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5 Advantages of High Deductible Program
- 1. Achieving price flexibility while passing additional risk to larger insureds
- 2. Ameliorating onerous residual market charges and premium taxes in some states
- 3. Realizing cash flow advantages similar to those of closely related product - paid loss retro
- 4. Providing insureds with another vehicle to control losses while protecting them against random, large losses
- 5. Allowing "self-insurance" without submitting insureds to sometimes demanding state requirements
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4 Development Approaches to Estimating High Deductible Reserve Liabilities for Per Occurrence Coverage
- 1. Loss ratio approach
- 2. Implied development approach
- 3. Direct development approach
- 4. Credibilitiy weighting techniques / BF approach to determining excess liabilities
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Technique, Advantages, and Disadvantages of Loss Ratio Approach
- 1. Technique:
- a. Per Occurrence Excess Loss = P * E * χ, where P = Premium, E = Expected Loss Ratio, and χ = Per Occurrence Charge
- 2. Advantages:
- a. Can be consistently tied to pricing programs
- b. Benefits from its reliance on a more credible pool of company and/or industry experience
- c. Commonly used approach
- 3. Disadvantages:
- a. Ignores actual emerging experience
- b. May not properly reflect account characteristics
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Steps of Implied Development Approach
- 1. Develop full coverage losses to ultimate
- 2. Develop deductible losses to ultimate by applying development factors reflecting various inflation indexed limits
- 3. Determine ultimate excess losses by differencing the full coverage ultimate losses (step 1) and the limited ultimate losses (step 2)
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Advantages and Disadvantages of Implied Development Approach
- 1. Advantages
- a. Provides an estimate of excess losses at early maturities even when excess losses have not emerged
- b. Development factors for limited losses are more stable than those for losses above the deductible
- c. Estimating deductible losses helps in determining the service revenue asset
- 2. Disadvantage
- a. Does not explicitly recognize excess loss development
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Advantages and Disadvantages of Direct Development Approach
- 1. Advantage
- a. Uses excess loss experience directly
- 2. Disadvantage
- a. Excess factors tend to be quite leveraged and extremely volatile
- b. If excess losses have not actually emerged at any particular stage of development, it is not possible to get an estimate of the required liability
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Advantages and Disadvantages of Credibility Weighting Techniques
- 1. Advantages
- a. Using BF approach allows the actuary to determine liabilities either directly or indirectly
- b. Affords the ability to tie into pricing estimates for recent years where excess losses have yet to emerge
- c. Provides more stable estimates over time
- 2. Disadvantages
- a. Ignores actual experience to the extent of the complement of credibility
- b. Suggests finding alternative weights that may be more responsive to the actaul experience as desired
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Steps to Determine Service Revenue Asset
- 1. Determine ultimate deductible losses at the account level
- 2. Subtract ultimate losses excess of aggregate limits from ultimate deductible losses in step 1
- 3. Apply the selected loss multiplier to the difference determined in step 2 to determine ultimate recoverable
- 4. Determine the total asset by subtracting any known recoveries from the estimated ultimate recoverables
- 5. Aggregate results for all accounts
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Important Issues in Estimating Liabilities for High Deductible Workers Compensation Programs
- 1. Estimation of development patterns by size of deductible and mix of business
- 2. Consistency of development factors between limited losses and excess losses
- 3. Indexing deductible limits over time
- 4. Estimation of liability for aggregate limits
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Formulas for Per Occurrence Excess Losses and Aggregate Loss Charge
- 1. Per Occurrence Excess Losses = P * E * χ where
- a. P = Premium
- b. E = Expected Loss Ratio
- c. χ = Per Occurrence Charge
- 2. Aggregate Loss Charge = P * E * (1 - χ) * Ф where
- a. Ф = Per Aggregate Charge
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Relationship Between The Full Coverage Loss Development and Severity Relativities
- 1. LDFL C S RL / Ct St RtL = LDF Δ RL
- 2. XSLDFL = C S (1 - R)L / Ct St (1 - RtL ) = LDF Δ(1 - RL)
- 3. LDFt = RtL LDFL + (1 - RtL )XSLDFL
- where
- L = Deductible Limit
- C = Counts
- S = Severity
- R = Severity Relativity
- t = Age
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Techniques To Estimate Aggregate Losses and Associated LDFs
- 1. Use collective risk modeling (CRM)
- a. Weibull Severity
- b. Poisson count
- c. No Parameter risk
- 2. Use Table M insurance charge factors
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4 Suggested Improvements to Siewert's Methods
- 1. Obtain longer histories of experience under the program better reflecting risk characteristics
- 2. Derive or select parameters (distributions) that provide better fits to the actual data
- 3. Determine better tail factors and/or parameters of the utilized loss distribution
- 4. Develop more advanced approaches to index loss limites
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