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PACICC - Purpose of the plan
protect p.h. from undue financial loss as a result of insolvency of their insurer without exposing insurance industry to unlimited liability for claims against the insurer
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PACICC exclusions
- Life insurance, aircraft, credit, crop, D&O, employer's liability, E&O (MM not excluded), fidelity, financial guarantee, marine, mortgage, surety and title insurance.
- Auto insurance in MB/SK; BI in QC
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In event of insolvency, role/responsibilities of PACICC / claimant of insolvent insurer / solvent member companies
- PACICC:
- Pay claims and UEP
- Collect assessment from solvent members
- Find a liquidator
- work with liquidator as soon as wind-up order is made
- claimant:
- prove that all sources of compensation (from solvent insurers) are exhausted
- Get paid from PACICC for claims and UEP
- Assign right to recovery from insolvent insurer's estate to PACICC
- solvent members:
- Pay assessment
- Make contribution to PACICC
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Procedure in event of solvency
- court appoints liquidator
- PACICC helps develop a model wind-up order
- once liquidator and PACICC come to consensus, PACICC makes payment
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Why difficult to measure full cost of insolvency
Hard to evaluate: - cost of lost jobs, salary, pension plan
- cost of accountants
- cost of judicial involvement in liquidation process
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Recovery from PACICC on claims and UEP
- UEP recovery: 70% of UEP (<=1000) so max recovery from PACICC is 700
- Claims recovery: max recovery from PACICC is 250k for all covered policies (personal property max is 300k) for all claims arising from policies issued to a single insured by insolvent insurer and from a single occ
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Recovery by PACICC of Amounts Paid
- payment made by PACICC enables transfer of rights to PACICC to receive any distribution thru winding up and liquidation (claim on insurer's liquidated assets) or from TP (subrogation) -> PACICC recovers from funds that eventually become available from insolvent insurer (shorfall will come from assessments)
- Before a payment is made by PACICC, p.h. needs to have exhausted all policies against all solvent insurers covering the loss.
- distribution example: insured with a claim of 300k: PACICC pays 250k, in a distribution of 150k by liquidator, insured receives no participation; if the distribution is 275k, insured receives 25k
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Conditions for financial responsibility PACICC
- Insurer must receive a windup order from OSFI/superintendent
- Insurer must be a member of PACICC
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Sources of recovery PACICC (4)
- Assessments of participating insurers
- A compensation fund
- Liquidated assets of the insolvency insurer
- Recoveries from third parties
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PACICC - Assessment process
A participating insurer is assessed in jurisd where insolvent insurer was licenced - A=B*C/D
- 'B' = total amount being assessed against all participating insurers
- 'C' = total direct WP for protected policies of participating insurer
- 'D' = total direct WP for protected policies of all participating insurers
- Max annual levy for an insurer in a jurisd is 1.5% of its direct WP for that jurisd
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