1. | Please tell us your policies for recognizing and classifying ceding commissions in your financial statements for both affiliates and non-affiliates. Reference for us the specific accounting literature by topic and paragraph that supports your accounting. Separately for affiliates and non-affiliates for each year presented, tell us the amount of ceding commissions recognized in your consolidated statements of operations and, as of December 31, 2013, the amount of ceding commissions reflected in your consolidated balance sheet. Additionally, explain to us, with reference to authoritative literature, your disclosure in Note 5 on page 98 with respect to the State Auto Group’s Homeowners Quota Share Arrangement that the amount of ceding commission earned is limited to the amount of deferred acquisition costs that would have been deferred if not for entering in the arrangement. |
2. | Refer to your disclosure on the bottom of page 45 that you have increased your involvement in managing litigated and higher severity terminated RED program claim files since third quarter 2013, and plan to take over full file management from certain third party administrators prior to year end. Further you disclose that you plan on completing a detailed, ground up analysis of RED program claims by year end. Please provide us the following: |
• | For each major line of business as indicated in the table on page 46, tell us the amount of losses and loss expenses payable at June 30, 2014 for which you rely on third party administrators. |
• | The facts and circumstances that caused you to increase your involvement in managing litigated and higher severity terminated RED program claim files since the third quarter 2013 as well as the amount of your losses and loss expenses payable at June 30, 2014 related to these claim files and the nature and extent of the increased involvement as compared to that prior to the third quarter 2013. |
• | The facts and circumstances that are resulting in your plan to take over full file management from certain third party administrators prior to year end as well as the amount of losses and loss expenses payable at June 30, 2014 related to these administrators, and to which lines of business they relate. |
• | What a ground up analysis of RED program claims entails and how that differs from what you normally do to arrive at your losses and loss expenses payable. |
• | The following table contains the amount of losses and loss expenses payable handled by third party administrators (“TPAs”) at June 30, 2014 ($ in millions): |
Specialty Insurance Segment (1) | ||||
Excess & Surplus property | $ | 5.9 | ||
Excess & Surplus casualty | 25.7 | |||
Programs (2) | 140.7 | |||
Workers’ Compensation | — | |||
Total Specialty | $ | 172.3 | ||
(1) TPAs are only used in our Specialty Insurance Segment. | ||||
(2) Includes $84.1 million for RED representing 8.7% of total loss and loss expense reserves. |
• | Continuing adverse development of reported claims for RED’s restaurant program caused us to become more directly involved in managing litigated and higher severity claims, which are more material, beginning in the third quarter of 2013. This included direct involvement in developing and executing claim settlement strategies. Previous to that, our claims personnel acted primarily in a supervisory role to the work being contractually performed by the TPA. Post-June 30, 2013, this increased involvement focused on the restaurant program and to a lesser extent, the commercial trucking program. At June 30, 2014, our carried loss and loss expense reserves included $71.2 million related to claims for the RED restaurant and commercial trucking programs. Please refer to the Company’s response to staff Comment 4 for additional discussion. |
• | During the first half of 2014, and in particular the second quarter, we again experienced development of reported claims in excess of what was anticipated based upon our evaluation at the end of 2013. This development occurred for claims at all levels (not just those in litigation or higher severity claims), including claims that had previously been below detailed reporting thresholds to us per our contracts with the TPAs. With the increase in the number of claims in excess of the authority of the claim TPAs already involving our claims personnel, we decided to bring the administration of all open and future reported claims in house by the end of 2014 for two TPAs who handle three programs including the restaurant and commercial trucking programs. In the Programs line above, our carried loss and loss expense reserves at June 30, 2014, included $74.7 million for which we intend to take over full claim file management. Please refer to the Company’s response to staff Comment 4 for additional discussion. |
• | A “ground up analysis” of RED program claims is our description of taking over full file management and will result in a complete review of each claim file by our claims staff, including claim files that previously fell within the authority level of the TPA and would not have been handled by our claim staff if claim processing remained with the TPA. No changes are being made to our reserving processes which seek to estimate the ultimate losses incurred at the respective valuation date. Losses and loss expenses payable are estimates established at each reporting date and involve significant judgment. We utilize various methods to arrive at our best estimate. These methods are more fully described beginning on page 35 of the 2013 Form 10-K. Case reserves (including those set previously by TPAs) are but one component of this process possibly influencing the selection of development factors, among other things, and ultimately our estimates. The risks associated with reserve estimates are more fully discussed in Item 1A of the 2013 Form 10-K. |
3. | Please tell us your consideration of providing disclosures in your financial statements required by ASC 944-40-50-3 and, with respect to terminated RED programs, ASC 944-40-50-4. Refer to ASC 944-40-50-2 regarding applicability of these disclosures to interim financial statements. |
4. | Regarding your reserve strengthening in 2012, 2013 and 2014 related to your terminated RED programs, of $21.3 million, $27.8 million and $11.4 million, respectively, please explain to us the reasons for each of these changes in estimates. Address the following: |
• | Identify and describe the nature and extent of a) new events that occurred or b) additional experience/information obtained since the last reporting date that led to the change in estimates. |
• | Explain the timing of the change in estimate such as why recognition occurred in the periods that it did and why recognition in earlier periods was not required. |
• | Reported frequency and severity of the RED programs trended higher than what was expected based upon our December 31, 2011 evaluation. Due to their overall materiality to the Program unit, the commercial trucking program and the restaurant program drove the revised estimates. |
• | For much of 2010 and 2011, loss estimates were based upon historical premium and loss data (including pricing data) provided by the program administrator, which is industry practice, as initial reported claim activity was limited. |
• | During the third quarter of 2012, several new high severity claims were reported related to accident years 2010 and 2011 for the commercial trucking program which caused us to revise our estimates. |
• | During the fourth quarter of 2012, we experienced reported claim development above expectations at the time for the restaurant program and therefore revised our estimates. |
• | During the first six months of 2013, there was an increase in the number of restaurant program claims in litigation, as well as an increase in overall severity of claims within the restaurant program, whether or not in litigation. For example, we saw individual claims exceeding $100,000 increase from $7.8 million as of December 31, 2012 to $25.0 million as of December 31, 2013. |
• | The strengthening related to the 2011 and 2012 accident years, where reported claim development exceeded our expectations and estimates made as part of our December 31, 2012 evaluation; primarily for the restaurant and commercial trucking programs. |
• | The reported claim activity of the restaurant program, which was canceled in 2012, exceeded our previous estimates and was driven by a higher than expected volume of newly reported claims and even greater litigation activity. |
• | As of June 30, 2014 the restaurant program had open, outstanding claims of approximately 1,200. During the first six months of 2014, 150 new claims were reported (with 86 of these claims relating to accident years 2011 and 2012), of which 60% were first notice lawsuits. |
• | As of June 30, 2014, approximately 65% of the current open claims were in litigation, compared to less than 50% just six months prior, which exceeded our expectations. This increase in litigated claims caused us to revise our estimates of severity. |
• | For the commercial trucking program, although newly reported claim activity was not an issue, ultimate claim estimates continued to increase for accident years 2012 and prior as new information emerged on an individual claim basis. |
• | The Company is responsible for the adequacy and accuracy of the disclosure in the filing; |
• | Staff comments or changes to disclosure in response to Staff comments do not foreclose the Commission from taking any action with respect to the filing; and |
• | The Company may not assert Staff comments as a defense in any proceeding initiated by the Commission or any person under the federal securities laws of the United States. |
Sincerely, |
/s/ Steven E. English |
Senior Vice President and Chief Financial Officer |