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Self insurance is a risk management method whereby an eligible risk is retained, but a calculated amount of money is set aside to compensate for the potential future loss. The amount is calculated using actuarial and insurance information and the law of large numbers so that the amount set aside (similar to an insurance premium) is enough to cover the future uncertain loss. Self insurance is similar to insurance in concept, but involves either the payment of a self-insurance premium to a captive insurance company, cell captive or rent-a-captive insurer, or making an on-balance sheet provision and not paying a premium to an insurer at all. | Self-Insured |
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| Features: | a risk management method whereby an eligible risk is retained, but a
calculated amount of money is set aside to compensate for the potential
future loss. The amount is calculated using actuarial and insurance
information and the law of large numbers so that the amount set aside
(similar to an insurance premium) is enough to cover the future
uncertain loss. | | Benefits: | by retaining, calculating risks, and paying the resulting claims or
losses from captive or on-balance sheet financial provisions, the
overall process is cheaper than buying commercial insurance from a
commercial insurance company. Cost savings to the self-insured entity
are usually realized through the elimination of the carrying-costs that
commercial insurers are obliged to pass on to their insurance consumers. | | After-Sales Services: | full service (automatic renewals, certificate of insurance issuance,
CSR24, online document libraries, risk management, competitive
shopping) |
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Self insurance is possible for any insurable risk, meaning a risk
that is predictable and measurable enough in the aggregate to be able
to estimate the amount that needs to be set aside to pay for future
uncertain probable losses. For a risk to be insurable, it must
represent a future, uncertain event over which the insured has no
control. Other characteristics which assist in making a risk
self-insurable include the ability to price or rate the risk. If the
insurable event is one in a large number of similar risks, the
aggregate risk can be estimated according to the law of large numbers
and the probability of that event occurring in the future can be
quantified. Normally, catastrophic risks are not self-insured as they
are highly unpredictable and high in loss-value. Catastrophic risks are
normally underwritten by the re-insurance or wholesale insurance
market. Any risk where the potential loss is so large that no one could
afford to pay the market premium required to provide cover would not be
commercially insurable. An example is that earthquakes cannot
be fully insured against because an earthquake can cause more damage
than any insurer or the combined insurance market is willing to risk in
total assets. However, captives and self-insurance programmes are often
designed to provide for a part of a risk that would be catastrophic to
the business concerned, or catastrophic risks that are often
commercially uninsurable, such as tobacco litigation liability risks.
Full or exclusive self-insurance is rare, as a combination of
self-insurance and commercial insurance usually provides the best cover
for the self-insured. Usually the predictable losses of the risk are
retained and self-insured, forming a first or "working" layer of cover,
and a stop-loss or stop-gap policy is purchased from the commercial
insurance market. The commercial insurance market then pays for losses
above the specified self-insurance limit per loss, thereby stopping the
cost of losses to the self-insured above the retained values. Effectively the losses paid for by the
insured before the stop-loss policy pays becomes the deductible layer.
Depending on the level at which risks are stopped, commercial insurance
cover should become less and less expensive the further away the
commercial insurer moves from the working layer of paying claims each
year.
A popular and cost-effective form of self-insurance can be found in various types of employee benefits insurance offered by corporations
with many thousands of employees. Employee benefits self-insurance
programmes are often underwritten by captive insurance companies
formed, owned and managed by corporations in both on-shore and
off-shore captive domiciles. The reason for this is that hundreds of
thousands of employees constitute a large enough risk pool for the
corporation to be able to predict and price the risk of losses from
benefits offered to employees. In this way, corporations are able to
manage their financial exposure to the self-insurance programme without
buying commercial insurance.
The idea of self insurance is that by retaining, calculating risks, and
paying the resulting claims or losses from captive or on-balance sheet
financial provisions, the overall process is cheaper than buying
commercial insurance from a commercial insurance company. Cost savings
to the self-insured entity are usually realized through the elimination
of the carrying-costs that commercial insurers are obliged to pass on
to their insurance consumers.
Another example of this is a self-funded health care plan
under which a smaller employer helps finance the health care costs of
its employees by contracting with a Third Party Administrator (TPA) to
administer many aspects of the plan. The employer may also contract
with a reinsurer to pay amounts in excess of a certain threshold, in order to share the risk for potential catastrophic claims experience.
Self insurance is less readily available for individuals because
individuals rarely gain sufficient cost-savings on small premiums to
justify specialized self-insurance captives, interventions and
negotiations with insurers. However, many small businesses are now
using self-insurance mechanisms such as cell captives and
rent-a-captives with considerable success. |
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Why are solution driven strategic insurance programs so critical to your success?
Integrating property, casualty, financial and professional lines of insurance together as the key to assuring solution effectiveness—and enabling ownership to make timely, well-informed decisions for their business