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Loss Portfolio Transfers. Casualty Loss Reserve Seminar September 10, 2001 New Orleans, LA. André Lefebvre, FCAS, MAAA . Definition.
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Loss Portfolio Transfers Casualty Loss Reserve Seminar September 10, 2001 New Orleans, LA André Lefebvre, FCAS, MAAA
Definition Transfer of a risk portfolio of an organization, insurer or self-insured, to a third-party, insurer or reinsurer, of equal or greater security for the least amount of assets. Seller Buyer Risk Insurer/ Self-Insured Insurer/ Reinsurer Assets
Reasons for Transfer • Economic Risk Transfer • Financial Management • Discontinued Lines of Business/Self-Insured Program • Mergers & Acquisition
Economic Risk Transfer • Adverse Loss Development • Accelerated Loss Payments • Insufficient Yield on Assets Supporting the Reserves
Financial Management • Income Recognition • Statutory • GAAP • “Soft Market”
Discontinued Operations • Discontinued Line of Business/Self-Insured Program • Loss Reserve Liabilities • Claims Maintenance
Mergers & Acquisitions • Adverse Loss Development Protection
Types of Products • Guaranteed Cost vs. Finite (Funded) • Aggregate Limit vs. Unlimited • Deductible/Attachment Point • Additional Features (e.g., Profit Sharing)
General Process • Claims Review • Risk Management Information Systems • Reinsurance Agreements • Financial / Actuarial Analysis • Claims Administration
Claims Review • Claims Audit • Access to Claim Files • Location of Claim Files • Number of Open Claims • Adequacy of Carried Reserves
RMIS • Format of Claim Data (i.e., Electronic or Hard Copies) • Complete Transactional History • Number of Years of History • Transferring Data from Buyer to Seller
Reinsurance Agreements • Terms of Existing Reinsurance Agreements • Flexible • Cut-through Agreements
Financial / Actuarial Analysis • Traditional Reserve Review • Cash-Flow Analysis • Sensitivity Analysis
Claims Administration (Buyer) • Staffing Requirement • Intellectual Capital • Additional TPA Costs (Self-Insured)