Insurance Accounting
Insurance Accounting
Insurance Accounting
Reserves
Claims
Investment
Reinsurance
Pooling
Importing Data
11
Attachments
11
Schedule P
12
Cash Flow
12
Validations
13
13
Signatures
13
State Filings
14
14
Basic Accounting
15
20
32
Insurance Accounting
This book is intended to fill a gap between too much information and too
little. It is designed to give someone new to Insurance Accounting a
comprehensive overview of the entire insurance accounting and NAIC Filing
process. You can certainly get into more detail on specific insurance
accounting issues but having a comprehensive overview will help new
employees speed up their training and jumpstart their insurance accounting
careers.
Overview
Insurance Accounting is one of the most exciting and challenging professions
in accounting today. There are so many facets that work together to
produce a very comprehensive statement of financial position that is of
utmost importance to policyholders and regulators. Consider that an
insurance policy has a lot of data. Besides the basic contact and billing
information, a policy might have Premium, Dividend, Policy Loan, Agents
Commission, Valuation and Claims records. Each of these records will
interface with the general ledger over time. For instance, when a policy is
sold, a premium is received, a commission paid and a reserve for future
claims is setup.
reconciled to the general ledger. What if the 1099s produced at year end
for the agents commissions did not tie out to the commission expense in the
general ledger? Do you think someone would question the integrity of the
general ledger data?
Reserves
For life insurance, a reserve is set up using mortality tables and interest
rates to determine the present value of the future claims payments that will
be made. The reserves are set up on a mean reserve basis. This is kind of
an averaging method to value all the policies as of the middle of their policy
year no matter when they were issued. Because of this mean reserve
valuation method, the company also needs to record net deferred premium
and net uncollected premium assets to compensate for setting up the mean
reserve. These assets offset the extra reserve liability which is set up for
policies that have not yet paid their premium up to the mean reserve date.
Conversely, unearned premium liabilities are set up to reflect the companys
obligation to provide insurance in the future for premium income they have
received in advance.
Policy
The Policy systems will hold the detail to back up general ledger amounts
such as the policy loan balance or the policy dividends unpaid balance. The
Policy system has many tables to keep track of all the facets of a policy.
Claims
Claims reserves are maintained for claims that have been reported and
claims that may have occurred but have not yet been reported. The reserve
for claims that have been reported will be estimated as to the total cost that
the insurance company is likely to incur. Similarly, the Incurred But Not
Reported (IBNR) claims reserves are estimated based on past experience
and average claim costs. An insurance company can track when the event
causing the claim occurs and when the claim was actually reported to derive
the IBNR claims.
Investment
Investment reserves are unique to the insurance industry. Because of the
assumptions made when designing an insurance policy, the regulators want
to be sure the premium monies invested for a block of policies is kept
invested to fund future claims on those same policies. When interest rates
drop substantially, an insurance company can sell the older higher paying
bonds for a substantial gain. Then they could use that gain to increase their
surplus and as backing for new sales of other insurance policies. They could
that is if the NAIC did not require them to set aside those gains and keep
them as reserves specifically for the policies from which the initial premium
monies were received!
The NAIC has set up an Interest Maintenance Reserve (IMR) and the Asset
Valuation Reserve (AVR) and even a Risk Based Capital reserve (RBC) which
is its own statement type.
The IMR is designed to capture the realized capital gains and losses that
result from changes in the overall level of interest rates and amortize them
into income over the approximate remaining life of the investment sold.
Companies frequently maintain an Excel worksheet with the Gains and
Losses from each year separated into its own row and then they amortize
each row over 30 years for example. They add up the current year
amortization from all the rows and that becomes their annual IMR
Amortization that they are allowed to run through the income statement and
close to surplus.
The AVR is designed to address the credit-related risks of the bonds and
stocks by calculating a basic contribution, a reserve objective, and a
maximum reserve amount. This reserve attempts to smooth the recognition
of credit related gains and losses through surplus.
The Risk Based Capital (RBC) statement is a method of establishing the
minimum amount of capital appropriate for an insurance company to support
its overall business operations in consideration of its size and risk profile. It
provides an elastic means of setting the minimum capital requirement in
which the degree of risk taken by the insurer is the primary determinant.
A companys risk-based capital is calculated by applying factors to various
asset, premium and reserve items. The factor is higher for those items with
greater underlying risk and lower for less risky items. The adequacy of a
companys actual capital may then be measured by a comparison to its riskbased capital as determined by the formula.
Risk-based capital standards will be used by regulators to set in motion
appropriate regulatory actions relating to insurers that show indications of
weak or deteriorating conditions. It also provides an additional standard for
minimum capital requirements that companies should meet to avoid being
placed in conservatorship.
Reinsurance
Insurance companies are rated every year by AM Best for example for many
things, one of which is the adequacy of their reserves and surplus to fund
the future claims. When insurance companies sell a lot of new business,
they have to pay a lot of money up front for underwriting and first year
commissions for example. All the first year expenses create a drain on
surplus which can then cause their ratings to drop. So, insurance companies
deliberately and carefully plan which policies they will sell in which areas of
the country through which companies in order to generate the most revenue
without draining their surplus so that ratings decline.
To maximize revenues across the entire organization, an insurance company
might want to reinsure some of its costly new business from one of their
younger lower surplus companies to one of their older surplus rich
companies. That way they can maximize the use of their surplus across the
organization to fund new business selling the most profitable insurance
policies.
In addition to funding new policy sales on one company with the surplus
from another company, insurers frequently transfer the excess risk to other
companies to minimize their exposure to large claims. Many times a newer
company with lower surplus will reinsure all its business over a certain dollar
amount. For instance if a life insurance company sells a 300,000 dollar face
value policy and it is only retaining 100,000 of risk, it will reinsure 200,000
to other reinsurance companies. It will then give the reinsurer 2/3 of the
net premiums on the policy in return for their promise to pay 2/3 of all the
claims on that policy. There are many different types of reinsurance
agreements.
For instance, facultative reinsurance is a reinsurance policy that provides an
insurer with coverage for specific individual risks that are unusual or so large
Pooling
Pooling is a reinsurance arrangement among affiliated companies, where the
subject business written by the pool participants is ceded to the pool lead
then retro-ceded among pool participants according to a specified
percentage of the total.
The complexity in a pooling arrangement is to report the claims history on
schedule P accurately. If the pool percentages change, then the prior year
claims activity must be restated so that the claims history will be reported
properly.
Generally, the prior year statements and the current year claims activity roll
up into a Sum of Pool statement. The Schedule P information is taken from
the Sum of Pool using the current pooling percentages. Prior year links to
accumulate the Non-Schedule P data are then used to complete the
remainder of the statement and create the Filed NAIC Statement.
do have this on their STAT statements. Just know that there is a difference
in calculation between STAT and GAAP for Deferred Income Taxes.
GAAP does not Non-Admit assets like STAT accounting does.
In the Exhibits and Schedules, you will see cash basis expenses converted to
accrual basis. Expenses incurred on an accrual basis equals the cash basis
expenses paid less the beginning of the year accruals plus the end of the
year accruals. Some of the cash basis expenses paid during the year pay off
the expenses incurred on an accrual basis last year so they are not current
year expenses.
Also you see the premiums and claims scheduled out net of reinsurance as
the direct business plus the assumed less the ceded equals the net
premiums or net claims.
Another thing you will see in the annual statement is the non-admitting of
assets. The exhibit of non-admitted assets decreases the amount that can
be recognized on the Assets page for certain assets due to a high probability
it is uncollectible or excess risk of default for example. An increase in the
non-admitted assets is an expense that is taken to the surplus section of the
income statement. This also has to be added back to the cash flow page as
discussed later.
One last thing you need to understand in an annual statement is the
recognition of unrealized gains and losses. The NAIC has a table in the
schedule D1 instructions that sets forth when a bond must be valued at the
lower of book or fair based on the NAIC Designation. If a bond is valued at
Fair then there will be an amount shown in the unrealized column. The
Unrealized column is only for the current year adjustment. It is not life to
date. When a bond that was valued at fair last year end is sold for a loss
this year, the schedules need to show a reversal of the unrealized loss from
prior years in order to recognize the full amount of the realized loss this
year. Many people think the reversal of the Unrealized should include the
current year change in unrealized also but, if you look at the formula for the
Verification Between Periods schedule you will see that is not correct.
Unrealized losses would also need to be added back to the cash flow page as
discussed later.
10
built into the account numbers. The first three pages could be loaded from
the trial balance except that many of the cells on those pages actually pull
from Exhibits and Schedules further down in the statement.
The Valuation system is another main source of input into the annual
statement. It is where all the policy reserve amounts and counts come
from. In the LAH statement the reserves are reported on Exhibit 5. In the
PC statement the Loss reserves show up on part 2A.
The Claims system also is used extensively to fill out annual statement
exhibits. Claims paid and unpaid are scheduled out on Exhibit 8 for LAH
statements and Exhibit 2 on PC statements.
Results of operations are also allocated to states and a separate state page
is created showing the results of operations by line of business within each
state.
Investment systems are responsible for importing much of the data
necessary for the investment schedules like all the Schedule D reports for
the bonds and stocks. The D reports show the year end carrying value of
the assets which may be either the amortized cost or the fair value based on
the company type and the NAIC designation. The D reports allocate and
report all the amortization and interest income by the par value outstanding
during the year. If a mortgage backed bond pays a redemption amount or if
a partial sale is recorded, the amortization and interest attributable to that
redemption or partial sale must be allocated to it based on the number of
days that par value was held for the year.
General expenses are detailed by type and also split to general lines of
business. The Analysis of Operations by Line of Business is basically a
statement of income for each line of business. The Analysis of Operations by
line of Business splits everything from premium and claims to investment
income and expenses and taxes across the different lines of business.
Sometimes an insurance company completes a Functional Cost Survey to
help them allocate fixed costs by line of business based on how much time
certain departments spend on certain tasks.
The NAIC has set up Validations and EagleTM has added their own
validations to help you balance out the statement. For instance, line 1 of the
Liabilities page is labeled Losses and it must tie to the bottom line of Exhibit
2A which breaks out the Losses liability by line of business showing
11
Importing Data
Because the NAIC filing file is such a well-known and accepted format, many
systems are designed to create that format and annual statement programs
are designed to import files in that format. All the investment accounting
programs now create the files to be imported in the NAIC filing format,
sometimes called the Annual uniform layout.
There are many other methods to import data into the Annual Statement.
Methods ranging from specialized Excel worksheets to .XML files are used.
Typically, a company might cell reference their Excel Data into an accepted
format for importing if it can be done by simply copying blocks of formulas.
Then the properly formatted data is saved as a Text, Tab-Delimited file and
that is the file that is imported into the Annual Statement.
Blocks of data can usually be copied and pasted into the annual statement
pages also.
Attachments
There are many attachments like the Notes to Financials and the
Organization Chart where you need to submit both a printable image and
also the electronic data. The electronic data is usually typed into a page
whereas the printable image would be attached in a ready to print format.
Some attachments like the Audited Financial statement are submitted as
PDF files with no electronic data component. The NAIC uses a program to
read the PDF and look for sensitive data which they would not want to
publish. If you submit a protected PDF, their program cannot search within
the file and they will ask you to resubmit the file in an unprotected state.
12
Schedule P
Schedule P is a PC Claims schedule which is organized by Accident year. So
if a claim occurred in 2005 and payments were made on that claim in each
of the next three years, you would see how much was paid in each calendar
year for the claim arising in 2005. Generally, you only need to import or
enter the claims paid in the current year and you would spread them across
the accident years they originated in. The prior year claims data would
remain the same except for it would be shifted up one and over one to
match the new rows and columns on the current year statement. The prior
year data plus the current year data is combined to create the published
data. The published data for each line of business is then summarized for all
lines of business.
Most lines of business in Schedule P have 10 years history and there is also
a Prior line. The Prior line represents claim payments made in the current
year for accident years prior to the 10 year history.
Some of the lines of business are called Short Tail Lines which means that
they do not have all 10 years of history broken out into 10 rows. Some of
the accident years are combined to report a summary of many accident
years.
Cash Flow
The cash flow statement is usually one of the last pages to be completed
because it depends on many of the other pages. The cash flow is really
quite mechanical. Completing it is simply a matter of tying out all the
changes in all the Assets, Liabilities and then including the Net Income and
adding back any non-cash income/expense items such as Amortization and
Depreciation for example. The change in cash has to equal the cash basis
change in all the other Assets, Liabilities and Net income.
Sometimes you actually have to trace the difference in each line item on the
balance sheet to the cash flow work-paper in order to get the cash flow to
balance to the change in cash. You should use a sources and uses approach.
An increase in an asset is a use of cash, to buy a new machine for example.
A decrease in an asset is a source of cash, to sell a stock for example. An
increase in a liability is a source of cash, to take out a loan for example. A
13
decrease in a liability is a use of cash, to pay off a loan for example. A non
cash income item such as discount amortization on a bond is initially
recorded as income but needs to be added back because it is not a source of
cash. Similarly, the depreciation on a fixed asset is recorded as an expense
but must be added back because it did not require the outlay of cash.
Validations
Some validations check for totals between pages that should tie out if the
numbers flow through the statement correctly. Some validations check the
totals on the page to make sure they equal the detail. Some validations
check for the presence of data when a condition is met.
The General Interrogatories ask question such as will this schedule or that
one be filed? If you answer yes to one of those questions and that schedule
is not completed you would see a crosscheck warning of the inconsistency.
The cross checks that check for two numbers being equal to each other are
presented only once, usually on the page that is closer to the front of the
statement.
Signatures
Companies usually only provide a hard copy of the annual statement to their
state of domicile. A word to the wise about signatures.. Signing the Jurat
page is done on the completed statements after you get them back from
printing, usually right before the due date. However, the executives that
need to sign will most likely be out of the office on business at that time.
Therefore, many companies print out the signature section of the Jurat page
on a large sticker sheet and have the executives sign that before the books
14
come back from printing. Then they can simply affix the signatures sticker
to the printed Jurat page and be ready to file.
State Filings
Every state that a company does business in had their own two dozen forms
or so that are specific to that state. EagleTM maintains a library of all these
forms from every state. They drop form fields on the actual state forms so
that the forms will pre-populate with the data from the annual statement. It
is usually the balance sheet, company information, state pages and schedule
T that have the data which is used to auto-complete these forms. The
remainder of the fields can simply be entered manually and then all the
fields are saved to a database so you can re-open the form later and see all
the data.
Premium Tax
Insurance companies have to pay premium taxes to the states where they
write their business. EagleTM keeps a library of all the premium tax forms
for every state. The tax forms will prepopulate with annual statement data
automatically. The form data is saved into a database and the forms
automatically calculate the tax liability.
Municipal Tax
Within a state, municipalities will charge a tax on premiums written in their
geographical location. EagleTM has both a library of municipal tax forms and
a geocoding program to help insurance companies determine which
municipality the insured policy resides in.
15
Basic Accounting
This chapter is designed to give accountants and bookkeepers that are not
CPAs the background they need to fully understand and master their
accounting duties and qualify them for advancements and promotions. This
book will help you understand how to record (journalize) transactions and
then create financial statements.
Have you ever thought about the physical law which states that to every
action there is always an equal and opposite reaction? When you drop a
ball, some of the kinetic energy of the ball is transferred to the floor and also
used to flex the material in the ball. The remainder of the energy is retained
in the ball and it bounces back up but not quite as high. The difference
between the starting height and the ending height represents the energy
transferred to the floor and flexing motion.
The same is true with double entry bookkeeping. To every action there is
always an equal and opposite reaction so to speak. For instance, if I buy an
annual insurance policy, my Prepaid Insurance goes up and my Cash goes
down by the same amount. Every month we create an adjusting journal
entry to record the prepaid insurance going down by one months worth of
insurance and the insurance expense going up by the same amount.
16
This is essentially what all financial statements are showing. The Balance
Sheet has an Assets page and a Liabilities page. The Liabilities page has a
Liabilities and Owners Equity or Retained Earning section (they both mean
the same thing). The Owners Equity section will always have the Net
Income added in to the beginning OE to come up with the ending OE. So
the Balance sheet is showing that the Assets equal the Liabilities plus the
Ending Owners Equity which includes the Net Income. The Net Income
comes from the Income Statement. The Income Statement has an Income
page and an Expenses page. The Expenses are subtracted from the Income
to come up with the Net Income. If the Net Income is negative, that means
the Expenses were greater than the Income so we have a Net Loss from
operations.
Let us look at a simple set of financial statements to illustrate this concept.
Assets
Cash
$75.00
Bonds
150.00
Prepaid Insurance
Equipment
80.00
Accumulated
Depreciation
-5.00
Total Assets
25.00
75.00
$325.00
Liabilities
Accounts Payable
Loans Payable
Total Liablilities
$80.00
70.00
$150.00
Owners Equity
Beginning OE
$140.00
Net Income
35.00
Ending OE
$175.00
$325.00
17
Income
Sales Revenue
$175.00
Interest Income
15.00
Total Income
$190.00
Total Expenses
155.00
$35.00
Expenses
Salaries
Auto Expense
$121.00
17.00
Insurance Expense
5.00
Interest Expense
4.00
Advertising
Depreciation
Expense
3.00
Total Expenses
5.00
$155.00
18
Dr +, Cr -
So,
and
And
19
Credit
Asset
Prepaid Insurance (A+)
30.00
30.00
Equipment (A+)
80.00
80.00
5.00
5.00
Liability
4.00
10.00
Cash (A-)
14.00
Expense
Automobile Expense (Exp+)
17.00
20
17.00
5.00
5.00
Income
Cash in Bank (A+)
175
175
Investment Accounting
Bonds
First, lets look at a general overview of bonds and then we can discuss how
to record typical transactions. Bonds are promises to pay a face value, the
par value, at a specified maturity date in the future. Typically a bond will
pay interest every six months at a stated rate of interest, also called the
coupon rate. The stated rate of interest is expressed as an annual rate. If a
bond pays 6% on a semiannual basis and the par value is 100,000 you will
receive 3,000 every 6 months which equals 100,000 * .06 / 2. So the 3,000
interest payment equals the Face Value of 100,000 times the annual interest
rate of 6% divided by the number of payments per year which is 2 for a
semiannual bond. If this was a monthly bond then the monthly interest
amount would equal
500 = 100,000 * .06 / 12 since there are 12 payments every year.
21
Bonds are not usually purchased at face value. In other words, if we are
buying a 100,000 bond we do not typically pay 100,000. The reason we do
not pay face value for a bond is that the interest rate it pays is not typically
the same as the market rate of interest at the purchase date.
Lets say the market rate of interest is actually 7%. So we could buy a 7%
bond at par. We would probably buy a 6% bond for less than par so that it
yields closer to the market rate. Buying a bond for less than par is said to
be buying a bond at a Discount. If the market rate was 5% then we would
pay more than the face value of a 6% bond which is said to be buying the
bond at a Premium.
The difference between our purchase price and the par value charged
off to the Income Statement over the life of the bond such that the Interest
plus or minus the Amortization will net to earnings being recognized for the
bond at approximately the market rate. Specifically, when we buy a bond at
a premium or discount, we can calculate the exact yield we will be earning
on the bond. That yield is called the Effective Rate.
22
Discount amortization credit with the Interest income credit we get actual
earnings credit from the bond at greater than the interest rate.
This is how we amortize a bond
Notice the formulas for line 6 are detailed in line 2. Basically you take the
Par times the annual stated rate divided by the number of periods per year
in column C. This is the interest you will receive. Then you take the Book
Value times the annual effective rate divided by the periods per year in
column D. This is the actual earnings for the bond. The difference between
those two amounts is amortization and it is added to the beginning Book
Value to equal the ending Book Value then it starts all over again for the
next period. So the effective rate of 6.961% will amortize the bond
purchased 1/1/2010 for 99,000 up to 100,000 at the maturity date of Feb 1,
2011.
Solving for the effective rate is an iterative process. You will need to
try this two or three times before you find the exact effective rate so that
Book = Par at the maturity date. What you do is first take a guess at the
effective rate to get close and then see how much you are off at the
23
maturity date. For instance in the above example, if we first put in .067, the
ending book value will be 99,709.20 which is different from the par of
100,000 by 290.80. If we change the effective rate to .069 the book value
ends up at 99,931.97. So, if a .002 change in the effective rate moves the
book value at maturity date by 222.77 = 99,931.97 99,709.20 how much
of a change to the effective rate will move the book value by our difference,
290.80?
The way you solve this is by using a proration formula like this
.002 / 222.77 is proportional to X / 290.80
You read this like so: .002 is to 222.77 as X is to 290.80.
To solve a proportion, you cross multiply and solve for X.
.002
Proportional to
222.77
X
290.80
So,
Or,
222.77 * X = .5816
24
Now that we know more about bonds and how to journalize basic
transactions, let us look at how we would record some typical bond
transactions.
Debit
Bond (A+)
Credit
95,000
Cash in Bank
95,000
Bond (A+)
Discount Amortization (Inc+)
50
50
1,200
50
50
1,000
200
Bond
25
Interest Receivable
Discount Amortization
Interest Income
100
25
100
25
Debit
Credit
100,200
200
50
50
100,000
94,000
225
Bond (A-)
94,100
125
94,000
125
Equals Consideration of
93,875
94,100
( 225)
26
Permanent Declines
If a bonds value has substantially declined because of credit risk and there is
little likelihood that the value will improve, a permanent decline will write
down the Book Value and the Cost Basis to the Market or Fair value. You
would not write down the Tax Basis though. This write down is recorded as
a debit to Realized Loss (Exp +) and a credit to Book Value (A-). The
realized loss is reported in the Other Than Temporary Impairments column
on D part 1.
27
28
29
When a bond is reporting the Fair Value amount in the Carrying Value
column on Schedule D part 1, there will typically be an unrealized gain or
loss amount reported as well. Some people mistakenly assume the
Unrealized column should report the life to date unrealized adjustment
recognized on the bond but this is not always the case. Keep in mind when
creating the Verification Between Periods (DVER) schedule you are
explaining the difference between the beginning of the year and the end of
the year carrying value amounts. The Unrealized column amounts are part
of that formula.
The DVER is replicated here to help you understand the situation, see
below. Notice the Unrealized coming in from Schedule D Part 1 on line 4.1.
Basically, the DVER proves the following (Simplified by intent) formula to be
true taking amounts from the Schedule D reports.
Beginning Book/Carrying Value plus Purchases plus Amortization plus
Unrealized minus Realized Loss from Permanent Declines minus Book Value
Sold equals Ending Book Value.
Actually, the DVER does not subtract the Book Value Sold, it grosses
that up by subtracting the Consideration on the Sale adding back the
Realized Gain on the Sale and subtracting out the Realized Loss on the Sale
which equals the Book Value Sold. Additionally, it does not just add the
amortization; it adds the discount amortization and subtracts the premium
amortization.
30
If the bond was valued at Fair Value for both the beginning and end of the
period then the unrealized columns will equal the current year Fair Value
minus the prior year fair value minus the current year amortization. In
other words because they also need to report the amortization, it must be
netted into the total fair value change.
If the bond was valued at Book Value for the beginning of the year and
Fair Value at the end of the year the unrealized column will equal the current
year fair value minus the current year amortized cost.
If the bond was valued at Fair Value for the beginning of the year and
Book Value at the end of the year the unrealized column will equal the prior
year amortized cost minus the prior year fair value.
31
Debit
Credit
Stocks
Stocks (A+)
75,000
75000
38
38
375
375
Cash in Bank
25
Stocks
25
32
33
34
example. Consider two lots of the same bond, Bond A has 77,234 of par
and Bond B has 52,978 of par. If bond A received $573.25 of interest for
the month, how much interest did bond B receive assuming they both pay
the same interest rate?
The way you solve this is by using a proration formula like this
573.25 / 77,234 is proportional to X / 52,978
You read this like so: 573.25 is to 77,234 as X is to 52,978.
To solve a proportion, you cross multiply and solve for X.
573.25
Proportional to
77,234
X
52,978
So,
Or,
77,234 * X = 30,369,638.5