Insurance, Risk Management & Reinsurance Market Research

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Insurance and risk management make up an immense global industry.  According to a survey conducted by a leading global insurance firm, Swiss Re, worldwide insurance premiums totaled $4.55 trillion in 2015 (the latest data available), down from $4.78 trillion in 2014.  This was equal to about 6.2% of global GDP.  Global life insurance premiums were $2.53 trillion during 2015, while all other types of insurance totaled $2.02 trillion.

In America alone, the insurance business employed about 2.6 million people in 2016.  Gross life insurance premiums in the U.S. totaled $815.0 billion during 2015 (a small increase), per the National Association of Insurance Commissioners (NAIC), while property and casualty premiums totaled $588.6 billion (up substantially from $569.3 billion the previous year.)  A large number of companies underwrite insurance in America, but the industry is dominated by a handful of major players.  Health insurance premiums paid in the U.S. during 2015 totaled $589.0 billion (up from $533.0 billion the previous year, and much higher than the $411.1 billion posted in 2007), according to the NAIC.

Premiums on a per capita basis remain very low in much of the world, pointing to excellent long-term opportunity for expansion of sales of insurance products of all types, including annuities.  It would be hard to overstate the importance of developing nations, such as China, India, Brazil and Indonesia, to the future growth of the insurance industry.  Much of the world is still clearly a fertile field for expansion of insurance companies that are willing and able to invest time and money in emerging markets.  The insurance markets in these areas will be boosted by a combination of rising household incomes; increasing education and financial sophistication among consumers; extending life spans; and a tradition of families relying on personal savings and initiative rather than government social programs to provide for retirement funds and health care.

Massive amounts of insurance company earnings come from the sale of annuities and other retirement and investment products, along with profits (or losses) that insurance underwriters earn on the investment of their own assets and reserves. 

In America, insurance is unique in the financial services field because, unlike banking and investments which are regulated largely (although not entirely) by federal agencies, insurance is regulated primarily at the state level.  This means that insurance firms must deal with up to 50 different sets of state regulations and 50 different state regulatory agencies.  At the same time, they must develop dozens of different premium rate structures that appropriately reflect the costs of meeting local risks and fulfilling state requirements.  As a result, few insurance underwriters offer all of their insurance products in all 50 states; many do business only in a limited number of states.  It is a regulatory and administrative nightmare that limits consumer choices and drives up overall insurance costs.

Insurance underwriting does not earn consistent levels of profits.  Property and casualty insurance companies sometimes face a year of losses, rather than profits, due to natural disasters such as hurricanes, earthquakes or floods.  Occasionally, insurance underwriters go broke, and firms that rate the financial stability of insurance underwriters always list more than a few that are not financially sound.

The insurance industry includes a wide variety of sectors and services.  The most obvious are insurance underwriters that cover the risks and issue the policies, along with the agencies that sell insurance.  However, there are also large numbers of consulting firms, claims processing firms, data collection firms and myriad other specialized fields serving the industry.  In addition, there are insurance brokers, which have traditionally posted enviable profits.  Insurance brokers represent the interests of corporate clients while finding their customers the best coverage at the best rates.  Elsewhere, banks such as Wells Fargo are doing reasonably well in the sale of insurance products, particularly annuities and life insurance.  Investment companies like Merrill Lynch (now part of Bank of America) have been eager to sell insurance to their customers as well.

While there are tens of thousands of small insurance firms worldwide, the industry tends to be concentrated in a few hundred major companies, many of which enjoy brands that are household names.  A handful of these top firms operate on a truly global scale.

In the world’s leading economies, regulators are in the process of forcing vast changes in the regulation and oversight of financial services firms of all types.  The focus is on making risks held by such firms more transparent, and maintaining sufficient levels of capital to cover potential losses.  The insurance industry is going through significant scrutiny and oversight as a result.

Health coverage is a major component of the insurance field.  Health spending in the U.S., at about 18% of Gross Domestic Product (GDP) in 2016, is projected to grow steadily.  Health care spending in America accounts for a larger share of GDP than in any other country by a wide margin.  Despite the incredible investment America continues to make in health care, 9.4% of people in the U.S. (29.8 million) lacked health care coverage for the entire year of 2015.  For some, insurance was unavailable or unaffordable.  In other cases, a lack of insurance was due to a personal decision not to pay for it. 

In March 2010, President Obama signed the Patient Protection and Affordable Care Act (ACA), designed to strengthen insurance company regulation and provide medical coverage to millions of uninsured Americans.  The act called for sweeping changes.  Provisions taking effect within the first six months of signing included coverage for adult children up to age 26 on their parents’ policies; making it unlawful for insurers to place lifetime caps on payouts or deny coverage should a policy holder become ill; and new policies are required to pay the full cost of selected preventive care and exempt such care from deductibles.  Effective in 2010, small businesses with fewer than 25 employees and average annual wages of less than $50,000 became eligible for tax credits to cover up to 35% of staff insurance premiums.

Online health care insurance “exchanges” began enabling consumers to shop for health coverage.  A 3.8% unearned income tax is levied on individuals earning more than $200,000 per year and families earning more than $250,000 per year, to fund the programs in the act.  Employers with more than 50 employees that do not offer health benefits will pay a fine per full time staff member if any of the workers receives a tax credit to buy coverage.  Most businesses with more than 200 employees are required to enroll all staff automatically in health insurance plans.  Also, the government began fining citizens who choose not to carry health insurance.

Despite the immense effort and expense, many Americans are greatly disappointed in the results of the Affordable Care Act.  Insurance policies sold under the exchange were expected to have 2017 premium increases averaging 25% for mid-level “Silver” coverage plans.  Millions of people remain uninsured due to various factors.  Health costs overall continue to rise dramatically.  This legislation is clearly still a work in progress.  Some residents of Colorado went a step further by placing Constitutional Amendment 69 on the ballot for November 2016, which would provide universal healthcare for all Colorado residents.  Despite the fact that the amendment was very unlikely to gain approval, due to the vast tax increases that would be required, the effort was a clear indication of continued consumer discontent.

Over the long-term, congressional concerns over the nation’s mounting health care costs could easily turn into a profit squeeze for both insurers and providers.