Reserving Insurance
Reserving Insurance
Section 2
INTRODUCTION TO RESERVING
[2A]
DESCRIPTION OF CLAIM PROCESS
The insurance background and the influences that need to be taken into account in
the reserving process are described in some detail in later sections. In this
Introduction we shall give a brief overview of what the claims process in
insurance entails, and how the problem of reserving arises.
We may start by supposing that we have a "risk" situation, associated with an
insurance "cover". The essential features are that there is a person or corporate
body, whose financial condition is directly affected by the occurrence of certain
"events" occurring over a defined period of time. An obvious example would be
an individual with Private Car Damage insurance who would suffer repair costs
following an accident causing damage to their vehicle.
If an insurance cover exists, an event occurring under the cover will give rise
to an insured loss, which subsequently becomes a claim on the insurer.
Typically there will be some delay between the event giving rise to the claim,
and the ultimate settlement of the claim with the insured. In the case of a Motor
claim, this delay from event to settlement may stretch from a number of days to
several years, depending upon factors such as complexity or severity of the claim.
Other significant dates are involved in this process. Following the occurrence
of the event, a significant date would be the date upon which that event becomes
known to the insurer. Whilst notification would normally occur quite soon after
the event, there can be circumstances where a considerable period of time may
elapse between the occurrence of an event and the notification of a claim to an
insurer (for example, when a ship is damaged in harbour, but the damage
becomes evident only when she is dry-docked at some later date).
Claim Reserves
The delay between event and settlement dates means that the insurer must set up
"reserves" in respect of those claims still to be settled. The reserves required at
any time are the resources needed to meet the costs, as they arise, of all claims not
finally settled at that time. The insurer must be able to quantify this liability if it is
to assess its financial position correctly, both for statutory and for internal
purposes.
Throughout this Manual we are dealing with claims reserves in respect of
events which have already occurred. This is distinct from future claims, arising
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INTRODUCTON TO RESERVING
from risks covered by the insurer over the remaining period of the policy, where
the insured event has not yet occurred. Such liabilities are covered through the
mechanism of an Unearned Premium or Unexpired Risk reserve, which are
outside the scope of this Manual.
We are concerned then with reserves in respect of claims which have
occurred as at a particular date — which we shall call the "valuation date". We
can distinguish two categories of such claims:
- claims for which the event has occurred, and which are already known and
reported to the insurer;
- claims for which the event has occurred, but which have not yet been
reported to the insurer.
Reserves relating to the former category are normally referred to as "Known (or
Reported) Claims" reserves; the latter as "Incurred But Not Reported (IBNR)"
reserves.
This definition of IBNR applies usually in relation to Direct Insurance: in the
context of the London Market, the usage of "IBNR" will normally include, in
addition to reserves for unreported claims, allowance for any future deterioration
in amounts outstanding on claims already reported. The latter element is normally
called "IBNER" (incurred but not enough reserved).
A number of variations on the type of claims reserve are needed because of
various features including:
- the insurer may share the liability for the claim with other insurers, either by
reinsurance or by co-insurance.
Thus the need may arise for reserves for re-opened claims, and for reserves net of
reinsurance or co-insurance.
From this description, it is clear that reserves represent an attempt, at a point
in time, to attribute a financial value to those payments still to be made in respect
of a set of incurred losses, as yet unsettled. This cannot therefore be quantified
with precision, but must be the subject of estimation. Varying assumptions about
future influences on the outcome of those losses will lead to greater or smaller
estimates in a given context, leading to the idea of strength of reserves. In
consequence, information will often be needed as to the likely adequacy of a
given estimate of reserves. This may in turn involve careful examination of the
methods by which estimates are reached, and the assumptions on which they are
based.
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DESCRIPTION OF CLAIM PROCESS
- pricing insurance business in the sense of estimating the future cost of claims
on risks yet to be taken on (by extrapolation of past paid and reserved claim
cost);
The strength that is appropriate for the reserves may vary from one of these
circumstances to another.
Reserving Methods
Until the early 1970s, the approach to reserves commonly related solely to the
area of reserves for known claims. The practice was for each claim to be
individually assessed by a claims official at an early stage of its existence, and
possibly at subsequent stages. These individual "case" estimates would then be
aggregated to form a total reserve for outstanding claims. With the passage of
time, and the increasing ability to subject the results of this process to statistical
scrutiny, it was found that other methods or approaches to reserving might be
more appropriate. Nevertheless, it is still the case that, in some areas of business,
particularly where the numbers of claims are relatively small, or where they are
particularly complex, case estimation is employed, possibly in conjunction with
other methods
However, in many instances the volume of claims is such that it would be
impractical or too expensive to assess each claim individually and, in such cases,
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[2B]
RESERVING METHODOLOGY — GENERAL
Introduction
This section gives a general overview of the methodology used in reserving. Most
of the comments that follow could equally well apply to any situation where one
is constructing a model, fitting it to past observations, and using it to infer results
about future statistics of interest.
Whatever the purpose of reserving, in essence it involves the following
steps:
3. Test the fit of the model and the assumptions, rejecting or adjusting it.
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In other contexts, particularly those where direct access to the underlying claims
data files can be made, it may be possible to develop apparently differing
approaches to a point of broadly similar estimate values. The more elaborate
models to which this development gives rise are among those contained in
Volume 2 of the Manual. Even here, however, judgement as to the choice of
model and the value to be chosen to represent the reserve is still largely at the
reserver's discretion.
Ultimately, our objective is to formalise, as far as possible, the use of
numeric or other available information, together with the judgement of the
reserver, through the use of appropriate models.
Section 2E discusses at some length the elements that make up
professionalism and judgement, the need for which cannot be emphasised too
strongly.
The following sections describe some of the general considerations that
affect the steps outlined above, and some of the more specific points that arise
when performing such a process in the context of reserving.
Constructing a Model
The type of model constructed will depend on the purpose of the exercise.
Estimates of future claims for pricing purposes may be required at a very detailed
level (by type of car or geographical location, for example), and to be produced
quarterly or monthly. Reserves for high level management information or
statutory purposes may be required only by broad classification or on an annual
basis.
Similarly, the model must reflect the data that are available and their
limitation. Some types of information may not be adequately recorded (details of
claims settled at no cost, for example). In other instances, past data may not be
available for a sufficient period of time historically, or be of too small a volume,
to form a credible basis for fitting the model. When data of an adequate quantity
or quality are not available, it may be possible to supplement the available
company-specific data by reference to industry-wide data. Section E13 refers to
some of the possible sources of these additional external data. This section also
sets out techniques for projecting data beyond the available experience, by using
regression or graphical techniques. Data availability and limitations are also
discussed further in Volume 1 Section B.
The foundations of any model are the assumptions that underlie it. Ideally,
any modelling process should start with a clear statement of the assumptions
being made. The model can then be fitted to the data, and the assumptions tested.
Some simple reserving methods do not set out explicitly the assumptions
underlying the method. This may make it hard or impossible to gauge the
appropriateness of that particular model.
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RESERVING METHODOLOGY — GENERAL
There is no easy classification of the types of model that can be used for
reserving, but there are various distinctions that can be made. In the first instance,
one can make the distinction between models that do not appear to start from a
formal set of assumptions, and those which rigorously set out the foundations on
which the model is built.
Many of the methods in Volume 1 fall into the former category, and those in
Volume 2 the latter. To produce valid reserve estimates using methods that fall
into the first category, it is essential that the user should consider the implicit and
explicit assumptions being made, and endeavour to test their validity or
otherwise. Just because a method jumps straight to step 4, does not mean that
steps 1, 2 and 3 can be forgotten! The apparent simplicity of the arithmetic
involved in performing some of the simpler methods in Volume 1 should not
distract the user from the complexity of the underlying assumptions being made
when applying these techniques.
A second general distinction can be made in the approach taken in
constructing a model. Many of the simpler models do not, on the surface in any
event, start from a base point that considers the underlying process influencing
the future claims payments (cars crashing, houses burning down, people receiving
compensation for injury, and so on). Instead, at a crude level, they are simply
taking one aggregate set of values (the past claims experience), and making some
estimate from this as to how the progression of values will continue (the future
claims experience). Step 3 of the reserving process (testing and adjusting the
model), will, of course, bring information about the nature of the claims into the
process, as will step 5.
By contrast with this initially arithmetic approach, other models begin with a
recognition of the underlying nature of the risks, perhaps starting with
assumptions about the frequency and severity of claims, and modelling how these
may change over time.
A final distinction that can be made is between deterministic models and
stochastic models. The future claims payments predicted by a reserving model are
random events. We can never know with certainty what the future payments will
be. The best that any model can do is to produce an estimated value of those
payments. Deterministic models just make assumptions about the expected value
of future payments. Stochastic models also model the variation of the future
payments. By making assumptions about the random component of a model,
stochastic models allow the validity of the assumptions to be tested statistically.
They therefore provide estimates not just of the expected value of the future
payments, but also of the size of the possible variation about that expected value.
All the models in Volume 1 are deterministic. Several of the models in
Volume 2 are stochastic. The introduction to Volume 2 describes the general
nature of stochastic models, and sets out some of their strengths and weaknesses.
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parameters in all. Other models may have more or fewer parameters for the same
sized triangle of data.
The more parameters a model has, the better it may appear to "fit" the
observed data, but the less stable it will become for predicting future values. As
an extreme example, if one had, say, twenty data points, one could fit a model
with twenty parameters that would "fit" the data perfectly. The model would,
however, be completely unstable. A small change in any of the data points may
result in a large change in the parameters fitted and the future values predicted.
There is always a compromise between having enough parameters to fit the data
adequately, but few enough to produce a model with a certain amount of stability
and predictive power.
The amount of data available for reserving is often very limited. It is
important therefore to appreciate the limitations of an over-parameterised model.
This may be done, for example, by examining the effect on the model, and the
predicted results, of small changes in the data to which the model is being fitted.
We know the data are just one realisation of some random process, so a given
data point could reasonably be a little larger or smaller than in fact was the case.
For a model to be acceptable, ideally, the predicted future payments should not be
greatly affected by small changes in the observed data. The user should therefore
check carefully whether the results are heavily influenced by a few data points.
Testing the assumptions of a model can take many forms. Whilst there are a
variety of statistical techniques that can be used for this purpose, the approach in
practice may often be more pragmatic. This is particularly so for the methods in
Volume 1, where "soft" information may be used as a guide in choosing
development factors, for example. This is not easily amenable to explicit testing.
Many of the simpler, chain-ladder based, models are based on broad assumptions
about the stability of the types of business, and the speed of settlement of claims,
for example. The user of a reserving model should attempt to validate that these
assumptions apply to the particular class of business being considered. Ideally,
this should be done in a quantitative fashion but, as a practical compromise, it
may have to take the form of a qualitative assessment. For example, this may
involve a review of the types of policy written, or a visual examination of whether
settlement rates appear to have remained stable.
Throughout the text of Volume 1, the reader's attention is drawn to some of
the assumptions underlying the different methods. An awareness and questioning
of these and other implicit assumptions should be kept in mind whenever one
applies the methods in practice. Section B of Volume 2 discusses in a little more
detail the requirements of a "good" model, and some of the more general
techniques for testing models in general and stochastic models in particular.
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[2C]
RESERVING IN CONTEXT
So far, reserving has been presented in terms of points of principle, removed from
the particular features of specific classes of general insurance business. As
reserving must in the end be a practical application, it is worth setting out the
main characteristics of some specific reserving situations, as they in turn will
affect the choice of appropriate reserving method. The examples given are not
intended to be exhaustive, but indicate the range of characteristics found in
general insurance.
Reference should be made to a suitable general insurance primer for basic
details of policy coverage found in different classes of business.
Private Car
The main classifications for analysing data are:
cover type
- third party
- comprehensive
peril
- fire
- theft
- windscreen
- third party bodily injury
- third party physical damage
- accidental damage
- the size of claims can vary enormously, and for seemingly similar situations
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Creditor
The claims should be split between the main perils (accident, sickness and
unemployment), as the frequency and duration of claims may differ markedly,
and vary according to the economic cycle.
If sufficient information is available, it is possible to use an annuity-type
approach to reserving. Each outstanding claim is reserved according to the
number of months the claim has already been running.
Experience can differ markedly by scheme, reflecting different selling
practices and customer bases.
- the delays in claim settlements reflect the degree of forbearance of the lender
following the borrower's first falling into arrears, the attitude of the courts to
granting repossession orders and, finally, the length of time it takes to sell
the property in a depressed market.
New forms of cover continue to evolve, and there is currently considerable
discussion about the possibility of substituting some form of aggregate excess of
loss contract for the cover described above. Under this, the insurer would be able
to cap its liability, both in terms of the aggregate losses retained by the insured
before the contract comes into play, and in terms of the upper limit of aggregate
losses then payable by the insurer.
Because, under existing arrangements, cover normally extends over the
whole life of a loan, the main reserving problem concerns the Unexpired Risk
Reserve — i.e. the reserve needed if the cost of claims yet to arise on existing
loans seems likely to exceed the Unearned Premium Reserve. The determination
of reserves for outstanding or IBNR claims for this class of business is relatively
straightforward, compared to that of Unexpired Risk.
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RESERVING IN CONTEXT
Catastrophes
Most catastrophes arise from natural causes (windstorms, earthquakes, floods,
etc.). They will usually give rise to a large number of related individual losses
occurring within a short period of time defining that event.
Other catastrophes may be due to man-made causes (explosions, air crashes,
etc.). These may give rise to a relatively small number of claims, but ones of
exceptionally high cost, both in terms of material damage and of liability.
If we confine ourselves to property insurance, the main thing to note is their
atypical features:
- reporting patterns are a function of the exact nature of the catastrophe, as the
speed with which the insured reports the claim will depend on the
seriousness of the loss, whether it was possible or practical to report losses
initially, and any emergency procedures set up by the insurer;
- the data available to the insurer of this business are limited particularly for
retrocession business;
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- classification of the business is difficult, and the description and nature of the
cover may need careful interpretation;
- sub-dividing the data into too small groups, to improve homogeneity, can
give rise to excessive volatility as the statistical significance of the
development model becomes increasingly suspect;
- the length of tail also means that projections are usually based on incurred
claims data, rather than on paid claims, since the latter may require
development factors to ultimate which are too large and sensitive to be
reliable. This is particularly so in the early periods of development, when
little or no claim payment may have been made for some classes;
- There may be a "spiral" effect for catastrophe losses, due to the number of
retrocession contracts written by all the companies making up the market.
This means that such losses can cycle round the market, particularly for those
years where there is an active retrocession market;
- Latent claims are even more difficult to deal with, as different cedants may
use different triggers to determine reinsurance coverage. This will have a
knock-on effect on the reinsurer's own reinsurance coverage.
Latent Claims
Most of the methods examined in the Claims Reserving Manual are dependent on
having historic data which can be modelled statistically, in order to project the
total liabilities still outstanding. However, there are circumstances where this is
not possible, latent claims being a prime example. These are losses which may
lie dormant for several years after the originating event before manifesting
themselves. Industrial diseases and environmental pollution are typical sources
of such claims.
Even when the latent hazard becomes a reality and claims are being settled
and paid, as is now the case with asbestosis, standard projection methods are still
not applicable. The normal course of events for latent claims is that, when the
nature of the hazard becomes apparent, claims start to be reported at roughly the
same time, irrespective of the underwriting year to which they relate. Amounts
then increase rapidly.
This is completely different from the normal course of events, where regular
development by "development year" might be expected. In the case of latent
claims, however, large movements occur across each of the affected diagonals of
the data when displayed in the familiar triangle format. Conventional
"triangulation" methods of projection will not work in this situation.
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RESERVING IN CONTEXT
Another problem with latent claims is that the historic data may not exist.
Even when they do exist, they give little indication of what will happen in the
future and, hence, how claims will develop. This is because the claims are
dependent on the results of court actions, and these are highly unpredictable. The
court actions determine whether coverage applies, if it is deemed to apply then
who is liable, when coverage is deemed to apply, and the amount of liability
(which may include considerable amounts for punitive damages). Also, expenses
are very high covering, inter alia, lawyers' contingency fees, and are often
incurred even when coverage is found not to apply.
Although the previous development of claims data may not be of much use
in forecasting future development, there are alternative approaches that might be
tried. These might include the following:
Exposure
The book of business written is examined to determine, for each contract written,
what the possible exposure is to the various latent hazards, and somehow
estimating numbers of losses to each contract. This must take into account
numbers of reinstatements, aggregation issues, occurrence and aggregate excesses
and limits, and so on.
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INTRODUCTON TO RESERVING
Market Practice
This is based on the assumption that, as the results are so unpredictable, the best
that can be done is to be in line with the market. Therefore, if the comparable
market is in general using an IBNR of (say) 1.5 times reported outstanding claims
for asbestos-related claims, then this would be used as a benchmark. A higher
multiplier might be considered as placing an unnecessary strain on the resources
of the company; a lower multiplier might be questioned by the company's
auditors, unless it could be proved that the company's relative exposure differed
from that of the whole market.
Further Research
Much work is currently being undertaken worldwide in researching approaches to
reserving for latent claims, particularly in the USA. To date, however, there is no
universally accepted approach to these problems. Each case must therefore be
considered carefully on its own merits by the reserver, bearing the above points in
mind.
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[2D]
COMMONLY USED SIMPLE RESERVING METHODS
Introduction
The following section lists all the reserving methods found in Volume 1. It briefly
describes the model underlying each method, together with its advantages and
disadvantages, and refers to where more detailed discussions and examples can be
found.
The main purposes of this section are:
a) while reading through the Manual, to act as a simple summary to help recap
and consolidate the knowledge gained to date,
Consequently some of the terminology used may not be familiar until subsequent
sections have been read.
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4. Link ratio As 3. with the link ratio at delay d derived from Asl.
(basic chain the run-off triangle as the sum of column d+1 Trends and anomalies in the data
ladder) divided by the sum of column d excluding the last are not allowed for if operated
entry. blindly.
E8 Produces a single rigid estimate,
without any indication of how to
look for possible variations.
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1
incurred claims (paid plus case reserves) may be used as an alternative to paid claims only,
and can give a further perspective on the estimating of ultimate liability. However, whereas
methods based on paid data require only a stable settlement pattern, those based on incurred data
also require a stable reporting pattern and consistency in the setting of case reserves.
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9. Inflation Most of the above methods can be based on Need to choose appropriate past
adjusted historical payments inflated to current money inflation rates.
methods terms. The resulting projected payments are
increased in accordance with expected future
J2 inflation.
10. Bennett & Ultimate (report year) liability = paid at delay d Need to choose appropriate past
Taylor + number of claims reported inflation rates.
Method A × ( inflation adjusted average payments
in delay d+1
J3 + inflation adjusted average payments
in delay d+2
+…
+ inflation adjusted average payments
in last delay)
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COMMONLY USED SIMPLE RESERVING METHODS
13. Simple ratios As 12. with the quantity defined as the product of Very simple.
(Tarbell) the number of claims reported in the last 3 months Too crude for medium or long
and the average size of claims reported in the last 3 tailed business.
15 months.
Other methods
Volume 1 also includes methods
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