Property–Casualty Insurance Basics
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Property–Casualty Insurance Basics RISK POLICY- CLAIM HOLDER UNDER- PROTECTION INVESTMENT WRITING PREMIUM RESERVE SOLVENCY REGULATION A look inside the Fundamentals and Finance of Property & Casualty Insurance very day, individuals and businesses face a variety of potentially catastrophic Erisk and uncertainty. By creating tools to manage uncertainty and loss, property-casualty insurers are able to provide vital personal and professional protection. In addition, property-casualty insurance helps provide and maintain a reliable foundation for our economy. Despite the fundamental role property- casualty insurance plays in the lives of virtually every American, relatively few people outside of the insurance industry understand how it works. This booklet looks at the basic concepts of property-casualty insurance, providing a plain-English primer on several key topics. We’ll also look at insurance finance by discussing how premiums are determined and tracing the path of the premium dollar as it flows through a hypothetical company. Insurance Benefits Society and the Economy Improving consumer and worker safety: Insurance Providing trillions of dollars to the U.S. economy makes businesses and individuals more aware of the each year: risks they face and provides motivation to prevent losses. The property-casualty insurance industry pays out more For example, insurers provide premium discounts to than $400 billion annually in policy benefits. safe drivers and to businesses that implement effective worker safety programs. Property-casualty insurers doing business in the United States have more than $1.4 trillion invested in the Protecting consumer transactions: Most consumers economy, through stock, corporate and government have to borrow money to buy homes and cars; lenders bonds, and real estate mortgages. require insurance in order to secure the loans they make for these purchases. Without insurance, few people These investments finance building construction and could obtain an auto loan or home mortgage. provide other crucial support to economic development projects all across the country. Protecting business transactions: Without insurance, most businesses would find that they could not operate. Property-casualty insurers are a major source of capital Insurance enables businesses of all sizes and types for state and local government in the United States. to manage the risks that are an inherent part of any Insurers invest, through municipal bonds, in a variety of business operation (e.g., signing contracts, financing and public projects, such as airport, hospital, and highway expanding operations, manufacturing and distributing construction. Insurers also purchase general obligation products, providing services, hiring employees). bonds used to finance ongoing government operations. Providing recovery from catastrophes: Hurricanes, There are approximately 2,700 companies providing winter storms, fires, and other disasters can cause property-casualty insurance coverage in the United tremendous, sudden loss to many people all at once. States. Insurance coverage enables businesses to replace About 2.3 million people are employed by the property- inventories and reconstruct buildings, and allows casualty industry, including insurance companies, homeowners to repair and rebuild homes and agencies, and brokerages. replace personal property. Introducing the American Insurance Association he American Insurance Association (AIA) is the leading U.S. property-casualty insurance trade Torganization, representing approximately 300 insurers that write more than $117 billion in pre- miums each year. AIA member companies offer all types of property-casualty insurance, including personal and commercial auto insurance, commercial property and liability coverage for business- es, workers’ compensation, homeowners’ insurance, medical malpractice coverage, and product liability insurance. As an industry, property-casualty insurers account for nearly 3% of our country’s GDP and provide over 2.3 million jobs nation-wide. Our roots go back more than 147 years to the establishment of the National Board of Fire Under- writers in 1866. In 1964, the old American Insurance Association merged with the National Board and the Association of Casualty and Surety Companies and became the present-day AIA. We are proud of our history and tradition, but our strength lies in our ability to look toward the future and lead the debate in an era of rapid change. We lead by blending the best ideas of our companies, consumers, regulators, and business leaders to forge constructive solutions to the challenges facing our industry. Then, we build consensus and advocate for those solutions to ensure that the insurance industry remains sound, and keeps its promises to policyholders. Property-Casualty Insurance Basics was developed to provide you a general over- view of the property-casualty industry and offer some basic information on how our business began and how it operates today. Through AIA’s dedicated staff and in-house policy team, we stand ready to assist your office on the pressing issues facing the insurance industry and the financial services sector in general. Please do not hesitate to contact me or a member of my staff should you have any questions and please use AIA as a resource. Leigh Ann Pusey President and CEO Our Team FEDERAL AFFAIRS STATE AFFAIRS Washington Office 2101 L Street, NW, Suite 400 Mid-Atlantic Region Southwest Region Washington, DC 20037 2101 L Street, NW, Suite 400 PO Box 12963 Washington, DC 20037 Austin, Texas 78711 Tom Santos Eric M. Goldberg Fred C. Bosse Vice President for Federal Affairs Vice President for State Affairs Vice President for State Affairs 202-828-7173 202-828-7172 512-659-2327 [email protected] [email protected] [email protected] Melissa Shelk Vice President for Federal Affairs Midwest Region Western Region 202-828-7119 655 Deerfield Road, Suite 100 1015 K Street, Suite 200 [email protected] Deerfield, Illinois 60015 Sacramento, CA 95814 Steve Schneider Marjorie Berte Vice President for State Affairs Vice President for State Affairs 312-782-7720 916-442-7617 [email protected] [email protected] Steve Suchil Northeast Region Assistant Vice President/Counsel 95 Columbia Street for State Affairs Albany, New York 12210 916-442-7617 Gary Henning [email protected] Vice President for State Affairs 518-462-1695 [email protected] Southeast Region 2107 N. Decatur Rd. Suite 257 Decatur, GA 30033 Ron Jackson Vice President for State Affairs 404-261-8834 [email protected] aiadc.org Property-Casualty Basics Insurance Helps People Manage Risk isk is inevitable in society; insurance helps address that In taking on massive amounts of societal risk, the insur- Rreality. Insurance allows individuals and organizations to ance industry relies on two fundamental tools: pooling and exchange the risk of a large loss for the certainty of smaller the Law of Large Numbers. An insurer can cover the risk periodic payments, known as premiums. The exchange of losses from a few policyholders by combining (pool- (or transfer) of risk is laid out in a legal contract called the ing) together the premiums from a much larger group of insurance policy, which spells out the coverage, compen- policyholders. This also improves predictability, thanks to a sation, and/or other benefits. statistical principle known as the Law of Large Numbers, Insurance takes on (or assumes) “pure” risk — the possibil- which states that the accuracy of loss prediction increases ity of suffering harm or loss. (Insurance is not for “specula- with the number of policyholders in the pool. tive” risks, like gambling, where financial gain is possible.) Insurance also handles risk by working to prevent losses If a covered loss occurs, the policyholder is compensated to lives and property. Loss prevention (also known as loss consistent with the terms of the policy. Examples of risk control or mitigation), is a core function of the insurance covered by insurance include fire, theft, tornadoes, mo- business and has benefited society immeasurably. tor vehicle crashes, and being sued for causing harm to another person. Risk has two key dimensions—frequency and severity— and both help determine insurability. “Frequency” relates to how often a loss occurs, i.e., whether the risk/event is common or relatively rare. “Severity” relates to how costly Low Frequency High Frequency losses resulting from that risk could be, i.e., whether they High Severity High Severity could be relatively inexpensive or truly catastrophic in nature. Y IT As shown in the table on the right, insurance is an appro- priate method of risk transfer for low-frequency, high- SEVER severity losses (e.g., house fires or tornadoes), as well as Low Frequency High Frequency for high frequency, low severity losses (e.g., motor vehicle crashes). However, insurance may not be the most ap- Low Severity Low Severity propriate method for treating all risks facing individuals and businesses. For example, insurance could be too expen- sive for certain risks (such as low-frequency, low-severity) or unavailable for other risks (such as high-frequency, FREQUENCY high-severity risks, or risks whose frequency and/or sever- ity is difficult to predict, such as terrorism). Additionally, insurance may be unable to fully compensate for a loss (e.g., the destruction of family photos, which have great emotional value, but little financial value). The Fundamentals and Finance of Property & Casualty Insurance 1 Property-Casualty Insurance Origins