What Is An Insurer?: Topic 3. Types of Insurers and Marketing Systems
What Is An Insurer?: Topic 3. Types of Insurers and Marketing Systems
What Is An Insurer?: Topic 3. Types of Insurers and Marketing Systems
1. What is an insurer?
2. Classification of insurers
3. Insurance marketing systems
WHAT IS AN INSURER?
The insurer is a financial institution. The key product of the insurer is the
promise to make financial compensation at some moment in the future, depending
on the type of product. The fact that the products of financial institutions are not
tangible (they do not “manufacture” anything) has resulted in their becoming the
subject of academic discussion.
Why do insurers actually exist? The reason why an individual needs insurance
is obvious: they obtain security and are covered for certain risks – such as their house
burning down. Even if there is only a small probability, an individual might not have
the financial means to reconstruct the house all over again; therefore, they need to
cover that risk.
Insurers pool those risks together in a portfolio. They can do this much more
efficiently than individuals because they have the specific expertise and the size
required to do so. This is called economics of scope and scale. Pooling risks results
in diversification over geographical locations, sectors, types of objects and so on.
The phenomena of adverse selection and moral hazard play an important part in
insurance and for insurers. Adverse selection means that those most in need of risk
coverage will be those who to turn to an insurer. A perfectly healthy person has less
need for medical insurance than someone with bad health. For the insurer, this
involves fewer possibilities for risk spreading. Moral hazard is where people tend to
be less careful once they have taken out insurance because they know damage will
be compensated for. Both adverse selection and moral hazard involve costs for the
group of those insured due to the screening of new and existing clients.
An insurer obtains economies of scale for these costs. A problem occurs for
insurers because the individual premium amounts are collected in advance of the
coverage period. Whether the individual premiums were sufficient to cover for the
claims is still uncertain. That makes an insurance product fundamentally different
from a manufactured good: the actual costs of the service are only known at the end
of the period, while the premium is collected at the beginning. We call this the
“inverse exploitation cycle”, and it involves a risk for the insurer. For example, if
there are more damages than expected, then the premium has not been sufficient and
the insurer will have to bear the costs involved. Typically, it cannot subsequently
require a supplementary payment from the client.
CLASSIFICATION OF INSURERS
Insurers may be classified according to the type of insurance they sell, their
legal form of ownership, or the marketing system they employ.
Classification by Type of Product
We can distinguish among three types of insurers based on their product. Life
insurance companies sell life contracts and annuities and, in addition, write health
insurance. Property and liability insurance companies market all forms of property
and liability insurance (including health insurance) but do not write life insurance.
Health insurers are a class of specialty insurers, concentrating on their one area of
risk. Although there are other specialty insurers that write only a single line of
property or liability insurance, these may be classed as property and liability
companies.
Insurers Classification by Legal Form of Ownership
Broadly speaking, insurers can be classified into six categories based on their
form of ownership.
■ Capital stock insurance companies
■ Mutual insurance companies
■ Lloyd’s of London
■ Captive Insurers
■ Government insurers
Capital Stock Insurance Companies
Capital stock insurance companies are organized as profitmaking ventures,
with the stockholders assuming the risk that is transferred by the individual insureds.
If the actuarial predictions prove accurate, the premiums collected are sufficient to
pay losses and operating expenses while returning a profit to the stockholders. The
capital invested by the stockholders provides funds to run the company until
premium income is sufficient to pay losses and operating expense. In addition, it
provides a cushion to guarantee that obligations to policyholders will be met.
The stockholders elect a board of directors who, in turn, appoint executive
officers to manage the corporation. The board of directors has ultimate responsibility
for the corporation’s financial success. If the business is profitable, dividends can be
declared and paid to the stockholders; the value of the stock may also increase.
Likewise, the value of the stock may decline if the business is unprofitable.
The distinguishing characteristics of a capital stock company are (1) the
premium charged by the company is final—there is no form of contingent liability
for policyholders; (2) the board of directors is elected by the stockholders; and (3)
earnings are distributed to shareholders as dividends on their stock.
Mutual Insurers
A mutual insurer is a corporation owned by the policyholders. There are no
stockholders. The policyholders elect a board of directors who appoint executives to
manage the corporation. Because relatively few policyholders bother to vote, the
board of directors has effective management control of the company. A mutual
insurer may pay dividends to the policyholders or give a rate reduction in advance.
In life insurance, a dividend is largely a refund of a redundant premium that can be
paid if the insurer’s mortality, investment, and operating experience are favorable.
However, because the mortality and investment experience cannot be guaranteed,
dividends legally cannot be guaranteed.
There are several types of mutual insurers, including the following:
■ Advance premium mutual. Most mutual insurers are advance premium
mutuals. An advance premium mutual is owned by the policyholders; there are no
stockholders, and the insurer does not issue assessable policies. Once the insurer’s
surplus (the difference between assets and liabilities) exceeds a certain amount, the
states will not permit a mutual insurer to issue an assessable policy. The premiums
charged are expected to be sufficient to pay all claims and expenses.
Any additional costs because of poor experience are paid out of the company’s
surplus. In life insurance, mutual insurers typically pay annual dividends to the
policyholders. In property and casualty insurance, dividends to policyholders
generally are not paid on a regular basis. Instead, such insurers may charge lower
initial or renewal premiums that are closer to the actual amount needed for claims
and expenses.
■ Assessment mutual. An assessment mutual has the right to assess
policyholders an additional amount if the insurer’s financial operations are
unfavorable. Relatively few assessment mutual insurers exist today, partly because
of the practical problem of collecting the assessment. Those insurers that still market
assessable policies are smaller insurers that operate in limited geographical areas,
such as a state or county, and the coverages offered are limited.
■ Fraternal insurer. A fraternal insurer is a mutual insurer that provides life
and health insurance to members of a social or religious organization. This type of
insurer is also called a fraternal benefit society. To qualify as a fraternal benefit
society under the state’s insurance code, the insurer must have some type of social
or religious organization in existence. In addition, it must be a nonprofit entity that
does not issue common stock; it must operate solely for the benefit of its members
or beneficiaries; and it must have a representative form of government with a
ritualistic form of work.
Fraternal insurers sell only life and health insurance products to their
members. The assessment principle was used originally to pay death claims. Today,
most fraternal insurers operate on the basis of the level premium method and legal
reserve system that commercial life insurers use. Fraternal insurers also sell term life
insurance and annuities. Because fraternal insurers are nonprofit or charitable
organizations, they receive favorable tax treatment. In terms of the total number of
life insurers, fraternal insurers are relatively unimportant. A recent research study
concluded that fraternal insurers are not as efficient as stock and mutual insurers,
especially in the area of technology, and that stock insurers have higher profit levels
than fraternal insurers.
Lloyd’s of London
Technically, Lloyd’s of London is not an insurer, but is the world’s leading
insurance market that provides services and physical facilities for its members to
write specialized lines of insurance. It is a market where members join together to
form syndicates to insure and pool risks. Members include some of the world’s major
insurance groups and companies listed on the London Stock Exchange, as well as
individuals (called Names) and limited partnerships. Lloyd’s underwrites seven lines
of insurance: casualty, property, marine, energy, motor, aviation, and reinsurance. It
is also famous for insuring unusual exposure units, such as a prize for a hole-in-one
at a golf tournament, or injury to a Kentucky Derby horserace winner. These unusual
exposures, however, account for only a small part of the total business. Lloyd’s of
London has several important characteristics.
First, as stated earlier, Lloyd’s technically is not an insurance company; rather,
it is a group of members (corporations, individuals, and limited partnerships) who
underwrite insurance in syndicates. Lloyd’s by itself does not write insurance; the
insurance is actually written by syndicates that belong to Lloyd’s. In this respect,
Lloyd’s conceptually is similar to the New York Stock Exchange, which does not
buy or sell securities, but provides a marketplace and other services to its members
who buy and sell securities.
Second, as stated earlier, the insurance is written by the various syndicates
that belong to Lloyd’s. At the time of this writing, Lloyd’s has 57 managing agents
and 94 syndicates. Each syndicate is headed by a managing agent who manages the
syndicate on behalf of the members who receive profits or bear losses in proportion
to their share in the syndicate. The syndicates tend to specialize in marine, aviation,
catastrophe, professional indemnity, and auto insurance coverages. Also, Lloyd’s is
a major player in the international reinsurance markets. As noted earlier, the unusual
exposure units that have made Lloyd’s famous account for only a small fraction of
the total business. Likewise, life insurance accounts only for a small fraction of the
total business and is limited to short-term contracts.
Third, new individual members, or Names, who belong to the various
syndicates now have limited legal liability. Earlier, Names had unlimited legal
liability and pledged their personal fortune to pay their agreed-upon share of the
insurance written as individuals. However, because of catastrophic asbestosis
liability losses in the early 1990s, many Names could not pay their share of losses
and declared bankruptcy. As a result, no new Names with unlimited legal liability
are admitted today.
Fourth, corporations with limited legal liability and limited liability
partnerships are also members of Lloyd’s of London. Corporations and partnerships
were permitted to join Lloyd’s in order to raise new capital, which has substantially
increased the ability of Lloyd’s to write new business.
Fifth, members must also meet stringent financial requirements. Individual
members are high–networth individuals. Each member, whether individual or
corporate, must supply capital to support its underwriting at Lloyd’s. All premiums
go into a premium trust fund, and withdrawals are allowed only for claims and
expenses. Members must also deposit additional funds if premiums do not cover the
claims, and the venture is a loss. A central guarantee fund is also available to pay
claims if the members backing a policy go bankrupt and cannot meet their
obligations. Subordinate securities can also be issued to pay losses.
Finally, Lloyd’s is licensed only in a small number of jurisdictions in the
United States. In the other states, Lloyd’s must operate as a nonadmitted insurer.
This means that a surplus lines broker or agent can place business with Lloyd’s, but
only if the insurance cannot be obtained from an admitted insurer in the state.
Despite the lack of licensing, Lloyd’s does a considerable amount of business in the
United States. In particular, Lloyd’s of London reinsures a large number of
American insurers and is an important professional reinsurer.
Captive Insurers
A captive insurer is an insurer owned by a parent firm for the purposes of
insuring the parent firm’s loss exposures. There are different types of captive
insurers. A single-parent captive (also called a pure captive) is an insurer owned by
one parent, such as a corporation. The captive can be an association captive, which
is owned by several parents. For example, business firms that belong to a trade
association may own a captive insurer. Captive insurers are becoming more
important in commercial property and casualty insurance, and thousands of captive
insurers exist today.
Captive insurers are formed for several reasons, including the following:
■ Difficulty in obtaining insurance. The parent firm may have difficulty
obtaining certain types of insurance from commercial insurers, so it forms a captive
insurer to obtain the coverage. This pattern is especially true for global firms that
often cannot purchase certain coverages at reasonable rates from commercial
insurers.
■ Favorable regulatory environment. Some captives are formed offshore to
take advantage of a favorable regulatory environment and to avoid undesirable
financial solvency regulations. However, captives are regulated under the insurance
laws of the domicile, and in many domiciles, the regulation of captive insurers is
rigorous.
■ Lower costs. Forming a captive may reduce insurance costs because of
lower operating expenses, avoidance of an agent’s or broker’s commission, and
retention of interest earned on invested premiums and reserves that commercial
insurers would otherwise receive. Also, the problem of wide fluctuations in
commercial insurance premiums is avoided.
■ Easier access to a reinsurer. A captive insurer has easier access to
reinsurance because reinsurers generally deal only with insurance companies, not
with insureds. A parent company can place its coverage with the captive, and the
captive can pass the risk to a reinsurer.
■ Formation of a profit center. A captive insurer can become a source of profit
if it insures other parties as well as the parent firm and its subsidiaries. It should be
noted that there are costs involved in forming a captive insurance company and that
this option is not feasible for many organizations. A firm is putting its capital at risk
when it insures through its captive.
Government Insurers
In addition to the social insurance programs they operate, governments also
offer some forms of private (voluntary) insurance. The private insurance programs
of government have developed for diverse reasons. In some cases, the risks they
cover do not lend themselves to private insurance, because either the hazards were
too great or the private insurers were subject to adverse selection. In other instances,
they originated because of the inability or reluctance of private insurers to meet
society’s needs for some form of private insurance. In some cases, government
private insurance programs were established as tools of social change designed to
provide a subsidy to particular segments of society or to help solve social ills
afflicting individual classes of citizens. Finally, government insurance programs
have sometimes been founded on the mistaken notion that such programs could
somehow repeal the law of averages and provide insurance at a lower cost than
would be charged by private insurers. Over the years, the governments have engaged
in a number of private insurance fields. In some programs, the government
cooperates with private insurers, providing reinsurance or other forms of subsidy in
meeting risks that the private insurance industry could not meet alone.
Summary
■ There are several basic types of insurers:
– Stock insurers
– Mutual insurers
– Lloyd’s of London
– Captive insurers
– Government Insurers
■ An agent is someone who legally represents the insurer and has the authority
to act on the insurer’s behalf. In contrast, a broker is someone who legally represents
the insured.
■ Several distribution systems are used to market life insurance. They include:
– Personal selling systems
– Financial institution distribution systems
– Direct response system
– Other distribution system
■ Several distribution systems are used to market property and casualty
insurance. They include:
– Independent agency system
– Exclusive agency system
– Direct writer
– Direct response system
– Multiple distribution systems
■ Many insurers use group insurance marketing methods to sell individual
insurance policies to members of a group. Employees typically pay for the insurance
by payroll deduction. Workers no longer employed can keep their insurance in force
by paying premiums directly to the insurer.
■ Mass merchandising is a plan for selling individually underwritten property
and casualty coverages to group members; individual underwriting is used; rate
discounts may be given; employees typically pay for the insurance by payroll
deduction; and employers do not usually contribute to the plans.