chapter 7 Flashcards

(84 cards)

1
Q

What is the main objective of insurance programme design?

A

To structure cover, retentions and insurer participation so the client’s risks are managed cost‑effectively and appropriately.

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2
Q

List four key questions in programme design.

A

How much risk to retain; whether to package/combine risks; how long the programme should run; and how to achieve required limits.

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3
Q

For simple consumer or micro‑business risks, how are needs usually met?

A

By standard policies with little bespoke programme design.

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4
Q

For larger, more complex clients, what does the broker usually design?

A

A tailored insurance programme rather than a single standard policy.

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5
Q

In UK insurance, what is an excess?

A

The amount of each claim the insured must bear, with the policy limit usually inclusive of the excess.

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6
Q

What is a deductible and how is it often used in UK practice?

A

Originally a US term for excess; now used interchangeably in the UK, but must be clearly defined in the policy.

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7
Q

How can a deductible operate differently from a simple excess?

A

The policy limit can either be inclusive of the deductible or sit entirely in excess of it.

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8
Q

What does ‘self‑insured retention’ normally mean in UK usage?

A

The amount of risk (excess/deductible) the insured retains within the programme.

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9
Q

Why must the operation of an excess or deductible be made perfectly clear?

A

Because it affects how much of each loss the insured retains and how layers above attach.

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10
Q

Under a corporate deductible, what must NOT happen in local policies?

A

Local subsidiaries must not insure the corporate deductible, e.g. by ‘buy‑back’ cover.

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11
Q

What is the basic trade‑off when setting a deductible level?

A

Higher deductibles give lower premiums but more retained risk; lower deductibles give higher premiums but less retained risk.

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12
Q

Besides premium savings, what should influence the chosen deductible?

A

The client’s financial strength, risk appetite, loss history and operational tolerance for volatility.

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13
Q

What is the purpose of aggregate deductibles or annual aggregates?

A

To cap the total amount the insured retains in a year so very bad years do not become unaffordable.

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14
Q

What is the aim of claims analysis in programme design?

A

To identify trends in losses and see how different deductible levels would have affected historic claims.

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15
Q

What extra claims data is useful for larger clients beyond a simple summary?

A

Details of uninsured losses, a full claims listing and, for liability, development triangles.

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16
Q

Why are uninsured and below‑excess losses important in analysis?

A

They show the full loss picture and are essential when modelling higher retentions.

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17
Q

What does deductible analysis specifically illustrate?

A

How past claims would have split between the insured and insurers under various deductible scenarios.

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18
Q

What is an insurance ‘package’ policy?

A

A policy combining several classes (e.g. property, theft, money, glass) into one combined contract.

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19
Q

Why do insurers use package policies for small businesses?

A

Administrative convenience, economies of scale and marketing appeal.

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20
Q

What is ‘account underwriting’?

A

Placing all or most of a client’s insurances with one insurer under a broad relationship.

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21
Q

Give one advantage of placing all covers with one insurer.

A

Stronger relationship, possible premium discounts, and easier administration.

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22
Q

Give one disadvantage of placing all covers with one insurer.

A

Reduced competition and dependence on a single insurer’s appetite and security.

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23
Q

What is a cross‑class retention?

A

A deductible or aggregate that applies across several classes in a package rather than separately to each.

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24
Q

Name one advantage of cross‑class retentions.

A

Economies of scale and a lower overall aggregate than separate class aggregates.

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25
Name one disadvantage of cross‑class retentions.
Mixing long‑ and short‑tail claims can delay ‘closing’ the retention and create clash exposures.
26
Why is it often impractical to re‑broker a large client’s portfolio every year?
It is time‑consuming, may damage insurer relationships and can destabilise pricing.
27
What is a long‑term agreement (LTA)?
A commitment between insured and insurer to continue cover for several years, with agreed limits on rate/term changes.
28
What are two main client reasons for considering longer policy terms?
Locking in low pricing and achieving continuity and stability of premiums.
29
Give one broker consideration when negotiating LTAs or multi‑year deals.
Include caveats for material changes, reinsurance changes or market‑wide shifts in terms.
30
What is a conventional insurance programme?
One where the premium is fixed for the period and the insurer bears all covered losses above any excess.
31
What is a self‑insured programme in broad terms?
A programme where the insured retains substantial risk through higher retentions and possibly funding mechanisms.
32
Give two common features of self‑insured programmes.
High per‑loss retentions and the need to fund and administer retained claims internally.
33
Name one advantage of self‑insured programmes for the insured.
They respond quickly to loss‑prevention efforts because reduced claims directly reduce total cost.
34
Name one disadvantage of self‑insured programmes.
Uncertain total cost, higher admin burden and the need to fund possibly long‑tail liabilities.
35
What is a multi‑line or cross‑class programme?
A structure where several classes share a combined retention and integrated policy sitting above that retention.
36
How do monoline excess ‘towers’ sit above a cross‑class programme?
Separate towers for each class are purchased above the integrated retention and policy.
37
Why are cross‑class programmes more suited to sophisticated clients?
They require strong risk management, tolerance for volatility and a desire for long‑term stability over chasing lowest price.
38
When is co‑insurance typically appropriate?
For high, complex risks needing large limits or where no single insurer can provide 100% capacity.
39
What is a horizontal placement?
The traditional method where all insurers follow the same terms and the same premium rate with a fixed line share.
40
What is a vertical placement?
A placement where followers can offer their own premium terms while following the lead’s wording and conditions.
41
Why might a vertical placement benefit the client?
It can produce a blended, more competitive overall rate while keeping consistent cover terms.
42
What is an umbrella policy?
A policy that sits over underlying covers with its own wording and attachment point, providing extra limits or specific catastrophe‑type covers.
43
Does an umbrella policy normally ‘drop down’ to fill gaps in underlying cover?
No – it usually does not drop down and does not automatically follow underlying terms.
44
What is a global insurance programme?
A coordinated set of policies providing cover for a multinational’s worldwide operations.
45
What are typical components of a global programme?
A master policy plus local admitted policies, with DIC/DIL provisions where allowed.
46
What does ‘admitted’ insurance mean in a country?
Insurance written by an insurer licensed in that country under local regulation.
47
What is ‘non‑admitted’ insurance?
Insurance provided into a country where the insurer is not licensed to write direct local business.
48
What do DIC and DIL stand for in global programmes?
Difference in Conditions and Difference in Limits.
49
What is the purpose of DIC/DIL clauses?
To allow the master policy to top up or broaden cover where local policies give less protection.
50
What is a fronting arrangement in global programmes?
A local insurer issues a policy and then reinsures most or all of the risk back to the client’s chosen insurer/captive.
51
Why are local brokers often needed in global programmes?
To ensure local regulatory compliance, policy issuance, claims handling and risk engineering.
52
Name two challenges when designing a global programme.
Managing admitted vs non‑admitted rules and handling currency, tax and premium allocation correctly.
53
Why must premiums be allocated accurately between countries on a global programme?
To comply with local insurance premium tax and regulatory requirements.
54
Who is responsible for paying local insurance taxes to tax authorities?
The insurer, although the broker usually collects the tax within the premium.
55
Why must non‑admitted excess layers be considered for tax purposes?
Local tax liabilities on non‑admitted layers must also be identified and accounted for.
56
In global programmes, what balance must be struck with deductibles?
Between local deductibles that incentivise risk control and corporate deductibles reflecting group risk appetite.
57
What is the key requirement for local deductibles at subsidiary level?
They must be large enough to cover small, frequent losses but not so large they disrupt local operations.
58
Why do some countries operate national catastrophe or terrorism schemes?
To improve availability and affordability of cover for high‑severity, systemic risks.
59
What is Flood Re in the UK?
A flood reinsurance scheme for domestic properties to improve affordability and availability of flood cover.
60
How is Flood Re funded?
By ceding premiums for high‑risk properties into the pool plus a levy on insurers.
61
Who mainly benefits from Flood Re?
Households in high flood‑risk areas through more affordable premiums and lower excesses.
62
When using national pools, what must brokers always check?
Whether the scheme is mandatory, how it interacts with programmes and what rules apply to cover and pricing.
63
What is meant by the insurance market cycle?
The tendency of insurance markets to move between soft (low rates, broad cover) and hard (high rates, tighter cover) conditions.
64
In a soft market, what are typical features?
Abundant capacity, intense competition, lower premiums and broader terms.
65
In a hard market, what are typical features?
Reduced capacity, higher premiums, tighter terms and more restrictive underwriting.
66
How do capital markets influence the insurance cycle?
Capital flows into insurance increase capacity and soften rates; withdrawals reduce capacity and harden rates.
67
Why can insurers tolerate underwriting losses when investment returns are strong?
Investment income can offset underwriting losses and still produce an overall trading profit.
68
What has low interest rates since 2008 tended to do to insurers’ focus?
Shift focus towards achieving technical underwriting profits rather than relying on investment income.
69
Why does each class of business have its own cycle?
Different loss patterns, competition levels and capital flows affect each class differently.
70
Why can cycles differ by territory (e.g. US vs Far East vs UK)?
Local loss events, regulation, capital flows and competition differ between regions.
71
Name one major event that triggered a hardening of markets worldwide.
The World Trade Center attacks on 11 September 2001.
72
Why has the traditional boom‑and‑bust cycle been less obvious recently in UK GI?
Increased and diversified capacity, foreign capital, MGAs and more technical underwriting have smoothed swings.
73
If insurers are announcing losses and rates are rising, what type of market is likely?
A hard market.
74
In a hardening market, name two actions brokers might consider.
Seek LTAs/multi‑year deals and support clients to enhance risk management and possibly retain more risk.
75
In a hard market, why might staying with the holding insurer make sense after a loss?
They may still offer better terms than new insurers who view the risk as unknown and loss‑hit.
76
If insurers are announcing strong profits and rates are falling, what type of market is likely?
A soft market.
77
In a soft market, what two questions should be asked about client priorities?
Do they want maximum premium savings now, or price stability and relationships for the future?
78
In a soft market, why should brokers avoid constant aggressive re‑broking?
It can damage long‑term relationships and leave clients exposed when the market turns hard.
79
For global programmes, what extra consideration applies in mixed market cycles?
Different territories and lines may be at different points in the cycle, so brokers should optimise globally, not just locally.
80
What is the basic aim of loss prevention and risk management in insurance programmes?
To reduce the frequency and severity of losses and hence the client’s total cost of risk.
81
Why do self‑insured and high‑deductible programmes respond strongly to loss prevention?
Because reduced claims immediately lower the insured’s retained costs.
82
Name two ways brokers can support client loss prevention.
Arranging insurer risk surveys/engineering and helping design risk improvement programmes.
83
How can effective loss prevention influence insurer terms?
It can justify better pricing, higher limits or more favourable conditions and deductibles.
84
Why should brokers link risk management plans to the structure of the programme?
Because improved risk may allow increased retentions, reduced premiums or changes in programme design over time.