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 IIIIV, 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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