Insurance (prudential standard) determination No. 5 of 2019

Prudential Standard GPS 115 Capital Adequacy: Insurance Risk Charge

I, Pat Brennan, delegate of APRA:

(a)        under subsection 32(4) of the Insurance Act 1973 (the Act) REVOKE Insurance (prudential standard) determination No. 5 of 2012, including Prudential Standard GPS 115 Capital Adequacy: Insurance Risk Charge made under that Determination; and

(b)       under subsection 32(1) of the Act DETERMINE Prudential Standard GPS 115 Capital Adequacy: Insurance Risk Charge, in the form set out in the Schedule, which applies to:

(i)               all general insurers and authorised NOHCs; and

(ii)             a subsidiary of a general insurer or authorised NOHC, where that subsidiary is a parent entity of a Level 2 insurance group. 

This instrument takes effect on 1 July 2019.

Dated: 17 April 2019

[Signed]

Pat Brennan

Executive General Manager

Policy and Advice Division

Interpretation

In this Determination:

APRA means the Australian Prudential Regulation Authority.

authorised NOHC has the meaning given in section 3 of the Act.

general insurer has the meaning given in section 11 of the Act.

Level 2 insurance group has the meaning given in Prudential Standard GPS 001 Definitions made by Insurance (prudential standard) determination No. 2 of 2082 or, if that prudential standard is revoked, the meaning given in the replacement prudential standard. 

parent entity has the meaning given in Prudential Standard GPS 001 Definitions made by Insurance (prudential standard) determination No. 2 of 2018 or, if that prudential standard is revoked, the meaning given in the replacement prudential standard. 

replacement prudential standard means any prudential standard made under section 32 of the Act which replaces Prudential Standard GPS 001 Definitions made by Insurance (prudential standard) determination No. 2 of 2018.

subsidiary has the meaning given in Prudential Standard GPS 001 Definitions made by Insurance (prudential standard) determination No. 2 of 2018 or, if that prudential standard is revoked, the meaning given in the replacement prudential standard. 

Schedule

Prudential Standard GPS 115 Capital Adequacy: Insurance Risk Charge comprises the 6 pages commencing on the following page.

Prudential Standard GPS 115

Capital Adequacy: Insurance Risk Charge

 Authority

1.             This Prudential Standard is made under section 32 of the Insurance Act 1973 (the Act).

Application

2.             This Prudential Standard applies to each:

(a)           general insurer authorised under the Act (insurer); and

(b)          Level 2 insurance group as defined in Prudential Standard GPS 001 Definitions (GPS 001).

Where a requirement is made in respect of a Level 2 insurance group, the requirement is imposed on the parent entity of the Level 2 insurance group.

3.             This Prudential Standard applies to insurers and Level 2 insurance groups (regulated institutions) from 1 July 2019.

Interpretation

4.             Terms that are defined in GPS 001 appear in bold the first time they are used in this Prudential Standard.

5.             For the purposes of this Prudential Standard the term ‘Actuary’ is a reference to either the Appointed Actuary for an insurer or the Group Actuary for a Level 2 insurance group (as appropriate).

Insurance Risk Charge

6.             This Prudential Standard sets out the method for calculating the Insurance Risk Charge for a regulated institution using the Standard Method to determine its prescribed capital amount.

7.             The Insurance Risk Charge relates to the risk that the value of net insurance liabilities is greater than the value determined in accordance with Prudential Standard GPS 340 Insurance Liability Valuation(GPS 340). It has two components:

(a)           a risk charge in respect of Outstanding Claims Risk; and

(b)          a risk charge in respect of Premiums Liability Risk. 

The total Insurance Risk Charge is the sum of the risk charge for each of the two components.

Outstanding Claims Risk

8.             The risk charge for Outstanding Claims Risk relates to the risk that the value of the net outstanding claims liabilities will be greater than the value determined in accordance with GPS 340.

9.             For the purposes of the Standard Method, the risk charge for each class of business is calculated by multiplying the net outstanding claims liabilities for that class (as determined in accordance with GPS 340) by the relevant Outstanding Claims Risk Capital Factor in Attachment A. The total risk charge for outstanding claims risk is the sum of the risk charges for each class of business. 

Premiums Liability Risk

10.         The risk charge for Premiums Liability Risk relates to the risk that the value of the net premiums liabilities will be greater than the value determined in accordance with GPS 340. It also relates to the risk that ‘material net written premium’, as defined in paragraph 17, will be insufficient to fund the liabilities arising from that business.

11.         For the purposes of the Standard Method, the risk charge for each class of business is calculated by multiplying the sum of:

(a)           net premiums liabilities as determined in accordance with GPS 340; and

(b)          material net written premiums

by the relevant Premiums Liability Risk Capital Factor in Attachment A. The total risk charge for Premiums Liability Risk is the sum of the risk charges for Premiums Liability Risk for each class of business.

Classes of business

12.         For the purposes of the Outstanding Claims Risk Capital Factor and Premiums Liability Risk Capital Factor, all but the ‘other’ direct class of business[1] and ‘other’ reinsurance class of business have been classified into different categories in Attachment A (Table 1 and Table 2 respectively). The ‘other’ class of business must be allocated to a category by the Actuary, in accordance with paragraphs 13 and 14.

13.         For the purpose of calculating the Insurance Risk Charge in respect of any ‘other’ business (whether it is direct business or reinsurance), the Actuary is required to determine the most appropriate category (i.e. category A, B or C) in Table 1 and Table 2 of Attachment A. The choice must be based on the underlying risk characteristics of the business being written. The regulated institution must then apply the corresponding Outstanding Claims Risk Capital Factor and Premiums Liability Risk Capital Factor listed in Attachment A in determining the Insurance Risk Charge. 

14.         If the ‘other’ class of business includes multiple risks with differing risk profiles, the Actuary may subdivide the net outstanding claims liabilities, net premiums liabilities and material net written premiums into more than one category.

15.         The reasons for selecting the specific risk category or categories to which the ‘other’ class of business is assigned must be documented in the Actuarial Valuation Report.

Business covering multiple classes

16.         Where a regulated institution underwrites an inwards reinsurance contract which spans multiple classes, the contract must be allocated by using an appropriate method (provided the same method is used for all contracts and all subsequent periods). Appropriate methods include:

(a)           allocating the contract on a pro rata basis to each of the relevant categories; or

(b)          allocating the contract to the category which represents the greatest exposure; or

(c)           allocating the contract to the category representing the greatest premium income.

The regulated institution may use an alternative method from those listed above for allocating inwards reinsurance business that spans multiple classes. The regulated institution must be able to demonstrate that the chosen method is appropriate and is used for all contracts and all subsequent periods. 

Material net written premium

17.         With respect to direct business and reinsurance business where policies incept in the following reporting period and where these policies would have a material impact on capital adequacy, net written premium for exposure that has not been included in the calculation of the premiums liabilities is to be subject to the premiums liabilities risk charge.[2] This premium amount is defined as ‘material net written premium’. The materiality of the business that incepts in the next reporting period should be determined in accordance with the Australian accounting and auditing standards subject to APRA’s discretion.

18.         The value of material net written premium calculated in paragraph 17 must also reflect the full premium revenue for inwards proportional reinsurance for the full term of the current reinsurance contract where the treaty extends beyond the end of the current reporting period but the revenue has not yet been recognised.[3] 

Securitisation

19.         If a regulated institution securitises insurance liabilities, the net insurance liabilities may reduce. The regulated institution must apply to APRA for approval to include the securitisation transaction in the Insurance Risk Charge.

Adjustments and exclusions

20.         APRA may, by notice in writing to a regulated institution, adjust or exclude a specific requirement in this Prudential Standard in relation to that regulated institution.

Determinations made under previous prudential standards

21.         An exercise of APRA’s discretion under the previous version of this Prudential Standard continues to have effect under this Prudential Standard. For the purposes of this paragraph, ‘the previous version of this Prudential Standard’ means Prudential Standard GPS 115 Capital Adequacy: Insurance Risk Charge (GPS 115) made on7 December 2012.

Attachment A

Table 1:  Direct insurance business

Table 2:  Inwards reinsurance business