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Answers to the European Commission on the ... - Eiopa - Europa

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undertaken in relati<strong>on</strong> <str<strong>on</strong>g>to</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> sufficiency of <str<strong>on</strong>g>the</str<strong>on</strong>g> premiums of <str<strong>on</strong>g>the</str<strong>on</strong>g> new<br />

products launched in <str<strong>on</strong>g>the</str<strong>on</strong>g> year, with reference <str<strong>on</strong>g>to</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> specific<br />

characteristics of <str<strong>on</strong>g>the</str<strong>on</strong>g> product (in particular guarantees and opti<strong>on</strong>s)<br />

and make a statement <strong>on</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> suitability of <str<strong>on</strong>g>the</str<strong>on</strong>g> hypo<str<strong>on</strong>g>the</str<strong>on</strong>g>ses used (in<br />

particular <str<strong>on</strong>g>the</str<strong>on</strong>g> interest rate, mortality tables, surrender rate and<br />

management costs).<br />

Suitability and sufficiency of technical provisi<strong>on</strong>s<br />

A.44 The actuary should describe <str<strong>on</strong>g>the</str<strong>on</strong>g> provisi<strong>on</strong>s policy of <str<strong>on</strong>g>the</str<strong>on</strong>g> insurance<br />

undertaking and should describe in detail all methodologies and<br />

procedures used in order <str<strong>on</strong>g>to</str<strong>on</strong>g> enable him <str<strong>on</strong>g>to</str<strong>on</strong>g> examine compliance with<br />

prevailing norms and verify <str<strong>on</strong>g>the</str<strong>on</strong>g> sufficiency of technical provisi<strong>on</strong>s.<br />

A.45 The actuary should present and justify <str<strong>on</strong>g>the</str<strong>on</strong>g> methodologies c<strong>on</strong>sidered<br />

and <str<strong>on</strong>g>the</str<strong>on</strong>g> hypo<str<strong>on</strong>g>the</str<strong>on</strong>g>ses <strong>on</strong> which he based his analysis carried out and also<br />

objectively identify <str<strong>on</strong>g>the</str<strong>on</strong>g> amounts of <str<strong>on</strong>g>the</str<strong>on</strong>g> various technical provisi<strong>on</strong>s<br />

subject <str<strong>on</strong>g>to</str<strong>on</strong>g> certificati<strong>on</strong>. This should include <str<strong>on</strong>g>the</str<strong>on</strong>g> disclosure of <str<strong>on</strong>g>the</str<strong>on</strong>g> best<br />

estimates and <str<strong>on</strong>g>the</str<strong>on</strong>g> risk margins, by presenting <str<strong>on</strong>g>the</str<strong>on</strong>g> values and <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

methodologies used in a separate way.<br />

A.46 When prevailing regulati<strong>on</strong>s require use of specific hypo<str<strong>on</strong>g>the</str<strong>on</strong>g>ses, and if in<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> opini<strong>on</strong> of <str<strong>on</strong>g>the</str<strong>on</strong>g> actuary <str<strong>on</strong>g>the</str<strong>on</strong>g>se materially differ from those that, in<br />

o<str<strong>on</strong>g>the</str<strong>on</strong>g>r circumstances, he would normally take in<str<strong>on</strong>g>to</str<strong>on</strong>g> c<strong>on</strong>siderati<strong>on</strong>, he<br />

should issue his opini<strong>on</strong>, providing due grounds and indicating <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

implicati<strong>on</strong>s of this c<strong>on</strong>siderati<strong>on</strong>.<br />

A.47 Whenever possible, and provided that this can be justified by <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

materiality criteria, <str<strong>on</strong>g>the</str<strong>on</strong>g> analysis should be carried out by means of a<br />

subdivisi<strong>on</strong> of <str<strong>on</strong>g>the</str<strong>on</strong>g> existing data in<str<strong>on</strong>g>to</str<strong>on</strong>g> homogeneous and stable classes,<br />

obtained for example, by taking in<str<strong>on</strong>g>to</str<strong>on</strong>g> c<strong>on</strong>siderati<strong>on</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> patterns of<br />

claims occurrence, patterns of regularizati<strong>on</strong> and/or severity of claims.<br />

A.48 The models c<strong>on</strong>sidered in analysis of <str<strong>on</strong>g>the</str<strong>on</strong>g> claims provisi<strong>on</strong> should take<br />

in<str<strong>on</strong>g>to</str<strong>on</strong>g> c<strong>on</strong>siderati<strong>on</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> nature and specific characteristics of <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

portfolio, available data, <str<strong>on</strong>g>to</str<strong>on</strong>g>ge<str<strong>on</strong>g>the</str<strong>on</strong>g>r with o<str<strong>on</strong>g>the</str<strong>on</strong>g>r fac<str<strong>on</strong>g>to</str<strong>on</strong>g>rs that should be<br />

subject <str<strong>on</strong>g>to</str<strong>on</strong>g> suitable analysis, in particular:<br />

• evoluti<strong>on</strong> of <str<strong>on</strong>g>the</str<strong>on</strong>g> pattern of payments;<br />

• evoluti<strong>on</strong> of <str<strong>on</strong>g>the</str<strong>on</strong>g> frequency and severity of claims;<br />

• experience of <str<strong>on</strong>g>the</str<strong>on</strong>g> insurance undertaking <strong>on</strong> incurred but not<br />

reported claims;<br />

• policy for <str<strong>on</strong>g>the</str<strong>on</strong>g> claims regularizati<strong>on</strong>, in particular in terms of <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

speed of closure and reopening of proceedings;<br />

• existence of significant reimbursement or salvage amounts;<br />

• frequency and severity of major claims;<br />

232

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