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![Page 1: Capital Adequacy Test 1 – Quantum of assets test Aims to ensure that the fund holds sufficient assets so that, after 12 months of adverse experience,](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649cc55503460f9498e10d/html5/thumbnails/1.jpg)
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Capital Adequacy
Test 1 – Quantum of assets testAims to ensure that the fund holds sufficient assets so that, after 12 months of adverse experience, it would have more assets that
its (then) prudent liabilities.
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Stress Test
Represents the amount by which a fund’s capital could deplete over 12 months under a 2nd percentile stressed scenario. Four elements:• Stressed net margin estimate;• Stressed investment income estimate;• Stressed other income estimate; and• Tax.
The insurer needs to use its own method, assumptions and data in order to:• Determine the appropriate percentile to stress the three
elements to give a 2nd percentile overall;• Determine the size of each of the stresses at that percentile.
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Stress Test
Stress test amount calculated based on distribution of:• Net margin, which in turn is based on:
o Expected premium $, with rate increase capped at a level slightly above recent insurer-specific benefit increase (yet to be defined); and
o Stressed net margin %;• Stressed investment income $; and • Stressed other income $.
Correlation between these three classes needs to be considered.
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Stress Test - Issues
1. Method• Probabilistic or stochastic?• Actuarial black box?
2. Data• What is a 1 in 50 bad year?• At individual component level, what is a 1 in (say) 20 bad year?• Stressed net margin - is past data suitable? If so, for how long?• Stressed investment income
o Allows for market risk, credit risk and balance sheet risk (i.e. incorrect value)
o Where is the data for these risks?• How is the stress determined?
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Stress Test - Issues
3. Communication• Board of insurer needs to ensure that each element of the
Standards is properly calculated.• How do they ensure the stress test is “properly calculated”?• How does the AA engage with Board and management?
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Stress Test - Issues
FY1990
FY1991
FY1992
FY1993
FY1994
FY1995
FY1996
FY1997
FY1998
FY1999
FY2000
FY2001
FY2002
FY2003
FY2004
FY2005
FY2006
FY2007
FY2008
FY2009
FY2010
FY2011
FY2012
-10.0%
-5.0%
0.0%
5.0%
10.0%
15.0%
PHI Industry performance as % premium
Net margin Inv margin profit margin
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Stress Test - Issues
1 in percentile Net margin Inv margin profit margin
Last 22 years 50.00% 2 50.00% 1.3% 3.9% 4.6%85.10% 7 14.90% -4.6% 2.5% -0.3%95.00% 20 5.00% -6.5% 0.5% -1.8%98.00% 50 2.00% -7.2% 0.1% -2.1%99.00% 100 1.00% -7.4% 0.0% -2.2%99.50% 200 0.50% -7.6% 0.0% -2.2%99.75% 400 0.25% -7.6% 0.0% -2.2%
1 in percentile Net margin Inv margin profit margin
Last 10 years 50.00% 2 50.00% 4.3% 3.4% 6.7%85.10% 7 14.90% 2.1% 0.6% 2.8%95.00% 20 5.00% 0.8% 0.2% 1.0%98.00% 50 2.00% 0.3% 0.0% 0.2%99.00% 100 1.00% 0.2% 0.0% -0.1%99.50% 200 0.50% 0.1% 0.0% -0.3%99.75% 400 0.25% 0.1% -0.1% -0.4%
1 in percentile Net margin Inv margin profit margin
Last 5 years 50.00% 2 50.00% 4.3% 2.7% 7.6%85.10% 7 14.90% 3.8% 0.2% 4.0%95.00% 20 5.00% 3.4% 0.0% 3.4%98.00% 50 2.00% 3.2% 0.0% 3.2%99.00% 100 1.00% 3.2% 0.0% 3.2%99.50% 200 0.50% 3.2% -0.1% 3.1%99.75% 400 0.25% 3.2% -0.1% 3.1%
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Insights – 2 July 2013 – PHI Capital Standards
Part 2: Other Capital Adequacy Items, &Capital Management Policy
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Other Cap Ad components (“Quantum”)
Operational Risk: - $1m + ½%: - Growth component removed- Includes ½% of non-insurance-business HRB revenue
Prudent Liabilities: - Pragmatic uplift from insurers 75% PoA accounting estimates- Other liabilities (eg loyalty bonus) need 98% PoA estimates- Pragmatic use of commencing liabilities
Supervisory Adjustment: - As always, PHIAC have room to intervene, but subject to AAT
Subordinated Debt: - Tougher rules: “genuinely loss absorbing”- but can keep previously approved S.D.
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Other Cap Ad components (“Concentration”)
“Capital Adequacy Maximum Default Loss Amount” (‘CAMDLA’?): - single maximum counterparty exposure- excluding Fed/State/Territory government, ADI- net of recoveries
CAMDLA must exceed: (Prudent liabilities) + (Supervisory adjustment if any)
Practical issues?: - Look through = a continuous responsibility- Property: related parties, subdivisions, strata titles
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Capital Management Policy
Has been foreshadowed and informally “required” for years
Significantly more formal requirements: Contents and Process
Contents:- Stated risk appetite- Capital targets- Triggers for action; and options for action- Link to pricing policy and implications for prices (i.e. customers)- Investment policy- Liquidity management
Process: - Authority (Board approved)- Timing (at least every 2 years- Method (probabilistic)
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Issues?Cap Ad Quantum:
• Pragmatic Prudent liabilities for Cap Ad – are the value factors too simplistic? Does the pragmatism act unfairly in some circumstances?
• Operational risk on non-health-insurance HRB – does this matter?• Are the subordinated debt rules too tough?
Cap Ad Concentration:• Look through = a continuous responsibility; will this limit reasonable actions?• Strata title and similar – insurer’s obligation to self-assess whether parties are related
Cap Ad Overall: does Cap Ad produce too low or too high a requirement?
Capital Management Policy:• Significantly more responsibility on the Board – Cap Ad seems lower, so CMP will drive
capital from first principles?• What are the headline risks that capital must protect against?
• Failure to meet policyholder promises? – previously this has been negligible• Failure to meet regulatory obligations?• Failure to meet shareholder goals?
• Are “probabilistic” methods sufficient alone? Are additional analyses necessary?• Greater sophistication required from most insurer’s plans
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Insights – 2 July 2013 – PHI Capital Standards
Part 3: Solvency requirements
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Solvency requirementOverview
16
Accounting liability
Solvency
Prudent Liability
Cash managementamount
60% of cash managementamount
3 month Stress test
Stressedlossesamount
Solvency MaximumDefault
Loss Amount
All assets Solvencyqualifyingassets
Band 1 assets
Band 1 assets
Solvency non-qualifying
assets
Band 2 assets
Sol
venc
y
Ass
ets
Sol
venc
y
Ass
ets
Sol
venc
y
Ass
ets
Sol
venc
y
Ass
ets
Current standards Proposed standards 2012 Proposed 2013 standards Liquidity test
Proposed 2013 standards Concentration of liquid assets
test
Excess Assets Excess
Assets
Excessqualifying assets
Excess band 1 assets
Excessassets
Maximum loss on the largest asset counterparty group (Band 1 assets)
% of future contributions
% of future contributions
Equities @ 50% value
Cash and Aus gov. bonds
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Solvency requirementComparison to previous capital standards
17
Accounting liability
Solvency
Prudent Liability
Cash managementamount
60% of cash managementamount
3 month Stress test
Stressedlossesamount
Solvency MaximumDefault
Loss Amount
All assets Solvencyqualifyingassets
Band 1 assets
Band 1 assets
Solvency non-qualifying
assets
Band 2 assets
Sol
venc
y
Ass
ets
Sol
venc
y
Ass
ets
Sol
venc
y
Ass
ets
Sol
venc
y
Ass
ets
Current standards Proposed standards 2012 Proposed 2013 standards Liquidity test
Proposed 2013 standards Concentration of liquid assets
test
Excess Assets Excess
Assets
Excessqualifying assets
Excess band 1 assets
Excessassets
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Solvency requirementQualifying assets
18
Introduction► Not all assets are counted for solvency purposes► Qualifying assets are divided into 2 bands
Accounting liability
Solvency requirement
Prudent Liability
Cash managementamount
60% of cash managementamount
3 month Stress test
Stressedlosses
amount
Solvency MaximumDefault
Loss Amount
All assets Solvencyqualifying
assets
Band 1 assets
Band 1 assets
Solvency non-qualifying
assets
Band 2 assets
Sol
venc
y re
quirem
ent
Ass
ets
Sol
venc
y re
quirem
ent
Ass
ets
Sol
venc
y re
quirem
ent
Ass
ets
Sol
venc
y re
quirem
ent
Ass
ets
Current standards Proposed standards 2012 Proposed 2013 standards Liquidity test
Proposed 2013 standards Concentration of liquid assets test
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Solvency requirementQualifying assets
19
Band 1► 100% of the value counted► Definition: “highest liquidity and are
expected to remain so over any reasonably foreseeable future stressed circumstances”
► Prescribed asset types
• Cash and cash equivalents (AASB definitions)
• Assets with Australian government counterparty (excluding risk equalisation receivable)
Band 2► 50% of the value counted► Securities listed on the ASX or a principal
foreign exchange► Board must be satisfied that these assets
can be readily converted to cash under highly stressed market scenarios
No allowance for other assets not in the prescribed list, even if it satisfies the definition.
Eg highly liquid foreign government bonds
No guidance on a reasonable methodology in which the Board should adopt its opinion
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• AASB107 Para 7• Cash equivalents are held for the purpose of meeting short-
term cash commitments rather than for investment or other purposes. For an investment to qualify as a cash equivalent it must be readily convertible to a known amount of cash and be subject to an insignificant risk of changes in value. Therefore, an investment normally qualifies as a cash equivalent only when it has a short maturity of, say, three months or less from the date of acquisition. Equity investments are excluded from cash equivalents unless they are, in substance, cash equivalents, for example in the case of preferred shares acquired within a short period of their maturity and with a specified redemption date.
Solvency requirementQualifying assets
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Solvency requirementCash management amount
21
► 8% of the fund’s Health Business Revenue Estimate (HBR) for the next 12 months as per the Cap. Ad. Stress Test
► PHIAC’s view is that liquidity requirements are related to contribution income.
► Does not give credit to high profit margins
Accounting liability
Solvency requirement
Prudent Liability
Cash managementamount
60% of cash managementamount
3 month Stress test
Stressedlosses
amount
Solvency MaximumDefault
Loss Amount
All assets Solvencyqualifying
assets
Band 1 assets
Band 1 assets
Solvency non-qualifying
assets
Band 2 assets
Sol
venc
y re
quirem
ent
Ass
ets
Sol
venc
y re
quirem
ent
Ass
ets
Sol
venc
y re
quirem
ent
Ass
ets
Sol
venc
y re
quirem
ent
Ass
ets
Current standards Proposed standards 2012 Proposed 2013 standards Liquidity test
Proposed 2013 standards Concentration of liquid assets test
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Solvency requirementStressed losses amount
22
► HBR x min [62% x SEUs-0.22, 13%]
► Health Business Revenue Estimate (HBR)
0%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
11%
12%
13%
14%
1 100 200 300 400 500 600 700 800 900 1,000
Cha
rge
on H
ealth
Bus
ines
s Rev
enue
Est
imat
e (%
)
Fund SEUs ('000)
Solvency Stressed losses amount
Solvency Stressed losses amount
Accounting liability
Solvency requirement
Prudent Liability
Cash managementamount
60% of cash managementamount
3 month Stress test
Stressedlosses
amount
Solvency MaximumDefault
Loss Amount
All assets Solvencyqualifying
assets
Band 1 assets
Band 1 assets
Solvency non-qualifying
assets
Band 2 assets
Sol
venc
y re
quirem
ent
Ass
ets
Sol
venc
y re
quirem
ent
Ass
ets
Sol
venc
y re
quirem
ent
Ass
ets
Sol
venc
y re
quirem
ent
Ass
ets
Current standards Proposed standards 2012 Proposed 2013 standards Liquidity test
Proposed 2013 standards Concentration of liquid assets test
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Solvency requirementSolvency Maximum Default Loss Amount and Solvency Supervisory Adjustment amount
23
Solvency Maximum Default Loss Amount► Same as the Cap. Ad. Equivalent but only
applied to Band 1 assets
Solvency Supervisory Adjustment amount► As per Cap. Ad – if PHIAC believes any of
the other Solvency components are inadequate
► Not shown in the graphAccounting
liability
Solvency requirement
Prudent Liability
Cash managementamount
60% of cash managementamount
3 month Stress test
Stressedlosses
amount
Solvency MaximumDefault
Loss Amount
All assets Solvencyqualifying
assets
Band 1 assets
Band 1 assets
Solvency non-qualifying
assets
Band 2 assets
Sol
venc
y re
quirem
ent
Ass
ets
Sol
venc
y re
quirem
ent
Ass
ets
Sol
venc
y re
quirem
ent
Ass
ets
Sol
venc
y re
quirem
ent
Ass
ets
Current standards Proposed standards 2012 Proposed 2013 standards Liquidity test
Proposed 2013 standards Concentration of liquid assets test
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• Stressed losses amount – revenue basis• Term deposit treatment– Liquidity, breakability, duration to maturity, AASB
definitions clarity• Cash management amount – revenue basis
versus claims + expenses
Solvency requirementSolvency Maximum Default Loss Amount and Solvency Supervisory Adjustment amount
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