TrustShield Insurance
Underwriting Guidelines and RFQ Prioritization Framework
1. Introduction
1.1 Purpose of this Document
This comprehensive guide serves as the cornerstone of TrustShield Insurance's underwriting practices and RFQ prioritization strategies. It is designed to provide clear, actionable guidance to our underwriting team, ensuring consistency in our risk assessment, pricing, and decision-making processes. By adhering to these guidelines, we aim to maintain a balanced and profitable portfolio while delivering exceptional value to our clients.
The document reflects our commitment to data-driven decision-making, incorporating both traditional underwriting wisdom and cutting-edge AI-powered analytics. It is a living document, regularly updated to reflect changes in market conditions, regulatory requirements, and our corporate strategy.
1.2 Scope and Applicability
These guidelines apply to all underwriting activities within TrustShield Insurance, covering our full range of products across both personal and commercial lines. They are to be used by all underwriting staff, from junior underwriters to senior management, as well as integrated into our AI-powered RFQ assessment tools.
While the document provides a framework for decision-making, it is not intended to replace professional judgment. Underwriters are expected to use these guidelines in conjunction with their expertise and experience, escalating complex or unusual cases to senior management as appropriate.
1.3 Revision History
This document is subject to regular review and updates. Major revisions are conducted annually, with minor updates made quarterly or as needed in response to significant market or regulatory changes. The current version (3.2) includes updates to our cyber liability underwriting criteria and adjustments to our RFQ prioritization framework based on the latest market analysis and performance data.
A detailed log of all changes is maintained by the Underwriting Policy Committee and is available upon request. All users are responsible for ensuring they are referencing the most current version of this document.
2. General Underwriting Principles
2.1 Risk Appetite Statement
TrustShield Insurance aims to maintain a diverse, well-balanced portfolio that generates sustainable profitability while providing valuable protection to our clients. Our risk appetite is moderate, with a focus on predictable, well-understood risks. We seek to be market leaders in professional indemnity and cyber liability insurance, while maintaining a stable presence in traditional lines such as general liability and personal property.
We are willing to accept higher risks in areas where we have strong expertise and data advantages, balanced by more conservative positions in emerging or volatile risk categories. Our pricing strategy aims for a combined ratio of 95-98% across our portfolio, with individual product lines managed within specified ranges as detailed in section 4.
2.2 Ethical Considerations
TrustShield Insurance is committed to the highest standards of ethical conduct in all our underwriting practices. We believe that responsible, ethical underwriting not only protects our business but also serves the best interests of our clients and the broader community.
Key ethical principles include:
- Transparency in our pricing and policy terms
- Fair treatment of all clients, regardless of personal characteristics not relevant to the risk
- Responsible data usage, respecting privacy while leveraging analytics for accurate risk assessment
- Commitment to sustainability, including consideration of environmental and social factors in our underwriting decisions
- Proactive fraud prevention and reporting
All underwriting decisions must be made in accordance with these principles. Any ethical concerns or dilemmas should be escalated to the Ethics Committee for review.
2.3 Prohibited Industries and Activities
To align with our ethical standards and risk appetite, TrustShield Insurance does not provide coverage for certain industries and activities. These include, but are not limited to:
- Illegal activities or products
- Weapons manufacturers and distributors
- Businesses primarily engaged in gambling or adult entertainment
- Companies with significant involvement in environmentally destructive practices
- Firms engaged in human rights violations or exploitative labor practices
A comprehensive list of prohibited industries and activities is maintained in Appendix B. Underwriters should consult this list and seek clarification from management if there is any uncertainty about a potential client's eligibility.
2.4 Reinsurance Considerations
Our underwriting decisions are influenced by our reinsurance arrangements, which provide important protections for our balance sheet and enable us to offer higher coverage limits. Underwriters must be aware of our current reinsurance treaties and their implications for risk acceptance and pricing.
Key considerations include:
- Treaty limits and retention levels for each line of business
- Special acceptance procedures for risks that fall outside automatic treaty coverage
- Aggregate exposure management to stay within treaty parameters
- Reporting requirements for large risks or those with unusual characteristics
Detailed reinsurance guidelines are provided in Appendix D. Underwriters should consult with the Reinsurance Department for any cases that may require facultative coverage or special handling.
2.5 Underwriting Authority Limits
To ensure appropriate oversight and risk management, underwriting authority is delegated based on experience, expertise, and the complexity of the risk. Authority limits are defined for:
- Maximum policy limits that can be offered
- Pricing discretion (as a percentage deviation from technical rates)
- Ability to modify standard terms and conditions
The full Underwriting Authority Matrix is provided in Appendix E. Underwriters must operate within their designated authority limits and seek appropriate approvals for any exceptions. Regular audits are conducted to ensure compliance with these authority limits.
3. Policy-Specific Guidelines
Policy Type | Target Market | Coverage Limits | Priority | Target Win Rate | Margin | Flat Cost |
---|---|---|---|---|---|---|
Professional Indemnity Insurance | Legal, financial, and consulting firms | $100,000 - $10,000,000 | High | 80-95% | 0.54 | $15,000 |
Cyber Liability Insurance | Technology firms, e-commerce, healthcare | $250,000 - $5,000,000 | Medium-High | 60-80% | 0.60 | $12,000 |
General Liability Insurance | Retail, manufacturing, hospitality | $100,000 - $2,000,000 | Medium | 40-60% | 0.30 | $8,000 |
Workers Compensation Insurance | All industries (state-specific) | As required by state law | Low-Medium | 20-40% | 0.22 | $3,000 |
Personal Property Insurance | Homeowners, renters | $50,000 - $2,000,000 | Low | 10-30% | 0.25 | $3,000 |
4. Risk Assessment and Pricing
- 4.1 Actuarial Models and Pricing Tools
- 4.2 Underwriting Scorecards
- 4.3 Claims History Analysis
- 4.4 Industry-Specific Risk Factors
- 4.5 Geographic and Environmental Considerations
5. RFQ Prioritization Framework
- 5.1 AI-Powered Assessment Tool Integration
- 5.2 Priority Levels and Processing Times
- High Priority: Process within 24 hours
- Medium Priority: Process within 48 hours
- Low Priority: Process within 72 hours
- 5.3 Override Protocols
- 5.4 Capacity Management
6. Operational Procedures
- 6.1 RFQ Intake Process
- 6.2 Documentation Requirements
- 6.3 Underwriting Review Stages
- 6.4 Quality Assurance Checks
- 6.5 Approval and Binding Process
- 6.6 Policy Issuance and Delivery
7. Compliance and Regulatory Considerations
- 7.1 State-Specific Requirements
- 7.2 Anti-Money Laundering (AML) Procedures
- 7.3 Privacy and Data Protection Standards
- 7.4 Fair Pricing and Anti-Discrimination Policies
- 7.5 Licensing and Appointment Verification
8. Special Circumstances and Exceptions
- 8.1 High-Profile Clients
- 8.2 Disaster Response Protocols
- 8.3 Reinsurance Treaty Considerations
- 8.4 Strategic Partnership Opportunities
9. Performance Monitoring and Reporting
- 9.1 Key Performance Indicators (KPIs)
- 9.2 Win Rate Analysis
- 9.3 Profitability Metrics
- 9.4 Quarterly Business Review Process
- 9.5 Continuous Improvement Initiatives
10. Appendices
- A. Glossary of Terms
- B. Industry Classification Codes
- C. State-Specific Endorsements
- D. Reinsurance Treaties Summary
- E. Underwriting Authority Matrix
- F. Rate Tables and Multipliers
- G. Sample RFQ Assessment Scorecard
Note: This document is confidential and proprietary to TrustShield Insurance. It is to be used in conjunction with our AI-powered RFQ assessment tool and other underwriting resources. Underwriters should exercise professional judgment to account for unique circumstances not explicitly covered in these guidelines. Any deviations from these guidelines must be approved by senior underwriting management.
For questions or clarifications, please contact the Underwriting Policy Committee at upc@trustshield-insurance.com.