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Insurance (Prudential Standards) (Class 4 Solvency Requirement) Amendment Order 2009

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Insurance (Prudential Standards) (Class 4 Solvency Requirement) Amendment Order 2009
1



INSURANCE (PRUDENTIAL STANDARDS) (CLASS 4 SOLVENCY

REQUIREMENT) AMENDMENT ORDER 2009

BR 79/2009


In exercise of the powers conferred upon the Bermuda Monetary

Authority by section 6A of the Insurance Act 1978, the following Order is

made:

Citation and commencement

1 This Order may be cited as the Insurance (Prudential Standards)

(Class 4 Solvency Requirement) Amendment Order 2009, and shall come

into operation on the 31st day of December 2009.

Interpretation

2 In this Order “principal Order” means the Insurance (Prudential

Standards) (Class 4 Solvency Requirement) Order 2008.

Paragraph 2 of principal Order amended

3 Paragraph 2 of the principal Order is amended by inserting the

following definitions in their alphabetical order—

“business continuity risk” includes a risk of an event that

threatens or disrupts an insurer‟s continuous operations;

“business processes risk” includes a risk of errors arising from

data entry, data processing, or application design;

“compliance risk” includes a risk of legal or regulatory breaches

or both;

“distribution channel risk” includes a risk of disruption to an

insurer‟s distribution channel arising from employment of

inexperienced or incapable brokers or agents.

“fraud risk” includes a risk of misappropriation of assets,

information theft, forgery or fraudulent claims;

“human resources („HR‟) risk” includes a risk of employment of

unethical staff, inexperienced or incapable staff, failure to

train or retain experienced staff, and failure to adequately

communicate with staff;

INSURANCE (PRUDENTIAL STANDARDS) (CLASS 4 SOLVENCY
REQUIREMENT) AMENDMENT ORDER 2009





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“information technology („IT‟) risk” includes a risk of

unauthorized access to systems and data, data loss, utility

disruptions, software and hardware failures, and inability to

access information systems;

“outsourcing risk” includes a risk of mis-communication of

responsibilities in relation to outsourcing, breach of

outsource service agreements or entering into inappropriate

outsource service agreements.

Paragraph 6 of principal Order amended

4 Paragraph 6 of the principal Order is amended—

(a) by deleting subparagraph (2) and substituting the

following—

“(2) Every Class 4 insurer shall make a capital and

solvency return to the Authority in accordance with

Schedules I, II, III, IV, V and VI;”;

(b) by inserting the following subparagraph after paragraph

(2)—

“(2A) A capital and solvency return shall comprise

the following —

(a) both an electronic version and a printed

version of the BSCR model;

(b) printed versions of the returns prescribed

in Schedules II, III, IV, V and VI; and

(c) where applicable, a printed copy of an

approved internal capital model.”.

Paragraph 6A added

5 The principal Order is amended by adding the following

paragraphs after paragraph 6—

“Declaration of capital and solvency returns

6A Every capital and solvency return made by an insurer

under paragraph 6 shall be accompanied with a declaration

signed by two directors of the insurer and by the insurer‟s

principal representative declaring that to the best of their

knowledge and belief, the return fairly represents the financial

condition of the insurer in all material respects.

INSURANCE (PRUDENTIAL STANDARDS) (CLASS 4 SOLVENCY
REQUIREMENT) AMENDMENT ORDER 2009





3



Offences

6B Every person who knowingly or recklessly makes a false or

misleading statement or return to the Authority shall be guilty of

a summary offence and liable on conviction to a fine up to

$50,000.”.

Schedule I amended

6 Schedule I of the principal Order is amended—

(a) in paragraph 9 by deleting “


= an amount between 1%

and 10% as approved or prescribed by the Authority”

and substituting “


= an amount between 1% and 10%

as determined by the Authority in accordance with Table

7”;

(b) by adding the following tables after the formula for

ACov—

“Table 7

Operational Risk Charge for




Overall Score Applicable Operational Risk
Charge



5200 6000 6650 7250 7650 7850 8050 8250 8450 1%



INSTRUCTIONS AFFECTING TABLE 7

INSURANCE (PRUDENTIAL STANDARDS) (CLASS 4 SOLVENCY
REQUIREMENT) AMENDMENT ORDER 2009





4



In this table, “overall score” means an amount equal to the sum of the

aggregate score derived from each of tables 7A, 7B, 7C, 7D, 7E, and 7F.

Table 7A

Corporate Governance Score Table

Criterion Implemented Score

Board sets risk policies, practices

and tolerance limits for all material

foreseeable operational risks at least

annually and ensures they are

communicated to relevant business

units

200

Board monitors adherence to

operational risk tolerance limits

more regularly than annually

200

Board receives, at least annually,

reports on the effectiveness of

material operational risk internal

controls as well as management‟s

plans to address related weaknesses

200

Board ensures that systems or

procedures, or both, are in place to

identify, report and promptly

address internal control deficiencies

related to operational risks

200

Board promotes full, open and

timely disclosure from senior

management on all significant

issues related to operational risk

200

Board ensures that periodic

independent reviews of the risk

management function are

performed and receives the findings

of the review

200

Total XX

COMMENTS



INSURANCE (PRUDENTIAL STANDARDS) (CLASS 4 SOLVENCY
REQUIREMENT) AMENDMENT ORDER 2009





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INSTRUCTIONS AFFECTING TABLE 7A

The total score is derived by adding the score for each criterion of an

insurer‟s corporate governance structure that the insurer has

implemented.

Table 7B

Risk Management Function (‘RMF’) Score Table

Criterion Implemented Score

RMF is independent of other

operational units and has direct

access to the Board of Directors

150

RMF is entrenched in strategic

planning, decision making and the

budgeting process

150

RMF ensures that the risk

management procedures and

policies are well documented and

approved by the Board of Directors

150

RMF ensures that the risk

management policies and

procedures are communicated

throughout the organization

150

RMF ensures that operational risk

management processes and

procedures are reviewed at least

annually

150

RMF ensures that loss events

arising from operational risks are

documented and loss event data is

integrated into the risk

management strategy

150

RMF ensures that risk

management recommendations are

documented for operational units,

ensures that deficiencies have

remedial plans and that progress on

the execution of such plans are

reported to the Board of Directors at

150

INSURANCE (PRUDENTIAL STANDARDS) (CLASS 4 SOLVENCY
REQUIREMENT) AMENDMENT ORDER 2009





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least annually

TOTAL XX

COMMENTS



INSTRUCTIONS AFFECTING TABLE 7B

The total score is derived by adding the score for each criterion of an

insurer‟s risk management function that the insurer has implemented.

Table 7C

Risk Identification Processes (‘RIP’) Score Table

Progression

Criterion

Operational Risk Areas

Stage Scoring Fraud HR Outsourcing Distribution

Channel

Business

Processes

Business

Continuity

IT Compliance

1 50 RIP are ad hoc

2 100 RIP have been

implemented but not

standardized across the

organization



3 150 RIP have been

implemented, well

documented and

understood by relevant

staff, and standardized

across the entire

organization



4 200 In addition to Stage 3, RIP

are reviewed at least

annually with a view to

assessing effectiveness and

introducing improvements



TOTAL XX XX XX XX XX XX XX XX

COMMENTS

INSTRUCTIONS AFFECTING TABLE 7C

(a) the total score is derived by adding the individual score for each

operational risk area corresponding to the stage of the insurer‟s

implementation in respect of its RIP;

(b) where the insurer‟s assessment of the operational risk area is

between stages (i.e. exceeds the criterion for given stage, while only

partially meeting the criterion of the next stage), the insurer shall be

deemed to have met the criterion of the lower stage; and

(c) where an operational risk area is not applicable to the insurer‟s

operations, the insurer shall record such fact and the reasons for

arriving at this conclusion in the comments section and be deemed to

have met the criterion of the highest stage.

INSURANCE (PRUDENTIAL STANDARDS) (CLASS 4 SOLVENCY
REQUIREMENT) AMENDMENT ORDER 2009





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Table 7D

Risk Measurement Processes (‘RMP’) Score Table

Progression

Criterion

Operational Risk Areas

Stage Scoring Fraud HR Outsourcing Distribution

Channel

Business

Processes

Business

Continuity

IT Compliance

1 50 RMP are ad hoc

2 100 RMP have been

implemented but not

standardized across the

organization



3 150 RMP have been

implemented, well

documented and

understood by relevant

staff, and standardized

across the entire

organization



4 200 In addition to Stage 3, RMP

are reviewed at least

annually with a view to

assessing effectiveness and

introducing improvements



TOTAL XX XX XX XX XX XX XX XX

COMMENTS

INSTRUCTIONS AFFECTING TABLE 7D

(a) the total score is derived by adding the individual score for each

operational risk area corresponding to the stage of the insurer‟s

implementation in respect of its RMP;

(b) where the insurer‟s assessment of the operational risk area is

between stages (i.e. exceeds the criterion for given stage, while only

partially meeting the criterion of the next stage), the insurer shall be

deemed to have met the criterion of the lower stage; and

(c) where an operational risk area is not applicable to the insurer‟s

operations, the insurer shall record such fact and the reasons for

arriving at this conclusion in the comments section and be deemed to

have met the criterion of the highest stage.

Table 7E

Risk Response Processes (‘RRP’) Score Table

Progression

Criterion

Operational Risk Areas

Stage Scoring Fraud HR Outsourcing Distribution

Channel

Business

Processes

Business

Continuity

IT Compliance

1 50 RRP are ad hoc

2 100 RRP have been

implemented but not

standardized across the

organization



INSURANCE (PRUDENTIAL STANDARDS) (CLASS 4 SOLVENCY
REQUIREMENT) AMENDMENT ORDER 2009





8



3 150 RRP have been

implemented, well

documented and

understood by relevant

staff, and standardized

across the entire

organization



4 200 In addition to Stage 3, RRP

are reviewed at least

annually with a view to

assessing effectiveness and

introducing improvements



TOTAL XX XX XX XX XX XX XX XX

COMMENTS

INSTRUCTIONS AFFECTING TABLE 7E

(a) the total score is derived by adding the individual score for each

operational risk area corresponding to the stage of the insurer‟s

implementation in respect of its RRP;

(b) where the insurer‟s assessment of the operational risk area is

between stages (i.e. exceeds the criterion for given stage, while only

partially meeting the criterion of the next stage), the insurer shall be

deemed to have met the criterion of the lower stage; and

(c) where an operational risk area is not applicable to the insurer‟s

operations, the insurer shall record such fact and the reasons for

arriving at this conclusion in the comments section and be deemed to

have met the criterion of the highest stage.

Table 7F

Risk Monitoring and Reporting Processes (‘RMRP’) Score Table

Progression

Criterion

Operational Risk Areas

Stage Scoring Fraud HR Outsourcing Distribution

Channel

Business

Processes

Business

Continuity

IT Compliance

1 50 RMRP are ad hoc

2 100 RMRP have been

implemented but not

standardized across the

organization



3 150 RMRP have been

implemented, well

documented and

understood by relevant

staff, and standardized

across the entire

organization



4 200 In addition to Stage 3,

RMRP are reviewed at least

annually with a view to

assessing effectiveness and

introducing improvements



TOTAL XX XX XX XX XX XX XX XX

COMMENTS

INSURANCE (PRUDENTIAL STANDARDS) (CLASS 4 SOLVENCY
REQUIREMENT) AMENDMENT ORDER 2009





9



INSTRUCTIONS AFFECTING TABLE 7F

(a) the total score is derived by adding the individual score for each

operational risk area corresponding to the stage of the insurer‟s

implementation in respect of its RMRP;

(b) where the insurer‟s assessment of the operational risk area is

between stages (i.e. exceeds the criterion for given stage, while only

partially meeting the criterion of the next stage), the insurer shall be

deemed to have met the criterion of the lower stage; and

(c) where an operational risk area is not applicable to the insurer‟s

operations, the insurer shall record such fact and the reasons for

arriving at this conclusion in the comments section and be deemed to

have met the criterion of the highest stage.”

Schedule V repealed and substituted

7 Schedule V of the principal Order is repealed and the following is

substituted—

“SCHEDULE V

(Paragraph 6)

SCHEDULE OF RISK MANAGEMENT

The schedule of risk management of a Class 4 general business insurer

shall provide particulars of the following matters—

(a) governance structure;

(b) intra-group exposures;

(c) effective duration of assets calculation;

(d) effective duration of liabilities calculation;

(e) description of the effective duration of assets and

liabilities calculations and key assumptions;

(f) investment policy;

(g) gross probable maximum loss;

(h) net probable maximum loss;

(i) average annual loss excluding property catastrophe;

(j) catastrophe exposure limits, gross probable maximum

loss and net probable maximum loss by territories and

by statutory lines of business separated by insurance

and reinsurance;

INSURANCE (PRUDENTIAL STANDARDS) (CLASS 4 SOLVENCY
REQUIREMENT) AMENDMENT ORDER 2009





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(k) projected net premiums written, underwriting profit or

loss, and net income or loss;

(l) actual attritional losses and large claims losses in the

relevant year;

(m) financial impact and description of stress and scenario

tests; and

(n) description of the insurer‟s risk management program.

INSTRUCTIONS AFFECTING SCHEDULE V

(a) the governance structure must disclose—

(i) the structure of the board of directors and

executive management, including roles and work

experience of officers; and

(ii) terms of reference of the board of directors and

its sub-committees.

(b) the intra-group exposures must disclose material

transactions between the insurer and other members of

the group to which it belongs.

(c) the effective duration of assets calculation must be

determined using the aggregate of the bonds and

debentures (Form 1A, Lines (2a) (ii) and (3a) (ii)),

preferred stocks (Form 1A, Lines (2c) (ii) and (3c) (ii)),

and mortgage loans portfolios (Form 1A, Line (5c)) as a

basis.

(d) the effective duration of liabilities calculation must be

determined using the reserves (Form 1A, Lines 17 and

18) as a basis;

(e) a description of the process used for determining the

effective duration of assets calculation and effective

duration of liabilities calculation, and key assumptions

for these calculations;

(f) the investment policy must disclose a description of the

insurer‟s investment strategy governing investment

selection and composition of the insurer‟s investment

portfolio;

(g) the gross probable maximum loss for natural

catastrophe losses (prior to reinsurance) must be

INSURANCE (PRUDENTIAL STANDARDS) (CLASS 4 SOLVENCY
REQUIREMENT) AMENDMENT ORDER 2009





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calculated at the 99.0% Tail Value-at-Risk level for

annual aggregate exposure to all risks and all perils,

including reinstatement premiums, for the year following

the relevant year based upon the insurer‟s catastrophe

model;

(h) the net probable maximum loss for natural catastrophe

losses (after reinsurance) must be calculated at the

99.0% Tail Value-at-Risk level for annual aggregate

exposure to all risks and all perils, including

reinstatement premiums, for the year following the

relevant year based on the insurer‟s catastrophe model;

(i) the average annual loss excluding property catastrophe

must be calculated as follows-

(i) the expected net natural catastrophe loss (after

reinsurance), including reinstatement

premiums, for annual aggregate exposure to all

risks and all perils other than those relating to

the property catastrophe statutory line of

business (as described under the Instructions

Affecting Schedule III) for the year following the

relevant year based on the insurer‟s catastrophe

model; and

(ii) the calculation should be from the same

underlying loss distribution used to determine

the gross probable maximum loss and the net

probable maximum loss (excluding the property

catastrophe component);

(j) the catastrophe exposure limits, gross probable

maximum loss and net probable maximum loss by

territories and by statutory lines of business separated

by insurance and reinsurance shall disclose separately

the catastrophe exposure limits, gross probable

maximum loss and net probable maximum loss in

accordance with—

(i) the exposure territories as defined in paragraph

(o) below, or

(ii) other such territories as the Authority shall

approve,

and based on the statutory lines of business (as

described under the Instructions Affecting Schedule III)

INSURANCE (PRUDENTIAL STANDARDS) (CLASS 4 SOLVENCY
REQUIREMENT) AMENDMENT ORDER 2009





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separated into insurance and reinsurance related,

respectively; and catastrophe exposure limits must

disclose the limits underlying the exposures used to

derive the gross probable maximum loss and net

probable maximum loss calculations above;

(k) the projected net premiums written, underwriting profit

or loss, and net income or loss shall disclose the

insurer‟s latest estimate of annual net premiums written,

underwriting profit or loss, and net income or loss for

the year following the relevant year either for the insurer

or on a group basis with disclosure of the estimated

percentage of the insurer‟s contribution relative to the

group;

(l) the actual attritional losses and large claims losses in

the relevant year shall disclose the actual aggregate

losses (classified by the insurer as attritional and large

claims losses in accordance with its own policy)

experienced by the insurer in the relevant year (not

including prior year reserve releases or adverse

development);

(m) the financial impact and description of stress and

scenario tests shall disclose the results from the stress

and scenario tests prescribed by the Authority annually

and published in such manner as the Authority directs;

(n) the description of the insurer‟s risk management

program shall disclose-

(i) a description of the risk management process,

including how the risk management program is

used for strategic management decision-making,

capital allocation and capital adequacy;

(ii) a description of the governance surrounding the

risk management process including the

identification of the owners of the process and

the extent of the board of directors‟ involvement;

(iii) a description of the risk appetite including the

process for setting and embedding risk limits,

and the identification of the types of stress

testing carried out to ascertain the suitability of

the risk appetite; and

INSURANCE (PRUDENTIAL STANDARDS) (CLASS 4 SOLVENCY
REQUIREMENT) AMENDMENT ORDER 2009





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(iv) a description of the process undertaken to

monitor material risk concentration;

(o) Exposure territories-



Zone Territories

1 Connecticut, Delaware, Maine, Maryland, Massachusetts, New

Hampshire, New York, New Jersey, Pennsylvania, Rhode

Island, Vermont, Virginia, West Virginia, the District of

Columbia, Alabama, Arkansas, Louisiana, Mississippi, Texas,

Florida, Georgia, North Carolina, and South Carolina

2 Caribbean

3 Arizona, Colorado, Idaho, Illinois, Indiana, Iowa, Kansas,

Kentucky, Michigan, Montana, Minnesota, Missouri,

Nebraska, Nevada, New Mexico, North Dakota, Ohio,

Oklahoma, South Dakota, Tennessee, Utah, Wisconsin, and

Wyoming

4 California

5 Oregon, Washington

6 Hawaii

7 Canada, Alaska

8 United Kingdom, Continental Europe

9 Australia / New Zealand

10 Japan

11 Nationwide covers

12 Worldwide covers

13 All exposures not included in Zones 1 to 12



Made this 18th day of December, 2009

Deputy Chairman

Bermuda Monetary Authority