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Publication of Financial Sector Assessment Program Documentation: Detailed Assessment of Observance of IAIS Insurance Core Principles
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This paper discusses key findings of the Detailed Assessment of Observance of International Association of Insurance Supervisors (IAIS) Insurance Core Principles for the United States. Most U.S. insurers write primary insurance on U.S. risks. The U.S. market is characterized by low market concentration in most sectors, indicating a high degree of competition. Overall, the insurance sector, and the property and casualty companies in particular, has been resilient through the financial crisis. However, there have also been significant stresses in the insurance sector in the last two years.

Abstract

This paper discusses key findings of the Detailed Assessment of Observance of International Association of Insurance Supervisors (IAIS) Insurance Core Principles for the United States. Most U.S. insurers write primary insurance on U.S. risks. The U.S. market is characterized by low market concentration in most sectors, indicating a high degree of competition. Overall, the insurance sector, and the property and casualty companies in particular, has been resilient through the financial crisis. However, there have also been significant stresses in the insurance sector in the last two years.

I. Executive Summary, Key Findings, and Recommendations

1. Insurance regulation in the United States, which is mostly carried out by states, is generally thorough and effective, although there are areas where significant development is needed. Strong regulation contributed to the overall resilience of the insurance sector during the financial crisis. There is generally a high level of observance of the Insurance Core Principles. Aspects of regulatory work such as data collection and analysis in relation to individual insurance companies are world-leading. There are mechanisms to ensure individual states implement solvency requirements effectively. However, there is a need for development of the policy framework in relation to insurance and financial stability and international issues; and for extensive reform to the laws governing state insurance departments, including on appointment and dismissal of commissioners, to secure the independence of regulatory work. The approach to supervision of groups needs significant development.

A. Introduction

2. This assessment of the U.S.’s compliance with International Association of Insurance Supervisors (IAIS) Insurance Core Principles (ICP) was carried out as part of the 2010 U.S.A., Financial Sector Assessment Program (FSAP). The assessment was carried out by Tom Karp, insurance expert and a former Executive General Manager, Australian Prudential Regulatory Authority, and Ian Tower, Monetary and Capital Markets Department, IMF.

3. While insurance regulation is principally a responsibility of the states, the assessment addresses national compliance with the ICPs. Regulatory responsibility is shared by 50 states, the District of Columbia and the five U.S. territories. Although certain departments of the U.S. government maintain an interest in insurance, for example in relation to external trade (where states have no authority) and anti-money laundering, federal authorities have limited regulatory powers over the insurance sector. This assessment addresses insurance regulation nationally and does not assess individual state authorities.

B. Information and Methodology Used for Assessment

4. The assessment was based on information available in November 2009 at the time of an FSAP mission. The National Association of Insurance Commissioners (NAIC) contributed a self-assessment and further information in response to requests before and during the mission. Documentation, including relevant laws and regulations,1 was supplied. The assessment has been informed by discussions with regulators and market participants. The assessors met with staff from the NAIC and with selected insurance commissioners 2 and their staffs; with government, insurance companies and intermediaries; and with industry and actuarial bodies. The assessors are grateful for the full cooperation extended by all.

5. The assessment was based on the 2003 version of the IAIS Insurance Core Principles and Methodology. It took into account relevant IAIS standards and guidance in addition to the ICPs. The assessment of ICP 28 (anti-money laundering, combating the financing of terrorism (AML/CFT)) has been informed by the assessment carried out in 2006, of U.S. compliance with the Financial Action Task Force (FATF) AML/CFT standards, using the 2004 Methodology.

6. The approach to this assessment reflects the large market size and state-based system of insurance regulation. As the assessment addresses national compliance and the assessors were not able to hold discussions or review material from more than a few state authorities, reliance has been placed on discussions with:

  • NAIC staff on regulatory practices across the states, based on an NAIC self-assessment which addresses compliance with the ICPs for the United States as a whole; and on the processes and procedures used by the NAIC (i.e., the commissioners of insurance acting collectively and the staff of the association) in their support for state regulators (see paragraphs 20 to 21); and

  • A selection of insurance commissioners and their staff in the states of Illinois, Iowa, New York, and West Virginia. While discussions in all these states were wide-ranging, they paid particular attention respectively to life insurance supervision, the property and casualty sector (including brokers), coordination with foreign regulators, and challenges faced by smaller states.

  • The assessors also met with officials from the U.S. Department of the Treasury to discuss their overview of the system in the context of evolving plans for the reform of U.S. regulation in response to the financial and economic crisis.3

7. Findings from these discussions (and documents made available to the assessors) have been used to inform the overall assessment of observance of the ICPs in the United States. The well-developed procedures of the NAIC have made it possible to take a view, in particular for financial regulation, of the degree of uniformity, in extent and quality of regulation, across the states. Nonetheless, the assessors note that their conclusions are subject to unavoidable limitations on their ability to verify practices across the country (particularly in the implementation of regulatory requirements) that result from a state-based system with over 50 separate authorities.

C. Institutional and Market Structure—Overview

8. The U.S. insurance market is the largest in the world. There were 7,948 licensed insurance companies at the end of 2008. Total premium volume in 2008 of US$1.24 trillion accounted for 29 percent of the global market (Japan and the United Kingdom were second and third largest with 11 percent and 10 percent shares respectively). On insurance density measures (premiums per capita), the United States ranked ninth at US$4,078 in 2008 and thirteenth on insurance penetration (premiums as a percentage of GDP) at 8.7 percent. 4 There are three main sectors—life, property and casualty (divided between personal and commercial lines), and health insurance. Key specialist insurance lines (i.e., those which must be written in separate companies) are: financial guaranty (bond insurance—the “monoline insurers”); mortgage insurance; and title insurance. The sector also includes captive insurance companies and Risk Retention Groups (RRGs). Total employment in insurance companies was 1.6 million at the end of 2008.

9. Most U.S. insurers write primary insurance on U.S. risks. The U.S. market is characterized by:

  • low market concentration in most sectors, indicating a high degree of competition, which has been supported by provisions allowing certain risks, mostly in commercial lines, that are hard to insure (“excess and surplus lines”) to be written free of some of the general regulatory requirements and coverage by guaranty funds, provided that cover has previously been sought by an agent but cannot be obtained in the regulated (“admitted”) market;

  • limited private sector capacity in certain “hard to insure” risks, particularly those related to severe weather, natural catastrophes, and some classes of medical risks, which has led to the creation of certain “residual market” mechanisms, such as joint underwriting arrangements and programs provided directly by state or federal government; at federal level, these cover, in particular, terrorism losses (TRIA), flood risk and crop loss; and, at state level, mainly workers compensation or property risks in areas exposed to natural catastrophes and reinsurance for hurricane losses (the Florida Hurricane Catastrophe Fund);

  • limited international insurance business (so most business written by U.S. insurers is in relation to U.S. risks) and a relatively small reinsurance capacity—58 percent of all premium ceded to reinsurers by U.S. insurers is to markets in Europe and Bermuda (85 percent, if premium ceded to offshore affiliates of U.S. companies is included); and

  • relatively few cross-sector groups offering insurance as well as other financial services: while the 1999 Gramm-Leach-Bliley Act (GLBA) reformed the regulatory framework to accommodate cross-sector groups, there are only 17 groups headed by a bank holding company regulated by the Federal Reserve (because they offer insurance and banking), while 42 contain a thrift regulated by the Office of Thrift Supervision.

10. Distribution of insurance products is mainly through agents and brokers. Intermediaries distributing insurance in the United States are generally referred to as “producers.” They may act as agents of one or more insurance companies (captive agents or independent agents) or as brokers—i.e., acting on behalf of the customer. Banks may also distribute insurance products but have limited market share.

Recent performance

11. Overall, the insurance sector, and the property and casualty companies in particular, has been resilient through the financial crisis. Capital and surplus, the key measure of the buffer available in case insurance company reserves prove inadequate to ensure that policyholder claims can be paid, has fallen by 6.7 percent in life and 8.5 percent in property and casualty between end-2007 and mid-2009. Companies whose capital adequacy, measured by the regulators’ risk-based capital (RBC) requirements, fell to regulatory intervention levels 5 accounted for only 3 percent of the total in 2008. While there have been several firms placed in receivership, only one company has been subject to receivership for causes and with a timing directly related to the financial crisis. 6 The property and casualty sector suffered from investment market falls, but losses from natural catastrophes so far in 2009 have not been as high as in some recent years. As Table 1 shows, while absolute dollar amounts of capital have fallen, so has the required risk-based capital, leading to capital coverage ratios in the sectors falling more slowly. Actual capital in each of the sectors is many times greater than required RBC levels and, on average, about two to three times the capital levels at which regulatory intervention would occur.

12. However, there have also been significant stresses in the insurance sector in the last two years. Writers of financial guaranty business (the monoline insurers) lost the previously high ratings on which much of their business depended after serious losses on business related to impaired structured finance products. The American International Group (AIG) was supported by the federal authorities after major losses at its capital markets affiliate. Two other insurance groups with federally regulated banking or thrift subsidiaries were granted federal government capital support under the Troubled Asset Relief Program (TARP) (others had applied for funds). Insurers also benefited from Federal Reserve programs, particularly the Term Asset-Backed Securities Loan Facility (TALF) that supported liquidity in the markets in which they had invested.

Table 1.

United States: U.S. Insurance Companies—Capital Adequacy

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13. Life insurance has been particularly affected. In addition to large unrealized investment losses, some companies experienced downward pressure on regulatory capital ratios that raised concerns over possible widespread ratings downgrades. Regulators were approached for relief and firms were granted some individual modification (“permitted practices”). The strains were related to recent strong growth in non-traditional savings products such as variable annuities (Box 1), many of which contain generous guarantees. Life insurers were also affected by the illiquidity in asset markets, including pressures in securities lending (cash collateral had been reinvested by some firms in illiquid instruments, causing liquidity strains when the collateral was recalled). New business volumes have been falling sharply.

Variable Annuities

Variable annuities products are investment-linked products with some form (s) of guarantee (accumulation, income, death or withdrawal) which are sold by life insurers into the retirement and investment market. In the United States, the most common guarantee offered is that on withdrawal. The customer’s initial capital paid into such a product is invested in a sub-account at the customer’s discretion. The customer can withdraw guaranteed periodic amounts up to the amount of the initial capital. The product terminates once the initial capital has been withdrawn with any remaining funds in the sub-account returned to the customer at maturity. So the sub-account value fluctuates with movements in the underlying assets and decreases with withdrawals.

The product therefore effectively combines an annuity, in the form of guaranteed periodic withdrawals, with a call option on the underlying residual sub-account at maturity. So, while the customer who owns the sub-account carries much of the investment risk, the insurer is carrying the risk that the sub-account will not be adequate to fund the guaranteed withdrawal amounts.

The NAIC has been developing its approach to the treatment of such products with complex guarantees in its capital adequacy requirements. In 2000, an internal models based approach was added to the previously factor-based capital approach to capture interest rate risk. This was refined in 2005 to capture equity risk.

These changes have automatically been applied by all states, as the NAIC risk-based capital system is referenced in all state laws. Work is currently under way further to refine the reserving requirements for such products. Over the last few years, and especially since the financial crisis, insurers have reduced their writing of such products and scaled back the types and levels of guarantees offered.

14. While pressures have eased, there remain challenges. The recovery in many markets since March 2009 has brought relief to the insurance sector. However, risks remain.

  • Life companies in particular remain significantly exposed to possible further problems if economic downturn continues. Their commercial property exposure is high, both in loans and investments, as is exposure to banks. A prolonged low interest rate environment would exacerbate strains. However, as life companies have shifted to savings products, their insurance risks (mortality and longevity) have become less significant.

  • Health insurers are subject to significant uncertainty arising from the proposed federal government reforms to health insurance.

  • Property and casualty risks are more dispersed. While the United States is exposed to major natural catastrophes, their impact is regional; and while some companies are heavily exposed to particular events, national companies have diversified risks and the largest catastrophe risks are carried by reinsurers outside the United States.

Regulatory arrangements

15. Insurance is a predominantly state-regulated activity in the United States. While the foundation for state responsibility goes back to 1851, a key event was the legislative reaction to a Supreme Court decision in 1944. The court declared that insurance was interstate commerce and, hence, under the U.S. constitution, subject to federal regulation, including federal laws such as the Sherman Act and other antitrust laws. This prompted calls on Congress to override the decision and the 1945 enactment of the McCarran-Ferguson Act, which reinstated the regulatory authority of the states “on matters of the business of insurance” and exempted the “business of insurance” as regulated by the states from federal anti-trust laws. A key consequence of this exemption is that insurance companies are able to pool data for use in underwriting risks.

16. There are also some federal government responsibilities. While state regulation has not been substantially challenged since 1945, the federal government has enacted various measures affecting insurance. The 1974 Employee Retirement Income Security Act (ERISA) imposed federal reporting requirements and enforcement powers for employer-sponsored retirement plans and other related benefits. The Gramm-Leach-Bliley Act of 1999 preserved state regulation by reaffirming the McCarran-Ferguson Act, but pressed the states to achieve licensing reciprocity in insurance intermediary licensing or accede to federal intervention. The 2002 U.S.A. PATRIOT Act extended aspects of the Federal Bank Secrecy Act to insurance and gave examination powers in relation to anti-money laundering and certain specified insurance business to federal authorities.

17. States carry out insurance regulatory functions within the state administration. The insurance departments or similar units within state administrations carry out licensing and oversight work for insurance companies and intermediaries under powers set out in state legislation and in accordance with state budgets. A commissioner heads the department and exercises all formal powers. Some commissioners are elected, but most are appointed by the state governor. While arrangements vary among states, funding is usually raised from the insurance markets via fees and levies. (Fees are usually for specific activities, such as licensing and examinations, and are generally paid directly to the insurance department. Levies usually form part of state government revenue and are either dedicated to funding the insurance department or flow to general revenue with insurance department budgets subject to normal state budgeting processes). Insurance departments also collect premium taxes for the states, a significant part of state governments’ total revenues.

18. Businesses must obtain a license in each state where they are writing risks. An insurance company is said to be “domiciled” in the state that issued its primary license; it is “domestic” in that state. Once licensed in one state, it may seek licenses in other states as a “foreign” insurer. An insurer incorporated in a foreign country is called an “alien” insurer in the U.S. states in which it is licensed. “Multistate companies” (the vast majority by premium income) are those that write business in more than one state. The extent of mutual recognition (known as reciprocity) varies by state and requirement, but financial regulation is mostly carried out by the state where the insurer is domiciled.

19. State insurance departments carry out both financial and market conduct regulation. States set reserving and capital requirements—the rules and associated reporting frameworks are complex and details are set out in an appendix to this assessment. States carry out financial analysis and onsite examinations—which are required by law every five years at minimum (or three years in some states). Most states have some review or approval authority over policy forms and, in the case of property and casualty insurers, they also often regulate premium rates. In respect to rates, the objective is to ensure that they are not inadequate, excessive, or unfairly discriminatory. Departments also respond directly to consumers’ complaints and requests for information. They license and oversee insurance intermediaries. States have extensive powers to enforce their financial and market conduct requirements.

20. The NAIC plays an important coordinating role for state regulators. The NAIC is the vehicle through which the state insurance commissioners act as a group. The commissioners have established a not-for-profit organization to assist them in respect of their regulatory responsibilities, by centralizing some functions to achieve economies and greater uniformity, to pool resources and to obtain and share expertise. The objective is to enable the states to develop regulation in ways they could not achieve by acting individually. The NAIC itself employs some 430 staff, which compares with nearly 12,000 employed by the states. Key functions of the NAIC, in relation to this assessment, are:

  • processes and procedures to develop and agree model laws and regulations, which now total over 200. States contribute to the development of these laws via NAIC working groups. While states are not obliged to implement model laws and regulations in state law, the process creates an expectation that state legislation will broadly mirror the requirements agreed by commissioners at NAIC meetings. In practice, states often implement the models with variations, which are particularly significant in market conduct and producer licensing;

  • the Financial Regulation Standards and Accreditation Program (referred to in this report as “the accreditation program”). This is an extensive process aimed at ensuring that states meet certain minimum standards in respect to financial regulation. It covers, in relation to financial issues, laws and regulations (including 18 of the NAIC model laws) and key provisions on accounting and solvency; regulatory practices, including offsite and onsite supervision; and organizational and staffing practices. Standards on insurance company licensing will be added in 2012. In order to achieve and retain accreditation, states undergo a detailed review by independent examiners (many are accountants or retired senior regulators) once every five years; interim annual reviews are also required. Final decisions on accreditation are taken by a committee of commissioners. All 50 states and the District of Columbia are accredited. Formally, the effect of accreditation is to enable states to accept examinations undertaken by the domestic state rather than carrying out their own, although individual states may still impose additional standards on “foreign” companies (i.e., accreditation does not guarantee reciprocity). There are also reputational implications; and

  • the centralized process of financial analysis operated through the mechanism of the NAIC’s Financial Analysis Working Group (FAWG). This is a group of 18 senior financial experts who meet to discuss reports from NAIC staff covering all “nationally significant companies” (around 1,600 companies representing 85 percent of the market) based on annual and quarterly statements and other information. The objective is to challenge domestic state regulators, who retain responsibility for any action, on their analysis of companies and their regulatory response. A similar process is being developed for market conduct regulation.

State regulators, through the NAIC, maintain a number of databases covering financial information (most companies submit statements direct to the NAIC), data on producers, etc.

21. As they are the most likely to be fully and effectively implemented by states, this assessment highlights measures subject to accreditation program. The assessors have relied heavily on the accreditation program, because it is widely seen as assuring that minimum standards are met in all accredited states. In assessing statewide compliance with other NAIC model laws and other measures, the assessment distinguishes between those implemented in most, many and some states. However, as mentioned above, states have not been assessed individually and there is therefore a degree of uncertainty about the assessment of compliance across the country in these cases.

22. State regulators, through NAIC coordination mechanisms, have been taking initiatives to modernize key aspects of their approach, although progress has been mixed. In addition to continuing development of their requirements, state regulators have been engaged since 2000 on a broad-based regulatory modernization plan. This includes shifting from predominantly compliance/audit examinations of insurers to more forward-looking assessments of risk. This important change will be formally part of the accreditation program from January 1, 2010. Many of the objectives of the wider modernization plan have been met, but others, such as those relating to greater uniformity in producer licensing, have not been fully met.

23. The mixed progress reflects structural features of the regulatory framework:

  • In a state-based system, state administrations and legislatures are not bound to implement NAIC model laws and regulations; while local variations are often appropriate given the varying market conditions, it can be hard to achieve uniformity where it is necessary or desirable (in particular to reflect the essentially national reach of many large insurance companies and some intermediaries).

  • While the NAIC processes appear to be thorough and to deliver appropriate change, the need to involve many stakeholders and achieve consensus significantly slows the delivery of change, except where it is particularly urgent.

  • Regulatory requirements are heavily rules-based, which, while it has advantages in making requirements clear and comprehensive, increases the time required to make regulatory changes; the heavy use of rules also risks creating a tendency for regulators to engage in micro-management of insurers as each issue or problem that arises is addressed by adding even more rules.

24. A major new review, the Solvency Modernization Initiative (SMI), is now under way. In 2008, the NAIC launched the SMI as a review of financial requirements. This will include a study of solvency regimes and developments in other countries and the EU. The aim is to deliver a framework consistent with best practices and, if possible, more closely aligned with regimes in other countries and with accounting standards. The SMI is wide-ranging, covering:

  • capital requirements, including reviewing the design and calibration of current requirements and considering whether to require regulatory reporting of companies’ economic capital levels and information about the development of the companies’ target capital;

  • international accounting, particularly the implications of the joint project on insurance contract accounting of the U.S. Financial Accounting Standards Board (FASB) and International Accounting Standards Board (IASB); insurance regulators are required to review all changes to GAAP accounting and to determine what changes should be made to their own system of statutory accounting;

  • insurance valuation, including a project to move toward more principles-based reserving in life insurance; and consideration of making capital requirements reflect individual company risk characteristics more;

  • reinsurance—implementing a modernization framework developed in 2008, once pending federal legislation is in place; a new Reinsurance Supervision Review Department will be charged with assessing non-U.S. regulatory regimes under a mutual recognition framework; and

  • group solvency issues—considering potential revisions to the current approach to supervision of groups, the use and potential improvement of supervisory colleges with regulators from around the world, and group-wide supervision requirements, which may include group-wide capital requirements.

Consideration will also be given to the development of corporate governance principles for insurance companies and the establishment of risk management requirements. These are all major initiatives that have the potential to transform U.S. insurance regulation in the future.

25. Other reforms will address issues highlighted by the financial crisis, and insurance will be included in the scope of future system wide regulatory reforms. Reforms are pending to the requirements applying to bond insurers (monolines) and to securities lending, to take account of crisis events. Action has already been taken and more is under consideration to reduce the former reliance on ratings of the major credit rating agencies. Congress and the administration are working on regulatory reform in response to the crisis and proposals to date include certain reforms affecting insurance regulation. The details of these wider reforms were under discussion at the time of this assessment.

Guaranty funds (policyholder compensation arrangements)

26. Insurance policyholders are protected against the insolvency of insurance companies by guaranty associations in each state. All U.S. insurance companies are required to be members of associations covering life and health insurance and, through separate organizations, property and casualty. These associations are established by state laws (there are NAIC models). Payments are triggered by the insolvency of an insurer, although, in practice, associations seek to obtain continuity of coverage by transferring policies to other companies. Laws differ on the extent of coverage and maximum amount payable per policyholder. Associations rely on assessments of other insurers writing the same class of business, i.e., they are not pre-funded. State laws set limits on assessment—typically, for life insurance, 2 percent of each insurer’s prior year premium income in the state per year.

D. Main Findings

27.Insurance regulation in the United States is generally thorough and effective, although there are areas where development is needed. Strong regulation contributed to the overall resilience of the insurance sector during the financial crisis. Insurance regulators are responding to lessons from the crisis. In relation to compliance with the Insurance Core Principles:

  • The preconditions for effective insurance supervision are generally met—reflecting the highly developed legal and institutional framework within which it operates and the scale and liquidity of U.S. financial markets; but there is a need for development of the policy framework in relation to insurance and financial stability and international issues.

  • There is a need for institutional reform in the laws governing state insurance departments, including on appointment and dismissal of commissioners, the budgetary framework and remuneration policies, in order to secure the independence of regulatory work.

  • While insurance regulation is carried out openly and transparently, there is a need for measures (including providing free access to more information and documents about the NAIC’s model laws and their implementation) to foster improved stakeholder understanding of the state-based regulatory approach.

  • There is a comprehensive set of requirements and processes for insurance company licensing, but some gaps in the requirements relating to suitability of persons with reliance on supervisory work to identify concerns and take action where necessary.

  • Requirements in relation to governance, internal controls, and risk management are limited and should be extended, but departments are focusing closely on these issues in the risk-focused examination process currently being rolled out.

  • NAIC data collection and analysis capabilities are world-leading, although the absence of complete group-wide consolidated data for insurance groups and broader financial conglomerate groups hinders the ability of supervisors to analyze and monitor market-wide events of importance for the stability of insurance markets.

  • Financial examinations (i.e., onsite supervision) are generally thorough and well documented. Examinations also appear to identify the important issues. The rollout of a risk-focused examination approach is requiring major changes from examiners and implementation needs to be closely monitored by the NAIC.

  • The approach in relation to enforcement is comprehensive and applied by regulators in practice as necessary; there is no explicit authority for supervisors to fine individual directors or senior managers of insurers, or to bar them from acting in responsible capacities in the future.

  • The approach to supervision of groups needs significant development. The U.S. supervisors do not currently make a comprehensive and consistent assessment of the financial condition of the whole group of which a licensed insurance company is a member. Risk-focused examinations are not yet generally focusing on group issues; and supervisory colleges are not meeting for all U.S.-based international groups.

  • The liability reserving methods and bases generally lead to conservative estimates and, in combination with capital requirements, provide a sizable buffer against adverse experience. However, for general transparency and for international comparison, consideration should be given to specifying a target safety level for reserving and an associated target safety level for capital.

  • While producer (i.e., intermediary) regulation is less uniform than it is for insurance companies, states have in place the core requirements—licensing, examinations and powers to take action in case of producer misconduct. There is a need to extend broker trust fund arrangements across states, to develop a uniform approach to the regulation of major brokers and to complete the current work on a consistent approach to the regulation of commission disclosure.

  • Consumer protection work is moving to a more proactive approach to market conduct of insurers. This transition has further to go, particularly in respect of the ability of departments to identify and respond quickly to wider market issues. As with producer licensing, there is a lack of uniformity across states in the market conduct area. However, core consumer protection requirements are apparently in place in most states.

  • Requirements on fraud, including making insurance fraud a crime, are in place across states, and the capacity of departments to address fraud-related issues is increasing as market conduct exams are undertaken and the availability of fraud data increases.

  • The authorities have only recently brought relevant insurance business within the scope of federal anti-money laundering regulatory requirements. There were significant gaps in the framework when the most recent FATF work was undertaken in 2006. The need to increase resources available for examinations and the effectiveness of cooperation between state and federal regulators, are being addressed through discussions on new procedures and information sharing arrangements.

Table 2.

Summary of Observance of the Insurance Core Principles

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E. Recommended Action Plan and Authorities’ Response

Recommended action plan

Table 3.

Recommended Action Plan to Improve Observance of the Insurance Core Principles

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Authorities’ Response to the Assessment

28. The U.S. authorities welcome the opportunity to take part in the U.S. FSAP and the IMF’s assessment of a high level of observance of the IAIS Insurance Core Principles (ICPs). It has provided insurance regulators in the United States with a timely opportunity to undertake a comprehensive self-assessment of the U.S. insurance regulatory system against international standards, and has contributed to ongoing internal reviews and assessments of regulatory practices. In addition, the FSAP has served as a useful platform for providing an overview of the U.S. insurance regulatory system and its multi-jurisdictional structure. The authorities appreciate the recognition by the IMF of the strengths in the regulatory system including areas that the IMF itself has coined as “world leading.”

29. As recognized by the Report, it is important to consider the U.S. assessment in context. The assessment of the U.S. supervisory framework was undertaken in the wake of a severe financial crisis, and movements toward significant changes in supervisory practices have gained momentum as a result of the financial crisis and circumstances emanating from the crisis, including with respect to group-wide supervision. The IMF’s assessment of U.S. compliance with ICP 17, the group-wide supervision standard, goes beyond the scope of the current ICP assessment in that it assesses compliance with a group supervision structure, which is still under discussion and development in most jurisdictions and within the IAIS, where revision of the insurance ICPs that may reflect these changes may not be finalized until 2011.

30. Insurance regulators in the United States are working with regulators around the world on initiatives to enhance group supervision, and have in place inter-regulatory cooperation processes, such as the use of lead state supervisory structures and the Financial Analysis Working Group of the National Association of Insurance Commissioners (NAIC). In addition, the Report acknowledges the comprehensive review underway with the Solvency Modernization Initiative which takes into account international and cross-sectoral practices in the analysis of possible additions or modifications to current insurance regulatory practices.

31. U.S. authorities remain strongly committed to prudential regulatory independence and accountability, including continually striving to improve ways to effectively balance these two objectives. Transparent rulemaking with opportunity for stakeholder involvement, for example, has proven a particularly effective way to provide accountability and improve the regulatory environment, while respecting regulatory independence. As reflected in the assessment of ICP 3, the Supervisory Authority standard, the assessment appears to rely on structural characteristics while failing to fully recognize the effective operational independence of state insurance regulators. In practice, the U.S. multijurisdictional approach to insurance regulation holds regulators accountable to each other in a peer review process that includes on-going nation-wide monitoring through the NAIC, regular dialogue among all regulators, and the ability of states to question the actions of fellow state insurance regulators.

32. Within the assessment, there appear to be philosophical preferences for a principles-based, rather than rules-based, approach to regulation, yet assessment recommendations inconsistently apply those preferences by variously seeking more, as well as fewer, rules. Further, there appears to be no empirical evidence to suggest that one approach is superior to the other or that the choice of approach affects the U.S. regulators’ ability to meet the standards set out in the various ICPs. U.S. authorities fully support a regulatory environment based on principles and made operational by rules that can provide consistent standards throughout the marketplace, yet remain flexible enough to adapt to new developments.

33. The IMF’s assessment of ICP 28, the AML and CFT standard, identified some areas where U.S. AML requirements may be improved upon, but fails to fully recognize the robust protection provided U.S. citizens against money laundering activities. Of note, the United States has a bifurcated regulatory scheme regarding AML regulation. As noted, the federal government has primary jurisdiction of AML statutes while the regulation of insurance and expertise in financial examination of insurance is the responsibility of the states. Although both state and federal authorities have agreed to work together to review the current examination process, it is important to note and remember that an in-depth legal analysis has yet to be undertaken on this subject.

34. U.S. Authorities appreciate the assessment and will thoroughly review the Report’s recommendations and take them into account when initiating and implementing any insurance regulatory reforms. We look forward to engaging in continuing ongoing dialogues with the IMF on how to best collectively improve international financial stability and supervision of the global financial services sector.

II. Detailed Assessment

Table 4.

Detailed Assessment of Observance of the Insurance Core Principles

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Appendix I: Technical Note on Accounting and Actuarial Framework for

Insurance

Introduction

There is a well established and comprehensive framework of accounting and related actuarial requirements, which supports insurance regulation. While it is heavily rules-based, it is beginning to move toward more of a principles-based approach.

Regulatory insurance accounting is driven by the NAIC-established Statutory Accounting Principles (SAP), which are contained and elaborated on in the NAIC Accounting Practices and Procedures Manual - March 2009 (APPM), which in turn utilizes the framework of Generally Accepted Accounting Principles (GAAP) established by the United States Financial Accounting Standards Board (FASB). However, GAAP pronouncements do not become part of the SAP until and unless they are specifically adopted by the NAIC.

SAP vs. GAAP

While GAAP is designed to meet the varying needs of the different users of financial statements, SAP is specifically designed to address the concerns of regulators. Therefore, SAP stresses the ability to pay insurance claims in the future, while GAAP stresses the measurement of emerging earnings of a business from period to period (i.e., matching revenue to expenses). Put another way, SAP is balance sheet driven, whereas GAAP is performance statement driven.

As regards measurement, SAP is conservative in some respects, but not unreasonably conservative over the span of economic cycles. Areas where the differences between SAP and GAAP are most evident are:

  • Policy Reserves - statutory policy reserves are intentionally established on a conservative basis, emphasizing the long-term nature of the liabilities. Under GAAP, the experience expected by each company, with provision for the risk of adverse deviation, is used to determine the reserves it will establish for its policies. GAAP reserves may be more or less than the statutory policy reserves.

  • Assets - GAAP has recognized certain assets which, for statutory purposes, have been either non-admitted or immediately expensed. Policy acquisition costs are expensed as incurred under SAP since the funds so expended are no longer available to pay future liabilities. Insurance company financial statements prepared in accordance with GAAP defer costs incurred in the acquisition of new business and amortize them over the premium recognition period.

  • Deferred Income Tax Assets - historically these have not been recognized under SAP.

  • Reinsurance - the methods of accounting for certain aspects of reinsurance under GAAP may have varied from SAP (e.g., credit for reinsurance in unauthorized companies is not given under SAP).

APPM

The NAIC’s APPM is a codification of all of the insurance regulatory accounting requirements and it incorporates much other material. It is maintained by the NAIC Accounting Practices and Procedures Task Force (APPTF), but the promulgation of new SAP guidance by the NAIC ultimately requires adoption by the NAIC membership. The APPTF employs two working groups with distinctly different functions to carry out the maintenance. The Statutory Accounting Principles Working Group (SAPWG) has the exclusive responsibility of developing and proposing new Statements of Statutory Accounting Principles (SSAPs). The Emerging Accounting Issues Working Group (EAIWG) responds to questions of application, interpretation, and clarification that are generally much narrower in scope than development of a new SSAP.

Concepts

The following concepts provide a framework to guide the NAIC in the continued development and maintenance of the SAP:

  • conservatism - statutory accounting should be reasonably conservative over the span of economic cycles and valuation procedures should, to the extent possible, prevent sharp fluctuations in surplus;

  • Consistency - meaningful, comparable financial information to determine an insurer’s financial condition requires consistency in the development and application of statutory accounting principles;

  • Recognition

    • Assets having economic value other than those which can be used to fulfill policyholder obligations, or those assets which are unavailable due to encumbrances or other third party interests should not be recognized on the balance sheet but rather should be charged against surplus when acquired or when availability otherwise becomes questionable;

    • Liabilities require recognition as they are incurred; and

    • Revenue should be recognized only as the earnings process of the underlying underwriting or investment business is completed.

Structure of APPM

The manual is large (about 3,500 pages), has some duplication, shows signs of much evolution and addition, and is thus in need of an overhaul to improve readability and navigation. However, it is comprehensive and thorough. The main elements to its structure are:

  • SSAPs - the primary accounting practices and procedures promulgated by the NAIC; these are contained in the body of the APPM;

  • Guidance for specific SSAPs - contained in APPM Appendix A;

  • Interpretations of the EAIWG - contained in APPM Appendix B;

  • Actuarial guidelines - contained in APPM Appendix C (NB these are only for business written in life and health insurers);

  • GAAP cross-reference to SAP - contained in APPM Appendix D;

  • Issues papers - usually the first step in developing new SSAPs and contain a recommended conclusion, discussion and relevant literature section; contained in APPM Appendix E;

  • Policy statements - these are for information only as they relate to the process of maintaining and updating the APPM; so they are not accounting requirements or guidance; contained in APPM Appendix F; and

  • Audit implementation guide - to supplement the NAIC Annual Financial Reporting Model Regulation related to auditor independence, corporate governance and internal control over financial reporting, which is proposed to become effective in 2010.

Hierarchy of APPM elements

The following is the specified hierarchy of how the various elements of the APPM are to be applied:

  • Level 1 - Statements of Statutory Accounting Principles (SSAPs)—the primary accounting practices and procedures promulgated by the NAIC, which are generally the result of issue papers that have been exposed for public comment and finalized. If differences exist between an underlying issue paper and the resultant SSAP the SSAP prevails and shall be considered definitive. Also includes specific GAAP material7 adopted by the NAIC, namely:

    • Category a - FASB Statements and Interpretations, FASB Staff Positions, APB Opinions, AICPA Accounting Research Bulletins;

    • Category b - FASB Technical Bulletins, AICPA Industry Audit and Accounting Guidelines, AICPA Statements of Position; and

    • Category c - Consensus positions of the FASB Emerging Issues Task Force, AICPA Practice Bulletins;

  • Level 2 - Consensus positions of the NAIC EAIWG;

  • Level 3 - NAIC Annual Statement Instructions (ASI);

  • Level 4 - NAIC Statutory Accounting Principles Statement of Concepts; and

  • Level 5 - GAAP reference material below Category c in the GAAP Hierarchy.

Annual Statement Instructions (ASIs)

The NAIC issues ASIs for annual statements, which insurers must file with the NAIC, and which are available to all States through the NAIC’s databases and systems. There are separate ASIs for each category of insurer or insurance business undertaken (i.e., life, health, property and casualty, fraternal, title). The type of the information and data to be provided is specified in detail in each ASI and the appropriate format for filing the annual statement data with the states and the NAIC is provided in the Annual Statement Blanks (Blanks). The ASIs specify how the Blanks are to be signed, the state insurance authority specifies which directors, officers and trustees are required to sign, and the Blanks require signing individuals to attest to the accuracy of the statements.

The type of information and data to be filed is:

  • Actuarial Opinion—this is in relation to the insurance reserves (see below for more details);

  • Annual Audited Financial Reports—there must an annual audit by an independent certified public accountant and an audited financial report must be filed as a supplement to the annual statement (see below for more details of audit);

  • Management’s Discussion and Analysis—this must discuss the reporting entity’s financial condition, changes in financial condition and results of operations in order to assist regulators properly understand and assess the insurer’s financial condition. The items required to be covered include:

    • material historical developments;

    • explanation of operating performance, including long term trends;

    • prospective information, especially that which is likely to have a material impact on the insurer’s business volumes, net income and surplus;

    • reasons for material changes in line items;

    • liquidity, asset/liability matching and capital resources;

    • loss reserves (property & casualty only);

    • off-balance sheet arrangements;

    • participation in high-yielding, highly-leveraged or non-investment grade transactions or investments; and

    • preliminary merger and acquisition negotiations.

  • Financial Statement—usual items (assets, liabilities, surplus/capital, operating statement, cash flow statement), but also detailed analyzes, exhibits or notes (which vary by category of business), such as:

    • breakdowns by line of business;

    • breakdowns of major line items (e.g., expenses, premiums, reinsurance);

    • changes in reserves;

    • non-admitted assets; and

    • five-year historical data

  • Investment Schedules—these cover summary information by asset class, but also detailed of the individual assets currently owned, acquired and/or disposed of during the year; and

  • Annual Supplements—some are for all categories of business and some are specifically only for one category;

    • director and senior officer compensation (i.e., total compensation for each such individual)—all categories;

    • allocation of insurance expenses to lines of business (to assist in assessing profitability by line of business)—all categories,

    • investment risk interrogatories (to assist in identifying and analyzing the risks inherent in the entity’s investment portfolio)—all categories;

    • various claims experience analyzes for specific lines of business; and

    • actuarial opinion certificates.

These ASIs are almost identical across the categories of insurance business, but do contain some variations in the detail in the financial statements and annual supplements.

Actuarial requirements

Statements of Actuarial Opinion (SAO) and Actuarial Memorandum

In all categories of insurance business the insurer must obtain, and file as part of its annual statement, a Statement of Actuarial Opinion (SAO) by a qualified actuary on the insurance reserves. The precise form of the SAO varies by category of insurance, but includes:

  • the identification of the actuary providing the opinion;

  • which reserves are covered by the opinion;

  • any reliance the actuary has placed on others in forming the opinion;

  • the actuary’s opinion on if the reserves:

    • meet the requirement of the insurance laws;

    • are computed in accordance with accepted actuarial standards and principles;

    • make a reasonable provision for all insurance obligations of the insurer; and

    • the adequacy of a life or health insurer’s reserves and other liabilities in light of supporting assets and under moderately adverse conditions—a number of asset adequacy analysis methods are available to, and used by, actuaries. The most widely used method is cash flow testing.

  • relevant comments by the actuary (e.g., material assumption changes, risk of material adverse deviation).

The SAO needs to be supported by some form of actuarial report and work papers (often described as the “Actuarial Memorandum”). The Actuarial Memorandum should provide sufficient narrative detail to clearly explain to company management, the regulator, or other authority the findings, recommendations and conclusions, as well as their significance. It should also provide sufficient technical documentation and disclosure for another actuary practicing in the same field to evaluate the work. This technical component must show the analysis from the basic data to the conclusions.

Both the SAO and Actuarial Memorandum must be consistent with the appropriate Actuarial Standards of Practice (ASOPs) issued by the Actuarial Standards Board (ASB),8 and any other relevant standards or principles issued by the relevant actuarial professional body.9

The SAO is publicly available, but the Actuarial Memorandum is confidential, and thus only available for regulatory examination.

Qualified Actuary

A qualified actuary generally needs to be a member in good standing of the American Academy of Actuaries (AAA) or a person recognized by the AAA as qualified for such an actuarial valuation. For property and casualty business the qualified actuary can be a member in good standing of the Casualty Actuarial Society. Qualified actuaries must also meet requirements related to their experience in working on such actuarial valuations, under the review of other qualified actuaries.

Appointment of and reporting by the qualified actuary

The qualified actuary must be appointed by the insurer’s Board of Directors, or its equivalent, or by a committee of the Board and the NAIC must be notified each year of the qualified actuary which the insurer will be using for its categories of insurance business. If a qualified actuary is replaced the insurer must urgently notify the insurance regulatory authority, including stating if there have been any disagreements with the previous qualified actuary over the preceding two years, The insurer must also in writing request the previous qualified actuary to provide a letter to the insurer stating if the actuary agrees with the insurer’s statement, or not, and then provide the actuary’s response letter to the insurance regulatory authority.

When there is a change of qualified actuary, the incoming qualified actuary would generally consult with the previous qualified actuary, and the code of conduct of the AAA requires the previous qualified actuary to cooperate.

The qualified actuary must report to the Board of Directors or the audit committee each year on the items within the scope of the SAO. The SAO and the Actuarial Memorandum must be made available to the Board of Directors. The minutes of the Board of Directors should indicate that the qualified actuary has presented such information to the Board or the audit committee and that the SAO and the Actuarial Memorandum were made available.

Actuarial Discipline

The Actuarial Board for Counseling and Discipline (ABCD) was established by the U.S. actuarial bodies to strengthen members’ adherence to the recognized standards of ethical and professional conduct. The ABCD has two primary functions: it responds to actuaries’ request for guidance on professional issues, and it considers complaints about possible violations of the actuarial Code (s) of Professional Conduct. The ABCD is authorized to counsel actuaries concerning their professional activities and to recommend to the relevant actuarial body any disciplinary action.

Legal authority

NAIC Model Law #205 Annual Financial Reporting Model Regulation (Law #205) in Section 5 requires that the annual audited financial report shall report the financial position of the insurer as of the end of the most recent calendar year and the results of its operations, cash flows and changes in capital and surplus for the year then ended in conformity with statutory accounting practices prescribed, or otherwise permitted, by the department of insurance of the state of domicile. The annual audited financial report shall include the following:

  • A. Report of independent certified public accountant.

  • B. Balance sheet reporting—admitted assets, liabilities, capital and surplus.

  • C. Statement of operations.

  • D. Statement of cash flow.

  • E. Statement of changes in capital and surplus.

  • F. Notes to financial statements. These notes shall be those required by the appropriate ASIs and the APPM. The notes shall include a reconciliation of differences, if any, between the audited statutory financial statements and the annual statement filed with a written description of the nature of these differences.

  • G. The financial statements included in the audited financial report shall be prepared in a form and using language and groupings substantially the same as the relevant sections of the annual statement of the insurer filed with the commissioner, and the financial statement shall include comparatives.

Through Law #5, the SSAPs and all the detailed requirements of the APPM, as well as the ASIs obtain their legal authority. All 50 states and the District of Columbia have adopted this model law.

Life and health insurers are required by NAIC Model Law #820 Standard Valuation Law to value reserves for the liabilities for all their outstanding insurance policies. It specifies valuation methods and minimum standards for the computation of the reserves. It, along with NAIC Model Law #822 Actuarial Opinion and Memorandum Regulation, requires a SAO to be submitted as part of the annual statement of an insurer, and it specifies the substance and the form of the SAO. These SAO requirements are also contained in the life ASI.

For property and casualty insurers a number of SSAPs10 specify for various types of business and types of reserves how the reserves should be calculated. They obtain their legal authority through Law #205. The SAO requirements in relation to property and casualty reserves are contained in the property and casualty ASI.

Move to a principles-based approach (PBA)

Legislation on the calculation of insurance reserves began in the United States in the 1850s. It covered only life insurance contracts and the initial commissioner chose a net level premium reserve method using a specified mortality table for expected death claims and specified interest rate for discounting future cash outflows and inflows. For life and health insurance, there has been little change over the last 150 years. So for traditional life and health insurance contracts the minimum reserve is still based on a formula approach with prescribed mortality and interest rates, although mortality varies by type of product and interest rate varies by year of issue. No actuarial judgment is allowed in determining the minimum reserves. The prescribed actuarial assumptions are mostly conservative leading to conservative reserves. Generally, minimum reserve standards have been established to be sufficient to cover future claims 75 percent-85 percent of the time.11 In the 1990s an asset adequacy analysis test was added to the required SAO to test the adequacy of the formulaic reserves in the light of the supporting assets.

The formula-based system for calculating reserves relies on a static formula that may not capture all the risks of the contract. It is slow to respond to new and complex products or economic developments. It follows a ‘one size fits all’ approach, thereby restricting the use of actuarial judgment to incorporate the insurer’s risk profile. Ideally the reserving and capital requirements need to take account of the insurer’s actual product and business practice risks.

The first steps toward principle-based capital standards were C-3 Phase I (addressed interest rate risk in fixed annuities) in 2000 and C-3 Phase II (addressed interest rate and equity risk in variable annuities) in 2005. The first step toward principle-based reserves was VA CARVM (variable annuity Commissioner’s annuity reserve valuation methods) in 2008 which is a framework of insurer-specific calculation for variable annuity reserves.

A principles-based approach can better allow for the insurer’s ‘tail’ risks, where low probability events can have large adverse impact. It is generally more in line with how an insurer designs and prices its products, manages its investments, and internally reports and manages its performance and exposures. It is similar to using internal models for reserving and capital. So it involves identifying risks, generating economic scenarios, designing risk models, determining assumptions with appropriate margins, running models to do sensitivity testing of material risks, and documenting the results and processes. Using this approach to determine reserves and capital also requires a determination of the probability of sufficiency or safety desired in the level of desired reserving and the level of desired capital.

The project underway to develop the PBA for life insurance is part of the solvency modernization initiative of the NAIC, but involves considerable input from the U.S. actuarial profession. The approach to this project is to modify the standard valuation law to enable principles-based reserving to be used, by referring to a valuation manual which can then be amended as needed by the NAIC. The valuation manual would include detailed reserving requirements, will be implemented in phases and apply only to specific products. It will also be necessary to develop principles-based capital requirements to mesh with the principles-based reserving requirements. The principles-based capital requirements will also be developed in phases by risk type and product, commencing with interest rate mismatch and equity risk (C-3).

The basic framework for what will be developed is that the reserve will be the greater of a deterministic component and a stochastically derived component. The deterministic component will use a single economic scenario and acts as a floor under the stochastic component. The stochastic component will allow the reserving to be more closely related to each product’s risks, it will be determined using multiple economic scenarios to capture tail risk and the reserve level will be targeted at a conditional tail expectation of 70 percent (i.e., the reserve amount is that needed to meet payouts from the average of the highest 30 percent of the economic scenario results).

It will also be necessary to adjust the capital requirements to mesh well with the new reserving requirements. Initially only the C3 capital requirement will be adjusted for those products for which PBA reserving will apply. The capital requirement will be determined stochastically and the statutory reserves plus capital will be targeted at a conditional tail expectation of 90 percent.

1

The model laws of the National Association of Insurance Commissioners were the main documentary resource for this assessment but the assessors have also referred to select individual state laws.

2

The term ‘insurance commissioner’ is used throughout this report to refer to the most senior official responsible for insurance regulation in each state, district, or territory. Actual titles vary.

3

In particular, the mission discussed the proposals set out in the document “Financial Regulatory Reform: A New Foundation,” U.S. Department of the Treasury, June 2009.

4

All data from Swiss Re: World Insurance in 2008.

5

The basis for calculating capital adequacy—Risk-Based Capital (RBC)—is described and assessed under ICP 23 in Table 4 (the detailed assessment) and the system of control levels (triggers for intervention) is described and assessed under ICP 14.

6

See the assessment of ICP 16 for an account of receivership and other enforcement powers.

7

FASB has recently completed a major 5-year project of Accounting Standards Codification™ resulting in the Codification, which from 1 July 2009 is the single source of authoritative nongovernmental U.S. generally accepted accounting principles and replaces all previous U.S. GAAP standards. The NAIC APPM does not yet reflect this.

8

The ASB establishes and improves Actuarial Standards of Practice (ASOPs), which identify what the actuary should consider, document, and disclose when performing an actuarial assignment. Members of the ASB are appointed by the presidents and presidents-elect of the various U.S. actuarial bodies.

9

These are the American Academy of Actuaries, the American Society of Pension Professionals and Actuaries, the Casualty Actuarial Society, the Conference of Consulting Actuaries, and the Society of Actuaries.

10

SSAPs 5, 53, 55, 57, 58, 60, 62, and 65.

11

AAA presentation: Introduction to Principles -Based Approach to life reserves and capital - September 2009.

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United States: Publication of Financial Sector Assessment Program Documentation: Detailed Assessment of Observance of IAIS Insurance Core Principles
Author:
International Monetary Fund