Commercial Insurance: A Deep Dive

How Insurance Companies Generate Revenue

Insurance companies are fundamentally risk management entities. They take on the financial risk of an event happening to an individual or business. Their revenue comes mainly from two sources:

• Premiums: Customers pay premiums to receive insurance coverage. This is the primary revenue stream for insurance companies¹. Premiums are meticulously calculated to cover potential risks and ensure profitability³.
• Investments: Insurance companies invest the premiums they collect in various financial instruments, such as stocks, bonds, and real estate, to generate investment income². This secondary income stream bolsters their balance sheets and overall profitability⁴.

To further diversify risk, insurance companies pool the risk from their customers and redistribute it across a larger portfolio. This strategy helps to spread the risk and reduce the impact of individual claims on the company's financial stability¹.

In addition to premiums and investments, insurance companies may also generate revenue through:

• Fees: Charging fees for policy services, such as issuing policies or handling administrative tasks³.
• Commissions: Earning commissions by partnering with agents and brokers who sell insurance policies³.

Government Regulations for Insurers

Government regulations play a crucial role in overseeing insurance company operations. These regulations are designed to protect consumers and ensure the financial stability of the insurance industry. They cover various aspects of the insurance business, including:

• Financial Solvency: Regulations require insurance companies to maintain sufficient reserves to cover potential claims and ensure they can meet their financial obligations to policyholders.
• Market Conduct: Regulations address issues such as fair pricing, preventing discrimination, and ensuring ethical sales practices.
• Consumer Protection: Regulations provide consumer safeguards, such as ensuring access to information and providing avenues for resolving complaints.

These regulations help to maintain a stable and reliable insurance market, protecting both consumers and the industry as a whole³.

Reinsurance and Risk Sharing

Reinsurance is a critical aspect of risk management for insurance companies. It involves transferring a portion of the risk associated with insurance policies to another company, known as a reinsurer, in exchange for a share of the premiums⁵. This practice helps insurance companies:

• Mitigate Catastrophic Losses: By sharing the risk of large-scale events, such as natural disasters, with reinsurers, insurance companies can protect themselves from potentially crippling financial losses.
• Stabilize Financial Performance: Reinsurance helps to smooth out the impact of large claims on an insurance company's financial results, contributing to greater stability and predictability.
• Increase Capacity: By transferring some risk to reinsurers, insurance companies can free up capital to underwrite more policies and expand their business.

Reinsurance is an essential tool for managing risk and ensuring the solvency of insurance companies, particularly in the face of potentially catastrophic events⁶.

Reserve Requirements for Catastrophes and Losses

Insurance companies are required to hold reserves to cover potential future claims. These reserves act as a financial safety net, ensuring that the company can meet its obligations to policyholders even in the event of unexpected losses⁷. The specific requirements for holding reserves vary by state and the type of insurance offered⁷. However, most states mandate that insurance companies maintain reserves that are a percentage of the potential claims they have underwritten, typically ranging from 8% to 12%⁷.

Loss reserves, in particular, represent a significant portion of an insurer's liabilities, often ranging from 75% to 85%⁸. These reserves are crucial for maintaining solvency and fulfilling obligations to policyholders⁹. Accurate reserve calculations are essential, as inaccuracies can lead to financial instability and reputational damage¹¹.

Challenges in Predicting Events

Predicting future events, such as accidents, natural disasters, or economic downturns, is inherently uncertain. Insurance companies use various techniques to assess and manage these risks, but accurately forecasting these events with complete certainty remains a challenge.

Some of the techniques employed by insurance companies include:

• Actuarial Science: Actuaries use mathematical and statistical methods to analyze mortality rates, morbidity, and other contingencies to predict the likelihood of future events and their financial impact¹².
• Risk Modeling: Risk modeling involves creating systematic and holistic approaches to risk management. This includes using historical data, simulations, and expert knowledge to make reliable assumptions and predict potential risks¹⁴.
• Predictive Analytics: This technology utilizes data mining, statistics, artificial intelligence, machine learning, and deep learning to analyze large datasets, identify patterns, and predict events like damage, fraud, and policy cancellation¹⁶.

Despite these sophisticated techniques, unexpected events can still occur, impacting the accuracy of predictions and potentially affecting the financial stability of insurance companies. This highlights the need for continuous monitoring and adaptation in risk management strategies. Insurance companies must remain vigilant and adjust their models and assumptions as new data and information become available¹⁹.

Impact of Large Events on Reserves

Large-scale events, such as natural disasters or economic crises, can significantly impact insurance company reserves. These events can lead to a surge in claims, potentially exceeding the funds allocated in reserves²¹. This can strain the insurer's financial resources and affect profitability²².

For instance, the Canterbury Earthquakes in 2011 resulted in an insured loss of over NZ$31 billion, while the 2019/20 bushfires in Australia caused an insured loss of approximately AU$2.3 billion²³. Such events highlight the importance of adequate reserves and reinsurance to mitigate the financial impact of catastrophic events.

Furthermore, large events can have a ripple effect across insurance markets. A major event in one region can impact insurance availability and affordability in other areas, as reinsurers adjust their pricing and risk appetite based on global loss experience. This interconnectedness of insurance markets underscores the need for a comprehensive and coordinated approach to risk management²³.

In the aftermath of large events, insurance companies may need to adjust their reserving strategies, potentially increasing premiums or reducing coverage to account for the increased risk²². This can have a direct impact on consumers, who may face higher insurance costs or difficulty in securing coverage.

Calculation of Insurance Premiums

Insurance premiums are calculated based on a variety of factors, with the goal of arriving at a price that adequately covers potential risks while ensuring the insurance company remains profitable. These factors include:

Risk Assessment:

• Type of Coverage: The specific type of insurance policy and the level of coverage requested will affect the premium amount²⁴. For example, a comprehensive car insurance policy will typically have a higher premium than a liability-only policy.
• Insured's Risk Profile: Evaluating the likelihood of a claim being made, considering factors such as the insured's age, driving history, location, and the type of car being insured²⁵. Younger drivers with a history of accidents, for instance, may face higher premiums.

Claims History:

• Frequency and Severity: Analyzing past claims to assess the frequency and severity of previous claims, which can influence the premium calculation²⁷. A history of frequent claims may result in higher premiums.

Operating Expenses:

• Administrative Costs: Factoring in the costs associated with running the insurance company, including administrative expenses, salaries, and marketing costs²⁸.

Deductibles and Limits:

• Deductible: The amount the policyholder pays out-of-pocket before the insurance coverage kicks in. Higher deductibles generally result in lower premiums²⁹.
• Coverage Limits: The maximum amount the insurance company will pay for a covered loss. Higher coverage limits lead to higher premiums²⁹.

In addition to these factors, life insurance premiums also consider mortality tables (which provide statistical data on life expectancy) and interest earnings from invested premiums³⁰.

Insurance companies use various formulas and models to calculate premiums, taking into account these factors to arrive at a price that adequately covers potential risks while ensuring profitability³¹.

Impact of Premium Level Regulations

Regulations on premium levels can significantly impact insurance markets and consumer access to coverage. When regulators impose restrictions on how much insurance companies can charge for premiums, it can create challenges for insurers, particularly in high-risk areas³³.

If premium levels are set too low to adequately cover potential losses, insurance companies may be forced to:

• Drop Coverage: Discontinue offering insurance policies in certain areas, leaving consumers with limited options for coverage³⁴.
• Reduce Coverage: Limit the scope of coverage offered, potentially excluding certain types of risks or reducing coverage limits³⁶.
• Increase Premiums in Other Areas: To compensate for potential losses in regulated areas, insurers may raise premiums in other regions, affecting consumers in those markets³³.

These consequences can disrupt insurance markets, reduce consumer choice, and potentially leave some individuals and businesses without adequate insurance protection.

For example, in California, regulations aimed at ensuring affordability in fire-prone areas have led to some insurers limiting their exposure or even withdrawing from the market. This has created challenges for homeowners in those areas, who may face higher premiums or difficulty finding coverage³⁷. Similarly, in Florida, regulations on how insurers handle claims litigation have contributed to rising insurance costs and challenges in the market³⁷.

Different Types of Insurance

The insurance industry offers a wide range of insurance products to cater to various needs. Some common types of commercial insurance include:

• General Liability Insurance: Provides coverage for common business risks, such as bodily injury, property damage, and personal injury³⁸.
• Commercial Property Insurance: Covers losses or damages to business property, including buildings, equipment, and inventory³⁹.
• Business Interruption Insurance: Protects against lost income and expenses resulting from property damage or loss that disrupts business operations⁴⁰.
• Professional Liability Insurance: Covers claims arising from errors or negligence in providing professional services³⁸.
• Workers' Compensation Insurance: Provides benefits to employees who suffer work-related injuries or illnesses³⁸.
• Commercial Auto Insurance: Covers vehicles used for business purposes, including liability and physical damage coverage⁴¹.
• Cyber Liability Insurance: Protects against losses from cyberattacks and data breaches⁴².

Business Continuity Insurance

Business continuity insurance is designed to help businesses recover from unexpected events that disrupt operations⁴³. While often used interchangeably with business interruption insurance, there are key distinctions. Business interruption insurance typically covers losses from physical damage to property that forces a business to temporarily close, such as a fire or natural disaster⁴⁰. Business continuity insurance, on the other hand, can encompass a broader range of disruptions, including those not necessarily caused by physical damage⁴³.

Business continuity insurance can provide coverage for:

• Lost Income: Replacing income that would have been earned if the business had been operating normally⁴⁴.
• Expenses: Covering ongoing expenses, such as rent, utilities, and loan payments, even when the business is not generating revenue⁴⁴.
• Payroll: Ensuring that employees continue to receive their wages during the disruption, helping to retain valuable staff⁴⁴.

This type of insurance is crucial for minimizing financial losses and ensuring the continued operation of the business in the face of unexpected disruptions⁴⁵.

Commercial Building Insurance

Commercial building insurance is a type of property insurance that specifically covers buildings used for business purposes⁴¹. It protects against losses from various perils, such as fire, storms, vandalism, and other covered events⁴⁷. This insurance can help businesses recover the costs of repairing or rebuilding damaged property, ensuring the continuity of operations.

Risk Pools

Risk pools are a form of risk management where insurance companies or other entities come together to share the financial burden of potential losses⁴⁸. By pooling resources, participants can access more comprehensive coverage and potentially reduce individual costs⁴⁹.

Risk pools operate by:

1. Pooling Resources: Members contribute premiums or funds to a central pool.
2. Sharing Losses: When a claim arises, the costs are paid out of the pooled resources, distributing the financial impact across the pool.
3. Managing Risk: Risk pools often employ risk management strategies to minimize losses and ensure the long-term stability of the pool⁵⁰.

The potential cost savings of participating in a risk pool must be weighed against the risk of unexpected assessments and the possibility of limited coverage options⁵².

Insurance Industry Trends

The insurance industry is constantly evolving, driven by factors such as technological advancements, climate change, and changing customer expectations. Some of the key trends shaping the industry include:

• Increased Use of Artificial Intelligence (AI): AI is being used in various areas of insurance, including risk assessment, claims processing, and customer service. AI-powered tools can help insurance companies analyze data more efficiently, automate tasks, and personalize customer interactions.
• Growing Impact of Climate Change: Climate change is leading to more frequent and severe natural disasters, posing significant challenges for the insurance industry. Insurers are developing new risk models and strategies to address the increasing risks associated with climate change.
• Focus on Customer Experience: Insurance companies are increasingly prioritizing customer experience, offering digital tools, personalized services, and seamless online interactions to meet the evolving needs of customers.

These trends are transforming the insurance landscape, requiring companies to adapt and innovate to remain competitive and meet the challenges and opportunities of the future.

Conclusion

Commercial insurance is a critical tool for protecting businesses from financial losses and ensuring their continued operation. Understanding the various aspects of commercial insurance, including revenue generation, reserve requirements, risk assessment, premium calculation, and the impact of regulations, is crucial for making informed decisions about insurance coverage. Business continuity insurance and commercial building insurance are essential components of a comprehensive risk management strategy for businesses, providing protection against unexpected events that can disrupt operations. Risk pools offer an alternative approach to risk management, with potential benefits and drawbacks that should be carefully considered.

Looking ahead, the commercial insurance industry faces both challenges and opportunities. Technological advancements, climate change, and evolving customer needs will continue to shape the industry. Insurance companies that embrace innovation, adapt to changing risks, and prioritize customer experience will be well-positioned for success in the future.

Works cited

1. How Do Insurance Companies Make Money? Business Model Explained - Investopedia, accessed January 10, 2025, https://www.investopedia.com/ask/answers/052015/what-main-business-model-insurance-companies.asp
2. How do Insurance Companies Make Money? - Financial Edge Training, accessed January 10, 2025, https://www.fe.training/free-resources/fig/how-do-insurance-companies-make-money/
3. How Do Insurance Companies Make Money | BriteCo Jewelry Insurance, accessed January 10, 2025, https://brite.co/blog/jewelry-insurance/how-do-insurance-companies-make-money/
4. What kind of profits do insurance companies make?, accessed January 10, 2025, https://acera.ca/what-kind-of-profits-do-insurance-companies-make/
5. Catastrophe Reinsurance: What It Is, How It Works, Pros And Cons - Investopedia, accessed January 10, 2025, https://www.investopedia.com/terms/c/catastrophe-reinsurance.asp
6. The impact of natural disasters on insurance rates in 2024 - Bankrate, accessed January 10, 2025, https://www.bankrate.com/insurance/homeowners-insurance/natural-disaster-costs/
7. Risk-Based Capital & Required Reserves For Insurance Carriers - AgentSync, accessed January 10, 2025, https://agentsync.io/blog/insurance-101/solvency-series-the-role-of-risk-based-capital-and-required-reserves-for-insurance-carriers
8. CONSIDERATIONS IN SETTING LOSS RESERVES - Casualty Actuarial Society, accessed January 10, 2025, https://www.casact.org/sites/default/files/old/clrstrans_1990_7.pdf
9. Reserving for Catastrophes - Casualty Actuarial Society, accessed January 10, 2025, https://www.casact.org/sites/default/files/database/forum_02fforum_02ff025.pdf
10. OGC Opinion No. 08-02-04: Insurance Company Reserves - Department of Financial Services - New York State Government, accessed January 10, 2025, https://www.dfs.ny.gov/insurance/ogco2008/rg080204.htm
11. Overview for P/C Insurers' Audit Committees: Effective Use of Actuarial Loss Reserves Expertise, accessed January 10, 2025, https://www.actuary.org/sites/default/files/files/AC_Policy_Overview_Dec_2014.pdf
12. What Is Actuarial Science? Definition and Examples of Application - Investopedia, accessed January 10, 2025, https://www.investopedia.com/terms/a/actuarial-science.asp
13. Actuarial science - Wikipedia, accessed January 10, 2025, https://en.wikipedia.org/wiki/Actuarial_science
14. www.hni.com, accessed January 10, 2025, https://www.hni.com/blog/risk-modeling-what-to-know-about-risk-models#:~:text=Risk%20modeling%20is%20about%20creating,to%20risk%20research%20and%20solutions.
15. Risk Modeling: What to Know About Risk Models - HNI, accessed January 10, 2025, https://www.hni.com/blog/risk-modeling-what-to-know-about-risk-models
16. Insurance Analytics (Benefits and Examples) in 2025 - Whatfix, accessed January 10, 2025, https://whatfix.com/blog/predictive-analytics/
17. Top 5 Ways AI Revolutionizes Predictive Analysis in Insurance, accessed January 10, 2025, https://www.datrics.ai/articles/ai-revolutionizes-predictive-analysis-in-insurance
18. Top Use Cases of Predictive Analytics in Insurance - Damco Solutions, accessed January 10, 2025, https://www.damcogroup.com/blogs/predictive-analytics-in-insurance
19. Predictive Analytics in Insurance Drives Results | Pecan AI, accessed January 10, 2025, https://www.pecan.ai/blog/predictive-analytics-in-insurance-results/
20. What's next in insurance modelling? - Swiss Re, accessed January 10, 2025, https://www.swissre.com/institute/research/sonar/sonar2021/insurance-modelling.html
21. Insurance reserving strategies and best practices - Visionet, accessed January 10, 2025, https://www.visionet.com/blog/insurance-reserving-strategies-and-best-practices
22. Insurers' Response To Catastrophic Events Could Affect Issuer And Instrument Creditworthiness | S&P Global Ratings, accessed January 10, 2025, https://www.spglobal.com/ratings/en/research/articles/241120-insurers-response-to-catastrophic-events-could-affect-issuer-and-instrument-creditworthiness-13306071
23. How global events can affect reinsurance | QBE AU, accessed January 10, 2025, https://www.qbe.com/au/news/how-global-events-can-affect-reinsurance
24. What factors may affect your car insurance premium? - Allstate, accessed January 10, 2025, https://www.allstate.com/resources/car-insurance/what-affects-premiums-and-rates
25. 7 Factors That Affect Your Life Insurance Premium - Investopedia, accessed January 10, 2025, https://www.investopedia.com/articles/investing/102914/7-factors-affect-your-life-insurance-quote.asp
26. Insurance Premium Defined, How It's Calculated, and Types - Investopedia, accessed January 10, 2025, https://www.investopedia.com/terms/i/insurance-premium.asp
27. Top 9 Factors That Affect Car Insurance Rates | The Zebra, accessed January 10, 2025, https://www.thezebra.com/auto-insurance/driver/other-factors/
28. How are your auto and homeowners insurance costs calculated?, accessed January 10, 2025, https://www.tdi.texas.gov/consumer/how-are-your-auto-and-homeowners-insurance-costs-calculated.html
29. What Factors Affect Car Insurance Rates? - Experian, accessed January 10, 2025, https://www.experian.com/blogs/ask-experian/factors-that-determine-your-car-insurance-rates/
30. The Cost of Life Insurance - Department of Financial Services - New York State Government, accessed January 10, 2025, https://www.dfs.ny.gov/consumers/life_insurance/the_cost_of_life_insurance
31. What is Insurance Premium? Meaning, Types & Calculation, accessed January 10, 2025, https://www.kotaklife.com/insurance-guide/about-life-insurance/what-is-insurance-premium-a-detailed-guide
32. How insurance premiums are calculated | Insurance basics | Square One, accessed January 10, 2025, https://www.squareone.ca/resource-centres/insurance-basics/understanding-your-insurance-premiums
33. Uneven US insurance regulation could lead to financial crisis, say experts, accessed January 10, 2025, https://greencentralbanking.com/2024/05/29/uneven-us-insurance-regulation/
34. California wildfire backlash: State Farm, other insurers slammed for dropping coverage, accessed January 10, 2025, https://www.foxbusiness.com/lifestyle/ca-wildfire-backlash-state-farm-other-insurers-slammed-dropping-coverage
35. Thousands of Los Angeles homeowners were dropped by their insurers before the Palisades Fire - CBS News, accessed January 10, 2025, https://www.cbsnews.com/news/fires-california-palisades-fire-homeowners-insurance-state-farm-fair-losses/
36. The Palisades Fire is the first big test for California's new home insurance scheme, accessed January 10, 2025, https://www.corporateknights.com/category-climate/california-home-insurance-wildfire/
37. The Factors Influencing the High Cost of Insurance for Consumers - CRS Reports, accessed January 10, 2025, https://crsreports.congress.gov/product/pdf/TE/TE10087
38. www.thehartford.com, accessed January 10, 2025, https://www.thehartford.com/business-insurance/types-of-insurance
39. What Is Commercial Insurance? - Investopedia, accessed January 10, 2025, https://www.investopedia.com/terms/b/business-insurance.asp
40. Business Interruption Insurance: What it Covers, What it Does Not - Investopedia, accessed January 10, 2025, https://www.investopedia.com/terms/b/business-interruption-insurance.asp
41. Commercial Insurance Guide - California Department of Insurance, accessed January 10, 2025, https://www.insurance.ca.gov/01-consumers/105-type/95-guides/09-comm/commercialguide.cfm
42. 12 Types of Commercial Insurance & Why You Need Them, accessed January 10, 2025, https://www.co-opinsurance.com/blog/12-types-of-commercial-insurance-why-you-need-them
43. www.investopedia.com, accessed January 10, 2025, https://www.investopedia.com/terms/b/business-continuation-insurance.asp#:~:text=Business%20continuation%20insurance%20is%20a,minimize%20disruption%20and%20continue%20operations.
44. Business Continuation Insurance | Blue Lion Insurance Advisors, accessed January 10, 2025, https://blinsuranceadvisors.com/business-insurance/business-continuation-insurance/
45. Business Continuation Insurance: What It Is, How It Works - Investopedia, accessed January 10, 2025, https://www.investopedia.com/terms/b/business-continuation-insurance.asp
46. Business Continuation Insurance | The Hartford, accessed January 10, 2025, https://www.thehartford.com/business-insurance/strategy/business-continuation
47. Types of Commercial Property Insurance: An In-depth Look - Econosurance, accessed January 10, 2025, https://econosurance.com/commercial-insurance/types-of-commercial-property-insurance
48. en.wikipedia.org, accessed January 10, 2025, https://en.wikipedia.org/wiki/Risk_pool#:~:text=A%20risk%20pool%20is%20a,such%20as%20floods%20or%20earthquakes.
49. Why Should Public Entities Choose Risk Pooling? | GSRMA, accessed January 10, 2025, https://gsrma.org/news-and-information/why-should-public-entities-choose-risk-pooling/
50. Fact Sheet: Public Entity Risk Pools, accessed January 10, 2025, https://www.nlc.org/wp-content/uploads/2020/10/Fact_Sheet-3.docx
51. Risk pool - Wikipedia, accessed January 10, 2025, https://en.wikipedia.org/wiki/Risk_pool
52. Drawbacks of Obtaining Coverage Through Risk Pools - Pearson Legal, P.C., accessed January 10, 2025, https://www.pearsonlegalpc.com/news/drawbacks-of-obtaining-coverage-through-risk-pools/
53. Risk Pooling - (Principles of Microeconomics) - Vocab, Definition, Explanations | Fiveable, accessed January 10, 2025, https://library.fiveable.me/key-terms/principles-microeconomics/risk-pooling
54. The Pros And Cons Of Risk Pooling In Insurance - FasterCapital, accessed January 10, 2025, https://fastercapital.com/topics/the-pros-and-cons-of-risk-pooling-in-insurance.html
55. Why High Risk Pools (Still) Won't Work - Commonwealth Fund, accessed January 10, 2025, https://www.commonwealthfund.org/blog/2015/why-high-risk-pools-still-wont-work