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RAA Fundamentals of Property Casualty Reinsurance


Printable Version (including Glossary of Reinsurance Terms)

Section 2: The Reinsurance Contract

Based on its business needs, an insurer negotiates with a reinsurer, directly or through a broker, to determine the terms, conditions and costs of a reinsurance contract. Under a reinsurance contract, an insurer is indemnified for losses occurring on its insurance policies and covered by the reinsurance contract. There are no standard reinsurance contracts although two basic types, treaty and facultative, are used and adapted to meet individual insurers' requirements.

Underwriting treaty reinsurance differs greatly from that of facultative reinsurance. Reinsurance treaties automatically cover all risks written by the insured that fall within their terms unless they specifically exclude exposures. While treaty reinsurance does not require review of individual risks by the reinsurer, it demands a careful review of the underwriting philosophy, practice and historical experience of the ceding insurer, as well as a thoughtful evaluation of the company's attitude toward claims management and engineering control and management's general background, expertise and planned objectives.

Facultative reinsurance contracts cover individual underlying policies and are written on an individual basis. Stated simply, facultative reinsurance covers a specific risk. Both facultative and treaty contracts may be written on a proportional or an excess of loss basis, or a combination of both.

A facultative agreement covers a specific risk of the ceding insurer. A reinsurer and ceding insurer agree on facultative terms and conditions in each individual contract. In contrast, a reinsurance treaty is a broad agreement covering some portion of a particular class or classes of business (e.g., an insurer's entire workers' compensation or property book of business). Historically, treaties remain in force for long periods of time and are renewed on a fairly automatic basis unless either party wishes to negotiate a change in terms.

Facultative reinsurance agreements often cover catastrophic or unusual risk exposures. Prior to the 1950's, U.S. insurers made relatively little use of facultative reinsurance and Lloyd's of London was virtually the sole source of facultative coverages. U.S. reinsurers began to compete with Lloyd's for facultative business ins the 1950's and today facultative reinsurance plays a major role in the U.S. reinsurance market.

Facultative reinsurance requires substantial personnel and technical resources for underwriting individual risks. Often, facultative business presents significant potential for loss, thus a reinsurer must have the necessary staff knowledge to underwrite each exposure accurately.

Facultative reinsurance contracts are also used to supplement treaty arrangements when treaties contain specific exclusions, such as exposures involving long haul trucking or munitions manufacturing. Insurers may fill coverage voids created by reinsurance treaty exclusions by negotiating a separate facultative reinsurance contract for a particular policy or group of policies.

Certain classes of risks anticipated to develop significant losses may adversely affect an insurer's treaty experience. Although not excluded from a treaty, these risks may be placed facultatively. For example, a primary insurer that may not ordinarily provide commercial automobile coverage might agree, as a service to its insured, to write such a policy as an accommodation. The company may then seek facultative reinsurance to protect its loss experience under treaty agreements. The reinsurer providing an insurer's treaty coverage may not necessarily provide its facultative reinsurance.

Reinsurers also purchase their own reinsurance protection, called retrocessions, in the same forms and for the same reasons as ceding insurers. By protecting reinsurers from catastrophic losses, as well as an accumulation of smaller losses, retrocessions stabilize reinsurer results, thus serving the same risk-spreading objectives as the initial reinsurance transaction.

Reinsurance relationships range from the simple to the complex. An insurer may enter into a single reinsurance treaty to cover certain loss exposures or may purchase numerous treaties until the desired level of reinsurance protection is achieved. This process, known as layering, uses two or more reinsurance agreements to obtain desired level of coverage. At the time a claim comes due, the reinsurers respond in a predetermined sequence, as necessary, to cover the loss. Layering of reinsurance coverage is no different in principle than the layering of excess and umbrella coverage by a policyholder, or the purchase of specific risk coverage through a rider on an insurance policy. It is simply a means of securing the type and amount of insurance or reinsurance protection desired by a purchaser.

Certain fundamental principles underlie all reinsurance contracts, regardless of how simple or complex the reinsurance transaction. First, the only parties to a reinsurance contract are a reinsured company and its reinsurer. All contractual rights and obligations run only between these two companies. Second, the proceeds collectible under the reinsurance contract are an asset of the ceding company. Finally, as a contract of indemnification, the reinsurance is payable only after the reinsured company has paid losses due under its own insurance or reinsurance agreements, unless there is an insolvency clause, which allows the receiver of an insolvent insurer to collect on reinsurance contracts.

Next >>> Section 3: The Characteristics of Reinsurance Risk
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