Chapter 9 – Underwriting and Rating Personal Auto Insurance

 


          

"Anyone can "start", but only the thoroughbred will "finish!"

 


 

Introduction

 

Automobile insurers are in business to make a profit. Accomplishing this objective requires effective underwriting and appropriate rating.  Underwriting refers to the selection and classification of profitable insureds.  Appli­cants for Automobile Insurance are accepted or rejected based on the comp­any's underwrit­ing policy.  If the appli­cant for Automobile Insurance is accept­ed, he/she is placed in the proper under­writing class and charged an appropri­ate rate for that class. Class rating commonly used in private passenger Automo­bile Insurance means the same underwriting class and charging each person the same rate.  The premiums collected from the class, as a whole should be sufficient to pay all claims and expenses and to yield a profit to the company during the policy period.

 

Competition among Insurers

 

There often is intense price competition among automobile insurers.  Competi­tion is an extremely important factor in determining the number of underwriting classes that an insurer has.  If a group of better-than-average drivers can be identified, they can be assigned to a new underwriting class and charged a lower rate, thereby

 

 

 

improving the insurer's competition position in the market. Con­versely, if a group of

below-average drivers can be identified, they can be removed from their present

classifica­tion, placed in a new class and charged a higher rate.  This will enable an in­surer to reduce rates for the re­maining drivers in the former class, which should also improve the insurer's com­petitive position to the extent that insur­ers are able to compete in this manner.  The effect is reduced rates for better-than-average drivers and increased rates for below average or substan­dard driv­ers.  As a result, policy owners re­ceive more equitable treatment since the good drivers pay less for the protection and the poorer drivers pay more.

 

Rating Terms

 

A rate is the cost for a unit of insur­ance.  With Automobile Insurance, a base rate is published for each specific coverage, such as Bodily Injury and Property Damage Liability.  A premium is the product of the base rate multi­plied by the applicable rating factor.  Automobile rating is the process of determin­ing base rates and applicable rating factors and then calculating individual coverage premiums and the total premium for the policy.  Separate premiums are determined for each of the four major Personal Auto Coverages.  These separate premiums must then be added to obtain the total premium. Example:

Coverage                    Premium

 

Liability                           250

Damage to your auto       100

Medical payment               50

Uninsured motorist            15

 

Total Premium             $415

 

 

Rate Regulations

 

Automobile insurers, however, do not have unlimited freedom to charge any price they desire for the coverages they provide.  Insur­ers are constrained by rating laws that require the rates to meet certain statutory standards. In general, rates are required by law to be adequate, reasonable (not excessive) and not unfairly discriminatory.  With the exception of Illinois, all states have rating laws that affect the pricing of Automobile Insurance.

 

The rating laws can generally be classi­fied into the following categories:

 

  • Prior Approval Laws
  • File-and-Use Laws
  • Open Competition Laws
  • Mandatory State or Bureau Rates

 

Prior Approval Laws - The majority of states have some type of prior approval law.  Under a Prior Approval Law, the rates must be ap­proved by the State Insurance Depart­ments before they can be used.  Prior Approval Laws have been criticized by insurers because there is often consider­able delay in obtaining a rate increase.  The rate increase may be inade­quate, and the statistical data required by the State Insurance Depart­ment may not be readily available.

 

File and Use - File and use simply means the company files the policy and rates with the State and immediately begins marketing the product without prior approval from the State.

 

Open Competition Laws - This type of rating law is the most liberal.  Under an Open Com­petition Law (also called a No-Filing Law), rates do not have to be filed with the State Insurance Depart­ment and insurers can charge rates based on their own experi­ence and market conditions.  This type of law is based on the assumption that price competition in the marketplace will keep rates reasonable and competi­tive.  Thus, market prices based on competition rather than the discretional act is how regulatory authorities deter­mine the price and availability of insur­ance.  However, insurers may be re­quired to furnish rate sched­ules and supporting statistical data to regula­tory officials.  Also, the State Insurance De­partment has the authority to monitor compe­tition and disapprove the rates based on the standards of market share and workable competition.

 

Mandatory Rates - Under this type of law, rates are set by some state agency or rating bureau and all licensed insurers are required to use these rates.  In Texas and Massachu­setts, Automobile Insurance rates are deter­mined by the state agency and all companies that are doing business in the state must use the rates.  Texas, however, allows certain rate devia­tions.  In North Carolina, a rating bureau determines the Automobile Insurance rates.  Again, all insurers are required by law to use these rates and rate deviations are al­lowed.

 

Selection of Insureds

 

As noted earlier, the basic objective of auto­mobile underwriting is to select profitable insureds.  The goal of profit­able business, however, often conflicts with the public's right to buy insurance.

 

For most drivers, Automobile Insurance is viewed as an absolute necessity for two rea­sons. First, motorists require Automobile Insurance for protection against financial hardships or ruin from liability suits.  Second, Automobile Insurance may be required by the gov­ernment in order for a driver to legally operate in a practical way to meet the State's Financial Responsibility or Compulsory Insurance Law. Thus, mo­torists generally believe they should have an unequivocal right to buy Auto­motive Insurance.

 

However, because of the underwriting goal of profitability, Automobile Insur­ers do not make available to the public unlimited amounts of Automobile Insurance.  Automo­bile Insurance is not available to all drivers in the standard markets since some drivers with a high loss potential are rejected by insurers based on their underwriting standards.  Other drivers may be able to obtain the insurance only by the payment of sub­stantially higher or surcharged premi­ums.

 

The conflict between the public's belief that it has a right to buy Automobile Insurance and the insurer's goal of profitability is often resolved by gov­ernment intervention.  As a condition for doing business in a state, the state may require automobile insurers to make available certain minimum amounts of Liabil­ity Insurance so that some drivers who ordi­narily would be refused insurance can obtain some protection.  The influence of govern­ment is widely reflected in the develop­ment of Shared Market Plans.

 

Restrictions on Cancellation

 

Restrictions on Cancellation generally do not apply to new policies that have been in force for less than a certain period (such as 60 days).  During this period, insurers can gener­ally cancel new polices which gives them time to complete there initial underwriting and investigation of the applicant.  Howev­er, after the new policy has been in force for a certain period, cancellation is permitted only for reasons specified in the law.  The reasons vary from state to state, but cancellation generally is permitted for the following reasons:

 

  • nonpayment of premiums

 

  • suspension or revocation of a drive­r's license

 

  • submission of a false or fraudulent claim

 

  • material misrepresentation

 

  • conviction for certain offenses, such as drunk driving

 

  • violation of policy terms or condi­tions

 

Notice of Cancellation is required (such as twenty days).  Most states also re­quire that the reason for cancellation must be included in the notice or pro­vided upon request.  In addi­tion, most states require the Cancellation Notice to indicate that coverage may be avail­able from an Automobile Insurance Plan or from some other Shared Market Facility.

 

Restrictions on Non-Renewal

 

The preceding restrictions generally do not apply to the non-renewal of an existing Auto­mobile Policy.  Insurers generally have the right to refuse re­newal of an existing policy for another term, subject to certain restric­tions.  First, the insured must be notified that the policy will not be renewed.  Most states require at least 30 days ad­vance notice that the policy will not be renewed.  Second, most states require the insurer to give the reason for not renewing in the notice or to provide the reason on request.  Third, some states forbid insurers to refuse renewal of a policy solely because of age, resi­dence, race, color, creed, national ori­gin, occu­pation, or because an­other insurer has refused to write the policy or has can­celed or refused to renew an existing policy.

 

Restriction on Cancellation and Non-Re­newal - All states have laws that restrict the insurer's right to cancel or not renew an Auto­mobile Insurance Policy. These laws reflect the government's desire to protect the public because of the actions of some insurers that are perceived as being unfair to policy-own­ers, such as canceling a driver after a single claim, withdrawal from a certain geographical area, a decision to stop writing Automobile Insurance for certain groups, such as younger dri­vers, or a decision to dis­continue the writ­ing of automobile contracts for a particular agent.

 

 

 

Cost of Automobile Insurance

 

The factors that determine the cost of automo­bile insurance are discussed below. The dis­cussion is confined to general principles since the actual sys­tems vary in detail from insurer to insurer.

 

Primary Rating Factors

 

The major or primary factors for deter­mining the cost of Automobile Insurance are:

 

  • territory
  • age, sex and marital status
  • use of the auto
  • good student discount
  • driver education

 

Territory  - Territory is one of the most im­portant rating variables.  A base rate for Auto­mobile Liability Insurance and Physical Dam­age Insurance is first determined.  The base rate is determined largely by the territory where the vehicle is used and garaged.  Each state is divided into various rating territories that may in­clude whole cities or parts thereof, the suburbs and rural areas.

 

Automobile Insurance is more expen­sive in densely populated territories because the number of accidents is directly related to the number of vehi­cles within the territory, medi­cal care is more expensive in cities, automo­bile repair costs are higher and jury awards in cities are likely to be higher than in rural areas.

 

Age, Sex and Martial Status - Age is an extremely important rating factor since youn­ger drivers are in­volved in a disproportionate number of automobile accidents.  Drivers under age 25 account for about 22% of the total drivers in the Unit­ed States but are involved in 34%­ of all accidents.

 

All insurers classify younger drivers.  One Example of such a system is the following:

 

  • no youthful operator
  • female operator only, ages 36-64
  • principal operator, age 65 or over
  • unmarried females under age 25
  • married males under age 25 who are not owners or principal opera­tors
  • unmarried males under 30 who are owners or principal operators

 

Young, unmarried male drivers who are the principal operators or owners of automobiles pay the highest rates since this group has the highest accident rate.  Due to intense competi­tion, auto­mobile insurers have developed rating systems that consider the driving expe­rience of younger drivers.  Under these sys­tems, the rates are scaled downward as the driver gets older.

 

Sex of the driver is also an important rating factor.  Younger, unmarried fe­male drivers tend to have better driving records and fewer accidents than unmarried male drivers do in the same age bracket.

 

Marital Status is also important be­cause young, married male drivers tend to have relatively fewer accidents than unmarried male drivers in the same age bracket.

 

Although these have been traditional rating factors, several states no longer permit their use.

 

Use of the Auto - Use of the auto is another rating factor.  Insurers classify vehicles based on use.  The following is an Example for this type of classification:

 

  • Pleasure Use - the vehicle is not used in business or customarily driven to work unless the one-way mileage to work is less than three miles.

 

  • Drive to Work - the vehicle is not used in            business but is driven 3-15 miles to work each day.

 

  • Drive To Work (Over Fifteen Miles) - the           vehicle is not used in business but is driven fifteen or more miles to work each day.

 

  • Business Use - the vehicle is cus­tomarily used in business.

 

  • Farm Use - the vehicle is garaged on a farm or ranch and is not used in any other business, driven to school or used in other work.

 

Farm use has the lowest rating factor, which is followed next by pleasure use.  If the vehicle is driven to work or used in business, higher rates are required.

 

Good Student Discount - Many companies make available a Good Student Discount that can reduce premi­ums by as much as 25%.  The Good Student Discount is based on the premise that good students are better drivers.  To qualify for the discount, the insured must be a full-time student in high school or col­lege, at least age sixteen and meet one of the following scholastic requirements:

 

  • rank in the upper 20% of the class
  • have a B average or the equivalent
  • have at least a 3.0 average
  • be on the Dean's list or Honor Roll

 

A school official must sign a form indicating that one of the scholastic requirements has been met.

 

Driver Education - If a young driver com­pletes an ap­proved Driver Education Course, he/she may be eligible for a driver education credit.  The credit is commonly 10%.  The rate credit is based on the assumption that Driver Education Classes for teenage drivers can reduce teenage accidents and hold down rates.

 

Secondary Rating Factors

 

The following secondary rating factors are also used to rate Automobile Insurance lines:

 

  • type of automobile
  • number of vehicles
  • driving record

 

Type of Automobile - The type of automobile is another im­portant rating factor.  Considered, as part of this factor is performance, age of the vehicle and damage-ability because they affect the cost of Physical Damage Coverage.

 

Performance of the car is an important rating factor.  Sports car, high perfor­mance cars and foreign specialty cars are more expensive to insure for a Physical Damage Loss than a standard sedan.  Thus, a Porsche and a BMW require higher Physical Damage premi­ums than a Chevrolet Caprice.

 

Age and Original Cost of the vehicle are also considered by many companies in their rating system.  The cost of insuring a new Cadillac is more than the cost of insuring a new Chevrolet sedan.  As the car gets older, the rates decline and, in general, automobiles five or more years old have the lowest rates.  Relatively less each year since the cost of repairing an older car generally is not more than repairing a newer car.  In addition, it takes less damage to an older car to have a constructive total loss.  For these reasons, the rate reduc­tion for Physical Damage Insurance on older cars is relatively modest as the car ages.

 

Number of Vehicles - If the insured owns two or more vehi­cles, a Multi-Car Discount is avail­able.  The discount generally ranges from 10-25%. A Multi-Car Discount is based on the as­sumption that two vehi­cles owned by the same insured will not be driven as frequently as one vehicle owned by that person.  As a result, the exposure to the insurer is less for two cars owned by the same person as com­pared with two cars owned by two different people.

 

Driving Records - The driving record of the owner or operator of the vehicle is another im­portant rating factor.  Most insurers use individuals driving record to deter­mine if the applicant for Automobile Insurance is accept­able at standard or preferred rates.  Most insurers also impose a surcharge on the in­sured's premium, that is, multiply the base premium by a given percentage, for a charge­able accident that exceeds a cer­tain amount.  The surcharge generally lasts three years.

 

Finally, many insurers have Safe Driver Plans, in which the premiums paid are based on the insured's driving record. Accident points are assessed for charge­able accidents and traffic violations and premiums are sur­charged accordingly.  Points are charged for speeding cita­tions, drunk driving, failure to stop after an accident, driving with a sus­­pended or revoked license, homicide or as­sault involving an automobile and other of­fenses.  The actual premium paid is based on the total number of chargeable points.

 

Other Factors

 

Other factors, such as the following, are also important in determining rates:

 

  • deductibles
  • liability limits
  • other available discount and credits

 

Deductibles - The amount of the deductible for a Collision Loss and Other-Than-Collision (Comprehensive has a significant effect on the cost of Physical Damage Insur­ance on auto­mobiles).  Increasing the collision deductible from $100 to $200 reduces the Collision Insur­ance premium by 10-20% in many compa­nies. The premium would be reduced even more if a $500 to $1,000 deduct­ible were selected.  The actual reduc­tion depends on the age and make of the vehicle, where the vehi­cle is ga­raged and characteristics of the princi­pal operator or owner (such as age, sex and marital status).

 

Liability Limits - For standard drivers, sub­stantial amounts of Liability Insurance can be purchased without a proportionate in­crease in the premium.  This can be illustrated by a simple example.  As­sume that the premium for $25,000 Bodily Injury Liability Insurance in one particular territory is $100.  Additional amounts of Liability Insurance can be pur­chased as follows:

 

Liability Limit                           Premium

$    25,000                                  $ 100

      50,000                                     120

    100,000                                     140

    300,000                                     155

    500,000                                     170

 1,100,000                                     185

 

The major reason that liability premi­ums do not increase proportionately with higher limits is that the probability of a large claim is considerably lower than the probability if a smaller claim.  Example:  the number of Bodily Injury Claims under $25,000 is substan­tially higher than the number of $1 million claims.

 

Other Available Discounts and Credits - In addition to the Good Student Dis­count, Driver Education Credit, Multi-Car Discount, other discounts and credits that can reduce premi­ums may be avail­able.  Insurers commonly give discounts for anti-theft devices, passive restraints, completion of a defensive driving course and student's attendance at schools that are a specified distance from home.  Dis­counts also may be given to senior citizens, farmers, non-smokers and females between the ages of 30-64 who are the only driver in the household.

 

Keep in mind when rating Auto Insurance, individuals with similar characteristics are placed in the same underwriting class and each person is charged the same rate.  Thus, rates may be reduced for better-than-average driv­ers and increased for below-average dri­vers. Through laws and regulations, states con­trol the rates charged for Auto Insurance.  Rates must be adequate, reasonable (not ex­cessive) and not unfairly discriminatory.  Rate regulation may involve the use of Prior Ap­proval Laws, File-and-Use Laws, Open Com-pe­tition, or Mandatory State or Bureau Rates.

 

The states may expand the public's right to purchase insurance in the vol­untary and shared markets through laws and regulations.  States may also re­strict the insurer’s right to cancel or not renew insureds except in speci­fied situations.

 

Summary

 

Numerous factors determine the cost of Auto­mobile mobile Insurance.  Primary rating factors include:  territory, age, sex, marital status, use of the auto, Good Student Discount and Driver Education Credits.  Secondary rating factors in­clude the type of automobile, number of vehicles and driving record.  Other factors affecting the cost of insurance include deductibles, liability limits and a variety of specific discounts and credits.

 

 

Chapter 9 - Review Questions

 

 

1.   Automobile insurers are in busi­ness to make a profit.  Accomplishing this objective requires effective:

A.  underwriting

B.  rating

C.  both A and B

D.  neither A or B

 

2.   Rating laws can be classified into the following categories:

A.  Prior-approval laws

B.  Open Competition Laws

C.  File-and-Use Laws

D.  all of the above

 

3.   A primary rating factor would be:

A.  type of auto

B.  drivers education

C.  both a and b

D.  neither a or b

 

4.   All are secondary rating factors ex­cept:

A.  driver education

B.  type of automobile

C.  number of vehicles

D.  driving record

 

5.   The marital status of an insured driver is considered:

A.  Primary rating factor

B.  Secondary rating factor

C.  Miscellaneous factor

D.  all of the above

 

Answers

 

1.  C

2.  D

3.  B

4.  A

5.  A