623.11

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623.11 Amount of compulsory surplus.

623.11(1)

(1) Determination of amount. Except as provided in sub. (3), the commissioner shall, when necessary, determine the amount of compulsory surplus that an insurer is required to have in order not to be financially hazardous under § 645.41 (4), as an amount that will provide reasonable security against contingencies affecting the insurer’s financial position that are not fully covered by reserves or by reinsurance.

623.11(1)(a)

(a) Types of contingencies. The commissioner shall consider the risks of:

623.11(1)(a)1.

1. Increases in the frequency or severity of losses beyond the levels contemplated by the rates charged;

623.11(1)(a)2.

2. Increases in expenses beyond those contemplated by the rates charged;

623.11(1)(a)3.

3. Decreases in the value of or the return on invested assets below those planned on;

623.11(1)(a)4.

4. Changes in economic conditions that would make liquidity more important than contemplated and would force untimely sale of assets or prevent timely investments;

623.11(1)(a)5.

5. Currency devaluation to which the insurer may be subject; and

623.11(1)(a)6.

6. Any other contingencies the commissioner can identify which may affect the insurer’s operations.

623.11(1)(b)

(b) Controlling factors. In making the determination under this subsection, the commissioner shall take into account the following factors:

623.11(1)(b)1.

1. The most reliable information available as to the magnitude of the various risks under para. (a);

623.11(1)(b)2.

2. The extent to which the risks in para. (a) are independent of each other or are related, and whether any dependency is direct or inverse;

623.11(1)(b)3.

3. The insurer’s recent history of profits or losses;

623.11(1)(b)6.

6. Any other relevant factors.

623.11(2)(a)

(a) Amounts at risk;

623.11(2)(b)

(b) Premiums written or premiums earned;

623.11(2)(c)

(c) Liabilities;

623.11(1)(b)4.

4. The extent to which the insurer has provided protection against the contingencies in other ways than the establishment of surplus, including redundancy of premiums; adjustability of contracts under their terms; investment valuation reserves whether voluntary or mandatory; appropriate reinsurance; the use of conservative actuarial assumptions to provide a margin of security; reserve adjustments after rate increases for policies written at earlier and less adequate rates; contingency or catastrophe reserves; diversification of assets and underwriting risks;

623.11(1)(b)5.

5. Independent judgments of the soundness of the insurer’s operations, as evidenced by the ratings of reliable professional financial reporting services; and

623.11(2)

(2) Rules. Except as provided in sub. (3), the commissioner may, subject to adjustment to the circumstances of individual insurers in accordance with the factors in sub. (b), establish by rule minimum ratios for the compulsory surplus in relation to any relevant variables, including the following:

623.11(2)(d)

(d) Equity investments of all or certain kinds in combination with any of the variables under pars. (a) to (c).

623.11(3)

(3) Health maintenance organization insurers. The amount of compulsory surplus required of a health maintenance organization insurer is the amount provided in § 609.97.