why insurance companies fail - iasa · insurance companies to support his lifestyle plead guilty...

32
Why Insurance Companies Fail IASA Ohio Chapter November 2016

Upload: others

Post on 20-Jun-2020

4 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

Why Insurance Companies Fail

IASA Ohio Chapter

November 2016

Page 2: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

2

Presentation summary

∙ What makes insurance unique and what responsibilities this creates for those who manage and govern?

∙ Regulation of insurance

∙ Insurance company failures

∙ What has changed?

Page 3: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

3

Insurance is a unique industry

∙ Traditional commerce involves a simultaneous exchange of currency and product

Presenter
Presentation Notes
Fundamentally backwards –
Page 4: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

4

Insurance is a unique industry

∙ Insurance buyers exchange currency today for the insurer’s promise to perform in the future

∙ That obligation may or may not come due

∙ The cost of that obligation is highly uncertain

Presenter
Presentation Notes
Set up company, buy inventory, do something with inventory, you sell – you can see if you make a profit on that exchange The insured pays a price at the beginning of the transaction; the insurance co. has no idea what the price/cost is – highly uncertain; hard to measure profit
Page 5: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

5

Insurance is heavily regulated

Society has an interest in making sure that financial institutions make good on their promises

Presenter
Presentation Notes
Because of the exchange of paying insurance co. upfront – Warren Buffet Insurance co. makes money off of free capital Society wants to make sure that people can get their money when they have a claim on their policies Explaining what each entity is: NAIC Could New & developing: DoT: Office of Insurance within DoT (not sure what their role will be) AM Best - rating Auditor monitor financial solvency
Page 6: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

6

What could go wrong???

Insurance company failures • Looting of assets

• Failed investment strategies

• Management schemes

Presenter
Presentation Notes
With everyone having a vested interest in making sure things go right, what could go wrong? Categories -mgmt. sealing assets -bad investment strategies -mgmt. had bad operations that led to demise
Page 7: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

7

Looting of Assets

Page 8: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

8

Sale to Known Looters

During the 1980’s many large corporations diversified into financial services, including insurance

Their timing corresponded to the emergence of asbestos and environmental remediation claims, which in turn led to decisions to divest

Sales were made to individuals with little or no insurance experience

• Many to S&L owners/executives who were sitting on underwater properties

• No regulatory background checks were required

∙ An Actual Legal Theory of Liability

Presenter
Presentation Notes
Larry Johnson worked on a case Theory: if you have something that’s going to lose money, you sell to someone – you can’t walk away and say it’s not your problem Saw the pattern a few times – people got into insurance, but wanted out to get out deals – in 80s: savings&loan prices, building on speculation, recession hit, fails – S&L were shady; feds caught up with them, and then they looked for another business they could pilfer, they went to INS, INS was not really regulated
Page 9: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

9

American Universal Insurance Company

Fortune 500 chemical manufacturer sells AUIC to an investor group that they knew had no insurance experience

• Investors use insurer’s assets for purchase price

• Liquidate conservative bond portfolio to purchase real estate and mortgage loans ‒ Properties owned by the investors

‒ Properties subject to S&L regulatory scrutiny

‒ Limited scope appraisals often performed by related parties

Presenter
Presentation Notes
1st: take $ out ins. Co. to pay out purchase price, then sold portfolio of Treasury bonds, used to buy homes of looters; at the time you could get appraisers to do whatever you wanted
Page 10: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

10

Martin Frankel

Banned for life by the SEC in 1992 Charmed his way through CT and Palm Beach society into borrowing several million From there he purchased his first insurance company

• Transferred assets into his own custodial accounts

• Used those assets to pay off previous borrowers

• Bought another larger insurance company

• Repeat 12x

Presenter
Presentation Notes
Look up on Wikipedia 14 insurance cos in LA & TN Recently was let out of prison and has already had legal problems
Page 11: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

11

Martin Frankel

Frankel accused of skimming $215mm from his insurance companies to support his lifestyle

Plead guilty and sentenced to 17 years in prison

Congress reviews these events: This fraud went on far too long, not because Mr. Frankel was clever and deceptive, but because he was operating in an environment where the regulators lacked the skill, authority, access to basic information, resources and ‘healthy skepticism.’

Presenter
Presentation Notes
Congress: if INS doesn’t get its act together, there will be more regulations
Page 12: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

12

Failed Investment Strategies

Presenter
Presentation Notes
Companies that got caught in interest rate decline – the timing
Page 13: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

13

Failures Stemming From Invested Assets

Interest rate spike of the late 70’s leads life insurers to develop new products to compete with banks, S&L’s and mutual funds

• UL and annuities with guaranteed minimum crediting rates

• As rates decline, insurers look to new instruments

‒ Mortgage loans ‒ ADC loans ‒ Real estate ‒ Junk bonds

Presenter
Presentation Notes
Inflation high = bonds have high rate of return Back further: Life ins. were sleepy old companies Insurance in Baltimore- everyone was there 25-30 years – “under achievers” into insurance – take money, buy treasury bonds, pay claims when they die Term life – make more interest with CDs – trained $ out of insurance companies invested assets Universal life was developed in late 80s Rates go down in 90s; insurance companies have obligation to pay minimum crediting rates – will be losing money on every dollar you’re writing; life insurance companies need to get more aggressive – now making themselves experts in other areas (real estate) Bad time to be getting into real estate loans / got stuck with unfinished developments, etc. – bad recession in early 90s – HW Bush had to raise taxes, Clinton into office Regulat
Page 14: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

14

Failures Stemming From Invested Assets

Overbuilding during 1980’s contributes to real estate glut

• 1990-1991 recession

• Florida, Texas, Southwest and New England

Insurers forced to foreclose on mortgage loans and assume collateral properties

• Unfinished developments

• Golf courses

• Office buildings and malls

Page 15: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

15

Failures Stemming From Invested Assets

Regulators pressure insurers to divest from real estate holdings Insurers offer generous financing to any buyer

willing to pay book value • No money down

• Unqualified buyers

• Interest-only and cash flow loans

• Questionable appraisals used to support selling price

Many of these loans failed, and insurers forced to reacquire the properties

Presenter
Presentation Notes
Didn’t want to take loss – had to entice people Cash flow loans – would appear current although no one was paying money
Page 16: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

16

Failures Stemming From Invested Assets

AM Best downgrades many insurers

Liquidation sales for insurers without sufficient capital to ride out the storm

Death by policyholder runs (large, sudden increase in policy surrenders) • “Insurance is the next S&L”

Many 100+ year old life insurers acquired or forced into liquidation

Presenter
Presentation Notes
People surrender policies – death-spiral for insurance companies
Page 17: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

17

Executive Life Insurance Company

Executive Life invested heavily in “high yield securities” Uncollateralized bonds used to finance leverage buyouts

Policies guaranteed twice the returns of competing insurers

• “Our competitors follow an obsolete business model”

Public soured on “junk bonds” in the early 1990’s after Milken indicted on securities fraud Policyholders made a run on ELIC, which

led to the largest insurance insolvency at the time

Presenter
Presentation Notes
Michael Milken – Wall Street movie “greed is good” – based off of MM Another movie reference: Pretty Woman – would have been financed by junk bonds Executive Life pres. was a cousin of MM – Ken Lay (Enron) used about same phrase Largest insurance solvency of the time
Page 18: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

18

Management Schemes

Page 19: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

19

Guarantee Security Life

∙ Purchased in 1984 by two investment brokers (Mark Sanford and William Blackburn)

• Primarily offering annuities with high guaranteed interest rates

• Grew from $100 million to $1 billion in assets between 1984 and 1991

Presenter
Presentation Notes
Growth is too fast – red flag for regulators
Page 20: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

20

Guarantee Security Life

∙ Phantom Year-end Transactions with Merrill Lynch

• Sanford and Blackburn invested hundreds of millions of GSLIC dollars in high-yield, high-risk junk bonds

• Greatly exceeded regulatory caps for non-investment grade securities

• Merrill Lynch “swapped” these for U.S. Treasuries just before December 31

• In early January the transaction was reversed

‒ Phantom transaction

Presenter
Presentation Notes
Investment of funds is an issue to watch out for Had to buy junk bonds – before quarterly statements required you to show holdings (regulators only saw at year end) – just to deceive auditors
Page 21: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

21

Guarantee Security Life

∙ Equity Stripping

• Many junk bonds included warrants to purchase common stock in the issuer at a fixed price

‒ These warrants had value if stock price increased as a result of the leveraged buyouts

• Drexel Burnham Lambert detached the warrants, transferring them directly to Sanford and Blackburn’s personal accounts

• Sanford and Blackburn knew that the warrants were rightly the property of GSLIC and took care not to disclose their actions

Page 22: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

22

Guarantee Security Life

∙ Management’s Self Dealing

• Investment advisor fees

‒ Paid to companies controlled by the very persons already managing GSLIC

• Management fees

‒ Companies controlled by Sanford and Blackburn extracted a 20% markup on management expenses including payroll and rent

• Excessive executive salaries

∙ Sanford and Blackburn and companies owned/controlled by them looted over $80 million from GSLIC

Page 23: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

23

Guarantee Security Life

∙ In assessing the GSLIC matter, the Florida Commissioner of Insurance stated:

∙ “The fraud at Guaranteed Security was a carefully orchestrated bank robbery. But the thieves disguised themselves with the help of accountants and brokers and lawyers rather than wearing silk-stocking masks.”

Presenter
Presentation Notes
Tom Gallagher, FL Commissioner
Page 24: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

24

PIE Mutual Insurance Company

Founded in 1975, and became Ohio’s largest physicians insurer at the time of its failure in 1997

Expanded aggressively with low premiums and/or agents could offer discounts at their discretion • Despite AM Best ratings dropping each year

Agreement in place with a renowned law firm to provide all claim defense services in exchange for an up front percentage of written premium • PIE recorded no ALAE reserves since they were prepaid

• Until the law firm disbanded post-regulatory intervention, leaving a $100mm unfunded liability

Presenter
Presentation Notes
Reserving is an area to monitor Grew very rapidly – 90s: stock market 7years of 12-15% increases/yr Doctors not paying attention to AM Best ratings 21% of premium paid to law firm; they’d provide legal defense until claims were settled
Page 25: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

25

PIE Mutual Insurance Company

PIE was a significant political contributor • KY Insurance Commissioner approved PIE’s application to KY

over the objections of insurers, and later became PIE’s Executive Vice President for Governmental Relations

In the Fall of 1997, the CEO was paid $11.5 million without board approval, and a $1mm loan was forgiven. He also took a $265k cash advance on his future bonuses just days before regulators seized the Company

Presenter
Presentation Notes
Oversight of mgmt and the organizations activities is an are to monitor Paid off a lot of politicians - Elected Commissioner (OH)
Page 26: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

26

Frontier Insurance Company

Formed in the 1930’s

Adopted an aggressive growth strategy in the early 1990’s following IPO

Writing over 2.2 to 1 leverage ratio

Expanded writing MPL in several states, as well as many specialty liability lines

Post-insolvency, president and CEO stated: “We did a poor job of determining which were the

good doctors and which were the bad,'' he said, adding that the consequences became apparent in the last few years

Presenter
Presentation Notes
Excessive top line growth Grow too fast – average: less than 1:1 New territories: don’t know regulations, don’t know attorneys, etc. Important to know who you’re underwriting
Page 27: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

27

Where Are We Today?

Page 28: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

28

Development of regulation over past 20 years

∙ Looting of assets

• DOI background checks on owners and directors • Annual statutory audits in addition to examinations • Appraisal requirements

∙ Investment strategies

• Risk-based capital, ERM and ORSA • Reporting of all investment transactions

∙ Management schemes

• Comprehensive disclosure in annual statement and audited financial statements

• Holding company statements

Presenter
Presentation Notes
Swiss Re bought FL Company – had to finger print CEO
Page 29: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

29

Board oversight

∙ Establishing strategic objectives and risk tolerance

∙ Monitoring results versus expectations

∙ Audit committees monitor control environment and understand the key estimates and assumptions in the financial statements

What are we investing in?

Are we overly aggressive on yield?

Is our business plan reasonable?

Are we chasing topline growth?

Are we adequately reserved?

Does management put pressure on actuaries/auditors to hit numbers?

Are internal controls effective in producing accurate financial reports?

Page 30: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

30

Where will the next insolvency come from?

• Low interest rates / higher yielding investments • Erosion of tort reform • Natural disaster / pandemic • Changes in distribution methods • Automobile technology • Data security • Global financial crisis

Presenter
Presentation Notes
Can’t be complacent thinking we’ve thought of everything – what’s next?
Page 31: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

Questions?

Page 32: Why Insurance Companies Fail - IASA · insurance companies to support his lifestyle Plead guilty and sentenced to 17 years in prison . Congress reviews these events: This fraud went

32

Contact Information

∙ Heidi DeVette ∙ Senior Manager ∙ [email protected]

∙ Phone: (847) 230-9755

∙ Carleigh Moore ∙ Tax Manager ∙ [email protected]

∙ Phone: (919) 719-6429