10-K 1 form10k.htm 10K

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549


FORM 10-K

 

x ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the Fiscal Year Ended December 31, 2005

 

o TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from __________ to ___________

 

Commission File Number: 0-10956

 

EMC INSURANCE GROUP INC.

(Exact name of registrant as specified in its charter)

 

Iowa

 

42-6234555

(State or other jurisdiction of incorporation or organization)

 

(I.R.S. Employer Identification No.)

 

717 Mulberry Street, Des Moines, Iowa

 

50309

(Address of principal executive office)

 

(Zip Code)

 

Registrant’s telephone number, including area code:

(515) - 280 - 2902

Securities registered pursuant to Section 12(b) of the Act:

None

 

Securities registered pursuant to Section 12(g) of the Act:

 

Common Stock, Par Value $1.00

(Title of Class)

 

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act

o

Yes

 

x

No

 

 

 

 

 

 

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act

o

Yes

 

x

No

 

 

 

 

 

 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities
Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such

 

 

 

 

 

reports), and (2) has been subject to such filing requirements for the past 90 days.

x

Yes

 

o

No

 

 

 

 

 

 

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will
not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in

 

 

 

 

 

Part III of this Form 10-K or any amendment to this Form 10-K.

o

 

 

 

 

 

 

 

 

 

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer (as defined
in Rule 12b-2 of the Exchange Act).

 

 

 

 

 

Large accelerated filer   o

Accelerated filer   x

Non-accelerated filer   o

 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act).

o

Yes

 

x

No

 

 

The aggregate market value of the voting stock held by non-affiliates of the registrant as of June 30, 2005 was $109,698,936.

 

 

The number of shares outstanding of the registrant’s common stock, $1.00 par value, on February 28, 2006, was 13,664,474.

 

DOCUMENTS INCORPORATED BY REFERENCE

Portions of the registrant’s definitive proxy statement for the Annual Meeting of Stockholders to be held on May 25, 2006, and to be filed pursuant to Regulation 14A within 120 days after the registrant’s fiscal year ended December 31, 2005, are incorporated by reference under Part III.

 



 

 

TABLE OF CONTENTS

 

Part I

 

 

Item 1.

Business 

2

 

Executive Officers of the Company 

33

Item 1A.

Risk Factors 

34

Item 1B.

Unresolved Staff Comments

42

Item 2.

Properties 

42

Item 3.

Legal Proceedings 

42

Item 4.

Submission of Matters to a Vote of Security Holders 

42

 

 

 

Part II

 

 

Item 5.

Market for Registrant's Common Equity, Related Stockholder Matters and Issuer Purchases of

 

 

Equity Securities 

42

Item 6.

Selected Financial Data 

45

Item 7.

Management's Discussion and Analysis of Financial Condition and Results of Operation 

47

Item 7A.

Quantitative and Qualitative Disclosures About Market Risk 

86

Item 8.

Financial Statements and Supplementary Data

87

Item 9.

Changes in and Disagreements With Accountants on Accounting and Financial Disclosure 

135

Item 9A.

Controls and Procedures 

135

Item 9B.

Other Information 

135

 

 

 

Part III

 

 

Item 10.

Directors and Executive Officers of the Registrant 

135

Item 11.

Executive Compensation 

136

Item 12.

Security Ownership of Certain Beneficial Owners and Management and Related Stockholder

 

 

Matters 

136

Item 13.

Certain Relationships and Related Transactions 

136

Item 14.

Principal Accountant Fees and Services 

137

 

 

 

Part IV

 

 

Item 15.

Exhibits and Financial Statement Schedules 

137

Index to Financial Statement Schedules 

137

Signatures 

140

Index to Exhibits

141

 

 

1

 



 

 

PART I

 

ITEM 1.

BUSINESS.

 

GENERAL

 

EMC Insurance Group Inc. is an insurance holding company that was incorporated in Iowa in 1974 by Employers Mutual Casualty Company (Employers Mutual) and became a public company in 1982 following the initial public offering of its common stock. EMC Insurance Group Inc. is 57 percent owned by Employers Mutual, a multiple-line property and casualty insurance company organized as an Iowa mutual insurance company in 1911 that is licensed in all 50 states and the District of Columbia. The term “Company” is used interchangeably to describe EMC Insurance Group Inc. (Parent Company only) and EMC Insurance Group Inc. and its subsidiaries. Employers Mutual and all of its subsidiaries (including the Company) and an affiliate, are referred to as the “EMC Insurance Companies.”

 

The Company conducts operations in property and casualty insurance and reinsurance through its subsidiaries. The Company primarily focuses on the sale of commercial lines of property and casualty insurance to small and medium-sized businesses. These products are sold through independent insurance agents who are supported by a decentralized network of branch offices. Although the Company actively markets its insurance products in 41 states, the majority of its business is marketed and generated in the Midwest.

 

 

The Company conducts its insurance business through two business segments as follows:

 

 

 

 

 

 

 

 

 

EMC INSURANCE GROUP INC.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Property and Casualty Insurance

 

Reinsurance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Illinois EMCASCO Insurance Company (Illinois EMCASCO)

EMC Reinsurance Company

Dakota Fire Insurance Company (Dakota Fire)

 

 

Farm and City Insurance Company (Farm and City)

 

 

EMCASCO Insurance Company (EMCASCO)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMC Underwriters, LLC

 

 

 

 

Illinois EMCASCO was formed in Illinois in 1976 and was re-domesticated to Iowa in 2001, Dakota Fire was formed in North Dakota in 1957 and EMCASCO was formed in Iowa in 1958 for the purpose of writing property and casualty insurance. Farm and City was formed in Iowa in 1962 to write nonstandard risk automobile insurance and was purchased by the Company in 1984. Farm and City no longer writes direct business, but continues to participate in the reinsurance pooling agreement with Employers Mutual (see discussion under “Organizational Structure – Property and Casualty Insurance”). EMC Reinsurance Company was formed in 1981 to assume reinsurance business from Employers Mutual. The Company’s excess and surplus lines insurance agency, EMC Underwriters, LLC, was formed in Iowa in 1975 and was acquired in 1985. Effective December 31, 1998, the excess and surplus lines insurance agency was converted to a limited liability company and the ownership was contributed to EMCASCO.

 

Property and casualty insurance is the most significant segment of the Company’s business, representing approximately 77 percent of premiums earned in 2005. The property and casualty insurance operations are integrated with the property and casualty insurance operations of Employers Mutual through participation in a reinsurance pooling agreement. Because the Company conducts its property and casualty insurance operations together with Employers Mutual through the pooling arrangement, the Company shares the same business philosophy, management, employees and facilities as Employers Mutual and offers the same types of insurance products. For a discussion of the pooling agreement and its benefits, please see “Organizational Structure – Property and Casualty Insurance” below.

 

2

 



 

 

          Reinsurance operations are conducted through EMC Reinsurance Company, representing approximately 23 percent of premiums earned in 2005. The principal business activity of EMC Reinsurance Company is to assume the voluntary reinsurance business written directly by Employers Mutual with unaffiliated insurance companies (subject to certain limited exceptions).

 

The Company’s insurance agency, EMC Underwriters, LLC, specializes in marketing excess and surplus lines of insurance. The excess and surplus lines markets provide insurance coverage at negotiated rates for risks that are not acceptable to licensed insurance companies. EMC Underwriters accesses this market by working through independent agents and functions as managing underwriter for excess and surplus lines insurance for several of the pool participants. The Company derives income from this business based on the fees and commissions earned through placement of the business, as opposed to the underwriting of the risks associated with that business.

 

Organizational Structure

 

Property and Casualty Insurance

 

The four property and casualty insurance subsidiaries of the Company and two subsidiaries and an affiliate of Employers Mutual (Union Insurance Company of Providence, EMC Property & Casualty Company and Hamilton Mutual Insurance Company) are parties to reinsurance pooling agreements with Employers Mutual (collectively the “pooling agreement”). Under the terms of the pooling agreement, each company cedes to Employers Mutual all of its insurance business, with the exception of any voluntary reinsurance business assumed from nonaffiliated insurance companies, and assumes from Employers Mutual an amount equal to its participation in the pool. All premiums, losses, settlement expenses, and other underwriting and administrative expenses, excluding the voluntary reinsurance business assumed by Employers Mutual from nonaffiliated insurance companies, are prorated among the parties on the basis of participation in the pool. Employers Mutual negotiates reinsurance agreements that provide protection to the pool and each of its participants, including protection against losses arising from catastrophic events.

 

Operations of the pool give rise to inter-company balances with Employers Mutual, which are settled on a quarterly basis. The investment and income tax activities of the pool participants are not subject to the pooling agreement. The pooling agreement also provides that Employers Mutual will make up any shortfall or difference resulting from an error in its systems and/or computational processes that would otherwise result in the required restatement of the pool participants’ financial statements.

 

The purpose of the pooling agreement is to spread the risk of an exposure insured by any of the participants among all of the participants. The particular benefits that the Company’s property and casualty insurance companies realize from participating in the pooling agreement include the following:

 

 

the ability to produce a more uniform and stable underwriting result from year-to-year for each participant than might otherwise be experienced on an individual basis, by spreading the risks over a wide range of geographic locations, lines of insurance written, rate filings, commission plans and policy forms;

 

 

the ability to benefit from the capacity of the entire pool representing $1.1 billion in direct premiums written in 2005 and $769.8 million in statutory surplus as of December 31, 2005, rather than being limited to policy exposures of a size commensurate with each participant’s own surplus level;

 

 

the achievement of an “A-” (Excellent) rating from A.M. Best on a “group” basis;

 

 

the ability to take advantage of a significant distribution network of independent agencies that the participants most likely could not access on an individual basis;

 

 

the ability to negotiate and purchase reinsurance from third-party reinsurers on a combined basis, thereby achieving larger retentions and better pricing; and

 

 

the ability to achieve and benefit from economies of scale in operations.

 

 

3

 



 

 

          On October 20, 2004, the Company successfully completed a follow-on stock offering and sold 2.0 million new shares of its common stock to the public at a price of $18.75 per share. Employers Mutual participated in the stock offering as a selling shareholder and sold 2.1 million shares of the Company’s common stock that it previously owned. As a result of these transactions, Employers Mutual’s ownership of the Company was reduced from approximately 80.9 percent to approximately 53.7 percent.

 

Net proceeds to the Company from the follow-on stock offering totaled $34,890,000. These proceeds were contributed to three of the Company’s property and casualty insurance subsidiaries in December of 2004 to support a 6.5 percentage point increase in the Company’s aggregate participation in the pooling agreement effective January 1, 2005. As a result of this change, the Company’s aggregate participation in the pooling agreement increased from 23.5 percent to 30.0 percent and Employers Mutual’s participation decreased from 65.5 percent to 59.0 percent. In connection with this change in pool participation, the Company’s liabilities increased $115,042,000 and assets increased $108,523,000. The Company reimbursed Employers Mutual $6,519,000 for expenses that were incurred to generate the additional business assumed by the Company, but this expense was offset by an increase in deferred policy acquisition costs. The Company also received $275,000 in interest income from Employers Mutual as the actual transfer of assets did not occur until February 15, 2005.

 

Effective January 1, 2005, the pooling agreement was amended to provide for a fixed term of three years commencing January 1, 2005 and continuing until December 31, 2007, during which period the pooling agreement may not be terminated and the revised participation interests will not be further amended, absent the occurrence of a material event not in the ordinary course of business that could reasonably be expected to impact the appropriateness of the participation interests in the pool (such as the sale or dissolution of a participant, or the acquisition by, or affiliation with, the Company or Employers Mutual of a subsidiary or affiliated company that desires to become a participant in the pooling agreement). Commencing January 1, 2008, the pooling agreement will be automatically renewed for an additional three-year term (and automatically renewed for three-year terms after the end of each renewal term), however, during any renewal term a participant may terminate its participation in the pool as of the beginning of the next calendar year by providing 12 months prior notice to Employers Mutual.

 

Effective January 1, 2005, the pooling agreement was further amended to comply with certain conditions established by A.M. Best that will enable the pool participants to have their financial strength ratings determined on a “group” basis. These amendments: (i) provide that if a pool participant becomes insolvent, or is otherwise subject to liquidation or receivership proceedings, each of the other participants will, on a pro rata basis (based on their participation interests in the pool), adjust their assumed portions of the pool liabilities in order to assume in full the liabilities of the impaired participant, subject to compliance with all regulatory requirements applicable to such adjustment under the laws of all states in which the participants are domiciled; (ii) clarify that all development on prior years’ outstanding losses and settlement expenses of the participants will remain in the pool and be pro rated pursuant to the pooling agreement; and (iii) clarify that all liabilities incurred prior to a participant withdrawing from the pool, and associated with such withdrawing participant, shall remain a part of the pool and subject to the pooling agreement.

 

 

4

 



 

 

          The amount of insurance a property and casualty insurance company writes under industry standards is commonly expressed as a multiple of its surplus calculated in accordance with statutory accounting practices. Generally, a ratio of 3 or less is considered satisfactory by state insurance departments. The ratios of the pool participants for the past three years are as follows:

 

 

Year ended December 31,

 

2005

2004

2003

Employers Mutual

0.90

1.23

1.26

EMCASCO (1)

2.03

1.65

2.15

Illinois EMCASCO (1)

1.96

1.74

2.07

Dakota Fire (1)

1.97

1.67

2.11

Farm and City

2.04

2.67

2.35

EMC Property & Casualty Company

0.83

0.93

0.92

Union Insurance Company of Providence

0.82

0.91

0.91

Hamilton Mutual Insurance Company

1.56

2.53

2.02

 

 

(1) The 2004 ratios for these companies reflect the receipt of an aggregate of $34,890,000 in proceeds from the Company’s follow-on stock offering, which was used to support a 6.5 percentage point increase in the Company’s aggregate participation in the pooling agreement effective January 1, 2005. The ratios for all three years for these companies also reflect the issuance of an aggregate of $25,000,000 of surplus notes to Employers Mutual on December 28, 2001. Surplus notes are considered to be a component of surplus for statutory reporting purposes; however, under U.S. generally accepted accounting principles, surplus notes are considered to be debt and are reported as a liability in the Company’s financial statements.

 

Reinsurance

 

The Company’s reinsurance subsidiary assumes a 100 percent quota share portion of Employers Mutual’s assumed reinsurance business, exclusive of certain reinsurance contracts. This includes all premiums and related losses, settlement expenses, and other underwriting and administrative expenses of this business, subject to a maximum loss of $1,500,000 per event. The reinsurance subsidiary does not directly reinsure any of the insurance business written by Employers Mutual or the other pool participants; however, the reinsurance subsidiary assumes reinsurance business from the Mutual Reinsurance Bureau (MRB) pool and this pool provides a small amount of reinsurance protection to the participants of the pooling agreement. As a result, the reinsurance subsidiary’s assumed exposures include a small portion of the direct business produced by the participants in the pooling agreement, after ceded reinsurance protections purchased by the MRB pool are applied. In addition, the reinsurance subsidiary does not reinsure any “involuntary” facility or pool business that Employers Mutual assumes pursuant to state law. Operations of the quota share agreement give rise to inter-company balances with Employers Mutual, which are settled on a quarterly basis. The investment and income tax activities of the reinsurance subsidiary are not subject to the quota share agreement.

 

The reinsurance subsidiary pays an annual override commission to Employers Mutual in connection with the $1,500,000 cap on losses assumed per event. The override commission is charged at a rate of 4.5 percent of written premiums. The reinsurance subsidiary also pays for 100 percent of the outside reinsurance protection Employers Mutual purchases to protect itself from catastrophic losses on the assumed reinsurance business it retains in excess of the $1,500,000 cap per event, excluding reinstatement premiums. This cost is recorded as a reduction to the premiums received by the reinsurance subsidiary.

 

Under the terms of the quota share agreement, the reinsurance subsidiary receives reinstatement premium income that is collected by Employers Mutual from the ceding companies, but does not pay reinstatement premium expense for the reinsurance protection carried by Employers Mutual. This produces unusual underwriting results for the reinsurance subsidiary when a large event occurs because the reinstatement premium income may approximate, or exceed, the $1,500,000 of assumed losses per event.

 

 

5

 

 



 

          Effective January 1, 2006, the terms of the quota share agreement between Employers Mutual and the reinsurance subsidiary were revised. The majority of the changes were prompted by the significant amount of hurricane losses retained by Employers Mutual during the severe 2005 hurricane season; however, other changes were made to simplify and clarify the terms and conditions of the quota share agreement. The revised terms of the quota share agreement for 2006 are as follows: (1) the reinsurance subsidiary’s retention, or cap, on losses assumed per event increased from $1,500,000 to $2,000,000; (2) the cost of the $2,000,000 cap on losses assumed per event will be treated as a reduction to written premiums rather than commission expense; (3) the reinsurance subsidiary will no longer directly pay for the outside reinsurance protection that Employers Mutual purchases to protect itself from catastrophic losses on the assumed reinsurance business it retains in excess of the cap, and will instead pay a higher premium rate (previously accounted for as commission); and (4) the reinsurance subsidiary will assume all foreign currency exchange risk/benefit associated with contracts incepting on January 1, 2006 and thereafter that are subject to the quota share agreement. For 2006, the premium rate paid by the reinsurance subsidiary to Employers Mutual will be 10.5 percent of written premiums. The corresponding rate for 2005 was approximately 8.5 percent (4.5 percent override commission rate plus approximately 4.0 percent for the cost of the outside reinsurance protection). Based on historical data, the foreign currency exchange gains/losses that will be assumed by the reinsurance subsidiary beginning in 2006 are not expected to be material.

 

Property and Casualty Insurance and Reinsurance

 

Employers Mutual provides various services to all of its subsidiaries and affiliates. Such services include data processing, claims, financial, actuarial, auditing, marketing and underwriting. Employers Mutual allocates a portion of the cost of these services to the subsidiaries that do not participate in the pooling agreement based upon a number of criteria. The remaining costs are charged to the pooling agreement and each pool participant shares in the total cost in accordance with its pool participation percentage.

 

Investment expenses are based on actual expenses incurred by the Company plus an allocation of other investment expenses incurred by Employers Mutual, which is based on a weighted-average of total invested assets and number of investment transactions.

 

FINANCIAL INFORMATION ABOUT INDUSTRY SEGMENTS

 

For information concerning the Company’s revenues, operating income and identifiable assets attributable to each of its industry segments over the past three years, see note 7 of Notes to Consolidated Financial Statements under Item 8 of this Form 10-K.

 

 

6

 



 

 

NARRATIVE DESCRIPTION OF BUSINESS

 

Principal Products

 

Property and Casualty Insurance

 

The Company’s property and casualty insurance subsidiaries and the other parties to the pooling agreement underwrite both commercial and personal lines of property and casualty insurance. Those coverages consist of the following types of insurance:

 

Commercial Lines

 

 

Automobile - policies purchased by insureds engaged in a commercial activity that provide protection against liability for bodily injury and property damage arising from automobile accidents, and protection against loss from damage to automobiles owned by the insured.

 

 

Property - policies purchased by insureds engaged in a commercial activity that provide protection against damage or loss to property (other than autos) owned by the insured.

 

 

Workers’ Compensation - policies purchased by employers to provide benefits to employees for injuries incurred during the course of employment. The extent of coverage is established by the workers’ compensation laws of each state.

 

 

Liability - policies purchased by insureds engaged in a commercial activity that provide protection against liability for bodily injury or property damage to others resulting from acts or omissions of the insured or its employees.

 

 

Other - includes a broad range of policies purchased by insureds engaged in a commercial activity that provide protection with respect to burglary and theft loss, aircraft, marine and other losses. This category also includes fidelity and surety bonds issued to secure performance.

 

Personal Lines

 

 

Automobile - policies purchased by individuals that provide protection against liability for bodily injury and property damage arising from automobile accidents, and protection against loss from damage to automobiles owned by the insured.

 

 

Property - policies purchased by individuals that provide protection against damage or loss to property (other than autos) owned by the individual, including homeowner’s insurance.

 

 

Liability - policies purchased by individuals that provide protection against liability for bodily injury or property damage to others resulting from acts or omissions of the insured.

 

 

7

 



 

 

          The following table sets forth the aggregate direct written premiums of all parties to the pooling agreement for the three years ended December 31, 2005, by line of business.

 

 

 

 

Percent

 

 

 

Percent

 

 

 

Percent

 

 

 

 

of 

 

 

 

of 

 

 

 

of 

 

Line of Business

2005

 

total

 

2004

 

total

 

2003

 

total

 

 

(Dollars in thousands)

Commercial Lines:

 

 

 

 

 

 

 

 

 

 

 

 

Automobile 

$      243,289 

 

21.4 

%

$      248,542 

 

21.8 

%

$     239,960 

 

21.6 

%

Property 

232,629 

 

20.4 

 

224,899 

 

19.7 

 

202,124 

 

18.2 

 

Workers’ Compensation 

212,060 

 

18.6 

 

217,987 

 

19.1 

 

209,171 

 

18.8 

 

Liability 

242,742 

 

21.3 

 

231,091 

 

20.2 

 

213,150 

 

19.1 

 

Other

30,312 

 

2.7 

 

25,430 

 

2.2 

 

22,524 

 

2.0 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total commercial lines

961,032 

 

84.4 

 

947,949 

 

83.0 

 

886,929 

 

79.7 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Personal Lines:

 

 

 

 

 

 

 

 

 

 

 

 

Automobile 

95,925 

 

8.4 

 

110,063 

 

9.6 

 

128,671 

 

11.5 

 

Property 

79,339 

 

7.0 

 

82,786 

 

7.2 

 

95,550 

 

8.6 

 

Liability 

2,232 

 

0.2 

 

2,127 

 

0.2 

 

1,972 

 

0.2 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total personal lines 

177,496 

 

15.6 

 

194,976 

 

17.0 

 

226,193 

 

20.3 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total 

$   1,138,528 

 

100.0 

%

$   1,142,925 

 

100.0 

%

$  1,113,122 

 

100.0 

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reinsurance

 

As previously noted, the reinsurance subsidiary assumes the voluntary reinsurance business written directly by Employers Mutual with unaffiliated insurance companies (subject to certain limited exceptions). Employers Mutual writes both pro rata and excess-of-loss reinsurance for unaffiliated insurance companies. Pro rata reinsurance is a form of reinsurance in which the reinsurer assumes a stated percentage of all premiums, losses and related expenses in a given class of business. In contrast, excess-of-loss reinsurance provides coverage for a portion of losses incurred by an insurer which exceed predetermined retention limits.

 

 

8

 



 

 

          The following table sets forth the assumed written premiums of the reinsurance subsidiary for the three years ended December 31, 2005, by line of business.

 

 

 

 

Percent

 

 

 

Percent

 

 

 

Percent

 

 

 

 

of 

 

 

 

of 

 

 

 

of 

 

Line of Business

2005

 

total

 

2004

 

total

 

2003

 

total

 

 

(Dollars in thousands)

 

Pro rata reinsurance:

 

 

 

 

 

 

 

 

 

 

 

 

Property and casualty 

 $  18,464 

 

    19.9 

%

 $  21,785 

 

    22.3 

%

 $  20,025 

 

    22.2 

%

Property 

     17,160 

 

    18.5 

 

     14,501 

 

    14.8 

 

     15,282 

 

    17.0 

 

Crop 

       3,975 

 

      4.3 

 

       4,084 

 

      4.2 

 

       2,693 

 

      3.0 

 

Casualty

       1,091 

 

      1.2 

 

       1,206 

 

      1.2 

 

       1,771 

 

      2.0 

 

Marine/Aviation

       5,423 

 

      5.9 

 

     11,202 

 

    11.5 

 

     12,377 

 

    13.7 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total pro rata reinsurance 

     46,113 

 

    49.8 

 

     52,778 

 

    54.0 

 

     52,148 

 

    57.9 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Excess-of-loss reinsurance:

 

 

 

 

 

 

 

 

 

 

 

 

Property 

     30,301 

 

    32.7 

 

     26,935 

 

    27.6 

 

     23,744 

 

    26.4 

 

Casualty 

     16,221 

 

    17.5 

 

     17,358 

 

    17.8 

 

     12,954 

 

    14.4 

 

Surety 

           (47)

 

        -  

 

          566 

 

      0.6 

 

       1,212 

 

      1.3 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total excess-of-loss reinsurance 

     46,475 

 

    50.2 

 

     44,859 

 

    46.0 

 

     37,910 

 

    42.1 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total 

 $  92,588 

 

  100.0 

%

 $  97,637 

 

  100.0 

%

 $  90,058 

 

  100.0 

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Marketing and Distribution

 

Property and Casualty Insurance

 

The Company markets a wide variety of commercial and personal lines insurance products through 16 full service branch offices, which actively write business in 41 states. The Company’s products are marketed exclusively through a network of over 2,200 local independent agencies contracted and serviced by those branch offices. The Company primarily focuses on the sale of commercial lines of property and casualty insurance to small and medium-sized businesses, which are considered to be policyholders that pay less than $100,000 in annual premiums. The Company also seeks to provide more than one policy to a given customer, because this “account selling” strategy diversifies risks and generally improves underwriting results.

 

The pool participants wrote over $1.1 billion in direct premiums in 2005, with 84 percent of this business coming from commercial lines products and 16 percent coming from personal lines products. Although a majority of the Company’s business is generated by sales in the Midwest, its offices are located across the country to take advantage of local market conditions and opportunities, as well as to spread risk geographically. Each branch office performs its own underwriting, claims, marketing and risk management functions according to policies and procedures established and monitored by the home office. This decentralized network of branch offices allows the Company to develop marketing strategies, products and pricing that target the needs of individual marketing territories and take advantage of different opportunities for profit in each market. This operating structure also enables the Company to develop close relationships with the agents and customers with whom it does business.

 

 

 

9

 

 

 

Although each branch office offers a slightly different combination of products, the branches generally target three customer segments:

 

 

a wide variety of small to medium-sized businesses, through a comprehensive package of property and liability coverages;

 

 

businesses and institutions eligible for the Company’s target market and safety dividend group programs (described below), which offer specialized products geared to their members’ unique protection needs; and

 

 

individual consumers, through a number of personal lines products such as homeowners, automobile and umbrella coverages.

 

The Company writes a number of target market and safety dividend group programs throughout the country, and has developed a strong reputation for these programs within the marketplace. These programs provide enhanced insurance protection to businesses or institutions that have similar hazards and exposures and are willing to implement loss prevention programs. Underwriting results for these programs are based on the experience of the group, rather than the individual participants. These groups include public schools, small municipalities, petroleum marketers, contractors and mobile home parks. As an example, the pool participants write coverage for over 1,400 school districts throughout the Midwest. These programs have been successful because they offer risk management products and services that are targeted to the needs of the group members through a local independent agent.

 

The following table sets forth the geographic distribution of the aggregate direct written premiums of all parties to the pooling agreement for the three years ended December 31, 2005

 

 

2005

 

2004

 

2003

 

 

 

 

 

 

 

 

Arizona

3.9 

%

3.8 

%

3.6 

%

Colorado 

3.2 

 

3.1 

 

2.9 

 

Illinois 

4.4 

 

4.3 

 

4.3 

 

Iowa 

14.8 

 

15.1 

 

15.4 

 

Kansas 

9.3 

 

9.1 

 

8.9 

 

Michigan 

3.9 

 

4.1 

 

4.9 

 

Minnesota 

3.2 

 

3.3 

 

3.3 

 

Nebraska 

5.8 

 

6.4 

 

6.9 

 

North Carolina

3.2 

 

2.9 

 

2.9 

 

Pennsylvania

3.5 

 

3.4 

 

3.1 

 

Texas 

4.4 

 

4.6 

 

4.9 

 

Wisconsin 

5.5 

 

5.6 

 

5.5 

 

Other * 

34.9 

 

34.3 

 

33.4 

 

 

100.0 

%

100.0 

%

100.0 

%

 

 

 

 

 

 

 

 

* Includes all other jurisdictions, none of which accounted for more than 3 percent.

 

Reinsurance

 

The reinsurance subsidiary obtains 100 percent of its business from Employers Mutual through the quota share agreement. The reinsurance subsidiary relies on the financial strength of Employers Mutual to write the reinsurance business and the competitive advantage that Employers Mutual has by virtue of being licensed in all 50 states. Reinsurance marketing is undertaken by Employers Mutual in its role as the direct writer of the reinsurance business; however, the reinsurance subsidiary is utilized in the marketing efforts to help differentiate the reinsurance business from the direct insurance business that is written by Employers Mutual and the other pool participants.

 

10

 

 



 

 

          Employers Mutual’s reinsurance business is derived from two sources. Approximately 59 percent of Employers Mutual’s assumed reinsurance premiums earned in 2005 were generated through the activities of its Home Office Reinsurance Assumed Department (also known as “HORAD”). The reinsurance business written by HORAD is brokered through independent intermediaries. As a result, the risks assumed by HORAD do not materially overlap with the risks assumed by MRB (discussed below). The risks which are assumed by Employers Mutual through HORAD are directly underwritten and priced by Employers Mutual. As such, Employers Mutual has discretion with respect to the type and size of risks which it assumes and services through these activities.

 

The remaining 41 percent of Employers Mutual’s assumed reinsurance premiums earned in 2005 were generated through participation in the MRB pool, an unincorporated association through which Employers Mutual and two other unaffiliated insurance companies participate in a voluntary reinsurance pool to meet the reinsurance needs of small and medium-sized, unaffiliated mutual insurance companies. Employers Mutual has participated in MRB since 1957. MRB is controlled by a board of directors composed of three members including one representative designated by Employers Mutual. As a member of this organization, Employers Mutual assumes its proportionate share of the risks ceded to MRB by unaffiliated insurers. During 2005, Employers Mutual had a one-third share of all reinsurance business assumed by MRB. However, because MRB is structured on a joint liability basis, Employers Mutual, and therefore the Company’s reinsurance subsidiary, would be obligated with respect to the proportionate share of risks assumed by the other participants in the event they were unable to perform. MRB, which is operated by an independent management team, manages assumed risks through typical underwriting practices, including loss exposure controls through reinsurance coverage obtained for the benefit of MRB. The risks for which MRB is the reinsurer arise primarily from the Northeast and Midwest markets. Underwriting of risks and pricing of coverage is performed by MRB management under general guidelines established by Employers Mutual and the other two participating insurers. Apart from these procedures, Employers Mutual has only limited control over the risks assumed and the results of these operations. Because of the joint liability structure, MRB participating companies must maintain a rating of “A-” (Excellent) or above from A.M. Best and meet certain other standards.

 

The board of directors of the MRB pool has approved the admission of Kentucky Farm Bureau Mutual and Country Mutual Insurance Company as new assuming companies to the pool effective January 1, 2006. Both of these companies carry an A.M. Best rating of A+ (Superior) and their addition will enhance the financial strength of the pool. These actions will improve the spread of risk in the Company’s assumed reinsurance business and will reduce the Company’s exposure to catastrophe losses. Additionally, the Company believes that the commitment of two highly rated, well capitalized companies to join the pool sends a strong message regarding the pool’s future business prospects. The increase in assuming companies will have a short-term negative impact on earned premiums for the Company’s reinsurance subsidiary as the pool business will be split between more participants; however, the addition of these new companies will strengthen MRB’s surplus base and should favorably impact future marketing efforts.

 

Over the last several years Employers Mutual has emphasized writing excess-of-loss reinsurance business in its HORAD operation and has worked to increase its participation on existing contracts that had favorable terms. Employers Mutual strives to be flexible in the types of reinsurance products it offers, but generally limits its writings to direct reinsurance business, rather than providing retrocessional covers. In recent years there has been a trend in the reinsurance marketplace for “across the board” participation on excess-of-loss reinsurance contracts. As a result, reinsurance companies must be willing to participate on all layers offered under a specific contract in order to be considered a viable reinsurer.

 

 

11

 

 



 

 

          It is customary in the reinsurance business for the assuming company to compensate the ceding company for the acquisition expenses incurred in the generation of the business. Commissions paid by the reinsurance subsidiary to Employers Mutual for this purpose amounted to $21,509,000 in 2005. In 2005, the reinsurance subsidiary also paid an annual override commission at the rate of 4.5 percent to Employers Mutual in connection with the $1.5 million cap on losses assumed per event. This commission amounted to $4,166,000 in 2005. The reinsurance subsidiary also paid for 100 percent of the third-party reinsurance protection Employers Mutual purchases to protect itself from catastrophic losses on the assumed reinsurance business it retains in excess of the $1,500,000 cap per event, excluding reinstatement premiums. This cost was recorded as a reduction to the premiums received by the reinsurance subsidiary and amounted to $3,696,000 in 2005.

 

Effective January 1, 2006, revisions to the quota share agreement were approved and implemented. For a discussion of those changes, please see the section of this report titled, “Organizational Structure - Reinsurance”.

 

Competition

 

Property and Casualty Insurance

 

The property and casualty insurance business is very competitive. The Company’s property and casualty insurance subsidiaries and the other pool participants compete in the United States insurance market with numerous insurers, many of which have greater financial resources. Competition in the types of insurance in which the property and casualty insurance subsidiaries are engaged is based on many factors, including the perceived overall financial strength of the insurer, premiums charged, contract terms and conditions, services offered, speed of claim payments, reputation and experience. Because the insurance products of the pool participants are marketed exclusively through independent agencies, the Company faces competition to retain qualified agencies, as well as competition within the agencies. The pool participants also compete with direct writers, who utilize salaried employees and generally offer their products at a lower cost, exclusive agencies who write insurance business for only one company, and to a lesser extent, internet-based enterprises. The pool participants utilize a profit-sharing plan as an incentive for the independent agencies to place high-quality insurance business with them.

 

Reinsurance

 

Employers Mutual, in writing reinsurance business through its HORAD operation, competes in the global reinsurance market with numerous reinsurance companies, many of which have substantially greater financial resources. Competition for reinsurance business is based on many factors, including financial strength, industry ratings, stability in products offered and licensing status. During the last several years, some ceding companies have tended to favor large, financially strong reinsurance companies who are able to provide “mega” line capacity for multiple lines of business. Employers Mutual faces the risk of ceding companies becoming less interested in diversity and spread of reinsurance risk in favor of having fewer, highly-capitalized reinsurance companies on their program.

 

While reinsurer competition for national and regional company business is growing, the Company believes that MRB has a competitive advantage in the smaller mutual company market that it serves. This segment of the market is not targeted by the London and Bermuda markets, which tend to deal with larger insurers at higher margins. MRB understands the needs of the smaller company market and operates at a very low expense ratio, enabling it to offer reinsurance coverage (on business that generally presents less risk) to an under-served market at lower margins.

 

 

12

 

 



 

 

Best’s Rating

 

Property and Casualty Insurance

 

A.M. Best Company rates insurance companies based on their relative financial strength and ability to meet their contractual obligations. The most recent A.M. Best Property Casualty Key Rating Guide gives the Company’s property and casualty insurance subsidiaries an “A-” (Excellent) policyholders rating in their capacity as participants in the pooling agreement. A.M. Best reevaluates its ratings from time to time (normally on an annual basis) and there can be no assurance that the Company’s property and casualty insurance subsidiaries and the other pool participants will maintain their current rating in the future. Management believes that a Best’s rating of “A-” (Excellent) or better is important to the Company’s business since many insureds require that companies with which they insure be so rated. Best’s publications indicate that these ratings are assigned to companies that have achieved excellent overall performance and have a strong ability to meet their obligations over a long period of time. Best’s ratings are based upon factors of concern to policyholders and insurance agents, and are not directed toward the protection of investors.

 

Reinsurance

 

The most recent A.M. Best Property Casualty Key Rating Guide gives the Company’s reinsurance subsidiary an “A-” (Excellent) policyholders’ rating. However, because all of the reinsurance business assumed by the reinsurance subsidiary is produced by Employers Mutual, the rating of the reinsurance subsidiary is not critical to the Company’s reinsurance operations. The rating of Employers Mutual is, however, critical to the Company’s reinsurance operations, as the unaffiliated insurance companies that cede business to Employers Mutual are concerned with its rating as an indication of its ability to meet its obligations to those insurance companies. Employers Mutual’s rating of “A-” (Excellent) has resulted in the loss of some reinsurance business because some insurance companies require a rating of “A” (Excellent) or higher. A downgrade of Employers Mutual’s rating would have a material adverse impact on the Company’s reinsurance subsidiary, as a downgrade would negatively impact Employers Mutual’s ability to assume reinsurance business and, consequently, to cede that business to the Company’s reinsurance subsidiary.

 

 

13

 

 



 

 

Statutory Combined Trade Ratios

 

The following table sets forth the statutory combined trade ratios of the Company’s insurance subsidiaries and the property and casualty insurance industry averages for the five years ended December 31, 2005. The combined trade ratios below are the sum of the following: the loss ratio, calculated by dividing losses and settlement expenses incurred by net premiums earned, and the expense ratio, calculated by dividing underwriting expenses incurred by net premiums written and policyholder dividends by net premiums earned. Generally, if the combined trade ratio is below 100 percent, a company has an underwriting profit; if it is above 100 percent, a company has an underwriting loss.

 

 

Year ended December 31,

 

2005

 

2004

 

2003

 

2002

 

2001

 

 

 

 

 

 

 

 

 

 

Property and casualty insurance (1)

 

 

 

 

 

 

 

 

 

Loss ratio 

62.1%

 

79.0%

 

70.3%

 

69.8%

 

83.0%

Expense ratio 

33.5%

 

33.1%

 

32.2%

 

31.2%

 

28.5%

Combined trade ratio 

95.6%

 

112.1%

 

102.5%

 

101.0%

 

111.5%

 

 

 

 

 

 

 

 

 

 

Reinsurance

 

 

 

 

 

 

 

 

 

Loss ratio 

63.6%

 

55.9%

 

65.2%

 

70.7%

 

86.6%

Expense ratio 

27.5%

 

27.8%

 

27.2%

 

31.6%

 

29.1%

Combined trade ratio 

91.1%

 

83.7%

 

92.4%

 

102.3%

 

115.7%

 

 

 

 

 

 

 

 

 

 

Total insurance operations (1)

 

 

 

 

 

 

 

 

 

Loss ratio 

62.4%

 

72.6%

 

68.9%

 

70.0%

 

83.8%

Expense ratio 

32.3%

 

31.6%

 

30.9%

 

31.3%

 

28.6%

Combined trade ratio 

94.7%

 

104.2%

 

99.8%

 

101.3%

 

112.4%

 

 

 

 

 

 

 

 

 

 

Property and casualty insurance 

 

 

 

 

 

 

 

 

 

industry averages (2)

 

 

 

 

 

 

 

 

 

Loss ratio 

76.2%

 

72.8%

 

75.0%

 

81.7%

 

88.5%

Expense ratio 

25.8%

 

25.3%

 

25.1%

 

25.7%

 

27.5%

Combined trade ratio 

102.0%

 

98.1%

 

100.1%

 

107.4%

 

116.0%

 

 

 

 

 

 

 

 

 

 

 

(1)     The 2005 expense ratio and combined trade ratio for “property and casualty insurance” and “total insurance operations” are distorted by $29,631,000 of additional written premiums and $6,519,000 of commission expense that were recorded in connection with the change in the Company’s pool participation. Excluding these adjustments, the expense ratios would have been 34.4 percent and 32.9 percent, respectively, and the combined trade ratios would have been 96.5 percent and 95.3 percent, respectively. The 2001 expense ratio and combined trade ratio for “property and casualty insurance” and “total insurance operations” are distorted by $13,884,000 of additional written premiums that were recorded in connection with a change in the recording of installment-based insurance policies. Excluding this adjustment, the expense ratios would have been 30.2 percent and 30.0 percent, respectively, and the combined trade ratios would have been 113.2 percent and 113.8 percent, respectively.

 

(2)     As reported by A.M. Best Company. The ratio for 2005 is an estimate; the actual combined ratio is not currently available.

 

Claims Management

 

The Company believes that effective claims management is critical to its success. To this end, the Company has adopted a customer-focused claims management process that it believes is cost efficient, delivers the appropriate claims service and produces superior claims results. The Company’s claims management process is focused on controlling claims from their inception, accelerating communication to insureds and claimants and compressing the cycle time of claims to control both loss costs and claims-handling costs. The Company believes its process provides quality service

 

14

 

 



 

and results in the appropriate handling of claims, allowing it to cost-effectively pay valid claims and contest fraudulent claims.

 

The Company’s claims management operation includes adjusters, appraisers, special investigators, attorneys and claims administrative personnel. The Company conducts its claims management operations out of its 16 branch offices and five service offices located throughout the United States. The home office claims group provides advice and counsel for branch claims staff in investigating, reserving and settling claims. The home office claims staff also evaluates branch claims operations and makes recommendations for improvements in performance. Additional home office services provided include: complex claim handling, physical damage and property review, medical case management, medical bill review, legal coverage analysis, litigation management and subrogation. The Company believes these home office services assist the branch claims personnel in producing greater efficiencies than can be achieved at the local level.

 

Each branch office is responsible for evaluating and settling claims within the authority provided by home office claims. Authority levels within the branch offices are granted based upon an adjuster’s experience and expertise. The branch office must request input from home office claims once a case exceeds its authority. A claims committee exists within home office and is chaired by the Senior Vice President of Claims. This committee meets on a weekly basis to assist the branches in evaluating and settling claims beyond their authority.

 

The Company will allow claims to go to litigation in matters such as value disputes and questionable liability and will defend appropriate denials of coverage. The Company generally retains outside defense counsel to litigate such matters. The Company’s claims professionals manage the litigation process, rather than ceding control to an attorney. The Company has implemented a litigation management system that provides data that allows the claims staff to evaluate the quality and cost effectiveness of legal services provided. Cases are constantly reviewed to adjust the litigation plan if necessary, and all cases going to trial are carefully reviewed to assess the value of trial or settlement.

 

Loss and Settlement Expense Reserves

 

Liabilities for losses and settlement expenses are estimates at a given point in time of what an insurer expects to pay to claimants and the cost of settling claims, based on facts and circumstances then known. It can be expected that the insurer’s ultimate liability for losses and settlement expenses may either exceed or be less than such estimates. The Company’s estimates of the liabilities for losses and settlement expenses are based on estimates of future trends and claims severity, judicial theories of liability and other factors. However, during the loss adjustment period, which may cover many years in some cases, the Company may learn additional facts regarding individual claims, and consequently it often becomes necessary to refine and adjust its estimates of the liability. The Company reflects any adjustments to its liabilities for losses and settlement expenses in its operating results in the period in which the changes in estimates are made.

 

The Company maintains reserves for losses and settlement expenses with respect to both reported and unreported claims. The amount of reserves for reported claims is primarily based upon a case-by-case evaluation of the specific type of claim, knowledge of the circumstances surrounding each claim and the policy provisions relating to the type of loss. Reserves on assumed reinsurance business are the amounts reported by the ceding companies.

 

The amount of reserves for unreported claims is determined on the basis of statistical information for each line of insurance with respect to the probable number and nature of claims arising from occurrences that have not yet been reported. Established reserves are closely monitored and are frequently recomputed using a variety of formulas and statistical techniques for analyzing actual claim costs, frequency data and other economic and social factors.

 

Settlement expense reserves are intended to cover the ultimate cost of investigating claims and defending lawsuits arising from claims. These reserves are established each year based on previous years’ experience to project the ultimate cost of settlement expenses. To the extent that adjustments are required to be made in the amount of loss reserves each year, settlement expense reserves are correspondingly revised, if necessary.

 

The Company’s actuaries conduct quarterly reviews of the direct loss and settlement expense reserves. In addition, they specifically analyze direct case loss reserves on a quarterly basis and direct incurred but not reported (“IBNR”) loss reserves on an annual basis. Based on the results of these regularly-scheduled evaluations, the Company’s actuaries make recommendations regarding adjustments to direct reserve levels.

 

 

15

 

 



 

 

The Company does not discount reserves. Inflation is implicitly provided for in the reserving function through analysis of cost trends, reviews of historical reserving results and projections of future economic conditions. Large ($100,000 and over) incurred and reported gross reserves are reviewed regularly for adequacy. In addition, long-term and lifetime medical claims are periodically reviewed for cost trends and the applicable reserves are appropriately revised, if necessary.

 

Despite the inherent uncertainties of estimating loss and settlement expense reserves, the Company believes that its reserves are being calculated in accordance with sound actuarial practices and, based upon current information, that its reserves for losses and settlement expenses at December 31, 2005 are adequate.

 

The following table sets forth a reconciliation of beginning and ending reserves for losses and settlement expenses of the property and casualty insurance subsidiaries and the reinsurance subsidiary. Amounts presented are on a net basis, with a reconciliation of beginning and ending reserves to the gross amounts presented in the consolidated financial statements.

 

 

Year ended December 31,

 

2005

 

2004

 

2003

 

(Dollars in thousands)

Gross reserves at beginning of year 

$           429,677 

 

$           373,783 

 

$           331,227 

Ceded reserves at beginning of year 

(25,358)

 

(20,666)

 

(10,368)

Net reserves at beginning of year, 

 

 

 

 

 

before adjustment 

404,319 

 

353,117 

 

320,859 

 

 

 

 

 

 

Adjustment to beginning reserves due to

 

 

 

 

 

the change in pool participation 

78,818 

 

 

Net reserves at beginning of year, 

 

 

 

 

 

after adjustment 

483,137 

 

353,117 

 

320,859 

 

 

 

 

 

 

Incurred losses and settlement expenses

 

 

 

 

 

Provision for insured events of the

 

 

 

 

 

current year 

273,335 

 

229,668 

 

219,029 

Increase (decrease) in provision for 

 

 

 

 

 

insured events of prior years 

(15,408)

 

20,138 

 

7,476 

Total incurred losses and

 

 

 

 

 

settlement expenses

257,927 

 

249,806 

 

226,505 

 

 

 

 

 

 

Payments

 

 

 

 

 

Losses and settlement expenses

 

 

 

 

 

attributable to insured events of the

 

 

 

 

 

current year 

99,998 

 

83,531 

 

86,072 

Losses and settlement expenses

 

 

 

 

 

attributable to insured events of 

 

 

 

 

 

prior years

139,665 

 

115,073 

 

108,175 

Total payments 

239,663 

 

198,604 

 

194,247 

 

 

 

 

 

 

Net reserves at end of year 

501,401 

 

404,319 

 

353,117 

Ceded reserves at end of year 

42,650 

 

25,358 

 

20,666 

Gross reserves at end of year 

$           544,051 

 

$           429,677 

 

$           373,783 

 

 

 

 

 

 

 

During the year ended December 31, 2005, the Company experienced favorable development in the provision for insured events of prior years, as compared to adverse development in this measure in each of the preceding two years. The majority of the adverse development during the preceding two years came from the property and casualty insurance

 

16

 

 



 

segment, primarily in the workers’ compensation and other liability lines of business. Following are the significant issues and trends that were identified as contributors to that adverse development.

 

Workers’ compensation claim severity increased significantly, with the projected ultimate average claim amount increasing approximately 72 percent over the five year period ending in 2004. An increase of this magnitude made the establishment of adequate case reserves challenging. A review of claims data indicated that claims adjusters had underestimated medical costs and the length of time injured workers were away from work. In addition, partial disability benefits had been underestimated or unanticipated. Large increases in drug costs and the availability and utilization of new and costly medical procedures contributed to rapidly escalating medical costs.

 

Construction defect claims arising from general liability policies issued to contractors contributed to the adverse reserve development. States with significant construction defect losses included Alabama, Arizona, California, Colorado, Nevada and Texas.

 

Large umbrella claims contributed to the adverse development experienced in the other liability line of business. A pattern of increasing umbrella claims severity was generally consistent with industry umbrella severity trends. Also contributing to overall umbrella reserve development was an increase in claims arising from underlying general liability policies.

 

Legal expenses for the other liability line of business increased rapidly over the three year period ending in 2004, with defense costs increasing at an average rate of approximately 14 percent per year. This increase in legal expenses occurred despite a reduction in the number of new lawsuits.

 

In response to an indicated deficiency in case reserves at December 31, 2003, the home office claims department in early 2004 instructed each of the 16 branch offices to review and carefully reevaluate all claim reserves for adequacy. As a result of these reviews, case reserves were strengthened in both the second and third quarters of 2004. However, during the required fourth quarter inventory and review process, the branch offices further strengthened their case reserves, generating a significant amount of adverse development on prior years’ reserves.

 

Following is a detailed analysis of the reserve development the Company has experienced during the past three years.

 

Year ended December 31, 2005

 

Property and casualty insurance segment

 

For the property and casualty insurance segment, the December 31, 2005 estimate of loss and settlement expense reserves for accident years 2004 and prior decreased $14,808,000 from the estimate at December 31, 2004. This decrease represents approximately 5 percent of the December 31, 2004 carried reserves and is primarily attributed to downward development of individual case reserves of previously reported claims, downward development of settlement expense reserves and the elimination of a workers’ compensation bulk case reserve. None of the favorable development experienced in 2005 is associated with changes in the key actuarial assumptions utilized to estimate loss and settlement expense reserves.

 

Reserves on previously reported claims developed downward in 2005 by approximately $6,539,000. Favorable case reserve development occurred in most lines of business as follows: other liability ($6,180,000), commercial property ($3,165,000), personal auto liability ($1,621,000), homeowners ($1,316,000), auto physical damage ($1,162,000), and bonds ($428,000). Partially offsetting these reductions was adverse development in two lines of business: workers’ compensation ($5,049,000) and commercial auto liability ($2,284,000). About one-fourth of the workers' compensation adverse development was from assigned risk claims, which are ceded 100 percent to an involuntary pool. For all lines combined, the latest three accident years were responsible for about 90 percent of the total favorable development.

 

During 2005, direct IBNR loss reserves, excluding asbestos and environmental-related exposures, were strengthened $6,403,000, of which approximately $3,510,000 was allocated to prior accident years. Over 85 percent of the prior year strengthening was in the other liability line of business. In addition, asbestos IBNR reserves were strengthened $600,000. Both of these reserving actions resulted from standard actuarial reviews.

 

 

17

 

 



 

 

The emergence of IBNR claims in excess of the change in prior year IBNR reserves resulted in approximately $1,318,000 of adverse development in 2005. This adverse development arose from two lines of business: personal auto ($2,435,000), with nearly all of the development attributable to a large Michigan no-fault claim, which is ceded 100 percent to the Michigan Catastrophic Claims Association, and workers’ compensation ($2,336,000), about half of which is attributable to a reallocation of IBNR reserves by accident year as a result of the 2005 actuarial analysis. IBNR reserves for the other liability line of business developed downward by $1,239,000 despite a $2,906,000 increase in prior accident year IBNR reserves that resulted from a reallocation of IBNR reserves by accident year.

 

Settlement expense reserves developed downward in 2005 by $3,815,000. About 70 percent of this favorable development can be attributed to three lines of business: workers’ compensation ($1,571,000), other liability ($653,000), and commercial auto liability ($459,000). Approximately one-third of the total decline is due to a reduction in the reserve for internal settlement expenses, a decrease that was indicated by the standard methodology used to establish this reserve. The remainder can be attributed primarily to settlement expense payments during 2005 that were lower than those anticipated in the payment patterns used at December 31, 2004 to allocate settlement expense reserves by accident year. This decline more than offset an approximate $561,000 increase in prior year internal expenses for contingent salaries, bonuses and retirement plans.

 

There were relatively offsetting effects in the defense and cost containment portions of prior year settlement expense reserves. Settlement expense reserves were strengthened $600,000 for asbestos exposures and $900,000 for the other liability line of business, excluding asbestos, of which approximately $631,000 was allocated to prior accident years. These reserving actions resulted from standard actuarial reviews. Because the Company establishes settlement expense reserves as a percentage of loss reserves, IBNR strengthening associated with increases in premium rate levels produced a $470,000 increase in prior year settlement expense reserves. The takedown of a workers’ compensation bulk case reserve, the reallocation of IBNR reserves by accident year, and a strengthening of IBNR reserves in the other liability line of business resulted in net adverse development of approximately $1,667,000 in prior year settlement expense reserves. This increase in the defense portion of the prior year settlement expense reserve was more than offset by a reduction in the legal and cost containment portion of the reserve that resulted from a reduction in prior accident year case and IBNR reserves. Overall, the defense and cost containment portion of the total prior year settlement expense reserve generated a modest $455,000 of favorable development.

 

During 2005, the involuntary workers’ compensation and auto assigned risk business experienced adverse development of $688,000. Losses and settlement expenses for these mandatory pools are booked as reported to the Company, with the exception of a current accident year IBNR reserve provision to cover a one-quarter reporting lag.

 

At January 1, 2005, the Company carried a bulk case reserve in the amount of $7,950,000 in the workers’ compensation line of business. Due to indications of a potential shortage in IBNR reserves in the other liability line of business, one-half of this bulk case reserve was reallocated to other liability IBNR reserves at March 31, 2005, with no effect on underwriting results. Actuarial reviews performed during the remainder of 2005 indicated that the estimated adequacy of individual workers’ compensation case reserves and total case reserves remained fairly constant with the levels perceived at December 31, 2004. As a result, a portion of the remaining bulk case reserve was reallocated to various components of the loss and settlement expense reserve for the other liability line of business (IBNR, asbestos and settlement expense) at December 31, 2005 and the remainder was eliminated. These actions resulted in the recognition of $2,145,000 of favorable development on prior years’ reserves during the fourth quarter of 2005. For the twelve months of 2005, the elimination of workers’ compensation bulk case reserve resulted in $7,950,000 of favorable development in the workers’ compensation line of business.

 

The above results reflect reserve development on a direct and assumed basis. During 2005, ceded losses for prior accident years increased $2,853,000. This includes increases of $2,855,000 and $1,719,000 in the workers’ compensation and personal auto lines of business due to an increase in losses ceded to mandatory pools and a decline of $2,159,000 in the other liability line of business. The impact of the increase in reinsurance recoverables was to enhance the favorable development experienced on the direct business described above.

 

Reinsurance segment

 

For the reinsurance segment, the December 31, 2005 estimate of loss and settlement expense reserves for accident years 2004 and prior decreased $600,000 from the estimate at December 31, 2004. This modest decrease represents less than 1 percent of the December 31, 2004 carried reserves and is attributable to the HORAD book of business, which developed downward by $2,291,000. Accident years 2002 and 2003 developed downward $3,766,000. Much of this

 

18

 

 



 

favorable development can be attributed to reported policy year 2002 and 2003 losses for property, casualty, ocean marine, and multi-line classes that were below December 31, 2004 implicit projections. Accident year 2004 developed upward $2,057,000, while most accident years prior to 2002 developed modestly downward, offsetting about 30 percent of the accident year 2004 adverse development. The accident year 2004 development arose primarily from ocean marine and casualty excess classes.

 

MRB reserves developed adversely in 2005 by $1,691,000. Approximately 85 percent of this development arose from accident years 2001 – 2004. The classes showing the most significant adverse development were casualty excess and property excess. The management of MRB only reduced prior accident year casualty excess IBNR reserves by two-thirds of the prior accident year losses reported during the year, generating adverse development in that class of business. Most of the property excess development can be attributed to 2004 hurricane claims.

 

The reserve development experienced in 2005 did not result from any changes in the key actuarial assumptions utilized to estimate loss and settlement expense reserves.

 

Year ended December 31, 2004

 

Property and casualty insurance segment

 

For the property and casualty insurance segment, the December 31, 2004 estimate of loss and settlement expense reserves for accident years 2003 and prior increased $23,750,000 from the estimate at December 31, 2003. This increase represents 10 percent of the December 31, 2003 carried reserves and is attributed to a combination of newly reported claims in excess of carried IBNR reserves, development on case reserves of previously reported claims, bulk reserve strengthening and settlement expense reserve increases resulting from increases in case reserves. None of the adverse development experienced in 2004 is associated with changes in the key actuarial assumptions utilized to estimate loss and settlement expense reserves.

 

During 2004, case reserves increased $39,644,000. Actuarial analysis indicates that this increase represents substantial case reserve strengthening. Although figures for the first quarter are not available, the Company estimates that from the end of the first quarter through year-end 2004, case reserves were strengthened $20,904,000. This reserving action is an important underlying reason for the adverse reserve development that occurred during 2004, which is discussed in detail below.

 

Because the Company establishes settlement expense reserves as a percentage of case reserves, the increase in case reserves resulted in a $8,731,000 increase in settlement expense reserves, approximately $3,122,000 of which can be attributed to case reserve strengthening. The case reserve increase resulted in an estimated $6,209,000 of settlement expense adverse development.

 

The emergence of IBNR claims in excess of carried IBNR reserves resulted in approximately $14,758,000 of adverse development in 2004. The most significant development occurred in the other liability ($7,812,000), personal auto liability ($5,991,000), commercial auto liability ($1,871,000), and workers’’ compensation ($1,634,000) lines of business. The other liability development can be attributed to an unusual number of umbrella claims and to construction defect claims. More than 80 percent of the other liability development came from accident years 1999 - 2003, which are the years with the vast majority of umbrella IBNR claims. For personal auto, nearly all of the development resulted from a change in the recording of large Michigan no-fault claims; however, the additional reserves are ceded 100 percent to the Michigan Catastrophic Claims Association. For commercial auto, the upward development arose mainly from accident years 2000 - 2003. Approximately 70 percent of the workers’ compensation development is from accident years 1999 - 2003. For all other lines combined, IBNR reserves developed downward ($2,550,000), with variations by line of business ranging from downward development of $1,139,000 for commercial property to upward development of $85,000 for bonds.

 

 

19

 

 

 

 

Reserves on previously reported claims also developed upward in 2004 by approximately $11,037,000. Adverse case reserve development occurred primarily in the workers’ compensation line of business ($12,265,000), with a smaller amount of adverse development occurring in the commercial auto liability ($1,987,000) and other liability ($1,212,000) lines. Partially offsetting these three lines was favorable development in the remaining lines, most notably property ($1,853,000), auto physical damage ($1,041,000) and homeowners ($905,000). About two-thirds of the workers’ compensation adverse development came from the latest three accident years. For all lines combined, the latest three accident years were responsible for about 80 percent of the total adverse development.

 

For workers’ compensation, the adverse development on previously reported claims is tempered by a reduction of $2,609,000 in the bulk case reserve allocated to accident years 2003 and prior. With this adjustment, the workers’ compensation adverse case reserve development was $9,656,000.

 

The Company also strengthened IBNR reserves in 2004 in response to the results of a regularly-scheduled actuarial analysis, which indicated a higher ratio of IBNR emergence in relation to premiums earned than the 2003 review. The portion of IBNR reserve strengthening allocated to prior accident years totaled $1,521,000. The largest indicated increase in IBNR reserves was in the other liability line of business, where strengthening totaled $1,391,000.

 

As previously noted, case reserves for the property and casualty insurance segment developed upward during 2004, which represented a significant change from the historical development pattern prior to 2003. To supplement the individual case reserves, the Company increased the bulk case reserve for the workers’ compensation line of business, which was primarily responsible for the adverse development. The portion of the bulk reserve increase allocated to prior accident years was $703,000. The increase in the bulk reserve was in response to quarterly actuarial reviews of case reserves. These reviews were initiated in 2003 and the methodology was refined in 2004. The current methodology projects paid losses to an ultimate level, with the data limited to claims reported as of the evaluation date.

 

Settlement expense reserves were strengthened during 2004 in response to actuarial analyses completed in 2004. These reviews indicated generally higher ultimate expense to loss ratios for the other liability line of business, along with higher estimates of ultimate losses than projected during 2003. Accordingly, settlement expense reserves were strengthened, with $2,735,000 of the increase allocated to prior accident years.

 

The above results reflect reserve development on a direct basis. During 2004, ceded losses for prior accident years increased $10,437,000. Approximately three-fourths of the increase was in the workers’ compensation and personal auto lines of business, primarily as a result of increases in prior year losses ceded to workers’ compensation assigned risk pools and the Michigan Catastrophic Claims Association. The impact of the increase in reinsurance recoverables was to offset a portion of the adverse development on direct business described above.

 

Reinsurance segment

 

For the reinsurance segment, the December 31, 2004 estimate of loss and settlement expense reserves for accident years 2003 and prior decreased $3,602,000 from the estimate at December 31, 2003. This decrease represents 3.1 percent of the December 31, 2003 carried reserves and is attributable to the 2003 accident year in the HORAD book of business, which developed downward by $3,674,000. This favorable development can be attributed to reported policy year 2003 losses for property, casualty and multi-line classes that were approximately $5,264,000 below 2003 implicit projections. HORAD accident years 2002 and prior developed upward approximately $1,619,000. This development arose from accident years 1998 - 2002, primarily in multi-line excess, property pro rata and marine lines of business. Most accident years prior to 1998 developed modestly downward.

 

 

MRB reserve development was essentially flat, with minor upward development of $72,000.

 

The reserve development experienced in 2004 did not result from any changes in the key actuarial assumptions utilized to estimate loss and settlement expense reserves.

 

 

20

 

 



 

Year ended December 31, 2003

 

Property and casualty insurance segment

 

For the property and casualty insurance segment, the December 31, 2003 estimate of loss and settlement expense reserves for accident years 2002 and prior increased $9,015,000 from the estimate at December 31, 2002. This increase represents 3.9 percent of the December 31, 2002 carried reserves and is attributed to a combination of newly reported claims in excess of carried IBNR reserves, development on case reserves of previously reported claims and bulk reserve strengthening. None of the adverse development experienced in 2003 is associated with changes in the key actuarial assumptions utilized to estimate loss and settlement expense reserves, although a shortage in workers’ compensation individual case reserves led to the establishment of a bulk case reserve for that line of business.

 

The emergence of IBNR claims in excess of carried IBNR reserves resulted in approximately $3,977,000 of adverse development in 2003. The most significant development occurred in the workers’ compensation ($1,742,000), other liability ($1,565,000) and commercial auto liability ($659,000) lines of business. Approximately 85 percent of the workers’ compensation adverse development was from accident years 1998 - 2002. The other liability development is primarily attributed to construction defect and asbestos claims for accident years prior to 1998, with modest downward development for accident years 1998 - 2002. For commercial auto, the upward development arose mainly from accident years 1998 - 2001, with 2002 developing downward. For all other lines combined, IBNR reserves developed modestly upward with no significant variations.

 

Reserves on previously reported claims also developed upward in 2003 by approximately $3,529,000. Adverse case reserve development occurred primarily in the workers’ compensation ($7,234,000) and commercial auto liability ($1,562,000) lines of business. Partially offsetting these two lines was favorable development in the remaining lines, most notably other liability ($1,520,000), property ($1,324,000) and auto physical damage ($1,193,000). About 80 percent of the workers’ compensation adverse development came from the latest four accident years. For all lines combined, the latest four accident years developed upward by $3,800,000, with the prior accident years combined developing modestly downward.

 

The Company also strengthened IBNR reserves in 2003 in response to the results of a regularly-scheduled actuarial analysis, which indicated a higher ratio of IBNR emergence in relation to premiums earned than the 2002 review. The portion of IBNR reserve strengthening allocated to prior accident years totaled $1,980,000. The largest indicated increase in IBNR reserves was in the other liability line of business, where strengthening totaled $1,428,000. Relatively minor strengthening also occurred in the other lines of business, the greatest of which was workers’ compensation ($238,000).

 

As previously noted, case reserves in the property and casualty insurance segment developed upward during 2003, which represented a significant change from historical development patterns. To supplement the individual case reserves, the Company established a bulk case reserve for the workers’ compensation line of business, which was primarily responsible for the adverse development. The portion of this bulk reserve allocated to prior accident years was $917,000. This action does not represent a change in assumptions, but rather a reaction to a change in circumstances that occurred in 2003. Prior to 2003, there was no indication that overall case reserves were inadequate.

 

Settlement expense reserves were also strengthened during 2003. Actuarial analyses completed in 2003 indicated generally higher ultimate expense to loss ratios for the other liability line of business, along with higher estimates of ultimate losses than during 2002. Accordingly, the Company strengthened settlement expense reserves, with $1,597,000 of the increase allocated to prior accident years.

 

The above results reflect reserve development on a direct basis. During 2003, ceded losses for prior accident years increased $3,224,000. Approximately three-fourths of the increase was in the other liability, workers’ compensation and surety bond lines of business, primarily as a result of large claims exceeding the Company’s excess of loss treaties’ retentions. The impact of the increase in reinsurance recoveries was to offset some of the adverse development on direct business described above.

 

 

21

 

 



 

 

          The Company also experienced $410,000 of adverse development on involuntary pools during 2003. This development affected the auto and workers’ compensation lines of business. Since involuntary pool reserves are booked as reported (except for a lag in IBNR reserves), this adverse development did not result from any change in actuarial assumptions.

 

Reinsurance Segment

 

For the reinsurance segment, the December 31, 2003 estimate of loss and settlement expense reserves for accident years 2002 and prior decreased $1,539,000 from the estimate at December 31, 2002. This decrease represents 1.5 percent of the December 31, 2002 carried reserves and is primarily attributed to the 2002 accident year in the HORAD book of business, which developed downward by $3,139,000. Much of this favorable development can be attributed to reported policy year 2002 losses that were approximately $3,200,000 below 2002 implicit projections. HORAD accident years 2001 and prior developed upward approximately $1,190,000. Reserve strengthening implemented in 2003 in response to an independent consultant’s analysis of the reinsurance segment’s exposure to asbestos exposures resulted in $326,000 of adverse development. The remainder of the upward development arose from accident years 1997 - 2001, primarily from casualty and marine losses.

 

MRB reserves developed upward by $411,000 in 2003. Most of this development arose from accident years 1995 - 1999 and is attributed to construction defect claims arising from an account that has been in runoff since 2000.

 

The reserve development experienced in 2003 did not result from any changes in the key actuarial assumptions utilized to estimate loss and settlement expense reserves.

 

The following table shows the calendar year development of the loss and settlement expense reserves of the property and casualty insurance subsidiaries and the reinsurance subsidiary. Amounts presented are on a net basis with (i) a reconciliation of the net loss and settlement expense reserves to the gross amounts presented in the consolidated financial statements and (ii) disclosure of the gross re-estimated loss and settlement expense reserves and the related re-estimated reinsurance receivables.

 

Reflected in this table is the increase in the reinsurance subsidiary’s quota share assumption of Employers Mutual’s assumed reinsurance business from 95 percent to 100 percent in 1997. The table has been restated to reflect the addition of Hamilton Mutual Insurance Company to the pooling agreement effective January 1, 1997, the addition of Farm and City Insurance Company to the pooling agreement effective January 1, 1998, and the increase in the property and casualty insurance subsidiaries’ aggregate participation in the pooling agreement to 30.0 percent effective January 1, 2005.

 

In evaluating the table, it should be noted that each cumulative redundancy (deficiency) amount includes the effects of all changes in reserves for prior periods. Conditions and trends that have affected development of the liability in the past, such as a time lag in the reporting of assumed reinsurance business, the high rate of inflation associated with medical services and supplies and the reform measures implemented by several states to control administrative costs for workers’ compensation insurance, may not necessarily occur in the future. Accordingly, it may not be appropriate to project future development of reserves based on this table.

 

22

 

 



 

 

 

 

 Year ended December 31, 

(Dollars in thousands)

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

Statutory reserves for losses

 

 

 

 

 

 

 

 

 

 

 

and settlement expenses 

$ 196,293 

191,892 

205,606 

230,937 

257,201 

276,103 

303,643 

321,945 

354,200 

405,683 

502,927 

 

 

 

 

 

 

 

 

 

 

 

 

Retroactive restatement of reserves

 

 

 

 

 

 

 

 

 

 

 

in conjunction with: