sake of flow]
  3. Layman’s definition Protects against pure risk
  4. Pay attention to the word risk, because it’s a fundamental concept that will be explored
  5. Pay attention to the word risk, because it’s a fundamental concept that will be explored
  6. The concept of risk is something fundamental to all of finance – just approached differently Will be covered later
  7. “how insurance works”
  8. 3000 BC – simply sound business Bottomry - a system of merchant insurance in which a ship is used as security against a loan to finance a voyage, the lender losing their money if the ship sinks. The master of the ship borrows money upon the “bottom” of the ship, to forfeit the ship if the money is not repaid The code gives judgment opn various clases, including judgment over matters of responsibility of loss due to natural occurences Middle ages – burial insurance & early contracts of death THe maritime alws established many rules that are still adhered to (e.g. care for a crew that took ill) Insurance prior to 17th century was confined to maritime trade
  9. Many written contracts of assurance existed in other countries at the same time But Lloyd was first Insurance & reinsurance market First London coffee house opened in 1652, happened together with info on a reward about stolen watches London was a centre of trade
  10. Uncertainty – siutations in which the possibility of one or more negative outcomes may or may not occur PURE RISK – chance of damage to one’s home from a fire or storm The chase of such a loss is accidential and uncertain, homeowners do nto know if/when/how bad the loss is Only know that a loss MIGHT occur Have nothing to gain from losing their home For simplicity’s sake, is defined in insurance and general finance as the possibility of financial loss (bc quantifiable) There are risks for everything SPECULATIVE RISKS – what is usually involved for the other capital markets. Both are about believing in the efficiency of the market in allocating risks – just diff types of risk, in diff ways.
  11. Uncertainty – siutations in which the possibility of one or more negative outcomes may or may not occur PURE RISK – chance of damage to one’s home from a fire or storm The chase of such a loss is accidential and uncertain, homeowners do nto know if/when/how bad the loss is Only know that a loss MIGHT occur Have nothing to gain from losing their home For simplicity’s sake, is defined in insurance and general finance as the possibility of financial loss (bc quantifiable) There are risks for everything
  12. 4 basic types of risk
  13. Pool members exchange their fair share of total pool costs in return for protection against the risk of a potentially much larger loss that they would otherwise face individually as number of members of an insurance pool increases, the random/uncertain aspect of occurrence of accidents and claims for benefits is reduced, and there is greater certainty about the total losses that the pool will suffer BUT pooling losses =/= every po Pool can allocates its costs among members through smaller, certain premiums/assessments
  14. Pool members exchange their fair share of total pool costs in return for protection against the risk of a potentially much larger loss that they would otherwise face individually as number of members of an insurance pool increases, the random/uncertain aspect of occurrence of accidents and claims for benefits is reduced, and there is greater certainty about the total losses that the pool will suffer BUT pooling losses =/= every po Pool can allocates its costs among members through smaller, certain premiums/assessments
  15. Efficieincy – usually used by economists “social welfare” – the combined utility of all E.g. 1: tradeoff between equity and efficiency. Low-risk insured will be induced to buy too little, high risk will buy too much. Incentives to mitigate losses will be distorted by equalizing premoim payments. Indivs who don’t pay will cost will have less incentive to reduce their risk to lower their premiums. Basic economics – use of market theory to create incentives to modify behavior. E.g. 2 - point is to maximise economic efficiency. Allocating the full costs of activities to their beneficiaries will encourage insurance and loss-control expensidutes that maximise social welfare. Indivs/firms will be induced to reduce their risk of loss if the resulting savings exceeds their cost of reducing risk. Ergo: no tradeoff. E.g. 3: equity in insurance markets is achieved when individuals pay premiums commensurate with their relative risk. High risk insured pay high premiums.
  16. In theory, risk exposures should meet several conditions to be insurable In reality, few risks meet these conditions exactly 1. INDEPENDENCE – no correlation between an event causing a loss to one exposure, and an event causing a loss to another. Identically distributed – each exposure faces the same probability distribution of potential losses. Law of large numbers! Pooling and diversification fo risks works best when the exposures are independent and easily distributed. The condition is violated when a significant number of exposures could suffer losses bc of 1/a series of related events (e.g. hurricane, epidemic.) Reinsurance/catastrophe bonds! 2. Economicalyl feasible – can cover an insurer’s cost ((i.e. expected loss, expenses, cost of capital) but be low enough to potential insureds 3. UNINTENTIONAL/ACCIDENTAL – otherwise will give rise to moral hazard (next slide). When moral hazard is present, losses more likely to occur. People will destroy more things 4. EASILY DETERMINABLE – ineed to assess claims. Otherwise, cost of adjusting a claim is so high it is not possible to offer insurance at an economically feasible premium
  17. ADVERSE SELECTION When insureds have better knowledge of their risk than insurers. If everyone is charged the same premium based on the average (expected) oss, then low-risk will pay more and high risk will pay less than their actuarily fair premiums Low risk will leave, high risk will join MORAL HAZARD Behaviours will change either to intentionally cause losses or expend less effort to avoid losses Cost-sharing: causes insured to BEAR SOME OF THE LOSS Market failure due to informational constraints that can cause the market to provide a less than optimal amount of insurance and potentially collapse.
  18. INSURABLE INTEREST – otherwise idnivs could purchaqse insurance contracts as a matter of speculation (e.g. insuring someone else’s house without having a financial interest), or a life insurance policy with whom they have no family relationship interest
  19. INDEMNITY – ensure that insureds don’t gain financially from their loss, and thus reduce moral hazard. Otherwise, there would be an incentive to cause losses. INSURABLE INTEREST – otherwise idnivs could purchaqse insurance contracts as a matter of speculation (e.g. insuring someone else’s house without having a financial interest), or a life insurance policy with whom they have no family relationship interest
  20. “risk
  21. Size of the sector? US insurance industry is the largest in the world in terms of revenue, exceeded $1.2 trillion
  22. Term – face value is paid if death occurs, but nothing if no death occurs Whole life Universal life Endowment Annuities
  23. Term – face value is paid if death occurs, but nothing if no death occurs Whole life Universal life Endowment Annuities
  24. HOMEOWNERS – can choose to insure for replacement cost or actual cash/market value + choose deductiblesa
  25. Surety bonds require one party to ensure that obligations of a second party are met Used most often for contract construction, court actions, lcienses and permits
  26. PRODUCT DESIGN –PRICING PRODUCTION & DISTRIBUT
  27. Obviously determined in advance what insured must pay to cover losses incurred and benefits to be paid in the future ACTUARIES! Diagram: components of insurance premiums Pure premium – amount of losses/benefits insurers expect to pay Expenses – biz dev, administration, adjusting/paying claims, taxes, assessments/fees, overhead, profit PROP-LIABILITY/ACCIDENT – HEALTH [ class rating vs indiv risk rating
  28. The provision provides coverage for losses, administrative efficiencies and loss mitigation incentives in response to insureds’ desired level of risk retention The other services are developed due to competition, and in response to consumer demand and within regulatory constraints
  29. Obviously determined in advance what insured must pay to cover losses incurred and benefits to be paid in the future ACTUARIES! Diagram: components of insurance premiums Pure premium – amount of losses/benefits insurers expect to pay Expenses – biz dev, administration, adjusting/paying claims, taxes, assessments/fees, overhead, profit PROP-LIABILITY/ACCIDENT – HEALTH [ class rating vs indiv risk rating
  30. Obviously determined in advance what insured must pay to cover losses incurred and benefits to be paid in the future ACTUARIES! Diagram: components of insurance premiums Pure premium – amount of losses/benefits insurers expect to pay Expenses – biz dev, administration, adjusting/paying claims, taxes, assessments/fees, overhead, profit PROP-LIABILITY/ACCIDENT – HEALTH [ class rating vs indiv risk rating
  31. The agents will contact/be contacted by potential insurance buyers and assist them in determining their insurance needs and in selecting an insurer AGENT
  32. The agents will contact/be contacted by potential insurance buyers and assist them in determining their insurance needs and in selecting an insurer AGENT
  33. The agents will contact/be contacted by potential insurance buyers and assist them in determining their insurance needs and in selecting an insurer AGENT
  34. Must be coordinated with insurer’s pricing structure to ensure insurer colelcts enough premiums to support its portfolio of risk OBJECTIVE: matching each risk with an appropriate plan/premium Lower prices will have more stringent underwriting standards Insurers with higher prices can have less stringent standards
  35. Securities underwriting - This is a way of distributing a newly issued security, such as stocks or bonds, to investors. A syndicate of banks (the lead managers) underwrites the transaction, which means they have taken on the risk of distributing the securities. Should they not be able to find enough investors, they will have to hold some securities themselves. Underwriters make their income from the price difference (the "underwriting spread") between the price they pay the issuer and what they collect from investors or from broker-dealers who buy portions of the offering. Bank underwriting - Consumer loan underwriting includes the verification of such items as employment history, salary and financial statements; publicly available information, such as the borrower's credit history, which is detailed in a credit report; and the lender's evaluation of the borrower's credit needs and ability to pay. Examples include mortgage underwriting. Commercial (or business) underwriting consists of the evaluation of financial information provided by small businesses including analysis of the business balance sheet including tangible net worth, the ratio of debt to worth (leverage) and available liquidity (current ratio). Analysis of the income statement typically includes revenue trends, gross margin, profitability, and debt service coverage.
  36. Each insurance company has its own set of underwriting guidelines Information used to evaluate the risk depends on teype of coverage Eg car insurance – driving record and type of car Life/health – applicant’s health status Factors used are usually objective Moral hazard – e.g bedbugs are exluded fro homeowners insurance to avoid paying for consequence of recklessly bringing in a used mattress Correlated causes – e.g. homeowners insurance that doesn’t cover floods/earthquakes. Need diff insurance for that specifically
  37. Must be coordinated with insurer’s pricing structure to ensure insurer colelcts enough premiums to support its portfolio of risk OBJECTIVE: matching each risk with an appropriate plan/premium Lower prices will have more stringent underwriting standards Insurers with higher prices can have less stringent standards
  38. The agents will contact/be contacted by potential insurance buyers and assist them in determining their insurance needs and in selecting an insurer AGENT
  39. The agents will contact/be contacted by potential insurance buyers and assist them in determining their insurance needs and in selecting an insurer AGENT
  40. Efficient insurance markets allow insurers to further diversify their risk through reinsurance, investments and other vehicles to lower the risk of insurance
  41. Efficient insurance markets allow insurers to further diversify their risk through reinsurance, investments and other vehicles to lower the risk of insurance
  42. Efficient insurance markets allow insurers to further diversify their risk through reinsurance, investments and other vehicles to lower the risk of insurance
  43. A list of the top 50 global insurers (as of 2016) ranked per turnover, shareholder’s equity and ratios RGA – Reinsurance Group of America Great west lifeco – Canadian group
  44. Responsible for the licensing, authorization and supervision of insurance and reinsurance activities derives regulatory and enforcement powers from the Insurance Act (Cap. 142) Insurance act  governs general insurance which is often consumption based and not considered investment products FAA  the entire range of financial advisory services, and specifically includes the “arranging [of] any contract of insurance in respect of life policies”, The diff types of entities are governed through separate Notices/Guidelines
  45. a company that carries out these ACTIVITIES needs a license
  46. a company that carries out these ACTIVITIES needs a license
  47. a company that carries out these ACTIVITIES needs a license
  48. IB  relating to general business and long-term accident and health policies, as well as reinsurance of liabilities under insurance policies relating to life business and general business FA  advising others on investment products, issuance of research reports covering investment products, marketing of any collective investment schemes Fiduciary duty – highest standard of care Fulfil their duty of care by acting in a reasonably prudent manner when making the decision and make business decisions after taking all available information into account, and then act in a judicious manner that promotes the company's best interests. Any difference between Insurance Broker and Financial Adviser? IB license- Part IIB of Insurance Act Sec 35X of Insurance Act Type of registration Direct General reinsurance Life reinsurance Licensing under Financial Adviser Act – granted only to corporations
  49. Must be coordinated with insurer’s pricing structure to ensure insurer colelcts enough premiums to support its portfolio of risk OBJECTIVE: matching each risk with an appropriate plan/premium Lower prices will have more stringent underwriting standards Insurers with higher prices can have less stringent standards
  50. Solvency capital requirement is a formula-based figure calibrated to ensure that all quantifiable risks are taken into account, including non-life underwriting, life underwriting, health underwriting, market, credit, operational and counterparty risks. CAR: essentially measures financial risk that examines the available capital in relation to extended credit. It expresses a percentage of the credit exposures weighted by risk. The fund solvency requirements help to ensure that for each insurance fund, there are sufficient financial resources to cover the total risk requirements at a 99.5% confidence level (Valuation at Risk). The capital adequacy requirements at the company level, on the other hand, help to ensure that there are also sufficient financial resources to cover the total risk requirements for the shareholders’ fund. Component 1 (C1) requirement: This component relates to insurance risks undertaken by an insurer. For general insurance business, the requirement is calculated by applying specific risk charges on an insurer’s premium and claims liabilities. The risk charges applicable to different business lines vary according to volatility of the underlying businesses. For life insurance business, the requirement is calculated by applying specific risk margins to key parameters affecting policy liabilities such as mortality, morbidity, expenses and policy termination rates. Component 2 (C2) requirement: This component relates to risks inherent in an insurer’s asset portfolio. It is calculated based on an insurer’s exposure to various markets including debt, equity, property, and foreign exchange. The C2 requirement also reflects the extent of the mismatch between assets and liabilities. Component 3 (C3) requirement: This component relates to concentration risks in certain types of assets, counter-parties or groups of counter-parties. It is calculated based on an insurer’s exposure in excess of the prescribed concentration limits.
  51. in equities and long-dated bonds and offer long-term insurance products for policyholders Impact Changing level playing field between insurance and other businesses -changing competitiveness Increased cost of doing business eventually leads to higher premiums and lower coverage for consumers Help to create more awareness on risk and reward More disclosure
  52. Must be coordinated with insurer’s pricing structure to ensure insurer colelcts enough premiums to support its portfolio of risk OBJECTIVE: matching each risk with an appropriate plan/premium Lower prices will have more stringent underwriting standards Insurers with higher prices can have less stringent standards
  53. As per the requirement under the Insurance Act To secure a minimum level of asset protection for insurance policyholders, the Act mandates that the assets of each class of insurance business of an insurer be segregated from the assets of other classes and those of shareholders. Insurers are required to set up a separate fund for each class of insurance business and ensure that all assets, receipts, liabilities and expenses are properly attributed to the relevant fund. In the event of liquidation, the assets of each insurance fund are to be used to meet that fund’s liabilities to policyholders before meeting the liabilities of the other insurance funds or the shareholders’ fund.
  54. It involves assessment of the various processes and departments, to check what makes the organization vulnerable. It goes beyond the standard compliance where the rules and regulations. In case of risk management, the risks vary and therefore, the management programs to deal with them vary too.
  55. Why the need for a well–defined risk management framework ?
  56. Why the need for a well–defined risk management framework ?
  57. Why the need for a well–defined risk management framework ?
  58. In the course of approving premiums need to be paid by policy holders. Actuaries have to take into account : the impact of the premium or rate of premium, the product design and the underwriting policies of the insurer. Duties: Suitable policy  on how the assets of any of its insurance funds are to be invested Risk management  the purposes of calculating liabilities and capital requirements for the insurer’s insurance product Product pricing  such as identifying appropriate rating factors for product pricing, the design of product features and the setting of underwriting standards
  59. FA representatives and supervisors will need to meet key performance indicators that are not related to sales, such as providing suitable product recommendations and making proper disclosure of material information to customers. Failure to do so will affect their variable income. This is to better align the interests of the FA industry and consumers.  distribution of commissions No misconduct, fair representation, full disclosure including disclosure of advisers’ remuneration.