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LOSS AND LOSS ADJUSTMENT RESERVES
12 Months Ended
Dec. 31, 2020
Liability for Future Policy Benefit, before Reinsurance [Abstract]  
LOSS AND LOSS ADJUSTMENT RESERVES
9. 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,
202020192018
(In thousands)
Gross reserves, beginning-of-period$324,362 $296,230 $230,515 
Less: reinsurance recoverable (1)(164,429)(166,396)(98,345)
Net reserves, beginning-of-period159,933 129,834 132,170 
   
Net reserves from the Maison Companies acquisition— 11,825 — 
Incurred loss, net of reinsurance, related to:   
Current year358,952 262,118 231,133 
Prior year loss development (redundancy) (2)18,367 13,460 2,166 
Ceded losses subject to offsetting experience account adjustments (3)(816)(2,489)(4,883)
Prior years17,551 10,971 (2,717)
Amortization of acquisition fair value adjustment(54)(9)— 
Total incurred loss and LAE, net of reinsurance376,449 273,080 228,416 
   
Paid loss, net of reinsurance, related to:   
Current year253,344 173,313 155,462 
Prior years100,799 81,493 75,290 
Total paid loss and LAE, net of reinsurance354,143 254,806 230,752 
   
Net reserves, end-of-period182,239 159,933 129,834 
Plus: reinsurance recoverable (1)358,128 164,429 166,396 
Gross reserves, end-of-period$540,367 $324,362 $296,230 

(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, 2020, the Company experienced $18.4 million of net unfavorable loss and LAE reserve development on prior accident years, primarily in its commercial general liability line of business as a result of higher than expected late reported claims across a number of accident years during 2020.

During the year ended December 31, 2019, the Company experienced $13.5 million of net unfavorable loss and LAE reserve development on prior accident years, primarily in its personal automobile and commercial general liability lines of business. The development in commercial general liability was driven by late reported claims as well as large losses that drove 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 was driven by claims reopening and higher severity.

During the year ended December 31, 2018, the Company experienced $2.2 million of net unfavorable loss and LAE reserve development on prior accident years, primarily driven by net development in our personal automobile line of business, partially offset by net redundancy in our homeowners line of business. The unfavorable development on automobile primarily related to the 2016 accident year in the state of Georgia. The favorable net redundancy on homeowners was primarily driven by lower LAE expenses associated with Hurricane Irma, partially offset by continued adverse impact from assignment of benefits (“AOB”) and related litigation 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.

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 allocated LAE ("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 Year201120122013201420152016201720182019202020202020
2011$20,492 $21,344 $23,007 $23,932 $24,582 $25,957 $26,143 $26,394 $26,394 $26,375 $12 2,428 
2012 23,032 23,301 24,186 24,468 25,889 26,356 26,836 26,951 26,984 85 2,694 
2013  43,807 42,021 35,834 35,859 37,185 37,880 37,978 38,088 15 3,431 
2014   64,312 63,300 61,770 62,206 61,817 62,043 62,535 378 7,606 
2015    99,497 92,411 95,129 94,760 94,703 96,144 1,522 13,038 
2016     171,264 162,043 158,764 157,880 156,316 1,394 22,614 
2017      202,844 192,769 188,548 179,327 47,728 67,165 
2018       210,158 213,128 216,570 20,849 35,817 
2019        257,644 261,541 23,909 19,661 
2020         342,119 236,080 35,117 
        Total$1,405,999   

(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 Year2011201220132014201520162017201820192020
2011$11,119 $19,250 $21,323 $22,723 $24,047 $25,580 $25,982 $26,287 $26,340 $26,342 
201213,693 20,728 23,120 23,923 25,186 26,113 26,777 26,861 26,901 
201319,986 31,606 33,867 35,123 35,803 37,473 37,688 37,915 
2014 37,033 53,831 57,891 59,722 60,555 61,441 61,692 
2015  52,214 79,359 86,647 90,415 92,327 93,405 
2016   102,556 142,716 148,274 152,258 153,997 
2017    135,589 176,580 179,327 178,013 
2018     141,173 194,160 206,133 
2019      157,768 236,090 
2020       236,197 
       $1,256,685 
        
All outstanding liabilities for unpaid claims and ALAE prior to 2011, net of reinsurance— 
Total outstanding liabilities for unpaid claims and ALAE, net of reinsurance$149,314

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, 2020:

Average Annual Payout of Losses and ALAE, Net of Reinsurance
(Unaudited)
Year 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10
Homeowners62.0 %25.6 %4.6 %1.9 %1.8 %2.3 %1.0 %0.6 %0.2 %— %
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 Year201120122013201420152016201720182019202020202020
2011$6,436 $5,854 $4,749 $4,603 $4,760 $5,409 $6,254 $6,828 $7,817 $9,394 $1,572 1,367 
2012 5,279 4,952 4,801 4,700 4,658 4,346 4,509 5,109 6,431 1,209 817 
2013  7,095 5,069 5,221 5,502 5,704 5,580 5,984 7,588 1,245 759 
2014   7,475 7,709 6,384 6,620 6,348 6,697 9,028 1,549 1,016 
2015    8,082 7,008 6,020 5,377 7,947 9,141 2,043 877 
2016     10,727 5,809 6,561 8,502 12,267 3,086 845 
2017      8,289 7,853 6,558 8,519 3,369 639 
2018       6,553 6,233 7,280 4,281 420 
2019        1,604 2,535 1,826 114 
2020         37 — 
        Total$72,220   


Commercial General Liability Cumulative Paid Losses and ALAE, Net of Reinsurance
For the Years Ended December 31,
(Unaudited)
Accident Year2011201220132014201520162017201820192020
2011$764 $2,763 $3,366 $3,673 $4,246 $4,866 $5,831 $6,349 $7,365 $7,693 
2012 871 1,714 2,632 3,342 3,686 3,841 4,098 4,521 4,790 
2013  882 2,233 3,366 3,867 4,606 5,033 5,467 5,847 
2014   717 2,593 3,855 4,375 5,130 6,270 6,901 
2015    798 2,296 3,249 3,827 5,866 6,566 
2016     1,515 3,657 5,088 6,606 8,382 
2017      1,592 2,478 3,293 4,225 
2018       963 1,554 2,604 
2019        147 424 
2020         
        Total$47,437 
          
All outstanding liabilities for unpaid claims and ALAE prior to 2011, net of reinsurance3,545 
Total outstanding liabilities for unpaid claims and ALAE, net of reinsurance$28,328
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, 2020:
Average Annual Payout of Losses and ALAE, Net of Reinsurance
(Unaudited)
Year 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10
Commercial general liability10.2 %14.1 %10.4 %7.2 %10.3 %6.5 %6.3 %5.0 %7.2 %4.7 %


IBNR & ExpectedCumulative
Automobile Incurred Losses and ALAE, Net of ReinsuranceDevelopment onNumber of
For the Years Ended December 31,Reported ClaimsReported Claims
(Unaudited)
Accident Year201120122013201420152016201720182019202020202020
2011$3,580 $3,350 $2,954 $2,912 $2,762 $2,848 $2,796 $2,756 $2,762 $2,760 $— 789 
2012 1,735 1,741 1,717 1,424 1,455 1,491 1,448 1,444 1,448 824 
2013  1,517 1,863 1,826 1,829 2,161 2,123 2,127 2,127 3,471 
2014   2,038 3,213 3,551 4,315 4,379 4,417 4,413 6,019 
2015    3,045 2,882 2,781 2,878 2,915 2,944 14 6,553 
2016     13,414 20,205 24,346 25,918 25,923 251 67,655 
2017      20,411 22,472 24,579 24,669 740 52,885 
2018       3,513 4,623 4,439 887 9,604 
2019        (3)— 101 
2020         — — 
        Total$68,723   
          
Automobile Cumulative Paid Losses and ALAE, Net of Reinsurance
For the Years Ended December 31,
(Unaudited)
Accident Year2011201220132014201520162017201820192020
2011$1,417 $2,381 $2,562 $2,644 $2,726 $2,755 $2,755 $2,755 $2,755 $2,755 
2012 867 1,293 1,333 1,384 1,393 1,430 1,444 1,447 1,449 
2013  907 1,609 1,906 2,069 2,109 2,112 2,116 2,116 
2014   1,455 3,120 3,678 4,122 4,291 4,383 4,396 
2015    1,393 2,293 2,670 2,807 2,890 2,897 
2016     8,084 17,258 23,053 25,582 26,132 
2017      12,821 20,762 23,860 24,468 
2018       2,331 3,626 3,137 
2019        (5)— 
2020         — 
        Total$67,350 
          
All outstanding liabilities for unpaid claims and ALAE prior to 2011, net of reinsurance15 
Total outstanding liabilities for unpaid claims and ALAE, net of reinsurance$1,388

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, 2020:
Average Annual Payout of Losses and ALAE, Net of Reinsurance
(Unaudited)
Year 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10
Automobile42.3 %33.5 %14.2 %6.2 %2.3 %1.2 %0.3 %— %— %— %
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,
20202019
(In thousands)
Liabilities for unpaid losses and ALAE:
Homeowners$149,314 $137,168 
Commercial general liability28,328 17,014 
Automobile1,388 2,142 
Flood— — 
Total liabilities for unpaid losses and ALAE, net of reinsurance179,030 156,324 
Reinsurance recoverables:
Homeowners353,741 160,578 
Commercial general liability— 500 
Automobile1,424 3,228 
Flood2,963 123 
Total reinsurance recoverables358,128 164,429 
Unallocated loss adjustment expenses3,209 3,609 
Gross liability for unpaid losses and LAE$540,367 $324,362 

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, 2020 and 2019, were not considered material, except for our commercial general liability line of business. For this line of business, we updated our actuarial assumptions to reflect the new, emerging trend relating to the increased level of new claims being reported related to construction defects, as the new development patterns are different than the historical patterns.

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.