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LOSS AND LOSS ADJUSTMENT RESERVES
12 Months Ended
Dec. 31, 2017
Liability for Future Policy Benefits [Abstract]  
LOSS AND LOSS ADJUSTMENT RESERVES
6. LOSS AND LOSS ADJUSTMENT RESERVES    

The liability for loss and LAE reserves is determined on an individual-case basis for all claims reported. The liability also includes amounts for unallocated expenses, anticipated future claim development and IBNR.

Activity in the liability for loss and LAE reserves is summarized as follows:
໿
໿

 
Year Ended December 31,

 
2017
 
2016
 
2015

 
(In thousands)
Gross reserves, beginning of period
 
$
158,110

 
$
97,706

 
$
78,330

Less: reinsurance recoverable (1)
 
(40,412
)
 
(7,496
)
 
(10,394
)
Net reserves, beginning of period
 
117,698

 
90,210

 
67,936


 
 
 
 
 
 
Incurred loss, net of reinsurance, related to:
 
 
 
 
 
 
Current year
 
245,545

 
201,704

 
120,005

   Prior year loss development (2)
 
13,926

 
13,156

 
(9,466
)
   Ceded losses subject to offsetting experience account adjustments (3)
 
(11,914
)
 
(17,050
)
 
2,171

Prior years
 
2,012

 
(3,894
)
 
(7,295
)
Total incurred loss and LAE, net of reinsurance
 
247,557

 
197,810

 
112,710


 
 
 
 
 
 
Paid loss, net of reinsurance, related to:
 
 
 
 
 
 
Current year
 
160,945

 
123,364

 
54,710

Prior years
 
72,140

 
46,958

 
35,726

Total paid loss and LAE, net of reinsurance
 
233,085

 
170,322

 
90,436


 
 
 
 
 
 
Net reserves, end of period
 
132,170

 
117,698

 
90,210

Plus: reinsurance recoverable (1)
 
98,345

 
40,412

 
7,496

Gross reserves, end of period
 
$
230,515

 
$
158,110

 
$
97,706


(1)
Reinsurance recoverable in this table includes only ceded loss and LAE reserves.
(2)
Reflects loss development from prior accident years impacting pre-tax net income. Excludes losses ceded under retrospective reinsurance treaties to the extent there is an offsetting experience account adjustment.
(3)
Reflects losses ceded under retrospective reinsurance treaties to the extent there is an offsetting experience account adjustment, such that there is no impact on pre-tax net income.

The establishment of loss reserves is an inherently uncertain process and changes in loss reserve estimates are expected as such estimates are subject to the outcome of future events. The factors influencing changes in claim costs are often difficult to isolate or quantify and developments in paid and incurred losses from historical trends are frequently subject to multiple interpretations. Changes in estimates, or differences between estimates and amounts ultimately paid, are reflected in the operating results of the period during which such adjustments are made.

During the year ended December 31, 2017, the Company experienced $13.9 million of unfavorable loss and LAE reserve development on prior accident years primarily in its personal automobile and homeowners lines of businesses. The adverse development in personal automobile of approximately $8.0 million was driven primarily by adjustments to cession percentages in certain auto reinsurance treaties. Additionally, the adverse development in homeowners of approximately $8.0 million was primarily caused by the continued impact of assignment of benefits (“AOB”) and related ligation costs in 2015 and other accident years.

As previously disclosed, the Company entered into 30% and 10% retrospectively-rated Florida-only property quota share treaties, which ended on July 1, 2016 and 2017, respectively. These agreements included a profit share (experience account) provision, under which the Company will receive ceded premium adjustments at the end of the treaty to the extent there is a positive balance in the experience account. This experience account is based on paid losses rather than incurred losses. Due to the retrospectively-rated nature of this treaty, when the experience account is positives the Company cedes losses under these treaties as the claims are paid with an equal and offsetting adjustment to ceded premiums (in recognition of the related change to the experience account receivable), with no impact on net income. Conversely, when the experience account is negative, the Company cedes losses on an incurred basis with no offsetting adjustment to ceded premiums, which impacts net income. Loss development can be either favorable or unfavorable regardless of whether the experience account is in a positive or negative position.

Beginning in 2017, for purposes of the total incurred loss, net of reinsurance line within this disclosure, the Company has classified paid losses related to these retrospectively rated quota share treaties which were ceded during the indicated year but relating to a prior accident year in a separate line. The related amounts in the previous year have been adjusted to conform to this presentation. Prior to 2017, these amounts were included in the current year incurred line item in the table above. Total amounts of incurred losses presented for 2016 and 2015 remain unchanged.

During the year ended December 31, 2016, the Company experienced unfavorable loss and LAE reserve development on prior accident years primarily in its all other peril homeowners coverage in Florida. In the first half of 2016, the Company began to experience a new and higher level of AOB claims both in frequency and severity in our homeowners business in Florida, which caused adverse experience on the loss activity in accident years 2015 and 2016. This increased level of AOB claims was the significant driver in the Company’s decision to increase the Company’s 2015 accident year reserves related to the Company’s homeowners Florida policies.

AOB is a legal construct that allows a third party to step into the shoes of the insured and is then paid directly by an insurance company for services rendered on behalf of the insured for a covered loss. Absent an AOB, the insured would pay the third party and those costs would be reimbursed by the insurance company to the insured. AOB is commonly used when a homeowner experiences a water loss, for example a leaky pipe, an overflow from a sink, or a damaged appliance, and contacts a contractor or water remediation company.

Misuse of this legal construct has led to contractors over inflating costs of claims and/or submitting improper claims, causing insurance companies to have to either pay the overinflated claim, fight the claim in court, or both. In all cases, AOB claims cost the insurance company, on average, more than five times the cost to settle non-AOB claims, which has been a primary driver the increase to our overall loss and loss adjustment in comparison to historical severity averages.
 
Although the concept of AOB had been around for several years prior to 2016, the Company had a relatively low level of AOB claims in the accident years prior to 2016 and the related adverse impact of AOB claims had a marginal impact on the Company’s overall loss experience. Given the nature of AOB claims, it is difficult to identify the number of outstanding or expected AOB claims as the third parties may not step into the shoes of the insured or may not identify itself to the Company until later on in the claim processing cycle. This delay in identifying AOB claims creates a challenge in estimating the Company’s loss reserves, as capturing the incremental costs to settle AOB claims as part of the Company’s calculation of estimated loss reserves at the end of the year.

Accordingly, the challenge described above together with the change in the Company’s historical trend on AOB claims were the main drivers of the prior year development in 2016.

During the year ended December 31, 2015, the Company experienced a redundancy on prior year accident years primarily a result of continued favorable loss experience (mostly caused by severity in reported claims) in the Company’s all other peril homeowners coverage caused in part by the absence of severe weather in Florida. Specifically, the Company has experienced better severity than expected in 2013 and 2014 accident years.
The following tables provide incurred losses and ALAE and cumulative paid losses and ALAE, net of reinsurance, for the prior 10 accident years, and the total of IBNR reserves plus expected development on reported claims and the cumulative number of reported claims (in thousands, except number of reported claims and severity), as of the most recent reporting period, by the Company’s significant lines of business, which are Homeowners, Commercial General Liability and Automobile.


IBNR & Expected
Cumulative
 

 
Homeowners Incurred Losses and ALAE, Net of Reinsurance
Development on
Number of
 

 
For the Years Ended December 31,
Reported Claims
Reported Claims (1)
Severity (2)

 
(Unaudited)
 
 
 
 
Accident Year
 
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2017
2017
2017
2008
 
18,305

15,784

15,811

15,977

15,659

16,021

15,661

15,604

15,609

15,608

5

1,710

9,125

2009
 
 
26,228

25,618

25,955

26,482

27,015

27,041

27,119

27,163

27,173

104

2,334

11,598

2010
 
 
 
24,825

25,056

26,151

27,895

28,968

29,407

29,945

30,459

35

2,389

12,735

2011
 
 
 
 
20,492

21,344

23,007

23,932

24,582

25,957

26,143

27

2,423

10,778

2012
 
 
 
 
 
23,032

23,301

24,186

24,468

25,889

26,356

14

2,677

9,840

2013
 
 
 
 
 
 
43,807

42,021

35,834

35,859

37,185

402

3,415

10,771

2014
 
 
 
 
 
 
 
64,312

63,300

61,770

62,206

1,730

7,564

7,995

2015
 
 
 
 
 
 
 
 
99,497

92,411

95,129

6,260

13,292

6,686

2016
 
 
 
 
 
 
 
 
 
171,264

162,043

18,842

26,562

5,391

2017
 
 
 
 
 
 
 
 
 
 
202,844

81,261

54,717

2,222


 
 
 
 
 
 
 
 
 
Total
$
685,146

 
 
 

(1) The cumulative number of reported claims is measured by individual claimant at a coverage level.
(2) Calculated severity amounts by accident year are based on inception-to-date incurred less IBNR and expected development dollars on reported claims. Note the older accident years are more developed than recent accident years.

 
 
 
 
 
 
 
 
 
 
 

 
Homeowners Cumulative Paid Losses and ALAE, Net of Reinsurance

 
For the Years Ended December 31,

 
(Unaudited)
 
Accident Year
 
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2008
 
9,477

13,832

14,689

15,190

15,308

15,445

15,595

15,583

15,587

15,587

2009
 
 
15,047

23,095

24,657

26,007

26,462

26,831

26,927

26,982

27,049

2010
 
 
 
14,052

21,350

24,730

26,886

27,984

29,092

29,739

30,376

2011
 
 
 
 

11,119

19,250

21,323

22,723

24,047

25,580

25,982

2012
 
 
 
 
 
13,693

20,728

23,120

23,923

25,186

26,113

2013
 
 
 
 
 
 

19,986

31,606

33,867

35,123

35,803

2014
 
 
 
 
 
 
 
37,033

53,831

57,891

59,722

2015
 
 
 
 
 
 
 
 

52,214

79,359

86,647

2016
 
 
 
 
 
 
 
 

 

102,556

142,716

2017
 
 
 
 
 
 
 
 
 
 
135,589


 

 
 
 
 
 
 
 
 
$
585,584


 

 
 
 
 
 
 
 
 
 
All outstanding liabilities for unpaid claims and ALAE prior to 2008, net of reinsurance
 
88

Total outstanding liabilities for unpaid claims and ALAE, net of reinsurance
 
$
99,650


The following table provides supplementary information about the average annual percentage payout of incurred losses and ALAE, net of reinsurance, for Homeowners policies, as of December 31, 2017:


 
Average Annual Payout of Losses and ALAE, Net of Reinsurance

 
(Unaudited)

 
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Homeowners
 
55.8
%
25.2
%
6.9
%
3.8
%
2.8
%
3.0
%
1.2
%
0.9
%
0.2
%
%


IBNR & Expected
Cumulative
 

 
Commercial General Liability Incurred Losses and ALAE, Net of Reinsurance
Development on
Number of
 

 
For the Years Ended December 31,
Reported Claims
Reported Claim
Severity

 
(Unaudited)
 
 
 
 
Accident Year
 
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2017
2017
2017
2008
 
16,615

17,448

17,271

17,260

16,083

15,584

16,297

16,839

18,453

20,039


1,553

12,903

2009
 
 
13,297

12,397

12,220

11,943

9,270

10,192

10,466

11,081

11,621


899

12,927

2010
 
 
 
8,552

7,582

7,474

7,045

7,535

7,597

7,645

7,809


673

11,603

2011
 
 
 
 
6,436

5,854

4,749

4,603

4,760

5,409

6,254

136

856

7,147

2012
 
 
 
 
 
5,279

4,952

4,801

4,700

4,658

4,346

127

452

9,334

2013
 
 
 
 
 
 
7,095

5,069

5,221

5,502

5,704

129

523

10,660

2014
 
 
 
 
 
 
 
7,475

7,709

6,384

6,620

178

578

11,145

2015
 
 
 
 
 
 
 
 
8,082

7,008

6,020

260

660

8,727

2016
 
 
 
 
 
 
 
 
 
10,727

5,809

658

617

8,348

2017
 
 
 
 
 
 
 
 
 
 
8,289

4,038

391

10,872


 
 
 
 
 
 
 
 
 
Total
$
82,511

 
 
 

    

 
Commercial General Liability Paid Losses and ALAE, Net of Reinsurance

 
For the Years Ended December 31,

 
(Unaudited)
 
Accident Year
 
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2008
 
2,324

6,491

8,856

10,980

12,768

14,662

15,389

16,122

17,716

19,693

2009
 
 

2,253

4,236

6,466

7,384

8,046

8,593

10,130

10,454

11,308

2010
 
 

 

1,187

2,279

3,855

5,553

6,363

7,238

7,382

7,631

2011
 
 

 

 

764

2,763

3,366

3,673

4,246

4,866

5,831

2012
 
 

 
 
 
871

1,714

2,632

3,342

3,686

3,841

2013
 
 

 
 
 
 

882

2,233

3,366

3,867

4,606

2014
 
 

 
 
 
 
 
717

2,593

3,855

4,375

2015
 
 

 
 
 
 
 
 

798

2,296

3,249

2016
 
 

 
 
 
 
 
 

 

1,515

3,657

2017
 
 

 
 
 
 
 
 
 
 
1,592


 
 
 
 
 
 
 
 
 
Total
$
65,783


 
 
 
 
 
 
 
 
 
 
 
All outstanding liabilities for unpaid claims and ALAE prior to 2008, net of reinsurance
 
383

Total outstanding liabilities for unpaid claims and ALAE, net of reinsurance
 
$
17,111

The following table provides supplementary information about the average annual percentage payout of incurred losses and ALAE, net of reinsurance, for Commercial General Liability policies, as of December 31, 2017:

 
Average Annual Payout of Losses and ALAE, Net of Reinsurance

 
(Unaudited)

 
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Commercial General Liability
 
13.9
%
20.3
%
14.3
%
9.6
%
7.8
%
7.3
%
6.5
%
2.9
%
6.9
%
8.8
%



IBNR & Expected
Cumulative
 

 
Automobile Incurred Losses and ALAE, Net of Reinsurance
Development on
Number of
 

 
For the Years Ended December 31,
Reported Claims
Reported Claims
Severity

 
(Unaudited)
 
 
 
 
Accident Year
 
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2017
2017
2017
2008
 
752

615

562

561

572

554

554

554

554

554


170

3,259

2009
 
 
272

267

259

264

258

243

243

243

243


63

3,857

2010
 
 
 
2,823

2,963

3,111

3,088

3,044

3,035

3,059

3,041


1,139

2,670

2011
 
 
 
 
3,580

3,350

2,954

2,912

2,762

2,848

2,796


918

3,046

2012
 
 
 
 
 
1,735

1,741

1,717

1,424

1,455

1,491


918

1,624

2013
 
 
 
 
 
 
1,517

1,863

1,826

1,829

2,161

61

3,533

594

2014
 
 
 
 
 
 
 
2,038

3,213

3,551

4,315


6,109

706

2015
 
 
 
 
 
 
 
 
3,045

2,882

2,781

49

6,883

397

2016
 
 
 
 
 
 
 
 
 
13,414

20,205

1,258

40,384

469

2017
 
 
 
 
 
 
 
 
 
 
20,411

8,912

23,557

488


 
 
 
 
 
 
 
 
 
Total
$
57,998

 
 
 
    
    

 
 
 
 
 
 
 
 
 
 
 

 
Automobile Paid Losses and ALAE, Net of Reinsurance

 
For the Years Ended December 31,

 
(Unaudited)
 
Accident Year
 
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2008
 
442

513

519

541

554

554

554

554

554

554

2009
 
 

61

218

220

225

241

243

243

243

243

2010
 
 

 

1,713

2,482

2,715

2,863

2,942

2,978

2,984

3,035

2011
 
 

 

 

1,417

2,381

2,562

2,644

2,726

2,755

2,755

2012
 
 

 
 
 
867

1,293

1,333

1,384

1,393

1,430

2013
 
 

 
 
 
 

907

1,609

1,906

2,069

2,109

2014
 
 

 
 
 
 
 
1,455

3,120

3,678

4,122

2015
 
 

 
 
 
 
 
 

1,393

2,293

2,670

2016
 
 

 
 
 
 
 
 

 

8,084

17,258

2017
 
 

 
 
 
 
 
 
 
 
12,821


 
 
 
 
 
 
 
 
 
Total
$
46,997


 
 
 
 
 
 
 
 
 
 
 
All outstanding liabilities for unpaid claims and ALAE prior to 2008, net of reinsurance
 
29

Total outstanding liabilities for unpaid claims and ALAE, net of reinsurance
 
$
11,030


The following table provides supplementary information about the average annual percentage payout of incurred losses and ALAE, net of reinsurance, for Automobile policies, as of December 31, 2017:

 
Average Annual Payout of Losses and ALAE, Net of Reinsurance

 
(Unaudited)

 
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Automobile
 
45.4
%
35.6
%
8.8
%
5.6
%
2.1
%
1.2
%
0.1
%
1.2
%
%
%
The reconciliation of the net incurred and paid development tables to the liability for unpaid losses and LAE in the consolidated balance sheets is as follows:

 
As of December 31,
 
 
2017
 
2016

 
(In thousands)
Liabilities for unpaid losses and LAE:
 
 
 
 
Homeowners
 
$
99,650

 
$
87,955

Commercial general liability
 
17,111

 
21,790

Automobile
 
11,030

 
7,792

Flood
 

 

Total liabilities for unpaid losses and LAE, net of reinsurance
 
127,791

 
117,537


 
 
 
 
Reinsurance recoverables:
 
 
 
 
Homeowners
 
81,852

 
20,968

Commercial general liability
 

 
35

Automobile
 
15,360

 
19,201

Flood
 
1,133

 
208

Total reinsurance recoverables
 
98,345

 
40,412


 
 
 
 
Unallocated loss adjustment expenses
 
4,379

 
161

Gross liability for unpaid losses and LAE
 
$
230,515

 
$
158,110



Management establishes a liability on an aggregate basis to provide for the estimated IBNR.   The estimates of the liability for loss and LAE reserves are subject to the effect of trends in claims severity and frequency and are continually reviewed. As part of this process, we review historical data and consider various factors, including known and anticipated legal developments, inflation and economic conditions. As experience develops and other data become available, these estimates are revised, as required, resulting in increases or decreases to the existing liability for loss and LAE reserves. Adjustments are reflected in results of operations in the period in which they are made and the liabilities may deviate substantially from prior estimates.

Various actuarial methods are utilized to determine the reserves that are booked to our financial statements. Weightings of tests and methods at a detailed level may change from evaluation to evaluation based on a number of observations, measures and time elements. On an overall basis, changes to methods and/or assumptions underlying reserve estimations and selections as of December 31, 2017 and 2016, were not considered material.

IBNR reserves are established for the quarter and year-end based on a quarterly reserve analysis by our actuarial staff. Various standard actuarial tests are applied to subsets of the business at a line of business and coverage basis. Included in the analyses are the following:    

Reported Loss Development Method: A reported loss development pattern is calculated based on historical loss development data, and this pattern is then used to project the latest evaluation of cumulative reported losses for each accident year or underwriting year, as appropriate, to ultimate levels;

Paid Development Method: A paid loss development pattern is calculated based on historical paid loss development data, and this pattern is then used to project the latest evaluation of cumulative paid losses for each accident year or underwriting year, as appropriate, to ultimate levels;

Expected Loss Ratio Method: Expected loss ratios are applied to premiums earned, based on historical company experience, or historical insurance industry results when company experience is deemed not to be sufficient; and

Bornhuetter-Ferguson Method: The results from the Expected Loss Ratio Method are essentially blended with either the Reported Loss Development Method or the Paid Development Method.