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CEIOPS' Advice for Level 2 Implementing ... - EIOPA - Europa

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claims outstanding 97 and the distinction between Gross-to-Net techniques<br />

<strong>for</strong> the two kinds of technical provisions makes no sense.<br />

Provisions <strong>for</strong> claims outstanding<br />

3.419 With respect to the provisions <strong>for</strong> claims outstanding, separate Gross-to-<br />

Net techniques should be stipulated <strong>for</strong> each accident year not finally<br />

developed (<strong>for</strong> a given line of business (or homogenous risk group)).<br />

Accordingly, the relationship between the provisions on a gross basis<br />

(PCOGross,k,i), the provisions on a net basis (PCONet,k,i) and the Gross-to-Net<br />

“factor” (GNk,i(c,k,i)) <strong>for</strong> line of business (or homogeneous risk group) no. k<br />

and accident year no. i, can be represented in a somewhat simplified<br />

manner as follows:<br />

PCONet,k,i = GNk,i(ck,i)×PCOGross,k,i,<br />

where ck,i is a parameter-vector representing the relevant characteristics<br />

of the reinsurance programme <strong>for</strong> this combination of line of business and<br />

accident year.<br />

3.420 With respect to the types of Gross-to-Net approaches described in annex<br />

E.1, type no. (2), (3) and (5) can be applied to stipulate techniques<br />

proxies <strong>for</strong> the individual accident years (<strong>for</strong> a given line of business), cf.<br />

also the description of the most advanced Gross-to-Net technique tested in<br />

QIS4.<br />

3.421 However, some refinements of these methods may be considered in order<br />

to make the Gross-to-Net techniques more sophisticated:<br />

a) stipulation of separate Gross-to-Net techniques <strong>for</strong> individual development<br />

years or a suitable grouping of the development years (<strong>for</strong> a given<br />

accident year);<br />

b) stipulation of separate Gross-to-Net techniques <strong>for</strong> RBNS-claims and IBNRclaims;<br />

98<br />

c) stipulation of separate Gross-to-Net techniques <strong>for</strong> “large” claims and<br />

“small” claims (“frequency” claims) – given some suitable thresholds <strong>for</strong><br />

the separation of “large” and “small” claims; and<br />

d) stipulation of separate Gross-to-Net techniques <strong>for</strong> proportional and<br />

non-proportional reinsurance programs.<br />

3.422 A rationale <strong>for</strong> introducing separate techniques <strong>for</strong> the individual development<br />

years or groups of development years may be that claims reported<br />

and settled at an early stage (after the end of the relevant accident year)<br />

in general have a claims distribution that differs from the distribution of<br />

claims reported and/or settled at a later stage. Accordingly, the impact of<br />

a given reinsurance programme (i.e. the ratio between expected claims<br />

payments on a net basis and expected claims on a gross basis) will differ<br />

between development years or groups of development years.<br />

3.423 A rationale <strong>for</strong> introducing separate techniques <strong>for</strong> RBNS-claims and IBNRclaims<br />

may be that the insurance undertakings in general will have more<br />

97<br />

If the line of business in question contains multiyear contracts this will be the case <strong>for</strong> several of the<br />

latest underwriting years.<br />

98<br />

For this purpose it should be clarified whether the so-called IBNER-claims should be included in the<br />

RBNS-claims or the IBNR-claims.<br />

86/112<br />

© CEIOPS 2010

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