Frequently Asked Questions
- How Are Captives Regulated? HOW
ARE CAPTIVES REGULATED?
Commercial insurance companies sell insurance to the general public
and are licensed in all states in which they do business. By contrast,
Captive insurance companies directly insure only their owners, who
are sophisticated insureds, with the ability to manage and retain
their own risk. Consequently, the degree of regulatory oversight required
for captives is less than that which is required for commercial insurers.
The captive is licensed in only one state, and operates under the
captive insurance law of that domicile.
- What is an Excess Contract?WHAT
IS AN EXCESS CONTRACT?
Insurance coverage that is written in excess of primary insurance.
It's designed to increase the limits of liability, thereby providing
catastrophe coverage. Excess liability coverage does not respond to
a loss until the amount of the loss exceeds (or exhausts) any existing
primary policy limits. Example: A primary $500,000 liability policy
is written, and excess insurance is written for $2 million excess
of the primary. The primary policy would pay all losses within $500,000
and the excess policy would pay losses in excess of the primary coverage,
up to the excess policy limit of $2 million.
- What is Reinsurance?WHAT IS
REINSURANCE?
The term “reinsurance” is often misused. Reinsurance is
actually only available to insurance companies and is “insuring
the insurer.” It's a form of insurance whereby one insurer agrees
to indemnify another insurer for losses resulting from retained risks.
Reinsurance is generally what every captive should have because it
protects the fiscal integrity of the captive and its owners. Reinsurance
is very common in captive programs and can take a variety of forms
including:
• Quota share reinsurance – the captive and the
reinsurer agree to split premiums and losses proportionally (e.g.,
50/50 split);
• Excess of loss – the reinsurer agrees to reimburse
the captive for claims costs over a specified amount (e.g., individual
claims over $100,000).
- What is a feasibility study?WHAT
IS A FEASIBILITY STUDY?
The feasibility study, generally prepared by a consulting actuary,
is documentation of how the captive program will operate and is a
required element of the captive application. The study is often the
pivotal piece of information used to decide whether or not to proceed
with the formation of the captive. The study may include both a written
summary of the business plan and five years’ worth of projected
financial results. Those interested in forming a captive will need
to accumulate three to five years worth of past premium and claims
data as well as prospective information related to the insurance risks
the captive is anticipated to write. The cost of the feasibility studies
varies with the complexity of the captive program.
- What involvement will I have in operating
the captive?WHAT INVOLVEMENT WILL I HAVE IN OPERATING THE
CAPTIVE?
Many of the day-to-day operations of the captive, including accounting,
regulatory compliance and routine claims handling are typically handled
by contracted service providers, including an approved captive manager.
However, the ultimate responsibility for management rests with the
captive’s board of directors. Management must provide direction,
coordinate the work of contracted services providers, ensure that
loss control programs are executed and attend board meetings, among
other responsibilities. Appropriate management participation is critical
to achieving success in a captive program.
- What is a captive manager?WHAT
IS A CAPTIVE MANAGER?
A captive manager is a contracted service provider that specializes
in running the day-to-day operations of captive insurers. The captive
manager will often perform the accounting function, interface with
the domiciles Department of Insurance, or if it is a foreign domicile,
it would be the Finance Ministry, Financial Services Commission, or
Monetary Authority on regulatory issues and provide general consulting
assistance. A captive manager can also be helpful in steering management
through the captive formation process. Each domicile has a list of
approved captive managers.
- What services do actuaries perform?WHAT
SERVICES DO ACTUARIES PERFORM?
An actuary experienced in captive programs can assist in the formation
of a captive through preparation of the feasibility study, in determining
the appropriate premium to charge and recommending appropriate reinsurance
coverage. The captive must also engage an actuary to perform an annual
estimate of the captive’s liability for future claims (i.e.,
reserves).
- What is a fronting company?WHAT
IS A FRONTING COMPANY?
A commercially licensed insurance carrier that issues a policy and
reinsures all or a substantial part of the risk to another carrier
such as a captive.
- Will my captive have to use a fronting
company to issue insurance policies?WILL MY CAPTIVE HAVE
TO USE A FRONTING COMPANY TO ISSUE INSURANCE POLICIES?
Certain types of coverage require evidence of insurance from admitted
insurers. In addition, some insured’s may be required to show
evidence of insurance from a highly rated carrier.
- What types of investments are captives
allowed to use?WHAT TYPES OF INVESTMENTS ARE CAPTIVES ALLOWED
TO USE?
As part of its business plan filed with the licensing authority the
captive will need to document its investment plan including the proposed
types of invested assets to be acquired and held by the captive. The
regulatory authority of the domicile will review the proposed investment
strategy and may approve the plan as submitted or require revisions.
Typically, newly formed captives invest in bank instruments (e.g.,
money market funds and certificates of deposit) and highly rated marketable
securities including mutual funds.
- Does the captive get to keep its investment
income?DOES THE CAPTIVE GET TO KEEP ITS INVESTMENT INCOME?
Yes, the captive retains all of the income earned on its investments
and can use that revenue for any purpose. The captive retains the
risk of default and depreciation on its investments as well.
- Does a captive pay income taxes?DOES
A CAPTIVE PAY INCOME TAXES?
Yes and no. A captive insurance company is required to file a federal
income tax return but generally is not subject to state income taxes.
The federal rules for taxing captive insurance programs are complex
and professional advice is often important
for making appropriate tax elections. If the premium paid into the
captive is to be less than 1.3 million, then the captive can elect
to be taxed as a small insurance company under an IRC 831(b) election.
This limits the taxation to only the investment income.
- Can a state guaranty fund assess captives
who write business in their state?CAN A STATE GUARANTY FUND
ACCESS CAPTIVES WHO WRITE BUSINESS IN THEIR STATE?
No. Captives are exempt from state guaranty fund assessments.
- What are the minimum capital and surplus
requirements in the typical domicile?WHAT ARE THE MINIMUM
CAPITAL AND SURPLUS REQUIREMENTS IN THE TYPICAL DOMICILE?
The statutory minimum capital and surplus requirements will vary by
domicile. The amounts can vary from just a few thousand to well over
a million dollars. The actual capital required will be driven by the
lines of insurance and the amount of risk actually taken by the captive.
Additional capital may be required based on the volume and type of
risk to be retained. An actuary or captive manager will be helpful
in determining an appropriate level of capital to maintain.
- What are the common sources of formation
capital?WHAT ARE THE COMMON SOURCES OF FORMATION CAPITAL?
Capital, either in the form of cash or an approved letter of credit,
is often funded by the owner(s), but may also be obtained through
assessments on the individual insureds.
- Can I use a letter of credit to capitalize
the captive?CAN I USE A LETTER OF CREDIT TO CAPITALIZE THE
CAPTIVE?
Yes, most domiciles regulation allow for a letter of credit as evidence
of the formation capital. A letter of credit can satisfy both the
minimum capital and surplus requirements.
- What fees are involved in setting up
a captive?WHAT FEES ARE INVOLVED IN SETTING UP A CAPTIVE?
A non-refundable application fee is usually required and a licensing
fee will be assessed upon approval of the application. Sometimes the
domicile’s regulatory authority will charge the applicant an
additional fee if it deems it necessary to send the feasibility study
to an independent actuary for review. The costs of professional services
to complete the application, feasibility study and incorporate the
entity can vary significantly based on the type of captive, the nature
of the risks and the complexity of the program. Thus, the set up organizational
costs vary between $25,000 and $250,000. Though generally, you should
plan on investing $50,000 to $60,000 in the set up phase.
- What is underwriting?WHAT IS
UNDERWRITING?
Underwriting is the process of selecting and rating (i.e., pricing)
the risks to insure.
- What is the difference between gross
written premium and net written premium?WHAT IS THE DIFFERENCE
BETWEEN GROSS WRITTEN PREMIUM AND NET WRITTEN PREMIUM?
Gross written premium represents the consideration charged to the
insured. When the captive shares risk with a reinsurer, part of the
gross premium is paid to the reinsurer. The remaining premium (i.e.,
gross less reinsurance premium) represents the net written premium.
- How should I decide what reinsurance
programs are appropriate for my captive?HOW SHOULD I DECIDE
WHAT REINSURANCE PROGRAMS ARE APPROPRIATE FOR MY CAPTIVE?
It is very important to consult someone experienced in forming captive
programs to design an appropriate reinsurance program for your captive.
Because a captive is an asset to the corporation and its owners, it
is critical that a proper reinsurance program be designed for the
captive that protects the captive from adverse loss development.
- What are premium taxes?WHAT
ARE PREMIUM TAXES?
Captive domiciles each charge a tax on the amount of premium written
by the captive. Though, in some cases, domiciles have chosen to waive
the premium taxes to encourage captive formation. While on the surface
this appears to be a good idea, the typical domicile charges .0025
as the premium tax for the first 20 million of premium. For most small
captives, this amount is not as material to the decision process,
though it should be part of the due diligence process.
- How does a captive settle claims?HOW
DOES A CAPTIVE SETTLE CLAIMS?
Claims against captive insurance policies are settled essentially
in the same manner as commercial policies. Often, captive programs
are structured so that the fronting carrier settles the claims. In
other cases, the captive may settle claims directly or through use
of service providers (i.e., insurance adjustment firms and attorneys).
- Who should I contact at Captive Insurance
Alternatives to talk about forming a captive?_____________________________WHO
SHOULD I CONTACT AT CAPTIVE INSURANCE ALTERNATIVES TO TALK ABOUT FORMING
A CAPTIVE?
Your first call should be directly to Dave McDaniel at 949-218-0521
to discuss your captive program. Setting up and managing a captive
can be a very rewarding and profitable endeavor, but you should know
all the facts before you make the decision.