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LOSS AND LOSS ADJUSTMENT RESERVES
12 Months Ended
Dec. 31, 2018
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,

 
2018
 
2017
 
2016

 
(In thousands)
Gross reserves, beginning-of-period
 
$
230,515

 
$
158,110

 
$
97,706

Less: reinsurance recoverable (1)
 
(98,345
)
 
(40,412
)
 
(7,496
)
Net reserves, beginning-of-period
 
132,170

 
117,698

 
90,210


 
 
 
 
 
 
Incurred loss, net of reinsurance, related to:
 
 
 
 
 
 
Current year
 
231,133

 
245,545

 
201,704

Prior year loss development (2)
 
2,166

 
13,926

 
13,156

Ceded losses subject to offsetting experience account adjustments (3)
 
(4,883
)
 
(11,914
)
 
(17,050
)
Prior years
 
(2,717
)
 
2,012

 
(3,894
)
Total incurred loss and LAE, net of reinsurance
 
228,416

 
247,557

 
197,810


 
 
 
 
 
 
Paid loss, net of reinsurance, related to:
 
 
 
 
 
 
Current year
 
155,462

 
160,945

 
123,364

Prior years
 
75,290

 
72,140

 
46,958

Total paid loss and LAE, net of reinsurance
 
230,752

 
233,085

 
170,322


 
 
 
 
 
 
Net reserves, end-of-period
 
129,834

 
132,170

 
117,698

Plus: reinsurance recoverable (1)
 
166,396

 
98,345

 
40,412

Gross reserves, end-of-period
 
$
296,230

 
$
230,515

 
$
158,110


(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 (loss).

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, 2018, the Company experienced $2.2 million of unfavorable loss and LAE reserve development on prior accident years in its personal automobile and commercial general liability lines of businesses, partially offset by redundancy in the homeowners line of business as a result of lower LAE expenses primarily associated with Hurricane Irma.

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 our personal automobile and homeowners line of business. The automobile’s unfavorable development primarily related to the 2016 accident year from our auto program in the state of Georgia. The homeowners unfavorable development primarily related to the continued impact from assignment of benefits ("AOB") and related ligation costs in the state of Florida.

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 positive we cede 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 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.
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), 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)

 
(Unaudited)
 
 
 
 
 
 
Accident Year
 
2009
 
2010
 
2011
 
2012
 
2013
 
2014
 
2015
 
2016
 
2017
 
2018
 
2018
 
2018
2009
 
$
26,228

 
$
25,618

 
$
25,955

 
$
26,482

 
$
27,015

 
$
27,041

 
$
27,119

 
$
27,163

 
$
27,173

 
$
27,159

 
$
141

 
$
2,334

2010
 
 
 
24,825

 
25,056

 
26,151

 
27,895

 
28,968

 
29,407

 
29,945

 
30,459

 
30,602

 
30

 
2,391

2011
 
 
 
 
 
20,492

 
21,344

 
23,007

 
23,932

 
24,582

 
25,957

 
26,143

 
26,394

 
25

 
2,428

2012
 
 
 
 
 
 
 
23,032

 
23,301

 
24,186

 
24,468

 
25,889

 
26,356

 
26,836

 
38

 
2,691

2013
 
 
 
 
 
 
 
 
 
43,807

 
42,021

 
35,834

 
35,859

 
37,185

 
37,880

 
139

 
3,427

2014
 
 
 
 
 
 
 
 
 
 
 
64,312

 
63,300

 
61,770

 
62,206

 
61,817

 
636

 
7,621

2015
 
 
 
 
 
 
 
 
 
 
 
 
 
99,497

 
92,411

 
95,129

 
94,760

 
2,232

 
13,137

2016
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
171,264

 
162,043

 
158,764

 
11,832

 
23,982

2017
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
202,844

 
192,769

 
62,363

 
62,200

2018
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
210,158

 
91,887

 
28,532


 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total
 
$
867,139

 
 
 
 

(1)
The cumulative number of reported claims is measured by individual claimant at a coverage level.



 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 
Homeowners Cumulative Paid Losses and ALAE, Net of Reinsurance

 
For the Years Ended December 31,

 
(Unaudited)
 
 
Accident Year
 
2009
 
2010
 
2011
 
2012
 
2013
 
2014
 
2015
 
2016
 
2017
 
2018
2009
 
$
15,047

 
$
23,095

 
$
24,657

 
$
26,007

 
$
26,462

 
$
26,831

 
$
26,927

 
$
26,982

 
$
27,049

 
$
27,015

2010
 
 
 
14,052

 
21,350

 
24,730

 
26,886

 
27,984

 
29,092

 
29,739

 
30,376

 
30,449

2011
 
 
 
 
 
11,119

 
19,250

 
21,323

 
22,723

 
24,047

 
25,580

 
25,982

 
26,287

2012
 
 
 
 
 
 

 
13,693

 
20,728

 
23,120

 
23,923

 
25,186

 
26,113

 
26,777

2013
 
 
 
 
 
 
 
 
 
19,986

 
31,606

 
33,867

 
35,123

 
35,803

 
37,473

2014
 
 
 
 
 
 
 
 
 
 

 
37,033

 
53,831

 
57,891

 
59,722

 
60,555

2015
 
 
 
 
 
 
 
 
 
 
 
 
 
52,214

 
79,359

 
86,647

 
90,415

2016
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 
102,556

 
142,716

 
148,274

2017
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 
 

 
135,589

 
176,580

2018
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
141,173


 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
$
764,998


 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
All outstanding liabilities for unpaid claims and ALAE prior to 2009, net of reinsurance
 
 
138

Total outstanding liabilities for unpaid claims and ALAE, net of reinsurance
 
 
$
102,279


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, 2018:


 
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
 
57.8
%
 
23.5
%
 
5.7
%
 
3.8
%
 
2.5
%
 
3.5
%
 
1.5
%
 
1.1
%
 
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 Claims

 
(Unaudited)
 
 
 
 
 
 
Accident Year
 
2009
 
2010
 
2011
 
2012
 
2013
 
2014
 
2015
 
2016
 
2017
 
2018
 
2018
 
2018
2009
 
$
13,297

 
$
12,397

 
$
12,220

 
$
11,943

 
$
9,270

 
$
10,192

 
$
10,466

 
$
11,081

 
$
11,621

 
$
12,872

 
$
5

 
$
988

2010
 
 
 
8,552

 
7,582

 
7,474

 
7,045

 
7,535

 
7,597

 
7,645

 
7,809

 
8,252

 
72

 
691

2011
 
 
 
 
 
6,436

 
5,854

 
4,749

 
4,603

 
4,760

 
5,409

 
6,254

 
6,828

 
63

 
1,058

2012
 
 
 
 
 
 
 
5,279

 
4,952

 
4,801

 
4,700

 
4,658

 
4,346

 
4,509

 
121

 
538

2013
 
 
 
 
 
 
 
 
 
7,095

 
5,069

 
5,221

 
5,502

 
5,704

 
5,580

 
219

 
573

2014
 
 
 
 
 
 
 
 
 
 
 
7,475

 
7,709

 
6,384

 
6,620

 
6,348

 
161

 
673

2015
 
 
 
 
 
 
 
 
 
 
 
 
 
8,082

 
7,008

 
6,020

 
5,377

 
215

 
713

2016
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
10,727

 
5,809

 
6,561

 
402

 
695

2017
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
8,289

 
7,853

 
4,634

 
530

2018
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
6,553

 
5,254

 
313


 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total
 
$
70,733

 
 
 
 

    

 
Commercial General Liability Cumulative Paid Losses and ALAE, Net of Reinsurance

 
For the Years Ended December 31,

 
(Unaudited)
 
 
Accident Year
 
2009
 
2010
 
2011
 
2012
 
2013
 
2014
 
2015
 
2016
 
2017
 
2018
2009
 
$
2,253

 
$
4,236

 
$
6,466

 
$
7,384

 
$
8,046

 
$
8,593

 
$
10,130

 
$
10,454

 
$
11,308

 
$
12,377

2010
 
 

 
1,187

 
2,279

 
3,855

 
5,553

 
6,363

 
7,238

 
7,382

 
7,631

 
7,918

2011
 
 

 
 

 
764

 
2,763

 
3,366

 
3,673

 
4,246

 
4,866

 
5,831

 
6,349

2012
 
 

 
 

 
 

 
871

 
1,714

 
2,632

 
3,342

 
3,686

 
3,841

 
4,098

2013
 
 

 
 
 
 
 
 
 
882

 
2,233

 
3,366

 
3,867

 
4,606

 
5,033

2014
 
 

 
 
 
 
 
 
 
 

 
717

 
2,593

 
3,855

 
4,375

 
5,130

2015
 
 

 
 
 
 
 
 
 
 
 
 
 
798

 
2,296

 
3,249

 
3,827

2016
 
 

 
 
 
 
 
 
 
 
 
 
 
 

 
1,515

 
3,657

 
5,088

2017
 
 

 
 
 
 
 
 
 
 
 
 
 
 

 
 

 
1,592

 
2,478

2018
 
 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
963


 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total
 
$
53,261


 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
All outstanding liabilities for unpaid claims and ALAE prior to 2009, net of reinsurance
 
 
1,416

Total outstanding liabilities for unpaid claims and ALAE, net of reinsurance
 
 
$
18,888

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, 2018:

 
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
 
14.1
%
 
18.5
%
 
18.5
%
 
9.1
%
 
7.6
%
 
6.0
%
 
7.7
%
 
3.4
%
 
4.7
%
 
9.6
%



 
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

 
(Unaudited)
 
 
 
 
 
 
Accident Year
 
2009
 
2010
 
2011
 
2012
 
2013
 
2014
 
2015
 
2016
 
2017
 
2018
 
2018
 
2018
2009
 
$
272

 
$
267

 
$
259

 
$
264

 
$
258

 
$
243

 
$
243

 
$
243

 
$
243

 
$
242

 
$

 
$
57

2010
 
 
 
2,823

 
2,963

 
3,111

 
3,088

 
3,044

 
3,035

 
3,059

 
3,041

 
3,042

 

 
969

2011
 
 
 
 
 
3,580

 
3,350

 
2,954

 
2,912

 
2,762

 
2,848

 
2,796

 
2,756

 

 
789

2012
 
 
 
 
 
 
 
1,735

 
1,741

 
1,717

 
1,424

 
1,455

 
1,491

 
1,448

 
2

 
822

2013
 
 
 
 
 
 
 
 
 
1,517

 
1,863

 
1,826

 
1,829

 
2,161

 
2,123

 
9

 
3,468

2014
 
 
 
 
 
 
 
 
 
 
 
2,038

 
3,213

 
3,551

 
4,315

 
4,379

 
14

 
6,006

2015
 
 
 
 
 
 
 
 
 
 
 
 
 
3,045

 
2,882

 
2,781

 
2,878

 
62

 
6,498

2016
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
13,414

 
20,205

 
24,346

 
482

 
45,423

2017
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
20,411

 
22,472

 
2,222

 
31,169

2018
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
3,513

 
2,230

 
6,241


 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total
 
$
67,199

 
 
 
 
    
    

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 
Automobile Cumulative Paid Losses and ALAE, Net of Reinsurance

 
For the Years Ended December 31,

 
(Unaudited)
 
 
Accident Year
 
2009
 
2010
 
2011
 
2012
 
2013
 
2014
 
2015
 
2016
 
2017
 
2018
2009
 
$
61

 
$
218

 
$
220

 
$
225

 
$
241

 
$
243

 
$
243

 
$
243

 
$
243

 
$
242

2010
 
 

 
1,713

 
2,482

 
2,715

 
2,863

 
2,942

 
2,978

 
2,984

 
3,035

 
3,037

2011
 
 

 
 

 
1,417

 
2,381

 
2,562

 
2,644

 
2,726

 
2,755

 
2,755

 
2,755

2012
 
 

 
 

 
 

 
867

 
1,293

 
1,333

 
1,384

 
1,393

 
1,430

 
1,444

2013
 
 

 
 
 
 
 
 
 
907

 
1,609

 
1,906

 
2,069

 
2,109

 
2,112

2014
 
 

 
 
 
 
 
 
 
 

 
1,455

 
3,120

 
3,678

 
4,122

 
4,291

2015
 
 

 
 
 
 
 
 
 
 
 
 
 
1,393

 
2,293

 
2,670

 
2,807

2016
 
 

 
 
 
 
 
 
 
 
 
 
 
 

 
8,084

 
17,258

 
23,053

2017
 
 

 
 
 
 
 
 
 
 
 
 
 
 

 
 

 
12,821

 
20,762

2018
 
 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2,331


 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total
 
$
62,834


 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
All outstanding liabilities for unpaid claims and ALAE prior to 2009, net of reinsurance
 
 
9

Total outstanding liabilities for unpaid claims and ALAE, net of reinsurance
 
 
$
4,374


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, 2018:

 
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
 
41.7
%
 
32.2
%
 
16.4
%
 
5.5
%
 
2.5
%
 
1.0
%
 
0.2
%
 
0.5
%
 
 %
 
%
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:

 
December 31,
 
 
2018
 
2017

 
(In thousands)
Liabilities for unpaid losses and ALAE:
 
 
 
 
Homeowners
 
$
102,279

 
$
99,650

Commercial general liability
 
18,888

 
17,111

Automobile
 
4,374

 
11,030

Flood
 

 

Total liabilities for unpaid losses and ALAE, net of reinsurance
 
125,541

 
127,791

 
 
 
 
 
Reinsurance recoverables:
 
 
 
 
Homeowners
 
158,043

 
81,852

Commercial general liability
 

 

Automobile
 
8,275

 
15,360

Flood
 
78

 
1,133

Total reinsurance recoverables
 
166,396

 
98,345

 
 
 
 
 
Unallocated loss adjustment expenses
 
4,293

 
4,379

Gross liability for unpaid losses and LAE
 
$
296,230

 
$
230,515



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, 2018 and 2017, 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.