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LOSS AND LOSS ADJUSTMENT RESERVES
12 Months Ended
Dec. 31, 2019
Liability for Future Policy Benefit, before Reinsurance [Abstract]  
LOSS AND LOSS ADJUSTMENT RESERVES
7. 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:
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Year Ended December 31,
201920182017
(In thousands)
Gross reserves, beginning-of-period$296,230  $230,515  $158,110  
Less: reinsurance recoverable (1)(166,396) (98,345) (40,412) 
Net reserves, beginning-of-period129,834  132,170  117,698  
   
Net reserves from Maison acquisition11,825  —  —  
Incurred loss, net of reinsurance, related to:   
Current year262,118  231,133  245,545  
Prior year loss development (2)13,460  2,166  13,926  
Ceded losses subject to offsetting experience account adjustments (3)(2,489) (4,883) (11,914) 
Prior years10,971  (2,717) 2,012  
Amortization of acquisition fair value adjustment(9) —  —  
Total incurred loss and LAE, net of reinsurance273,080  228,416  247,557  
   
Paid loss, net of reinsurance, related to:   
Current year173,313  155,462  160,945  
Prior years81,493  75,290  72,140  
Total paid loss and LAE, net of reinsurance254,806  230,752  233,085  
   
Net reserves, end-of-period159,933  129,834  132,170  
Plus: reinsurance recoverable (1)164,429  166,396  98,345  
Gross reserves, end-of-period$324,362  $296,230  $230,515  

(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, 2019, the Company experienced $13.5 million of unfavorable loss and LAE reserve development on prior accident years, primarily in its personal automobile and commercial general liability lines of businesses. The development in commercial general liability is being driven by late reported claims as well as large losses that are driving up the overall severity metrics. Additionally, the unfavorable automobile development primarily related to 2017 accident year from our auto programs in the states of Georgia and Texas, and is being driven by claims reopening and higher severity.

During the year ended December 31, 2018, the Company experienced $2.2 million of unfavorable loss and LAE reserve development on prior accident years, primarily in our personal automobile and homeowners line of business. The unfavorable automobile
development primarily related to the 2016 accident year 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.

During the year ended December 31, 2017, 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.
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 & ExpectedCumulative
Homeowners Incurred Losses and ALAE, Net of ReinsuranceDevelopment onNumber of
For the Years Ended December 31,Reported ClaimsReported Claims (1)
(Unaudited)
Accident Year201020112012201320142015201620172018201920192019
2010$24,825  $25,056  $26,151  $27,895  $28,968  $29,407  $29,945  $30,459  $30,602  $30,651  $66  2,393  
2011 20,492  21,344  23,007  23,932  24,582  25,957  26,143  26,394  26,394  33  2,429  
2012  23,032  23,301  24,186  24,468  25,889  26,356  26,836  26,951  63  2,694  
2013   43,807  42,021  35,834  35,859  37,185  37,880  37,978  102  3,434  
2014    64,312  63,300  61,770  62,206  61,817  62,043  144  7,657  
2015     99,497  92,411  95,129  94,760  94,703  887  13,227  
2016      171,264  162,043  158,764  157,880  4,709  24,219  
2017       202,844  192,769  188,548  5,228  67,237  
2018        210,158  213,128  9,975  36,555  
2019         245,819  58,908  17,670  
        Total$1,084,095    

(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 Year2010201120122013201420152016201720182019
2010$14,052  $21,350  $24,730  $26,886  $27,984  $29,092  $29,739  $30,376  $30,449  $30,585  
201111,119  19,250  21,323  22,723  24,047  25,580  25,982  26,287  26,340  
201213,693  20,728  23,120  23,923  25,186  26,113  26,777  26,861  
2013   19,986  31,606  33,867  35,123  35,803  37,473  37,688  
2014  37,033  53,831  57,891  59,722  60,555  61,441  
2015     52,214  79,359  86,647  90,415  92,327  
2016    102,556  142,716  148,274  152,258  
2017       135,589  176,580  179,327  
2018          141,173  194,160  
2019       157,768  
       $958,755  
        
Acquired balance from acquisition11,825  
All outstanding liabilities for unpaid claims and ALAE prior to 2010, net of reinsurance 
Total outstanding liabilities for unpaid claims and ALAE, net of reinsurance$137,168  

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, 2019:

Average Annual Payout of Losses and ALAE, Net of Reinsurance
(Unaudited)
Year 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10
Homeowners59.5 %23.8 %4.5 %3.3 %2.4 %3.1 %1.5 %1.2 %0.2 %0.5 %
IBNR & ExpectedCumulative
Commercial General Liability Incurred Losses and ALAE, Net of ReinsuranceDevelopment onNumber of
For the Years Ended December 31,Reported ClaimsReported Claims
(Unaudited)  
Accident Year201020112012201320142015201620172018201920192019
2010$8,552  $7,582  $7,474  $7,045  $7,535  $7,597  $7,645  $7,809  $8,252  $8,401  $106  761  
2011 6,436  5,854  4,749  4,603  4,760  5,409  6,254  6,828  7,817  81  1,224  
2012  5,279  4,952  4,801  4,700  4,658  4,346  4,509  5,109  94  712  
2013   7,095  5,069  5,221  5,502  5,704  5,580  5,984  125  670  
2014    7,475  7,709  6,384  6,620  6,348  6,697  149  761  
2015     8,082  7,008  6,020  5,377  7,947  584  783  
2016      10,727  5,809  6,561  8,502  858  743  
2017       8,289  7,853  6,558  2,345  577  
2018        6,553  6,233  4,395  388  
2019         1,604  789  78  
        Total$64,852    


Commercial General Liability Cumulative Paid Losses and ALAE, Net of Reinsurance
For the Years Ended December 31,
(Unaudited)
Accident Year2010201120122013201420152016201720182019
2010$1,187  $2,279  $3,855  $5,553  $6,363  $7,238  $7,382  $7,631  $7,918  $8,165  
2011 764  2,763  3,366  3,673  4,246  4,866  5,831  6,349  7,365  
2012      871  1,714  2,632  3,342  3,686  3,841  4,098  4,521  
2013         882  2,233  3,366  3,867  4,606  5,033  5,467  
2014    717  2,593  3,855  4,375  5,130  6,270  
2015       798  2,296  3,249  3,827  5,866  
2016      1,515  3,657  5,088  6,606  
2017         1,592  2,478  3,293  
2018            963  1,554  
2019         147  
        Total$49,254  
          
All outstanding liabilities for unpaid claims and ALAE prior to 2010, net of reinsurance1,416  
Total outstanding liabilities for unpaid claims and ALAE, net of reinsurance$17,014  
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, 2019:
Average Annual Payout of Losses and ALAE, Net of Reinsurance
(Unaudited)
Year 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10
Commercial general liability13.2 %17.7 %13.9 %10.5 %11.4 %8.6 %6.0 %5.1 %7.3 %3.5 %


IBNR & ExpectedCumulative
Automobile Incurred Losses and ALAE, Net of ReinsuranceDevelopment onNumber of
For the Years Ended December 31,Reported ClaimsReported Claims
(Unaudited)
Accident Year201020112012201320142015201620172018201920192019
2010$2,823  $2,963  $3,111  $3,088  $3,044  $3,035  $3,059  $3,041  $3,042  $3,042  $—  969  
2011 3,580  3,350  2,954  2,912  2,762  2,848  2,796  2,756  2,762  —  789  
2012  1,735  1,741  1,717  1,424  1,455  1,491  1,448  1,444   822  
2013   1,517  1,863  1,826  1,829  2,161  2,123  2,127   3,471  
2014    2,038  3,213  3,551  4,315  4,379  4,417  10  6,015  
2015     3,045  2,882  2,781  2,878  2,915   6,538  
2016      13,414  20,205  24,346  25,918  21  56,541  
2017       20,411  22,472  24,579  243  42,064  
2018        3,513  4,623  600  7,975  
2019         (3)  92  
        Total$71,824    
          
Automobile Cumulative Paid Losses and ALAE, Net of Reinsurance
For the Years Ended December 31,
(Unaudited)
Accident Year2010201120122013201420152016201720182019
2010$1,713  $2,482  $2,715  $2,863  $2,942  $2,978  $2,984  $3,035  $3,037  $3,037  
2011 1,417  2,381  2,562  2,644  2,726  2,755  2,755  2,755  2,755  
2012      867  1,293  1,333  1,384  1,393  1,430  1,444  1,447  
2013         907  1,609  1,906  2,069  2,109  2,112  2,116  
2014    1,455  3,120  3,678  4,122  4,291  4,383  
2015       1,393  2,293  2,670  2,807  2,890  
2016      8,084  17,258  23,053  25,582  
2017         12,821  20,762  23,860  
2018            2,331  3,626  
2019         (5) 
        Total$69,691  
          
All outstanding liabilities for unpaid claims and ALAE prior to 2010, net of reinsurance 
Total outstanding liabilities for unpaid claims and ALAE, net of reinsurance$2,142  

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, 2019:
Average Annual Payout of Losses and ALAE, Net of Reinsurance
(Unaudited)
Year 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10
Automobile40.9 %31.4 %14.9 %7.9 %2.6 %1.4 %0.2 %0.7 %— %— %
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,
20192018
(In thousands)
Liabilities for unpaid losses and ALAE:
Homeowners$137,168  $102,279  
Commercial general liability17,014  18,888  
Automobile2,142  4,374  
Flood—  —  
Total liabilities for unpaid losses and ALAE, net of reinsurance156,324  125,541  
Reinsurance recoverables:
Homeowners160,578  158,043  
Commercial general liability500  —  
Automobile3,228  8,275  
Flood123  78  
Total reinsurance recoverables164,429  166,396  
Unallocated loss adjustment expenses3,609  4,293  
Gross liability for unpaid losses and LAE$324,362  $296,230  

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, 2019 and 2018, 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.