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1
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.
2
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

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