Insurance Companies and Pension Funds: PPT - Chapter 22

Chapter 19
Insurance Companies and Pension Funds

PPT - Chapter 22
Chapter Preview
We look at two nonbank institutions: insurance companies and pension funds. We view them in a similar light as other financial intermediaries because they take funds from one sector and invest them in another. Topics include:
Insurance Companies Fundamentals of Insurance
Growth and Organization of Insurance Companies

Types of Insurance
Copyright 2009 Pearson Prentice Hall. All rights reserved.
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Chapter Preview
Pensions Types of Pensions Regulation of Pension Plans
The Future of Pension Funds
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Insurance Companies
Insurance companies assume the risk of their clients in return for a fee, called the premium. Most people purchase insurance because they are risk-aversethey would rather pay a certainty equivalent (the premium) than accept a gamble
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Fundamentals of Insurance
Although there are many types of insurance and insurance companies, there are seven basic principles all insurance companies are subject to: 1. There must be a relationship between the insured and the beneficiary. Further, the beneficiary must be someone who would suffer if it werent for the insurance.
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2. The insured must provide full and accurate information to the insurance company. 3. The insured is not to profit as a result of insurance coverage. 4. If a third party compensates the insured for the loss, the insurance companys obligation is reduced by the amount of the compensation.
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5. The insurance company must have a large number of insured so that the risk can be spread out among many different policies. 6. The loss must be quantifiable. For example, an oil company could not buy a policy on an unexplored oil field. 7. The insurance company must be able to compute the probability of the losss occurring.
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Adverse Selection and Moral Hazard in Insurance As we have seen in previous chapters, asymmetric information plays a large role in the design of insurance products. As with other industries, the presence of adverse selection and moral hazard impacts the industry, but is fairly well understood the insurance companies.
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Adverse Selection in Insurance

The adverse selection problem raises the issue of which policies an insurance company should accept: Those most likely to suffer loss are most likely to apply for insurance. In the extreme, insurance companies should turn anyone who applies for an insurance policy.
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Adverse Selection in Insurance

However, insurance companies have found reasonable solutions to deal with this problem: Health insurance policies require a physical exam. Preexisting conditions may be excluded from the policy.
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Moral Hazard in Insurance

Moral hazard occurs in the insurance industry when the insured fails to take proper precautions (or takes on more risk) to avoid losses because losses are covered by the insurance policy. Insurance companies use deductibles to help control this problem.
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Another problem is that most people dont purchase enough insurance. Insurance companies use a strong sales force to combat this.
Independent agents may sell the insurance products of a number of different insurance companies.
Exclusive agents only sell the products of one company. An underwriter reviews each policy prior to its acceptance to determine if the risk is acceptable.
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Growth and Organization of Insurance Companies The number of insurance companies grew steadily until 1988, and since then the number has fallen steadily. This can be seen in the next slide.
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Growth and Organization of Insurance Companies

The previous slide also shows that insurance companies may be organized in two difference ways:
A stock company is owned by shareholders and has a profit motive A mutual insurance company is owned by the policyholders and attempts to provide the lowest cost insurance
At the end of 2005, only 135 of 1119 insurance companies were mutual insurance companies.
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Types of Insurance
Insurance is classified by which type of undesirable event is covered: Life Insurance
Health Insurance
Property and Casualty Insurance
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Life Insurance
Life insurance policies come in many forms. Some of the typical policies include:
Term Life: the insured is covered while the policy is in effect, usually 1020 years. Whole Life: similar to term life, but allows the policyholder to borrow against the policies cash value. When the term of policy expires, the insured can get the cash value of the policy.
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Life Insurance
Life insurance policies come in many forms. Some of the typical policies include: Universal Life: includes both a term life portion and a savings portion. Annuities: pays a benefit to the insured until death, to cover retirement years.
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Expected Life of Persons at Various Ages
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Sample Annual Premiums
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Life Insurance: Company Assets and Liabilities Life insurance companies derive funds from two sources:
They receive premiums that must be used to payout future claims when the insured dies They receive premiums paid into pension funds managed by the life insurance company
The next figures shows the distribution of the typical life insurance companys assets, as well as assets invested in mortgages.
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Life Insurance: Company Assets and Liabilities
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Life Insurance: Company Assets and Liabilities Life insurance companies have two primary liabilities:
Life insurance payouts
Pension fund payouts
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Health Insurance
Health insurance policies are highly vulnerable to the adverse selection problem. Those with known or expected health problems are more likely to seek coverage. This is why most health insurance is offered through group policies. Individual policies must be priced assuming adverse selection.
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Health Insurance
Health insurance is a hot topic in the political environment, focusing on increased costs and availability of coverage. Insurance programs are attempting to shift costs to the employers.
Health Maintenance Organizations are another attempt to keep costs down.

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Property Insurance: protects businesses and owners from the risk associated with ownership.
Named-peril policies: insures against any losses only from perils specifically named in the policy
Open-peril policies: insures against any losses except from perils specifically named in the policy
Casualty Insurance
Reinsurance
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Casualty Insurance: also known as liability insurance, it protects against financial losses because of a claim of negligence. Reinsurance: allocates a portion of the risk to another company in exchange for a portion of the premium.
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Insurance Regulation
The McCarran-Ferguson Act of 1945 explicitly exempts insurance companies from any type of federal regulation. Most insurance regulations is at the state level Regulation is typically designed to protect policyholders from losses, or expand insurance coverage in the state.
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The Practicing Manager: Insurance Management

Screening Risk-Based Premium Restrictive Provisions Prevention of Fraud Cancellations of Insurance Deductibles
Coinsurance
Limits on the Amount of Insurance
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Pensions
Definition: A pension plan is an asset pool that accumulates over an individuals working years and is paid out during the nonworking years. Developed as Americans began relying less on children for care during their later years. Also became popular as life expectancy increased.
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Types of Pensions
Defined-Benefit Pension Plans: a plan where the sponsor promises the employee a specific benefit when they retire. For example, Annual Retirement Payment =
2% average of final 3 years income years of service
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Types of Pensions
Defined-Benefit Pension Plans place a burden on the employer to properly fund the expected retirement benefit payouts.
Fully funded: sufficient funds are available to meet payouts Overfunded: funds exceed the expected payout
Underfunded: funds are not expected to meet the required benefit payouts
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Types of Pensions
Defined-Contribution Pension Plan: a plan where a set amount is invested for retirement, but the benefit payout is uncertain. Private Pension Plans: any pension plan set up by employers, groups, or individuals Public Pension Plan: any pension plan set up by a government body for the general public (e.g., Social Security)
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Private Pension Plan Assets
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Social Security
Pay as you go system, where current funding is used (partially) to pay current benefits. Projected number of workers is falling while projected number of retirees is increasing, which will cause problems in years to come if not corrected.
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Social Security
Its difficult to measure the health of the social security system. Many factors are hard to predict, such as birth rates and the rate of immigration. Although it may not fail, itd be wise for you plan other sources for your retirement cash flows.
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Regulation of Pension Plans

A major U.S. Supreme Court decision in 1949 established that pension benefits were a legitimate part of collective bargaining. The number of plans increased from this as unions negotiated for such plans.
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Employee Retirement Income Security Act of 1974
Established guidelines for funding Allowed plan credit to transfer with employees Established vesting requirements to gain plan benefits Increased disclosure requirements Assigned regulatory oversight to the Department of Labor
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ERISA also established the Pension Benefit Guarantee Corporation to insure pension benefits if an underfunded pension plan is unable to meet its obligations.
Accounting makes it difficult to assess funding status of a plan May be in trouble as plans appear underfunded
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The next slide shows the annual payments made since 1980 to failed plan participants. In 2005, the PBGC said that the plan has never been under more stress
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Pension Protection Act of 2006 was passed to address the growing problem of failed pension plans. The act provides for stronger funding rules, greater transparency, and a strong pension insurance system.
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Pension Reform Act of 1978 authorized individual retirement accounts.
Enjoy a preferential tax treatment
Keogh plans are similar plans for selfemployed individuals

SIMPLE IRAs are simplified retirement plans for small businesses.
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The Future of Pension Funds

We can expect their growth and popularity as the average population continues to grow. Variety of pension fund offerings may increase as well. Pension funds may gain significant control of corporations as their stock holdings increase.
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Chapter Summary
Insurance Companies: the nature of the industry, including rationale and people employed in the industry, was presented. Fundamentals of Insurance: the seven fundamental ideas behind all insurance were listed and reviewed.
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Chapter Summary (cont.)

Growth and Organization of Insurance Companies: the changes in growth patterns over the last several decades was reviewed, including both assets and number of companies. Types of Insurance: the variety of insurance policies available covering life, health, etc., were presented.
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Pensions: the general idea and growth in pension funds was presented. Types of Pensions: the various forms, from defined-benefit to defined-contribution, were reviewed and compared.
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Regulation of Pension Plans: ERISA and other laws that govern pension funds was discussed. The Future of Pension Funds: we should expect their popularity, size, and power to continue to grow as the population ages.
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Insurance Companies and Pension Funds: PPT - Chapter 22

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Chapter 19

Insurance Companies and Pension Funds

Growth and Organization of Insurance Companies

The Future of Pension Funds

Copyright 2009 Pearson Prentice Hall. All rights reserved.

Copyright 2009 Pearson Prentice Hall. All rights reserved.

Copyright 2009 Pearson Prentice Hall. All rights reserved.

Copyright 2009 Pearson Prentice Hall. All rights reserved.

Copyright 2009 Pearson Prentice Hall. All rights reserved.

Adverse Selection in Insurance

Adverse Selection in Insurance

Moral Hazard in Insurance

Copyright 2009 Pearson Prentice Hall. All rights reserved.

Copyright 2009 Pearson Prentice Hall. All rights reserved.

Growth and Organization of Insurance Companies

Copyright 2009 Pearson Prentice Hall. All rights reserved.

Copyright 2009 Pearson Prentice Hall. All rights reserved.

Expected Life of Persons at Various Ages

Copyright 2009 Pearson Prentice Hall. All rights reserved.

Sample Annual Premiums

Copyright 2009 Pearson Prentice Hall. All rights reserved.

Life Insurance: Company Assets and Liabilities

Copyright 2009 Pearson Prentice Hall. All rights reserved.

Pension fund payouts

Copyright 2009 Pearson Prentice Hall. All rights reserved.

Health Maintenance Organizations are another attempt to keep costs down.

Property and Casualty Insurance

Copyright 2009 Pearson Prentice Hall. All rights reserved.

Property and Casualty Insurance

Copyright 2009 Pearson Prentice Hall. All rights reserved.

The Practicing Manager: Insurance Management

Copyright 2009 Pearson Prentice Hall. All rights reserved.

Copyright 2009 Pearson Prentice Hall. All rights reserved.

Copyright 2009 Pearson Prentice Hall. All rights reserved.

Private Pension Plan Assets

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Copyright 2009 Pearson Prentice Hall. All rights reserved.

Copyright 2009 Pearson Prentice Hall. All rights reserved.

Regulation of Pension Plans

Copyright 2009 Pearson Prentice Hall. All rights reserved.

Regulation of Pension Plans

Regulation of Pension Plans

Regulation of Pension Plans

Copyright 2009 Pearson Prentice Hall. All rights reserved.

Regulation of Pension Plans

Copyright 2009 Pearson Prentice Hall. All rights reserved.

Regulation of Pension Plans

Keogh plans are similar plans for selfemployed individuals

Copyright 2009 Pearson Prentice Hall. All rights reserved.

The Future of Pension Funds

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Chapter Summary (cont.)

Chapter Summary (cont.)

Copyright 2009 Pearson Prentice Hall. All rights reserved.

Chapter Summary (cont.)

Copyright 2009 Pearson Prentice Hall. All rights reserved.

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