Sunday, January 11, 2026

Membership options

Home Blog Page 89

Navigating Disability Risks: The role of EB captives and how to manage the associated complexities

Vittorio Zaniboni is captive and insurance excellence leader at EY Luxembourg. Before joining EY in September 2022, Vittorio was chief insurance officer at General Employee Benefits.

In the intricate world of corporate risk management, Employee Benefits Captives (EBCs) have risen to prominence as essential tools for organisations seeking innovative ways to address the biometric risks of their employees and their families.

Within this framework, disability risks play a central role in providing financial security to employees facing disabilities. In this article we will provide a thorough exploration of EBCs and their approach to disability risks, with a specific emphasis on the complexities linked with disability annuities.

The role and differing structures of disability benefits

Disability annuities, within the realm of EB, serve as the linchpin for effectively managing and mitigating the financial consequences of disability for corporate employees.

These annuities are contractual arrangements that provide periodic payments to employees who have become disabled, thereby replacing a portion of their lost income. By incorporating disability annuities into their EBC structures, organisations can ensure that their workforce receives reliable financial support during times of adversity.

Disability benefits can be provided under different forms, and according to different triggering events: in some cases the benefits are provided as a lump sum (typically in case of total and permanent disability), or an annuity, with different benefit structures in case of short-term or long-term disability.

In some cases the disability benefit is also provided under the form of a premium waiver for the death cover, or the contribution to the old age pension plan.



The structure of the disability benefits provided in the various markets is heavily dependent on the local social security set-up and local market specificities.

In Anglo-Saxon markets there is a prevalence of annuities, while in South American and South European markets the lump sum is more widely present.

While the lump sum form is relatively more straight forward, both in terms of pricing and portfolio management, the annuity form, mixing both morbidity and longevity elements, brings to the risk-taker more elements of uncertainty and volatility.

A key point of attention linked with disability annuities is the mathematical reserves (and the IBNRs) set aside following proper actuarial evaluations, to properly represent these contracts in the balance sheet of the insurer.

Several considerations and assumptions play a crucial role in the assessment of these reserves, namely:

  1. New claims notification timing and pattern
  2. Mortality rates for disabled lives
  3. Return-to-work assumptions
  4. Financial return of assets backing the liabilities

Any change in the evaluations of the points above can determine a major shift in the absolute amount of the disability reserves accounted in the balance sheet.

A snapshot of disability coverage within captive EB portfolios

In terms of size, disability covers represent a significant share within captive EB portfolios.

The EB portfolios managed by captives worldwide have been growing significantly in the last years, with a CAGR close to 20% in the last five years, and the current global EB captive GWP, mediated by the major EB networks, sits at more than €2bn.

Out of this €2bn, around 20% is linked to disability contracts, and within the disability book, disability annuities represent on average 85% in terms of GWP.

These volumes are projected to grow steadily, driven by increasing awareness of the importance of financial protection in the event of disability.

The countries where captives are more exposed to disability annuities are UK, Canada, France and Ireland, which alone contribute typically for more than 50% of the global disability annuity portfolios ceded to captives.

Considerations for establishing a successful disability annuity program in an EBC

In general terms, creating a successful disability annuity programme within an EBC demands meticulous planning and consideration.

Here are practical recommendations for managers seeking to underwrite disability risks within this specialised context:

Thorough Risk Assessment: A disability risk assessment is necessary for EBCs to identify their exposures and develop risk mitigation measures proactively. Disability risk assessments should cover several areas, including the nature of the exposure, the demographics of the workforce, their roles, and the potential financial impact of disabilities.

The assessment process should be conducted regularly to identify any emerging risks. By conducting regular assessments, EBCs can identify trends and adjust their coverage accordingly.

Understand the Nature of Disability Risks: The first step in managing disability risks for EBCs is to understand their nature. The risks of disability can be classified into two categories: the risks of long-term disability (LTD) and the risks of short-term disability (STD).

Long-term disabilities refer to a disability that lasts for an extended period and prohibits an individual from performing their duties permanently or for a prolonged timeframe, whereas short-term disabilities only last for a limited period (typically less than six months).

Understanding the nature of disability risks is essential as it helps in developing effective strategies to manage the risks. EBCs can create a disability risk model to understand the potential impact of these risks.

Customisation is Key: Tailor disability annuity programs to align with your organisation’s unique needs. Ensure that coverage levels and benefit structures are in harmony with the results of your risk assessment.

The involvement of the captive as final risk-taker presents the unique possibility to offer, to the local workforce, insurance conditions which might not be easy to obtain in a standard client/insurer relationship. The captive should capitalise on this opportunity for flexibility.

Engage Actuarial Expertise: Collaborate with actuaries specialised in disability risk modeling to accurately assess and price these risks. Actuarial data is essential for setting appropriate premium rates and reserves, and in general necessary for proper portfolio management.

If not accurately assessed and governed, disability liabilities cumulated over the years can potentially endanger the stability of the captive balance sheet. Considering the significant impact that small changes in the local product design can have on the relevant liabilities (indexation, possibly linked with CPI Indexes; interactions with local Social Security systems; waiting periods etc.), having the possibility to rely on actuaries with specific knowledge of the local markets is key.

Efficient Claims Management: Establish robust claims management processes that are both efficient and empathetic. A streamlined claims process is essential for disabled employees relying on timely benefits, and the direct involvement of the captive (in conjunction with local HRs) plays a fundamental role.

One of the most effective ways to manage disability risks is by implementing return-to-work programmes. Return-to-work programmes encourage employees with disabilities to return to work as soon as possible after an injury or illness.

By implementing and/or supporting such programmes, EBCs can reduce the total cost of claims, provide employees with a sense of purpose, and reduce the risk of long-term disability. Return-to-work programmes should also include physical and psychological rehabilitation, access to modified jobs, and other support services necessary for successful recovery (e.g. Employees Assistance Programmes – EAP).

Offer Health and Wellness Programmes: EBCs should also provide health and wellness programmes to their employees. Such programmes can help reduce the risk of disabilities by promoting preventive measures and encouraging healthy lifestyles.

Programmes could include access to fitness centers, nutrition education, stress management and mental health support. Offering employee incentives for participating in these programmes can also encourage higher participation rates.

Some captives even facilitated the local implementation of H&W initiatives, by setting up a system of “credits” linking these initiatives to discounts on the medical and disability premium rates. This approach must be implemented with caution, as the effects of H&W initiatives tend to impact the financials of the insurance contracts only in the medium/long term, and assuming immediate effects on the local claim ratios, can generate negative impacts on the captive P&L.

Collaborate with Medical Professionals: EB captives should collaborate with medical professionals to ensure that their employees receive excellent healthcare and rehabilitation services. Collaboration with medical professionals can provide valuable insights into different types of disabilities and how to manage them. Medical professionals can help identify potential risk factors, recommend appropriate interventions, and offer guidance on return-to-work programs. Collaboration with medical professionals can also help in identifying options for alternate work arrangements that would help an employee return to work sooner.

Transparent Communication: Effectively communicate the availability and benefits of disability annuities to your employees. Transparent communication fosters trust and ensures that those in need are aware of the support available to them.

Regular Review and Adaptation: Continuously review and adapt your disability annuity programme as your organisation evolves. Changes in workforce demographics or regulatory requirements may necessitate adjustments.

Conclusion

In conclusion, EB captives have emerged as key tools for organisations seeking innovative solutions to manage disability risks effectively. Disability annuities, when incorporated into EB programmes, represent an effective and efficient means to protect employees from financial hardship during times of disability.

The market statistics underscore the rising significance of disability annuities within the realm of EBCs, emphasising their potential for financial security and cost savings.

In an era where safeguarding the financial wellbeing of employees is paramount, disability annuities stand as a beacon of security, offering a win-win scenario for both organisations and their workforce.

It is a testament to the power of innovation and customisation in modern global corporate risk management.

The views expressed are those of the authors and do not necessarily reflect the views of Ernst & Young LLP or any other member firm of the global EY organization.

AM Best affirms rating of Ameriprise Financial captive

0

AM Best has affirmed the financial strength rating of A (excellent) and the long-term issuer credit ratings of “a+” (excellent) of Vermont-domiciled Ameriprise Captive Insurance Company (ACIC).

The captive is a subsidiary of Minneapolis-based Ameriprise Financial. 

ACIC provides various coverages to its parent including errors and omissions policies, a workers’ compensation deductible reimbursement policy, fidelity bonds and property terrorism (conventional and nuclear, biological, chemical or radiological).

The ratings of ACIC reflect its balance sheet strength, which AM Best assesses as very strong, as well as its strong operating performance, limited business profile and appropriate enterprise risk management (ERM).

ACIC benefits from rating enhancement due to its importance as a single parent captive to the parent.

AM Best assesses ACIC’s business profile as limited due to its narrow market focus as a single parent captive serving only its parent for a limited amount of exposure.

The captive has a strong operating performance as demonstrated by its five-year average pre-tax return on revenue and equity ratios that compare favourably with the averages for AM Best’s commercial casualty composite.

ACIC also benefits from a very low expense ratio.

SRS appoints Marc Kutter as chief BD and marketing officer

0

Strategic Risk Solutions (SRS) has hired Marc Kutter as chief business development and marketing officer and will join the company later this month.

Kutter will have global responsibility for sales and marketing at SRS, including development of existing businesses and partner relationships, as well as the co-ordination of strategies for SRS’ expansion into new service and geographical areas.

“Marc has the energy, personality, and talent that fit our vision for the CBDMO role,” said Brady Young, CEO of SRS.

“I believe he will be a great leader and will fit well within the SRS culture.”

Kutter brings more than 29 years of experience to his new role.

Prior to joining SRS, Kutter held various roles such as chief growth officer at Benefits Science Technologies, managing partner at Dietrich Partners, and VP of broker sales at AFLAC.

“I’ve worked with the SRS team on various initiatives over the last eight years”, said Kutter.

“Their professionalism and 99% client retention are truly impressive. As the captive markets continue to expand, I see tremendous growth opportunities in both health and P&C globally.”

In August, Jeff Fitzgerald re-joined the company as managing director of SRS Benefit Partners, a new division which will support the establishment and growth of group and individual employee benefit programmes.

AM Best affirms rating of Marubeni captive

0

AM Best has affirmed the financial strength rating of A- (excellent) and the long-term issuer credit rating of “a-” (excellent) of Micronesia-domiciled Marble Reinsurance Corporation (Marble Re). The outlook of the ratings (ratings) is stable.

Marble Re is a wholly-owned subsidiary and a single-parent captive of Marubeni Corporation, one of Japan’s largest general trading companies.

The captive provides reinsurance and insurance protection against group-related risks across different regions, with its main line being marine cargo.

The ratings reflect Marble Re’s balance sheet, which is assessed as strong, and its strong operating performance, neutral business profile and appropriate enterprise risk management.

The balance sheet strength is well-supported by Marble Re’s risk-adjusted capitalisation, which is assessed at the strongest level, as measured by Best’s capital adequacy ratio (BCAR).

The company’s capital base is supported by low net underwriting leverage and minimal investment risk from its liquid and conservative investment portfolio.

Although the company has high dependence on reinsurance, it is mitigated by its diversified reinsurance panel.

Marble Re’s operating performance has been consistently strong with a five-year average combined ratio of 59% (2018-2022).

For the fiscal year ended 31 March 2023, the company recorded growth in premium income and net profit.

Negative rating actions could occur if there are substantial losses caused by a material shift in Marble Re’s risk appetite or if there is deterioration in Marubeni Corporation’s credit profile.

“Positive rating actions could occur if the company demonstrates sustained and notable improvement in its balance sheet strength fundamentals or material growth in its capital base,” AM Best said.

First Savings Bank dissolves Nevada captive

0

First Savings Financial Group, the holding company for First Savings Bank, has dissolved its captive insurance subsidiary, First Savings Insurance Risk Management Inc, as the company looks to reduce operating inefficiencies.

The captive was domiciled in Nevada and provided property and casualty insurance to the group, the bank and the bank’s active subsidiaries. 

It also provided reinsurance to 11 other third-party captives in instances when insurance may not have been available in the commercial marketplace.

“As we navigated the challenging environment for the banking industry during fiscal 2023, we focused on reducing balance sheet and operating inefficiencies, risks that could result in earnings volatility, and complexity of the organisation, particularly in the fourth fiscal quarter,” said Larry Myers, president and CEO at First Savings Bank, commenting on the group’s performance after its fiscal year-end results were announced.

First Savings Bank reported a net income of $8.2m for the year ended 30 September 2023, compared to net income of $15.4m for the previous year.

Domicile landscape evolving fast for Canada’s prospective captive owners


  • Bermuda, Caribbean traditional captive centres for Canadian businesses
  • New Alberta legislation, regulator creates competition for British Columbia, offshore domiciles
  • Canada’s mid-market seen as significant growth opportunity
  • Global tax landscape could influence future domicile choices

Alberta is expected to quickly surpass British Columbia as Canada’s largest captive domicile, as Canadian businesses are presented with greater choice between onshore and offshore jurisdictions.

The often-named Energy Province introduced its captive legislation in July last year, and already has 11 captives domiciled in the region.

Subscribe to Ci Premium to continue reading
Captive Intelligence provides high-value information, industry analysis, exclusive interviews and business intelligence tools to professionals in the captive insurance market.

“No end in sight” for SMEs battling proliferating medical costs – ClearPoint CEO

0

There is no end in sight when it comes to current US health insurance challenges, with SMEs disproportionally being impacted, according to ClearPoint Health CEO, Jeb Dunkelberger.

Earlier this month, the South Carolina-based company launched a medical stop-loss captive and an employer services platform to provide insurance to benefit advisors and small to midsized employers.

“When we look at the rising cost of health insurance, we see it disproportionately affecting small to mid-sized employers more than your larger employers,” Dunkelberger told Captive Intelligence.

“The second piece that exacerbates that issue is we do not see an end in sight, and we have provider shortages, and with labour shortages comes the increase in the costs for labour.”

ClearPoint’s captive platform is designed for employers ranging from 10 to 1,000 employees as well as to partner directly with benefit advisors.

Dunkelberger said there is a large shift in terms of the US population moving towards Medicare and Medicaid, and government funded lines of business, which sometimes reimburse less than commercial insurance lines.

“As we combine all the things happening on the clinical side, we start to realise commercial insurance is the one thing that is going to continue to be negotiated and pushed up to offset those costs,” he said.

“When we look at those small to midsize businesses as the ones that need protection, they need a solution.”

ClearPoint’s captive structure is domiciled in Tennessee, largely due to the State having the required legislation that supports Series LLCs.

“Tennessee also has the ability to be able to rapidly launch cells, which is really important for our business model,” Dunkelberger said.

“All the partners that we’re working with just so happened to be in Tennessee and have strong relationship with the Tennessee Department of Commerce and Insurance.”

Those using the ClearPoint platform can pick their preferred service partners, including third party administrators, pharmacy benefit managers, network’s clinical cost management and clinical quality improvement enhancers.

Dunkelberger said the key to the platform is to provide “optionality’ and allow different vendors and partners to compete to create the most value for the end user.

“It’s not uncommon to show an employer a large menu of options and them then take a step back and be stunned at the variety of choices they must make, which can be negative because it can be too much,” he said.

“The benefit advisor can be the connoisseur of selecting the different partners and can then present them directly to their client.”

Comparative analysis of the reinsurance captive frameworks in France and Luxembourg

François Messner, Senior Manager at EY Luxembourg, Business Tax Advisory
Hicham Mazouz, Partner at EY Luxembourg, Audit – Financial Services

After the French government passed legislation at the end of 2022 which paved the way for a new captive regulatory regime, in June 2023 further details were published concerning the equalisation provision available to reinsurance captives established in the country. EY’s Hicham Mazouz and François Messner examine the differences between the French and Luxembourg captive regulatory environments and, in particular, the respective equalisation provisions.

The captive reinsurance market has long been on the lookout for the introduction of a dedicated French regulatory framework, with the legitimate fears it could raise for the reinsurance captive market in Luxembourg.

After several delays, the French legislator finally introduced a new regulatory system in 2023 tailored for the reinsurance captive and inspired by the regulatory framework in Luxembourg.

Up until early 2023 when the new regulatory system was introduced, there were not more than a dozen reinsurance captives domiciled in France. Even so, the jurisdiction is now keen to create an environment conducive to the repatriation of reinsurance captives belonging to French groups and domiciled abroad.

The idea was that the regulatory system should also provide a risk management solution to other groups, helping them navigate the challenges of rising insurance costs, coverage limits or risks that are increasingly difficult to insure.

In this article, we will delve into the key distinctions between the French and Luxembourg regulatory frameworks for reinsurance captives and whether they spell the end for the French captive market in Luxembourg.



Luxembourg – a hub for reinsurance captives

With around 200 active reinsurance entities, Luxembourg is undoubtedly a preferred jurisdiction for the domiciliation of reinsurance captives, for a few reasons: the stable economy, regulatory and tax environment, a rich ecosystem and regulatory constraints that are tailored to the complexity of reinsurance captives.

All those factors have enabled the growth of the Luxembourg captive market over the past decades.

The French reinsurance framework and its implication

The French Finance Law of 2023 (Law No. 2022-1726), as implemented by the Decree 2023-449 of June 7, 2023, authorises reinsurance captives to recognise a tax-free provision called the “resilience provision”.

However, this provision is only available to captives belonging to a non-financial group and is limited to a specific number of risks listed in Article A. 344-2 of the French Insurance Code, which includes damage to professional and agricultural assets, natural disasters, general civil liability, pecuniary losses, damages and pecuniary losses resulting from cyberattacks and disruptions to information and communication systems, and transportation.

In addition, annual allocations to the resilience provision are limited to 90% of the technical result or 10 times the required minimum capital.

The provision must also be allocated, following the ageing of the annual allocations, to the overall compensation of the negative balance in the technical income statement that may arise in subsequent years for all corresponding risks.

Unutilized annual allocations within 15 years will be added back to the taxable profit in the sixteenth year after their recognition.

The French framework appears to be more restrictive than the Luxembourg one, as the latter allows for the use of such structures by all types of groups regardless of their activities, whether industrial, commercial or financial.

Additionally, for Luxembourg reinsurance captives, a license to operate is granted by the regulator for non-life reinsurance, life reinsurance, or any type of reinsurance activity without any limitations on risks falling within the scope of the equalization provision.

Another major difference is that, according to Luxembourg accounting and regulatory rules, the entire technical result can be allocated to the equalization provision as long as the ceiling has not been reached. Also, there is no time limit for the utilization of this provision.

Tax considerations

The regulatory differences between the French and Luxembourg regimes also translate into the corporate tax aspects. This should come as no surprise because both jurisdictions follow the same principle of linking the tax balance sheet to the accounting balance sheet when determining the taxable basis.

As a result, the additional restrictions in the French regime, both in terms of allocation ratio to the equalization provision and temporal limitations, have a more significant effect on the taxation of French captives.

Therefore, while the Luxembourg regime allows for a full allocation to the equalization provision (subject to ceiling conditions) and a symmetrical reduction of the taxable basis, the French regime only provides for an allocation of 90% of the technical result (or 10 times the minimum capital) as mentioned above, with the remaining balance falling into the French taxable basis.

The Luxembourg regime has an additional advantage in that it does not impose temporal limitations on the reintegration of the equalization provision. This creates de facto a deferral of taxation until the time of release of the said provision, which either occurs when the ceiling conditions are no longer met, or the captive ceases operations.

On the other hand, the French regime has specific timing constraints, imposing the reintegration of the equalization provision after a period of 15 years. This temporal restriction results in the systematic taxation of provisions that are released after the fifteenth fiscal year.

Looking ahead

The new French regime represents a significant development in the French market and the criterion of proximity is unlikely to go unnoticed by some French groups.

However, for groups that require greater flexibility or are simply unable to qualify for the French regime, Luxembourg offers a bespoke regulatory and fiscal environment, in addition to a stable and reassuring legislative framework.

Despite this local change, we should not lose sight of the international context characterized by the increasing weight of new regulations on tax compliance and transparency.

Indeed, while Luxembourg has established itself over time as a captive jurisdiction, the upcoming tax changes in 2024 for groups subject to the 15% minimum taxation rule, known as “BEPS Pillar 2”[1], cannot be overlooked.

In an environment where tax competition incentivized some jurisdictions in the past to provide more favorable regimes for captives by leveraging lower nominal tax rates, many will have to re-evaluate their approaches and align with new international standards. Although France and Luxembourg stand out due to their higher nominal tax rates and their specific tax regime, lingering uncertainties require market players to keep a watchful eye on the implementation of this new norm.


[1] OECD/G20 Base Erosion and Profit Shifting Project (Pillar Two)

Ryan Specialty to acquire MSL specialists AccuRisk Holdings

0

Ryan Specialty has signed a definitive agreement to acquire Chicago-based medical stop loss managing general underwriter (MGU), AccuRisk Holdings, LLC.

Terms of the transaction were not disclosed, and the acquisition is expected to close in December 2023.

AccuRisk’s services include medical stop loss underwriting, group captives, supplemental health care management and occupational accident.

“Dan and the AccuRisk team are proven leaders in the medical stop loss space, having built one of the largest independent medical stop loss MGUs,” said Patrick Ryan, Founder, Chairman & CEO of Ryan Specialty.

“Moreover, the AccuRisk team shares our vision to develop a comprehensive integrated health solution, providing retail brokers with a ‘one stop shop’ for self-insurance needs.”

In March, Captive Intelligence published an article detailing that the number of captives writing medical stop loss (MSL) continues to increase substantially, primarily as a result of hard market conditions in the commercial market.

MSL captives are on course to account for more than 25% of the overall MSL insurance market in the United States over the next few years.

“Since our founding, we have been focused on driving product innovation to enhance both flexibility and efficiency,” said Dan Boisvert, President & CEO of AccuRisk.

“We believe that joining Ryan Specialty sets the stage for the next upward inflection point in our growth trajectory.”

AM Best affirms rating of Ørsted captive

0

AM Best has affirmed the financial strength rating of A- (excellent) and the long-term issuer credit rating of “a-” (excellent) of Denmark-domiciled Ørsted Insurance A/S (ORIAS). The outlook for the ratings is stable.

ORIAS is single parent captive owned by Denmark-headquartered, sustainable energy company Ørsted, providing commercial property and construction insurance for the group.

ORIAS’ underwriting portfolio is concentrated by line of business and is well-diversified geographically.

The ratings reflect ORIAS’ balance sheet strength, which AM Best assesses as very strong, as well as its adequate operating performance, neutral business profile and appropriate enterprise risk management.

The adequate operating performance assessment reflects ORIAS’ record of good, but volatile underwriting results, shown by a 10-year average combined ratio of 81.3% (2013-2022).

In 2022, ORIAS reported a net loss of DKK132.5 ($19m), due to unfavourable claims experience combined with adverse reserve developments on prior year claims.

Underwriting performance is expected to improve in 2023, benefiting from higher premium income from new construction projects underwritten by the captive, as well as insurance of a larger share of Ørsted’s operational renewables assets.

The captive’s performance is subject to volatility, resulting from the company’s exposure to potentially large property losses, although this is moderated by the captive’s comprehensive reinsurance programme.