| Insurance,
in law and economics, is a form of risk management primarily used to
hedge against the risk of a contingent loss. Insurance is defined as the
equitable transfer of the risk of a loss, from one entity to another, in
exchange for a premium. An insurer is a company selling the insurance.
The insurance rate is a factor used to determine the amount, called the
premium, to be charged for a certain amount of insurance coverage. Risk
management, the practice of appraising and controlling risk, has evolved
as a discrete field of study and practice.
Principles of
insurance
Commercially
insurable risks typically share seven common characteristics.
1. A large number of homogeneous exposure units. The vast majority of
insurance policies are provided for individual members of very large
classes. Automobile insurance, for example, covered about 175 million
automobiles in the United States in 2004. The existence of a large
number of homogeneous exposure units allows insurers to benefit from the
so-called “law of large numbers,” which in effect states that as the
number of exposure units increases, the actual results are increasingly
likely to become close to expected results. There are exceptions to this
criterion. Lloyd's of London is famous for insuring the life or health
of actors, actresses and sports figures. Satellite Launch insurance
covers events that are infrequent. Large commercial property policies
may insure exceptional properties for which there are no ‘homogeneous’
exposure units. Despite failing on this criterion, many exposures like
these are generally considered to be insurable.
2. Definite Loss. The event that gives rise to the loss that is subject to
insurance should, at least in principle, take place at a known time, in
a known place, and from a known cause. The classic example is death of
an insured on a life insurance policy. Fire, automobile accidents, and
worker injuries may all easily meet this criterion. Other types of
losses may only be definite in theory. Occupational disease, for
instance, may involve prolonged exposure to injurious conditions where
no specific time, place or cause is identifiable. Ideally, the time,
place and cause of a loss should be clear enough that a reasonable
person, with sufficient information, could objectively verify all three
elements. 3. Accidental Loss. The event that constitutes the trigger of a claim
should be fortuitous, or at least outside the control of the beneficiary
of the insurance. The loss should be ‘pure,’ in the sense that it
results from an event for which there is only the opportunity for cost.
Events that contain speculative elements, such as ordinary business
risks, are generally not considered insurable.
4. Large Loss. The size of the loss must be meaningful from the perspective
of the insured. Insurance premiums need to cover both the expected cost
of losses, plus the cost of issuing and administering the policy,
adjusting losses, and supplying the capital needed to reasonably assure
that the insurer will be able to pay claims. For small losses these
latter costs may be several times the size of the expected cost of
losses. There is little point in paying such costs unless the protection
offered has real value to a buyer. 5. Affordable Premium. If the likelihood of an insured event is so high, or
the cost of the event so large, that the resulting premium is large
relative to the amount of protection offered, it is not likely that
anyone will buy insurance, even if on offer. Further, as the accounting
profession formally recognizes in financial accounting standards, the
premium cannot be so large that there is not a reasonable chance of a
significant loss to the insurer. If there is no such chance of loss, the
transaction may have the form of insurance, but not the substance. (See
the U.S. Financial Accounting Standards Board standard number 113)
6. Calculable Loss. There are two elements that must be at least estimable,
if not formally calculable: the probability of loss, and the attendant
cost. Probability of loss is generally an empirical exercise, while cost
has more to do with the ability of a reasonable person in possession of
a copy of the insurance policy and a proof of loss associated with a
claim presented under that policy to make a reasonably definite and
objective evaluation of the amount of the loss recoverable as a result
of the claim. 7. Limited risk of catastrophically large losses. The essential risk is
often aggregation. If the same event can cause losses to numerous
policyholders of the same insurer, the ability of that insurer to issue
policies becomes constrained, not by factors surrounding the individual
characteristics of a given policyholder, but by the factors surrounding
the sum of all policyholders so exposed. Typically, insurers prefer to
limit their exposure to a loss from a single event to some small portion
of their capital base, on the order of 5 percent. Where the loss can be
aggregated, or an individual policy could produce exceptionally large
claims, the capital constraint will restrict an insurers appetite for
additional policyholders. The classic example is earthquake insurance,
where the ability of an underwriter to issue a new policy depends on the
number and size of the policies that it has already underwritten. Wind
insurance in hurricane zones, particularly along coast lines, is another
example of this phenomenon. In extreme cases, the aggregation can affect
the entire industry, since the combined capital of insurers and reinsurers can be small compared to the needs of potential policyholders
in areas exposed to aggregation risk. In commercial fire insurance it is
possible to find single properties whose total exposed value is well in
excess of any individual insurer’s capital constraint. Such properties
are generally shared among several insurers, or are insured by a single
insurer who syndicates the risk into the reinsurance market.
Indemnification
The
technical definition of "indemnity" means to make whole again. There are
two types of insurance contracts; 1) an "indemnity" policy and 2) a "pay
on behalf" or "on behalf of"policy. The difference is significant on
paper, but rarely material in practice.
An "indemnity" policy will never pay claims until the insured has paid
out of pocket to some third party; i.e. a visitor to your home slips on
a floor that you left wet and sues you for $10,000 and wins. Under an
"indemnity" policy the homeowner would have to come up with the $10,000
to pay for the visitor's fall and then would be "indemnified" by the
insurance carrier for the out of pocket costs (the $10,000).
Under the same situation, a "pay on behalf" policy, the insurance
carrier would pay the claim and the insured (the homeowner) would not be
out of pocket for anything. Most modern liability insurance is written
on the basis of "pay on behalf" language.
An entity seeking to transfer risk (an individual, corporation, or
association of any type, etc.) becomes the 'insured' party once risk is
assumed by an 'insurer', the insuring party, by means of a contract,
called an insurance 'policy'. Generally, an insurance contract includes,
at a minimum, the following elements: the parties (the insurer, the
insured, the beneficiaries), the premium, the period of coverage, the
particular loss event covered, the amount of coverage (i.e., the amount
to be paid to the insured or beneficiary in the event of a loss), and
exclusions (events not covered). An insured is thus said to be
"indemnified" against the loss events covered in the policy.
When insured parties experience a loss for a specified peril, the
coverage entitles the policyholder to make a
'claim' against the insurer for the covered amount of loss as specified
by the policy. The fee paid by the insured to the insurer for assuming
the risk is called the 'premium'. Insurance premiums from many insureds
are used to fund accounts reserved for later payment of claims—in theory
for a relatively few claimants—and for overhead costs. So long as an
insurer maintains adequate funds set aside for anticipated losses (i.e.,
reserves), the remaining margin is an insurer's profit.
Insurer’s business model
Profit =
earned premium + investment income - incurred loss - underwriting
expenses.
Insurers make money in two ways: (1) through underwriting, the process
by which insurers select the risks to insure and decide how much in
premiums to charge for accepting those risks and (2) by investing the
premiums they collect from insureds.
The most complicated aspect of the insurance business is the
underwriting of policies. Using a wide assortment of data, insurers
predict the likelihood that a claim will be made against their policies
and price products accordingly. To this end, insurers use actuarial
science to quantify the risks they are willing to assume and the premium
they will charge to assume them. Data is analyzed to fairly accurately
project the rate of future claims based on a given risk. Actuarial
science uses statistics and probability to analyze the risks associated
with the range of perils covered, and these scientific principles are
used to determine an insurer's overall exposure. Upon termination of a
given policy, the amount of premium collected and the investment gains
thereon minus the amount paid out in claims is the insurer's
underwriting profit on that policy. Of course, from the insurer's
perspective, some policies are winners (i.e., the insurer pays out less
in claims and expenses than it receives in premiums and investment
income) and some are losers (i.e., the insurer pays out more in claims
and expenses than it receives in premiums and investment income).
An insurer's underwriting performance is measured in its combined ratio.
The loss ratio (incurred losses and loss-adjustment expenses divided by
net earned premium) is added to the expense ratio (underwriting expenses
divided by net premium written) to determine the company's combined
ratio. The combined ratio is a reflection of the company's overall
underwriting profitability. A combined ratio of less than 100 percent
indicates underwriting profitability, while anything over 100 indicates
an underwriting loss.
Insurance companies also earn investment profits on “float”. “Float” or
available reserve is the amount of money, at hand at any given moment,
that an insurer has collected in insurance premiums but has not been
paid out in claims. Insurers start investing insurance premiums as soon
as they are collected and continue to earn interest on them until claims
are paid out.
In the United States, the underwriting loss of property and casualty
insurance companies was $142.3 billion in the five years ending 2003.
But overall profit for the same period was $68.4 billion, as the result
of float. Some insurance industry insiders, most notably Hank Greenberg,
do not believe that it is forever possible to sustain a profit from
float without an underwriting profit as well, but this opinion is not
universally held. Naturally, the “float” method is difficult to carry
out in an economically depressed period. Bear markets do cause insurers
to shift away from investments and to toughen up their underwriting
standards. So a poor economy generally means high insurance premiums.
This tendency to swing between profitable and unprofitable periods over
time is commonly known as the "underwriting" or insurance cycle.
Property and casualty insurers currently make the most money from their
auto insurance line of business. Generally better statistics are
available on auto losses and underwriting on this line of business has
benefited greatly from advances in computing. Additionally, property
losses in the US, due to natural catastrophes, have exacerbated this
trend.
Finally, claims and loss handling is the materialized utility of
insurance. In managing the claims-handling function, insurers seek to
balance the elements of customer satisfaction, administrative handling
expenses, and claims overpayment leakages. As part of this balancing
act, fraudulent insurance practices are a major business risk that must
be managed and overcome.
History of insurance
In some
sense we can say that insurance appears simultaneously with the
appearance of human society. We know of two types of economies in human
societies: money economies (with markets, money, financial instruments
and so on) and non-money or natural economies (without money, markets,
financial instruments and so on). The second type is a more ancient form
than the first. In such an economy and community, we can see insurance
in the form of people helping each other. For example, if a house burns
down, the members of the community help build a new one. Should the same
thing happen to one's neighbour, the other neighbours must help.
Otherwise, neighbours will not receive help in the future. This type of
insurance has survived to the present day in some countries where modern
money economy with its financial instruments is not widespread (for
example countries in the territory of the former Soviet Union).
Turning to insurance in the modern sense (i.e., insurance in a modern
money economy, in which insurance is part of the financial sphere),
early methods of transferring or distributing risk were practiced by
Chinese and Babylonian traders as long ago as the 3rd and 2nd millennia
BC, respectively. Chinese merchants travelling treacherous river rapids
would redistribute their wares across many vessels to limit the loss due
to any single vessel's capsizing. The Babylonians developed a system
which was recorded in the famous Code of Hammurabi, c. 1750 BC, and
practiced by early Mediterranean sailing merchants. If a merchant
received a loan to fund his shipment, he would pay the lender an
additional sum in exchange for the lender's guarantee to cancel the loan
should the shipment be stolen.
Achaemenian monarchs were the first to insure their people and made it
official by registering the insuring process in governmental notary
offices. The insurance tradition was performed each year in Norouz
(beginning of the Iranian New Year); the heads of different ethnic
groups as well as others willing to take part, presented gifts to the
monarch. The most important gift was presented during a special
ceremony. When a gift was worth more than 10,000 Derrik (Achaemenian
gold coin) the issue was registered in a special office. This was
advantageous to those who presented such special gifts. For others, the
presents were fairly assessed by the confidants of the court. Then the
assessment was registered in special offices.
The purpose of registering was that whenever the person who presented
the gift registered by the court was in trouble, the monarch and the
court would help him. Jahez, a historian and writer, writes in one of
his books on ancient Iran: "[W]henever the owner of the present is in
trouble or wants to construct a building, set up a feast, have his
children married, etc. the one in charge of this in the court would
check the registration. If the registered amount exceeded 10,000 Derrik,
he or she would receive an amount of twice as much."
A thousand years later, the inhabitants of Rhodes invented the concept
of the 'general average'. Merchants whose goods were being shipped
together would pay a proportionally divided premium which would be used
to reimburse any merchant whose goods were jettisoned during storm or
sinkage.
The Greeks and Romans introduced the origins of health and life
insurance c. 600 AD when they organized guilds called "benevolent
societies" which cared for the families and paid funeral expenses of
members upon death. Guilds in the Middle Ages served a similar purpose.
The Talmud deals with several aspects of insuring goods. Before
insurance was established in the late 17th century, "friendly societies"
existed in England, in which people donated amounts of money to a
general sum that could be used for emergencies.
Separate insurance contracts (i.e., insurance policies not bundled with
loans or other kinds of contracts) were invented in Genoa in the 14th
century, as were insurance pools backed by pledges of landed estates.
These new insurance contracts allowed insurance to be separated from
investment, a separation of roles that first proved useful in marine
insurance. Insurance became far more sophisticated in post-Renaissance
Europe, and specialized varieties developed.
Toward the end of the seventeenth century, London's growing importance
as a centre for trade increased demand for marine insurance. In the late
1680s, Mr. Edward Lloyd opened a coffee house that became a popular
haunt of ship owners, merchants, and ships’ captains, and thereby a
reliable source of the latest shipping news. It became the meeting place
for parties wishing to insure cargoes and ships, and those willing to
underwrite such ventures. Today, Lloyd's of London remains the leading
market (note that it is not an insurance company) for marine and other
specialist types of insurance, but it works rather differently than the
more familiar kinds of insurance.
Insurance as we know it today can be traced to the Great Fire of London,
which in 1666 devoured 13,200 houses. In the aftermath of this disaster,
Nicholas Barbon opened an office to insure buildings. In 1680, he
established England's first fire insurance company, "The Fire Office,"
to insure brick and frame homes.
The first insurance company in the United States underwrote fire
insurance and was formed in Charles Town (modern-day Charleston), South
Carolina, in 1732. Benjamin Franklin helped to popularize and make
standard the practice of insurance, particularly against fire in the
form of perpetual insurance. In 1752, he founded the Philadelphia
Contributionship for the Insurance of Houses from Loss by Fire.
Franklin's company was the first to make contributions toward fire
prevention. Not only did his company warn against certain fire hazards,
it refused to insure certain buildings where the risk of fire was too
great, such as all wooden houses. In the United States, regulation of
the insurance industry is highly Balkanized, with primary responsibility
assumed by individual state insurance departments. Whereas insurance
markets have become centralized nationally and internationally, state
insurance commissioners operate individually, though at times in concert
through a national insurance commissioners' organization. In recent
years, some have called for a dual state and federal regulatory system
for insurance similar to that which oversees state banks and national
banks.
Types of insurance
Any risk
that can be quantified can potentially be insured. Specific kinds of
risk that may give rise to claims are known as "perils". An insurance
policy will set out in detail which perils are covered by the policy and
which are not. Below are (non-exhaustive) lists of the many different
types of insurance that exist. A single policy may cover risks in one or
more of the categories set forth below. For example, auto insurance
would typically cover both property risk (covering the risk of theft or
damage to the car) and liability risk (covering legal claims from
causing an accident). A homeowner's insurance policy in the U.S.
typically includes property insurance covering damage to the home and
the owner's belongings, liability insurance covering certain legal
claims against the owner, and even a small amount of health insurance
for medical expenses of guests who are injured on the owner's property.
Business insurance can be any kind of insurance that protects businesses
against risks. Some principal subtypes of business insurance are (a) the
various kinds of professional liability insurance, also called
professional indemnity insurance, which are discussed below under that
name; and (b) the business owners policy (BOP), which bundles into one
policy many of the kinds of coverage that a business owner needs, in a
way analogous to how homeowners insurance bundles the coverages that a
homeowner needs.
Health
Health
insurance policies will often cover the cost of private medical
treatments if the National Health Service in the United Kingdom (NHS) or
other publicly-funded health programs do not pay for them. It will often
result in quicker health care where better facilities are available.
Dental insurance, like medical insurance, is coverage for individuals to
protect them against dental costs. In the U.S., dental insurance is
often part of an employer's benefits package, along with health
insurance. Most countries rely on public funding to ensure that all
citizens have universal access to health care.
Disability
- Disability insurance policies provide financial support in the event the
policyholder is unable to work because of disabling illness or injury.
It provides monthly support to help pay such obligations as mortgages
and credit cards.
- Total permanent disability insurance insurance provides benefits when a
person is permanently disabled and can no longer work in their
profession, often taken as an adjunct to life insurance.
- Disability overhead insurance allows business owners to cover the
overhead expenses of their business while they are unable to work.
- Workers' compensation insurance replaces all or part of a worker's wages
lost and accompanying medical expense incurred because of a job-related
injury.
Casualty
Casualty
insurance insures against accidents, not necessarily tied to any
specific property.
Crime insurance is a form of casualty insurance that covers the
policyholder against losses arising from the criminal acts of third
parties. For example, a company can obtain crime insurance to cover
losses arising from theft or embezzlement.
Political risk insurance is a form of casualty insurance that can be
taken out by businesses with operations in countries in which there is a
risk that revolution or other political conditions will result in a
loss.
Life
Life
insurance provides a monetary benefit to a decedent's family or other
designated beneficiary, and may specifically provide for income to an
insured person's family, burial, funeral and other final expenses. Life
insurance policies often allow the option of having the proceeds paid to
the beneficiary either in a lump sum cash payment or an annuity.
Annuities provide a stream of payments and are generally classified as
insurance because they are issued by insurance companies and regulated
as insurance and require the same kinds of actuarial and investment
management expertise that life insurance requires. Annuities and
pensions that pay a benefit for life are sometimes regarded as insurance
against the possibility that a retiree will outlive his or her financial
resources. In that sense, they are the complement of life insurance and,
from an underwriting perspective, are the mirror image of life
insurance.
Certain life insurance contracts accumulate cash values, which may be
taken by the insured if the policy is surrendered or which may be
borrowed against. Some policies, such as annuities and endowment
policies, are financial instruments to accumulate or liquidate wealth
when it is needed.
In many countries, such as the U.S. and the UK, the tax law provides
that the interest on this cash value is not taxable under certain
circumstances. This leads to widespread use of life insurance as a
tax-efficient method of saving as well as protection in the event of
early death.
In U.S., the tax on interest income on life insurance policies and
annuities is generally deferred. However, in some cases the benefit
derived from tax deferral may be offset by a low return. This depends
upon the insuring company, the type of policy and other variables
(mortality, market return, etc.). Moreover, other income tax saving
vehicles (e.g., IRAs, 401(k) plans, Roth IRAs) may be better
alternatives for value accumulation. A combination of low-cost term life
insurance and a higher-return tax-efficient retirement account may
achieve better investment return.
Property
Property
insurance provides protection against risks to property, such as fire,
theft or weather damage. This includes specialized forms of insurance
such as fire insurance, flood insurance, earthquake insurance, home
insurance, inland marine insurance or boiler insurance.
Automobile insurance, known in the UK as motor insurance, is probably
the most common form of insurance and may cover both legal liability
claims against the driver and loss of or damage to the insured's vehicle
itself. Throughout the United States auto insurance policy is required
to legally operate a motor vehicle on public roads. In some
jurisdictions, bodily injury compensation for automobile accident
victims has been changed to a no-fault system, which reduces or
eliminates the ability to sue for compensation but provides automatic
eligibility for benefits. Credit card companies insure against damage on
rented cars.
Driving School Insurance insurance provides cover for any authorized
driver whilst under going tuition, cover also unlike other motor
policies provides cover for instructor liability where both the pupil
and driving instructor are both equally liable in the event of a claim.
Aviation insurance insures against hull, spares, deductible, hull wear
and liability risks.
Boiler insurance (also known as boiler and machinery insurance or
equipment breakdown insurance) insures against accidental physical
damage to equipment or machinery.
Builder's risk insurance insures against the risk of physical loss or
damage to property during construction. Builder's risk insurance is
typically written on an "all risk" basis covering damage due to any
cause (including the negligence of the insured) not otherwise expressly
excluded.
Crop insurance "Farmers use crop insurance to reduce or manage various
risks associated with growing crops. Such risks include crop loss or
damage caused by weather, hail, drought, frost damage, insects, or
disease, for instance."
Earthquake insurance is a form of property insurance that pays the
policyholder in the event of an earthquake that causes damage to the
property. Most ordinary homeowners insurance policies do not cover
earthquake damage. Most earthquake insurance policies feature a high
deductible. Rates depend on location and the probability of an
earthquake, as well as the construction of the home.
A fidelity bond is a form of casualty insurance that covers
policyholders for losses that they incur as a result of fraudulent acts
by specified individuals. It usually insures a business for losses
caused by the dishonest acts of its employees.
Flood insurance protects against property loss due to flooding. Many
insurers in the US do not provide flood insurance in some portions of
the country. In response to this, the federal government created the
National Flood Insurance Program which serves as the insurer of last
resort.
Home insurance or homeowners insurance.
Marine insurance and marine cargo insurance cover the loss or damage of
ships at sea or on inland waterways, and of the cargo that may be on
them. When the owner of the cargo and the carrier are separate
corporations, marine cargo insurance typically compensates the owner of
cargo for losses sustained from fire, shipwreck, etc., but excludes
losses that can be recovered from the carrier or the carrier's
insurance. Many marine insurance underwriters will include "time
element" coverage in such policies, which extends the indemnity to cover
loss of profit and other business expenses attributable to the delay
caused by a covered loss.
Surety bond insurance is a three party insurance guaranteeing the
performance of the principal.
Terrorism insurance provides protection against any loss or damage
caused by terrorist activities.
Volcano insurance is an insurance that covers volcano damage in Hawaii.
Windstorm insurance is an insurance covering the damage that can be
caused by hurricanes and tropical cyclones.
Liability
Liability insurance is a very broad superset that covers legal claims
against the insured. Many types of insurance include an aspect of
liability coverage. For example, a homeowner's insurance policy will
normally include liability coverage which protects the insured in the
event of a claim brought by someone who slips and falls on the property;
automobile insurance also includes an aspect of liability insurance that
indemnifies against the harm that a crashing car can cause to others'
lives, health, or property. The protection offered by a liability
insurance policy is twofold: a legal defense in the event of a lawsuit
commenced against the policyholder and indemnification (payment on
behalf of the insured) with respect to a settlement or court verdict.
Liability policies typically cover only the negligence of the insured,
and will not apply to results of willful or intentional acts by the
insured.
Environmental liability insurance protects the insured from bodily
injury, property damage and cleanup costs as a result of the dispersal,
release or escape of pollutants.
Errors and omissions insurance: See "Professional liability insurance"
under "Liability insurance".
Professional
liability insurance, also called professional indemnity insurance,
protects professional practitioners such as architects, lawyers,
doctors, and accountants against potential negligence claims made by
their patients/clients. Professional liability insurance may take on
different names depending on the profession. For example, professional
liability insurance in reference to the medical profession may be called
malpractice insurance. Notaries public may take out errors and omissions
insurance (E&O). Other potential E&O policyholders include, for example,
real estate brokers, home inspectors, appraisers, and website
developers.
Directors and
officers liability insurance protects an organization (usually a
corporation) from costs associated with litigation resulting from
mistakes incurred by directors and officers for which they are liable.
In the industry, it is usually called "D&O" for short.
Prize indemnity
insurance protects the insured from giving away a large prize at a
specific event. Examples would include offering prizes to contestants
who can make a half-court shot at a basketball game, or a hole-in-one at
a golf tournament.
Credit
Credit
insurance repays some or all of a loan back when certain things happen
to the borrower such as unemployment, disability, or death. Mortgage
insurance is a form of credit insurance, although the name credit
insurance more often is used to refer to policies that cover other kinds
of debt.
Mortgage insurance insures the lender against default by the borrower.
Other types
Collateral
protection insurance or CPI, insures property (primarily vehicles) held
as collateral for loans made by lending institutions.
Defense Base Act Workers' compensation or DBA Insurance insurance
provides coverage for civilian workers hired by the government to
perform contracts outside the US and Canada. DBA is required for all US
citizens, US residents, US Green Card holders, and all employees or
subcontractors hired on overseas government contracts. Depending on the
country, Foreign Nationals must also be covered under DBA. This coverage
typically includes expenses related to medical treatment and loss of
wages, as well as disability and death benefits.
Expatriate insurance provides individuals and organizations operating
outside of their home country with protection for automobiles, property,
health, liability and business pursuits.
Financial loss insurance protects individuals and companies against
various financial risks. For example, a business might purchase cover to
protect it from loss of sales if a fire in a factory prevented it from
carrying out its business for a time. Insurance might also cover the
failure of a creditor to pay money it owes to the insured. This type of
insurance is frequently referred to as "business interruption
insurance." Fidelity bonds and surety bonds are included in this
category, although these products provide a benefit to a third party
(the "obligee") in the event the insured party (usually referred to as
the "obligor") fails to perform its obligations under a contract with
the obligee.
Kidnap and ransom insurance
Locked funds insurance is a little-known hybrid insurance policy jointly
issued by governments and banks. It is used to protect public funds from
tamper by unauthorized parties. In special cases, a government may
authorize its use in protecting semi-private funds which are liable to
tamper. The terms of this type of insurance are usually very strict.
Therefore it is used only in extreme cases where maximum security of
funds is required.
Nuclear incident insurance covers damages resulting from an incident
involving radioactive materials and is generally arranged at the
national level. (For the United States, see the Price-Anderson Nuclear
Industries Indemnity Act.)
Pet insurance insures pets against accidents and illnesses - some
companies cover routine/wellness care and burial, as well.
Pollution Insurance. A first-party coverage for contamination of insured
property either by external or on-site sources. Coverage for liability
to third parties arising from contamination of air, water, or land due
to the sudden and accidental release of hazardous materials from the
insured site. The policy usually covers the costs of cleanup and may
include coverage for releases from underground storage tanks.
Intentional acts are specifically excluded.
Purchase insurance is aimed at providing protection on the products
people purchase. Purchase insurance can cover individual purchase
protection, warranties, guarantees, care plans and even mobile phone
insurance. Such insurance is normally very limited in the scope of
problems that are covered by the policy.
Title insurance provides a guarantee that title to real property is
vested in the purchaser and/or mortgagee, free and clear of liens or
encumbrances. It is usually issued in conjunction with a search of the
public records performed at the time of a real estate transaction.
Travel insurance is an insurance cover taken by those who travel abroad,
which covers certain losses such as medical expenses, lost of personal
belongings, travel delay, personal liabilities, etc.
Insurance
financing vehicles
Protected
Self-Insurance is an alternative risk financing mechanism in which an
organization retains the mathematically calculated cost of risk within
the organization and transfers the catastrophic risk with specific and
aggregate limits to an Insurer so the maximum total cost of the program
is known. A properly designed and underwritten Protected Self-Insurance
Program reduces and stabilizes the cost of insurance and provides
valuable risk management information.
Retrospectively Rated Insurance is a method of establishing a premium on
large commercial accounts. The final premium is based on the insured's
actual loss experience during the policy term, sometimes subject to a
minimum and maximum premium, with the final premium determined by a
formula. Under this plan, the current year's premium is based partially
(or wholly) on the current year's losses, although the premium
adjustments may take months or years beyond the current year's
expiration date. The rating formula is guaranteed in the insurance
contract. Formula: retrospective premium = converted loss + basic
premium × tax multiplier. Numerous variations of this formula have been
developed and are in use.
Fraternal insurance is provided on a cooperative basis by fraternal
benefit societies or other social organizations.
Formal self insurance is the deliberate decision to pay for otherwise
insurable losses out of one's own money. This can be done on a formal
basis by establishing a separate fund into which funds are deposited on
a periodic basis, or by simply forgoing the purchase of available
insurance and paying out-of-pocket. Self insurance is usually used to
pay for high-frequency, low-severity losses. Such losses, if covered by
conventional insurance, mean having to pay a premium that includes
loadings for the company's general expenses, cost of putting the policy
on the books, acquisition expenses, premium taxes, and contingencies.
While this is true for all insurance, for small, frequent losses the
transaction costs may exceed the benefit of volatility reduction that
insurance otherwise affords.
No-fault insurance is a type of insurance policy (typically automobile
insurance) where insureds are indemnified by their own insurer
regardless of fault in the incident.
Reinsurance is a type of insurance purchased by insurance companies or
self-insured employers to protect against unexpected losses. Financial
reinsurance is a form of reinsurance that is primary used for capital
management rather than to transfer insurance risk.
Stop-loss insurance provides protection against catastrophic or
unpredictable losses. It is purchased by organizations who do not want
to assume 100% of the liability for losses arising from the plans. Under
a stop-loss policy, the insurance company becomes liable for losses that
exceed certain limits called deductibles.
Social insurance can be many things to many people in many countries.
But a summary of its essence is that it is a collection of insurance
coverages (including components of life insurance, disability income
insurance, unemployment insurance, health insurance, and others), plus
retirement savings, that mandates participation by all citizens. By
forcing everyone in society to be a policyholder and pay premiums, it
ensures that everyone can become a claimant when or if he/she needs to.
Along the way this inevitably becomes related to other concepts such as
the justice system and the welfare state.
Insurance
companies
Insurance
companies may be classified into two groups:
Life insurance companies, which sell life insurance, annuities and
pensions products.
Non-life, General, or Property/Casualty insurance companies, which sell
other types of insurance.
General insurance companies can be further divided into these sub
categories.
Standard Lines
Excess Lines
In most countries, life and non-life insurers are subject to different
regulatory regimes and different tax and accounting rules. The main
reason for the distinction between the two types of company is that
life, annuity, and pension business is very long-term in nature —
coverage for life assurance or a pension can cover risks over many
decades. By contrast, non-life insurance cover usually covers a shorter
period, such as one year.
In the United States, standard line insurance companies are your "main
stream" insurers. These are the companies that typically insure your
auto, home or business. They use pattern or "cookie-cutter" policies
without variation from one person to the next. They usually have lower
premiums than excess lines and can sell directly to individuals. They
are regulated by state laws that can restrict the amount they can charge
for insurance policies.
Excess line insurance companies (aka Excess and Surplus) typically
insure risks not covered by the standard lines market. They are broadly
referred as being all insurance placed with non-admitted insurers.
Non-admitted insurers are not licensed in the states where the risks are
located. These companies have more flexibility and can react faster than
standard insurance companies because they are not required to file rates
and forms as do the "admitted" carriers do. However, they still have
substantial regulatory requirements placed upon them. State laws
generally require insurance placed with surplus line agents and brokers
to not be available through standard licensed insurers.
Insurance companies are generally classified as either mutual or stock
companies. This is more of a traditional distinction as true mutual
companies are becoming rare. Mutual companies are owned by the
policyholders, while stockholders (who may or may not own policies) own
stock insurance companies. Other possible forms for an insurance company
include reciprocals, in which policyholders 'reciprocate' in sharing
risks, and Lloyds organizations.
Insurance companies are rated by various agencies such as A. M. Best.
The ratings include the company's financial strength, which measures its
ability to pay claims. It also rates financial instruments issued by the
insurance company, such as bonds, notes, and securitization products.
Reinsurance companies are insurance companies that sell policies to
other insurance companies, allowing them to reduce their risks and
protect themselves from very large losses. The reinsurance market is
dominated by a few very large companies, with huge reserves. A reinsurer
may also be a direct writer of insurance risks as well.
Captive insurance companies may be defined as limited-purpose insurance
companies established with the specific objective of financing risks
emanating from their parent group or groups. This definition can
sometimes be extended to include some of the risks of the parent
company's customers. In short, it is an in-house self-insurance vehicle.
Captives may take the form of a "pure" entity (which is a 100 percent
subsidiary of the self-insured parent company); of a "mutual" captive
(which insures the collective risks of members of an industry); and of
an "association" captive (which self-insures individual risks of the
members of a professional, commercial or industrial association).
Captives represent commercial, economic and tax advantages to their
sponsors because of the reductions in costs they help create and for the
ease of insurance risk management and the flexibility for cash flows
they generate. Additionally, they may provide coverage of risks which is
neither available nor offered in the traditional insurance market at
reasonable prices.
The types of risk that a captive can underwrite for their parents
include property damage, public and products liability, professional
indemnity, employee benefits, employers liability, motor and medical aid
expenses. The captive's exposure to such risks may be limited by the use
of reinsurance.
Captives are becoming an increasingly important component of the risk
management and risk financing strategy of their parent. This can be
understood against the following background:
heavy and increasing premium costs in almost every line of coverage;
difficulties in insuring certain types of fortuitous risk;
differential coverage standards in various parts of the world;
rating structures which reflect market trends rather than individual
loss experience;
insufficient credit for deductibles and/or loss control efforts.
There are also companies known as 'insurance consultants'. Like a
mortgage broker, these companies are paid a fee by the customer to shop
around for the best insurance policy amongst many companies. Similar to
an insurance consultant, an 'insurance broker' also shops around for the
best insurance policy amongst many companies. However, with insurance
brokers, the fee is usually paid in the form of commission from the
insurer that is selected rather than directly from the client.
Neither insurance consultants nor insurance brokers are insurance
companies and no risks are transferred to them in insurance
transactions. Third party administrators are companies that perform
underwriting and sometimes claims handling services for insurance
companies. These companies often have special expertise that the
insurance companies do not have.
The financial stability and strength of an insurance company should be a
major consideration when purchasing an insurance contract. An insurance
premium paid currently provides coverage for losses that might arise
many years in the future. For that reason, the viability of the
insurance carrier is very important. In recent years, a number of
insurance companies have become insolvent, leaving their policyholders
with no coverage (or coverage only from a government-backed insurance
pool or other arrangement with less attractive payouts for losses). A
number of independent rating agencies, such as Best's, Fitch, Standard &
Poor's, and Moody's Investors Service, provide information and rate the
financial viability of insurance companies.
Global insurance industry
Global
insurance premiums grew by 8.0% in 2006 (or 5% in real terms) to reach
$3.7 trillion due to improved profitability and a benign economic
environment characterised by solid economic growth, moderate inflation
and strong equity markets. Profitability improved in both life and
non-life insurance in 2006 compared to the previous year. Life insurance
premiums grew by 10.2% in 2006 as demand for annuity and pension
products rose. Non-life insurance premiums grew by 5.0% due to growth in
premium rates. Over the past decade, global insurance premiums rose by
more than a half as annual growth fluctuated between 2% and 11%.
Advanced economies account for the bulk of global insurance. With
premium income of $1,485bn, Europe was the most important region,
followed by North America ($1,258bn) and Asia ($801bn). The top four
countries accounted for nearly two-thirds of premiums in 2006. The US
and Japan alone accounted for 43% of world insurance, much higher than
their 7% share of the global population. Emerging markets accounted for
over 85% of the world’s population but generated only around 10% of
premiums. The volume of UK insurance business totalled $418bn in 2006 or
11.2% of global premiums. |