Basic Ratemaking
By Geoff Werner and Claudine Modlin · Casualty Actuarial Society · 2016
Study guide: Exam 5
A CAS text outlining basic property/casualty insurance ratemaking concepts and techniques for actuarial candidates practicing around the world. Its key concept is the fundamental insurance equation, which balances the expected future income and outgo of an insurance operation: some chapters discuss the components of the equation — premium, loss, expense, profit — and others how to assess whether it is in balance in the aggregate and by customer segment. It is organised into sixteen chapters plus six appendices of in-depth practical examples. This is the Fifth Edition (Version 5), May 2016.
On the syllabus
- Exam 5 — objectives A1–A15 and A17–A18; Chapters 1 and 3–16, including errata; Chapter 2 is excluded, and the Appendices "are an integral part of the textbook and will be used for creating questions."
1 Introduction
- The fundamental insurance equation: premium = losses + LAE + underwriting expenses + underwriting profit
- Basic insurance terms: exposure, Premium, claim, loss and LAE, underwriting expense, underwriting profit
- Ratemaking as a prospective exercise — estimating costs for a future policy period
- Key ratios: Frequency, Severity, pure premium, Loss Ratio, expense ratio, combined ratio
2 Rating Manuals
- Structure of a rating manual: rules, rate pages, rating algorithms, underwriting guidelines
- Rating characteristics and how they map to relativities
- Worked rating manual examples for homeowners, medical malpractice, and U.S. workers compensation
3 Ratemaking Data
- Internal data: policy and claim databases, accounting records
- Aggregation methods: Calendar Year, Accident Year, Policy Year, Report Year
- External data: statistical plans, other aggregated insurance data, competitor rate filings, third-party data
- The three objectives of data aggregation — accurately match losses and premium, use the most recent data available, and minimize the cost of data collection and retrieval — and how well each method achieves them
4 Exposures
- Criteria for a good Exposure Base: proportional to expected loss, practical, and consistent with historical/industry practice
- Written, earned, unearned, and in-force exposures
- Exposure trend and the effect of inflation-sensitive exposure bases
5 Premium
- Written, earned, unearned, and in-force premium
- Adjusting premium to current rate level: the parallelogram method and extension of exposures
- Premium trend: one-step and two-step trending; the distributional shift problem
- Premium audits and their effect on the data
6 Losses and LAE
- Paid, case incurred, and ultimate losses; case reserves and IBNR
- ALAE and ULAE
- Loss development to ultimate and loss trend to the future period; the overlap fallacy — trending and developing losses are not overlapping adjustments
- Occurrence vs. claims-made coverage triggers
- Adjusting for extraordinary losses, catastrophes, and reinsurance
7 Other Expenses and Profit
- Expense provisions: fixed vs. variable treatment
- The all-variable expense method and the distortion it introduces across policy sizes
- Projecting expenses: the premium-based method and the exposure/policy-based method
- Underwriting profit provision and the net cost of reinsurance
- Deriving the Permissible Loss Ratio from the expense and profit provisions
8 Overall Indication
- The Pure Premium Method and the Loss Ratio Method — mathematical equivalence and when each is preferred
- Building the Overall Rate Level Indication from trended, developed, on-level components
9 Traditional Risk Classification
- Rationale for risk classification: adverse selection and equity
- Criteria for evaluating rating variables: statistical, operational, social, and legal
- Univariate methods — pure premium and loss ratio approaches — and their bias from exposure correlation
10 Multivariate Classification
- Minimum bias procedures as a bridge from univariate to multivariate
- GLMs: link functions, distributions, and interpreting output
- Model diagnostics, validation, and practical considerations in a rating context
11 Special Classification
- Territorial ratemaking and spatial smoothing
- Increased limits factors: the standard ILF approach built on limited average severity, censored losses, the effect of trend on higher layers, and the ISO mixed exponential and multivariate approaches
- Deductible pricing and the loss elimination ratio
- Size of risk, coinsurance, and insurance-to-value
12 Credibility
- Credibility measures and the limited fluctuation standard
- Bühlmann (least squares) credibility and Bayesian analysis
- Choosing the complement of credibility: first dollar and excess methods, and desirable criteria for a complement
13 Other Considerations
- Regulatory, operational, and marketing constraints
- Customer lifetime value and retention modelling
- Selecting a final rate change that departs from the indication
14 Implementation
- Implementation considerations: non-pricing solutions, minimum premiums, base rate offsets
- The off-balance factor: the amount the base rate needs to be adjusted to balance the changes in the rate differentials of the rating algorithm
- Calculating a final base rate consistent with the overall indication
15 Commercial Lines Rating Mechanisms
- Manual rating vs. loss-rated and composite-rated risks
- Experience rating and schedule rating
- Retrospective rating: basic premium, loss conversion factor, tax multiplier, minimum and maximum premium
- Rating mechanisms for large commercial risks: loss-rated composite risks, large deductible policies, and retrospective rating plans
16 Claims-Made Ratemaking
- Why claims-made coverage exists: unanticipated inflation and rising frequency in long-tailed professional liability during the 1960s–70s, and the pricing risk of a long reporting lag
- Aggregating losses by report year and report lag: an occurrence policy is a diagonal of the report-year/lag table (one accident year), a claims-made policy is a row (one report year)
- The coverage trigger is the report date rather than the accident date, so only claims reported in the next policy period must be projected
- The five principles of claims-made policies (Marker and Mohl, 1980): cheaper than occurrence while claim costs rise; less exposed to a misestimated trend; a mature policy is barely affected by a shift in the reporting pattern; no pure IBNR liability, so less reserve-inadequacy risk; and substantially less investment income
- Coordinating coverage: the retroactive date, first- and second-year vs. mature claims-made policies, step factors as a percentage of the mature rate, and the extended reporting endorsement (tail coverage) that closes the gap on switching back to occurrence or on retirement
Bibliography
Appendices
- Appendix A Auto Indication
- A full ratemaking indication worked example, on the loss ratio method
- Appendix B Homeowners Indication
- A full ratemaking indication worked example, on the pure premium method
- Appendix C Medical Malpractice Indication
- A full ratemaking indication worked example, on the loss ratio method
- Appendix D Workers Compensation Indication
- A full ratemaking indication worked example
- Appendix E Univariate Classification Example
- The pure premium and loss ratio approaches side by side
- Appendix F Multivariate Classification Example
- Sample GLM output for a predictive and an unpredictive variable, plus overall model validation on a hold-out sample
Changes
- The changes to the text from Version 4 (October 2010) to Version 5 (May 2016), chapter by chapter
Related readings
- Statement of Principles Regarding Property and Casualty Insurance Ratemaking (CAS - 1988) — quoted in Chapter 1 for its first three principles, and listed in the Bibliography
- ASOP 13 - Trending Procedures in Property Casualty Insurance (ASB - 2009) — cited in Chapter 6 for its definition of social influences, and listed in the Bibliography
Sources
- Basic Ratemaking, Fifth Edition (Casualty Actuarial Society, 2016) — the document: title page and abstract, the printed table of contents and bookmark outline (chapter and appendix titles), and the chapter text behind the points under each chapter
- CAS Exam 5 Content Outline, Fall 2026 — the citation and the assigned scope
- Errata to Basic Ratemaking, 5th Edition (Casualty Actuarial Society, 2024) — the errata the content outline includes in the reading: the coinsurance clause (pp. 209–210), Appendix D-14, and the composite rating example (p. 300)