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Chapter 25
Insurance and Pension Fund
Operations
Financial Markets and Institutions, 7e, Jeff Madura
Copyright ©2006 by South-Western, a division of Thomson Learning. All rights reserved.
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Chapter Outline
Background
Life insurance operations
Property and casualty insurance operations
Health care insurance operations
Business insurance
Regulation of insurance companies
Exposure to risk
Valuation of an insurance company
Performance evaluation
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Chapter Outline (cont’d)
Interaction with other financial institutions
Participation in financial markets
Multinational insurance companies
Background on pension funds
Pension regulations
Pension fund management
Performance of pension funds
Pension fund participation in financial markets
Participation in financial markets
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Background
Insurance companies:
Provide various form of insurance and investment services to
individuals
Charge a fee (premium) for the services
Provide a payment to the insured (or a named beneficiary)
under conditions specified by the insurance policy contract
Help individuals or firms to reduce the potential financial
damage due to specified conditions
Common types of insurance are life insurance, property
and casualty insurance, health insurance, and business
insurance
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Background (cont’d)
Individuals who are more exposed to specific conditions
that cause financial damage will purchase insurance
against those conditions
Adverse selection problem
Insurance can cause the insured to take more risks
because they are protected
Moral hazard problem
Underwriters are employed by insurance companies to
calculate the risk of specific insurance policies
Decide what types of policies to offer based on the potential
level of claims and the premiums that they could charge
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Background (cont’d)
Determinants of insurance premiums
The premium is based on:
The probability of the condition under which the company
will need to provide payment
The potential size of the payment in present value terms
The degree of competition in the industry for that type of
insurance
Overhead expenses and insurance company profit
Whether the policy is for an individual or a group
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Background (cont’d)
Investments by insurance companies
Insurance companies invest premiums and fees until
the funds are needed to pay claims
Investment decisions balance the goals of return,
liquidity, and risk
Those insurance companies whose claims are less
predictable need to maintain more liquidity
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Life Insurance Operations
Life insurance companies:
Are a dominant force in the industry
Generate more than $100 billion in premiums each year
Compensate the beneficiary of a policy upon the policyholder’s
death
Charge a premium that reflects the probability of making a
payment as well as the size and timing of the payment
Have historically forecasted with reasonable accuracy the
benefits they will have to provide
Use actuarial tables and mortality figures to forecast the
percentage of policies that will require compensation
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Life Insurance Operations (cont’d)
Group plans:
Are offered to employees of a corporation
Can be distributed at a low cost because of high
volume
Make up about 40 percent of total life coverage
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Life Insurance Operations (cont’d)
There are about 2,000 life insurance companies
Companies are classified as either stock or
mutual ownership
A stock-owned company is owned by shareholders
A mutual company is owned by the policyholders
About 95 percent of companies are stock-owned
Mutual companies are large and account for more
than 46 percent of total assets of all life insurance
companies
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Life Insurance Operations (cont’d)
Types of life insurance
Whole life insurance:
Protects policyholders until death or as long as premiums are paid
Builds a cash value that the policyholder is entitled to even if the
policy is canceled
Generates periodic premiums for the life insurance company that
can be invested
Typically provides a fixed amount of benefits
Term insurance:
Is temporary, providing insurance only over a specified term
Does not build a cash value
Is significantly less expensive than whole life insurance
Includes decreasing term insurance, where benefits decrease over
time
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Life Insurance Operations (cont’d)
Types of life insurance (cont’d)
Variable life insurance:
Provides benefits that vary with the assets backing the
policy
Includes flexible-premium variable life insurance, providing
flexibility on the size and timing of payments
Universal life insurance:
Combines the features of term and whole life insurance
Specifies a period of time over which the policy will exist but
also builds a cash value
Allows flexibility on the size and timing of the premiums
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Life Insurance Operations (cont’d)
Sources of funds
The most important source is annuity plans
Offer a predetermined amount of retirement income to
individuals
The second largest source of funds is premiums
The third largest source of funds is investment income
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Life Insurance Operations (cont’d)
Uses of funds
Life insurance companies are major institutional investors
Government securities
Life insurance companies invest in U.S. Treasury securities, state
and local government bonds, and foreign bonds
Corporate securities
Corporate bonds are the most popular asset of life insurance
companies
Some focus on high-grade bonds, others invest a portion in junk bonds
Life insurance companies expect to maintain some bonds until
maturity
Corporate stock is another use of funds, but significantly less than
bonds
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Life Insurance Operations (cont’d)
Uses of funds (cont’d)
Mortgages
Life insurance companies hold all types of mortgages:
One to four family, multifamily, commercial, and farm related
Mortgages are typically originated by another institution and then
sold to life insurance companies in the secondary market
Commercial mortgages make up more than 90 percent of total
mortgages held by life insurance companies
Real estate
Life insurance companies sometimes purchase real estate and
lease it out for commercial purposes
Real estate generates higher returns but also exposes life
insurance companies to higher risk
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Life Insurance Operations (cont’d)
Uses of funds (cont’d)
Policy loans
Life insurance companies lend funds to whole life
policyholders
Can borrow up to their policy’s cash value at a guaranteed rate
of interest
Capital
Insurance companies retain earnings or issue new stock
Capital is used to finance investment in fixed assets and as
a cushion against operating losses
Insurance companies are required to maintain adequate
capital
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Life Insurance Operations (cont’d)
Asset management of life insurance companies
Life insurance companies’ performance can be significantly
affected by asset portfolio management
Companies attempt to balance their portfolios so that any
adverse movements in the market value of some assets will be
offset by favorable movements in others
Many companies are diversifying into other businesses by
offering a wide variety of financial products
Overall, life insurance companies want to earn a reasonable
return while maintaining their risk at a tolerable level
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Property and Casualty Insurance
Operations
PC insurance protects against fire, theft, liability,
and other events that result in damage
Property insurance protects businesses and
individuals from the impact of financial risks
associated with the ownership of property
e.g., buildings, cars
Casualty insurance protects policyholders from
potential liabilities for harm to others as a result of
product failure or accidents
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Property and Casualty Insurance
Operations (cont’d)
There are about 3,800 individual PC companies
The largest are State Farm, Allstate, Farmers Insurance, and
Nationwide Insurance
No single company controls more than 10 percent of the
market
The PC insurance business is only about one-fourth the
life insurance business in aggregate
The PC insurance business generates about the same
amount of insurance premiums as the life insurance
business
Many companies are offering both life and PC insurance
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Property and Casualty Insurance
Operations (cont’d)
PC insurance characteristics:
Policies are for one year or less
Encompasses a wide variety of activities from auto
insurance to business liability insurance
Forecasting the amount of future compensation is
more difficult for PC insurance than for life insurance
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Property and Casualty Insurance
Operations (cont’d)
Cash flow underwriting
As interest rates decline, the price of insurance rises to offset
decreased investment income
Cash flow underwriting can backfire for companies that focus on
what they can earn in the short run and ignore what they will
pay out later
Uses of funds
Municipal bonds dominate, followed by Treasury bonds and
common stock
PC companies have a much higher concentration on
government bonds than life insurance companies
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Property and Casualty Insurance
Operations (cont’d)
Property and casualty reinsurance:
Effectively allocates a portion of insurance companies’ return
and risk to other insurance companies
Is similar to a commercial bank’s acting as a lending agent by
allowing other banks to participate in the loan
Allows a company to write larger policies because a portion of
the risk involves will be assumed by other companies
Fewer companies are offering reinsurance because of
generous court awards and the difficulty in assessing the
amount of potential claims
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Health Care Insurance Operations
Insurance companies:
Offer coverage for hospital stays, physician visits, and surgeries
Serve as intermediaries between health care providers and the
recipients of health care
Types of health care plans
An indemnity plan reimburses insured individuals for health care
offered by health care providers
A managed health care plan allows insured individuals to obtain
health care services from specified health care providers who
participate in the plan
Premiums are generally lower and payment is typically made
directly to the provider
Individual must choose providers who participate in the plan
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Health Care Insurance Operations
(cont’d)
Managed health care plans
Health maintenance organizations (HMOs)
Require individuals to choose a primary care physician who
functions as a gatekeeper for that individual’s health care
Patients must first see their PCP to obtain referrals
Preferred provider organizations (PPOs)
Usually allow insured individuals to see any physician
without a referral
Insurance premiums are higher than HMO insurance
premiums
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Health Care Insurance Operations
(cont’d)
Health care insurance in the future
Health care expenses have risen dramatically in
recent years
Some insurance companies that provide health care
insurance have incurred major losses
Insurance companies increased their premiums
The status of health care insurance and
reimbursement is subject to changes caused by
possible health care reform