760 IAC 1-55-4 Accounting requirements

Sec. 4. (a) No insurer subject to this rule shall, for reinsurance ceded, reduce any liability or establish any asset in any financial statement filed with the department of insurance if, by the terms of the reinsurance agreement, in substance or effect, any of the following conditions exist: (1) Renewal expense allowances provided or to be provided to the ceding insurer by the reinsurer in any accounting period, are not sufficient to cover anticipated allocable renewal expenses of the ceding insurer on the portion of the business reinsured, unless a liability is established for the present value of the shortfall (using assumptions equal to the applicable statutory reserve basis on the business reinsured). Those expenses include commissions, premium taxes, and direct expenses, including, but not limited to, billing, valuation, claims, and maintenance expected by the company at the time the business is reinsured. (2) The ceding insurer can be deprived of surplus at the reinsurer's option or automatically upon the occurrence of some event, such as the insolvency of the ceding insurer, except that termination of the reinsurance agreement by the reinsurer for nonpayment of reinsurance premiums or other amounts due, such as modified coinsurance reserve adjustments, interest, and adjustments on funds withheld, and tax reimbursements, shall not be considered to be such a deprivation of surplus. (3) The ceding insurer is required to reimburse the reinsurer for negative experience under the reinsurance agreement, except that neither offsetting experience refunds against current and prior years' losses under the agreement nor payment by the ceding insurer of an amount equal to the current and prior years' losses under the agreement upon voluntary termination of in-force reinsurance by the ceding insurer shall be considered such a reimbursement to the reinsurer for negative experience. Voluntary termination does not include situations where termination occurs because of unreasonable provisions which allow the reinsurer to reduce its risk under the agreement. An example of such a provision is the right of the reinsurer to increase reinsurance premiums or risk and expense charges to excessive levels forcing the ceding company to prematurely terminate the reinsurance treaty. (4) The ceding insurer must, at specific points in time scheduled in the agreement, terminate or automatically recapture all or part of the reinsurance ceded. (5) The reinsurance agreement involves the possible payment by the ceding insurer to the reinsurer of amounts other than from income realized from the reinsured policies. For example, it is improper for a ceding company to pay reinsurance premiums or other fees or charges to a reinsurer which are greater than the direct premiums collected by the ceding company. (6) The treaty does not transfer all of the significant risks inherent in the business being reinsured. The table in this subdivision identifies, for a representative sampling of products or type of business, the risks which are considered to be significant. For products not specifically included, the risks determined to be significant shall be consistent with the following: Risk categories: a = Morbidity. b = Mortality. c = Lapse. This is the risk that a policy will voluntarily terminate prior to the recoupment of any statutory surplus strain experienced at issue of the policy. d = Credit quality (C1). This is the risk that invested assets supporting the reinsured business will decrease in value. The main hazards are that assets will default or that there will be a decrease in earning power. It excludes market value declines due to changes in interest rate. e = Reinvestment (C3). This is the risk that interest rates will fall and funds reinvested (coupon payments or monies received upon asset maturity or call) will therefore earn less than expected. If asset durations are less than liability durations, the mismatch will increase. f = Disintermediation (C3). This is the risk that interest rates rise and policy loans and surrenders increase or maturing contracts do not renew at anticipated rates of renewal. If asset durations are greater than the liability durations, the mismatch will increase. Policyholders will move their funds into new products offering higher rates. The company may have to sell assets at a loss to provide for these withdrawals. + = Significant. o = Insignificant. Risk Category a b c d e f Health insurance-other than LTC/LTD* + o + o o o Health insurance-LTC/LTD* + o + + + o Immediate annuities o + o + + o Single premium deferred annuities o o + + + + Flexible premium deferred annuities o o + + + + Guaranteed interest contracts o o o + + + Other annuity deposit business o o + + + + Single premium whole life o + + + + + Traditional non-par permanent o + + + + + Traditional non-par term o + + o o o Traditional par permanent o + + + + + Traditional par term o + + o o o Adjustable premium permanent o + + + + + Indeterminate premium permanent o + + + + + Universal life flexible premium o + + + + + Universal life fixed premium o + + + + + Universal life fixed premium o + + + + + dump-in premiums allowed *LTC = long term care insurance. LTD = long term disability insurance. (7)(A) The credit quality, reinvestment, or disintermediation risk is significant for the business reinsured and the ceding company does not (other than for the classes of business excepted in clause (B)) either transfer the underlying assets to the reinsurer or legally segregate such assets in a trust or escrow account or otherwise establish a mechanism satisfactory to the commissioner which legally segregates the underlying assets. (B) Notwithstanding the requirements of clause (A), the assets supporting the reserves for the following classes of business and any classes of business which do not have a significant credit quality, reinvestment, or disintermediation risk may be held by the ceding company without segregation of such assets: (i) Health insurance–LTC/LTD. (ii) Traditional non-par permanent. (iii) Traditional par permanent. (iv) Adjustable premium permanent. (v) Indeterminate premium permanent. (vi) Universal life fixed premium (no dump-in premiums allowed). The associated formula for determining the reserve interest rate adjustment must use a formula which reflects the ceding company's investment earnings and incorporates all realized and unrealized gains and losses reflected in the preceding year's statutory statement. The following is an acceptable formula: Where: I = the net investment income (Exhibit 2, Line 16, Column 7). CG = capital gains less capital losses (Exhibit 4, Line 10, Column 6). X = the current year cash and invested assets (Page 2, Line 10A, Column 1) plus investment income due and accrued (Page 2, Line 16, Column 1) less borrowed money (Page 3, Line 22, Column 1). Y = the same as X but for the prior year. (8) Settlements are made less frequently than quarterly or payments due from the reinsurer are not made in cash within ninety (90) days of the settlement date. (9) The ceding insurer is required to make representations or warranties not reasonably related to the business being reinsured. (10) The ceding insurer is required to make representations or warranties about future performance of the business being reinsured. (11) The reinsurance agreement is entered into for the principal purpose of producing significant surplus aid for the ceding insurer, typically on a temporary basis, while not transferring all of the significant risks inherent in the business reinsured. (b) Notwithstanding subsection (a), an insurer subject to this rule may, with the approval of the commissioner of the department of insurance, take such reserve credit or establish such asset as the commissioner of the department of insurance may deem consistent with Indiana insurance law and rules, including actuarial interpretations or standards adopted by the department of insurance. (c)(1) Agreements entered into after the effective date of this rule which involve the reinsurance of business issued prior to the effective date of the agreements, along with any subsequent amendments thereto, shall be filed by the ceding company with the commissioner of the department of insurance within thirty (30) days from its date of execution. Each such filing shall include data detailing the financial impact of the transaction. A retrocession agreement and its corresponding accepted reinsurance agreement shall be treated as a single transaction for these purposes. The ceding insurer's actuary who signs the financial statement actuarial opinion with respect to valuation of reserves shall consider this rule and any applicable actuarial standards of practice when determining the proper credit in financial statements filed with the department of insurance. The actuary should maintain adequate documentation and be prepared upon request to describe the actuarial work performed for inclusion in the financial statement and to demonstrate that such work conforms to this rule. (2) Any increase in surplus net of federal income tax resulting from arrangements described in subdivision (1) shall be identified separately on the insurer's statutory financial statement as a surplus item (aggregate write-ins for gains and losses in surplus in the capital and surplus account, page 4 of the annual statement) and recognition of the surplus increase as income shall be reflected on a net of tax basis in the "reinsurance ceded" line, page 4 of the annual statement, as earnings emerge from the business reinsured. For example, on the last day of calendar year N, Company XYZ pays a twenty million dollar ($20,000,000) initial commission and expense allowance to company ABC for reinsuring an existing block of business. Assuming a thirty-four percent (34%) tax rate, the net increase in surplus at inception is thirteen million two hundred thousand dollars ($13,200,000) (twenty million dollars ($20,000,000) - six million eight hundred thousand dollars ($6,800,000)) which is reported on the "aggregate write-ins for gains and losses in surplus" line in the capital and surplus account. Six million eight hundred thousand dollars ($6,800,000) (thirty-four percent (34%) of twenty million dollars ($20,000,000)) is reported as income on the "commissions and expense allowances on reinsurance ceded" line of the summary of operations. At the end of year N + 1, the business has earned four million dollars ($4,000,000). ABC has paid five hundred thousand dollars ($500,000) in profit and risk charges in arrears for the year and has received a one million dollar ($1,000,000) experience refund. Company ABC's annual statement would report one million six hundred fifty thousand dollars ($1,650,000) (sixty-six percent (66%) of (four million dollars ($4,000,000) - one million dollars ($1,000,000) - five hundred thousand dollars ($500,000)) up to a maximum of thirteen million two hundred thousand dollars ($13,200,000)) on the "commissions and expense allowance on reinsurance ceded" line of the summary of operations, and one million six hundred fifty thousand dollars ($1,650,000) on the "aggregate write-ins for gains and losses in surplus" line of the capital and surplus account. The experience refund would be reported separately as a miscellaneous income item in the summary of operations.