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Please also see Insurance product lines and markets.

Insurance companies in the United States use Statutory Accounting Principles (SAP), which are actually more conservative than Generally Accepted Accounting Principles (GAAP) in the presentation of the financial statements of an insurance company. SAP guidelines are established by each respective state insurance commission. SAP presents the company's balance sheet as if the assets of insurance company were going to be liquidated for the financial period. Thus, under SAP guidelines liabilities (expenses) must be recognized earlier or at the maximum indicated value and assets (capital gains) are recognized later than GAAP guidelines and at the lowest indicated value.

For instance, under SAP guidelines bonds (long-term assets) must be presented at their amortized value, while under GAAP guidelines bond investments must be presented at their fair market value.

Basics

Insurance companies are always being managed for an unknown future environment. An insurance must constantly update its estimate of future claims. In the case of property coverage the insurance company may be saddled with the effects of a very large storm, which will throw off the estimate the company had been operating under. Casualty claim estimates may be invalidated by litigation related to an event or product liability.

In reviewing an insurance company it is important to determine the company's:
  • Investment policy: is the company investing in assets that have a high degree of volatility / risk? Is the company's investment concentrated within a certain asset class? Is there a cash flow gap between what the assets produce and the requirements of the liabilities?
  • Reinsurance arrangements: is the company over-reliant on just one or too few reinsurers? Is the company retaining too much risk and not laying it off on reinsurers?
  • Pricing strategy for providing coverage: is the company attempting to grow rapidly by underpricing policy premiums? Are there regulatory constraints against increasing premiums?
  • Reserving Methodology: a reserve levels accurately measured against liabilities or risk assets?
  • Growth targets: is the company's business plan realistic without sacraficing profitability or adequate reserving? Is the company entering into a new business / product line in which it does not have expertise? Is the company attempting to expand into other financial services?
  • What types of off-balance sheet guarantees does the company have?

  • Insurance companies also release quarterly and annual financial statements (Annual Report and SEC Forms 10-Q/10-K) in a GAAP-type format, however it is slightly different. On the asset side of the balance sheet one will see investments presented first before current assets:

    Assets

    Investments Available for Sale (at fair market value, less amortization); How much of the bond portfolio is in U.S. Treasuries, Government Sponsored Enterprise debt (FNMA, etc.), and municipal debt compared to corporate debt? These are interest rate sensitive investments, are interest rates rising which may result in a reduction in the the value of the fixed-income portfolio?
     
    Investments in Equity Securities (available for sale at fair market value)
     
    Commercial Loans
     
    Policy Loans
     
    Securities purchased under agreement to resell
     
    Cash collateral for borrowed securities
     
    Other long-term investments
     
     
    Cash
     
    Accrued Investment Income
     
    Premiums and Other Receivables
     
    Mortgage Loans on Real Estate
     
    Deferred policy acquisition costs
     
    Real Estate (direct investment and joint-venture investment)
     
    Real Estate Held-for-Sale
     
    Limited Partnership Interests
     
    Separate account Assets
     
    Other Assets

    Liabilities

    Future Policy Benefits
     
    Policyholder's account balances
     
    Unpaid claims and claim adjustment expenses
     
    Policyholder Dividends Payable
     
    Securities sold under agreements to repurchase
     
    Cash collateral for sold securities
     
    Income taxes available
     
    Securities sold but not yet repurchased
     
    Short-Term Debt
     
    Long-Term Debt

    Stockholder's Equity

    Preferred Stock
     
    Common Stock
     
    Additional Paid-in Capital
     
    Retained Earnings (Deficit)
     
    Treasury Stock

    Income Statement

    Revenues
     
    Premiums / Net Premiums Earned
     
    Universal Life Policy Fess (Life insurance company)
     
    Net Investment Income
  • Must be of sufficient amount to help offset claims expense that may exceed premium income
  • If inteest rates are rising then the company will be able to invest premium income in higher earning fixed-income securities than that of the previous fiscal period(s).
  •  
    Fee Income
     
    Expenses
     
    Policyholder Benefits and Claims
  • Death Benefits
  • Property & Casualty Claims
  •  
    Interest (Payable to Policyholder accounts)
     
    Deferred Policy Acquisition Costs (DPAC)
  • Commissions and upfront fees payed to agents for the origination and placement policy are amortized over the life of the plicy
  • What percentage of net income and stockholder's equity (cumulative costs) are these costs?
  •  
    Policyholder Dividends
     
    Income from Continuing Operations (before provision for income taxes)
     
    Net Income
  • Are profits understated because it set aside too much reserves?
  • Claims reserves

    Unearned premium reserves; Redundant reserves are reserves in excess of actual losses.


    Credit Analysis

    As part of the their formal reporting every property and casualty insurance company must report an "Analysis of Consolidated Capital Net Losses and Loss Expense Reserve Development." This is a 10-year record which shows how much reserves were set originally set aside based on previous annual estimates, how much the actual claims really were and how much was actually payed out, how much the reserves had to adjusted based on losses and just how reliable the methodology for estimating losses was.

    Does the company underwrite automobile insurance in the states of New York, New Jersey, Florida, California and Massachusetts, which are the states with the highest rates of fraudulent clains? Has the company increased rates in order to cover for the high rate of fraudulent claims, or is there pressure by the state regulator to put a cap on rates?

    Has the company in the past sold variable annuity or universal life insurance products with guarantees? The guarantees provided full coverage on any loss on the initial principal invested in the variable annuity. Similarly the guarantee on the unviersal life policies specified that the premium would not increae during the life of the policy nor would the amount of the death benefit ever be reduced. The problem with this is that costs for the insurer are sure to rise in the future or investments may not perform as planned, thus the inurance company must set aside sufficient reserves to cover the potential future costs of the results of the guarantees. Additionally, the insurer must price the product with the guarantee accurately at time of sale, also make assumptions about whether a certain percentage of policies will lapse (the policy holder / insured ceases to make the premium payments) and then accurately estimate those potential future costs because if there are insufficient reserves then the additional payments to policy holders will have to come from current earnings and who knows if the company will be able to meet those costs in the future.

    Market Consistent Embedded Value (MCEV) is a supplemental report provided by European life insurance companies. MCEV was implemented in June 2008, and is a measure of the risk of certain investments and spreads the earnings out over a longer period for assets with an elevated degree of risk. MCEV supersedes Embedded Value (EV), which is the present value of future profits plus adjusted net asset value. Future income for the insurer consists of premiums paid by policyholders whilst future cost comprises claims paid to policyholders as well as various expenses. The difference represents future profit. For insurance companies, the net asset value is usually calculated at book value. EV requires that it be adjusted to market value. EV measures the value of the insurer by adding the present value of the existing business to the market value of net assets.


    Ratios

    Claims Ratio
  • The cost of claims as a percentage of the earned premiums net of reinsurance
  • Expense Ratio (Only used for non-life insurance business; Measures the expense to produce new policies)
  • Expenses (Cost plus net commissions less internal investment costs, plus changes in deferred acquisition costs) as a percentage of the earned premiums, net of reinsurance
  • Combined Ratio
  • Sum of the claims ratio and the expense ratio, it measures claims and other expenses to premium income.
  • If it is less than 100% then the company is operating well (earning a profit), that the company has priced the premiums accurately and the funds from the premiums are earning net investment income.
  • A negative Combined Ratio indicates that the company must also utilize investment income to cover insurance loss claims.


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