SlideShare a Scribd company logo
Insurance Market Development
in Latin America and the Caribbean
Pietro Masci
Luis Tejerina
Ian Webb
Inter-American Development Bank
Washington, D. C.
Sustainable Development Department
Technical Papers Series
Cataloguing-in publication provided by the
Inter-American Development Bank
Felipe Herrera Library
Masci, Pietro; Tejerina, Luis & Webb, Ian.
Insurance Market Development in Latin America and the Caribbean / Pietro Masci, Luis Tejerina
& Ian Webb.
p.cm. (Sustainable Development Department Best practices series ; IFM-146)
Includes bibliographical references.
363.6 M341—dc22
Pietro Masci is Chief of the Infrastructure and Financial Markets Division of the Sustainable Develop-
ment Department at the Inter-American Development Bank. Luis Tejerina is an Economist in the Poverty
and Inequality Unit of the Sustainable Development Department. Ian Webb is Director of Research Inter-
national Insurance Foundation. The authors wish to thank James Sylvester and Marco Velarde, consult-
ants at the Inter-American Development Bank, for their valuable contributions that made this paper possi-
ble.
The opinions expressed herein are those of the authors and do not necessarily represent the official posi-
tion of the Inter-American Development Bank. Permission is granted to reproduce this paper or in part for
noncommercial purposes only and with proper attribution to the authors, the Sustainable Development
Department and the Inter-American Development Bank.
August, 2007
This publication (Reference No. IFM-146) can be obtained from:
IFM Publications
Mail Stop W-0508
Inter-American Development Bank
1300 New York Avenue, N.W.
Washington, D.C. 20577
E-mail: sds/ifm@iadb.org
Fax: 202-623-2157
Web Site: http:www.iadb.org/sds/ifm
Contents
1. Introduction 1
2. Insurance and Its Role 3
Insurance and Capital Markets
Insurer Risks
Insurance, Regulation, and Supervision
3. Literature Review 7
The Role of Insurance in Economic Growth and Activity
The Role of Insurance in Financial Intermediation and Domestic Capital Markets
Relevant Factors for Insurance Development
Defining Effectiveness in Insurance Markets
Review of Study Methodology
4. The Importance of Insurance in Latin America and the Caribbean 13
5. Survey Results 17
6. Conclusions 22
Bibliography 24
1. Introduction
In economic terms, insurance refers to the
pooling mechanism for reducing the down-
side of risk through resource reallocation
from good to stormy states of the world:
Insurance reimburses an individual
for some or all of a financial loss
that is linked to an unpredictable
event or risk. This protection is ac-
complished through a pooling
mechanism whereby many indi-
viduals who are vulnerable to the
particular risk are joined together
into a risk pool. Each person pays a
small amount of money, known as a
premium, into the pool, which is
then used to compensate the unfor-
tunate individuals who do actually
suffer a loss. Insurance reduces vul-
nerability by replacing the uncertain
prospect of large losses with the cer-
tainty of making small, regular pre-
mium payments (Churchill et al.,
2003).
Typically, risk coverage is provided through
a policy from an insurance company. The
extent to which the insurer successfully fa-
cilitates coverage (and is able to spread its
risk assumptions) is the extent to which the
insured can take greater chances and better
manage risk exposure. As such, insurance
markets are crucial for economic growth and
a complementary stimulus to capital market
development.
To better understand and facilitate that proc-
ess, the Inter-American Development Bank
(IDB)—together with the Regional Associa-
tion of Insurance Companies (Fundación
Interamericana de Empresas de Seguros,
FIDES) and the Regional Association of Su-
pervisors (Asociación de Supervisores de
Seguros de Latinoamérica, ASSAL)—is co-
ordinating policy-oriented research on the
insurance industry in the region, targeting
the variables and factors that affect its de-
velopment. A survey of different actors in
the market has been carried out to obtain
information about perceptions of the indus-
try and its status. This represents the first
attempt to systematically analyze the insur-
ance market in Latin America and the Car-
ibbean. By updating survey results periodi-
cally, this IDB-FIDES-ASSAL research ef-
fort will provide a long-term view of insur-
ance in the region and permit formulation of
more accurate and specific policy recom-
mendations. The first step is to spotlight the
most important issues for the development
of insurance markets in Latin America and
the Caribbean.
At the end of 2004, insurance markets in the
region were relatively underdeveloped and
widely divergent, despite evidence of a
growing demand for risk coverage by the
private sector. Premium volume in Latin
America and the Caribbean for life and not-
life insurance totaled about 2.5 percent of
regional gross domestic product (GDP)
(compared to 8 percent in Europe, 7 percent
in Asia, and 9 percent in the United States)
and just 1.5 percent of insurance business
worldwide. Moreover, the region’s business
is concentrated in a few countries, with more
than 90 percent of the premiums written in
Argentina, Brazil, Chile, Colombia, Mexico,
and Venezuela (Swiss Re, 2004). Figure 1
shows that not only is there room for more
insurance market penetration (premiums as a
percent of GDP), but also for better, greater
“density” (premium per capita in US$), that
is, for a more competitive, deep, and effi-
cient insurance market. Evidence suggests
that weaknesses in the infrastructure sup-
porting insurance operations, immature
marketing and product delivery mechanisms
1
and know-how, may be slowing down the
growth of efficient insurance markets. We
see evidence of this inasmuch as insurance
products are still perceived as too complex
by consumers, unreliable as financial risk
management tools (claims processing is per-
ceived as opaque and unreliable), and too
expensive. These circumstances create inef-
ficiencies that prevent insurance from exer-
cising its full potential to favor the alloca-
tion of resources and economic growth. Of
course, insurance markets vary from country
to country and there are also success stories
in some countries or in the development of
specific products.
This paper provides an initial glimpse into
the performance of the insurance industry in
the region through the use of a broad diag-
nostic survey. It also provides some descrip-
tive statistics based on survey data. Survey
information is used to identify variables and
factors affecting insurance market perform-
ance in Latin America and the Caribbean,
forming the basis for a
discussion of policy recommendations. The
analysis is a first step toward identifying
problems perceived to be of critical rele-
vance to more effective insurance markets in
the region. Questions about causality among
variables, and how external factors may af-
fect variables simultaneously, remain in
play. Further research using existing surveys
as well as future surveys with larger samples
and more powerful tests and statistical tech-
niques need to be undertaken to adequately
answer these questions and provide a robust
assessment of which policies indisputably
lead to more effective insurance markets.
The analysis proceeds in measured steps.
Section 2 presents a brief overview of the
role played by insurance in the economy and
the importance of developing an effective
insurance market. Section 3 reviews the
main studies of insurance. Section 4 surveys
the status of insurance markets in the region
and Section 5 describes the main results
from the survey. Section 6 presents our con-
clusions and the main policy recommenda-
tions for future research to improve insur-
ance market effectiveness in the region.
Figure 1. Insurance in Latin America Compared to Other Regions
Source: Swiss Re Economic Research & Consulting
2
2. Insurance and Its Role
The term underwriting originated in one of
the oldest current insurance markets in the
world: Lloyd’s of London, which was origi-
nally a coffee shop. Commercial shipping
companies that sought insurance for their
vessels would place the details of the ship
and its cargo on a chalkboard in the shop.
Interested individuals with funds to insure
against adversities examined the board and
wrote their names under a ship’s details
(hence under-writing), indicating that they
had assessed and were willing to take on the
associated risks (Churchill et al., 2003). This
risk pooling provided both an efficient
means for protecting against certain types of
adversity, such as those at sea, and also a
source of complexities in designing and de-
livering insurance products.
Insurance and Economic Activity
The existence of insurance markets facili-
tates economic activity. This follows di-
rectly from the idea that risk-averse indi-
viduals are willing to pay at least a fair pre-
mium to ensure compensation should a spe-
cific event occur in the future. This enables
some individuals to enter into higher risk
activities, offering higher than expected pro-
ductivity returns that they would not enter
otherwise. An insurer supplies a contract,
which details future payments covering
specified circumstances. Such a contract is
favorable to the insurer, insofar as the pre-
mium paid is at least as high as the expected
payment to the policyholder (adjusted for
the probability of the triggering adversity
occurring). Premiums charged to all policy-
holders provide funds for those entitled to
payments. For each policy that may incur a
loss to the insurer, the law of large numbers
indicates that when the number of contracts
increases and the policy is appropriately
priced (so that the premium equals the ex-
pected loss from each individual contract)
the insurer gains nonnegative profits in the
long run and is motivated to undertake its
customer’s risks, thereby promoting eco-
nomic growth and activity (Moss, 2003).
Insurance markets are particularly beneficial
for economic activity in developing coun-
tries, such as those in Latin America and the
Caribbean. Households in developing coun-
tries are exposed to high risk, with important
consequences to welfare and efficiency. Ta-
ble 1 shows how, in the absence of formal
insurance markets and instruments, risks
Strategy Examples Shortcomings
Managing and reducing risk
faced via changes in portfolio
of income sources
Crop diversification; specialization
in low-risk activities; migration of
some members
Sacrifice of expected income
Asset management Savings and self-insurance Lack of suitable savings assets (lumpiness,
insecurity); focus on liquid, less-productive
assets; long building time; covariance in asset
prices and income
Informal insurance Reciprocal gifts/loans from friends
and relatives
Incomplete protection; vulnerability to
covariant risk
Market based solutions Formal insurance policies Typically not available to the poor
Table 1. Informal Risk Management and Coping Strategies
Source: Dercon (2006)
3
from changed sources and reduced flows of
income and from asset management lead to
suboptimal solutions via self-insurance or
informal insurance.1
These risks, or “chances that an event will
cause damage or loss” (Churchill et al.,
2003), are associated with specific incidents
such as illness, theft, or unemployment, or
with economy-wide events such as a drought
or recession. It has long been acknowledged
that these shocks have important implica-
tions, not the least for the poor, including
short-term impairment of consumption and
nutrition, resulting in calls for the establish-
ment of safety nets and other mechanisms.
These risks lead to changes in the portfolio
of income sources and in asset management,
sometimes promoting survival strategies that
result in inefficient resource allocation.
Therefore, expanding insurance provision
for the poor is an important instrument with
substantial long-term welfare benefits. Typi-
cal survival strategies and their shortcom-
ings are indicated in Table 2.
The lack of formal insurance mechanisms
leads to inefficient economic solutions that
are also inequitable. Therefore, the devel-
opment of insurance markets is justified by
considerations of both efficiency and equity.
As Sen (1999) states, the key point is that
insurance allows everyone, and particularly
the poor, to improve their economic poten-
tial and become less prone to lean on wel-
fare programs.
1
Tables 1 and 2 come from Dercon (2006).
INSURANCE AND
CAPITAL MARKETS
The role of insurance not only is comple-
mentary to productive activities but very
significant for financial sector development.
Insurers enter the market with equity capital
and issue insurance policies, which are a
form of debt capital. The funds raised by
issuing both types of capital are invested
until needed to pay claims. In this context,
an effective insurance sector is not only
relevant for productive and economic activ-
ity and for facilitating the sharing of risk,
but also plays a crucial role in the invest-
ment of savings.
Insurance companies as institutional inves-
tors in corporations not only help improve
capital allocation but also further enhance
their investments through increased monitor-
ing. Capital markets also can be a driving
force for and benefit from the development
of institutional investors. Insurance compa-
nies have liability compositions that are
mostly long term, with liquidity needs, and
constitute a natural complement for capital
market development. Insurance companies
have large cash inflows and reserves (linked
to premium payments) that are partly in-
vested in less liquid instruments such as
government and corporate bonds, and equi-
ties that are typical instruments of a deve-
Strategy Examples Shortcomings
Changes in portfolio of income
sources
Children’s labor Sacrifice of human capital
Asset management Selling/pawning of real productive
assets
Long time to rebuild base
Informal insurance Charity Incomplete protection; vulnerability
to covariant risk
Market based solutions Bank loans for consumption credit Typically not available to the poor
Table 2. Survival Strategies
Source: Dercon (2006)
4
loped capital market. In the absence of an
array of such investment instruments, insur-
ance companies would gravitate toward
government bills and bonds with little diver-
sification and benefit to capital market de-
velopment (Figure 2).
In the context of financial market develop-
ment, insurance services play a crucial role
in risk management, in allocating savings,
and in capital market growth. The develop-
ment of sound, modern, and open insurance
markets is an essential component of finan-
cial reform and capital market development
in emerging-market and transition countries.
INSURER RISKS
Although the primary purpose of insurance
is to meet claims at all times, insurers are
exposed to a number of risks. Solvency risks
are either technical or related to investment.
Technical risks are of two types: underpric-
ing and underprovision. Underpricing occurs
when the insurer attracts buyers by setting
excessively low premiums that, combined
with investment returns, do not cover the
expected claims. Technical reserves repre-
sent the largest share of an insurer’s debt,
and they are a measure of an underwriter’s
obligations to its policyholders. Generally
speaking, insurers are underprovisioned
when their technical reserves are inadequate
to meet their policy obligations.
Investment risk is generated by the insurer’s
role as a financial intermediary and reflects
how the insurer’s exposure to insolvency
resembles a bank’s. Market failure is threat-
ened when the market price does not reflect
the insolvency risk. In a world of perfect
information, economic theory presumes that
competition and rational behavior ensure
that risk is reflected in consumers’ willing-
ness to pay, thereby fostering efficient risk
management among insurers. To correctly
assess the insurer’s solvency, however, the
buyer should have accurate data on the joint
distribution of loss claims, the return on the
insurer’s asset portfolio, and the technical
reserves that the insurer will hold when
benefits are paid. Since such information is
in practice costly or unavailable for buyers,
it is plausible to think that they cannot fully
assess the financial strength of their insurer
or the quality of the insurance contract. In
Lackof effectiveInsurancemarkets
Lowrisktakinginitiatives
Weakcontributiontofinancial
market development
Lowresourcesfor development
Figure2: Lackof EffectiveInsuranceMarkets
5
addition to technical and investment risks,
the insurer also is exposed to the possibility
of default by a partner (for example, a re-
insurer) or of mismanagement, as well as to
systemic risk.
These considerations point to two important
aspects of asymmetric information that can
prompt market failure: moral hazard and ad-
verse selection.2
Moral hazard refers to
situations in which one side of the market
cannot observe the actions of the other. For
this reason, it is sometimes called a “hidden
action problem” (Varian, 1990). Adverse
selection occurs when a negotiation between
two people with different amounts of infor-
mation (that is, asymmetric information) re-
stricts the quality of the good being traded.
This typically happens because the more in-
formed person is able to negotiate a favor-
able exchange.
INSURANCE, REGULATION, AND
SUPERVISION
Moral hazard and adverse selection are typi-
cal forms of asymmetric information that
lead to risk of insolvency as well as to un-
derprovision of insurance products. They
2
For a more extensive discussion of moral hazard
and adverse selection, see Appendix A.
justify the need for government intervention
in insurance markets through legal provi-
sion, regulation and supervision (OECD,
2003c). The importance of insurance regula-
tion and supervision also is reinforced by the
integration of world insurance markets,
which requires an adequate regulatory
framework in each jurisdiction.
The danger of moral hazard increases when-
ever the government establishes implicit or
explicit guarantees against insolvency. The
promise of bailouts removes incentives from
policyholders to consider insurers’ financial
strength when buying insurance coverage.
User perceptions of regulation and supervi-
sion combine with those of capital adequacy
to help shape the evolution and development
of insurance markets. Therefore, public pol-
icy is a significant factor in strengthening
insurance markets in Latin America and the
Caribbean, particularly in identifying the
limits of government intervention to pro-
mote the insurance business and avoid un-
derprovision and financial disruptions, as
well as to ensure welfare gains (see Greene,
1976).
6
3. Literature Review
THE ROLE OF INSURANCE IN
ECONOMIC GROWTH
AND ACTIVITY
Whereas several studies establish that finan-
cial development is an important determi-
nant of national economic growth,3
under-
standing the causal relationship between in-
surance market growth and economic devel-
opment is still lacking. According to Patrick
(1966), economic expansion can be led by
supply-led through growth in financial de-
velopment or, alternatively, financial devel-
opment can be demand-led through growth
in the economy. In other words, causality is
two-way. The work of Outreville (1990,
1992, and 1996) is notable for identifying
links between an economy’s financial and
insurance market development. The 1992
study shows a positive relationship between
economic expansion and insurance sector
growth. Insurance markets (measured by the
ratio of insurance premiums to GDP) also
are shown to depend significantly on a coun-
try’s financial development. In examining
market structure, Outreville finds that devel-
oping countries have a supply causality pat-
tern to their development, suggesting that
supply-side factors should receive more re-
search and policy attention.
3
King and Levine (1993) argue, “Schumpeter might
be right.” Levine and Zervos (1996) show that stock
market development is positively associated with
economic growth. Demirgüç-Kunt and Levine (1996)
also clarify that the level of stock market develop-
ment is a good predictor of economic growth. Boyd
and Smith (1996) demonstrate that the endogenous
evolution of debt and equity markets in the develop-
ment process provides an economy with a more effi-
cient set of financial opportunities and encourages the
development of capital markets. Levine (1997) and
Beck and Levine (2001) find a positive causal impact
of financial development on productivity and eco-
nomic growth. Rajan and Zingales (1998) confirm
that economic growth finds a limitation in the finan-
cial system. Caprio and Demirgüç-Kunt (1998) con-
firm that long-term credit is scarce in emerging-
market countries, especially for small firms that
would obtain long-term finance if located in indus-
trial countries. Rajan and Zingales (2001a, 2001b)
partly attribute the growth of companies to financial
innovation.
Arestis and Demetriades (1997), De-
metriades and Hussein (1996), and Pesaran,
Haque, and Sharma (2002) have highlighted
the importance of accommodating causal
relationships to cross-country differences in
size and direction. That is, the issue of “het-
erogeneity” is crucial in gauging the eco-
nomic role of insurance across different
countries. Ward and Zurbruegg (2000) also
examine the causal relationship between in-
surance industry growth and economic
growth. Recognizing that the economic
benefits of insurance are conditioned by na-
tional regulations, economic systems, and
culture, they argue that examination of the
interrelationships between insurance and
economic growth must be done country-by-
country.
Looking beyond questions of supply, Been-
stock, Dickinson, and Khajuria (1986) and
Browne and Kim (1993) found that the
state’s role in providing insurance services
was a determinant of life insurance demand.
Specifically, they found an inverse relation-
ship between life insurance premiums and
social security coverage. According to
Hofstede (1995), the insurance level within
an economy will depend on the national cul-
ture and how it affects individual willing-
ness to use insurance contracts to handle
risk. Fukuyama (1995) confirms that hetero-
geneity is likely to be conditional on the cul-
tural context of a given economy. Insurance
will offer important economic benefits when
activities generally are seen as risky and
7
when the possibility of adversity is managed
optimally through insurance contracts rather
than other risk transfer mechanisms. Fuku-
yama connects these cultural differences
with the level of trust in the economy.
THE ROLE OF INSURANCE IN
FINANCIAL INTERMEDIATION AND
DOMESTIC CAPITAL MARKETS
The mainstream literature on the factors that
affect financial market development does
not explicitly include the insurance market.
However, insurance company activities as
financial intermediaries and institutional in-
vestors are keys to capital market develop-
ment. Conyon (1994) states that the primary
impact of insurance comes from its financial
intermediary activities, linking insurance
market development to the accumulation of
productive capital within an economy. Con-
yon and Leech (1994) show that institutional
investors (that is, pension funds, insurance
companies, and mutual funds) improve pro-
ject productivity potential.
In assessing policy choices that spur finan-
cial market development, existing research
has singled out legal and regulatory reform,
corporate governance, and particularly the
role of institutional investors. La Porta et al.
(1997, 1998) confirm that the legal envi-
ronment and enforcement affect the size and
depth of the financial sector. They study the
quality of laws governing institutional inves-
tor protection and the vigor of enforcement
and confirm that a weak legal system retards
financial development and economic
growth. Browne, Chung, and Frees (2000)
show that a country’s legal system is a sig-
nificant determinant of the demand for
automobile and general liability insurance.4
4
The relevance of legal systems and inherited institu-
tions for financial market development in general has
been explored further by La Porta et al. (2000),
López-de-Silanes (2001), Coffee (2000), Rajan and
Zingales (2001a, 2001b), and Stulz and Williamson
(2001), among others.
RELEVANT FACTORS FOR
INSURANCE DEVELOPMENT
Three things emerge from the literature on
relevant factors for the development of in-
surance markets. First, as noted previously,
various attempts have tried to link specific
variables (for example, the legal system,
governance, enforcement, institutional quali-
ties) to insurance and financial market de-
velopment. Swiss Re (2004) has analyzed
these factors mostly from the point of view
of businesses. Among the factors that de-
termine insurance growth are the savings
level and per capita GDP, which have a
positive impact on insurance but also benefit
from the development of insurance markets.
Enz (2000) studies the relations between in-
surance demand and GDP, highlighting
many factors (including taxation, regulation,
and risk coverage provided by the govern-
ment) that limit insurance penetration in the
market. Greene (1976) and Outreville (1992)
examine the state’s role in the insurance
market.
Swiss Re (2004 and 2006) identifies several
important factors determining growth of the
insurance business, including the distribu-
tion of wealth, the legal system and property
rights, insurance product availability, regula-
tion and supervision, trust, and risk aware-
ness. Other non-economic factors that have
an impact on the development of insurance
are religion, culture, and education. Specific
factors are identified for life insurance and
non-life insurance (see Table 3). For non-
life insurance, they include regulation (for
example, compulsory coverage), claim
awards, exposure to natural disasters, and
the public sector’s role in health. For life
insurance, they include economic stability
(for example, inflation and the exchange
rate), demography, the tax system, the sav-
ings rate, and the pension system.
8
General factors Specific factors
Economic growth Products offered
Wealth distribution of income Distribution channels
Religion, culture Risk awareness
Education Insurance regulation
Property rights, legal certainty Trust in insurance
Non-life Insurance Life Insurance
Compulsory insurance
Economic stability (e.g., inflation,
currency)
Natural catastrophe exposure Savings rate
Public role in health and workers
compensation insurance
Demography
Claims awards Tax benefits
Pension system
Table 3. Factors Influencing Insurance Demand
Source: Swiss Re Economic Research & Consulting
Second, insurance business failure can stem
from several potential sources. Most of the
theoretical research has focused on the prob-
lems of adverse selection and moral hazard
in the insurance market. Rothschild and
Stiglitz (1976) show that asymmetric infor-
mation between the insurer and the policy-
holder inhibits the design of an efficient
contract when the buyers are heterogeneous
in their accident probabilities (which is pri-
vate information for the buyer). Yet, the
empirical evidence for asymmetric informa-
tion in insurance markets is decidedly
mixed. Several recent empirical studies have
failed to find evidence of asymmetric infor-
mation in property/casualty, life, and health
insurance markets. These studies include
Cawley and Philipson (1999), who examine
the U.S. life insurance market; Cardon and
Hendel (2001), who look at the U.S. health
insurance market; and Chiappori and Salanie
(2000), who focus on the French automobile
insurance market. In contrast, Cutler (2002)
reviews a substantial literature that finds
evidence in support of asymmetric informa-
tion in health insurance markets; and Cohen
(2001) offers some evidence for adverse se-
lection in U.S. automobile insurance mar-
kets. Chiappori and Gollier (2006) argue
that asymmetric information is a central rea-
son that competition in insurance markets
may fail to guarantee that all mutual advan-
tageous risk exchanges are realized. These
results support the conclusion that depend-
ing on the specific market and situation,
asymmetric information constitutes an im-
portant feature of insurance markets.
Third, the literature contains different views
about the need for capital adequacy regula-
tion and supervision in the insurance busi-
ness. Advocates for a free insurance market
without any regulation, supervision, or capi-
tal adequacy requirements argue that asym-
metric information in insurance is less se-
vere than in banking and that an insurance
company crisis or failure is less costly than a
bank failure. Rees and Kessner (1999) dis-
cuss this issue extensively, and favor a free
insurance market based on their analysis of
the U.K. (unregulated) and German (tightly
regulated) markets. The authors argue that
since buyers are always ready to pay for an
insurer that guarantees solvency, there is
always enough capital available in case of
insolvency. Therefore, the decision of insur-
ers is efficient in terms of economic capital,
and regulation is not only unneeded but can
impose deadweight loss on the market. This
argument rests on the assumption that con-
sumers are fully informed about the insol-
vency risk. Klemperer and Meyer (1985),
however, remove this crucial assumption
that the consumer can understand the sol-
9
vency risk fully and can use relevant infor-
mation effectively. Given the empirical evi-
dence, they dispute the superiority of the
U.K. unregulated model and assert that in-
surance failures (citing the period 1986–99)
are more severe than the losses of other fi-
nancial institutions.
Despite the arguments in favor of a free and
unregulated market, in practice the regula-
tion and supervision of the insurance indus-
try are common in Latin America and the
Caribbean, and widespread around the
world. Yet the argument for freedom from
regulation and supervision is stronger for the
insurance than for the banking sector. This is
because insurance providers do not need to
provide suddenly massive liquidity (that is,
to cover rapid withdrawals by depositors
like those that may lead to a bank run and
spread system-wide through “contagion”).
In addition, the insurance business has the
capability of diversifying its risk portfolio
through reinsurance.
DEFINING EFFECTIVENESS
IN INSURANCE MARKETS
The extent to which the insurer successfully
facilitates the insurance process becomes the
overarching criterion for a metric on effec-
tiveness. How quickly, how cheaply, how
simply, and (among other things) how relia-
bly an insurance company administers its
policies will help determine how well it
minimizes its risk as an insurer.
There is a dearth of literature about insur-
ance effectiveness framed this way. Most
research is from intra-industry studies of
deep insurance markets such as those of
Europe or the United States and focuses on
profitability or economic efficiency, con-
cepts that flow directly from the microeco-
nomic theory of the firm. The search for
variables and factors that capture insurance
market effectiveness is altogether absent be-
cause these studies are tailored to the re-
search agenda of already highly developed
insurance markets. In these circumstances,
profit maximization and competition are far
more pertinent concerns than laying the
foundation for a workable market.
Thus Diacon, Starkey, and O’Brien (2002)
concentrate on an insurer’s efficiency,
namely its ability to produce a set of outputs
(such as premiums and investment perform-
ance) from given inputs (such as administra-
tive and sales staff and financial capital).
They conclude that aninsurance companyr
would be technically efficient if it cannot
reduce its resource usage without some cor-
responding reduction in outputs, given the
current state of production technology in the
industry (Diacon, Starkey, and O’Brien,
2002). Cummins and Weiss (1998) similarly
focus on a Pareto frontier of economic effi-
ciency, which is achieved when an insurer
has reached cost efficiency, or the produc-
tion-maximizing (technical efficiency) and
the cost-minimizing (allocative efficiency)
combination of inputs. Beyond insurer effi-
ciency, some studies choose to measure
company performance. Avoiding some of
the subjectivity associated with profits re-
ported by long-term insurers, Mayers and
Smith (1982), for example, utilize an operat-
ing-income variable (defined as income be-
fore taxes and dividends to policyholders) as
well as annual growth in premiums. Proxies
of performance in other studies include
growth in assets (Ingham and Thompson,
1995), return on assets (O’Hara, 1981; Ge-
netay, 1999), growth in premiums (Armitage
and Kirk, 1994), and executive remunera-
tion/emoluments (Brickley and James, 1987;
Fields, 1988; Kroll, Wright, and Theerathon,
1993; and Mayers, Shivdasani, and Smith,
1997).
In relatively newer or shallow insurance
markets, such as Latin America and other
emerging economy regions, a specific strand
of the literature on insurance effectiveness
warrants elaboration. Apart from analysis by
10
international insurers (for example, Munich
Re and Swiss Re), there have been few stud-
ies of Latin American and Caribbean insur-
ance markets. Swiss Re and the International
Insurance Federation rank 16 countries
benchmarked for levels of premiums per
capita for life and non-life business, but all
of the countries are developed. Moreover,
these studies have not been conducted inde-
pendently because many international insur-
ance companies analyze insurance markets
as part of their business expansion.
The World Bank and the International
Monetary Fund have undertaken studies of
insurance markets in Latin America and the
Caribbean in the context of the Financial
Sector Assessment Program.5
These studies
are country specific and they focus exclu-
sively on the regulatory aspects of insurance
markets. Moreover, these studies only apply
to a limited number of countries (five in the
region). Similar limitations apply to the
World Bank and IMF program Reports on
Observance of Standards and Codes, which
summarize how well countries observe cer-
tain internationally recognized benchmarks.6
Furthermore, in this case, there has been lit-
tle analysis of the insurance markets. As for
the World Bank’s World Development Indi-
cators, entries include “time to register a
business” and “time to enforce a contract,”
but there is no measure for insurance effec-
tiveness. Similarly, neither the World
Bank’s Investment Climate Survey nor its
Doing Business Database includes any
measure of insurance among their tabulated
financial indicators.
REVIEW OF STUDY METHODOLOGY
In general, econometric and quantitative
analyses have been used to assess the factors
and variables of capital, financial, and insur-
ance market development. Ward and Zur-
bruegg (2000), Enz (2000), Outreville
(1990, 1992, and 1996), Arestis and De-
metriades (1997), Demetriades and Hussein
(1996), and Pesaran, Haque, and Sharma
(2000) are examples of econometric analy-
ses based on time series. Some of these pa-
pers have also used techniques (such as
cointegration) for analyzing causality.
Hofstede (1995) and Fukuyama (1995)
make little use of quantitative analysis. Us-
ing surveys to analyze insurance markets has
been limited (Swiss Re studies, for example,
have utilized surveys but lack parametric
analysis).
5
See
http://www.imf.org/external/np/fsap/fsap.asp#cp.
6
See http://www.imf.org/external/np/rosc/rosc.asp.
Scarcely any studies examine how institu-
tional factors influence insurance company
effectiveness. The predominant literature is
comprised of intra-industry studies outside
the scope of public policy and focuses on
generating firm-specific prescriptions to im-
prove the business, that is, the profitability
of insurance per se (see Annex 1).
For instance Borde, Chambliss, and Madura
(1994) critique traditional methodologies for
determining what firm-specific factors affect
insurance company risk. They develop alter-
native parametric models for measuring the
impact of factors on risk. O’Sullivan and
Diacon (2002) utilize a two-way fixed-
effects model of nonexecutive board mem-
ber influence on the performance of life in-
surance companies in the United Kingdom.
Using a set of panel data comprising 53 life
insurance companies over seven years, the
model includes time and company dummies
to pick up those influences on performance
that are company invariant (for example,
macroeconomic movements) and time in-
variant (for example, subsidiary status, or-
ganizational structure), respectively. Kramer
(1996, 2000) uses ordered logit and neural
network models to determine the financial
solidity of Dutch non-life insurers. Both
models use the same six variables to proxy
for solvency, profitability, and investments.
11
Taylor (2001) assesses the use of regression
analysis in examining service recovery in
the insurance industry and finds it likely that
different models may be appropriate for dif-
ferent samples and research variables. A re-
search framework is presented to help over-
come potential bias in regression coeffi-
cients used in competitive insurance set-
tings.
Diacon, Starkey, and O’Brien (2002) em-
ploy a two-stage analysis to explore inter-
company differences in efficiency. The first
stage uses a nonparametric frontier
method—data envelopment analysis
(DEA)—that uses linear programming tech-
niques to discover the frontier firms and
construct a convex piecewise linear surface
or frontier over these firms. The second
stage consists of regressing the Farrell effi-
ciency scores from the first-stage DEA
process against environmental variables un-
der a tobit model for censored data. Simi-
larly, Leverty, Lin, and Zhou (2004) apply a
two-stage methodology to estimate firm ef-
fectiveness in the Chinese insurance Indus-
try, using DEA to estimate firm efficiency in
the first stage, and then a weighted tobit
[capitalized or not???, please be consistent]
regression, a count or Poisson regression
model, and a WLS regression in the second
stage to disentangle the determinants of firm
efficiency. Cummins and Weiss (1998)
comment on the dominance of the “best
practice” frontier efficiency methodology
for measuring insurance firm performance
but posit its limitations.
Based on the findings of the literature re-
view, the program of work being undertaken
(i.e., survey of insurance markets and stud-
ies) takes the research forward by focusing
on the role of insurance in capital market
development (and therefore economic
growth). It also develops a conceptual
framework for analysis and sheds light on
the variables and factors that are more rele-
vant for insurance market development and
warrant public policy intervention. This pa-
per describes the situation of the insurance
industry as it emerges from the survey.7
7
Subsequent analyses will present a more sophisti-
cated explanatory model of the factors and variables
that influence the development of insurance markets
in Latin America and the Caribbean.
12
4. The Importance of Insurance in
Latin America and the Caribbean
Drastic policy shifts occurred in Latin
America during the 1990s. The countries of
the region relied on privatization, liberaliza-
tion, and deregulation to strengthen financial
markets, among them the insurance market.
Privatization. Government involvement in
the economy through state-owned enter-
prises diminished considerably during the
decade. While targeting greater efficiency
and fiscal relief, enterprise privatization also
was touted as a way to jump-start capital
markets by widening share ownership and
expanding the supply of investment securi-
ties. Other than the state-owned insurer La
Previsora in Colombia and the reinsurance
monopoly in Brazil, the major actors in the
big insurance markets of the region are pri-
vate.8
Moreover, workers’ compensation
insurance is now written by private insurers
in Argentina and Colombia, and a privately
run unemployment insurance scheme has
recently been introduced in Chile (Swiss Re,
2004).
Movement toward social security privatiza-
tion also was intended to deepen capital
markets by generating a pool of private sav-
ings to finance private investments. Individ-
ual capitalization regimes began replacing
state-run pensions in the region, beginning
with Chile in 1981. Peru followed suit in
1993, Argentina and Colombia in 1994,
Uruguay in 1996, Bolivia and Mexico in
1997, El Salvador in 1998, Costa Rica in
2001 and, most recently, the Dominican Re-
public in 2003.
8
The only exception is Costa Rica where the 1924
Law of Monopolies of the Instituto Nacional de
Seguros (National Insurance Institute) states that in-
surance is a monopoly of the state.
Liberalization. The liberalization of Latin
American financial markets (including stock
markets) and the capital account, which had
lagged in the 1980s, quickly intensified in
the 1990s. The goal was to open the door for
more foreign capital to fund domestic in-
vestments, as well as to provide domestic
firms with access to risk diversification from
abroad. The opening to international fi-
nance, it was believed, would provide more
discipline and efficiency to domestic capital
markets (see Figure 3, which comes from
Galindo, Micco, and Panizza, 2005).
For insurance in particular, foreign insurers
would provide new capital and know-how
through more sophisticated insurance prod-
ucts and distribution channels for reaching a
broader spectrum of people. With reduced
entry barriers, many international insurers
entered the region’s insurance markets.
Merger and acquisition activities accelerated
and competition intensified. By 2004, the
market share of foreign insurers ranged be-
tween 30 percent and 75 percent of the re-
gion’s market (Table 4).
Table 4. Market Share of Insurers
with Foreign Ownership (≥50%)
Life Non-life
Latin America
Brazil 32% 43%
Mexico 75% 58%
Chile 62% 63%
Argentina 53% 35%
Venezuela 39% 50%
Colombia 38% 46%
Source: Swiss Re (2004)
13
Regulatory Reform. Across the region, re-
forms in securities market supervision, gov-
ernance, and infrastructure accelerated rap-
idly in the 1990s (Figure 4). The intention
was to step up exchange platforms and sys-
tems to lower transactions costs, as well as
to create a regulatory body and legislation to
protect investors and elicit more investment.
By 2002, the region as a whole seemed
market ready.
Despite this multidimensional reform “pack-
age,” insurance markets in Latin America
and the Caribbean remain shallow compared
to other international markets (for example,
insurance penetration—measured as premi-
ums over GDP—is low: see Figure 1).
Figure 3. Financial Liberalization, 1973–2005
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
1973 1975 1977 1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005
LAC ASIA Europe G7
Note: The index plots the simple average of liberalization in the capital account, the domestic financial
system, and the stock market. This measures ranges from 1 to 3, where 3 is full liberalization. The Av-
erage Liberalization Index in the graph is the simple average of the liberalization measure across coun-
tries in each year.
Source: Financial Liberalization is based on the indicators developed in Kaminsky and Schmukler
(2003) and authors’ updates
Table 5 shows recent data9
collected from
household surveys about access to private
health insurance. A simple average of seven
countries for which information is available
Figure 4. Percentage of Latin American Countries
Having Implemented Reforms, 1990–2002
31%
25% 27%
15%
0%
56%
63% 64% 62%
33%
88%
94% 91%
100%
92%
0
20
40
60
80
100
120
Supervisory
Agency Creation
Establishment of
Insider Trading
Laws
Custody
Arrangements
Trading Systems Clearing &
Settlement
Processes
Before 1990 By 1995 By 2002
Source: De la Torre and Schmukler (2004)
14
9
The countries selected in the table are those for
which data are available.
shows that only 8 percent of households de-
clared having some type of private health
insurance (the average for poor households
is 2 percent). Compared to developed coun-
tries such as the United States (68 percent)
and Australia (45 percent), these numbers
highlight the relative underdevelopment of
the region’s financial markets. We should
note that health insurance access may not be
the best indicator of the degree of develop-
ment of the industry because it is dependent
on government provision of these services
(effective government-provided universal
public health insurance, for example). How-
ever, it is the most comparable indicator that
can be built using household surveys. Im-
proving the design of household surveys
may enable us to capture more complete and
comparable information about other types of
insurance.
Indeed, the current condition of the insur-
ance industry in Latin America and the Car-
ibbean does not match other indicators for
the region, such as population and GDP,
which represent about 6 percent and 8 per-
cent of the world’s totals, respectively. Seen
in conjunction, these figures reveal a marked
underdevelopment of the region’s insurance
industry.10
However, there is also “hetero-
geneity”, which is crucial in gauging the
economic role of insurance across different
countries. Ward and Zurbruegg (2000) ex-
amine the causal relationship between insur-
ance industry growth and economic growth
in the OECD countries, and recognize that
the economic benefits of insurance are con-
ditioned by national regulations, economic
systems, and culture. They argue that an ex-
amination of the interrelationships between
insurance and economic growth must be
done country by country.
To put that into perspective, recent studies
indicate enormous differences among
emerging-market countries (see Figure 5).
The level of insurance development (meas-
ured by penetration, i.e., the ratio of premi-
ums to GDP) varies significantly among
countries in Latin America and the Carib-
bean (see Figure 6). This view (see Enz
2000) contrasts with the models that assume
a constant income elasticity of demand for
insurance, and have the unrealistic implica-
tion that insurance penetration grows with-
out constraint. Figure 6 shows a wide dis-
parity in the level of insurance demand and
coverage among developed economies (e.g.,
Spain), relatively developed countries such
as Chile, Brazil and Mexico, and poor coun-
tries such as Bolivia and Honduras.11
Table 5. Households with
Access to Private Health Insurance (%)
Nonpoor Poor Total
Ecuador 9.6 1.0 6.8
Guatemala 9.5 1.8 6.0
Panama 3.8 0.1 2.8
Nicaragua 3.0 0.6 2.1
Paraguay 13.1 1.3 10.0
Peru 8.5 0.7 4.9
Dominican Republic 27.8 10.9 22.8
Average 11.0 2.0 8.0
Australia 45.0
U.S. (Individuals) 68.0
Source: For Latin America, authors’ calculation
based on household surveys obtained from the ME-
COVI database; for U.S., United States Census Bu-
reau (2003); for Australia, Colombo and Tapay
(2003).
For all of the reasons articulated earlier, the
challenge is to overcome the market failures
that hinder insurance development and to
identify the factors that promote it. Using
information from the survey we selected the
variables that are most likely to have an im-
pact on the effectiveness of insurance mar-
kets. The selection of variables was made
based on previous studies as well as on ex-
perience. In the first place, insurance mar-
kets will be affected by variables that have
an impact on the overall health of the econ-
15
10
Swiss Re (2002).
11
Swiss Re (2004: 5–6).
omy, such as income level, macroeconomic
stability, average education of the popula-
tion, culture, political stability and financial
depth. A second set of factors that affect in-
surance markets in a more direct manner are
competition in the insurance sector, moral
hazard, supervision of insurance companies,
adverse selection, enforcement of consumer
protection laws, enforcement of the law, and
availability and clarity of information about
products and services.
Figure 5: The Emerging Markets Need to Catch Up in Insurance
Source: DRI-WEFA, Swiss Re Economic Research & Consulting
Figure 6: Penetration Ratio in Latin American
and Caribbean Countries
0%
1%
2%
3%
4%
5%
6%
7%
8%
1999 2000 2001 2002 2003 2004
year
%
Argentina Bolivia Brasil Chile Colombia
Ecuador El Salvador Guatemala Honduras México
Nicaragua Panama Paraguay Perú Uruguay
Venezuela España Portugal
Source: Assal. various years www.assalweb.org
16
5. Survey Results
The underdevelopment of insurance in Latin
America and the Caribbean is the result of a
wide variety of factors—some exogenous,
others within the scope of public policy.
This section presents a basic analysis using
data from a survey of industry specialists
and regulators.
The survey and its results are very innova-
tive because it is the first time that regional
institutions (ASSAL, FIDES, and the IDB)
undertake a common multiyear program of
research and action to improve insurance
markets in the countries of the region. Re-
search and action are undertaken at the re-
gional and national levels. That is, it starts as
a regional program and moves down to the
country-specific level. The objectives are to
provide material for research to obtain a bet-
ter understanding of the variables that spe-
cifically affect insurance market develop-
ment in Latin America and the Caribbean,
and to encourage participants to initiate pol-
icy actions.
Responses are tallied from insurance agents
(18 industry superintendents, 19 industry
associations, and 126 insurance companies)
that make up the insurance market in the re-
gion. Each individual question measures one
or more endogenous and/or exogenous vari-
ables that affect insurance markets. A scale
in which items or variables represent differ-
ent subconcepts of the uncovered variable or
factor and responses is presented to indicate
different degrees of agreement or disagree-
ment with the item. The majority of the re-
sponses are ranked on a Likert scale of 1 to
5 (for example, five categories of agreement
and disagreement with 3 being a neutral
value). Some questions are based on catego-
ries (for example, income and education);
others are yes/no questions (for example,
gender); and still others are related to factors
that can influence a certain behavior (for
example, buying insurance if income in-
creases).
Various elements emerge from the analysis
of the survey, which will be reviewed in
more detail in a separate paper (Webb,
Masci and Velarde, 2006).12
Table 6 high-
lights some of the questions that scored low-
est in the survey, that is, those perceived to
be in most need of improvement.
Findings of the analysis of the survey are
grouped according to a specific topic.
Overall, the impediments to market devel-
opment, which received the most attention
in the responses to the survey, were under-
developed institutions, low quality of data,
and education. Notably, the results suggest
that lack of sufficient education about insur-
ance is the greatest impediment, with poorly
functioning police and justice systems sec-
ond, and low data quality third.
Institutional Setting: Legal/ Judicial Sys-
tem
The responses highlight the fact that the ma-
jority of those surveyed view judicial sys-
tems (including enforcement) as substan-
tially slow, unpredictable, and in need of
improvement. Because these institutions
tend to be critical to the effectiveness of in-
surance operations, their inefficiency most
likely directly reduces the effectiveness of
insurance markets in the region.
12
Webb, Masci and Velarde (2006) present summary
statistics from a survey of people in the industry in
order to measure what factors are more closely re-
lated to effective insurance markets.
17
Table 6: Descriptive Statistics, Perceptions About Factors Affecting
Insurance Markets in Latin America and the Caribbean
Adequacy of Institutions that Support Insurance Markets (Judicial System)
Efficiency of the judicial system: Needs improvements = 91%
49% needs to improve completely
42% needs to improve in many aspects
Efficiency of law enforcement: Needs improvements = 88%
50% needs to improve completely
37% needs to improve in many aspects
Is the judicial system too litigious, slow and unpredictable?: Yes = 76%
39 % strongly agreed
37% agreed
Is improvement needed in the judicial system?: Yes = 74%
35% strongly agreed
39% agreed
Poor understanding of insurance products
Insurance products are too complex and not too well explained: Yes = 76%
21% strongly agreed
55% agreed
In your opinion, how much knowledge of insurance does the general population have in your country?: Poor = 83%
66% poor
17% very poor
Cost of providing insurance
Insurance coverage is too costly: Yes=75%
19% strongly agreed
56% agreed
Funding
Increase in the availability of financial instruments in capital markets. Needs improvements = 68%
32% needs to improve completely
36% needs to improve in many aspects
Information
The police force collects and maintains information about who is at fault in auto accidents and about the victims of
theft: disagree = 65%
disagree = 43%
completely disagree = 22%
The identification and prevention of insurance fraud exists disagree = 60%
disagree 45%
completely disagree = 15%
Government does a good job of maintaining and monitoring information about vehicle registration: disagree = 67%
disagree 29%
completely disagree = 28%
Data Collection by Type of Agency and
Type of Data
Only half of respondents believe that the
overall quality and quantity of data available
to insurers is good or very good. Similarly, a
little less than half think that the overall
quantity and quality of data collected by the
supervisor is adequate. In the private sector,
about half of those responding say that the
18
data collected for both life and non-life re-
serves and pricing is adequate. With respect
to specific types of data collected for un-
derwriting and pricing, it appears that data
on credit risk profiles and the accident his-
tory of applicants, as well as conformity
with construction codes are not as com-
monly collected yet as other types of infor-
mation. Also, it appears that about half of
those responding indicate that national mor-
tality tables are not used in their markets.
Those surveyed were also asked about the
types of information collected by different
entities, including statistics on: financial
statements, paid losses aggregated by line,
number of claims paid by line of business,
amounts paid for each claim, amounts paid
by type of policy, number of claims rejected,
geographical details regarding accidents,
details regarding the risk profile of the in-
sured, details regarding those involved in
fraudulent claims, accident history of appli-
cants, complaints made against companies,
the evolution of payments for claims over
time, aggregate costs of insurers, costs by
line, aggregate premiums, premiums by line,
and technical result by line. The majority
responded that supervisors collect most of
this information, and a minority responded
the information is collected by industry as-
sociations and insurance companies.
Loss data collection and use, which is essen-
tial to insurance efficiency in pricing and
risk management, is still poor in the region.
About 35 percent of those queried responded
that statistics on fire losses are not collected
or organized by locality or region, while 17
percent said that it is collected or organized
by region or department. Only 17 percent
said it is collected by city, and less than 5
percent stated that it is collected by district.
The breakdown for data on auto losses is as
follows: 33 percent not collected by geo-
graphic locality; 24 percent by region or de-
partment; 17 percent by city; and less than 5
percent by district.
Education: Training and Use of Actuaries
Actuaries bring professionalism and much
needed expertise to the practice of loss data
and price setting analysis. The current status
of actuarial practice in Latin America and
the Caribbean suggests that prop-
erty/casualty insurance is significantly lack-
ing in actuarial expertise, and that profes-
sional associations for actuaries are weak or
nonexistent. From the survey results we
learn that actuaries in the region are used
most in the life insurance business, because
it is in this the line of business that reserves
more frequently appear to require certifica-
tion by an actuary. However, a significant
number of actuaries (about one third), ap-
parently lack actuarial certification and/or
have little training. A little less than half of
those responding stated that the two areas in
which training is thought to be most inade-
quate are the analysis of reserves and of re-
insurance.
Finally, when asked about the strength of
professional associations, only about one
third or less of those responding indicated
that actuarial, risk manager, and loss adjus-
tor associations exist in their markets. Less
than one third of professionals in these areas
of activity are subject to a code of standards
and practices.
Strength of the Regulatory Framework
While no one single area of regulation stood
out as needing the most improvement, sev-
eral areas (including solvency margin and
capital requirements, asset-liability match-
ing, limits on types of permitted invest-
ments, and discount rates and use of mortal-
ity tables) were indicated as needing im-
provement by over 50 percent of those re-
sponding.
Strength of Supervisory Practices
About one half of those responding indi-
cated that the efficiency and knowledge of
19
their supervisor agency staff was good or
very good. Corporate governance and risk
matrix and financial analysis were areas of
supervision that stood out as needing im-
provement for the majority of those respond-
ing.
The results of the survey as a whole (all of
which are not discussed in this paper), sug-
gest that the protection offered to consum-
ers, as well as the services offered to the
market were considered mostly good to ade-
quate. The supervision of intermediaries,
reinsurance and market conduct were
deemed to be the weakest. Survey results
indicate that 24 percent of respondents be-
lieved that the supervision of intermediaries
was poor, while 4 percent believed it was
very poor. Similarly, 11 percent of respon-
dents thought that the supervision of rein-
surance was poor and 2 percent thought it
was very poor. With respect to the supervi-
sion of market conduct, 20 percent of re-
spondents believed it was poor and 2 percent
very poor.
Most common complaints included: the
quantity and frequency with which data has
to be delivered to the supervisor (56 per-
cent); on-site inspections are too frequent
and long (26 percent); and the process for
issuing of new regulations is not very trans-
parent (19 percent).
The majority of respondents (63%) believed
that the use of sanctions improved the trans-
parency of and confidence in the insurance
market.
Resources Available to the Supervisor
Mixed state and private sector funding was
the most common form of financing for the
supervisor. A clear majority of those re-
sponding indicated that their supervisor’s
approach to supervision was a mix of pre-
ventive and reactive supervision. Approxi-
mately one third of those responding indi-
cated that both computer and software
equipment as well as manuals and guides for
financial analysis and on-site inspections are
inadequate.
Financial and Capital Markets
Low transparency is only a significant issue
for one third of respondents; however insuf-
ficient variety of financial instruments and
insufficient trading (and consequent illiquid-
ity) of fixed-income instruments appear to
be significant concerns for about two thirds
of the respondents. The valuation of instru-
ments and insurance companies also appears
to be a concern for over half of those re-
sponding. In this respect, rating agencies
play an important role. Only 1 out 5 respon-
dents indicated that rating agencies rated
either all or the majority of insurers in their
market. A clear majority indicated that rat-
ing agencies only rate half or less of the in-
surers in their markets. With respect to mar-
ket discipline, about 1 out of 5 persons re-
sponding indicated that rating agencies pro-
vided market discipline. This fraction is
most likely the same 20 percent that operate
in markets where rating agencies have a sig-
nificant presence. Investors and insurance
company owners appear to exert the most
market discipline, while the supervisor is a
close second. News agencies exert much
less influence on market discipline in the
region, although they do play a role.
Future and Historic Solvency Threats to
the Market
Among the factors that have and continue to
threaten the profitability and solvency of
insurers, those that stood out in the survey
responses were: strong price competition,
economic recessions, political conflicts, loss
ratio volatility, insolvency or default by a
reinsurer, volatility in the price or availabil-
ity of reinsurance, ineffective supervisor,
and underestimation of required reserves by
the market.
20
Defining Characteristics of Industry
Practices
Interestingly, almost half of those respond-
ing indicated that insurance companies
would use pre-established formulas for re-
serving if they were given a choice in their
market. Other findings with respect to cor-
porate governance are also reinforced: about
one third of those responding indicated that
there is no legislation or regulation with re-
spect to corporate governance or internal
control in their market. The use of catastro-
phic probable maximum loss analysis for
insurance purposes does not seem to have
spread to the majority of countries in the re-
gion. With respect to the strength of industry
practices, the survey indicates that im-
provement is needed in several areas for the
market to develop. The areas of industry
practice flagged as weak include: asset-
liability matching, underwriting, marketing
practices of agents, internal control, man-
agement of insurance fraud, distribution
networks, and marketing practices of agents
and brokers. The existence of a code of eth-
ics for the insurance industry does not seem
to be commonplace in the region.
Consumers or Users of Insurance
Only about half of those responding indi-
cated there exist dedicated entities that either
negotiate on behalf of consumers or provide
them with information on how to make
claims. It appears that the majority of mar-
kets have consumers with little knowledge
of insurance products and only weak confi-
dence in the reliability of insurance prod-
ucts.
Collaboration Between Industry and Su-
pervisor
A formal, transparent process whereby the
private sector can participate in regulatory
reform does not seem to exist in more than
one third of the markets. Less formal par-
ticipation at the discretion of the supervisor
appears to be more the norm.
Contribution of Insurance to Economic
Development
The insurance lines chosen as most impor-
tant for the economy by those responding
include: life insurance (with and without
savings); homeowners; civil responsibility;
insurance for small business owners; natural
disaster coverage; and auto. The following
lines of insurance were seen as having the
potential for strong growth over the next ten
years: life (with and without savings); annui-
ties; auto; agriculture and fishery; and,
health/medical.
21
6. Conclusions
This study provides a descriptive assessment
of the strength and effectiveness of the in-
surance industry in Latin America and the
Caribbean and indicates the areas and issues
that deserve attention. It is clear that insur-
ance markets in the region lack adequate
depth and penetration, and that the countries
of Latin America and the Caribbean are fal-
ling behind other regions of the world based
on indicators of standardized measures of
insurance to economic development. The
studies covered in the literature review sug-
gest that improved and more widely avail-
able insurance and risk management ser-
vices may provide an important means for
achieving greater equity and effectiveness.
The results of the survey suggest some pol-
icy priorities for strengthening insurance
markets in the region. Overall, the impedi-
ments to market development, which re-
ceived the most attention in the responses,
were related to institutions, education, cost,
and availability of financial instruments and
quality of data. The policy priorities sug-
gested by the survey results are as follows:
i) Measure the cause, identify the extent,
and discuss possible steps to minimize
the impact of poorly functioning justice
and police systems on insurance market
effectiveness.
ii) Explore mechanisms that would promote
insurance product transparency, and
consequently, greater understanding of
insurance products by the general public
iii) Promote alternative low-cost insurance
service delivery mechanisms that would
extend insurance services to lower in-
come and rural populations.
iv) Identify causes and possible solutions to
low data quality in some public institu-
tions.
To date, the literature suggests that much
can be learned about the role that insurance
and risk management play in promoting
economic efficiency, as well as the equity
and sustainability of economic development.
Greater focus is needed on insurance mar-
kets, especially in emerging economies. One
strand of that effort should review the role of
insurance in economic growth, identifying
and assessing the variables that link insur-
ance market development with growth in
Latin America and the Caribbean. Another
strand should assess the interrelationship
between capital market and insurance mar-
ket development, given the role of insurers
as financial intermediaries and institutional
investors. Another very promising strand
involves the relationship between the avail-
ability of specific forms of business insur-
ance (for example, liability insurance) and
forms of social insurance (for example,
health/unemployment insurance) and entre-
preneurship.
Finally, the research effort should not only
be expanded but also deepened. This survey
to identify and assess variables is a public-
private collaboration between IDB, FIDES,
and ASSAL, as well as the first attempt to
systematically analyze the insurance market
in Latin America and the Caribbean. By up-
dating the survey periodically, our research
will take a long-term view of insurance in
the region and permit the formulation of
22
specific policy recommendations that can be
tested and refined over time.
This effort should use the data being gener-
ated to analyze further insurance market
failures and the role played by public policy.
And, as the previous section notes, the exist-
ing survey or other similar surveys could be
analyzed using factor analysis and structural
equation modeling to discover and test latent
variables that improve or impede nsurance
market performance in Latin America and
the Caribbean.
23
Bibliography
Akerlof, G. A. 1970. The Market for ‘Lemons’: Quality, Uncertainty, and the Market Mecha-
nism. Quarterly Journal of Economics 84: 487–500.
Arestis, P., and P. Demetriades. 1997. Financial Development and Economic Growth: Assessing
the Evidence. Economic Journal 107 (442): 783–99.
Armitage, S., and P. Kirk. 1994. The Performance of Proprietary Compared with Mutual Life
Offices. Services Industries Journal 14: 238–61.
Beck, Thorsten, and Ross Levine. 2001. Stock Markets, Banks, and Growth: Correlation or Cau-
sality. Working Paper 2670. Washington, D.C.: World Bank, Finance Development Re-
search Group: http://econ.worldbank.org/view.php?type=5&id=2389.
Beenstock M., G. Dickinson, and S. Khajuria. 1986. The Determination of Life Premiums: An
International Cross-Section Analysis 1970–1981. Insurance, Mathematics, and Econom-
ics 5: 261–70.
Borde, Stephen, Karen Chambliss, and Jeff Madura. 1994. Explaining Variation in Risk across
Insurance Companies. Journal of Financial Services Research (Historical Archive) 8 (3):
177–91.
Boyd, John, and Bruce Smith. 1996. The Coevolution of the Real and Financial Sectors in the
Growth Process. World Bank Economic Review 10 (2): 371–96.
Brickley, J. A., and C. M. James. 1987. The Takeover Market, Corporate Board Composition,
and Ownership Structure: The Case of Banking. Journal of Law and Economics 30: 161–
80.
Browne, M. J., J. J. Chung, and E. W. Frees. 2000. International Property–Liability Insurance
Consumption. Journal of Risk and Insurance 67 (1): 73–90.
Browne, M. J., and K. Kim. 1993. An International Analysis of Life Insurance Demand. Journal
of Risk and Insurance 60 (4): 616–34.
Cadbury, A. 1992. Committee on the Financial Aspects of Corporate Governance. London: The
Committee on the Financial Aspects of Corporate Governance and Gee and Co. Ltd.,
London.
Caprio, Gerard, Jr., and Aslï Demirgüç-Kunt. 1998. The Role of Term Finance: Theory and Evi-
dence. World Bank Research Observer 13 (2): 171–89.
Cardon, James, and Igal Hendel. 2001. Asymmetric Information in Health Insurance: Evidence
from the National Medical Expenditure Survey. RAND Journal of Economics 32: 408–
27.
Cawley, John, and Tomas Philipson. 1999. An Empirical Examination of Information Barriers to
Trade in Insurance. American Economic Review 89 (4): 827–46.
Chiappori, Pierre-Andre, and Bernard Salanie. 2000. Testing for Asymmetric Information in In-
surance Markets. Journal of Political Economy 108: 56–78.
Chiappori Pierre-Andre and Christian Gollier. 2006 Competitive Failures in Insurance Markets.
Theory and Policy Implications. CESInfo. Seminar Series MIT Press.
Churchill, Craig, Dominic Liber, Michael McCord, and James Roth. 2003. Making Insurance
Work for Microfinance Institutions: A Technical Guide to Developing and Delivering
Microinsurance. Geneva: International Labour Organization.
24
Coffee, John C. 2000. Convergence and Its Critics: What Are the Preconditions to the Separation
of Ownership and Control? Working Paper 179. Center for Law and Economic Studies,
Columbia Law School, Columbia University, New York.
Cohen, Alma. 2001. Asymmetric Information and Learning in the Automobile Insurance Market.
Mimeographed document. Department of Economics, Harvard University, Cambridge,
Massachusetts.
Cole, David C. 1997. Sequencing versus Practical Problem Solving in Financial Sector Reform.
In Harwood Alison and Bruce L. R. Smith, editors. Sequencing: Financial Strategies for
Developing Countries. Washington, D.C.: Brookings Institution Press.
Colombo, Francesca, and Nicole Tapay. 2003. Private Health Insurance in Australia: A Case
Study. OECD Health Working Paper No. 8. Organization for Economic Co-operation and
Development, Paris, France: http://www.oecd.org/dataoecd/5/54/22364106.pdf.
Conyon, M. 1994. Corporate Governance Changes in UK Companies between 1988 and 1993.
Corporate Governance: An International Review 2: 87–99.
Conyon, M., and D. Leech. 1994. Top Pay Company Performance and Corporate Governance.
Oxford Bulletin of Economics and Statistics 56 (3): 229–47.
Cummins, J. David, and Mary Weiss. 1998. Analyzing Firm Performance in the Insurance Indus-
try Using Frontier Efficiency Methods. Working Paper Series 98-22. Financial Institu-
tions Center, Knowledge@Wharton, The Wharton School, University of Pennsylvania,
Philadelphia: http://knowledge.wharton.upenn.edu/paper.cfm?paperid=47.
Cutler, David. 2002. Health Care and the Public Sector. In A. Auerbach and M. Feldstein, edi-
tors. Handbook of Public Economics, Vol. 4. Amsterdam, North Holland; New York: El-
sevier.
De la Torre, Augusto and Sergio Schmukler. 2006. Emerging Capital Markets and Globaliza-
tion: The Latin American Experience. Washington, D.C.: World Bank Publications.
Demetriades, P. O., and K. A. Hussein. 1996. Does Financial Development Cause Economic
Growth? Time Series Evidence from 16 Countries. Journal of Developmental Economics
51 (2): 387–411.
Demirgüç-Kunt, Aslï, and Ross Levine. 1996. Stock Markets, Corporate Finance, and Economic
Growth: An Overview. World Bank Economic Review 10 (2): 223–39.
Demirgüç-Kunt, Aslï, and Vojislav Maksimovic. 1998. Law, Finance, and Firm Growth. Journal
of Finance 53 (6): 2107–37.
Dercon, Stefan. 2006. Insurance for the Poor. Sustainable Development Department Technical
Paper Series, No. POV-115. Inter-American Development Bank. Washington, D.C.
Dercon, Stefan. Editor. 2004. Insurance against Poverty (W I D E R Studies in Development
Economics) Oxford: Oxford University Press
Diacon, S. R., K. Starkey, and C. D. O’Brien. 2002. Size and Efficiency in European Long–Term
Insurance Companies: An International Comparison. Geneva Papers on Risk and Insur-
ance: Issues and Practice 27: 444–66.
Enz, Rudolf. 2000. The S Curve Relation between Per Capita Income and Insurance Penetration.
Geneva Papers on Risk and Insurance 25 (3): 396–406.
Fecher, F., D. Kessler, S. Perelman, and P. Pestieau. 1993. Productive Performance of the French
Insurance Industry. Journal of Productivity Analysis (Historical Archive) 4 (1–2): 77–93.
Fields, J. A. 1988. Expense Preference Behavior in Mutual Life Insurers Journal of Financial
Services Research 1: 113–29.
Fukuyama, F. 1995. Trust: The Social Virtues and the Creation of Prosperity. New York: Free
Press.
25
Galindo, Arturo, Alejandro Micco, and Ugo Panizza. 2005. Financial Reforms in the 1990s. Re-
search Department, Inter-American Development Bank, Washington, D.C.
Genetay, N. 1999. Ownership Structure and Performance in UK Life Offices. European
Management Journal 17 (1): 107-15.
Gray, David E. 2004. Doing Research in the Real World. London: Sage Publications.
Greene Mark.1976. Government as an Insurer. Journal of Risk Management 43 (3): 393-407.
Hofstede, G. 1995. Insurance as a Product of National Values. Geneva Papers on Risk and In-
surance 20 (4): 423–29.
Ingham, H., and S. Thompson. 1995. Mutuality, Performance, and Executive Compensation. Ox-
ford Bulletin of Economics and Statistics 57: 295–307.
King, R., and R. Levine. 1993. Finance and Growth: Schumpeter Might Be Right. Quarterly
Journal of Economics 3: 717–37.
Klemperer, P., and M. Meyer. 1985. Price Competition vs. Quantity Competition: The Role of
Uncertainty. Rand Journal of Economics 17: 618–38.
Kramer, Bert. 1996. An Ordered Logit Model for the Evaluation of Dutch Non–Life Insurance
Companies. The Economist (Historical Archive) 144 (1): 79–91.
———. 2000. The Evaluation of Dutch Non–Life Insurance Companies. Mimeographed docu-
ment. University of Groningen, Groningen, the Netherlands.
Kroll, M., P. Wright, and P. Theerathon. 1993. Whose Interests Do Hired Top Managers Pursue?
An Examination of Select Mutual and Stock Insurers. Journal of Business Research 26:
133–48.
La Porta, Rafael, Florencio López-de-Silanes, Andrei Shleifer, and Robert W. Vishny. 1997. Le-
gal Determinants of External Finance. Journal of Finance 52 (3): 1131–50.
———. 1998. Law and Finance. Journal of Political Economy 106 (6): 1113–55.
———. 2000. Investor Protection and Corporate Governance. Journal of Financial Economics
58: 3–27.
Leverty, Tyler, Yijia Lin, and Hao Zhou. 2004. Firm Performance in the Chinese Insurance In-
dustry. Working Paper 43. Department of Risk Management and Insurance, Georgia State
University, Atlanta, Georgia.
Levine, Ross. 1997. Financial Development and Economic Growth: Views and Agenda. Journal
of Economic Literature 35 (2): 688–726.
Levine, Ross, and Sara Zervos. 1996. Stock Market Development and Long–Run Growth. World
Bank Economic Review 10 (2): 323–39.
———. 1998. Stock Markets, Banks, and Economic Growth. American Economic Review 88
(3): 537–58.
López-de-Silanes, Florencio. 2001. The Politics of Legal Reform. Boston: John F. Kennedy
School of Government, Harvard University, and National Bureau of Economic Research.
Mayers, D., A. Shivdasani, and C. W. Smith. 1997. Board Composition and Corporate Control:
Evidence from the Insurance Industry. Journal of Business 70: 33–62.
Mayers, David, and Clifford Smith. 1982. Toward a Positive Theory of Insurance New York:
Salomon Brothers Center for Study of Financial Institutions, Graduate School of Busi-
ness Administration, New York University.
Moss, David. 2003. When All Else Fails: Government as the Ultimate Risk Manager. Journal of
Risk and Insurance 70 (4): 794–96.
OECD (Organization for Economic Co-operation and Development). 2003a. Insurance Statistics
Yearbook: 1994/2001–2003 Edition. Paris: OECD.
———. 2003b. Policy Issues in Insurance: Assessing the Solvency of Insurance Companies,
Vol. 4. Paris: OECD.
26
———. 2003c. Policy Issues in Insurance: Insurance and Expanding Systemic Risks, Vol. 5.
Paris: OECD.
O’Hara, M. 1981. Property Rights and the Financial Firm. Journal of Law and Economics 24:
317–32.
O’Sullivan, N., and S. R. Diacon. 2002. Board Composition and Performance in UK Insurance
Companies. British Journal of Management 14 (2): 115-130. .
Outreville, J. F. 1990. The Economic Significance of Insurance Markets in Developing Coun-
tries. Journal of Risk and Insurance 57 (3): 487–98.
———.1992. The Relationship between Insurance, Financial Development, and Market Struc-
ture in Developing Countries: An International Cross-Section Study. UNCTAD Review:
53-69.
———. 1996. Life Insurance Markets in Developing Countries. Journal of Risk and Insurance
63 (2): 263–78.
Patrick, Hugh T. 1966. Financial Development and Economic Growth in Underdeveloped
Countries. Economic Development and Cultural Change 14 (2): 174–89.
Pesaran, M. H, N. U. Haque, and S. Sharma. 2000. Neglected Heterogeneity and Dynamics in
Cross–Country Savings Regressions. In J. Krishnakumar and E. Ronchetti, editors. Panel
Data Econometrics: Future Direction: Papers in Honor of Professor Pietro Balestra.
Amsterdam; New York: Elsevier-Science.
Rajan, R., and L. Zingales. 1998. Financial Dependence and Growth. American Economic Re-
view 88 (3): 559–86.
———. 2001a. The Great Reversals: The Politics of Financial Development in the 20th Century.
NBER Working Paper No. 8178. National Bureau of Economic Research, Cambridge,
Massachusetts (March).
———. 2001b. The Influence of the Financial Revolution on the Nature of the Firm. American
Economic Review 91 (2): 206–11.
Rees, R., and E. Kessner. 1999. Regulation and Efficiency in the European Insurance Markets.
Economic Policy (October): 365–97
Rothschild, Michael, and Joseph Stiglitz. 1976. Equilibrium in Competitive Insurance Markets:
An Essay on the Economics of Imperfect Information. Quarterly Journal of Economics
90: 629–49.
Sen, Amartya. 1999. Development as Freedom. New York: Anchor Books.
Stulz, Rene, and Roham Williamson. 2001. Culture, Openness, and Finance. NBER Working
Paper No. 8222. National Bureau of Economic Research, Cambridge, Massachusetts
(April).
Swiss Re. 2002. Insurance in Latin America: Growth Opportunities and the Challenge to In-
crease Profitability. Sigma 2. Swiss Reinsurance Company Economic Research and Con-
sulting Publisher
———. 2004. Exploiting the Growth Potential of Emerging Insurance Markets. Sigma 5. Swiss
Reinsurance Company Economic Research and Consulting Publisher
———. 2006a. World Insurance in 2005. Moderate Premium Growth, Attractive Profitability.
Swiss Reinsurance Company Economic Research and Consulting Publisher
———. 2006b. Insurance in Emerging Insurance Markets. Sound Development; Greenfield for
Agriculture Insurance. Swiss Reinsurance Company Economic Research and Consulting
Publisher
Taylor, S. 2001. Assessing the Use of Regression Analysis in Examining Recovery in the Insur-
ance Industry. Journal of Insurance Issues 24 (1-2): 30–57.
United States Census Bureau. 2003. Health Insurance Coverage in the United States (2002).
27
Washington, D.C.: U.S. Department of Commerce, Economics and Statistics Administra-
tion, U.S. Census Bureau.
USAID (U.S. Agency for International Development). 2006. Assessment on How Strengthening
the Insurance Industry in Developing Countries Contributes to Economic Growth. Wash-
ington, D.C.: Chemonics International Inc. and International Insurance Foundation.
Varian, H. R. 1990. Intermediate Microeconomics: A Modern Approach. 2nd ed. New York: W.
W. Norton.
Ward, Damian, and Ralf Zurbruegg. 2000. Does Insurance Promote Economic Growth ?<
Evidence from OECD Countries. Journal of Risk and Insurance 67 (4): 489–506.
Webb, Ian, Masci Pietro and Marco Velarde. 2005. Challenges Facing the Performance and
Growth of Insurance Markets in Latin America: A Survey of Insurance Regulators and
Industry Associations. Working paper. Inter-American Development Bank, Washington,
D.C
Webb Ian, Grace Martin, and Harold D. Skipper. 2002. The Effect of Banking and Insurance on
the Growth of Capital and Output. Working paper. Center for Risk Management and In-
surance, Georgia State University, Atlanta.
28

More Related Content

What's hot

Tracking Variation in Systemic Risk-2 8-3
Tracking Variation in Systemic Risk-2 8-3Tracking Variation in Systemic Risk-2 8-3
Tracking Variation in Systemic Risk-2 8-3
edward kane
 
Microinsurance in India
Microinsurance in IndiaMicroinsurance in India
Microinsurance in India
Anurag Mehra
 
Innovations economics of branchless banking54
Innovations economics of branchless banking54Innovations economics of branchless banking54
Innovations economics of branchless banking54
Ajay Alex
 
Micro ins.
Micro ins.Micro ins.
Micro ins.
Dharmik
 
Case Presentation: Microfinance and Micro-insurance
Case Presentation: Microfinance and Micro-insuranceCase Presentation: Microfinance and Micro-insurance
Case Presentation: Microfinance and Micro-insurance
Philippines-Australia Community Assistance Program (PACAP)
 
Ivo Pezzuto - Journal of Governance and Regulation volume 1, issue 3, 2012, c...
Ivo Pezzuto - Journal of Governance and Regulation volume 1, issue 3, 2012, c...Ivo Pezzuto - Journal of Governance and Regulation volume 1, issue 3, 2012, c...
Ivo Pezzuto - Journal of Governance and Regulation volume 1, issue 3, 2012, c...
Dr. Ivo Pezzuto
 
Microinsurance
MicroinsuranceMicroinsurance
Microinsurance
Premasis Mukherjee
 
Microinsurance In India Oct 09
Microinsurance In India  Oct 09Microinsurance In India  Oct 09
Microinsurance In India Oct 09
Premasis Mukherjee
 
Webinar on Meso-level distribution: Opportunities and challenges
Webinar on Meso-level distribution: Opportunities and challengesWebinar on Meso-level distribution: Opportunities and challenges
Webinar on Meso-level distribution: Opportunities and challenges
Impact Insurance Facility
 
Social protection and the demand for private insurance in ghana
Social protection and the demand for private insurance in ghanaSocial protection and the demand for private insurance in ghana
Social protection and the demand for private insurance in ghana
Alexander Decker
 
Essay-G.J.Smid-IFC-UEK
Essay-G.J.Smid-IFC-UEKEssay-G.J.Smid-IFC-UEK
Essay-G.J.Smid-IFC-UEK
Gido Smid
 
Collaborative Defense PLUS Journal 10-16
Collaborative Defense PLUS Journal 10-16Collaborative Defense PLUS Journal 10-16
Collaborative Defense PLUS Journal 10-16
Paul Greve
 
Ten Worst Insurance Companies
Ten Worst Insurance CompaniesTen Worst Insurance Companies
Ten Worst Insurance Companies
Tom Gartner
 
FP - Risk_Management
FP - Risk_ManagementFP - Risk_Management
FP - Risk_Management
Wansi (James) Xu FSA FCIA
 
Solvency ii News January 2013
Solvency ii  News January 2013Solvency ii  News January 2013
Solvency ii News January 2013
Compliance LLC
 
Leveraging 1332 State Innovation Waivers to Stabilize Individual Health Insur...
Leveraging 1332 State Innovation Waivers to Stabilize Individual Health Insur...Leveraging 1332 State Innovation Waivers to Stabilize Individual Health Insur...
Leveraging 1332 State Innovation Waivers to Stabilize Individual Health Insur...
soder145
 
CBI Comments on TRIA - Captives
CBI Comments on TRIA - CaptivesCBI Comments on TRIA - Captives
CBI Comments on TRIA - Captives
JasonSchupp1
 
Trends Of Microinsurance In India
Trends Of Microinsurance In IndiaTrends Of Microinsurance In India
Trends Of Microinsurance In India
Premasis Mukherjee
 

What's hot (18)

Tracking Variation in Systemic Risk-2 8-3
Tracking Variation in Systemic Risk-2 8-3Tracking Variation in Systemic Risk-2 8-3
Tracking Variation in Systemic Risk-2 8-3
 
Microinsurance in India
Microinsurance in IndiaMicroinsurance in India
Microinsurance in India
 
Innovations economics of branchless banking54
Innovations economics of branchless banking54Innovations economics of branchless banking54
Innovations economics of branchless banking54
 
Micro ins.
Micro ins.Micro ins.
Micro ins.
 
Case Presentation: Microfinance and Micro-insurance
Case Presentation: Microfinance and Micro-insuranceCase Presentation: Microfinance and Micro-insurance
Case Presentation: Microfinance and Micro-insurance
 
Ivo Pezzuto - Journal of Governance and Regulation volume 1, issue 3, 2012, c...
Ivo Pezzuto - Journal of Governance and Regulation volume 1, issue 3, 2012, c...Ivo Pezzuto - Journal of Governance and Regulation volume 1, issue 3, 2012, c...
Ivo Pezzuto - Journal of Governance and Regulation volume 1, issue 3, 2012, c...
 
Microinsurance
MicroinsuranceMicroinsurance
Microinsurance
 
Microinsurance In India Oct 09
Microinsurance In India  Oct 09Microinsurance In India  Oct 09
Microinsurance In India Oct 09
 
Webinar on Meso-level distribution: Opportunities and challenges
Webinar on Meso-level distribution: Opportunities and challengesWebinar on Meso-level distribution: Opportunities and challenges
Webinar on Meso-level distribution: Opportunities and challenges
 
Social protection and the demand for private insurance in ghana
Social protection and the demand for private insurance in ghanaSocial protection and the demand for private insurance in ghana
Social protection and the demand for private insurance in ghana
 
Essay-G.J.Smid-IFC-UEK
Essay-G.J.Smid-IFC-UEKEssay-G.J.Smid-IFC-UEK
Essay-G.J.Smid-IFC-UEK
 
Collaborative Defense PLUS Journal 10-16
Collaborative Defense PLUS Journal 10-16Collaborative Defense PLUS Journal 10-16
Collaborative Defense PLUS Journal 10-16
 
Ten Worst Insurance Companies
Ten Worst Insurance CompaniesTen Worst Insurance Companies
Ten Worst Insurance Companies
 
FP - Risk_Management
FP - Risk_ManagementFP - Risk_Management
FP - Risk_Management
 
Solvency ii News January 2013
Solvency ii  News January 2013Solvency ii  News January 2013
Solvency ii News January 2013
 
Leveraging 1332 State Innovation Waivers to Stabilize Individual Health Insur...
Leveraging 1332 State Innovation Waivers to Stabilize Individual Health Insur...Leveraging 1332 State Innovation Waivers to Stabilize Individual Health Insur...
Leveraging 1332 State Innovation Waivers to Stabilize Individual Health Insur...
 
CBI Comments on TRIA - Captives
CBI Comments on TRIA - CaptivesCBI Comments on TRIA - Captives
CBI Comments on TRIA - Captives
 
Trends Of Microinsurance In India
Trends Of Microinsurance In IndiaTrends Of Microinsurance In India
Trends Of Microinsurance In India
 

Similar to Insurance_Market_Development_in_Latin_America_and_the_Caribbean

summer project repor3
summer project repor3summer project repor3
summer project repor3
Khagendra Samant
 
MicroinsurancePoV_01.12
MicroinsurancePoV_01.12MicroinsurancePoV_01.12
MicroinsurancePoV_01.12
Riaan Singh
 
BIGDATAGPWEB final
BIGDATAGPWEB finalBIGDATAGPWEB final
BIGDATAGPWEB final
Elayne Grace
 
Article
ArticleArticle
effective Insurance policy
effective Insurance policyeffective Insurance policy
effective Insurance policy
ChanakaKarunasena
 
Bigdatagpweb
BigdatagpwebBigdatagpweb
Bigdatagpweb
AdrianaMariaTiris
 
Driving returns: global insurers reconsider fixed income and private assets
Driving returns: global insurers reconsider fixed income and private assets Driving returns: global insurers reconsider fixed income and private assets
Driving returns: global insurers reconsider fixed income and private assets
The Economist Media Businesses
 
Risk and Title Insurance
Risk and Title InsuranceRisk and Title Insurance
Risk and Title Insurance
Integrated Growth Strategies
 
International Journal of Business and Management Invention (IJBMI)
International Journal of Business and Management Invention (IJBMI)International Journal of Business and Management Invention (IJBMI)
International Journal of Business and Management Invention (IJBMI)
inventionjournals
 
Insurance services
Insurance servicesInsurance services
Insurance services
MehdiSogheir
 
Active Capital Reinsurance
Active Capital ReinsuranceActive Capital Reinsurance
Active Capital Reinsurance
active capital reinsurance
 
11.repositioning the nigerian insurance industry for sustainable development
11.repositioning the nigerian insurance industry for sustainable development11.repositioning the nigerian insurance industry for sustainable development
11.repositioning the nigerian insurance industry for sustainable development
Alexander Decker
 
Combined Credit And Political Risk Paper
Combined Credit And Political Risk PaperCombined Credit And Political Risk Paper
Combined Credit And Political Risk Paper
athula_alwis
 
Integrating ict in insurance management design & development of an online ins...
Integrating ict in insurance management design & development of an online ins...Integrating ict in insurance management design & development of an online ins...
Integrating ict in insurance management design & development of an online ins...
Alexander Decker
 
Insurance strategies
Insurance strategiesInsurance strategies
Insurance strategies
AnilKumar V Telaprolu
 
American Bank & Finance Journal: Risk Management
American Bank & Finance Journal:  Risk ManagementAmerican Bank & Finance Journal:  Risk Management
American Bank & Finance Journal: Risk Management
Integrated Growth Strategies
 
American Bank Finance Journal
American Bank Finance JournalAmerican Bank Finance Journal
American Bank Finance Journal
Integrated Growth Strategies
 
Исследование Insurance Banana Skins 2015
Исследование Insurance Banana Skins 2015Исследование Insurance Banana Skins 2015
Исследование Insurance Banana Skins 2015
PwC Russia
 
The importance of Insurance and Actuarial Science education in our current st...
The importance of Insurance and Actuarial Science education in our current st...The importance of Insurance and Actuarial Science education in our current st...
The importance of Insurance and Actuarial Science education in our current st...
Firoz Alam
 
ACSDA Volumen_3Risk
ACSDA Volumen_3RiskACSDA Volumen_3Risk
ACSDA Volumen_3Risk
Chris Cononico
 

Similar to Insurance_Market_Development_in_Latin_America_and_the_Caribbean (20)

summer project repor3
summer project repor3summer project repor3
summer project repor3
 
MicroinsurancePoV_01.12
MicroinsurancePoV_01.12MicroinsurancePoV_01.12
MicroinsurancePoV_01.12
 
BIGDATAGPWEB final
BIGDATAGPWEB finalBIGDATAGPWEB final
BIGDATAGPWEB final
 
Article
ArticleArticle
Article
 
effective Insurance policy
effective Insurance policyeffective Insurance policy
effective Insurance policy
 
Bigdatagpweb
BigdatagpwebBigdatagpweb
Bigdatagpweb
 
Driving returns: global insurers reconsider fixed income and private assets
Driving returns: global insurers reconsider fixed income and private assets Driving returns: global insurers reconsider fixed income and private assets
Driving returns: global insurers reconsider fixed income and private assets
 
Risk and Title Insurance
Risk and Title InsuranceRisk and Title Insurance
Risk and Title Insurance
 
International Journal of Business and Management Invention (IJBMI)
International Journal of Business and Management Invention (IJBMI)International Journal of Business and Management Invention (IJBMI)
International Journal of Business and Management Invention (IJBMI)
 
Insurance services
Insurance servicesInsurance services
Insurance services
 
Active Capital Reinsurance
Active Capital ReinsuranceActive Capital Reinsurance
Active Capital Reinsurance
 
11.repositioning the nigerian insurance industry for sustainable development
11.repositioning the nigerian insurance industry for sustainable development11.repositioning the nigerian insurance industry for sustainable development
11.repositioning the nigerian insurance industry for sustainable development
 
Combined Credit And Political Risk Paper
Combined Credit And Political Risk PaperCombined Credit And Political Risk Paper
Combined Credit And Political Risk Paper
 
Integrating ict in insurance management design & development of an online ins...
Integrating ict in insurance management design & development of an online ins...Integrating ict in insurance management design & development of an online ins...
Integrating ict in insurance management design & development of an online ins...
 
Insurance strategies
Insurance strategiesInsurance strategies
Insurance strategies
 
American Bank & Finance Journal: Risk Management
American Bank & Finance Journal:  Risk ManagementAmerican Bank & Finance Journal:  Risk Management
American Bank & Finance Journal: Risk Management
 
American Bank Finance Journal
American Bank Finance JournalAmerican Bank Finance Journal
American Bank Finance Journal
 
Исследование Insurance Banana Skins 2015
Исследование Insurance Banana Skins 2015Исследование Insurance Banana Skins 2015
Исследование Insurance Banana Skins 2015
 
The importance of Insurance and Actuarial Science education in our current st...
The importance of Insurance and Actuarial Science education in our current st...The importance of Insurance and Actuarial Science education in our current st...
The importance of Insurance and Actuarial Science education in our current st...
 
ACSDA Volumen_3Risk
ACSDA Volumen_3RiskACSDA Volumen_3Risk
ACSDA Volumen_3Risk
 

Insurance_Market_Development_in_Latin_America_and_the_Caribbean

  • 1. Insurance Market Development in Latin America and the Caribbean Pietro Masci Luis Tejerina Ian Webb Inter-American Development Bank Washington, D. C. Sustainable Development Department Technical Papers Series
  • 2. Cataloguing-in publication provided by the Inter-American Development Bank Felipe Herrera Library Masci, Pietro; Tejerina, Luis & Webb, Ian. Insurance Market Development in Latin America and the Caribbean / Pietro Masci, Luis Tejerina & Ian Webb. p.cm. (Sustainable Development Department Best practices series ; IFM-146) Includes bibliographical references. 363.6 M341—dc22 Pietro Masci is Chief of the Infrastructure and Financial Markets Division of the Sustainable Develop- ment Department at the Inter-American Development Bank. Luis Tejerina is an Economist in the Poverty and Inequality Unit of the Sustainable Development Department. Ian Webb is Director of Research Inter- national Insurance Foundation. The authors wish to thank James Sylvester and Marco Velarde, consult- ants at the Inter-American Development Bank, for their valuable contributions that made this paper possi- ble. The opinions expressed herein are those of the authors and do not necessarily represent the official posi- tion of the Inter-American Development Bank. Permission is granted to reproduce this paper or in part for noncommercial purposes only and with proper attribution to the authors, the Sustainable Development Department and the Inter-American Development Bank. August, 2007 This publication (Reference No. IFM-146) can be obtained from: IFM Publications Mail Stop W-0508 Inter-American Development Bank 1300 New York Avenue, N.W. Washington, D.C. 20577 E-mail: sds/ifm@iadb.org Fax: 202-623-2157 Web Site: http:www.iadb.org/sds/ifm
  • 3. Contents 1. Introduction 1 2. Insurance and Its Role 3 Insurance and Capital Markets Insurer Risks Insurance, Regulation, and Supervision 3. Literature Review 7 The Role of Insurance in Economic Growth and Activity The Role of Insurance in Financial Intermediation and Domestic Capital Markets Relevant Factors for Insurance Development Defining Effectiveness in Insurance Markets Review of Study Methodology 4. The Importance of Insurance in Latin America and the Caribbean 13 5. Survey Results 17 6. Conclusions 22 Bibliography 24
  • 4. 1. Introduction In economic terms, insurance refers to the pooling mechanism for reducing the down- side of risk through resource reallocation from good to stormy states of the world: Insurance reimburses an individual for some or all of a financial loss that is linked to an unpredictable event or risk. This protection is ac- complished through a pooling mechanism whereby many indi- viduals who are vulnerable to the particular risk are joined together into a risk pool. Each person pays a small amount of money, known as a premium, into the pool, which is then used to compensate the unfor- tunate individuals who do actually suffer a loss. Insurance reduces vul- nerability by replacing the uncertain prospect of large losses with the cer- tainty of making small, regular pre- mium payments (Churchill et al., 2003). Typically, risk coverage is provided through a policy from an insurance company. The extent to which the insurer successfully fa- cilitates coverage (and is able to spread its risk assumptions) is the extent to which the insured can take greater chances and better manage risk exposure. As such, insurance markets are crucial for economic growth and a complementary stimulus to capital market development. To better understand and facilitate that proc- ess, the Inter-American Development Bank (IDB)—together with the Regional Associa- tion of Insurance Companies (Fundación Interamericana de Empresas de Seguros, FIDES) and the Regional Association of Su- pervisors (Asociación de Supervisores de Seguros de Latinoamérica, ASSAL)—is co- ordinating policy-oriented research on the insurance industry in the region, targeting the variables and factors that affect its de- velopment. A survey of different actors in the market has been carried out to obtain information about perceptions of the indus- try and its status. This represents the first attempt to systematically analyze the insur- ance market in Latin America and the Car- ibbean. By updating survey results periodi- cally, this IDB-FIDES-ASSAL research ef- fort will provide a long-term view of insur- ance in the region and permit formulation of more accurate and specific policy recom- mendations. The first step is to spotlight the most important issues for the development of insurance markets in Latin America and the Caribbean. At the end of 2004, insurance markets in the region were relatively underdeveloped and widely divergent, despite evidence of a growing demand for risk coverage by the private sector. Premium volume in Latin America and the Caribbean for life and not- life insurance totaled about 2.5 percent of regional gross domestic product (GDP) (compared to 8 percent in Europe, 7 percent in Asia, and 9 percent in the United States) and just 1.5 percent of insurance business worldwide. Moreover, the region’s business is concentrated in a few countries, with more than 90 percent of the premiums written in Argentina, Brazil, Chile, Colombia, Mexico, and Venezuela (Swiss Re, 2004). Figure 1 shows that not only is there room for more insurance market penetration (premiums as a percent of GDP), but also for better, greater “density” (premium per capita in US$), that is, for a more competitive, deep, and effi- cient insurance market. Evidence suggests that weaknesses in the infrastructure sup- porting insurance operations, immature marketing and product delivery mechanisms 1
  • 5. and know-how, may be slowing down the growth of efficient insurance markets. We see evidence of this inasmuch as insurance products are still perceived as too complex by consumers, unreliable as financial risk management tools (claims processing is per- ceived as opaque and unreliable), and too expensive. These circumstances create inef- ficiencies that prevent insurance from exer- cising its full potential to favor the alloca- tion of resources and economic growth. Of course, insurance markets vary from country to country and there are also success stories in some countries or in the development of specific products. This paper provides an initial glimpse into the performance of the insurance industry in the region through the use of a broad diag- nostic survey. It also provides some descrip- tive statistics based on survey data. Survey information is used to identify variables and factors affecting insurance market perform- ance in Latin America and the Caribbean, forming the basis for a discussion of policy recommendations. The analysis is a first step toward identifying problems perceived to be of critical rele- vance to more effective insurance markets in the region. Questions about causality among variables, and how external factors may af- fect variables simultaneously, remain in play. Further research using existing surveys as well as future surveys with larger samples and more powerful tests and statistical tech- niques need to be undertaken to adequately answer these questions and provide a robust assessment of which policies indisputably lead to more effective insurance markets. The analysis proceeds in measured steps. Section 2 presents a brief overview of the role played by insurance in the economy and the importance of developing an effective insurance market. Section 3 reviews the main studies of insurance. Section 4 surveys the status of insurance markets in the region and Section 5 describes the main results from the survey. Section 6 presents our con- clusions and the main policy recommenda- tions for future research to improve insur- ance market effectiveness in the region. Figure 1. Insurance in Latin America Compared to Other Regions Source: Swiss Re Economic Research & Consulting 2
  • 6. 2. Insurance and Its Role The term underwriting originated in one of the oldest current insurance markets in the world: Lloyd’s of London, which was origi- nally a coffee shop. Commercial shipping companies that sought insurance for their vessels would place the details of the ship and its cargo on a chalkboard in the shop. Interested individuals with funds to insure against adversities examined the board and wrote their names under a ship’s details (hence under-writing), indicating that they had assessed and were willing to take on the associated risks (Churchill et al., 2003). This risk pooling provided both an efficient means for protecting against certain types of adversity, such as those at sea, and also a source of complexities in designing and de- livering insurance products. Insurance and Economic Activity The existence of insurance markets facili- tates economic activity. This follows di- rectly from the idea that risk-averse indi- viduals are willing to pay at least a fair pre- mium to ensure compensation should a spe- cific event occur in the future. This enables some individuals to enter into higher risk activities, offering higher than expected pro- ductivity returns that they would not enter otherwise. An insurer supplies a contract, which details future payments covering specified circumstances. Such a contract is favorable to the insurer, insofar as the pre- mium paid is at least as high as the expected payment to the policyholder (adjusted for the probability of the triggering adversity occurring). Premiums charged to all policy- holders provide funds for those entitled to payments. For each policy that may incur a loss to the insurer, the law of large numbers indicates that when the number of contracts increases and the policy is appropriately priced (so that the premium equals the ex- pected loss from each individual contract) the insurer gains nonnegative profits in the long run and is motivated to undertake its customer’s risks, thereby promoting eco- nomic growth and activity (Moss, 2003). Insurance markets are particularly beneficial for economic activity in developing coun- tries, such as those in Latin America and the Caribbean. Households in developing coun- tries are exposed to high risk, with important consequences to welfare and efficiency. Ta- ble 1 shows how, in the absence of formal insurance markets and instruments, risks Strategy Examples Shortcomings Managing and reducing risk faced via changes in portfolio of income sources Crop diversification; specialization in low-risk activities; migration of some members Sacrifice of expected income Asset management Savings and self-insurance Lack of suitable savings assets (lumpiness, insecurity); focus on liquid, less-productive assets; long building time; covariance in asset prices and income Informal insurance Reciprocal gifts/loans from friends and relatives Incomplete protection; vulnerability to covariant risk Market based solutions Formal insurance policies Typically not available to the poor Table 1. Informal Risk Management and Coping Strategies Source: Dercon (2006) 3
  • 7. from changed sources and reduced flows of income and from asset management lead to suboptimal solutions via self-insurance or informal insurance.1 These risks, or “chances that an event will cause damage or loss” (Churchill et al., 2003), are associated with specific incidents such as illness, theft, or unemployment, or with economy-wide events such as a drought or recession. It has long been acknowledged that these shocks have important implica- tions, not the least for the poor, including short-term impairment of consumption and nutrition, resulting in calls for the establish- ment of safety nets and other mechanisms. These risks lead to changes in the portfolio of income sources and in asset management, sometimes promoting survival strategies that result in inefficient resource allocation. Therefore, expanding insurance provision for the poor is an important instrument with substantial long-term welfare benefits. Typi- cal survival strategies and their shortcom- ings are indicated in Table 2. The lack of formal insurance mechanisms leads to inefficient economic solutions that are also inequitable. Therefore, the devel- opment of insurance markets is justified by considerations of both efficiency and equity. As Sen (1999) states, the key point is that insurance allows everyone, and particularly the poor, to improve their economic poten- tial and become less prone to lean on wel- fare programs. 1 Tables 1 and 2 come from Dercon (2006). INSURANCE AND CAPITAL MARKETS The role of insurance not only is comple- mentary to productive activities but very significant for financial sector development. Insurers enter the market with equity capital and issue insurance policies, which are a form of debt capital. The funds raised by issuing both types of capital are invested until needed to pay claims. In this context, an effective insurance sector is not only relevant for productive and economic activ- ity and for facilitating the sharing of risk, but also plays a crucial role in the invest- ment of savings. Insurance companies as institutional inves- tors in corporations not only help improve capital allocation but also further enhance their investments through increased monitor- ing. Capital markets also can be a driving force for and benefit from the development of institutional investors. Insurance compa- nies have liability compositions that are mostly long term, with liquidity needs, and constitute a natural complement for capital market development. Insurance companies have large cash inflows and reserves (linked to premium payments) that are partly in- vested in less liquid instruments such as government and corporate bonds, and equi- ties that are typical instruments of a deve- Strategy Examples Shortcomings Changes in portfolio of income sources Children’s labor Sacrifice of human capital Asset management Selling/pawning of real productive assets Long time to rebuild base Informal insurance Charity Incomplete protection; vulnerability to covariant risk Market based solutions Bank loans for consumption credit Typically not available to the poor Table 2. Survival Strategies Source: Dercon (2006) 4
  • 8. loped capital market. In the absence of an array of such investment instruments, insur- ance companies would gravitate toward government bills and bonds with little diver- sification and benefit to capital market de- velopment (Figure 2). In the context of financial market develop- ment, insurance services play a crucial role in risk management, in allocating savings, and in capital market growth. The develop- ment of sound, modern, and open insurance markets is an essential component of finan- cial reform and capital market development in emerging-market and transition countries. INSURER RISKS Although the primary purpose of insurance is to meet claims at all times, insurers are exposed to a number of risks. Solvency risks are either technical or related to investment. Technical risks are of two types: underpric- ing and underprovision. Underpricing occurs when the insurer attracts buyers by setting excessively low premiums that, combined with investment returns, do not cover the expected claims. Technical reserves repre- sent the largest share of an insurer’s debt, and they are a measure of an underwriter’s obligations to its policyholders. Generally speaking, insurers are underprovisioned when their technical reserves are inadequate to meet their policy obligations. Investment risk is generated by the insurer’s role as a financial intermediary and reflects how the insurer’s exposure to insolvency resembles a bank’s. Market failure is threat- ened when the market price does not reflect the insolvency risk. In a world of perfect information, economic theory presumes that competition and rational behavior ensure that risk is reflected in consumers’ willing- ness to pay, thereby fostering efficient risk management among insurers. To correctly assess the insurer’s solvency, however, the buyer should have accurate data on the joint distribution of loss claims, the return on the insurer’s asset portfolio, and the technical reserves that the insurer will hold when benefits are paid. Since such information is in practice costly or unavailable for buyers, it is plausible to think that they cannot fully assess the financial strength of their insurer or the quality of the insurance contract. In Lackof effectiveInsurancemarkets Lowrisktakinginitiatives Weakcontributiontofinancial market development Lowresourcesfor development Figure2: Lackof EffectiveInsuranceMarkets 5
  • 9. addition to technical and investment risks, the insurer also is exposed to the possibility of default by a partner (for example, a re- insurer) or of mismanagement, as well as to systemic risk. These considerations point to two important aspects of asymmetric information that can prompt market failure: moral hazard and ad- verse selection.2 Moral hazard refers to situations in which one side of the market cannot observe the actions of the other. For this reason, it is sometimes called a “hidden action problem” (Varian, 1990). Adverse selection occurs when a negotiation between two people with different amounts of infor- mation (that is, asymmetric information) re- stricts the quality of the good being traded. This typically happens because the more in- formed person is able to negotiate a favor- able exchange. INSURANCE, REGULATION, AND SUPERVISION Moral hazard and adverse selection are typi- cal forms of asymmetric information that lead to risk of insolvency as well as to un- derprovision of insurance products. They 2 For a more extensive discussion of moral hazard and adverse selection, see Appendix A. justify the need for government intervention in insurance markets through legal provi- sion, regulation and supervision (OECD, 2003c). The importance of insurance regula- tion and supervision also is reinforced by the integration of world insurance markets, which requires an adequate regulatory framework in each jurisdiction. The danger of moral hazard increases when- ever the government establishes implicit or explicit guarantees against insolvency. The promise of bailouts removes incentives from policyholders to consider insurers’ financial strength when buying insurance coverage. User perceptions of regulation and supervi- sion combine with those of capital adequacy to help shape the evolution and development of insurance markets. Therefore, public pol- icy is a significant factor in strengthening insurance markets in Latin America and the Caribbean, particularly in identifying the limits of government intervention to pro- mote the insurance business and avoid un- derprovision and financial disruptions, as well as to ensure welfare gains (see Greene, 1976). 6
  • 10. 3. Literature Review THE ROLE OF INSURANCE IN ECONOMIC GROWTH AND ACTIVITY Whereas several studies establish that finan- cial development is an important determi- nant of national economic growth,3 under- standing the causal relationship between in- surance market growth and economic devel- opment is still lacking. According to Patrick (1966), economic expansion can be led by supply-led through growth in financial de- velopment or, alternatively, financial devel- opment can be demand-led through growth in the economy. In other words, causality is two-way. The work of Outreville (1990, 1992, and 1996) is notable for identifying links between an economy’s financial and insurance market development. The 1992 study shows a positive relationship between economic expansion and insurance sector growth. Insurance markets (measured by the ratio of insurance premiums to GDP) also are shown to depend significantly on a coun- try’s financial development. In examining market structure, Outreville finds that devel- oping countries have a supply causality pat- tern to their development, suggesting that supply-side factors should receive more re- search and policy attention. 3 King and Levine (1993) argue, “Schumpeter might be right.” Levine and Zervos (1996) show that stock market development is positively associated with economic growth. Demirgüç-Kunt and Levine (1996) also clarify that the level of stock market develop- ment is a good predictor of economic growth. Boyd and Smith (1996) demonstrate that the endogenous evolution of debt and equity markets in the develop- ment process provides an economy with a more effi- cient set of financial opportunities and encourages the development of capital markets. Levine (1997) and Beck and Levine (2001) find a positive causal impact of financial development on productivity and eco- nomic growth. Rajan and Zingales (1998) confirm that economic growth finds a limitation in the finan- cial system. Caprio and Demirgüç-Kunt (1998) con- firm that long-term credit is scarce in emerging- market countries, especially for small firms that would obtain long-term finance if located in indus- trial countries. Rajan and Zingales (2001a, 2001b) partly attribute the growth of companies to financial innovation. Arestis and Demetriades (1997), De- metriades and Hussein (1996), and Pesaran, Haque, and Sharma (2002) have highlighted the importance of accommodating causal relationships to cross-country differences in size and direction. That is, the issue of “het- erogeneity” is crucial in gauging the eco- nomic role of insurance across different countries. Ward and Zurbruegg (2000) also examine the causal relationship between in- surance industry growth and economic growth. Recognizing that the economic benefits of insurance are conditioned by na- tional regulations, economic systems, and culture, they argue that examination of the interrelationships between insurance and economic growth must be done country-by- country. Looking beyond questions of supply, Been- stock, Dickinson, and Khajuria (1986) and Browne and Kim (1993) found that the state’s role in providing insurance services was a determinant of life insurance demand. Specifically, they found an inverse relation- ship between life insurance premiums and social security coverage. According to Hofstede (1995), the insurance level within an economy will depend on the national cul- ture and how it affects individual willing- ness to use insurance contracts to handle risk. Fukuyama (1995) confirms that hetero- geneity is likely to be conditional on the cul- tural context of a given economy. Insurance will offer important economic benefits when activities generally are seen as risky and 7
  • 11. when the possibility of adversity is managed optimally through insurance contracts rather than other risk transfer mechanisms. Fuku- yama connects these cultural differences with the level of trust in the economy. THE ROLE OF INSURANCE IN FINANCIAL INTERMEDIATION AND DOMESTIC CAPITAL MARKETS The mainstream literature on the factors that affect financial market development does not explicitly include the insurance market. However, insurance company activities as financial intermediaries and institutional in- vestors are keys to capital market develop- ment. Conyon (1994) states that the primary impact of insurance comes from its financial intermediary activities, linking insurance market development to the accumulation of productive capital within an economy. Con- yon and Leech (1994) show that institutional investors (that is, pension funds, insurance companies, and mutual funds) improve pro- ject productivity potential. In assessing policy choices that spur finan- cial market development, existing research has singled out legal and regulatory reform, corporate governance, and particularly the role of institutional investors. La Porta et al. (1997, 1998) confirm that the legal envi- ronment and enforcement affect the size and depth of the financial sector. They study the quality of laws governing institutional inves- tor protection and the vigor of enforcement and confirm that a weak legal system retards financial development and economic growth. Browne, Chung, and Frees (2000) show that a country’s legal system is a sig- nificant determinant of the demand for automobile and general liability insurance.4 4 The relevance of legal systems and inherited institu- tions for financial market development in general has been explored further by La Porta et al. (2000), López-de-Silanes (2001), Coffee (2000), Rajan and Zingales (2001a, 2001b), and Stulz and Williamson (2001), among others. RELEVANT FACTORS FOR INSURANCE DEVELOPMENT Three things emerge from the literature on relevant factors for the development of in- surance markets. First, as noted previously, various attempts have tried to link specific variables (for example, the legal system, governance, enforcement, institutional quali- ties) to insurance and financial market de- velopment. Swiss Re (2004) has analyzed these factors mostly from the point of view of businesses. Among the factors that de- termine insurance growth are the savings level and per capita GDP, which have a positive impact on insurance but also benefit from the development of insurance markets. Enz (2000) studies the relations between in- surance demand and GDP, highlighting many factors (including taxation, regulation, and risk coverage provided by the govern- ment) that limit insurance penetration in the market. Greene (1976) and Outreville (1992) examine the state’s role in the insurance market. Swiss Re (2004 and 2006) identifies several important factors determining growth of the insurance business, including the distribu- tion of wealth, the legal system and property rights, insurance product availability, regula- tion and supervision, trust, and risk aware- ness. Other non-economic factors that have an impact on the development of insurance are religion, culture, and education. Specific factors are identified for life insurance and non-life insurance (see Table 3). For non- life insurance, they include regulation (for example, compulsory coverage), claim awards, exposure to natural disasters, and the public sector’s role in health. For life insurance, they include economic stability (for example, inflation and the exchange rate), demography, the tax system, the sav- ings rate, and the pension system. 8
  • 12. General factors Specific factors Economic growth Products offered Wealth distribution of income Distribution channels Religion, culture Risk awareness Education Insurance regulation Property rights, legal certainty Trust in insurance Non-life Insurance Life Insurance Compulsory insurance Economic stability (e.g., inflation, currency) Natural catastrophe exposure Savings rate Public role in health and workers compensation insurance Demography Claims awards Tax benefits Pension system Table 3. Factors Influencing Insurance Demand Source: Swiss Re Economic Research & Consulting Second, insurance business failure can stem from several potential sources. Most of the theoretical research has focused on the prob- lems of adverse selection and moral hazard in the insurance market. Rothschild and Stiglitz (1976) show that asymmetric infor- mation between the insurer and the policy- holder inhibits the design of an efficient contract when the buyers are heterogeneous in their accident probabilities (which is pri- vate information for the buyer). Yet, the empirical evidence for asymmetric informa- tion in insurance markets is decidedly mixed. Several recent empirical studies have failed to find evidence of asymmetric infor- mation in property/casualty, life, and health insurance markets. These studies include Cawley and Philipson (1999), who examine the U.S. life insurance market; Cardon and Hendel (2001), who look at the U.S. health insurance market; and Chiappori and Salanie (2000), who focus on the French automobile insurance market. In contrast, Cutler (2002) reviews a substantial literature that finds evidence in support of asymmetric informa- tion in health insurance markets; and Cohen (2001) offers some evidence for adverse se- lection in U.S. automobile insurance mar- kets. Chiappori and Gollier (2006) argue that asymmetric information is a central rea- son that competition in insurance markets may fail to guarantee that all mutual advan- tageous risk exchanges are realized. These results support the conclusion that depend- ing on the specific market and situation, asymmetric information constitutes an im- portant feature of insurance markets. Third, the literature contains different views about the need for capital adequacy regula- tion and supervision in the insurance busi- ness. Advocates for a free insurance market without any regulation, supervision, or capi- tal adequacy requirements argue that asym- metric information in insurance is less se- vere than in banking and that an insurance company crisis or failure is less costly than a bank failure. Rees and Kessner (1999) dis- cuss this issue extensively, and favor a free insurance market based on their analysis of the U.K. (unregulated) and German (tightly regulated) markets. The authors argue that since buyers are always ready to pay for an insurer that guarantees solvency, there is always enough capital available in case of insolvency. Therefore, the decision of insur- ers is efficient in terms of economic capital, and regulation is not only unneeded but can impose deadweight loss on the market. This argument rests on the assumption that con- sumers are fully informed about the insol- vency risk. Klemperer and Meyer (1985), however, remove this crucial assumption that the consumer can understand the sol- 9
  • 13. vency risk fully and can use relevant infor- mation effectively. Given the empirical evi- dence, they dispute the superiority of the U.K. unregulated model and assert that in- surance failures (citing the period 1986–99) are more severe than the losses of other fi- nancial institutions. Despite the arguments in favor of a free and unregulated market, in practice the regula- tion and supervision of the insurance indus- try are common in Latin America and the Caribbean, and widespread around the world. Yet the argument for freedom from regulation and supervision is stronger for the insurance than for the banking sector. This is because insurance providers do not need to provide suddenly massive liquidity (that is, to cover rapid withdrawals by depositors like those that may lead to a bank run and spread system-wide through “contagion”). In addition, the insurance business has the capability of diversifying its risk portfolio through reinsurance. DEFINING EFFECTIVENESS IN INSURANCE MARKETS The extent to which the insurer successfully facilitates the insurance process becomes the overarching criterion for a metric on effec- tiveness. How quickly, how cheaply, how simply, and (among other things) how relia- bly an insurance company administers its policies will help determine how well it minimizes its risk as an insurer. There is a dearth of literature about insur- ance effectiveness framed this way. Most research is from intra-industry studies of deep insurance markets such as those of Europe or the United States and focuses on profitability or economic efficiency, con- cepts that flow directly from the microeco- nomic theory of the firm. The search for variables and factors that capture insurance market effectiveness is altogether absent be- cause these studies are tailored to the re- search agenda of already highly developed insurance markets. In these circumstances, profit maximization and competition are far more pertinent concerns than laying the foundation for a workable market. Thus Diacon, Starkey, and O’Brien (2002) concentrate on an insurer’s efficiency, namely its ability to produce a set of outputs (such as premiums and investment perform- ance) from given inputs (such as administra- tive and sales staff and financial capital). They conclude that aninsurance companyr would be technically efficient if it cannot reduce its resource usage without some cor- responding reduction in outputs, given the current state of production technology in the industry (Diacon, Starkey, and O’Brien, 2002). Cummins and Weiss (1998) similarly focus on a Pareto frontier of economic effi- ciency, which is achieved when an insurer has reached cost efficiency, or the produc- tion-maximizing (technical efficiency) and the cost-minimizing (allocative efficiency) combination of inputs. Beyond insurer effi- ciency, some studies choose to measure company performance. Avoiding some of the subjectivity associated with profits re- ported by long-term insurers, Mayers and Smith (1982), for example, utilize an operat- ing-income variable (defined as income be- fore taxes and dividends to policyholders) as well as annual growth in premiums. Proxies of performance in other studies include growth in assets (Ingham and Thompson, 1995), return on assets (O’Hara, 1981; Ge- netay, 1999), growth in premiums (Armitage and Kirk, 1994), and executive remunera- tion/emoluments (Brickley and James, 1987; Fields, 1988; Kroll, Wright, and Theerathon, 1993; and Mayers, Shivdasani, and Smith, 1997). In relatively newer or shallow insurance markets, such as Latin America and other emerging economy regions, a specific strand of the literature on insurance effectiveness warrants elaboration. Apart from analysis by 10
  • 14. international insurers (for example, Munich Re and Swiss Re), there have been few stud- ies of Latin American and Caribbean insur- ance markets. Swiss Re and the International Insurance Federation rank 16 countries benchmarked for levels of premiums per capita for life and non-life business, but all of the countries are developed. Moreover, these studies have not been conducted inde- pendently because many international insur- ance companies analyze insurance markets as part of their business expansion. The World Bank and the International Monetary Fund have undertaken studies of insurance markets in Latin America and the Caribbean in the context of the Financial Sector Assessment Program.5 These studies are country specific and they focus exclu- sively on the regulatory aspects of insurance markets. Moreover, these studies only apply to a limited number of countries (five in the region). Similar limitations apply to the World Bank and IMF program Reports on Observance of Standards and Codes, which summarize how well countries observe cer- tain internationally recognized benchmarks.6 Furthermore, in this case, there has been lit- tle analysis of the insurance markets. As for the World Bank’s World Development Indi- cators, entries include “time to register a business” and “time to enforce a contract,” but there is no measure for insurance effec- tiveness. Similarly, neither the World Bank’s Investment Climate Survey nor its Doing Business Database includes any measure of insurance among their tabulated financial indicators. REVIEW OF STUDY METHODOLOGY In general, econometric and quantitative analyses have been used to assess the factors and variables of capital, financial, and insur- ance market development. Ward and Zur- bruegg (2000), Enz (2000), Outreville (1990, 1992, and 1996), Arestis and De- metriades (1997), Demetriades and Hussein (1996), and Pesaran, Haque, and Sharma (2000) are examples of econometric analy- ses based on time series. Some of these pa- pers have also used techniques (such as cointegration) for analyzing causality. Hofstede (1995) and Fukuyama (1995) make little use of quantitative analysis. Us- ing surveys to analyze insurance markets has been limited (Swiss Re studies, for example, have utilized surveys but lack parametric analysis). 5 See http://www.imf.org/external/np/fsap/fsap.asp#cp. 6 See http://www.imf.org/external/np/rosc/rosc.asp. Scarcely any studies examine how institu- tional factors influence insurance company effectiveness. The predominant literature is comprised of intra-industry studies outside the scope of public policy and focuses on generating firm-specific prescriptions to im- prove the business, that is, the profitability of insurance per se (see Annex 1). For instance Borde, Chambliss, and Madura (1994) critique traditional methodologies for determining what firm-specific factors affect insurance company risk. They develop alter- native parametric models for measuring the impact of factors on risk. O’Sullivan and Diacon (2002) utilize a two-way fixed- effects model of nonexecutive board mem- ber influence on the performance of life in- surance companies in the United Kingdom. Using a set of panel data comprising 53 life insurance companies over seven years, the model includes time and company dummies to pick up those influences on performance that are company invariant (for example, macroeconomic movements) and time in- variant (for example, subsidiary status, or- ganizational structure), respectively. Kramer (1996, 2000) uses ordered logit and neural network models to determine the financial solidity of Dutch non-life insurers. Both models use the same six variables to proxy for solvency, profitability, and investments. 11
  • 15. Taylor (2001) assesses the use of regression analysis in examining service recovery in the insurance industry and finds it likely that different models may be appropriate for dif- ferent samples and research variables. A re- search framework is presented to help over- come potential bias in regression coeffi- cients used in competitive insurance set- tings. Diacon, Starkey, and O’Brien (2002) em- ploy a two-stage analysis to explore inter- company differences in efficiency. The first stage uses a nonparametric frontier method—data envelopment analysis (DEA)—that uses linear programming tech- niques to discover the frontier firms and construct a convex piecewise linear surface or frontier over these firms. The second stage consists of regressing the Farrell effi- ciency scores from the first-stage DEA process against environmental variables un- der a tobit model for censored data. Simi- larly, Leverty, Lin, and Zhou (2004) apply a two-stage methodology to estimate firm ef- fectiveness in the Chinese insurance Indus- try, using DEA to estimate firm efficiency in the first stage, and then a weighted tobit [capitalized or not???, please be consistent] regression, a count or Poisson regression model, and a WLS regression in the second stage to disentangle the determinants of firm efficiency. Cummins and Weiss (1998) comment on the dominance of the “best practice” frontier efficiency methodology for measuring insurance firm performance but posit its limitations. Based on the findings of the literature re- view, the program of work being undertaken (i.e., survey of insurance markets and stud- ies) takes the research forward by focusing on the role of insurance in capital market development (and therefore economic growth). It also develops a conceptual framework for analysis and sheds light on the variables and factors that are more rele- vant for insurance market development and warrant public policy intervention. This pa- per describes the situation of the insurance industry as it emerges from the survey.7 7 Subsequent analyses will present a more sophisti- cated explanatory model of the factors and variables that influence the development of insurance markets in Latin America and the Caribbean. 12
  • 16. 4. The Importance of Insurance in Latin America and the Caribbean Drastic policy shifts occurred in Latin America during the 1990s. The countries of the region relied on privatization, liberaliza- tion, and deregulation to strengthen financial markets, among them the insurance market. Privatization. Government involvement in the economy through state-owned enter- prises diminished considerably during the decade. While targeting greater efficiency and fiscal relief, enterprise privatization also was touted as a way to jump-start capital markets by widening share ownership and expanding the supply of investment securi- ties. Other than the state-owned insurer La Previsora in Colombia and the reinsurance monopoly in Brazil, the major actors in the big insurance markets of the region are pri- vate.8 Moreover, workers’ compensation insurance is now written by private insurers in Argentina and Colombia, and a privately run unemployment insurance scheme has recently been introduced in Chile (Swiss Re, 2004). Movement toward social security privatiza- tion also was intended to deepen capital markets by generating a pool of private sav- ings to finance private investments. Individ- ual capitalization regimes began replacing state-run pensions in the region, beginning with Chile in 1981. Peru followed suit in 1993, Argentina and Colombia in 1994, Uruguay in 1996, Bolivia and Mexico in 1997, El Salvador in 1998, Costa Rica in 2001 and, most recently, the Dominican Re- public in 2003. 8 The only exception is Costa Rica where the 1924 Law of Monopolies of the Instituto Nacional de Seguros (National Insurance Institute) states that in- surance is a monopoly of the state. Liberalization. The liberalization of Latin American financial markets (including stock markets) and the capital account, which had lagged in the 1980s, quickly intensified in the 1990s. The goal was to open the door for more foreign capital to fund domestic in- vestments, as well as to provide domestic firms with access to risk diversification from abroad. The opening to international fi- nance, it was believed, would provide more discipline and efficiency to domestic capital markets (see Figure 3, which comes from Galindo, Micco, and Panizza, 2005). For insurance in particular, foreign insurers would provide new capital and know-how through more sophisticated insurance prod- ucts and distribution channels for reaching a broader spectrum of people. With reduced entry barriers, many international insurers entered the region’s insurance markets. Merger and acquisition activities accelerated and competition intensified. By 2004, the market share of foreign insurers ranged be- tween 30 percent and 75 percent of the re- gion’s market (Table 4). Table 4. Market Share of Insurers with Foreign Ownership (≥50%) Life Non-life Latin America Brazil 32% 43% Mexico 75% 58% Chile 62% 63% Argentina 53% 35% Venezuela 39% 50% Colombia 38% 46% Source: Swiss Re (2004) 13
  • 17. Regulatory Reform. Across the region, re- forms in securities market supervision, gov- ernance, and infrastructure accelerated rap- idly in the 1990s (Figure 4). The intention was to step up exchange platforms and sys- tems to lower transactions costs, as well as to create a regulatory body and legislation to protect investors and elicit more investment. By 2002, the region as a whole seemed market ready. Despite this multidimensional reform “pack- age,” insurance markets in Latin America and the Caribbean remain shallow compared to other international markets (for example, insurance penetration—measured as premi- ums over GDP—is low: see Figure 1). Figure 3. Financial Liberalization, 1973–2005 0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 1973 1975 1977 1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005 LAC ASIA Europe G7 Note: The index plots the simple average of liberalization in the capital account, the domestic financial system, and the stock market. This measures ranges from 1 to 3, where 3 is full liberalization. The Av- erage Liberalization Index in the graph is the simple average of the liberalization measure across coun- tries in each year. Source: Financial Liberalization is based on the indicators developed in Kaminsky and Schmukler (2003) and authors’ updates Table 5 shows recent data9 collected from household surveys about access to private health insurance. A simple average of seven countries for which information is available Figure 4. Percentage of Latin American Countries Having Implemented Reforms, 1990–2002 31% 25% 27% 15% 0% 56% 63% 64% 62% 33% 88% 94% 91% 100% 92% 0 20 40 60 80 100 120 Supervisory Agency Creation Establishment of Insider Trading Laws Custody Arrangements Trading Systems Clearing & Settlement Processes Before 1990 By 1995 By 2002 Source: De la Torre and Schmukler (2004) 14 9 The countries selected in the table are those for which data are available.
  • 18. shows that only 8 percent of households de- clared having some type of private health insurance (the average for poor households is 2 percent). Compared to developed coun- tries such as the United States (68 percent) and Australia (45 percent), these numbers highlight the relative underdevelopment of the region’s financial markets. We should note that health insurance access may not be the best indicator of the degree of develop- ment of the industry because it is dependent on government provision of these services (effective government-provided universal public health insurance, for example). How- ever, it is the most comparable indicator that can be built using household surveys. Im- proving the design of household surveys may enable us to capture more complete and comparable information about other types of insurance. Indeed, the current condition of the insur- ance industry in Latin America and the Car- ibbean does not match other indicators for the region, such as population and GDP, which represent about 6 percent and 8 per- cent of the world’s totals, respectively. Seen in conjunction, these figures reveal a marked underdevelopment of the region’s insurance industry.10 However, there is also “hetero- geneity”, which is crucial in gauging the economic role of insurance across different countries. Ward and Zurbruegg (2000) ex- amine the causal relationship between insur- ance industry growth and economic growth in the OECD countries, and recognize that the economic benefits of insurance are con- ditioned by national regulations, economic systems, and culture. They argue that an ex- amination of the interrelationships between insurance and economic growth must be done country by country. To put that into perspective, recent studies indicate enormous differences among emerging-market countries (see Figure 5). The level of insurance development (meas- ured by penetration, i.e., the ratio of premi- ums to GDP) varies significantly among countries in Latin America and the Carib- bean (see Figure 6). This view (see Enz 2000) contrasts with the models that assume a constant income elasticity of demand for insurance, and have the unrealistic implica- tion that insurance penetration grows with- out constraint. Figure 6 shows a wide dis- parity in the level of insurance demand and coverage among developed economies (e.g., Spain), relatively developed countries such as Chile, Brazil and Mexico, and poor coun- tries such as Bolivia and Honduras.11 Table 5. Households with Access to Private Health Insurance (%) Nonpoor Poor Total Ecuador 9.6 1.0 6.8 Guatemala 9.5 1.8 6.0 Panama 3.8 0.1 2.8 Nicaragua 3.0 0.6 2.1 Paraguay 13.1 1.3 10.0 Peru 8.5 0.7 4.9 Dominican Republic 27.8 10.9 22.8 Average 11.0 2.0 8.0 Australia 45.0 U.S. (Individuals) 68.0 Source: For Latin America, authors’ calculation based on household surveys obtained from the ME- COVI database; for U.S., United States Census Bu- reau (2003); for Australia, Colombo and Tapay (2003). For all of the reasons articulated earlier, the challenge is to overcome the market failures that hinder insurance development and to identify the factors that promote it. Using information from the survey we selected the variables that are most likely to have an im- pact on the effectiveness of insurance mar- kets. The selection of variables was made based on previous studies as well as on ex- perience. In the first place, insurance mar- kets will be affected by variables that have an impact on the overall health of the econ- 15 10 Swiss Re (2002). 11 Swiss Re (2004: 5–6).
  • 19. omy, such as income level, macroeconomic stability, average education of the popula- tion, culture, political stability and financial depth. A second set of factors that affect in- surance markets in a more direct manner are competition in the insurance sector, moral hazard, supervision of insurance companies, adverse selection, enforcement of consumer protection laws, enforcement of the law, and availability and clarity of information about products and services. Figure 5: The Emerging Markets Need to Catch Up in Insurance Source: DRI-WEFA, Swiss Re Economic Research & Consulting Figure 6: Penetration Ratio in Latin American and Caribbean Countries 0% 1% 2% 3% 4% 5% 6% 7% 8% 1999 2000 2001 2002 2003 2004 year % Argentina Bolivia Brasil Chile Colombia Ecuador El Salvador Guatemala Honduras México Nicaragua Panama Paraguay Perú Uruguay Venezuela España Portugal Source: Assal. various years www.assalweb.org 16
  • 20. 5. Survey Results The underdevelopment of insurance in Latin America and the Caribbean is the result of a wide variety of factors—some exogenous, others within the scope of public policy. This section presents a basic analysis using data from a survey of industry specialists and regulators. The survey and its results are very innova- tive because it is the first time that regional institutions (ASSAL, FIDES, and the IDB) undertake a common multiyear program of research and action to improve insurance markets in the countries of the region. Re- search and action are undertaken at the re- gional and national levels. That is, it starts as a regional program and moves down to the country-specific level. The objectives are to provide material for research to obtain a bet- ter understanding of the variables that spe- cifically affect insurance market develop- ment in Latin America and the Caribbean, and to encourage participants to initiate pol- icy actions. Responses are tallied from insurance agents (18 industry superintendents, 19 industry associations, and 126 insurance companies) that make up the insurance market in the re- gion. Each individual question measures one or more endogenous and/or exogenous vari- ables that affect insurance markets. A scale in which items or variables represent differ- ent subconcepts of the uncovered variable or factor and responses is presented to indicate different degrees of agreement or disagree- ment with the item. The majority of the re- sponses are ranked on a Likert scale of 1 to 5 (for example, five categories of agreement and disagreement with 3 being a neutral value). Some questions are based on catego- ries (for example, income and education); others are yes/no questions (for example, gender); and still others are related to factors that can influence a certain behavior (for example, buying insurance if income in- creases). Various elements emerge from the analysis of the survey, which will be reviewed in more detail in a separate paper (Webb, Masci and Velarde, 2006).12 Table 6 high- lights some of the questions that scored low- est in the survey, that is, those perceived to be in most need of improvement. Findings of the analysis of the survey are grouped according to a specific topic. Overall, the impediments to market devel- opment, which received the most attention in the responses to the survey, were under- developed institutions, low quality of data, and education. Notably, the results suggest that lack of sufficient education about insur- ance is the greatest impediment, with poorly functioning police and justice systems sec- ond, and low data quality third. Institutional Setting: Legal/ Judicial Sys- tem The responses highlight the fact that the ma- jority of those surveyed view judicial sys- tems (including enforcement) as substan- tially slow, unpredictable, and in need of improvement. Because these institutions tend to be critical to the effectiveness of in- surance operations, their inefficiency most likely directly reduces the effectiveness of insurance markets in the region. 12 Webb, Masci and Velarde (2006) present summary statistics from a survey of people in the industry in order to measure what factors are more closely re- lated to effective insurance markets. 17
  • 21. Table 6: Descriptive Statistics, Perceptions About Factors Affecting Insurance Markets in Latin America and the Caribbean Adequacy of Institutions that Support Insurance Markets (Judicial System) Efficiency of the judicial system: Needs improvements = 91% 49% needs to improve completely 42% needs to improve in many aspects Efficiency of law enforcement: Needs improvements = 88% 50% needs to improve completely 37% needs to improve in many aspects Is the judicial system too litigious, slow and unpredictable?: Yes = 76% 39 % strongly agreed 37% agreed Is improvement needed in the judicial system?: Yes = 74% 35% strongly agreed 39% agreed Poor understanding of insurance products Insurance products are too complex and not too well explained: Yes = 76% 21% strongly agreed 55% agreed In your opinion, how much knowledge of insurance does the general population have in your country?: Poor = 83% 66% poor 17% very poor Cost of providing insurance Insurance coverage is too costly: Yes=75% 19% strongly agreed 56% agreed Funding Increase in the availability of financial instruments in capital markets. Needs improvements = 68% 32% needs to improve completely 36% needs to improve in many aspects Information The police force collects and maintains information about who is at fault in auto accidents and about the victims of theft: disagree = 65% disagree = 43% completely disagree = 22% The identification and prevention of insurance fraud exists disagree = 60% disagree 45% completely disagree = 15% Government does a good job of maintaining and monitoring information about vehicle registration: disagree = 67% disagree 29% completely disagree = 28% Data Collection by Type of Agency and Type of Data Only half of respondents believe that the overall quality and quantity of data available to insurers is good or very good. Similarly, a little less than half think that the overall quantity and quality of data collected by the supervisor is adequate. In the private sector, about half of those responding say that the 18
  • 22. data collected for both life and non-life re- serves and pricing is adequate. With respect to specific types of data collected for un- derwriting and pricing, it appears that data on credit risk profiles and the accident his- tory of applicants, as well as conformity with construction codes are not as com- monly collected yet as other types of infor- mation. Also, it appears that about half of those responding indicate that national mor- tality tables are not used in their markets. Those surveyed were also asked about the types of information collected by different entities, including statistics on: financial statements, paid losses aggregated by line, number of claims paid by line of business, amounts paid for each claim, amounts paid by type of policy, number of claims rejected, geographical details regarding accidents, details regarding the risk profile of the in- sured, details regarding those involved in fraudulent claims, accident history of appli- cants, complaints made against companies, the evolution of payments for claims over time, aggregate costs of insurers, costs by line, aggregate premiums, premiums by line, and technical result by line. The majority responded that supervisors collect most of this information, and a minority responded the information is collected by industry as- sociations and insurance companies. Loss data collection and use, which is essen- tial to insurance efficiency in pricing and risk management, is still poor in the region. About 35 percent of those queried responded that statistics on fire losses are not collected or organized by locality or region, while 17 percent said that it is collected or organized by region or department. Only 17 percent said it is collected by city, and less than 5 percent stated that it is collected by district. The breakdown for data on auto losses is as follows: 33 percent not collected by geo- graphic locality; 24 percent by region or de- partment; 17 percent by city; and less than 5 percent by district. Education: Training and Use of Actuaries Actuaries bring professionalism and much needed expertise to the practice of loss data and price setting analysis. The current status of actuarial practice in Latin America and the Caribbean suggests that prop- erty/casualty insurance is significantly lack- ing in actuarial expertise, and that profes- sional associations for actuaries are weak or nonexistent. From the survey results we learn that actuaries in the region are used most in the life insurance business, because it is in this the line of business that reserves more frequently appear to require certifica- tion by an actuary. However, a significant number of actuaries (about one third), ap- parently lack actuarial certification and/or have little training. A little less than half of those responding stated that the two areas in which training is thought to be most inade- quate are the analysis of reserves and of re- insurance. Finally, when asked about the strength of professional associations, only about one third or less of those responding indicated that actuarial, risk manager, and loss adjus- tor associations exist in their markets. Less than one third of professionals in these areas of activity are subject to a code of standards and practices. Strength of the Regulatory Framework While no one single area of regulation stood out as needing the most improvement, sev- eral areas (including solvency margin and capital requirements, asset-liability match- ing, limits on types of permitted invest- ments, and discount rates and use of mortal- ity tables) were indicated as needing im- provement by over 50 percent of those re- sponding. Strength of Supervisory Practices About one half of those responding indi- cated that the efficiency and knowledge of 19
  • 23. their supervisor agency staff was good or very good. Corporate governance and risk matrix and financial analysis were areas of supervision that stood out as needing im- provement for the majority of those respond- ing. The results of the survey as a whole (all of which are not discussed in this paper), sug- gest that the protection offered to consum- ers, as well as the services offered to the market were considered mostly good to ade- quate. The supervision of intermediaries, reinsurance and market conduct were deemed to be the weakest. Survey results indicate that 24 percent of respondents be- lieved that the supervision of intermediaries was poor, while 4 percent believed it was very poor. Similarly, 11 percent of respon- dents thought that the supervision of rein- surance was poor and 2 percent thought it was very poor. With respect to the supervi- sion of market conduct, 20 percent of re- spondents believed it was poor and 2 percent very poor. Most common complaints included: the quantity and frequency with which data has to be delivered to the supervisor (56 per- cent); on-site inspections are too frequent and long (26 percent); and the process for issuing of new regulations is not very trans- parent (19 percent). The majority of respondents (63%) believed that the use of sanctions improved the trans- parency of and confidence in the insurance market. Resources Available to the Supervisor Mixed state and private sector funding was the most common form of financing for the supervisor. A clear majority of those re- sponding indicated that their supervisor’s approach to supervision was a mix of pre- ventive and reactive supervision. Approxi- mately one third of those responding indi- cated that both computer and software equipment as well as manuals and guides for financial analysis and on-site inspections are inadequate. Financial and Capital Markets Low transparency is only a significant issue for one third of respondents; however insuf- ficient variety of financial instruments and insufficient trading (and consequent illiquid- ity) of fixed-income instruments appear to be significant concerns for about two thirds of the respondents. The valuation of instru- ments and insurance companies also appears to be a concern for over half of those re- sponding. In this respect, rating agencies play an important role. Only 1 out 5 respon- dents indicated that rating agencies rated either all or the majority of insurers in their market. A clear majority indicated that rat- ing agencies only rate half or less of the in- surers in their markets. With respect to mar- ket discipline, about 1 out of 5 persons re- sponding indicated that rating agencies pro- vided market discipline. This fraction is most likely the same 20 percent that operate in markets where rating agencies have a sig- nificant presence. Investors and insurance company owners appear to exert the most market discipline, while the supervisor is a close second. News agencies exert much less influence on market discipline in the region, although they do play a role. Future and Historic Solvency Threats to the Market Among the factors that have and continue to threaten the profitability and solvency of insurers, those that stood out in the survey responses were: strong price competition, economic recessions, political conflicts, loss ratio volatility, insolvency or default by a reinsurer, volatility in the price or availabil- ity of reinsurance, ineffective supervisor, and underestimation of required reserves by the market. 20
  • 24. Defining Characteristics of Industry Practices Interestingly, almost half of those respond- ing indicated that insurance companies would use pre-established formulas for re- serving if they were given a choice in their market. Other findings with respect to cor- porate governance are also reinforced: about one third of those responding indicated that there is no legislation or regulation with re- spect to corporate governance or internal control in their market. The use of catastro- phic probable maximum loss analysis for insurance purposes does not seem to have spread to the majority of countries in the re- gion. With respect to the strength of industry practices, the survey indicates that im- provement is needed in several areas for the market to develop. The areas of industry practice flagged as weak include: asset- liability matching, underwriting, marketing practices of agents, internal control, man- agement of insurance fraud, distribution networks, and marketing practices of agents and brokers. The existence of a code of eth- ics for the insurance industry does not seem to be commonplace in the region. Consumers or Users of Insurance Only about half of those responding indi- cated there exist dedicated entities that either negotiate on behalf of consumers or provide them with information on how to make claims. It appears that the majority of mar- kets have consumers with little knowledge of insurance products and only weak confi- dence in the reliability of insurance prod- ucts. Collaboration Between Industry and Su- pervisor A formal, transparent process whereby the private sector can participate in regulatory reform does not seem to exist in more than one third of the markets. Less formal par- ticipation at the discretion of the supervisor appears to be more the norm. Contribution of Insurance to Economic Development The insurance lines chosen as most impor- tant for the economy by those responding include: life insurance (with and without savings); homeowners; civil responsibility; insurance for small business owners; natural disaster coverage; and auto. The following lines of insurance were seen as having the potential for strong growth over the next ten years: life (with and without savings); annui- ties; auto; agriculture and fishery; and, health/medical. 21
  • 25. 6. Conclusions This study provides a descriptive assessment of the strength and effectiveness of the in- surance industry in Latin America and the Caribbean and indicates the areas and issues that deserve attention. It is clear that insur- ance markets in the region lack adequate depth and penetration, and that the countries of Latin America and the Caribbean are fal- ling behind other regions of the world based on indicators of standardized measures of insurance to economic development. The studies covered in the literature review sug- gest that improved and more widely avail- able insurance and risk management ser- vices may provide an important means for achieving greater equity and effectiveness. The results of the survey suggest some pol- icy priorities for strengthening insurance markets in the region. Overall, the impedi- ments to market development, which re- ceived the most attention in the responses, were related to institutions, education, cost, and availability of financial instruments and quality of data. The policy priorities sug- gested by the survey results are as follows: i) Measure the cause, identify the extent, and discuss possible steps to minimize the impact of poorly functioning justice and police systems on insurance market effectiveness. ii) Explore mechanisms that would promote insurance product transparency, and consequently, greater understanding of insurance products by the general public iii) Promote alternative low-cost insurance service delivery mechanisms that would extend insurance services to lower in- come and rural populations. iv) Identify causes and possible solutions to low data quality in some public institu- tions. To date, the literature suggests that much can be learned about the role that insurance and risk management play in promoting economic efficiency, as well as the equity and sustainability of economic development. Greater focus is needed on insurance mar- kets, especially in emerging economies. One strand of that effort should review the role of insurance in economic growth, identifying and assessing the variables that link insur- ance market development with growth in Latin America and the Caribbean. Another strand should assess the interrelationship between capital market and insurance mar- ket development, given the role of insurers as financial intermediaries and institutional investors. Another very promising strand involves the relationship between the avail- ability of specific forms of business insur- ance (for example, liability insurance) and forms of social insurance (for example, health/unemployment insurance) and entre- preneurship. Finally, the research effort should not only be expanded but also deepened. This survey to identify and assess variables is a public- private collaboration between IDB, FIDES, and ASSAL, as well as the first attempt to systematically analyze the insurance market in Latin America and the Caribbean. By up- dating the survey periodically, our research will take a long-term view of insurance in the region and permit the formulation of 22
  • 26. specific policy recommendations that can be tested and refined over time. This effort should use the data being gener- ated to analyze further insurance market failures and the role played by public policy. And, as the previous section notes, the exist- ing survey or other similar surveys could be analyzed using factor analysis and structural equation modeling to discover and test latent variables that improve or impede nsurance market performance in Latin America and the Caribbean. 23
  • 27. Bibliography Akerlof, G. A. 1970. The Market for ‘Lemons’: Quality, Uncertainty, and the Market Mecha- nism. Quarterly Journal of Economics 84: 487–500. Arestis, P., and P. Demetriades. 1997. Financial Development and Economic Growth: Assessing the Evidence. Economic Journal 107 (442): 783–99. Armitage, S., and P. Kirk. 1994. The Performance of Proprietary Compared with Mutual Life Offices. Services Industries Journal 14: 238–61. Beck, Thorsten, and Ross Levine. 2001. Stock Markets, Banks, and Growth: Correlation or Cau- sality. Working Paper 2670. Washington, D.C.: World Bank, Finance Development Re- search Group: http://econ.worldbank.org/view.php?type=5&id=2389. Beenstock M., G. Dickinson, and S. Khajuria. 1986. The Determination of Life Premiums: An International Cross-Section Analysis 1970–1981. Insurance, Mathematics, and Econom- ics 5: 261–70. Borde, Stephen, Karen Chambliss, and Jeff Madura. 1994. Explaining Variation in Risk across Insurance Companies. Journal of Financial Services Research (Historical Archive) 8 (3): 177–91. Boyd, John, and Bruce Smith. 1996. The Coevolution of the Real and Financial Sectors in the Growth Process. World Bank Economic Review 10 (2): 371–96. Brickley, J. A., and C. M. James. 1987. The Takeover Market, Corporate Board Composition, and Ownership Structure: The Case of Banking. Journal of Law and Economics 30: 161– 80. Browne, M. J., J. J. Chung, and E. W. Frees. 2000. International Property–Liability Insurance Consumption. Journal of Risk and Insurance 67 (1): 73–90. Browne, M. J., and K. Kim. 1993. An International Analysis of Life Insurance Demand. Journal of Risk and Insurance 60 (4): 616–34. Cadbury, A. 1992. Committee on the Financial Aspects of Corporate Governance. London: The Committee on the Financial Aspects of Corporate Governance and Gee and Co. Ltd., London. Caprio, Gerard, Jr., and Aslï Demirgüç-Kunt. 1998. The Role of Term Finance: Theory and Evi- dence. World Bank Research Observer 13 (2): 171–89. Cardon, James, and Igal Hendel. 2001. Asymmetric Information in Health Insurance: Evidence from the National Medical Expenditure Survey. RAND Journal of Economics 32: 408– 27. Cawley, John, and Tomas Philipson. 1999. An Empirical Examination of Information Barriers to Trade in Insurance. American Economic Review 89 (4): 827–46. Chiappori, Pierre-Andre, and Bernard Salanie. 2000. Testing for Asymmetric Information in In- surance Markets. Journal of Political Economy 108: 56–78. Chiappori Pierre-Andre and Christian Gollier. 2006 Competitive Failures in Insurance Markets. Theory and Policy Implications. CESInfo. Seminar Series MIT Press. Churchill, Craig, Dominic Liber, Michael McCord, and James Roth. 2003. Making Insurance Work for Microfinance Institutions: A Technical Guide to Developing and Delivering Microinsurance. Geneva: International Labour Organization. 24
  • 28. Coffee, John C. 2000. Convergence and Its Critics: What Are the Preconditions to the Separation of Ownership and Control? Working Paper 179. Center for Law and Economic Studies, Columbia Law School, Columbia University, New York. Cohen, Alma. 2001. Asymmetric Information and Learning in the Automobile Insurance Market. Mimeographed document. Department of Economics, Harvard University, Cambridge, Massachusetts. Cole, David C. 1997. Sequencing versus Practical Problem Solving in Financial Sector Reform. In Harwood Alison and Bruce L. R. Smith, editors. Sequencing: Financial Strategies for Developing Countries. Washington, D.C.: Brookings Institution Press. Colombo, Francesca, and Nicole Tapay. 2003. Private Health Insurance in Australia: A Case Study. OECD Health Working Paper No. 8. Organization for Economic Co-operation and Development, Paris, France: http://www.oecd.org/dataoecd/5/54/22364106.pdf. Conyon, M. 1994. Corporate Governance Changes in UK Companies between 1988 and 1993. Corporate Governance: An International Review 2: 87–99. Conyon, M., and D. Leech. 1994. Top Pay Company Performance and Corporate Governance. Oxford Bulletin of Economics and Statistics 56 (3): 229–47. Cummins, J. David, and Mary Weiss. 1998. Analyzing Firm Performance in the Insurance Indus- try Using Frontier Efficiency Methods. Working Paper Series 98-22. Financial Institu- tions Center, Knowledge@Wharton, The Wharton School, University of Pennsylvania, Philadelphia: http://knowledge.wharton.upenn.edu/paper.cfm?paperid=47. Cutler, David. 2002. Health Care and the Public Sector. In A. Auerbach and M. Feldstein, edi- tors. Handbook of Public Economics, Vol. 4. Amsterdam, North Holland; New York: El- sevier. De la Torre, Augusto and Sergio Schmukler. 2006. Emerging Capital Markets and Globaliza- tion: The Latin American Experience. Washington, D.C.: World Bank Publications. Demetriades, P. O., and K. A. Hussein. 1996. Does Financial Development Cause Economic Growth? Time Series Evidence from 16 Countries. Journal of Developmental Economics 51 (2): 387–411. Demirgüç-Kunt, Aslï, and Ross Levine. 1996. Stock Markets, Corporate Finance, and Economic Growth: An Overview. World Bank Economic Review 10 (2): 223–39. Demirgüç-Kunt, Aslï, and Vojislav Maksimovic. 1998. Law, Finance, and Firm Growth. Journal of Finance 53 (6): 2107–37. Dercon, Stefan. 2006. Insurance for the Poor. Sustainable Development Department Technical Paper Series, No. POV-115. Inter-American Development Bank. Washington, D.C. Dercon, Stefan. Editor. 2004. Insurance against Poverty (W I D E R Studies in Development Economics) Oxford: Oxford University Press Diacon, S. R., K. Starkey, and C. D. O’Brien. 2002. Size and Efficiency in European Long–Term Insurance Companies: An International Comparison. Geneva Papers on Risk and Insur- ance: Issues and Practice 27: 444–66. Enz, Rudolf. 2000. The S Curve Relation between Per Capita Income and Insurance Penetration. Geneva Papers on Risk and Insurance 25 (3): 396–406. Fecher, F., D. Kessler, S. Perelman, and P. Pestieau. 1993. Productive Performance of the French Insurance Industry. Journal of Productivity Analysis (Historical Archive) 4 (1–2): 77–93. Fields, J. A. 1988. Expense Preference Behavior in Mutual Life Insurers Journal of Financial Services Research 1: 113–29. Fukuyama, F. 1995. Trust: The Social Virtues and the Creation of Prosperity. New York: Free Press. 25
  • 29. Galindo, Arturo, Alejandro Micco, and Ugo Panizza. 2005. Financial Reforms in the 1990s. Re- search Department, Inter-American Development Bank, Washington, D.C. Genetay, N. 1999. Ownership Structure and Performance in UK Life Offices. European Management Journal 17 (1): 107-15. Gray, David E. 2004. Doing Research in the Real World. London: Sage Publications. Greene Mark.1976. Government as an Insurer. Journal of Risk Management 43 (3): 393-407. Hofstede, G. 1995. Insurance as a Product of National Values. Geneva Papers on Risk and In- surance 20 (4): 423–29. Ingham, H., and S. Thompson. 1995. Mutuality, Performance, and Executive Compensation. Ox- ford Bulletin of Economics and Statistics 57: 295–307. King, R., and R. Levine. 1993. Finance and Growth: Schumpeter Might Be Right. Quarterly Journal of Economics 3: 717–37. Klemperer, P., and M. Meyer. 1985. Price Competition vs. Quantity Competition: The Role of Uncertainty. Rand Journal of Economics 17: 618–38. Kramer, Bert. 1996. An Ordered Logit Model for the Evaluation of Dutch Non–Life Insurance Companies. The Economist (Historical Archive) 144 (1): 79–91. ———. 2000. The Evaluation of Dutch Non–Life Insurance Companies. Mimeographed docu- ment. University of Groningen, Groningen, the Netherlands. Kroll, M., P. Wright, and P. Theerathon. 1993. Whose Interests Do Hired Top Managers Pursue? An Examination of Select Mutual and Stock Insurers. Journal of Business Research 26: 133–48. La Porta, Rafael, Florencio López-de-Silanes, Andrei Shleifer, and Robert W. Vishny. 1997. Le- gal Determinants of External Finance. Journal of Finance 52 (3): 1131–50. ———. 1998. Law and Finance. Journal of Political Economy 106 (6): 1113–55. ———. 2000. Investor Protection and Corporate Governance. Journal of Financial Economics 58: 3–27. Leverty, Tyler, Yijia Lin, and Hao Zhou. 2004. Firm Performance in the Chinese Insurance In- dustry. Working Paper 43. Department of Risk Management and Insurance, Georgia State University, Atlanta, Georgia. Levine, Ross. 1997. Financial Development and Economic Growth: Views and Agenda. Journal of Economic Literature 35 (2): 688–726. Levine, Ross, and Sara Zervos. 1996. Stock Market Development and Long–Run Growth. World Bank Economic Review 10 (2): 323–39. ———. 1998. Stock Markets, Banks, and Economic Growth. American Economic Review 88 (3): 537–58. López-de-Silanes, Florencio. 2001. The Politics of Legal Reform. Boston: John F. Kennedy School of Government, Harvard University, and National Bureau of Economic Research. Mayers, D., A. Shivdasani, and C. W. Smith. 1997. Board Composition and Corporate Control: Evidence from the Insurance Industry. Journal of Business 70: 33–62. Mayers, David, and Clifford Smith. 1982. Toward a Positive Theory of Insurance New York: Salomon Brothers Center for Study of Financial Institutions, Graduate School of Busi- ness Administration, New York University. Moss, David. 2003. When All Else Fails: Government as the Ultimate Risk Manager. Journal of Risk and Insurance 70 (4): 794–96. OECD (Organization for Economic Co-operation and Development). 2003a. Insurance Statistics Yearbook: 1994/2001–2003 Edition. Paris: OECD. ———. 2003b. Policy Issues in Insurance: Assessing the Solvency of Insurance Companies, Vol. 4. Paris: OECD. 26
  • 30. ———. 2003c. Policy Issues in Insurance: Insurance and Expanding Systemic Risks, Vol. 5. Paris: OECD. O’Hara, M. 1981. Property Rights and the Financial Firm. Journal of Law and Economics 24: 317–32. O’Sullivan, N., and S. R. Diacon. 2002. Board Composition and Performance in UK Insurance Companies. British Journal of Management 14 (2): 115-130. . Outreville, J. F. 1990. The Economic Significance of Insurance Markets in Developing Coun- tries. Journal of Risk and Insurance 57 (3): 487–98. ———.1992. The Relationship between Insurance, Financial Development, and Market Struc- ture in Developing Countries: An International Cross-Section Study. UNCTAD Review: 53-69. ———. 1996. Life Insurance Markets in Developing Countries. Journal of Risk and Insurance 63 (2): 263–78. Patrick, Hugh T. 1966. Financial Development and Economic Growth in Underdeveloped Countries. Economic Development and Cultural Change 14 (2): 174–89. Pesaran, M. H, N. U. Haque, and S. Sharma. 2000. Neglected Heterogeneity and Dynamics in Cross–Country Savings Regressions. In J. Krishnakumar and E. Ronchetti, editors. Panel Data Econometrics: Future Direction: Papers in Honor of Professor Pietro Balestra. Amsterdam; New York: Elsevier-Science. Rajan, R., and L. Zingales. 1998. Financial Dependence and Growth. American Economic Re- view 88 (3): 559–86. ———. 2001a. The Great Reversals: The Politics of Financial Development in the 20th Century. NBER Working Paper No. 8178. National Bureau of Economic Research, Cambridge, Massachusetts (March). ———. 2001b. The Influence of the Financial Revolution on the Nature of the Firm. American Economic Review 91 (2): 206–11. Rees, R., and E. Kessner. 1999. Regulation and Efficiency in the European Insurance Markets. Economic Policy (October): 365–97 Rothschild, Michael, and Joseph Stiglitz. 1976. Equilibrium in Competitive Insurance Markets: An Essay on the Economics of Imperfect Information. Quarterly Journal of Economics 90: 629–49. Sen, Amartya. 1999. Development as Freedom. New York: Anchor Books. Stulz, Rene, and Roham Williamson. 2001. Culture, Openness, and Finance. NBER Working Paper No. 8222. National Bureau of Economic Research, Cambridge, Massachusetts (April). Swiss Re. 2002. Insurance in Latin America: Growth Opportunities and the Challenge to In- crease Profitability. Sigma 2. Swiss Reinsurance Company Economic Research and Con- sulting Publisher ———. 2004. Exploiting the Growth Potential of Emerging Insurance Markets. Sigma 5. Swiss Reinsurance Company Economic Research and Consulting Publisher ———. 2006a. World Insurance in 2005. Moderate Premium Growth, Attractive Profitability. Swiss Reinsurance Company Economic Research and Consulting Publisher ———. 2006b. Insurance in Emerging Insurance Markets. Sound Development; Greenfield for Agriculture Insurance. Swiss Reinsurance Company Economic Research and Consulting Publisher Taylor, S. 2001. Assessing the Use of Regression Analysis in Examining Recovery in the Insur- ance Industry. Journal of Insurance Issues 24 (1-2): 30–57. United States Census Bureau. 2003. Health Insurance Coverage in the United States (2002). 27
  • 31. Washington, D.C.: U.S. Department of Commerce, Economics and Statistics Administra- tion, U.S. Census Bureau. USAID (U.S. Agency for International Development). 2006. Assessment on How Strengthening the Insurance Industry in Developing Countries Contributes to Economic Growth. Wash- ington, D.C.: Chemonics International Inc. and International Insurance Foundation. Varian, H. R. 1990. Intermediate Microeconomics: A Modern Approach. 2nd ed. New York: W. W. Norton. Ward, Damian, and Ralf Zurbruegg. 2000. Does Insurance Promote Economic Growth ?< Evidence from OECD Countries. Journal of Risk and Insurance 67 (4): 489–506. Webb, Ian, Masci Pietro and Marco Velarde. 2005. Challenges Facing the Performance and Growth of Insurance Markets in Latin America: A Survey of Insurance Regulators and Industry Associations. Working paper. Inter-American Development Bank, Washington, D.C Webb Ian, Grace Martin, and Harold D. Skipper. 2002. The Effect of Banking and Insurance on the Growth of Capital and Output. Working paper. Center for Risk Management and In- surance, Georgia State University, Atlanta. 28