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AIAF 114 2.0. QUESTIONS AND ANSWERS 2025
Typology: Exams
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An estimate of the amount of money the insurer expects to pay in the future for losses that have already occurred and been reported, but are not yet settled. - answer Loss reserve The expense that an insurer incurs to investigate, defends, and settles claims according to the terms specified in the insurance policy. - answer Loss adjustment expense (LAE) The expense an insurer incurs to investigate, defend, and settle claims that are associated with a specific claim. - answer Allocated loss adjustment expense (ALAE) Loss adjustment expense that cannot be readily associated with a specific claim. - answer Unallocated loss adjustment expense (ULAE) Estimates of the future expense that an insurer expects to incur to investigate, defend, and settle claims for losses that have already occurred. - answer Loss adjustment expense reserves Losses that have been paid to, or on behalf of, insureds during a given period. - answerPaid losses The losses that have occurred during a specific period, no matter when claims resulting from the losses are paid. - answerIncurred losses A reserve established for losses that reasonably can be assumed to have been incurred but not yet reported. - answerIncurred but not reported (IBNR) reserves A method of organizing ratemaking statistics that uses incurred losses for an accident year, which consist of all losses related to claims arising from accidents that occur during the year, and that estimates earned premiums by formulas from accounting records. - answerAccident-year method The final paid amount for all losses in an accident year. - answerUltimate loss The increase or decrease of incurred losses over time. - answerLoss development A loss reserve assigned to an individual claim. - answerCase reserve Reserves established for the settlement of an entire group of claims. - answerBulk reserves
A method to establish a case loss reserve based largely on experience with similar claims. - answerJudgment method A method to establish a case reserve by using an average amount for specific categories of claims. - answerAverage method A case reserving method that establishes an average amount for all claims that have similar characteristics in terms of the claimant's age, health, and marital status. - answerTabular method A factor that is applied to the most recent estimate of incurred losses for a specific accident year to estimate the ultimate incurred loss for that year. - answerUltimate loss development factor The transfer of insurance risk from one insurer to another through a contractual agreement under which one insurer (the reinsurer) agrees, in return for a reinsurance premium, to indemnify another insurer (the primary insurer) for some or all of the financial consequences of certain loss exposures covered by the primary's insurance policies. - answerReinsurance In reinsurance, the insurer that transfers or cedes all or part of the insurance risk it has assumed to another insurer in a contractual arrangement. - answerPrimary insurer The insurer that assumes some or all of the potential costs of insured loss exposures of the primary insurer in a reinsurance contractual agreement. - answerReinsurer Contract between the primary insurer and reinsurer that stipulates the form of reinsurance and the type of accounts to be reinsured. - answerReinsurance agreement Uncertainty about the adequacy of insurance premiums to pay losses. - answerInsurance risk The amount retained by the primary insurer in the reinsurance transaction. - answerRetention The consideration paid by the primary insurer to the reinsurer for assuming some or all of the primary insurer's insurance risk. - answerReinsurance premium An amount paid by the reinsurer to the primary insurer to cover part or all of the primary insurer's policy acquisition expenses. - answerCeding commission A reinsurance agreement whereby one reinsurer (the retrocedent) transfers all or part of the reinsurance risk it has assumed or will assume to another reinsurer (the retrocessionaire). - answerRetrocession
A ceding commission that is a fixed percentage of the ceded premiums. - answerFlat commission A ceding commission that is contingent on the reinsurer realizing a predetermined percentage of excess profit on ceded loss exposures. - answerProfit-sharing commission A ceding commission based on a formula that adjusts the commission according to the profitability of the reinsurance agreement. - answerSliding scale commission A type of pro rata reinsurance in which the primary insurer and the reinsurer share the amounts of insurance, policy premiums, and losses (including loss adjustment expenses) using a fixed percentage. - answerQuota share reinsurance A ratio that measures losses and loss adjustment expenses against earned premiums and that reflects the percentage of premiums being consumed by losses. - answerLoss ratio A type of excess of loss reinsurance that protects the primary insurer from an accumulation of retained losses that arise from a single catastrophic event. - answerCatastrophe excess of loss reinsurance A quota share reinsurance treaty in which the cession percentage retention varies based on specified predetermined criteria such as the amount of insurance needed. - answerVariable quota share treaty A type of pro rata reinsurance in which the policies covered are those whose amount of insurance exceeds a stipulated dollar amount, or line. - answerSurplus share reinsurance A report the primary insurer provides periodically to the reinsurer that contains a history of all loss exposures reinsured under the treaty. - answerBordereau A document that provides the minimum and maximum line a primary insurer can retain on a loss exposure. - answerLine guide A type of reinsurance in which the primary insurer is indemnified for losses that exceed a specified dollar amount. - answerExcess of loss reinsurance (nonproportional reinsurance) The dollar amount above which the reinsurer responds to losses. - answerAttachment point The premium the primary insurer charges on its underlying policies and to which a rate is applied to determine the reinsurance premium. - answerSubject premium
An excess of loss reinsurance agreement with a low attachment point. - answerWorking cover A type of excess of loss reinsurance that covers property insurance and that applies separately to each loss occurring to each risk. - answerPer risk excess of loss reinsurance A reinsurance agreement clause that defines the scope of a catastrophic occurrence for the purposes of the agreement. - answerLoss occurrence clause A type of excess of loss reinsurance that applies the attachment point and the reinsurance limit separately to each insurance policy issued by the primary insurer regardless of the number of losses occurring under each policy. - answerPer policy excess of loss reinsurance A type of excess of loss reinsurance that applies the attachment point and reinsurance limit to the total losses arising from a single event affecting one or more of the primary insurer's policies. - answerPer occurrence excess of loss reinsurance A type of per occurrence excess of loss reinsurance for liability loss exposures that protects the primary insurer against aggregations of losses from one occurrence that affects several insureds or several types of insurance. - answerClash cover Damages awarded to the insured as a result of the insurer's improperly handling a claim. - answerExtracontractual damages A loss that results when an insured sues an insurer for failing to settle a claim within the insured's policy limits when the insurer had the opportunity to do so. - answerExcess of policy limit loss A type of excess of loss reinsurance that covers aggregated losses that exceed the attachment point, stated as a dollar amount of loss or as a loss ratio, and that occur over a specified period, usually one year. - answerAggregate excess of loss reinsurance Reinsurance purchased to cede future losses. - answerProspective reinsurance A type of retroactive plan that applies to an entire portfolio of losses. - answerLoss portfolio transfer Title 26 of the United States Code, enacted in 1986, comprising the laws governing federal taxation in the U.S., including those applicable to property-casualty insurers. - answerInternal Revenue Code (IRC) The primary financial statement prepared by insurers and required by every state insurance department. - answerNAIC Annual Statement
Accounts that recognize expected future tax benefits or obligations that arise from temporary differences between valuations on the balance sheet being reported and those on the tax balance sheet. - answerDeferred tax assets and liabilities Types of property, such as office furniture and equipment, that regulators do not allow insurers to show as assets on financial statements because these assets cannot readily be converted to cash at or near their market value. - answerNonadmitted assets A state-established fund that provides a system for the payment of some of the unpaid claims of insolvent insurers licensed in that state, generally funded by assessments collected from all insurers licensed in the state. - answerGuaranty fund The risk that a security's future value will decline because of changes in interest rates. - answerInterest rate risk The risk that the rate at which periodic interest payments can be reinvested over the life of the investment will be unfavorable. - answerReinvestment risk The process of matching investment duration and liability duration. - answerPortfolio immunization (asset-liability matching) Withdrawal of deposits from depository institutions to be reinvested elsewhere, such as in money market mutual funds. - answerDisintermediation A graphical representation of the relationship between yields at different maturities. - answerYield curve A common set of accounting standards and procedures used in the preparation of financial statements to ensure consistency of presentation and reported results. - answerGenerally accepted accounting principles (GAAP) The accounting principles and practices that are prescribed or permitted by an insurer's domiciliary state and that insurers must follow. - answerStatutory accounting principles (SAP) The valuation of an asset based on financial models instead of market price. - answerMark-to-model The value of an asset or liability based on its current market price. - answerMark-to- market An accounting approach in which the focus is to coordinate the timing of income and expense recognition so that both occur when the triggering event that is the focus of the contract occurs. - answerDeferral-matching
A current asset representing monies owed to a business by customers for goods or services rendered. - answerAccounts receivable Amounts for losses and loss adjustment expenses owed to an insurer under reinsurance agreements covering paid losses. - answerReinsurance recoverables The recognition of the cost of acquiring a new customer over the duration of an insurance contract. - answerDeferred acquisition costs The amount the insurer estimates and sets aside to pay on an existing claim that has not been settled. - answerReserve The portion of policy premium for the unexpired portion of the policy. - answerUnearned premium An accounting approach that focuses on the value of assets or liabilities that exist as of the balance sheet date. - answerAsset-liability The portion of written premiums that corresponds to coverage that has already been provided. - answerEarned premiums Financial standards developed by the International Accounting Standards Board (IASB).