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Written by:
and
May 1, 2010
“UNDERSTANDING
UNDERSTANDING EXCESS
AND SURPLUS LINES IN
NORTH CAROLINA“
CAROLINA
Written by: Todd Wood, CPCU, CIC, ASLI Adjunct
Professor, Appalachian State University
VP of P&C Underwriting - JSA
And
Dr. David D. Wood, CPCU Joseph F. Freeman
Distinguished Professor of Insurance
Appalachian State University
• INSURANCE INSTITUTE OF
AMERICA/AMERICAN INSTITUTE FOR
CPCU defines surplus lines as “a
mechanism that allows US consumers to
buy property-liability insurance from
nonadmitted insurers when consumers are
unable to purchase the coverage they
need from admitted insurers.”
1
• AM BEST defines surplus lines insurance
as “The surplus lines market is known for
aiding insurance agents and brokers by
providing coverage solutions for these
policyholders in addition to developing
new and creative types of coverage
coverage.
Without the Surplus Lines market,
businesses would have to forgo traditional
insurance, self-insure their exposures or
seek coverage outside of the US market.”
FIRE!!!
• GREAT FIRES FIRE FIRE
PROMINENT IN NY NH
1800’S 1835 1851
America’s first Created full-
• SLOW RESPONSE Major disaster time Ins. Com.
• SHOWS POOR B d
Board
2
1890’S INDUSTRIAL
REVOLUTION/AGE BEGINS
• Lloyds begins to write large amounts of
commercial property coverage in US
• 1890 New York established first surplus lines
law in the US
– Anyone placing business with unlicensed insurer had
to have surplus lines license
– 200 initial licenses were issued
– $2,000 bond per license
– Affidavit had to be filed for each risk written with
unlicensed insurer.
NORTH CAROLINA
DEPARTMENT OF INSURANCE
• 1899 NORTH CAROLINA DEPARTMENT
OF INSURANCE WAS ESTABLISHED
• General Assembly lobbied by group of
insurance professionals that wanted
regulation of insurance industry in NC
• Prior to this, function of Secretary of State
– FIRST COMMISSIONER
1900’s Problems/Solutions
• Problem - Some states pursue regulation
to eliminate non-admitted insurance
• Problem - NAIC formed an Unauthorized
Insurance Committee that requested
states to prohibit non-admitted insurers
• Solution – 1926 AAMGA Founded – trade
association and membership selective
• Big Problem – 1929 - THE DEPRESSION
3
PROBLEM/SOLUTION?
• ADMITTED MARKETS TIGHTENED
UNDERWRITING – NO INVESTMENT
GAINS AVAILABLE
WHO COMES TO THE RESCUE?
• NON
NON--ADMITTED COMPANIES BEGAN
TO FILL THE DEMAND
• STATES BEGAN TO UNDERSTAND THE
NEED AND ROLE OF NONADMITTED
CARRIERS
4
70’s and 80’s
• 1975 NAPSLO Founded
• 1982 NAIC adopts Surplus Lines Model Act
• 1984 New Jersey establishes a guaranty fund
for Surplus Lines
• 1985 NC Surplus Lines Act passes
• Tough market conditions – new non-admitted
companies/mga’s/brokers
2005
• 3 MAJOR HURRICANES HIT THE US
CAUSING MORE THAN $50 BILLION IN
INSURED DAMAGE
5
The Hard Market
was short - lived
REGULATION
NAIC GUIDING PRINCIPALS ADOPTED IN
1957
1. For a fee, allow a resident licensed agent or
broker to obtain a license to place surplus lines
business with a non-admitted carrier
2. Require that licensees place business in an
insurer that is licensed in at least one US state
and regulated and disciplined by a supervisory
official
3. Stipulate that non-admitted insurers writing
surplus lines insurance be governed by the
laws of the state and under the jurisdiction of
the state courts.
6
4. Require surplus lines brokers to show that a diligent
effort was made to secure coverage from admitted
insurers and to describe the risk in sufficient detail to
enable authorities to determine its eligibility for export.
5. For each policy exported, direct the surplus lines
broker to insert notice to the policyholder indicating
that the insurance has been placed in a non-admitted
(unlicensed insurer); describing the coverage provided;
and stating the premium, premium taxes, and all other
charges.
charges
6. Require Surplus Lines brokers to file and annual tax
return showing gross premiums, return premiums on
cancelled insurance, and net premiums subject to tax.
7. Charge a premium tax on surplus lines business at a
rate decided by each state.
ARTICLE 21
NC SURPLUS LINES ACT
• § 58-21-5. Purposes; necessity for regulation.
This Article shall be liberally construed and applied to promote
its underlying purposes, which include:
(1) Protecting persons in this State seeking insurance;
(2) Permitting surplus lines insurance to be placed with
reputable
p and financiallyy sound nonadmitted insurers and
exported from this State pursuant to this Article;
(3) Establishing a system of regulation that will permit
orderly access to surplus lines insurance in this State and
encourage admitted insurers to provide new and innovative
types of insurance available to consumers in this State; and
(4) Protecting revenues of this State. (1985, c. 688, s. 1.)
7
§ 58-21-10. Definitions.
As used in this Article:
(1) "Admitted insurer" means an insurer licensed to do
an insurance business in this State.
(2) "Capital", as used in the financial requirements of
G.S. 58-21-20, means funds paid in for stock or other
evidence of ownership.
(3) "Eligible surplus lines insurer" means a nonadmitted
insurer with which a surplus lines licensee may place
surplus lines insurance under G.S. 58-21-20.
(4) "Export" means to place surplus lines insurance with
a nonadmitted insurer.
(5) "Nonadmitted insurer" means an insurer not
licensed to do an insurance business in this State. This
definition includes insurance exchanges authorized
under the laws of various states.
8
• (9) "Surplus lines licensee" means a person licensed under G.S.
58-21-65 to place insurance on risks resident, located, or to be
performed in this State with non-admitted insurers eligible to accept
such insurance.
• (10) "Wet marine and transportation insurance" means:
• a. Insurance upon vessels, crafts, hulls and of interests therein
or with relation thereto;
• b. Insurance of marine builder's risks, marine war risks and
contracts of marine protection and indemnity insurance;
• c. Insurance of freights and disbursements pertaining to a
subject of insurance coming within this subsection; and
• d.
d I
Insurance off personall property
t and
d interests
i t t therein,
th i in i the
th
course of exportation from or importation into any country, or in the
course of transportation coastwise or on inland waters including
transportation by land, water, or air from point of origin to final
destination, in connection with any and all risks or perils of
navigation, transit or transportation, and while being prepared for
and while awaiting shipment, and during any delays, transshipment,
or reshipment incident thereto. (1985, c. 688, s. 1; 1985 (Reg. Sess.,
1986), c. 1027, s. 45; 1987, c. 629, s. 19; c. 727, s. 6; c. 864, s. 73;
1998-211, s. 3; 1999-219, s. 5.3.)
DEFINITION OF A BROKER
• 58-33-10 (3) "Broker" means a person who,
being a licensed agent, procures insurance for a
party other than himself through a duly
authorized agent of an insurer that is licensed to
do business in this State but for which the broker
is not a
authorized
thori ed to act as agent
agent. A person not
duly licensed who procures insurance for a party
other than himself is a broker within the intent of
this Article, and thereby becomes liable for all
the duties, requirements, liabilities and penalties
to which such licensed brokers are subject.
9
What constitutes a diligent search?
58-21-35
• Surplus lines licensee must file a report with the
Commissioner within 30 days and it must
contain
– Name of the insured
– Name of insurer
– Description and location of risk
– Amount of premium
– Amount of tax
– Policy period
– Policy number
– Licensee contact information
– Anything else required by Commissioner
10
58-21-45 EVIDENCE OF THE
INSURANCE; CHANGES;
PENALTY;
• (f) All evidences of insurance must contain name
of surplus lines licensee as well as the following
wording in 10 point type in contrasting color
color:
– “The
The insurance company with which this coverage
has been placed is not licensed by the State of North
Carolina and is not subject to its supervision. In the
event of the insolvency of the insurance company,
losses under this policy will not be paid by and State
insurance or guaranty or solvency fund.”
FORM F
• A FORM F MUST BE COMPLETED FOR
EVERY POLICY AND FOR EVERY
POLICY TERM
• LET
LET’S
S LOOK AT THE FORM F AND IT’S
IT S
PURPOSE
Form F
11
58-21-40
REGULATORY SUPPORT
ORGANIZATION
(1) Facilitate and help surplus lines
licensees with laws and regulations; and
(2) Educate others on the use of surplus
lines insurance; and
(3) Advise surplus lines licensees on
changes to laws and regulations; and
(4) Countersign forms filed by nonresident
surplus lines licensees and file taxes on
their behalf for a fee
www.ncsla.com
12
White List
13
58-21-60 EFFECT OF PAYMENT
TO SURPLUS LINES LICENSEE
58-21-85
• (a) Surplus lines tax is 5% of gross
premiums charged. Any tax on returned
or unearned premiums must be returned
to the policy holder
holder. No tax on Fees
Fees.
14
Rating Distribution
A.M. Best Rating Domestic Professional Surplus Lines Total P/C Industry
Level Category # Rating Units Percentage # Rating Units Percentage
Secure Ratings
A++ Superior 5 6.30% 18 1.70%
A+ Superior 17 21.30% 79 7.40%
Total Superior Ratings 22 27.5 97 9.10%
A Excellent 30 37.50% 239 22.50%
A- Excellent 21 26.30% 314 29.50%
Total Superior & Excellent Ratings 73 91.30% 650 61.10%
B++ Very Good 2 2.50% 159 14.90%
B+ Very Good 2 2.50% 120 11.30%
Total Secure Ratings 77 96.30% 929 87.30%
Vulnerable Ratings
B Fair 3 3.80% 59 5.50%
B- Fair 0 0.00% 27 2.50%
C++ Marginal 0 0.00% 12 1.10%
C+ Marginal 0 0.00% 4 0.40%
C+ Weak 0 0.00% 2 0.20%
C- Weak 0 0.00% 1 0.10%
D Poor 0 0.00% 0 0.00%
E Under Regulatory Supervision 0 0.00% 18 1.70%
F In Liquidation 0 0.00% 12 1.10%
Total Vulnerable Ratings 3 3.80% 135 12.70%
A CLOSER LOOK
• SURPLUS LINES COMPANIES HAVE A
HIGHER PERCENTAGE OF SECURE
RATINGS THAN THE OVERALL INDUSTRY
MYTH?
• THE SURPLUS LINES INDUSTRY HAS A
HIGH FAILURE FREQUENCY AS
COMPARED TO THE TOTAL P& C
INDUSTRY.
INDUSTRY
15
Number of
Insolvencies
Insolvencies Failure Frequency
Years Total P/C Industry Surplus Admitted Companies Total P/C Industry Surplus Admitted Companies
1976 9 1 8 0.30% 0.63% 0.28%
1977 13 1 12 0.44% 0.62% 0.42%
1978 12 0 12 0.39% 0.00% 0.42%
1979 19 0 19 0.62% 0.00% 0.66%
1980 9 0 9 0.30% 0.00% 0.32%
1981 16 0 16 0.52% 0.00% 0.56%
1982 14 1 13 0.45% 0.52% 0.45%
1983 13 2 11 0.41% 0.98% 0.37%
1984 36 0 36 1.13% 0.00% 1.21%
1985 49 2 47 1.54% 1.01% 1.58%
1986 31 2 29 0.98% 1.08% 0.97%
1987 32 1 31 1 01%
1.01% 0 54%
0.54% 1 04%
1.04%
1988 49 1 48 1.49% 0.53% 1.54%
1989 56 7 49 1.70% 3.69% 1.57%
1990 54 3 51 1.63% 1.54% 1.63%
1991 59 4 55 1.74% 1.99% 1.73%
1992 57 5 52 1.66% 2.53% 1.60%
1993 40 3 37 1.15% 1.55% 1.12%
1994 29 2 27 0.83% 1.08% 0.82%
1995 16 1 15 0.46% 0.56% 0.45%
1996 12 2 10 0.35% 1.15% 0.31%
1997 32 1 31 0.82% 0.58% 0.94%
1998 17 3 14 0.50% 1.72% 0.43%
1999 19 2 17 0.54% 1.14% 0.51%
2000 49 3 46 1.48% 1.58% 1.47%
2001 49 5 44 1.49% 2.53% 1.42%
2002 45 4 41 1.31% 2.07% 1.27%
2003 34 5 29 0.99% 2.64% 0.89%
2004 14 0 14 0.40% 0.00% 0.43%
2005 5 0 5 0.29% 0.00% 0.30%
IS THERE A DIFFERENCE?
• AM BEST ALSO STUDIED THE PRIMARY
CAUSE OF INSOLVENCY
– 1/76 – 6/05
#1 CAUSE OF INSOLVENCY FOR ADMITTED AND
SURPLUS LINES COMPANIES – DEFICIENT LOSS
RESERVES
#2 FOR ADMITTED MARKET – RAPID GROWTH
#3 2ND HIGHEST CAUSE OF LOSS FOR SURPLUS
LINES COMPANIES WAS IMPAIRMENT OF AN
AFFILIATE – ADMITTED PARENT COMPANY
16
MYTH OR FACT?
• WE HAVE THE GUARANTY FUND, SO
WE ARE PROTECTED – OUR
INSURED’S ARE PROTECTED.
FACT
• THE NC GUARANTY FUND ONLY PAYS FOR
CLAIMS WHEN THE COVERED CLAIM IS
BETWEEN $50 AND $300,000 EXCEPT FOR
WORKERS’ COMPENSATION.
– HOW MANY GL POLICIES ARE WRITTEN WITH
LIMITS OF $1,000,000 OCCURRENCE/$2,000,000
AGGREGATE?
– WHAT ABOUT PROFESSIONAL LIABILITY? HOW
MANY MED PROFESSIONAL POLICIES DO YOU
WRITE WITH A $300,000 LIMIT?
– HOW MANY PROPERTY POLICIES ARE WRITTEN
WITH A BUILDING LIMIT GREATER THAN
$300,000?
17
Article 21.
Surplus Lines Act.
§ 58-21-1. Short title.
This Article shall be known and may be cited as the "Surplus Lines Act". (1985, c. 688, s.
1.)
§ 58-21-10. Definitions.
As used in this Article:
(1) "Admitted insurer" means an insurer licensed to do an insurance business in
this State.
(2) "Capital", as used in the financial requirements of G.S. 58-21-20, means
funds paid in for stock or other evidence of ownership.
(3) "Eligible surplus lines insurer" means a nonadmitted insurer with which a
surplus lines licensee may place surplus lines insurance under G.S.
58-21-20.
(4) "Export" means to place surplus lines insurance with a nonadmitted insurer.
(5) "Nonadmitted insurer" means an insurer not licensed to do an insurance
business in this State. This definition includes insurance exchanges
authorized under the laws of various states.
(6) "Producing broker" means an agent or broker licensed under Article 33 of
this Chapter who deals directly with the party seeking insurance and who
may also be a surplus lines licensee.
(7) "Surplus", as used in the financial requirements of G.S. 58-21-20, means
funds over and above liabilities and capital of the company for the protection
of policyholders.
(8) "Surplus lines insurance" means any insurance in this State of risks resident,
located, or to be performed in this State, permitted to be placed through a
surplus lines licensee with a nonadmitted insurer eligible to accept such
insurance, other than reinsurance, commercial aircraft insurance, wet marine
and transportation insurance, insurance independently procured pursuant to
G.S. 58-28-5, life and accident or health insurance, and annuities.
§ 58-21-70. Surplus lines licensees may accept business from other agents or brokers;
countersignatures required; remittance of premium tax.
(a) A surplus lines licensee may originate surplus lines insurance or accept such
insurance from any other duly licensed agent or broker, and the surplus lines licensee may
compensate such agent or broker therefor.
(b) Every report filed by a nonresident licensee under G.S. 58-21-35(a) shall, before
being filed with the Commissioner, be countersigned by a resident licensee or by a regulatory
support organization. The resident licensee or regulatory support organization may charge the
nonresident licensee a countersignature fee.
(c) Every resident licensee and regulatory support organization that countersigns a
report under subsection (b) of this section is responsible for remitting the premium tax for the
coverage, as specified in G.S. 58-21-85, to the Commissioner. (1985, c. 688, s. 1; 2001-451, s.
2.)
§ 58-21-105. Penalties.
(a) Any surplus lines licensee who in this State represents or aids a nonadmitted insurer
in violation of this Article shall be guilty of a Class 1 misdemeanor.
(b) In addition to any other penalty provided for in this section or otherwise
provided by law, including any suspension, revocation, or refusal to renew a license,
any person violating any provision of this Article shall be subject to a civil penalty,
payment of restitution, or both, in accordance with G.S. 58-2-70. (1985, c. 688, s. 1; 1993,
c. 539, s. 450; 1994, Ex. Sess., c. 24, s. 14(c).)