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

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Staff that fully understands <str<strong>on</strong>g>the</str<strong>on</strong>g> risk covered in <str<strong>on</strong>g>the</str<strong>on</strong>g> policies<br />

8.127 The insurer must ensure that <str<strong>on</strong>g>the</str<strong>on</strong>g> staff assessing and valuating <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

technical provisi<strong>on</strong>s adequately understands <str<strong>on</strong>g>the</str<strong>on</strong>g> risks covered by and<br />

associated with each c<strong>on</strong>tract.<br />

8.128 Proper internal c<strong>on</strong>trol procedures should be developed regarding <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

staff dealing with technical provisi<strong>on</strong>s, through an appropriate<br />

segregati<strong>on</strong> of duties, namely regarding <str<strong>on</strong>g>the</str<strong>on</strong>g> reporting, assessment and<br />

processing of claims.<br />

Actuarial functi<strong>on</strong> regarding technical provisi<strong>on</strong>s<br />

8.129 The actuarial functi<strong>on</strong> plays an essential role in <str<strong>on</strong>g>the</str<strong>on</strong>g> proper assessment<br />

of <str<strong>on</strong>g>the</str<strong>on</strong>g> technical provisi<strong>on</strong>s.<br />

8.130 Insurance undertakings are required <str<strong>on</strong>g>to</str<strong>on</strong>g> ensure that <str<strong>on</strong>g>the</str<strong>on</strong>g>y take<br />

competent and appropriate actuarial advice in<str<strong>on</strong>g>to</str<strong>on</strong>g> account when making<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g>ir decisi<strong>on</strong>s <strong>on</strong> provisi<strong>on</strong>ing. CEIOPS is aware that <str<strong>on</strong>g>the</str<strong>on</strong>g> actuarial<br />

functi<strong>on</strong> will likely include also o<str<strong>on</strong>g>the</str<strong>on</strong>g>r areas like capital adequacy or<br />

business strategy.. Competent means from a pers<strong>on</strong> with <str<strong>on</strong>g>the</str<strong>on</strong>g> expertise,<br />

experience, and pers<strong>on</strong>al skills commensurate with <str<strong>on</strong>g>the</str<strong>on</strong>g> complexity and<br />

risk of <str<strong>on</strong>g>the</str<strong>on</strong>g> undertaking's business (see Annex A <str<strong>on</strong>g>to</str<strong>on</strong>g> CfA 16 <strong>on</strong> Fit and<br />

Proper). The advice should be appropriately independent of <str<strong>on</strong>g>the</str<strong>on</strong>g> Board.<br />

8.131 External audi<str<strong>on</strong>g>to</str<strong>on</strong>g>rs should have an independent oversight from <str<strong>on</strong>g>the</str<strong>on</strong>g> Board<br />

of Direc<str<strong>on</strong>g>to</str<strong>on</strong>g>rs and should have <str<strong>on</strong>g>the</str<strong>on</strong>g>ir own actuarial functi<strong>on</strong> or have<br />

access <str<strong>on</strong>g>to</str<strong>on</strong>g> actuarial advice independent of <str<strong>on</strong>g>the</str<strong>on</strong>g> actuarial functi<strong>on</strong> advising<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> Board of Direc<str<strong>on</strong>g>to</str<strong>on</strong>g>rs. This is in order <str<strong>on</strong>g>to</str<strong>on</strong>g> allow assessing internal<br />

actuarial analysis.<br />

8.132 Supervisory authorities assess whe<str<strong>on</strong>g>the</str<strong>on</strong>g>r <str<strong>on</strong>g>the</str<strong>on</strong>g> insurance undertaking's<br />

actuarial functi<strong>on</strong> has sufficient expertise, experience, and pers<strong>on</strong>al<br />

skills for <str<strong>on</strong>g>the</str<strong>on</strong>g> supervisor <str<strong>on</strong>g>to</str<strong>on</strong>g> rely <strong>on</strong> its assessment. They check that this<br />

functi<strong>on</strong> is appropriately segregated and not subject <str<strong>on</strong>g>to</str<strong>on</strong>g> any n<strong>on</strong>technical<br />

influence by <str<strong>on</strong>g>the</str<strong>on</strong>g> Board of Direc<str<strong>on</strong>g>to</str<strong>on</strong>g>rs and/or Senior<br />

Management. 57<br />

8.133 The objectives of <str<strong>on</strong>g>the</str<strong>on</strong>g> actuarial functi<strong>on</strong> within insurance undertakings<br />

should be harm<strong>on</strong>ized. 58 .<br />

Reinsurance arrangements<br />

8.134 Suitable systems should be in place <str<strong>on</strong>g>to</str<strong>on</strong>g> ensure that reinsurance<br />

recoveries are identified and appropriately recorded <strong>on</strong> a timely basis.<br />

8.135 There should be guidelines for assessing credit risk in technical<br />

provisi<strong>on</strong>s for amounts recoverable (including amounts c<strong>on</strong>tingently<br />

recoverable) under reinsurance arrangements. (This also relates <str<strong>on</strong>g>to</str<strong>on</strong>g> CfA<br />

12). The risk that <str<strong>on</strong>g>the</str<strong>on</strong>g> insurer will not be able <str<strong>on</strong>g>to</str<strong>on</strong>g> pay <str<strong>on</strong>g>the</str<strong>on</strong>g> claims as <str<strong>on</strong>g>the</str<strong>on</strong>g>y<br />

fall due because of insufficient reinsurance is an insurance related risk,<br />

50

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