Finite
Risks Insurance and FASB113
Accounting and Reporting for Reinsurance
of Short-Duration and Long-Duration Contracts |
By:
Patrick M. Lynch, CPA, CPCU, CLU, ChFC, ARM
Managing Member - Rogers, Lynch & Associates, LLC |
|
Two
finite products, loss portfolio transfer and per risk excess of loss
cover, (see Gregory Peterson, CPCU, "Finite Risk Insurance: Whatizit?"
RMQ Volume 10, No. 1, for discussion of these products) have been marketed
as financial statement enhancers.
Specifically,
the loss portfolio transfer enables a company to transfer its recorded
losses to an underwriter for a premium. The premium typically is a discounted
version of these losses. Consequently, to the extent that losses transferred/removed
from the balance sheet exceed the premium, a gain is recognized for
financial statement purposes in the fiscal year the transfer is executed.
The per
risk excess of loss cover, on the other hand, permits the company to
spread and finance the excess losses (the infrequent, moderate to high
severity losses) over time. While the plan stabilizes cash flow, stabilization
of earnings is questionable at best. The program's architects attempt
to sprinkle the scheme with some element of risk transfer typically
in the form of charging a premium which is a discounted version of the
policy limits and/or minimal aggregate cover.
The objective
is to exhibit "indemnification" of the insured by the insurer/reinsurer.
The program then would allegedly satisfy paragraph 44 of FASB 5. This
axiom dictates that to the extent the contract does not, despite its
form, provide for indemnification of the insured/ceding enterprise by
the insurer/reinsurer against loss or liability, the premium paid less
the amount of premium to be retained by the insurer or reinsurer would
be accounted for as a deposit by the insured. Therefore, should the
infrequent loss occur and the contract not exemplify "indemnification,"
earnings would be charged and a liability would be established to the
extent that the two-prong test of FASB 5 is satisfied:
1.
It is probable that an asset had been impaired or a liability
had been incurred as the date of the financial statements, and |
2.
the amount of loss can be reasonably estimated. |
Consequently,
the earnings for the fiscal year in which the loss occurs would be torpedoed
by the recording of the uninsured loss. Conversely, should the transaction
pass muster as providing "indemnification," the company would
merely expense the funds paid to the underwriter, thereby stabilizing
earnings as well as cash flow.
The study of evolution
of ideology and social institutions suggests that accounting processes
are reactive; that they develop mainly in response to business needs
at any given time; and that their growth is relative to economic progress
generally.¹
This evolution is evidenced
by the motives for FASB 113's promulgation. Specifically, these
are the issues of:
a.
whether net reporting of the effects of reinsurance is appropriate;
and |
b. what
is meant by indemnification against loss or liability under a reinsurance
contract
(generally referred to as risk transfer). |
These issues have been studied by the insurance, the accounting, and
actuarial professions for some time, and interest has grown in recent
years. as a result of the widespread public attention focused on failures
of insurance enterprises. In fact, risks associated with reinsurance
have been cited as a contributing factor in several of those failures.
Some have observed that offsetting of reinsurance-related assets and
liabilities and inadequate reinsurance disclosure obscure risks associated
with reinsurance. Others have
observed that the accounting guidance in FASB 60 allows the use of reinsurance
to accelerate the recognition of income relating to the reinsured contracts.
These issues
led the Financial Accounting Standards Board to reconsider the accounting
for reinsurance required by FASB 60. FASB 113’s ramifications on these
two products are discussed below.
Loss Portfolio Transfer
Heretofore,
a company which transferred its liabilities for less than the liabilities
recorded value was able to recognize a gain in the year that the transfer
was consummated. However, paragraph 22 of FASB 113 now requires that
the amounts paid for retroactive reinsurance (loss portfolio transfer)
shall be reported as reinsurance receivables to the extent the amounts
do not exceed the recorded liabilities relating to the underlying reinsured
contracts.
If the
recorded liabilities exceed the amounts paid, reinsurance receivables
shall be increased to reflect the difference and the resulting gain
deferred. This deferred gain is then to be amortized over the estimated
remaining settlement period of the transferred losses.
If the
amounts and timing of the reinsurance recoveries can be reasonably,
estimated, the deferred gain is to be amortized using the effective
interest rate inherent in the amounts paid to the reinsurer and the
estimated timing and amounts of recoveries from the reinsurer. Otherwise,
the proportion of the actual recoveries total estimated recoveries (the
recovery method) shall determine the amount of amortization.
Further.
FASB 60 continued the long-established practice that originated in statutory
accounting whereby the ceding enterprise reported insurance activities
net of the effects of reinsurance -- liabilities were reported net of
reinsurance amounts and earned premium and claims cost were reported
net of reinsurance in the statement of earnings. Paragraph 14 of FASB
113 requires that reinsurance contracts that are legal replacements
of one insurer by another (often referred to as assumption and novation)
extinguish the ceding enterprise's liability to the policyholder(s)
and result in the removal of related assets and liabilities from the
financial statements of the ceding company.
Exhibits I
and II contrasts the pre- and post- FASB 113 treatment for a portfolio
transfer in which $1,000,000 of liabilities
are transferred for a premium of $800,000 in fiscal year 19X1.
Exhibit II demonstrates the amortization of the
gain in year 19X2 through 19X5 based on estimated annual recovery of
$250,000 commencing in 19X2.
Exhibit 1 |
Loss Portfolio
Transfer
Pre FASB 113 |
Balance Sheet |
|
19X0 |
19X1 |
19X2 |
19X3 |
19X4 |
19X5 |
Cash |
$1,000,000 |
$200,000 |
$200,000 |
$200,000 |
$200,000 |
$200,000 |
Total Assets |
$1,000,000 |
$200,000 |
$200,000 |
$200,000 |
$200,000 |
$200,000 |
Losses |
$1,000,000 |
$1,000,000 |
$750,000 |
$500,000 |
$250,000 |
$0 |
Receivables |
---- |
1,000,000 |
750,000 |
500,000 |
250,000 |
0 |
Net Loss/Total Liabilities |
$1,000,000 |
$0 |
$0 |
$0 |
$0 |
$0 |
Stock |
1,000,000 |
1,000,000 |
1,000,000 |
1,000,000 |
1,000,000 |
1,000,000 |
Surplus/Retained Earnings* |
(1,000,000) |
(800,000) |
(800,000) |
(800,000) |
(800,000) |
(800,000) |
Total Liabilities & Surplus |
$1,000,000 |
$200,000 |
$200,000 |
$200,000 |
$200,000 |
$200,000 |
Statement of
Earnings |
|
19X0 |
19X1 |
19X2 |
19X3 |
19X4 |
19X5 |
Accrued Losses |
$1,000,000 |
$ |
|
|
|
|
Liabilities/Transferred |
|
1,000,000 |
|
|
|
|
Premiums |
|
(800,000) |
|
|
|
|
Profit <Loss>* |
($1,000,000) |
$200,000 |
$0 |
$0 |
$0 |
$0 |
Exhibit
II |
Loss
Portfolio Transfer
Post FASB 113 |
Balance
Sheet |
|
19X0 |
19X1 |
19X2 |
19X3 |
19X4 |
19X5 |
Cash |
$1,000,000 |
$200,000 |
$200,000 |
$200,000 |
$200,000 |
$200,000 |
Receivables |
---- |
1,0000,000 |
750,000 |
500,000 |
250,000 |
0 |
Total Assets |
$1,000,000 |
$1,000,000 |
$950,000 |
$700,000 |
$450,000 |
$200,000 |
Losses |
$1,000,000 |
$ 1,000,000 |
$750,000 |
$500,000 |
$250,000 |
$0 |
Deferred Gain |
---- |
200,000 |
150,000 |
100,000 |
50,000 |
$0 |
Total Liabilities |
$1,000,000 |
$1,200,000 |
$900,000 |
$600,000 |
$300,000 |
$0 |
Stock |
1,000,000 |
1,000,000 |
1,000,000 |
1,000,000 |
1,000,000 |
1,000,000 |
Surplus/ Retained Earnings* |
(1,000,000) |
(1,000,000) |
(950,000) |
(900,000) |
(850,000) |
(800,000) |
Total Liabilities & Surplus |
$1,000,000 |
$1,200,000 |
$950,000 |
$700,000 |
$450,000 |
$200,000 |
Statement
of Earnings |
|
19X0 |
19X1 |
19X2 |
19X3 |
19X4 |
19X5 |
Accrued Losses |
$1,000,000 |
$ |
$ |
$ |
$ |
$ |
Amortization of Gain |
-- |
0 |
50,000 |
50,000 |
50,000 |
50,000 |
Profit <Loss>* |
($1,000,000) |
$0 |
$50,000 |
$50,000 |
$50,000 |
$50,000 |
Per Risk Excess of Loss
Cover
This vehicle
is primarily a funding mechanism in which an infrequently expected loss
is funded over multiple years. Consequently, cash flow is stabilized,
and should the scheme exhibit indemnification, the annual payment/premium
would be expensed, as opposed to expensing/accruing the loss if and
when it occurs which would de-stabilize earnings.
The dilemma to date
, however is that determining whether a reinsurance contract indemnifies
the ceding enterprise against loss or liability has been controversial
and problematic in practice. For instance, does a program which
exacts premiums equal to 70, 80 or 90 percent, etc. of the policy limits
constitute indemnification? Thus, the board concluded that FASB
113 should provide general guidance on the circumstances under which
the contract provides indemnification against loss or liability related
to insurance risk.
In paragraph 9, the
board established the following criteria to determine if the plan indemnifies
the insured:
A.
The insurer/reinsurer assumes signifigant insurance risk (the
risk arising from uncertainties about both)
1. the ultimate amount of net cash flows from premiums, commissions,
claims, and claim settlement expenses paid under a contract, often
referred to as underwriting risk, and
2. the timing of the receipt and payment of those cash flows,
often referred to as timing risk. Actual or imputed investment
returns are not an element of insurance risks. Insurance
risks is fortuitous--the possibility of and adverse event occurring
is outside the control of the insured) |
B.
It is reasonably possible that the insurer/reinsurer may realize
a significant loss from the transaction. |
The opinion further clarifies
this criteria stating that the insurer/reinsurer shall not be considered
to have assumed significant variation in either the amount or timing
of payments by the insurer/reinsurer is remote. Contractual provisions
that delay timely reimbursements to the insured would prevent this condition
from being met.
To determine
if it is reasonably possible for an insurer/reinsurer to realize a significant
loss, the evaluation is to be based on the present value of all cash
flows between the ceding and assuming enterprises under reasonably possible
outcomes. The same interest rate is to be used to compute present
value of cash flows for each reasonably possible outcome tested.
Paragraph 11
of the opinion, however, provides an exception to this theorem.
This exception is invoked if substantially all of the insurance risk
relating to the insurance contract has been assumed by the insurer/reinsurer.
This condition is met only if insignificant insurance risk is retained
by the ceding enterprise. The term insignicant is defined in paragraph
8 of FASB 97 to mean "having little or no importance; trivial"
and is used in the same sense in FASB 113.
Even with the
advent of FASB 113, the evaluation still involves subjective thought;
albeit a uniform model has been promulgated. Exhibits
III, IV, and V
provide and example of the proposed methodology. Exhibit III,
depicts the enterprise's limits hierarchy, and Exhibits IV
and V demonstrate the evaluation of a $5 million
per risk excess of loss cover layer under two possible outcomes.
Conclusion
FASB 113, in
its focus on substance as opposed to form, requires that any gain realized
in a loss portfolio transfer be recognized over the claim settlement
period, as opposed to the year in which the transfer is consummated.
Additionally, unless the ceding enterprise/insured is relieved of its
liability to the policyholder/claimant, the related assets and liabilities
are not removed from its financials. The net/offset methodology
is no longer appropriate in that scenario.
Regarding per
risk excess of loss cover, the opinion sets out the appropriate methodology
to evaluate the extent to which, if any, the transaction indemnifies
the insured/ceding enterprise. As promulgated in paragraph 44
of FASB 5 and paragraph 40 of FASB 60, the presence of indemnification
is the essential ingredient if the transaction is to accomplish its
touted objective of stabilizing earnings.² Consequently, determining
whether the contract provides indemnification and thus will stabilize
earnings requires a complete understanding of that contract and other
contracts between the ceding enterprise and the assuming entity. This
complete understanding includes an evaluation of all contractual features
that
A) limit the amount of insurance
risk to which the reinsurer is subject (such as experience refunds,
cancellation provsions, adjustable features) or |
B) delay the timely reimbursement
of claims by the insurer/reinsurer (such as accumulating retentions
from multiple years or payment schedules. In essence, each
contract must be judged on its attributes.€ |
Exhibit
III
Finite Risk - Indemnification Analysis
$44 Million
Excess
$6 Million per
occurrence |
Finite
Risk
$5 Million per
occurrence |
|
Primary
$1 Million |
LIMITS HIERARCHY
Premium for Finite Risk $800,000 annually for
5 years |
Exhibit IV |
Finite Risk-Indemnification
Evaluation
Cash Flows Scenario 1- - $5 Million Loss |
Occurs mid-year
in Year 1 |
|
Yr 1 |
Yr 2 |
Yr 3 |
Yr 4 |
Yr 5 |
Yr 6 |
Yr 7 |
Total |
Premium Payments* |
$800,000 |
$800,000 |
$800,000 |
$800,000 |
$800,000 |
$200,000 |
|
$4,000,000 |
Interest on Deficit** |
96,000 |
144,000 |
96,000 |
48,000 |
|
|
|
384,000 |
Total Cash in flows |
896,000 |
944,000 |
896,000 |
848,000 |
800,000 |
|
|
4,384,000 |
Cash out flows |
|
|
|
|
|
|
|
|
Defense Cost*** |
125,000 |
$125,000 |
125,000 |
125,000 |
125,000 |
125,000 |
------------ |
750,000 |
Claims Settlement**** |
|
|
|
|
|
|
4,250,000 |
4,250,000 |
Interest on Surplus** |
16,000 |
|
|
|
|
|
|
16,000 |
Total cash out flows |
141,000 |
125,000 |
125,000 |
125,000 |
125,000 |
125,000 |
4,250,000 |
5,016,000 |
Net Cash Flows |
755,000 |
819,000 |
771,000 |
723,000 |
675,000 |
(125,000) |
(4,250,000) |
(632,000) |
NPV Factor @ 8% |
.962 |
.892 |
.826 |
.763 |
.709 |
.653 |
.606 |
|
Assumptions: |
*
Funding 80% of policy limits over 5 years - Underwriter's P &
A (minimum premium) is $400,000-10% of Funding
**Insured pays 6% interest from occurrence of loss on funding
deficit. Underwriter pays 4% interest to insured on Funding
Surplus
***Defense costs are projected to be %15 of $5,000,000 loss payable
annually and are within limits
****$5 million loss occurs mid-year yr 1 of program and paid out
in mid-year 7
*****Underwriter realizes a profit in spite of paying out policy
limits - No indemnification |
Exhibit
V |
Finite
Risk-Indemnification Evaluation
Cash Flows Scenario 2- - $5 Million Loss |
Occurs
mid-year in Year 5 |
|
Yr 1 |
Yr 2 |
Yr 3 |
Yr 4 |
Yr 5 |
Yr 6 |
Yr 7 |
Yr 8 |
Yr 9 |
Yr 10 |
Yr 11 |
Yr 12 |
Total |
Premium
Payments* |
$800,000 |
$800,000 |
$800,000 |
$800,000 |
$800,000 |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$4,000,000 |
Interest
on Deficit** |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Cash
in flows |
800,000 |
800,000 |
800,000 |
800,000 |
800,000 |
|
|
|
|
|
|
|
4,000,000 |
Cash out
flows |
|
|
|
|
|
|
|
|
|
|
|
|
|
Defense
Cost*** |
|
|
|
|
|
125,000 |
125,000 |
125,000 |
125,000 |
125,000 |
125,000 |
|
750,000 |
Claims
Settlement**** |
|
|
|
|
|
|
|
|
|
|
|
4,250,000 |
4,250,000 |
Interest
on Surplus** |
32,000 |
65,280 |
99,891 |
135,887 |
86,662 |
|
|
|
|
|
|
|
419,720 |
Total cash
out flows |
32,000 |
65,280 |
99,891 |
135,887 |
86,662 |
125,000 |
125,000 |
125,000 |
125,000 |
125,000 |
125,000 |
4,250,000 |
5,419,720 |
Net
Cash Flows |
768,000 |
734,720 |
700,109 |
664,113 |
713,338 |
125,000 |
125,000 |
125,000 |
125,000 |
125,000 |
125,000 |
4,250,000 |
(1,419,720) |
NPV Factor
@ 8% |
.962 |
.892 |
.826 |
.763 |
.709 |
.653 |
.606 |
.562 |
.521 |
.481 |
.446 |
.413 |
|
NPV Cost
to U/W |
$738,816 |
$655,370 |
$578,290 |
$506,718 |
$505,756 |
($81,625) |
($75,750) |
($70,250) |
($65,125) |
($60,125) |
($55,750) |
($1,755,250) |
*****
$821,075 |
Assumptions: |
*
Funding 80% of policy limits over 5 years - Underwriter's P &
A (minimum premium) is $400,000-10% of Funding
**Insured pays 6% interest from occurrence of loss on funding
deficit. Underwriter pays 4% interest to insured on Funding
Surplus
***Defense costs are projected to be %15 of $5,000,000 loss payable
annually and are within limits
****$5 million loss occurs mid-year yr 5 of program and paid out
in mid-year 12
*****Underwriter realizes a profit in spite of paying out policy
limits - No indemnification |
Footnotes:
1. Michael Chatfield, D.B.A., CPA, A History of Accounting Thought,
New York: Robert E. Kreiger Publishing Co., 1977.
2. For a discussion of the economic disadvantages of finite risk
products, see Richard M. Duvall, Ph.D., CPCU, "A New Look at
Financial Insurance Products." Risk Management, (November,
1992). |
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