Professional Documents
Culture Documents
Captive Agent - agent that places all business with one Provincial Plans Outside Canada
insurance company Only pay prescribed fees – not what is actually charged
Pre-existing conditions may NOT be covered
Risk Analysis – process of identifying & quantifying Must be accidental injury
exposures Out of pocket expenses
Only for 6 months
Risk Management – counselling the client on managing risk Pregnancy over 8 weeks ofdue date is NOT covered
exposures Pays necessary medical expenses
- Minimization of detrimental effects of risk by Trip Cancellation
identifying the risk, measuring the risk, & Early flights home – accident, injury, or sickness
controlling the risk Repatriation Costs
Premium from Insureds Insurance Claims Pay Loss Frequency & Severity
Frequency of Loss
Good Spread of Risk - Balance of premiums to losses & - How often losses likely to occur in the future
expenses - higher loss frequency = worse loss experience
IBNR – incurred but not reported Severity of Loss
- Average size of losses
Ratio of net premiums to equity - Larger average loss = higher loss severity
Capital & surplus is measured 2.5:1 - higher loss severity = worse loss experience
Combined Ratio - sum of insured’s loss & expense ratio Proportional & Non-proportionality
- Loss ratio + expense ratio = sum Methods of Reinsuring
Proportional – company shares losses in some proportion
Combined ratio exceeds 100% - Fixed % of risk transferred
1. CR > 100% than earned premium - Pays (reinsurer) % of losses (based on % of
Less expenses = insurers surplus reduced premium)
Non-proportional - reinsurer portion depends on size of - Staying on top of issues of strategic importance to
loss the industry
- Varies - Regulatory improvements – consumer outreach –
- Reinsurer pays over set amount reforming the auto insurance system
- No premium % considered - Adapting to climate change
- Insurers pays set amount than reinsure takes over - Insurance crime
- Membership voluntary
ICLR Institute for Catastrophic Loss Reduction - IBC member companies can subscribe to:
- University of Western Ontario Issues management
- Insurance initiative to reduce the human & financial Policy development Public affairs
cost of natural disaster Marketing Legal
- Risk management practices & consumer loss Regional offices
prevention measures Investigative Services
Crime Auto-theft
GAA Groupement des Assureurs Automobiles Insurance info
- Shared facilities, staff & support services with
Insurance Bureau IBAC Insurance Brokers Association of Canada
- Quebec – mandatory all private in QC - National body – organized brokers
- Elevate the status of independent insurance
PACICC Property & Casualty Insurance Compensation Corp intermediaries professional development
- 1988 formed – non-profit - Safeguards public interest
- Reasonable level of recovery for policyholders & - Establishing improved standard of qualification & ethics
claimants
- Maximum recovery $250,000 all claims from each Provincial Brokers Association
policy of insolvent insurer – one occurrence - Establish ethical & provincial standards
- Representation from provincial associations make up
CSIO Center for Study of Insurance Operations membership of IBAC
- Non-profit joint venture between Insurance Brokers
Association & majority independent brokers CIAA Canadian Independent Adjusters Association
insurance company & system (computer) vendors - Provide leadership than advocacy & education
- Pooling of info to enhance broker & insurance - Recognized professional standards
company operations - Represents collective interests with training &
- Achieve profitability for brokers & companies education
- Serves consumers - Developed & maintained highest standards of
professionalism – defined code of ethics
SAC The Surety Association of Canada
- Acts as voice of surety industry CICMA Canadian Insurance Claims Managers Association
- Negotiated better bonds & contract wordings - Insurance company managers
- Aimed at improving understanding of suretyship - Promote high level standard of ethics in the handling of
process in Canada claims
- Administer Canadian inter-company arbitration
ULC Underwriters Laboratories of Canada agreement
- Not for profit
- Labs & certification services for examination Property & Casualty Insurance Industry
- Testing, certification of devices & construction - Most highly regulated business at both federal &
- ULC approved provincial
Price regulation delay market pricing tends to worsen the Minimum Capital Test
effect of premium-rate cycle on consumers. Used by OSFI to measure solvency
Requires insurers to have assets worth at least a
Risk-based system - regulators evaluate the actual goal of certain multiple of amount of liabilities & a margin of
consumers. Stable market place where consumers are additional assets.
treated fairly.
Overcapitalized – bad = will need to premium volume
Provincial Insurance Regulators Undercapitalized – bad = will need to premium volume
1. Monitoring insurer’s compliance with provincial
insurance legislation Canadian Council of Insurance Regulators
2. Monitoring solvency of insurers – Regulators from each province & territory & federal
3. Licensing of insurers level
4. Licensing & supervision of adjusters, brokers, & – Share info & find common solutions
agents – Promotes efficient & effective regulatory system to
5. Approving classes of business serve public interest
6. Controlling an insurer’s advertising
7. Reviewing contract wordings What causes hard market conditions?
8. Approving policy forms 1. Limited market competition
9. Enforcing underwriting eligibility criteria 2. Fierce competition
10. Overseeing: 3. Government regulation over rates
Claims settlement practices 4. High demand for a new product
Electronic marketing of insurance
Ethical, operational, & trade practices Reduced rates of profitability trigger hard markets
– capacity levels have been impaired
Alberta Provincial Regulation
- Regulates the insurance industry in Alberta Social Inflation – increase in claim costs resulting in
- Office of the Superintendent of Insurance generous jury awards
- The Four Insurance Councils Market Cycle Positions
1. Alberta Insurance Council Soft market Hard market
2. Insurance Adjusters Council I loss profitability regain profitability
3. General Insurance Council N aggressively look for face animosity of
4. Life Insurance Council S new business brokers & insuring
(Formed under Insurance Act under delegation from U existing business public
minister of finance of province) R under attacked by
E competitors
OSFI: the Federal Regulator R
Primary regulator of federally chartered Canadian & foreign B capacity is abundant & Must labour to find
property & casualty insurance companies. R premium rates decline capacity for client
O (underwriters less needs
Mission: Protect interests of depositors, policyholders, K demanding) Negotiate for
pension plan members & creditors of financial institutions E less commission reasonable prices
from undue loss R income Increase in commission
income
Cyber Risk Coverage offered: Individually or part of business package
– Any risk of financial loss, disruption of business, or damage (no standard wording)
to organization’s reputation due to failure of IT systems.
– Threatens an organization’s ability to operate, its Perils that can be insured
profitability, & it’s reputation. 1. Theft of Data
2. Unintentional spread of virus
3 Categories 3. Loss of network to third parties
1. Deliberate & unauthorized breaches of security to access 4. Copyright and/or trademark infringement (libel,
IT systems for espionage, extortion, or embarrassment. slander, defamation)
(ransomware)
2. Unintentional – losing of memory stick or laptop Cyber Liability Coverage
3. Operational IT Risks – failing to install firewall or keep Covers legal defense costs
software up to date. Covers damages for lawsuits from certain perils
Optional Coverage
Direct Losses Regulatory defense expenses
1. Costs to fix & restore systems, data, & software Punitive damages
2. Ransom or extortion payments Arbitration expenses
3. Funds directly lost due to fraud Criminal awards
4. Costs to defend & settle lawsuits Specialized Coverage
Directors & officers
Indirect Losses
1. Extra expenses – communications & public relation Exclusions
costs Reputation damage
2. Accounting & other professional fees – determine Lost intellectual property
extent of loss Some class action lawsuits
3. Loss of Competitiveness – trade secrets stolen Future losses – loss of competitiveness
4. Loss of Business – downtime
5. Loss of Reputation – trust Defamation – damaging a person’s character, as in slander
6. Loss of Opportunity – change course of plan (spoken) or libel (written)
Slander – oral utterance or spreading of falsehood harmful
Cyber Risk Exposures to another’s reputation
1. Behaviour Management - manipulating individual to Misrepresentation – incorrect or missing information about
open a door into a system a material fact, as in non-disclosure (failure to disclose) or
Phishing, sending emails, embedding virus, concealment (deliberate hiding)
spyware, spear phishing, fake websites
Mitigating Behaviour Risks Errors & Omissions Insurance
▪ Training, awareness of cyber risks An error – doing something wrong
▪ Does it make sense? An omission – not doing something that should have been
▪ Does it follow an established process? done
▪ Was I expecting it?
Best Defense
2. Systems & Technology Management 1. Documentation
▪ Detecting weaknesses 2. Communication
▪ Denial of service attacks 3. Acting within the scope of your authority & competence
▪ Worms & viruses
▪ Malicious software Maintaining Client Fetes – no provincial regulations
Prescription Periods
Cyber Risk Insurance Policy Coverages - Limitation – claim brought forth
1. Third Party Liability - Vary province to province
2. Cyber Crime - Liability Policies – kept permanently
3. Extra Expense Cold Calling – obtain policy expiry date & insurance info
4. Business Interruption Losses Tracking Expiry Dates – to form a database of prospective
5. Crises Management Consulting Service customers
Upselling – selling upgrade version of existing policy - Insures client’s interest transport on own
(improving coverage) trucks
Cross selling -selling policies to cover other exposures - Coinsurance applies
- Offer assistance to client’s friends & family Aviation Insurance
1. Public Liability Insurance
Commercial 2. Ground Risk Hull Coverage
CBF Commercial Building Form 3. Taxing Insurance
CPF Commercial Property Floater 4. Inflight Coverage
CBES Commercial, Building, Equipment, & Stock Form 5. Other Optional Aircraft Insurance
Owner’s Form – any business selling goods for Punitive & Exemplary Damages or Fines usually not
delivery covered here (libel or slander).
Liability Exclusions Financial Consequences
Injury to employees - Reduced value of an asset
Automobiles, watercraft, & aircraft - Decreased income derived from asset
Care, custody, or control - Increased expenses to keep operating asset
Products – damage to product not covered –
resulting is Methods of Exposure Identification
Materials being worked upon 1. Surveys
Pollution 2. Flow charts
3. Financial Statements
Limit: 1 million 4. Inspections
Risk Management
- minimization of detrimental effects of risk
1. Identifying the risk
2. Measuring the risk
3. Controlling the risk
Objectives
1. Pre-loss objectives – accomplished before loss occurs
2. Post-loss objectives – to be met after loss occurs
Pre-loss
1. Social Responsibility (improve public image)
2. Externally imposed obligations (gov’t, cust., etc.)
3. Peace of Mind (tolerance level for uncertainty)
4. Cost of Risk (operate economically)
Post-loss
1. Social responsibility (increase public image)
2. Survival (financially)
3. Operational Continuity (maintain operations)
4. Maintain Stable Earnings (maintain profits)
5. Sustain Growth (Rate of Growth)