Parametric contracts may ultimately mature into an effective tool to assist U.S. businesses, nonprofits, local governments, and even families to manage risks relating to climate change. Before this product set can be trusted to deliver on that promise, parametric contracts must first be securely grounded in an appropriate regulatory framework.
Parametric contracts are undoubtedly swaps within the jurisdiction of the CFTC. The regulatory safe harbor CFTC granted to traditional insurance products only extends to state-regulated insurance policies indemnifying the policyholder to the extent of an actual, proven loss. This exception to the CFTC’s jurisdiction cannot reasonably stretch to encompass parametric contracts that promise a formulaic payout based on the parameters of an external event.
There is mounting evidence that Congress, state insurance regulators, consumers, and other stakeholders have embraced state regulation of parametric insurance contracts despite the clear jurisdictional mandate of the CFTC. For example, a bill currently pends before the U.S. House that would compel insurance companies to offer parametric pandemic insurance contracts regulated not by the CFTC but by state insurance regulators. Similarly, a recent federal Civil Innovation Grant awarded $1 million to pilot climate-related parametric insurance contracts provided to underserved communities in New York City.
Nothing prohibits an insurance company from offering parametric products so long as it complies with CFTC rules such as registration, data reporting, anti-money laundering protections, training and oversight of staff, and use registered brokers. In fact, compliant insurance companies and NFA registered insurance agents and brokers are well positioned to compete alongside other financial services sectors in a vibrant parametric contract market overseen by the CFTC.
The CFTC must either aggressively police its jurisdictional perimeter or expressly cede its authority over parametric contracts to insurance regulators. Until the CFTC speaks up, the potential for parametric contracts to contribute to the management of climate-related risk will profoundly underdeliver while consumers are marketed inefficient and legally dubious parametric insurance contracts.
This paper examines the broad net Congress cast to capture event contracts under the Commodities Futures Trading Commission's (CFTC) jurisdiction and the exclusion the CFTC crafted allowing traditional indemnity-based insurance to remain within the jurisdiction of state insurance regulation.
California Climate Insurance Working Group Sizes Up Parametric SolutionsJasonSchupp1
California’s Commissioner of Insurance convened a Working Group to explore the role innovative insurance solutions may be able to play in helping communities and families manage the risk of climate change. One of the Working Group’s recommendations is to promote parametric insurance. While traditional insurance indemnifies the policyholder for actual loss, parametric insurance pays out a pre-set amount if a disaster such as a flood, wildfire or heat wave exceeds specified parameters.
There is just one hitch: Parametric insurance is not insurance. After the 2008 financial crisis, Congress enacted Dodd-Frank to, among other things, sweep parametric and other event contracts under the jurisdiction of the Commodities Futures Exchange Commission (CFTC). The Working Group is right to highlight the potential for parametric solutions to become an effective risk management tool, but it must invite the CFTC to join in the discussion if it hopes to move its recommendations toward reality.
CBI Comments on Proposed TRIA Regulatory DefinitionsJasonSchupp1
This comment letter focuses on the proposed rule changes for the Terrorism Risk Insurance Act regulations with respect to the definitions of:
• Act of terrorism; and
• Insured loss
in accordance with Treasury’s Notice appearing at 85 FR 71588 (November 10, 2020).
Compliance with TRIA - Comments to TreasuryJasonSchupp1
Treasury currently has no tools to investigate or enforce compliance with the program until after an insurance company claims a payout from the backstop. By then it will be far too late for the insurer to fix any compliance issues. Treasury’s only recourse at that point is to deny the requested reimbursement and, if appropriate, pursue civil or criminal penalties against the insurer and the company executive signing the certificate of compliance.
This comment letter focuses on the proposed rule changes under the Terrorism Risk Insurance Program with respect to the outsized role captive insurers play in the Program and whether the Program should permit public identification of individual captive insurers.
CBI Comments on FATF Implementation of Corporate Transparency ActJasonSchupp1
Despite the IRS designation of certain captive arrangements in its “Dirty Dozen” of tax fraudsters and an increasingly intense IRS campaign scrutinizing alleged financial abuses by these entities, Treasury's Financial Crimes Enforcement Network (FinCEN) does nothing to close or otherwise control the massive loophole in U.S. financial crime defenses created by an exemption of captive insurance companies from the Corporate Transparency Act.
This paper examines the broad net Congress cast to capture event contracts under the Commodities Futures Trading Commission's (CFTC) jurisdiction and the exclusion the CFTC crafted allowing traditional indemnity-based insurance to remain within the jurisdiction of state insurance regulation.
California Climate Insurance Working Group Sizes Up Parametric SolutionsJasonSchupp1
California’s Commissioner of Insurance convened a Working Group to explore the role innovative insurance solutions may be able to play in helping communities and families manage the risk of climate change. One of the Working Group’s recommendations is to promote parametric insurance. While traditional insurance indemnifies the policyholder for actual loss, parametric insurance pays out a pre-set amount if a disaster such as a flood, wildfire or heat wave exceeds specified parameters.
There is just one hitch: Parametric insurance is not insurance. After the 2008 financial crisis, Congress enacted Dodd-Frank to, among other things, sweep parametric and other event contracts under the jurisdiction of the Commodities Futures Exchange Commission (CFTC). The Working Group is right to highlight the potential for parametric solutions to become an effective risk management tool, but it must invite the CFTC to join in the discussion if it hopes to move its recommendations toward reality.
CBI Comments on Proposed TRIA Regulatory DefinitionsJasonSchupp1
This comment letter focuses on the proposed rule changes for the Terrorism Risk Insurance Act regulations with respect to the definitions of:
• Act of terrorism; and
• Insured loss
in accordance with Treasury’s Notice appearing at 85 FR 71588 (November 10, 2020).
Compliance with TRIA - Comments to TreasuryJasonSchupp1
Treasury currently has no tools to investigate or enforce compliance with the program until after an insurance company claims a payout from the backstop. By then it will be far too late for the insurer to fix any compliance issues. Treasury’s only recourse at that point is to deny the requested reimbursement and, if appropriate, pursue civil or criminal penalties against the insurer and the company executive signing the certificate of compliance.
This comment letter focuses on the proposed rule changes under the Terrorism Risk Insurance Program with respect to the outsized role captive insurers play in the Program and whether the Program should permit public identification of individual captive insurers.
CBI Comments on FATF Implementation of Corporate Transparency ActJasonSchupp1
Despite the IRS designation of certain captive arrangements in its “Dirty Dozen” of tax fraudsters and an increasingly intense IRS campaign scrutinizing alleged financial abuses by these entities, Treasury's Financial Crimes Enforcement Network (FinCEN) does nothing to close or otherwise control the massive loophole in U.S. financial crime defenses created by an exemption of captive insurance companies from the Corporate Transparency Act.
CBI’s Statement on PRIA to Congressional SubcommitteeJasonSchupp1
The House Financial Services Committee’s Subcommittee on Housing, Community Development and Insurance will hold a hearing on Thursday November 19, 2020 entitled Insuring Against a Pandemic: Challenges and Solutions for Policyholders and Insurers. The hearing is expected to focus on the Pandemic Risk Insurance Act (HR 7011) introduced in May by Representative Maloney of New York.
The Centers for Better Insurance is submitting the attached Statement for the Record which warns this well-intended legislation (as well as the excess program in the joint industry Business Continuity Protection Program) would:
• Leave small businesses, nonprofits, and local governments in no better position during future pandemics than they are today as they struggle to survive COVID-19 lockdown orders while battling their insurance companies in court; and
• Grant large corporations license to design their own multi-billion-dollar taxpayer funded pandemic bailouts free from Congressional oversight, U.S. Treasury supervision, and public scrutiny.
PRIA is based on the Terrorism Risk Insurance Act (TRIA) thereby adopting and amplifying its two greatest shortcomings:
• PRIA would remove only the “virus exclusion” from small business insurance policies. More than 80% of court cases dismissing small business claims for COVID-19 business interruption so far have been based on a lack of “direct physical loss or damage” – not the virus exclusion alone. PRIA is no more than a ticket for small businesses, nonprofits, and local governments to head back to court to litigate whether a virus can cause property damage as their businesses crumple under the weight of future pandemic lockdown orders.
• PRIA would allow large corporations to set up their own personal insurance companies (known as “captives”) offering their owners generous pandemic coverages with 95% of the cost transferred to the American taxpayer. According to U.S. Treasury, up to 95 cents of every dollar paid out under TRIA following a future terrorist attack would pass through captives on the way to the coffers of large corporations. No doubt large corporations would likewise siphon off the lion’s share PRIA’s payouts through these secretive special purpose vehicles.
The American taxpayer in on the hook for “only” 80% of the $100 billion TRIA program. Perhaps continued tolerance of that program’s well-known defects is somehow justifiable. However, there can be no justification to replicate these defects and extrapolate them into a taxpayer liability for 95% of a $750 billion program.
FIO's 2022 Climate Data Call - CBI's CommentsJasonSchupp1
Executive Order 14030 (Climate Related Financial Risk) directs the Secretary of the Treasury to “direct the Federal Insurance Office to ... assess, in consultation with States, the potential for major disruptions of private insurance coverage in regions of the country particularly vulnerable to climate change impacts.”
FIO intends to collect data from the insurance industry in order to study the effect of climate-related catastrophes on insurance availability and affordability.
In the attached comments, CBI agrees with FIO’s intention to target its first data call on climate-related physical risks to homeowners or similar insurance. CBI makes a number of suggestions to improve this proposed data collection.
Alternatively, CBI proposes that an even more targeted data collection directed toward the insurance industry’s “relief value” mechanisms would allow FIO to gain far deeper insights into changes in availability and affordability over a longer period of time while collecting less data and data that is readily available from fewer respondents.
CGL Coverage Form -- Coverage A (from FC&S Legal: The Insurance Coverage Law ...NationalUnderwriter
This article analyzes coverage A, bodily injury and property damage coverages of the ISO CGL form CG 00 01.
Bodily Injury and Property Damage Liability:
Summary: Coverage A of the current commercial general liability (CGL) coverage forms, both the
occurrence form and the claims-made form, provides bodily injury and property damage liability
insurance. This article discusses the features of coverage A that are common to both the occurrence
and the claims-made form.
CBI Comments on TRIA - Certification ProcessJasonSchupp1
Centers for Better Insurance urges Treasury to decline to open the door to a formal petitioning procedure. The U.S. Constitution’s First Amendment already allows any interested person to bring to the Secretary of Treasury’s attention an event the person believes should or should not be subject to certification. Nothing in the Program’s existing rules abridges that right.
Insurance law is the practice of law surrounding insurance, including insurance policies and claims. It can be broadly broken into three categories - regulation of the business of insurance; regulation of the content of insurance policies, especially with regard to consumer policies; and regulation of claim handling.
Insurance claim settlement in china by daxue consultingDaxue Consulting
With support from Asian Risks Management Services Co. Ltd. (ARMS) we are happy to share our new report on insurance claim settlement in China.
Overview of the insurance claim settlement market, Chinese insurance companies boast high claim settlements rates and quick resolutions. However, if it’s true for most insurance B2C policies, more complex insurance contracts often require longer time periods to settle and are more prone to claim failure.
Numerous financial instruments and products are used in financial planning. Life insurance is an example of both because it assists individuals accomplish financial goals via a financial mechanism that is legally structured differently from other financial planning products such as 401(k)s and individual retirement accounts.
CBI Comments to FinCEN on Beneficial Ownership of CpativesJasonSchupp1
In response to this ANPR, CBI draws FinCEN’s attention to how U.S. domiciled captive insurance companies may interact with the provisions and intent of the Corporate Transparency Act (CTA).
Terrorism Risk Captives - Comments to TreasuryJasonSchupp1
Every two years U.S. Treasury reports to Congress on the effectiveness of the Terrorism Risk Insurance Program. Treasury’s 2018 report revealed the outsized role captive insurance companies play in the program. For example, we learned:
• At least 500 captives participate in the program, although “Treasury does not have a comprehensive U.S. captive count”;
• Captives account for 23% of the all US terrorism premiums earned despite representing only 4% of the total commercial property and casualty insurance market; and
• Captives would receive about 95% of all payouts from the federal backstop under a hypothetical truck bomb attack in Chicago.
As explained in the attached comments to Treasury, the 2020 Report should build on this analysis to quantify the serious risks terrorism insurance captives present to:
• The integrity of the program;
• The assets of regular policyholders such as churches, charities, schools and small businesses that cannot afford to set up their own insurance companies; and
• Funding for the care of victims of NBCR terrorist attacks and the families left behind.
The attached also proposes a public listing of participating insurers with basic information so Congress and those put at risk can better understand these risks and hold the corporations creating them to account.
INSURE Act - Summary and Analysis by Centers for Better InsuranceJasonSchupp1
This document provides a summary of the Incorporating National Support for Unprecedented Risks and Emergencies Act (INSURE Act) (H.R. 6944) introduced by Rep. Adam Schiff on January 10, 2024. The program would create a would create a catastrophic property loss reinsurance program.
CBI Comments on Treasury's TRIP Data Call for CaptivesJasonSchupp1
Every year the Federal Insurance Office (FIO), as administrator of the Terrorism Risk Insurance Program, requires participating insurers to respond to a detailed data call.
Among other changes, FIO recently announced its intention to improve the data it collects from captive insurers. A captive is an insurance company that is owned by its policyholder. In many cases, a large corporation sets up a captive to manage retained risks, directly access reinsurance, and capture substantial tax advantages.
Many of these corporations also use captives to directly extract billions of dollars in benefits from government programs such as the Terrorism Risk Insurance Program and Federal Home Loan Bank system. In fact, prior data calls revealed that large corporations are expected to receive up to 95% of Terrorism Risk Insurance Program payouts through their captive insurers.
CBI has offered a number of practical suggestions to FIO to improve its data call templates and instructions. These suggestions, if adopted, would make it more likely captives will provide data that leads to useful insights for Congress and other stakeholders.
More Related Content
Similar to Climate Risk, Parametric Insurance, and Dodd-Frank
CBI’s Statement on PRIA to Congressional SubcommitteeJasonSchupp1
The House Financial Services Committee’s Subcommittee on Housing, Community Development and Insurance will hold a hearing on Thursday November 19, 2020 entitled Insuring Against a Pandemic: Challenges and Solutions for Policyholders and Insurers. The hearing is expected to focus on the Pandemic Risk Insurance Act (HR 7011) introduced in May by Representative Maloney of New York.
The Centers for Better Insurance is submitting the attached Statement for the Record which warns this well-intended legislation (as well as the excess program in the joint industry Business Continuity Protection Program) would:
• Leave small businesses, nonprofits, and local governments in no better position during future pandemics than they are today as they struggle to survive COVID-19 lockdown orders while battling their insurance companies in court; and
• Grant large corporations license to design their own multi-billion-dollar taxpayer funded pandemic bailouts free from Congressional oversight, U.S. Treasury supervision, and public scrutiny.
PRIA is based on the Terrorism Risk Insurance Act (TRIA) thereby adopting and amplifying its two greatest shortcomings:
• PRIA would remove only the “virus exclusion” from small business insurance policies. More than 80% of court cases dismissing small business claims for COVID-19 business interruption so far have been based on a lack of “direct physical loss or damage” – not the virus exclusion alone. PRIA is no more than a ticket for small businesses, nonprofits, and local governments to head back to court to litigate whether a virus can cause property damage as their businesses crumple under the weight of future pandemic lockdown orders.
• PRIA would allow large corporations to set up their own personal insurance companies (known as “captives”) offering their owners generous pandemic coverages with 95% of the cost transferred to the American taxpayer. According to U.S. Treasury, up to 95 cents of every dollar paid out under TRIA following a future terrorist attack would pass through captives on the way to the coffers of large corporations. No doubt large corporations would likewise siphon off the lion’s share PRIA’s payouts through these secretive special purpose vehicles.
The American taxpayer in on the hook for “only” 80% of the $100 billion TRIA program. Perhaps continued tolerance of that program’s well-known defects is somehow justifiable. However, there can be no justification to replicate these defects and extrapolate them into a taxpayer liability for 95% of a $750 billion program.
FIO's 2022 Climate Data Call - CBI's CommentsJasonSchupp1
Executive Order 14030 (Climate Related Financial Risk) directs the Secretary of the Treasury to “direct the Federal Insurance Office to ... assess, in consultation with States, the potential for major disruptions of private insurance coverage in regions of the country particularly vulnerable to climate change impacts.”
FIO intends to collect data from the insurance industry in order to study the effect of climate-related catastrophes on insurance availability and affordability.
In the attached comments, CBI agrees with FIO’s intention to target its first data call on climate-related physical risks to homeowners or similar insurance. CBI makes a number of suggestions to improve this proposed data collection.
Alternatively, CBI proposes that an even more targeted data collection directed toward the insurance industry’s “relief value” mechanisms would allow FIO to gain far deeper insights into changes in availability and affordability over a longer period of time while collecting less data and data that is readily available from fewer respondents.
CGL Coverage Form -- Coverage A (from FC&S Legal: The Insurance Coverage Law ...NationalUnderwriter
This article analyzes coverage A, bodily injury and property damage coverages of the ISO CGL form CG 00 01.
Bodily Injury and Property Damage Liability:
Summary: Coverage A of the current commercial general liability (CGL) coverage forms, both the
occurrence form and the claims-made form, provides bodily injury and property damage liability
insurance. This article discusses the features of coverage A that are common to both the occurrence
and the claims-made form.
CBI Comments on TRIA - Certification ProcessJasonSchupp1
Centers for Better Insurance urges Treasury to decline to open the door to a formal petitioning procedure. The U.S. Constitution’s First Amendment already allows any interested person to bring to the Secretary of Treasury’s attention an event the person believes should or should not be subject to certification. Nothing in the Program’s existing rules abridges that right.
Insurance law is the practice of law surrounding insurance, including insurance policies and claims. It can be broadly broken into three categories - regulation of the business of insurance; regulation of the content of insurance policies, especially with regard to consumer policies; and regulation of claim handling.
Insurance claim settlement in china by daxue consultingDaxue Consulting
With support from Asian Risks Management Services Co. Ltd. (ARMS) we are happy to share our new report on insurance claim settlement in China.
Overview of the insurance claim settlement market, Chinese insurance companies boast high claim settlements rates and quick resolutions. However, if it’s true for most insurance B2C policies, more complex insurance contracts often require longer time periods to settle and are more prone to claim failure.
Numerous financial instruments and products are used in financial planning. Life insurance is an example of both because it assists individuals accomplish financial goals via a financial mechanism that is legally structured differently from other financial planning products such as 401(k)s and individual retirement accounts.
CBI Comments to FinCEN on Beneficial Ownership of CpativesJasonSchupp1
In response to this ANPR, CBI draws FinCEN’s attention to how U.S. domiciled captive insurance companies may interact with the provisions and intent of the Corporate Transparency Act (CTA).
Terrorism Risk Captives - Comments to TreasuryJasonSchupp1
Every two years U.S. Treasury reports to Congress on the effectiveness of the Terrorism Risk Insurance Program. Treasury’s 2018 report revealed the outsized role captive insurance companies play in the program. For example, we learned:
• At least 500 captives participate in the program, although “Treasury does not have a comprehensive U.S. captive count”;
• Captives account for 23% of the all US terrorism premiums earned despite representing only 4% of the total commercial property and casualty insurance market; and
• Captives would receive about 95% of all payouts from the federal backstop under a hypothetical truck bomb attack in Chicago.
As explained in the attached comments to Treasury, the 2020 Report should build on this analysis to quantify the serious risks terrorism insurance captives present to:
• The integrity of the program;
• The assets of regular policyholders such as churches, charities, schools and small businesses that cannot afford to set up their own insurance companies; and
• Funding for the care of victims of NBCR terrorist attacks and the families left behind.
The attached also proposes a public listing of participating insurers with basic information so Congress and those put at risk can better understand these risks and hold the corporations creating them to account.
INSURE Act - Summary and Analysis by Centers for Better InsuranceJasonSchupp1
This document provides a summary of the Incorporating National Support for Unprecedented Risks and Emergencies Act (INSURE Act) (H.R. 6944) introduced by Rep. Adam Schiff on January 10, 2024. The program would create a would create a catastrophic property loss reinsurance program.
CBI Comments on Treasury's TRIP Data Call for CaptivesJasonSchupp1
Every year the Federal Insurance Office (FIO), as administrator of the Terrorism Risk Insurance Program, requires participating insurers to respond to a detailed data call.
Among other changes, FIO recently announced its intention to improve the data it collects from captive insurers. A captive is an insurance company that is owned by its policyholder. In many cases, a large corporation sets up a captive to manage retained risks, directly access reinsurance, and capture substantial tax advantages.
Many of these corporations also use captives to directly extract billions of dollars in benefits from government programs such as the Terrorism Risk Insurance Program and Federal Home Loan Bank system. In fact, prior data calls revealed that large corporations are expected to receive up to 95% of Terrorism Risk Insurance Program payouts through their captive insurers.
CBI has offered a number of practical suggestions to FIO to improve its data call templates and instructions. These suggestions, if adopted, would make it more likely captives will provide data that leads to useful insights for Congress and other stakeholders.
Representative Carolyn Maloney (NY) recently announced the reintroduction of the Pandemic Risk Insurance Act. The first version of this proposal, introduced in May 2020, largely borrowed from the Terrorism Risk Insurance Act.
Louisiana Citizens Property Insurance Company is the state’s residual market providing property insurance to homeowners and businesses that have been unable to procure insurance in the private market. Louisiana Citizens came out of the 2005 hurricane season nearly $1 billion in debt from Hurricane Katrina and Rita losses.
As reflected in the attached graphic, Louisiana Citizens appears to have transformed itself into a leaner, financially disciplined, and well governed organization. While it has yet to publish estimated losses from Hurricane Ida, there appears little chance of a similar financial hole opening in Louisiana Citizens’ balance sheet this year.
A graphic overview of this article is available here.
2021 tria small insurer study commentsJasonSchupp1
The Terrorism Risk Insurance Act requires the Federal Insurance Office (FIO) to conduct a study of the program’s impact on small insurers. We have suggested FIO focus its upcoming report on two heighten program risks facing small insurers:
• Compliance with the separate line-item disclosure of terrorism premium; and
• A disproportionate burden of post-event policyholder surcharges.
Terrorism Risk Insurance Act of 2002. This comment letter focuses on the request for comment regarding cyber events occurring outside of the United States.
Summary of NAIC COVID-19 Business Interruption Coverage Data CallJasonSchupp1
The National Association of Insurance Commissioners (NAIC) issued a COVID-19 business interruption data call on behalf of all state departments of insurance except New York and New Mexico.
COVID-19 Business Interruption Rulings as of Oct 30 2020JasonSchupp1
What COVID-19 Business Interruption Litigation Can Tell Us About How the Pandemic Risk Insurance Act (PRIA) Would Work (Or Not Work) for Small Businesses
PRIA would make sure small businesses could buy business income coverage without a virus exclusion – but that does not mean they would be covered for the next pandemic.
WEF2020 Regional Risks – Are Small Businesses Covered?JasonSchupp1
Each year in preparation for its annual meeting in Davos, Switzerland, the World Economic Forum (WEF) polls more than 10,000 business leaders from around the world on their perceptions of the top global risks for doing business.
The WEF’s Regional Risks for Doing Business report ranks responses to its Executive Opinion Survey conducted between January and July of this year.
The Insurance Compliance Function - International Standards JasonSchupp1
The Insurance Compliance Function – Overview of International Standards
The attached provides a practical overview of IAIS Core Principle (ICP) #8 with respect to the duties, management, and oversight of an insurance company’s Compliance Function.
International Association of Insurance Supervisors (IAIS) Insurance Core Principles (ICP) #8 covers standards for Risk Management and Internal Control including standards for the insurance company’s compliance function. Specifically, ICP requires the insurer to maintain:
[A]n effective compliance function capable of assisting the insurer to i) meet its legal, regulatory and supervisory obligations and ii) promote and sustain a compliance culture, including through the monitoring of related internal policies.
The attached presentation details the application of ICP #8 to:
• The scope of the insurance compliance function;
• Management and board responsibilities with respect to the compliance function;
• Requirements for the head of the compliance function;
• Organization of the compliance function;
• The steps in the compliance system;
• Compliance training and awareness;
• The compliance function’s role in internal investigations; and
• Reporting by the compliance function to management and board.
The IAIS is an association of insurance supervisors and regulators from more than 200 jurisdictions. U.S. members of the IAIS are the National Association of Insurance Commissioners (NAIC), Federal Insurance Officefeder (FIO) and the Federal Reserve Board (FRB).
The IAIS serves as the international standard-setting body responsible for principles, standards and other supporting material for the supervision and regulation of the insurance sector. The ICP (recently combined with the Common Framework for the Supervision of Internationally Active Insurance Groups) is its most significant set of standards.
CBI’s other publications are available through:
www.betterins.org
https://jason-schupp.medium.com/
California established the $21 billion Wildfire Fund last year to finance third party liability claims arising from wildfires caused by electrical transmission wires and equipment operated by the state’s three largest investor-owned utilities.
The attached presentation explores:
• How the Wildfire Fund is funded;
• How the Wildfire Fund encourages utilities to make wildfire safety a top priority; and
• How the Wildfire Fund is used to settle claims.
The California Wildfire Fund spreads and smooths the potential cost of more than $20 billion in future wildfire claims across the state’s three largest investor owned utilities, the customers of those utilities and, to a certain extent, homeowners insurers. In doing so, the scheme firmly guides California’s major utilities toward an aggressive commitment to wildfire safety through:
• A mandatory $5 billion shareholder funded investment in risk mitigation;
• Submission of annual risk mitigation plans;
• Standards for safety culture, governance, and executive compensation;
• Additional financial obligations to the Wildfire fund for imprudent actions causing losses; and
• Mandatory liability insurance.
Several insights into U.S. business interruption coverage litigation can be gleaned from the outcome of the UK Financial Conduct Authority’s test case.
On September 15, the UK High Court issued a ruling involving business interruption claims against 21 representative policies issued by 8 insurers. The ruling is a mixed bag for UK policyholders and insurers. For their U.S. counterparts, the decision provides only a few relevant insights.
While the 165-page opinion digs into the unique wording of each of the 21 policies, the fundamental theme running through the insurers’ defense was that the policies only covered localized outbreaks not global pandemics. The insurers generally lost that argument with respect to the policies containing Disease Coverage and generally prevailed with respect to policies containing only Prevention of Access / Public Authority Coverage.
These are not the points driving U.S. policyholders and insurers into court. U.S. business interruption disputes so far have turned on two key policy features. First, U.S. business interruption coverages (including coverage extensions such as civil authority coverage) almost always require property damage to trigger a payout. For standard business income coverage, the property damage must be at the insured location. For civil authority coverage, the property damage must be away from but within a certain distance of the insured location. Second, all but two COVID-19 court rulings in the U.S. have involved policies with virus exclusions.
The UK court did not address either the question of property damage or the applicability of a virus exclusion. In fact, the policies at issue in the UK case contained “non-damage” coverages specifically encompassing business interruption losses resulting from the outbreak of disease.
UK Public Authority Coverage is somewhat similar in nature to civil authority coverage available in the U.S. The attached presentation looks for reasoning within the UK court’s decision that could be applied to interpret similar wording in the U.S., including whether:
• Governmental guidance or recommendations amounts to an “action of civil authority”;
• Stay at home orders “prohibit access” to an insured location;
• The “area immediately surrounding” the insured location includes the entire state; and
• The insured location is “not more than one mile” from the property damage where similar property damage exists outside of that radius.
These are important but nitty-gritty questions that will only need to be answered for civil authority claims that make it past the “property damage” hurdle and any virus exclusion attached to the policy.
The SAFE TO WORK Act (S. 4317) was first introduced as standalone legislation on July 20. The text of this proposed COVID-19 liability shield is included within the “skinny” coronavirus relief bill that recently failed a key vote in the Senate.
As detailed in the attached, the SAFE TO WORK Act would afford U.S. businesses, nonprofits and local governments protections against liability for COVID-19 infections markedly stronger than those available under the immunity statutes enacted by the States.
Under the proposed federal law, a plaintiff infected with COVID-19 would be required to prove through “clear and convincing” evidence:
• The defendant failed to make reasonable efforts to comply with applicable government standards or guidance to mitigate the transmission of COVID-19;
• The defendant acted with gross negligence or willful misconduct; and
• That gross negligence or willful misconduct caused the plaintiff to contract COVID-19.
Summary of State Limitations on COVID-19 LiabilityJasonSchupp1
One third of the States have adopted some form of immunity from liability for COVID-19 but details vary considerably.
At least 17 states have enacted some form of immunity from liability for claims arising out of COVID-19. As reflected in the attached chart, states have designed their respective laws along five general dimensions:
1. What injuries are subject to immunity from liability?
2. Which activities are protected by immunity from liability?
3. How does a defendant trigger the presumption of immunity?
4. How can a plaintiff rebut the presumption of immunity?
5. When does the presumption expire?
California Workers Compensation Presumption for COVID-19 (SB1159)JasonSchupp1
Legislation before the Governor of California would restructure the state’s approach to making workers compensation benefits available to employees who have been diagnosed with COVID-19.
In early May of this year, the Governor of California issued a sweeping Emergency Order creating a rebuttable presumption that COVID-19 positive employees working outside of the home between March 19 and July 5 contracted the virus at work. At the time, California’s Workers Compensation Insurance Rating Bureau estimated the order would cost employers and their insurers $1.2 billion in medical care, disability payments and death benefits.
On August 31, the California legislature passed an extension and restructuring of the presumption of compensability which now awaits the Governor’s signature. The legislation would:
• Codify the presumption established by the emergency order for the period March 19 to July 5.
• Extend the presumption of compensability for first responders and certain health care workers through 2022.
• Limit the presumption of compensability for other employees working outside of the home to apply only if there has been an outbreak of COVID-19 at the workplace.
Under the presumption rules for workplace outbreaks, an employer must report to its insurance company (or claims administrator if self-insured) once the employer becomes aware an employee has tested positive for COVID-19. The insurer will keep track of these reports to determine whether 4 or more employees at a specific workplace (or 4% of the workforce at the site, if greater) have tested positive over a rolling 14-day period. If that threshold has been met, the presumption of compensability arises with respect to employees testing positive for COVID-19 during the period of the outbreak and who worked at the location of the outbreak within the prior 14 days.
The employer can rebut the presumption that an employee became infected with COVID-19 due to a workplace outbreak with evidence of protective measures put in place to reduce the potential transmission of COVID-19 at the worksite or evidence of the employee’s nonoccupational risks of COVID-19 infection.
South Africa - COVID-19 Business Interruption Insurance ClaimsJasonSchupp1
The South African Financial Sector Conduct Authority (FSCA) quickly began raising concerns insurers had been inappropriately denying claims under some non-property damage extensions. Ultimately, the FSCA identified six main categories of non-property damage infectious disease coverages in the South African market and evaluated the proof necessary to recover under each.
On May 26, Representative Carolyn Maloney of New York introduced the Pandemic Risk Insurance Act of 2020 (HR 7011).
This proposal draws on the basic framework developed for the Terrorism Risk Insurance Act of 2002. Although nearly two decades old, that program has never actually paid a claim. Accordingly, many of its design features remain (thankfully) untested.
Business Continuity Protection ProgramJasonSchupp1
On May 21 the National Association of Mutual Insurance Companies (NAMIC), the American Property Casualty Insurance Association (APCIA), and the Independent Insurance Agents & Brokers of America, Inc. (Big “I") released their proposal to address future pandemics: The Business Continuity Protection Program (BCPP).
The Terrorism Risk Insurance Act (TRIA) tries to prevent double payments of policyholder and claimant losses under multiple federal disaster relief programs. When Treasury implemented TRIA’s double payment rules more than 15 years ago it assumed future disaster relief programs would look a lot like those previously rolled out for hurricanes, floods and earthquakes.
COVID-19 has shaken that assumption.
How to Obtain Permanent Residency in the NetherlandsBridgeWest.eu
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Climate Risk, Parametric Insurance, and Dodd-Frank
1. 1
Request for Information on Climate-Related Financial Risk
Submission of the Centers for Better Insurance
CBI responds to the Commodity Futures Trading Commission’s (CFTC) request for information appearing
at 87 FR 34856 (June 8, 2022) which seeks to better inform the CFTC’s understanding and oversight of
climate related financial risk as pertinent to the derivatives markets and underlying commodities markets.
These comments focus on the rapidly unfolding incursion into the CFTC’s jurisdiction over swap
transactions by climate-related event contracts mis-sold as “parametric insurance.”
The Centers for Better Insurance, LLC (CBI) is an independent organization committed to enhancing the
value the insurance industry delivers to all stakeholders (including policyholders, employees, and society
at large). CBI does so by making available unbiased analysis and insights about key regulatory issues facing
the industry for use by insurance professionals, regulators, and policymakers. Additional information
regarding CBI is available on the web at www.betterins.org or by email request at info@betterins.org.
Executive Summary
Parametric contracts may ultimately mature into an effective tool to assist U.S. businesses, nonprofits,
local governments, and even families to manage risks relating to climate change. Before this product set
can be trusted to deliver on that promise, parametric contracts must first be securely grounded in an
appropriate regulatory framework.
Parametric contracts are undoubtedly swaps within the jurisdiction of the CFTC. The regulatory safe
harbor CFTC granted to traditional insurance products only extends to state-regulated insurance policies
indemnifying the policyholder to the extent of an actual, proven loss. This exception to the CFTC’s
jurisdiction cannot reasonably stretch to encompass parametric contracts that promise a formulaic payout
based on the parameters of an external event.
There is mounting evidence that Congress, state insurance regulators, consumers, and other stakeholders
have embraced state regulation of parametric insurance contracts despite the clear jurisdictional mandate
of the CFTC. For example, a bill currently pends before the U.S. House that would compel insurance
companies to offer parametric pandemic insurance contracts regulated not by the CFTC but by state
insurance regulators. Similarly, a recent federal Civil Innovation Grant awarded $1 million to pilot climate-
related parametric insurance contracts provided to underserved communities in New York City.
Nothing prohibits an insurance company from offering parametric products so long as it complies with
CFTC rules such as registration, data reporting, anti-money laundering protections, training and oversight
of staff, and use registered brokers. In fact, compliant insurance companies and NFA registered insurance
agents and brokers are well positioned to compete alongside other financial services sectors in a vibrant
parametric contract market overseen by the CFTC.
The CFTC must either aggressively police its jurisdictional perimeter or expressly cede its authority over
parametric contracts to insurance regulators. Until the CFTC speaks up, the potential for parametric
contracts to contribute to the management of climate-related risk will profoundly underdeliver while
consumers are marketed inefficient and legally dubious parametric insurance contracts.
2. 2
The Nature of Parametric Insurance
The National Association of Insurance Commissioners (NAIC) defines parametric insurance as a form of
non-indemnity insurance that pays out based on the parameters of an event rather than on the basis of
the losses resulting from that event:1
The term parametric insurance describes a type of insurance contract that insures a
policyholder against the occurrence of a specific event by paying a set amount based on
the magnitude of the event, as opposed to the magnitude of the losses in a traditional
indemnity policy.
Parametric insurance is consistently described as “non-traditional” insurance.2
Indeed, the Insurance
Information Institute characterizes “[t]he parametric model [a]s an alternative to traditional insurance.”3
Insurance broker Marsh & McClennan describes parametric insurance by contrasting it with traditional
insurance:4
Parametric covers are alternative risk solutions provided by insurance and reinsurance
companies that enable organizations to finance or to transfer risk in a non-traditional way.
***
Parametric covers are not intended to replace traditional insurance – but to complement
them and speed up recovery.
***
Parametric covers can be especially useful when there is a lack of capacity or appetite
from traditional insurance markets, especially for risks that are typically underinsured or
uninsured or where the impact of the event is related to business interruption losses that
are greater than the direct costs of the loss or damage of physical assets.
Under a parametric contract the trigger of a payout and the amount of that payout are determined by the
objective characteristics (i.e., parameters) of a defined external event. In contrast, under an insurance
contract the trigger of a payout and the amount of that payout are determined by the insured’s loss or
liability resulting from a defined external event.5
1
Parametric Disaster Insurance, NAIC,
www.content.naic.org/cipr_topics/topic_parametric_disaster_insurance.htm
2
See Written Testimony of Brian Kuhlmann on behalf of APCIA and NAMIC, Insuring Against a Pandemic:
Challenges and Solutions for Policyholders and Insurers (Nov. 19, 2020) (“Unlike the traditional insurance
claims adjustment process, the parametric trigger would provide payments automatically upon the
occurrence of certain events.”); Written Testimony of Joanna Syroka of Fermat Capital, Creating a Climate
Resilient America: Strengthening the U.S. Financial System and Expanding Economic Opportunity (October
1, 2020) (referring to “the use of innovative risk transfer mechanisms such as parametric insurance and
catastrophe bonds”); The Insurability of Business Interruption Risk in Light of Pandemics, EIOPA Staff
Paper (2021) at page 10 (comparing “parametric solutions” with “classical indemnity-based solutions”).
3
2021 Insurance Fact Book, Insurance Information Institute, at page 12.
4
Parametric Insurance: A Tool to Increase Climate Resilience, Marsh Insights (Dec. 2018).
5
See, e.g., Mass. Stat. Ch. 175 § 2. See also New York Office of General Counsel Opinion (Feb. 15, 2000)
(explaining that because “[n]either the amount of the payment nor the trigger itself in the weather
derivative bears a relationship to the purchasers loss ... the instrument is not an insurance contract”); IRS
Memorandum 201511021 (3/13/15) (explaining that “insurance policies protect against damage or
3. 3
CFTC’s Jurisdiction over Parametric Contracts
A parametric contract falls squarely the CFTC’s jurisdiction as a “swap” under Dodd-Frank.
7 U.S.C. 1a(47)(A)(ii) defines a swap to include any contract that provides for any payment that is
dependent on the occurrence, nonoccurrence, or the extent of the occurrence of an event associated with
a potential financial, economic, or commercial consequence.
7 U.S.C. 16(h) provides that a swap shall not be considered insurance and may not be regulated as an
insurance contract under the law of any State.
The CFTC introduced a non-exclusive safe harbor exception to the statutory definition of “swap” for
traditional, state-regulated insurance.6
As detailed in the appendix, this regulatory exception applies to:
• Traditional insurance products; and
• Other products meeting both a product test and provider test.
The product test is satisfied if the contract requires, inter alia, that (a) the beneficiary has an insurable
interest continuously throughout the duration of the contract; and (b) a loss must occur and be proved,
and any payment is limited to the value of the insurable interest.
The provider test requires that the contract is provided by a person regulated by a state insurance
commissioner and the contract is regulated as insurance under state law.
As made clear by the NAIC’s definition, parametric insurance products cannot satisfy the insurance
exception to the CFTC’s jurisdiction. By definition, a parametric contract is:
• A non-traditional form of “insurance”; and
• Pays based on the parameters of an event rather than the amount of the contract holder’s proven
loss.
Similarly, most state insurance statutes define “insurance” as a contract of indemnity.7
[Next Page]
impairment to an asset or income from an asset caused by a casualty event”); FASB Standard 815
(excluding from treat as a “weather derivative” insurance contracts that “entitle the holder to
compensation only if, as a result of an insured event, the holder incurs a liability or there is an adverse
change in the value of a specific asset or liability for which the holder is at risk”).
6
17 CFR § 1.3.
7
See Definitions of Insurance and Related Information, GAO-06-424R; and 15 U.S. Code § 6712(c)
(regarding as insurance a product that “insures, guarantees, or indemnifies against liability, loss of life,
loss of health, or loss through damage to or destruction of property”).
4. 4
State Legislative Incursion into CFTC Jurisdiction
In 2020, the NAIC formed the Climate and Resiliency (EX) Task Force to serve as the coordinating body for
discussion and engagement on climate-related risk and resiliency issues including “evaluation of insurance
product innovation directed at reducing, managing and mitigating climate risk, and closing protection
gaps.” In addition, the NAIC’s Property and Casualty Insurance (C) Committee 2022 mandate includes:8
Provide a forum for discussing issues related to parametric insurance and consider the
development of a white paper or regulatory guidance.
The Committee and the NAIC’s of the Climate & Resilience Task Force have been holding regular hearings
regarding parametric insurance including presentations from The Bermuda Monetary Authority, “Role of
Parametric Insurance in Climate Resilience: Bermuda’s Supervisory Experience” and the Wharton Risk
Management and Decision Processes Center. The NAIC has also been reviewing presentations from
providers of parametric insurance products currently on offer to retail consumers in the United States.
The NAIC’s interest in this area has resulted in several of its member jurisdictions enacting insurance-
based regulatory frameworks for parametric insurance. At least three jurisdictions have established
statutory or regulatory provisions to treat parametric contracts as insurance:
• Vermont;9
• Tennessee; 10
and
• Puerto Rico.11
[Next Page]
8
https://content.naic.org/cmte_c.htm
9
Vermont H.515 (2022).
10
Tenn. Code Ann., § 56-13-102(19).
11
Requirements for Submitting and Processing Parametric Catastrophic Microinsurance in Personal Lines.
Rule 103, Sec. 4.c. (July 2, 2020).
5. 5
Examples of Parametric Insurance Contracts on Offer in the U.S.
More than three dozen parametric insurance products are currently available in the U.S., many of which
target retail consumers and are associated with climate risks.
For example, FirstTrack is sold by a subsidiary of Tokio Marine Group. Marketing materials promise that
this product “offers payouts whether or not property damage is incurred”. In other words, this “insurance
product” is a swap.
FirstTrack purchasers can elect to receive pre-set payments of up to $1000 to $25,000 based on the
parameters of (a) the hurricane category; and (b) the distance the hurricane passes from a designated
island. For example, if a customer had purchased a contract with a notional value of $10,000 and a
Category 1 makes landfall within a designated geographical area, the contract would pay $6000.
6. 6
The National Chiropractic Mutual Insurance Company offers a similar product through its subsidiary
Professional Solutions Insurance Company. This product (marketed as Recoop Disaster Insurance) allows
consumers to select a payout amount of up to $25,000:12
Once the parameters of the event trigger the payout, the consumer must provide evidence of only $1000
of loss to get the full contract amount. For example, if a customer purchased a contract with a $25,000
notional value and a disaster is declared because of a wildfire in the area of the customer’s home, the
contract holder would receive the full $25,000 upon providing proof of only $1000 of loss.
National Chiropractic Mutual Insurance Company calculates that 38¢ of every premium dollar is eaten up
in transaction costs including 25¢ of which is earmarked for insurance agents as sales commission.13
By
way of comparison, the transaction cost for a consumer to trade on the CFTC regulated event contract
exchange Kalshi averages less than a tenth that amount at 3.5%.
12
Recoop Disaster Insurance contract is even available for sale as an employee benefit.
13
SERFF filing PERR-132316307.
7. 7
Policymakers have become Confused about CFTC’s Jurisdiction
There is strong evidence that policymakers become confused as to the remit of the CFTC over parametric
contracts. For example, the Rep. Maloney introduced the Pandemic Risk Insurance Act of 2021 (H.R. 5823)
which would require that “an insurer under this Act shall in addition make available, in all its commercial
property insurance policies, parametric non-damage business interruption insurance coverage.” Such a
contract would be “triggered irrespective of physical status or condition of the insured physical location
and without need for specific proof of loss.” In other words, this Bill would require property and casualty
insurers to sell swaps, state regulated insurance agents to intermediate those swaps, and state insurance
regulators to regulate those swaps.
Similarly, the California Department of Insurance, Climate Insurance Working Group issued a report
recommending the development of state regulated parametric contracts that would pay a predetermined
amount in the event of a wildfire:14
The Insurance Commissioner should consult with independent experts and the NAIC to
develop concepts for parametric and community insurance pilot projects in multiple parts
of the state. Such products should be used as models of insurance solutions for other
risks, such as parametric drought protection or a risk transfer to protect against economic
disruptions caused by strong snowstorms or high rainfall events. Specific examples of
innovative insurance product concepts are detailed in the individual peril sections.
The National Science Foundation (together with the Department of Energy and Department of Homeland
Security) recently awarded a $1 million Civil Innovation Grant to finance a joint effort of the Wharton Risk
Center at the University of Pennsylvania, the New York City Mayor’s Office of Resiliency, and the Center
for New York City Neighborhoods (CNYCN) to sell parametric contracts as insurance to vulnerable
communities in New York City:
The key pilot will be the purchase, by CNYCN, of a parametric flood insurance policy
designed to rapidly provide emergency cash grants to LMI [low and moderate income]
households post-flood. In addition, R&D will be undertaken on parametric flood policies
that community development finance institutions can provide to protect LMI borrowers.
[Next Page]
14
Protecting Communities, Preserving Nature and Building Resiliency: How First-of-its-Kind Climate
Insurance Will Help Combat the Costs of Wildfires, Extreme Heat, and Floods.
8. 8
Implications of Mis-Selling Swaps as Insurance
The small businesses, nonprofits, local governments, and regular individuals that buy parametric
“insurance” may think they are purchasing a “safe” insurance product - but they are actually speculating
on a swap. These faux insurance transactions can and do end badly. For example, in 2016 the North Dakota
Department of Insurance ordered State National’s managing general agent to refund nearly $750,000 to
farmers. The Department found:
Specifically, the product was marketed and sold using materials which discussed yields,
bushels and profits while the TWI product and its insurance contract were based on the
occurrence of various weather metrics such as the temperature and rainfall at
predetermined gathering stations. Yields, bushels and profits are not determining factors
in considering whether an insured incurred loss under the terms of the TWI policy.
At least 100 North Dakota farmers who purchased the TWI product had historically low
yields and profits during the 2012 growing season and did not receive any payment from
the TWI product.
Consumers are purchasing sophisticated swaps from retail insurance agents – when they should be
dealing with properly licensed and trained Commodity Trading Advisors, Futures Commission Merchants,
and Introducing Brokers. Moreover, swaps are being designed and financed by insurance companies –
which is the proper role of licensed swap dealers.
The implications of this mislabeling and mis-selling include:
1. Unregistered Distributors - Parametric “insurance” contracts are distributed by insurance agents
with no licensing, training, or experience in the distribution of swaps or oversight of the
distribution of swaps.
2. Ineffective Anti-Money Laundering Programs - Property and casualty insurance is generally
exempt from federal anti-money laundering and know your customer requirements such that
parametric insurance contracts are sold without even basic KYC / AML controls.
3. Inappropriate Tax Advantages - Businesses are misled into believing the cost of parametric
insurance contracts can be treated as a business expense, while individuals are misled into
believing payouts are not reportable.
4. Inadequate Consumer Recourse - Purchasers are unable to apply to the CFTC or NFA for
intervention and reparations for violations of the Commodities Exchange Act while any protection
from state insurance guaranty funds is surely dubious.
5. Unfair Competition – CFTC event contract exchanges and insurers that structure parametric
insurance contracts properly limiting payouts to actual, proven losses are at a competitive
disadvantage to those insurance companies that mislabel and mis-sell swaps as insurance.
6. Unchecked Sales to Retail Customers - Retail customers of uncleared parametric insurance
contracts purchase contracts that should be reserved only for eligible contract participants.
9. 9
APPENDIX
The CFTC and Insurance: A Regulatory History
Prior to the 2008 financial crisis, the CFTC commenced a “comprehensive review” of the Commodity
Exchange Act’s applicability to “event, prediction, or information markets”, collectively known as “event
contracts.”15
The CFTC considered contracts “that generate trading prices that predictably correlate with
market prices or broad-based measures of economic or commercial activity, or contracts which
substantially replicate other commodity derivatives contracts, such as binary options on exchange rates
or the price of crude oil” as “unambiguously subject to CFTC regulation.”16
In contrast, event contracts
“are neither dependent on, nor do they necessarily relate to, market prices or broad-based measures of
economic or commercial activity.”17
The CFTC further explained that “event contracts may be based on eventualities and measures as varied
as the world’s population in the year 2050, the results of political elections, or the outcome of particular
entertainment events.”18
The CFTC provided the following additional examples: the results of presidential
elections, the accomplishment of certain scientific advances, world population levels, the adoption of
particular pieces of legislation, the outcome of corporate product sales, the declaration of war and the
length of celebrity marriages.”19
At that time, the Commodity Exchange Act granted jurisdiction to the Commission to commodity options
and commodity futures contracts.20
The term “commodity” was (and still is) defined in two ways. First,
the term commodity encompasses certain specified goods (e.g., wheat, cotton, rice). Second, the term
commodity broadly includes “all services, rights, and interests in which contracts for future delivery are
presently or in the future dealt in.”21
The Commodity Exchange Act also included (and still includes) the
concept of an “excluded commodity” which is defined in part as:22
• Any economic or commercial index based on prices, rates, values, or levels that are not within the
control of any party to the relevant contract, agreement, or transaction; or
• An occurrence, extent of an occurrence, or contingency that is beyond the control of the parties
to the relevant contract, agreement, or transaction; and associated with a financial, commercial,
or economic consequence.
15
73 FR 25669.
16
73 FR 25669, footnote 2.
17
73 FR 25670.
18
73 FR 25669.
19
73 FR 25670.
20
7 USC §2(a)(1)(A) (2008).
21
7 USC §1a (4), recodified to 7 USC §1a (9). This prong of the definition would later exclude motion
picture box office receipts.
22
7 USC §1a (13), recodified to 7 USC §1a (19).
10. 10
Commissioner Quintenz described the breadth of the term “commodity” as:23
The statutory definition of a commodity includes “…an occurrence, extent of an
occurrence, or contingency…that is 1) beyond the control of the relevant parties to the
contract…and 2) associated with a financial, commercial, or economic consequence.”[4]
Since practically any event has at least a minimal financial, commercial, or economic
consequence, all events are commodities. Because of this definition, any contract on the
outcome of a future event would be considered a commodity futures contract, and,
pursuant to the Commodity Exchange Act (CEA), is required to be traded on a registered
Designated Contract Market (DCM).
In response to the 2008 financial crisis, Congress enacted the Dodd-Frank Wall Street Reform and
Consumer Protection Act “[t]o promote financial stability of the United States by improving accountability
and transparency in the financial system.”24
Title VII of Dodd-Frank, also known as the Wall Street Transparency and Accountability Act of 2010,
created a framework for the regulation of swap markets. 25
Dodd-Frank placed the CFTC at its center.26
7 U.S.C. 1a(47)(A)(ii) defines a “swap” broadly to include:
Any agreement, contract, or transaction … that provides for any purchase, sale, payment,
or delivery (other than a dividend on an equity security) that is dependent on the
occurrence, nonoccurrence, or the extent of the occurrence of an event or contingency
associated with a potential financial, economic, or commercial consequence.
7 U.S.C. 16(h) provides that a swap:
(1) shall not be considered to be insurance; and
(2) may not be regulated as an insurance contract under the law of any State.
On August 20, 2010, the CFTC published an advance notice of proposed rulemaking seeking comments on
further defining the term “swap.”
In response, the National Association of Insurance Commissioners (NAIC) raised concerns that the
statutory definition of “swap” might swallow the state-regulated insurance industry:27
Given the breadth of these definitions, we are concerned that they could theoretically
encompass a multitude of insurance products that are regulated under state law. For
example, insurance policies such as auto insurance, homeowner’s insurance, and life
insurance all involve contracts that provide for payment of money that is "dependent on
23
Statement of Commissioner Brian D. Quintenz on ErisX RSBIX NFL Contracts and Certain Event
Contracts (March 25, 2021).
24
H.R. 4173 (111th
Congress).
25
15 USC 8301, et seq.
26
7 USC §2(a)(1)(A).
27
NAIC Comment Letter (Sept. 20, 2010) at page 2.
11. 11
the occurrence, non-occurrence or the extent of an event or contingency associated with
a financial, economic or commercial consequence.”
The NAIC requested the CFTC to “expressly exclude insurance products regulated by the states from the
definitions of swap and security-based swap.”
Similarly, the Property Casualty Insurers Association of America (PCI) sought an exclusion of state
regulated insurance contracts from the definition of “swaps”:28
There is no logical reason for property casualty insurance contracts to be regulated as
swaps and no evidence of any Congressional intent that state regulatory authority over
insurance products be supplanted by federal regulation of swaps. We therefore propose
that the CFTC clarify the definition of swaps to exclude agreements, contracts, and
transactions of insurers that are a part of the business of insurance regulated by a state
insurance regulator as of the enactment date of the DFA. For new financial products that
are regulated by state insurance regulators as part of the business of insurance that were
not regulated as insurance or swaps before the DFA, a rebuttable presumption of an
exclusion that could be overcome by a formal CFTC finding would provide further clarity
regarding regulatory jurisdiction.
The American Insurance Association (AIA) sought a wider declaration that swaps do not include
insurance:29
Accordingly, when further defining the term "swap" through regulation, we request that
the SEC and the CFTC clearly state that a property-casualty insurance contract is not a
swap and is not subject to Title VII.
The Reinsurance Association of America (RAA) sought a similar blanket exemption for insurance, pointing
to the insurance principle of indemnification as the key differentiator:30
Reinsurance transactions, unlike swaps, are contracts of indemnity, in which an assuming
insurer (or reinsurer) in consideration of premium paid, agrees to indemnify the ceding
company against all or part of the loss which the latter may sustain under the policy or
policies which it has issued.
28
PCI Comment Letter (Sept. 17, 2010) at page 1 (suggesting that for new forms of insurance “a rebuttable
presumption of an exclusion that could be overcome by a formal CFTC finding would provide further clarity
regarding regulatory jurisdiction”).
29
AIA Comment Letter (Sept. 20, 2010) at page 2.
30
RAA Comment Letter (Sept. 20, 2010).
12. 12
The law firm Cleary Gottlieb Steen & Hamilton LLP saw this same blurring between the respective
jurisdictions of the CFTC and state insurance commissioners.31
Rather than a blanket exemption, the firm
proposed a test for the exemption of insurance products from the “swap” definition including criteria such
as:
[T]hat insured parties have an insurable interest in the insured property and are generally
unable to obtain payment under a policy of insurance in the absence of, or in excess of,
an actual loss to such property.
The American Council of Life Insurers (ACLI)32
and Committee of Annuity Insurers33
pushed back against
these criteria proposing instead that the “swap” definition should exclude contracts that are:
• Issued by an insurance company regulated by state insurance regulators;
• An insurance contract as defined by state law; and
• Not of the kind the CFTC has affirmatively decided to regulate.
On May 23, 2011, the CFTC published a proposed rule including an expanded definition of the term
“swap”. The CFTC stated upfront that it “[does] not interpret [Dodd-Frank] to mean that products
historically treated as insurance products should be included within the swap or security-based swap
definition.”34
However, the CFTC expressed concern “that agreements, contracts, or transactions that are
swaps or security-based swaps might be characterized as insurance products to evade the regulatory
regime under Title VII of the Dodd-Frank Act.”35
The CFTC proposed to exclude from the “swap” definition a contract that meets both a “product test” and
a “provider test”.
The Product Test
The CFTC’s proposed product test included that:
• The beneficiary of the contract maintains an insurable interest throughout the duration of the
contract; and
• A loss must occur and be proved and any payment under the contract must not exceed the
beneficiary’s insurable interest.
31
Cleary Gottlieb Steen & Hamilton LLP Comment Letter (Sept. 21, 2010) at pages 2-4. The firm appeared
to be interested in preventing credit default swaps from being treated as insurance.
32
ACLI Comment Letter (Nov. 12, 2010).
33
CAI Comment Letter (Dec. 3, 2010).
34
76 FR 29821.
35
76 FR 29822.
13. 13
The CFTC saw the insurable interest requirement as a key differentiator from credit default swaps in which
no underlying interest is required:36
The requirement that the beneficiary be at risk of loss (which could be an adverse
financial, economic, or commercial consequence) with respect to the interest that is the
subject of the agreement, contract, or transaction at all times throughout the term of the
agreement, contract, or transaction would ensure that an insurance contract beneficiary
has a stake in the interest on which the agreement, contract, or transaction is written.
More broadly, the CFTC viewed the requirement to indemnify an actual loss as the key distinguishing
characteristic between insurance and swaps:37
[T]he requirement that an actual loss occur and be proved under the proposed rules
similarly would ensure that the beneficiary has a stake in the insurable interest that is the
subject of the agreement, contract, or transaction. If the beneficiary can demonstrate
actual loss, that loss would ‘‘trigger’’ performance by the insurer on the agreement,
contract, or transaction such that, by making payment, the insurer is indemnifying the
beneficiary for such loss. In addition, limiting any payment or indemnification to the value
of the insurable interest aids in distinguishing swaps and security-based swaps (where
there is no such limit) from insurance.
The CFTC further proposed interpretive guidance that “traditional insurance products” provided by state
regulated insurance companies and regulated as insurance would not be regarded as “swaps.”38
Specifically, the CFTC identified traditional insurance products as “surety bonds, life insurance, health
insurance, long-term care insurance, title insurance, property and casualty insurance, and annuity
products.”
The Provider Test
The CFTC’s proposed provider test included that the contract is provided by a company organized as an
insurance company and subject to the supervision of a state insurance commissioner. Further, the
contract itself must be regulated as insurance under state or federal law.
The CFTC explained the rationale behind the provider test:39
The purpose of this proposed requirement is that an agreement, contract, or transaction
that satisfies the other conditions of the proposed rules must be subject to regulatory
36
76 FR 29823.
37
76 FR 29823. This reasoning aligns with FASB 720-20-25-1 which provides “[t]o the extent that an
insurance contract … does not, despite its form, provide for indemnification of the insured … by the insurer
… against loss or liability, the premium paid … shall be accounted for as a deposit by the insured.” See
CFTC Letter 14-67 in which no-action relief is granted to reinsurance on the basis that the “coverage
provided under the Reinsurance Agreement is either 100%, or some lesser percentage, of the actual … risk
assumed [by the cedant].”
38
76 FR 29824.
39
76 FR 29824. The provider test includes the lawful reinsurance of a contract meeting the provider test
even if the reinsurer does not itself meet the provider test because it is regulated outside of the United
States.
14. 14
oversight as an insurance product. As a result of the requirement that an insurance
regulator must have determined that the agreement, contract, or transaction being sold
is insurance (i.e., because state insurance regulators are banned from regulating swaps
as insurance), the Commissions believe that this condition would help prevent products
that are swaps or security-based swaps from being characterized as insurance products
in order to evade the regulatory regime under Title VII of the Dodd-Frank Act.
Proposed Text of the Product and Provider Test
The CFTC proposed the following wording to reflect the relevant parts of the product and provider tests:
(4) Insurance. The term swap … does not include an agreement, contract, or transaction
that:
(i) By its terms or by law, as a condition of performance on the agreement,
contract, or transaction:
(A) Requires the beneficiary of the agreement, contract, or transaction to
have an insurable interest that is the subject of the agreement, contract,
or transaction and thereby carry the risk of loss with respect to that
interest continuously throughout the duration of the agreement,
contract, or transaction; [and]
(B) Requires that loss to occur and to be proved, and that any payment
or indemnification therefor be limited to the value of the insurable
interest; [and]
***
(ii) Is provided:
(A) By a company that is organized as an insurance company whose
primary and predominant business activity is the writing of insurance or
the reinsuring of risks underwritten by insurance companies and that is
subject to supervision by the insurance commissioner (or similar official
or agency) of any State or by the United States or an agency or
instrumentality thereof, and such agreement, contract, or transaction is
regulated as insurance under the laws of such State or of the United
States;
15. 15
The NAIC generally supported the CFTC’s product and provider tests with certain reservations.40
First, the NAIC suggested elevating the list of traditional insurance products from interpretive guidance to
the text of the rule itself. The NAIC also suggested adding to the list of traditional insurance products
“mortgage guaranty, accident, and disability insurance.”
Second, the NAIC expressed concern about the insurable interest requirement:
With regard to the first prong, most insurance products do not require a person or entity
to have an insurable interest continuously throughout the duration of the insurance
policy or contract. For example, if a person wishes to procure insurance on the life of
another person, then he or she only needs to have an insurable interest at the time that
he or she procures the life insurance policy. With regard to insurance covering property
damage, in many jurisdictions, a person only needs to have an insurable interest at the
time of the loss. Indeed, an insurable interest is not even required for a liability, surety or
accident and health insurance policy or contract.
The associations representing insurance companies took a range of positions.
The PCI applauded the two-prong (product and provider) test as “an effective means of helping to
distinguish between those contracts that qualify for exclusion from the definition of swap and swap-
related securities from those contracts that will not.”41
In contrast, the AIA rejected the two prong-test in favor of near complete deference to state insurance
regulators:42
[W]e urge the Commissions to state unequivocally in the rule and the interpretive
guidance that, where an agreement, contract or transaction is reportable as insurance in
the provider’s regulatory and financial reports under a state’s (or a foreign jurisdiction’s)
insurance laws, then that agreement, contract or transaction constitutes an insurance
product rather than a swap or a security-based swap.
The ACLI sought a middle solution through which products subject to state insurance regulation are
presumed to be excluded from the definition of swaps.43
On August 13, 2012, the CFTC released its final rule defining “swap” for the purposes of Title VII.44
The Product Test
In adopting the final rule, the CFTC left the product test (including its requirements of an insurable interest
and proof of loss) unchanged. However, the final rule included an alternative to the provider test for a
40
NAIC Comment Letter (July 22, 2011).
41
PCI Comment Letter (July 22, 2011).
42
AIA Comment Letter (July 22, 2011).
43
ACLI Comment Letter (July 22, 2011). See also MetLife Comment Letter (July 22, 2011).
44
77 FR 48208.
16. 16
product that is one of the “enumerated types of traditional insurance.”45
The enumerated list of
traditional insurance includes “property and casualty insurance.”
The CFTC equates the enumerated product list with traditional insurance products:46
The Commissions believe that the Enumerated Products, as traditional insurance
products, are not the types of agreements, contracts, or transactions that Congress
intended to subject to the regulatory regime for swaps and security-based swaps under
the Dodd-Frank Act. Codifying the Enumerated Products in the final rules appropriately
places traditional insurance products outside the scope of the swap and security-based
swap definition so long as such Enumerated Products are provided in accordance with the
Provider Test, including a requirement that an Enumerated Product that is provided in
accordance with the first prong of the Provider Test must be regulated as insurance under
applicable state law or the laws of the United States.
The CFTC refers to the original product test for the evaluation of non-traditional products:47
[The CFTC does] not believe it is appropriate to determine whether particular complex,
novel or still evolving products are swaps or security-based swaps in the context of a
general definitional rulemaking. Rather these products should be considered in a facts
and circumstances analysis.
The Provider Test
The provider test remains a second hurdle to the insurance exclusion whether the original product test or
the traditional insurance test is applied.48
The CFTC expanded the provider test to include non-U.S.
insurance companies that are eligible to provide insurance in the United States under state law.
The CFTC emphasized that the provider test retains the requirement that a product is “regulated as
insurance” under applicable state law:49
The Commissions have retained the requirement in the first prong of the Provider Test
that an insurance product must be regulated as insurance, but have revised the provision
to clarify that an insurance product must be regulated as insurance under applicable state
law or the laws of the United States. As discussed above, the Commissions believe that
this condition will help prevent products that are not regulated as insurance and are
swaps or security-based swaps from being characterized as insurance products in order
to evade the regulatory regime under the Dodd-Frank Act.
45
77 FR 48213.
46
77 FR 48216.
47
77 FR 48218.
48
77 FR 48213.
49
77 FR 4822. The CFTC also noted that “[a]n agreement, contract, or transaction that is labeled as
‘reinsurance’ or ‘retrocession’ but is structured to evade Title VII of the Dodd-Frank Act, would not satisfy
the Insurance Safe Harbor, and would be a swap or security-based swap.” 77 FR 48213. See footnote 41
referencing potential mislabeling of a “weather derivative or catastrophe swap” as reinsurance.
17. 17
In administering the definition of a “swap,” the CFTC will look beyond self-serving characterizations of a
product “to prevent evasion through clever draftsmanship of a form, label, or other written
documentation.”50
The CFTC further warned:51
[T]he structuring of instruments, transactions, or entities to evade the requirements of
the Dodd-Frank Act may be ‘‘limited only by the ingenuity of man.’’ Therefore, the CFTC
will look beyond manner in which an instrument, transaction, or entity is documented to
examine its actual substance and purpose to prevent any evasion through clever
draftsmanship— an approach consistent with the CFTC’s case law in the context of
determining whether a contract is a futures contract and the CFTC’s interpretations in this
release regarding swaps.
Text of the Final Rule
As compared to the proposed rule, the relevant text of the final rule is as follows:52
(4) Insurance. (i) This paragraph is a non-exclusive safe harbor. The terms swap … and
security-based swap … does not include an agreement, contract, or transaction that:
(Ai) By its terms or by law, as a condition of performance on the agreement,
contract, or transaction:
(1A) Requires the beneficiary of the agreement, contract, or transaction
to have an insurable interest that is the subject of the agreement,
contract, or transaction and thereby carry the risk of loss with respect to
that interest continuously throughout the duration of the agreement,
contract, or transaction; [and]
(2B) Requires that loss to occur and to be proved, and that any payment
or indemnification therefor be limited to the value of the insurable
interest; [and]
***
(Bii) Is provided:
(1A)(i) By a person company that is organized as an insurance company
whose primary and predominant business activity is the writing of
insurance or the reinsuring of risks underwritten by insurance companies
and that is subject to supervision by the insurance commissioner (or
similar official or agency) of any State or by the United States or an agency
or instrumentality thereof,; and
50
77 FR 48298.
51
77 FR 48300.
52
77 FR 48350.
18. 18
(ii) such agreement, contract, or transaction is regulated as insurance
under applicable State the laws of such State or the laws of the United
States;
***
(4) In the case of non-admitted insurance, by a person who:
(i) Is located outside of the United States and listed on the Quarterly
Listing of Alien Insurers as maintained by the International Insurers
Department of the National Association of Insurance Commissioners; or
(ii) Meets the eligibility criteria for non-admitted insurers under
applicable State law; [or]
(C) Is provided in accordance with the conditions set forth in paragraph
(xxx)(4)(i)(B) of this section and is one of the following types of products:
***
(7) Property and casualty insurance;
Note on Exemption of Consumer and Commercial Agreements
The CFTC was concerned that the broad scope of the term “swap” could sweep in “various types of
agreements, contracts, and transactions [consumers enter into] as part of their household and personal
lives [and businesses enter into] as part of their operations relating to, among other things, acquisitions
or sales of property (tangible and intangible), provisions of services, employment of individuals, and other
matters.”53
Accordingly, the CFTC developed guidance to exclude these contracts.
This guidance exempts the following consumer contracts entered into by individuals primarily for
personal, family, or household purposes:54
• Transactions to acquire or lease real or personal property, to obtain a mortgage, to provide
personal services, or to sell or assign rights owned by such consumer (such as intellectual property
rights);
• Agreements, contracts, or transactions to purchase products or services at a fixed price or a
capped or collared price, at a future date or over a certain time period (such as agreements to
purchase home heating fuel);
• Agreements, contracts, or transactions that provide for an interest rate cap or lock on a consumer
loan or mortgage, where the benefit of the rate cap or lock is realized only if the loan or mortgage
is made to the consumer; and
53
76 FR 29832.
54
76 FR 29832-3.
19. 19
• Consumer loans or mortgages with variable rates of interest or embedded interest rate options,
including such loans with provisions for the rates to change upon certain events related to the
consumer, such as a higher rate of interest following a default.
• This guidance exempts the following consumer contracts entered into by individuals primarily for
personal, family, or household purposes:
The guidance also exempts customary business arrangements such as:55
• Employment contracts and retirement benefit arrangements;
• Sales, servicing, or distribution arrangements;
• Agreements, contracts, or transactions for the purpose of effecting a business combination
transaction;
• The purchase, sale, lease, or transfer of real property, intellectual property, equipment, or
inventory;
• Warehouse lending arrangements in connection with building an inventory of assets in
anticipation of a securitization of such assets (such as in a securitization of mortgages, student
loans, or receivables);
• Mortgage or mortgage purchase commitments, or sales of installment loan agreements or
contracts or receivables;
• Fixed or variable interest rate commercial loans entered into by nonbanks; and
• Commercial agreements, contracts, and transactions (including, but not limited to, leases, service
contracts, and employment agreements) containing escalation clauses linked to an underlying
commodity such as an interest rate or consumer price index.
In developing these lists, the CFTC extracted the following common characteristics:56
• They do not contain payment obligations, whether or not contingent, that are severable from the
agreement, contract, or transaction;
• They are not traded on an organized market or over-the-counter; and
• In the case of consumer arrangements, they involve an asset of which the consumer is the owner
or beneficiary, or that the consumer is purchasing, or they involve a service provided, or to be
provided, by or to the consumer, or
• In the case of commercial arrangements, they are entered into to serve an independent
commercial, business, or non-profit purpose and other than for speculative, hedging, or
investment purposes.
Two of the key components reflected in these characteristics that distinguish these agreements,
contracts, and transactions from swaps and security based swaps are that: (i) The payment provisions of
the arrangements are not severable; and (ii) the agreement, contract, or transaction is not traded on an
organized market or over-the-counter— so that such arrangements would not involve risk-shifting
arrangements with financial entities, as would be the case for swaps and security-based swaps.
55
76 FR 29833.
56
76 FR 29833.