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P&C Insurers Face Lower Profit Margins

High insured losses from natural catastrophes, challenges from the personal auto business and pricing competition will make it more difficult for the property and casualty industry to maintain the favorable underwriting results it has seen for the past three years, according to S&P Global Market Intelligence.

In its U.S. P&C Insurance Market Report, S&P predicts an increase in the industry’sDown chart2 statutory combined ratio to 99.5% in 2016 from 97.6% in 2015 and reduction of pretax returns on equity to 8.7% from 10.8%—or to 7.5% from 9.9% when adjusting for the impact of prior-year reserve development.

“Profit margins are projected to be much narrower than they have been in the last few years, unless something dramatic happens,” report authors Tim Zawacki, senior editor and Terry Leone, manager of insurance research at S&P Global Market Intelligence said in a statement. “While insurers have wisely accounted for the fact that they haven’t been able to depend on investment gains to subsidize underwriting losses, they still need to practice restraint as they seek growth.”

Commercial Lines
The commercial lines combined ratio is projected to increase to 95.1% from 93.4% for 2015, which represented the third-consecutive year that the measure of underwriting profitability had ranged between 93.3% and 93.5%.

According to the report, premium growth in the commercial lines has benefited from factors such as slow, but steady macroeconomic growth and rate increases in commercial auto business, offset by continued downward pressure on commercial property rates. The outlook anticipates that the 93.9% combined ratio in the workers compensation line in 2015—which marked the first sub-100% result in that business since 2006—will not be repeated and that historically favorable results of the past three years in commercial multiperil and the fire and allied lines will begin to normalize over time.

Factors such as abundant reinsurance capacity, favorable underwriting results and relatively high levels of capitalization have contributed to downward pressure on commercial lines rates. The outlook assumes that carriers will continue to exhibit discipline in their underwriting, as recent contractions in Treasury yields in the aftermath of the U.K.’s June Brexit vote offer a reminder of the reinvestment risk the industry continues to confront, in what remains a low-for-long interest rate environment, S&P said.

Key observations
• Reduced Profitability: The P&C industry’s pre-tax ROE is projected to decline about 2 percentage points in 2016 while its combined ratio, which measures expenses incurred relative to premiums earned, is projected to increase to 99.5%, the highest level since 2012.
• Increased Investment Risk: Declining Treasury yields in the aftermath of the U.K.’s Brexit referendum have reinforced the challenges the industry faces to earn reliable, low-risk investment income, putting additional pressure on underwriting discipline.
• Weak First Half: Large increases in the amount of insured catastrophe losses during the first half of 2016 will negatively impact loss ratios in several business lines that have produced historically favorable results during the past three years.
• Personal lines: Historically unfavorable results in the private-passenger auto business are projected to deteriorate further in 2016 as miles driven by Americans continue to rise due to low gas prices. They will begin to improve once broad-based rate increases fully take hold, but this will take some time.
• Financial Results Hinge on Auto Line Performance: Private auto lines accounted for 34.4% of the industry’s 2015 direct premiums and, as financials demonstrated, the performance of those lines have played a significant role on the fate of underwriting.
• Future Issues: Favorable reserve development, broad access to reinsurance capacity, and a series of benign hurricane seasons have provided tailwinds to the industry in recent years. But none of those elements will continue in perpetuity and the absence of any one of them could create additional hurdles for the industry from a profitability perspective in 2016 and beyond.

Time for Post-Storm Claims Filing

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Record-breaking Storm Jonas, which struck a large portion of the East Coast last weekend, was yet another reminder to have property insurance policies up to date and be familiar with claims procedures. To get the claims process moving, risk professionals whose business suffered damage should contact their insurer and broker as soon as possible.

According to the Insurance Information Institute, business owners need to:

▪ Fill out claims forms as soon as possible—including a “proof of loss” form, which must be completed within 60 days.

▪ Make a list of damaged property; the more detailed the better. Take photos or video to back up the claim.

▪ Be prepared to show the adjuster the damaged property as well as financial records or other documents.

▪ Get at least two bids for repairs or replacements.

▪ Keep copies of all correspondence regarding the claim and note the name, title and phone number of everyone you speak with. For more details, see Filing a Business Insurance Claim.

 What Is, and Is Not, Covered 

Business property owners also need to understand what is and is not covered by insurance, and the various coverage options available to protect their business. Property damage is typically covered under a business owners policy (BOP) or through a commercial multi-peril (CMP) policy.

Most commercial property policies provide either:

Replacement cost coverage – pays to rebuild or repair the property, based on current construction costs.

Actual cash value coverage – pays to rebuild or replace the property minus depreciation

Depreciation is a decrease in value due to wear and tear or age so with actual cash value coverage a business that is destroyed may not be in a position to completely rebuild. Business owners can also opt for a combination of both types of coverage.

Business income insurance, also known as business interruption, is typically included in a BOP or CMP and provides coverage for:

▪ Revenue lost due to the closure.

▪ Fixed expenses, such as rent and utility costs.

▪ Expenses of operating from a temporary location.

To receive appropriate reimbursement from business interruption coverage, there must be direct physical damage to the property resulting from an insured event. Also, there is generally a 24- to 48-hour waiting period before business income coverage kicks in.

Determining a business interruption loss involves establishing what the business would have earned had there been no loss. Insurers will consider past tax returns, profit and loss statements, projected sales and non-continuing expenses.

If basic business interruption insurance and property insurance coverage was expanded to include utility interruption, you may be covered if either electrical or water service was discontinued as a result of the storm.

Businesses that rent or lease a building can purchase tenant coverage, which insures your on-premises property, including machinery, furniture and merchandise. The building owner’s policy will not cover contents, however.

At Risk for Flood Damage?

Location is the most important factor for weighing your risk for flood damage. Is your business located in or near a flood zone? (Flood map search tools can be found online.) In what part of the building is your businesses equipment and inventory located? Anything housed on a lower floor, for instance, will be at greater risk.

Standard commercial insurance policies exclude flooding from melting snow or tidal surge. Commercial flood coverage is available from the National Flood Insurance Program (NFIP) and from a few private insurers. The NFIP provides up to $500,000 in building coverage and $500,000 for contents. Excess flood insurance is also available for businesses.

For more information on coverage options and disaster preparedness, see the Business Insurance section of the III website.

Related Links

▪ Facts and Statistics: Catastrophes

▪ Articles: When Disaster Strikes: Preparation, Response and RecoveryDoes My Business Need Flood Insurance?Does My Business Need Earthquake Insurance?Does My Business Need Terrorism Insurance?;

 

Captive Regulators Disappointed in New FHFA Rule

A final rule released by the Federal Housing Finance Agency (FHFA) amended its regulation on Federal Home Loan Bank (FHLB) membership to specify that captive insurance companies can no longer be used as a conduit to membership of the organization. Membership offers entities access to low-cost FHLB funding and other benefits. Because insurers may become FHLB members, along with credit unions and savings and loans, the Federal Home Loan Bank Act has been revised to specify that the term “insurance company” excludes captives.

Housing regulators have viewed captive insurers as a loophole used to access low-cost, government-backed financing. “Real-estate investment trusts that invest in mortgages are normally ineligible for home-loan-bank membership, but over the past few years have created captive insurers to gain indirect access to cheap federal funding,” The Wall Street Journal wrote.

As a result of captives being admitted as members, “25 are owned by entities that are not themselves eligible for membership.” The FHFA said it is “concerned that this practice will continue to grow and there is no reason to believe it will not grow to include entities other than REITs (Real Estate Investment Trusts), such as hedge funds, investment banks and finance companies, some of which have already inquired about establishing captives to gain access to the FHLB System.”

FHFA Director Melvin L. Watt said in a statement, “FHFA has the authority and the duty to implement the statutory membership provisions of the Federal Home Loan Bank Act and by adopting the proposal to exclude captives from the definition of insurance company we are making sure that institutions can’t frustrate the intent of Congress.” He added, “Congress has amended the Federal Home Loan Bank Act in the past to allow additional entities to become members of a Federal Home Loan Bank and it can certainly do so again if it wants some of these entities to be eligible for membership.”

Captive regulators of Vermont and Delaware expressed disappointment in the decision. David Provost, deputy commissioner of captive insurance of the Vermont Department of photo_provostFinancial Regulation, said, “Vermont’s response to the proposed rule was pretty straightforward: Don’t ban captives from FHLB membership just because they are captives. Captive insurance companies are regulated insurance companies, licensed for a particular purpose, and regulated in a manner commensurate with their risk,” he said.

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Steve Kinion, director of the Bureau of Captive and Financial Insurance Products for the Delaware Insurance Department said, “The Delaware Insurance Department is disappointed that the Federal Housing FinancSteve Kinion (2)e Agency made the decision it made. In at least two comment letters, one in 2012 and the other in 2015, we have made attempts to work with the Federal Housing Finance Agency to help it understand captive insurers.” He added that what has been disappointing is that “our offers were never accepted. Delaware Insurance Commissioner Stewart continues to believe that captive insurers that are members of the FHLB system are well regulated and contribute to the FHLB’s mission of fostering housing in the United States.”

Kinion explained that that REITs have long sought membership in the Federal Home Loan Bank system, which was formed in 1932 to provide liquidity for the housing market. Because current law states that only certain types of institutions may become Home Loan Bank members, “captives have been a portal for membership. It’s unfortunate when well-regulated captive insurers are excluded from membership.

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 I only wish that, before it issued its regulation, the FHFA would have allowed me the opportunity to show what Delaware does at the state level to regulate captive insurers.”

Delaware had been seeing increased interest in REITs. The domicile has one such captive and others were in the pipeline. One reason Delaware likes them is the revenue they bring in. “Our regional Home Loan Bank is in Pittsburgh and 10% of the profits generated have to be designated for affordable housing programs,” Kinion said. “In Delaware, there are a number of organizations that receive grants from the bank to promote affordable housing, and that benefits the state.”

The REITs captive program was fostered by Delaware Insurance Commissioner Karen Weldin Stewart. Her rationale was that, through the program she could “help with affordable housing in Delaware, which she can’t do directly as insurance commissioner,” Kinion said. “This was an indirect means of helping Delaware’s affordable housing programs.

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Provost said that while he supports REITs captives, the new rule will have a negligible impact on Vermont. “We have studiously avoided jumping on bandwagons of forming captives that have no apparent insurance purpose solely for some ancillary advantage,” he said. “We have allowed captives to apply for membership to the FHLB, and so far five have joined. They will have one year or five years to leave the FHLB system, depending on when they joined.”

Kinion noted, “I wish the FHFA would have at least talked to us, so they could have seen how we regulate captive insurance companies. If regulation is a concern, they should have at least taken a step to find out what we do at the state level. But that didn’t happen.”

Corporate Directors and Officers Face Cybersecurity Pressure

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One of the primary issues confronting corporate directors, officers and others involved in risk management today is cybersecurity. News cycles have been littered with high-profile data breaches at companies ranging from Sony Pictures Entertainment, Wyndham Hotels, Anthem and Home Depot, since Target Corporation’s massive data breach kicked off this scrutiny in 2013. The massive federal data breach earlier this year demonstrated that the U.S. government is not immune either.

A corporate data breach not only inflicts reputational and financial pain on the targeted company, but, depending on the data disclosed, the impact on consumers can be dramatic. According to Redspin’s Breach Report 2013, since 2009, nearly 30 million Americans have had their personal health information accidentally disclosed—or worse, breached. Further, the Cyber Edge Group recently surveyed 800 security decision makers and practitioners and found that more than 70% indicated that their networks were breached in 2014, an increase of 8% from 2013.

Claims against Directors

Cybersecurity is an issue of risk assessment that should be on the mind of board members. As every director has likely experienced, corporate decision-makers are under more scrutiny today than ever before because of corporate scandals that led to the adoption of the Sarbanes-Oxley Act and the more recent Dodd-Frank Act. One of the main objectives of Dodd-Frank is to increase transparency and improve accountability in the corporate financial world. As a result, board members are now required to spend more time overseeing a company’s operations than perhaps was the case in prior years.

A key determinant of liability is how a director acts once a red flag has been identified. When a warning sign appears, a director is required by law to diligently undertake a reasonable investigation.

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But an open issue at hand is how much training companies provide to their directors so that they can identify potential issues and respond accordingly, or actively oversee the corporate compliance program. In light of many recent cases, the answer is: not enough. One proactive approach is for a corporate board to annually review all of the material events that impacted their company over the past year (both externally and internally) and assess how prepared the management team was for each event. They should also assess the company’s overall approach to cybersecurity policies and practices annually, including any incident response plans.

All this said, if history is our guide, the likelihood of a corporate board member being held personally liable for poor oversight of a public company is low. This is because directors and officers insurance almost always covers any liability or settlement. According to a 2006 Stanford Law Review study, between 1980 and 2005, there were only 12 cases where directors were forced to make payments that were not covered by insurance, including legal fees.

While data breaches have spawned litigation brought by consumers or employees, widespread litigation has not ensued with shareholders seeking damages as a result of a data breach. This is likely because of the challenges inherent in demonstrating that a company’s share price was materially affected by a breach.

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The data breach at Home Depot provides a good example of potential litigation strategies that may be employed in the future. Following that breach, a lawsuit was filed in Delaware Chancery Court seeking access to Home Depot’s books and records related to the data breach. It appears that the plaintiffs are using this suit to determine whether Home Depot’s directors and officers breached their fiduciary duties by failing to adequately protect the company’s credit card information. Based on what is uncovered, it is likely that future litigation will ensue.

The law regarding director’s liability is fairly well established, and claims typically arise in one of two scenarios: 1) The directors should be liable because they made a decision or took an action that was either negligent or ill-advised (they breached their duty of care); or 2) The directors failed to act in a situation where they could have prevented a loss (they breached their duty of loyalty).

Claims alleging a breach of the duty of care are unlikely to succeed because directors enjoy the protections of the director-friendly business judgment rule. Essentially, the business judgment rule immunizes a director’s conduct from judicial scrutiny as long as the decision is informed, made in good faith, and with the genuine belief that the decision was made in the company’s best interest. Even if a plaintiff can overcome the presumptions in favor of a director by showing gross negligence, many companies have adopted charter or bylaw provisions consistent with Delaware law, thereby insulating directors from liability for a breach of their duty of care. Other states such as Nevada have enacted statutes specifically protecting directors from these types of claims.

In the second scenario, a director is not insulated from liability under Delaware law, and a director’s conduct is evaluated under the standards enunciated in Caremark International Inc. Derivative Litigation and its progeny. This oversight liability attaches when directors consciously disregard their responsibilities either by: 1) failing to implement a sufficient reporting system; or 2) after implementing a reporting system, failing to properly oversee or monitor its operations by serving as passive recipients of information. Simply put, making no decision – or looking the other way – may indeed be worse than making any decision, even a bad one.

Many risks can be mitigated through the use of insurance policies. But with respect to cybersecurity, relying on insurance may prove problematic. With no form of standardized cyber insurance policy language established, different insurers are adopting different approaches. Moreover, an actuarial challenge exists in predicting or gauging the probability and impact of a cyberattack. As a result, it remains difficult to match a cybersecurity policy with the risk profile of a particular company. Also, the damages suffered from a data breach may be multifaceted and unique, with no normal distribution of outcomes. In sum, insurance may be a partial answer, but not necessarily a cost-effective complete solution.

Rise of the Corporate Investigation

Over the past several years, a cottage industry has emerged among lawyers who claim to specialize in corporate investigations. These investigations used to be the purview of a company’s general counsel or legal staff. But courts became less likely to apply the business judgment rule if an investigation was conducted in-house. This reluctance has spawned the exponential growth of corporate investigations, and more or less established that the standard of care is to retain outside counsel. Even though the costs of these investigations can be prohibitive, there appears to be no consensus on a different tactic.

In the face of a government enforcement action, regardless of which regulatory authority is involved, a director’s playbook is pretty straightforward. Directors should establish a committee to exercise day-to-day supervision of an internal investigation and monitor the progress in order to best ensure the company’s protection. One way for directors to limit their exposure—and perhaps cut down on corporate misconduct—is to provide the same oversight on an ongoing, day-to-day basis. This can decrease the number of required corporate investigations and the identification and remediation of issues before they become significant liabilities. Viewed through the eyes of a director, such an approach could lessen the likelihood of future liability.