so - Independent Consumer and Competition Commission
Transcription
so - Independent Consumer and Competition Commission
INDEPENDENT CONSUMER AND COMPETITION COMMISSION REVIEW OF THE COMPULSORY THIRD PARTY MOTOR VEHICLES INSURANCE REGULATORY CONTRACT - PROPOSED FINAL REPORT - (Yet to be determined 2013) 1 FOREWORD The Independent Consumer and Competition Commission (hereafter the “Commission or ICCC”) was established in 2002 through an Act of Parliament called the Independent Consumer and Competition Commission Act 2002 (hereafter the “ICCC Act”) to promote competition and fair trade, regulate the prices of certain goods and services and protect consumer interests, and other related purposes in Papua New Guinea. Under its role of regulating prices, the Commission has the responsibility to regulate the prices of services provided by Regulated Entities, amongst other things. These Regulated Entities include public utility service providers such as PNG Power Ltd, and PNG Ports Corporation Ltd. Other Regulated Entities also include Post PNG Ltd and Motor Vehicles Insurance Ltd (hereafter ‘MVIL1’) which is the subject of this report. The regulatory arrangements that apply to these Regulated Entities are set out in detail in the Regulatory Contracts that have been prepared for, and apply to, each of the Regulated Entities. These Regulatory Contracts specify the minimum service standard requirements of the Regulated Entities, the price path that will apply over an agreed period of time and the pricing principles that are to be applied in reviewing that price path at some future date. Each Regulatory Contract further specifies the penalties that the Regulated Entities will incur if they fail to meet the service standards built into the price path and forming the basis of the Regulatory Contract. A Regulatory Contract currently exists for MVIL known as the Compulsory Third Party (CTP) Motor Vehicles Insurance Regulatory Contract (hereafter ‘Regulatory Contract’). This Final Report highlights the key findings and final determinations based on submissions received during the consultation period and the Commission’s own independent assessment and review of MVIL’s business. As part of the public consultation process, a Draft Report was released on 29 August 2012, seeking comments from relevant stakeholders and the general public of which information gathered from this review process has being considered and incorporated into formulating this Final Report. The Commission received 3 submissions in relation to the Draft Report (from MVIL, the Office of the Insurance Commissioner and the Independent Public Business Corporation). ……………………………………………….. Dr. Billy Manoka, (PhD) Commissioner & Chief Executive Officer 1 MVIL is one of the state owned entities through a shareholding held by Independent Public Business Corporation (IPBC). As per the ICCC Act, MVIL is a regulated entity and the provision of third party motor vehicle insurance service is a regulated service. MVIL was established by the Motor Vehicles (Third Party Insurance) Act as the sole Compulsory Third Party (CTP) Insurer of all motor vehicles in PNG. 2 LIST OF ACRONYMS Capex Commission Contract CPI CSO CTP Finity GoPNG ICCC ICCC Act ICT IPBC MVIL NSO Opex SOE Capital expenditure Independent Consumer and Competition Commission CTP Motor Vehicles Insurance Regulatory Contract Consumer Price Index Community Service Obligation Compulsory Third Party Finity Consulting Pty Ltd Government of PNG Independent Consumer and Competition Commission Independent Consumer and Competition Commission Act 2002 Information, Communication and Telecommunication (ICT) Independent Public Business Corporation Motor Vehicles Insurance Limited National Statistical Office Operating expenditure State Owned Entity 3 TABLE OF CONTENTS FOREWORD ................................................................................................................................................................2 TABLE OF CONTENTS.............................................................................................................................................4 EXECUTIVE SUMMARY ............................................................................................................................................7 KEY FINDINGS ........................................................................................................................................................................7 FINAL DETERMINATIONS ......................................................................................................................................................7 1. INTRODUCTION ............................................................................................................................................. 10 1.1 REGULATION OF MOTOR VEHICLE INSURANCE LIMITED ..................................................................................10 1.2 BRIEF OVERVIEW OF MVIL’s OPERATION ...........................................................................................................10 1.3 CTP MOTOR VEHICLES INSURANCE REGULATORY CONTRACT ........................................................................11 1.4 BACKGROUND TO THE REVIEW ............................................................................................................................12 1.5 PURPOSE AND OBJECTIVE OF REVIEW ...............................................................................................................12 1.6 LEGISLATIVE REQUIREMENTS...............................................................................................................................12 1.7 FORMAT AND TIMETABLE OF REVIEW PROCESS ................................................................................................13 1.8 THE FINAL REPORT AND THE FINAL REGULATORY CONTRACT ......................................................................14 1.9 GENERAL INFORMATION REQUEST ......................................................................................................................14 1.10 CONFIDENTIALITY .................................................................................................................................................14 1.11 CONTRACTUAL OBLIGATION ................................................................................................................................15 1.12 OFFENCES ...............................................................................................................................................................15 2. RATIONALE FOR REGULATION ................................................................................................................ 16 2.1 FOCUS OF REGULATION .......................................................................................................................................16 2.2 PREVIOUS FORM OF REGULATION .......................................................................................................................16 2.3 FORM OF REGULATION .........................................................................................................................................17 2.4 BENEFITS OF THE FORM OF REGULATION .........................................................................................................17 2.5 LENGTH OF REGULATORY PERIOD ......................................................................................................................18 3. 3.1 PRICING ISSUES ............................................................................................................................................. 19 PREVIOUS PRICING ISSUES ....................................................................................................................................19 4 3.2 UNCERTAINTY IN THE MECHANISMS OF PRICE DETERMINATION ....................................................................19 3.3 MVIL’S PROFIT AND SOLVENCY POSITION ..........................................................................................................20 4. DETERMINATION OF PREMIUMS REQUIRED FOR 2013 ................................................................... 21 4.1 BASIC PRINCIPLES OF INSURANCE PROJECTIONS ..............................................................................................21 4.2 METHOD FOR DERIVING THE PREMIUM DETERMINATION MODEL ...................................................................22 4.3 AVERAGE PREMIUM REQUIRED .............................................................................................................................22 4.4 VEHICLE CLASSES RELATIVITIES ..........................................................................................................................27 5. MVIL FINANCIAL FORECAST MODEL ...................................................................................................... 35 5.1 2002 FORECAST VERSUS EXPERIENCE ................................................................................................................35 5.2 APPROACH TO FINANCIAL FORECAST ................................................................................................................39 5.3 2013 – 2017 FORECAST ........................................................................................................................................39 5.4 SUMMARY OF FINANCIAL PROJECTIONS .............................................................................................................44 5.5 CONCLUSIONS FROM THE FINANCIAL FORECAST ..............................................................................................46 6. PRICE CONTROL FORMULA ...................................................................................................................... 47 6.1 FORMULA STRUCTURE AND COMPONENTS ........................................................................................................47 6.2 FORMULA COMPONENT DEFINITIONS .................................................................................................................47 6.3 ALLOCATION TO VEHICLE CLASS.........................................................................................................................49 6.4 2013 STARTING VALUES .......................................................................................................................................50 6.5 ESCALATIONS TO COST COMPONENTS ...............................................................................................................50 6.6 CHANGES IN VEHICLE MIX ....................................................................................................................................50 6.7 OTHER RISK SHARING PROVISIONS ......................................................................................................................51 6.8 CHANGES FROM PRIOR REGULATORY CONTRACT ............................................................................................51 6.9 TOTAL REVENUE REQUIREMENTS........................................................................................................................51 7. 7.1 8. SERVICE STANDARDS .................................................................................................................................. 52 SERVICE STANDARDS UNDER PREVIOUS REGULATORY CONTRACT ................................................................52 COMMUNITY SERVICE OBLIGATIONS ..................................................................................................... 55 8.1 MVIL COMMUNITY SERVICE OBLIGATIONS ..........................................................................................................55 8.2 CSO AND PREVIOUS REGULATORY CONTRACT ..................................................................................................55 5 8.3 9. CSO UNDER THE NEW REGULATORY PERIOD .....................................................................................................56 KEY ISSUES RELATING TO MVIL .............................................................................................................. 56 9.1 INCREASING NUMBER OF MOTOR VEHICLES ......................................................................................................56 9.2 DETERIORATION OF ROAD INFRASTRUCTURE ...................................................................................................57 9.3 FRAUDULENT CLAIMS ...........................................................................................................................................57 9.4 SETTLEMENT COSTS AND DECISIONS BY THE JUDICIARY ................................................................................57 9.5 INVESTMENTS .........................................................................................................................................................58 9.6 DELAYS IN CLAIM PAYMENTS ...............................................................................................................................58 9.7 ISSUANCE OF SAFETY STICKERS TO MOTOR VEHICLES ....................................................................................58 9.8 PROCUREMENT OF DRIVING LICENSES ................................................................................................................58 10. CHANGES UNDER THE NEW REGULATORY CONTRACT ............................................................. 59 10.1 LENGTH OF THE REGULATORY PERIOD ..............................................................................................................59 10.2 COST OF FUNDING NEXT REGULATORY CONTRACT .........................................................................................59 10.3 REPORTING FRAMEWORK .....................................................................................................................................59 10.4 MINIMUM SERVICE STANDARDS ............................................................................................................................60 10.5 MINIMUM SERVICE STANDARDS VERSES SENIOR MANAGEMENT REMUNERATION .........................................62 10.6 COMPETITIVE PROCUREMENT PROCESS .............................................................................................................62 10.7 RING FENCING ........................................................................................................................................................62 APPENDIX ................................................................................................................................................................ 64 6 EXECUTIVE SUMMARY The Independent Consumer and Competition Commission (“the Commission or ICCC”) has a regulatory contract known as the CTP Motor Vehicles Insurance Regulatory Contract (“Regulatory Contract”), which is binding on Motor Vehicles Insurance Limited (“MVIL”) and the Commission for a term that has being determined to be five (5) years commencing 1 January 2013. This report sets out an overview of the Commission’s key findings and Final Determinations of the Regulatory Contract for MVIL that will apply for the next regulatory periods commencing 1 January 2013 to 31 December 2017. The report incorporates submissions and comments received from relevant stakeholders based on the Draft Report which was issued for public comment on 29 August 2012 and the Commission’s own independent assessment and analysis of the matters relating to the operations of MVIL. KEY FINDINGS Having considered the issues surrounding the provision of compulsory third party (“CTP”) insurance cover to owners of registered motor vehicles in PNG, the Commission is of the view that the previous price control mechanism was appropriate, however requires some simplifications in the pricing formula. This is to ensure that MVIL is able to recover the expenses associated with the provision of third party insurance to its customers. The Commission has independently reviewed the data and submissions provided by MVIL and have incorporated these into the modeling of the forward looking price path for the provision of compulsory third party insurance cover service. As required under the regulatory principles in the previous Regulatory Contract, the model used to determine the Maximum Average Net Premium (MANP), must be based on an actuarial assessment of the key components such as the frequency of claims, the average size of claims, the pattern of claims, average reinsurance payments, profit loading and others. The previous Regulatory Contract contained service standard obligations which have not been met by MVIL. The new Regulatory Contract contains some explicit service standard requirements such as the re-establishment of an office in Popondetta and the upgrading of several agencies to branch levels, and to ensure it has a greater claims administration presence throughout the country, amongst other things. FINAL DETERMINATIONS The regulatory period for the previous Regulatory Contract was 10 years (2002-2011). Given the significant changes that can occur over that period of time, the Commission is of the view that a 10 year period is too long. This is consistent with the Commission’s determinations on the appropriate regulatory control periods for PNG Ports, PNG Power and the two water businesses (Eda Ranu and Water PNG). The Commission has determined that the Regulatory Contract is to be for a period of 5 years but for the Commission to have the option to extend the Regulatory Contract for a further 5 years subject to the MVIL meeting minimum performance standards. The pricing of CTP insurance is not straightforward and requires estimation of the cost of claims which have been incurred (including claims on accidents that have happened but are yet to be paid). The requirement for estimation introduces an element of uncertainty into the determination of appropriate premiums. In addition, the claims experience for particular types of vehicles varies considerably from year to year, thus adding additional uncertainty. 7 The recommended premiums have been based on an independent actuarial assessment of the costs of providing CTP insurance in PNG, the details of which are set out in Sections 3 and 4 of this Report. The Maximum Average Net Premium (MANP) is set by the Commission via the Regulatory Contract. The MANP is based on the average premium across all vehicle types. As such, the MANP is influenced by both the premiums charged to each class of vehicle and the number of vehicles within each vehicle class. Thus, the MANP could change purely due to a change in the mix of vehicles registered. The existence of the MANP is to ensure that consumers are not required to pay more than is necessary. The MANP (expressed in Kina) for Regulatory Year t (MANPt) is calculated as follows: MANPt ARPt AEt ARIPt 1 PLt where: ARPt AEt ARIPt PLt is the Average Risk Premium (expressed in Kina) for Regulatory Year t; is the Average Expenses (expressed in Kina) for Regulatory Year t; is the Average Reinsurance Premium (expressed in Kina) for Regulatory Year t; and is the Profit Loading for Regulatory Year t. The components of the formula are largely the same as those in the previous Regulatory Contract although there have been some simplifications. The main changes relate to the basis for determining the Average Expenses, the Average Reinsurance Premium and future premium inflation. In addition, MVIL has recommended the incorporation of an actuarial review to support the determination of the Average Accident Size (AAS) and the Accident Frequency (AF) with the review proposed to be completed every two (2) years. Given the potential for expenses including reinsurance costs to change also, the Commission has determined that all elements of the break-even premium be considered as part of the mid-term review. The Commission has determined that an annual assessment of the premiums is not necessary as long as there is sufficient monitoring of the claims experience and an annual actuarial assessment of outstanding claims liabilities is undertaken. The key benefits of the changes are greater simplicity and a reduced likelihood of inadequate pricing due to cost development. These benefits are partially offset by potential differences in the actual and expected rates of inflation. The new Regulatory Contract contains explicit service standard requirements including the reestablishment of an office in Popondetta and the upgrading of several agencies to branch levels. MVIL appears to have an effective system to collect premiums. It is therefore only appropriate that an effective system should be also implemented to assess and process claims. Under the previous Regulatory Contract MVIL has been serving its customers through provincial visitations with no monitoring on the outcome by the Commission. A key new requirement under the new Regulatory Contract ensures that MVIL has a greater claims administration presence throughout the country through the establishment of regional offices. In the draft report the Commission recommend that claims administration be available in each province, in doing so the Commission has accepted MVIL argument that amongst other reasons it was not financially viable, , to handle claims administratively in each provincial centre. In addition to the establishment of regional claims administration function provincial visitations will continue to be encouraged by the Commission but with closer scrutiny by the Commission under the new regulatory period. In conjunction with the establishment of regional offices to process claims and the instalment of the new MVIL claims management system, the Commission has determined that under the forthcoming regulatory contract MVIL will be required to pay claims within a mandatory time period of 6 months 8 from the time a claim is first submitted to MVIL. Under the previous Regulatory Contract, no time limit was imposed on MVIL on the resolution of claims and as a matter of course claims took many months and years to reach resolution. Any extension to the mandatory time frame for claim payment after will only be allowed on a case by case bias in consultation with the Commission. Penalties will be imposed if MVIL does not comply with this requirement. Additional recommended measures to improve claims administration and payment outcomes include the installation of toll-free service telephone line for customers to follow-up on their claims. It will firstly be installed at the headquarters in Port Moresby and subsequently regional centres. Further, MVIL will be required to provide claims information on a quarterly basis for monitoring purposes. As part of its Community Service Obligations (CSO), MVIL would be expected to invest as much resources into development of strategies to minimise accidents. In this capacity MVIL could partner with relevant organisations such as the Land Transport Board, Provincial Traffic Registry, Traffic Police, and the National Road Safety Council (NRSC), including providing funding assistance. There is also a need for MVIL to educate the public about the existence of CTP insurance cover and the processes for lodging a claim. 9 1. INTRODUCTION 1.1 REGULATION OF MOTOR VEHICLE INSURANCE LIMITED The compulsory third party (CTP) motor vehicles insurance industry in PNG is declared under section 26 of the Motor Vehicles (Third Party Insurance) Act (Chapter No. 295) (hereafter the “Motor Vehicles Act”) to be a regulated industry for the purposes of the Independent Consumer and Competition Commission Act 2002 (hereafter the “ICCC Act”). In 2002, the Minister for Treasury declared under section 32 of the ICCC Act that: Motor Vehicles Insurance Limited (“MVIL”) be a regulated entity; and The provision of CTP motor vehicles insurance coverage to be a regulated service. Furthermore, MVIL is licensed under the Insurance Act 1995 to provide CTP motor vehicles insurance coverage in PNG. Owners of motor vehicles are required under the Motor Vehicles Act to take out CTP motor vehicles insurance coverage with MVIL. As a result of these declarations made under the Motor Vehicles Act and the ICCC Act, the Commission is responsible for regulating the premiums and service standards of MVIL in its provision of CTP motor vehicles insurance coverage service. This is done through a Regulatory Contract (see section 1.3) that is binding on MVIL and the Commission pursuant to the provisions of the Motor Vehicles Act and the ICCC Act. 1.2 BRIEF OVERVIEW OF MVIL’s OPERATION MVIL’s business has a range of components and a significant number of associated stakeholders. Figure 1.1 provides a schematic overview of MVIL’s operations. Figure 1.1 – Overview of MVIL’s Operations ICCC MVIL Vehicles Registrations Road Worthy Accidents Drivers Police/Road Police Infrastructure Claims Doctors Lawyers Licensing 10 Courts Figure 1.1 above shows that: The Commission oversees the operations of the MVIL via the Regulatory Contract; There are three key elements of MVIL’s operations: o Collecting the insurance premiums from registered vehicles; o Encouraging accident prevention and advising people of their rights if they are involved in an accident; o Handling and paying the claims made by people injured in accident; There are a range of stakeholders with cross-over interests in each of the three elements: o Vehicles – vehicles must be registered and driven by a licensed driver, thus the MVIL has some reliance on the registration authority, road worthiness testing of vehicles, the drivers of vehicles and the adequacy of the licensing of those drivers; o Accidents – the number and severity of accidents are influenced by a range of factors which includes driver behaviour and skill, the policing of road laws and the standard of the road infrastructure itself; o Claims – Apart from the severity of the injury, the cost of a claim is impacted by the level of awards set by the judiciary as well as the quality and timeliness of medical treatment. MVIL relies upon the services provided by these stakeholders: Insurance policies rely on vehicle registration and the road worthiness of vehicles. There is no assessment of the adequacy of drivers and hence reliance is placed on the licensing regime; MVIL can provide education to reduce accidents but relies heavily on the enforcement of road laws by police and the development and maintenance of the road infrastructure; MVIL will not be aware of an accident until it is reported via a claim. MVIL must then manage the claims process which includes dealing with medical practitioners, lawyers and the courts; MVIL must ensure that sufficient income is obtained via the insurance premiums at registration to cover the cost of claims resulting from accidents that occur. 1.3 CTP MOTOR VEHICLES INSURANCE REGULATORY CONTRACT A regulatory contract has similar characteristics to a tariff setting agreement between a regulated entity and the regulator. The Commission currently has a regulatory contract in place with MVIL known as the CTP Motor Vehicles Insurance Regulatory Contract (“Regulatory Contract”) and is administered by the Commission as the Regulator. This Regulatory Contract is binding on MVIL and the Commission pursuant to the provisions of the ICCC Act and the Motor Vehicles Act. The Regulatory Contract regulates the premiums that MVIL may charge for the provision of CTP motor vehicles insurance coverage and the charges that MVIL may make for endorsements in respect of policies for that insurance. The existence of the Regulatory Contract is imperative in two ways: firstly, it substantially reduces the discretion of the Commission in setting premiums by adhering strictly to the formulas set out in the Regulatory Contract; and secondly, given MVIL’s monopoly power, it provides a necessary control on the premiums charged by the MVIL which might otherwise be excessive or pay limited regard to service standards. 11 Under the previous form of pricing arrangement, there was no set formula to use in determining premiums. As such, the existence of the Regulatory Contract ensures that there is a level/fair playing ground which is beneficial to all parties. The Regulatory Contract ensures that cost reflective premiums are charged to motor vehicle owners and, at the same time, premiums are sufficient to enable MVIL to maintain its operations on an ongoing basis as well as to provide funds to enable services to be suitably expanded in the future. Apart from premium setting, the Regulatory Contract covers the following items: The definition of regulated services; The initial prices for these regulated services; An adjustment mechanism for prices over the term of the Regulatory Contract; The term of the Regulatory Contract; The definition of force majeure and other regulatory pass through events which would result in a change within the Regulatory Contract; The service standards; and The review process associated with the subsequent regulatory period. 1.4 BACKGROUND TO THE REVIEW The Regulatory Contract outlines the pricing arrangements which bind the Commission and the regulated entity with pricing formulas such that prices are sufficient to sustain the operations of the entity as well as providing sufficient scope for further investment. The first Regulatory Contract for MVIL was set in 2002 for a regulatory period of 10 years and expiring on 31 December 2011. To enable sufficient time for this regulatory review, an interim Regulatory Contract has been applied for 2012 that being the Draft Regulatory Contract submitted by MVIL which is consistent with section 36(6) of the ICCC Act. This was the second review and the term of the Regulatory Contract has been determined to be for a period of five (5) years commencing on 1 January 2013 to 31 December 2017. 1.5 PURPOSE AND OBJECTIVE OF REVIEW This review was undertaken to determine MVIL’s price path and the minimum service standards for the next regulatory period for the provision of its regulated CTP motor vehicles insurance coverage service. The key task is to ensure that the pricing control mechanism determined for the provision of third party insurance provided by MVIL should allow MVIL to recover the costs associated with the efficient management of the CTP business as well as producing an appropriate rate of return for the capital invested. The new Regulatory Contract that is now issued with the completion of this review will supersede the previous Regulatory Contract and will bind both MVIL and the Commission, for the next regulatory period. 1.6 LEGISLATIVE REQUIREMENTS This review was undertaken in accordance with clause 6.2 and 7.1 of the previous Regulatory Contract and also considered the requirements of the ICCC Act and the Motor Vehicles Act. 12 The objectives of the ICCC Act are to enhance the welfare of the people of PNG, to promote economic efficiency, and to protect the long term interests of the people of PNG (Section 5(1) of the ICCC Act). It should not exercise any power in a manner that is inconsistent with the requirements of a Regulatory Contract that is in effect (Section 7(4) of the ICCC Act). At the same time, the Commission is to act independently in its consideration of the issues and is not subject to direction by Government (section 23 of the ICCC Act). 1.6.1 Regulatory Principles The Commission undertook this review in accordance with clause 6.2 of the previous Regulatory Contract, which provides for the setting of the next Regulatory Contract. The requirements outline the things that the Commission must take into account in the next Regulatory Contract review. These include: (i) the legitimate business interests of MVIL; (ii) the legitimate business interests of Customers of MVIL; (iii) the nature of the services which would be regulated under the Compulsory Third Party Motor Vehicles Insurance Regulatory Contract; (iv) the costs of providing the services which would be regulated under the Compulsory Third Party Motor Vehicles Insurance Regulatory Contract; (v) the costs of complying with relevant health, safety, environmental, social and other legislation and regulatory requirements applying to the compulsory third party motor vehicles insurance industry in Papua New Guinea; (vi) the return on assets required to sustain past and future investment in the compulsory third party motor vehicles insurance industry in Papua New Guinea; (vii) relevant international benchmarks for prices, costs and return on assets in comparable industries, taking into account the particular circumstances of Papua New Guinea; (viii) the financial implications of the Compulsory Third Party Motor Vehicles Insurance Regulatory Contract (if it were to come into force) for MVIL and the compulsory third party motor vehicles insurance industry in Papua New Guinea; (ix) the degree of actual and potential competition in the supply of the services the prices of which may be regulated under the Compulsory Third Party Motor Vehicles Insurance Regulatory Contract; 1.7 (x) any other factors specified in or under relevant legislation; and (xi) any other factors the Commission considers relevant. FORMAT AND TIMETABLE OF REVIEW PROCESS In arriving at this Final Report, the Commission issued a Draft Report with a review period in accordance with the timetable outlined below. 13 Table 1.1 Review Timetable EVENTS DATE MVIL submits Draft Regulatory Contract & written submissions 2 September 2011 The Commission published the Draft Report & Draft Regulatory Contract and invites relevant stakeholders for written submissions 29 August 2012 Close of submissions or comments from relevant stakeholders 28 September 2012 The Commission issues Final Report and Final Regulatory Contract. Yet To be determined In undertaking this review, the Commission was mindful of the need to allow a transparent public consultation process whereby all interested parties were able to contribute to the review by way of written submissions to the Commission. The Commission remains a strong advocate of the public consultation process. The submissions received in response to the Draft Report have been taken into consideration as part of developing this Final Report and the new Regulatory Contract. MVIL was also given the opportunity to make further submission based on the Draft Report. 1.8 THE FINAL REPORT AND THE FINAL REGULATORY CONTRACT Since this review is important to the Commission and MVIL, all issues and concerns raised by MVIL, the Commission and relevant stakeholders during the consultation and review period has been taken into consideration and therefore this Final Report forms the basis of the new Regulatory Contract. Note that the Final Regulatory Contract must be read together with this Final Report because if the Final Regulatory Contract is silent on certain areas, the Final Report determinations and conclusions take effect. The Commission is proposing to adopt this approach mainly because of its experiences in the past with other regulatory contract reviews that have shown that once a final regulatory contract is released, the final report is ignored. That should not have been the case as the final report discusses the entire third party insurance industry issues and concerns. What is reflected in the regulatory contract is an extract of the final report, or the key determinations or decisions therein. 1.9 GENERAL INFORMATION REQUEST The Commission may also require from MVIL to furnish any information or answer to any matters relating to the previous contract, this contract or the subsequent regulatory contract. This information request must be given under an oath or under a signed statutory declaration to be true in every respect to the best of his/her knowledge. This information must also be provided in the form required by the Commission with in 14 days of any written request by the Commission to MVIL. 1.10 CONFIDENTIALITY The Commission will only disclose information to the general public from the course of this regulatory period and subsequent regulatory period, except information that is designated as ‘confidential ‘ by MVIL. It must also be noted that the Commission, may if it considers that if the information designated 14 as “confidential’ by MVIL is in the best interest of the general public, it will and can disclose such information. 1.11 CONTRACTUAL OBLIGATION Where the Commission or the MVIL form the opinion on the balance of probabilities, that one or the other is contravening or is likely to contravene the provisions of this contract and the contravention is of a material nature, then the provisions of the ICCC Act will be followed and complied with in dealing with the subject of the contravention or the likely contravention by either party to this contract. 1.12 OFFENCES Any offences, criminal act that has been committed, or where MVIL or the Commission suspects to be committed, in the previous regulatory contract, this contract or the subsequent regulatory contract by either a personal from the Commission, the entity concerned or any personnel on any matters relating to the contract must be made known to both the Commission and MVIL. This offence must be made aware to IPBC, the Minister for Public Enterprise and the relevant law enforcement agencies ( by MVIL and the Commission) where a criminal act concerning the previous regulatory contract, this regulatory contract and the subsequent regulatory contract is being investigated and prosecuted by the relevant law enforcement agency. 15 2. RATIONALE FOR REGULATION As a matter of government policy MVIL was established in 2002 with its own enabling legislation as the sole provider of the CTP motor vehicle insurance cover in PNG. Given MVIL’s monopoly position there is the need for independent regulatory oversight of the industry and MVIL. Accordingly, the Commission was granted regulatory oversight, pursuant to section 32 of the ICCC Act 2002, by the Minister for Treasury matters. As the independent regulator of MVIL, the Commission is responsible for ensuring that MVIL complies with minimum service standards and ensuring that MVIL does not unfairly, or inappropriately, utilise its monopoly position. Regulation should also ensure that there is appropriate focus and oversight over the various aspects of MVIL’s business which includes financial performance, service delivery obligations and corporate responsibility. 2.1 FOCUS OF REGULATION The key elements for independent regulatory oversight by the Commission are: Efficient Premiums – as a monopoly provider of a compulsory product the reasonableness of the premiums charged needs to be monitored. Premiums need to be sufficient to cover claims costs and expenses but must also be affordable to consumers; Quality of service – the absence of competition means that there is no natural incentive to provide quality service. As a compulsory product the consumer should be able to expect a minimum level of service. As the regulator, the Commission has responsibility to ensure that specified minimum services standards are met. Financial Management – As a body responsible for delivering benefits to the community and managing public funds, the efficient and responsible financial management of MVIL’s assets is paramount; Efficient Operations – the Commission should ensure that the guidelines and requirements placed on MVIL allow sufficient flexibility for MVIL to operate efficiently; Scheme Equity – the Commission must ensure that there is a suitable balance between the interests of consumers and the financial stability of the scheme. 2.2 PREVIOUS FORM OF REGULATION In considering the form of regulation to apply, the Commission took into consideration the regulatory contract principles under Part III, Division 2 of the ICCC Act. It states that a regulatory contract shall: have a contract not exceeding 10 years nor should it be less than 5 years; regulate prices for the supply of regulated goods and services by the regulated entity over the term of the regulatory contract; specify service standards the relevant regulated entity shall meet; specify a process for the issue of a new regulatory contract to replace that regulatory contract on the expiry of its term; and deal with such other matters as the ICCC Act 2002 or any Act that declares an industry to be a regulated industry, or a regulation made under such an Act, required to be dealt in a regulatory contract. 16 MVIL premiums are currently regulated using a maximum average net premium (MANP) approach. This method is similar to a price cap form of regulation which the Commission has adopted in some past regulatory decisions for regulated utilities. Under this form of regulation, the average premium requires an estimate of: the number of registered vehicles; the number of claims or accidents that result in a claim; the average cost of those claims or accidents; the underwriting and management expenses incurred by the MVIL; the cost of reinsurance; and an appropriate profit loading. The Commission’s current regulatory contracts with other regulated entities (PNG Ports Corporation Ltd, PNG Power Ltd and Post PNG Ltd) incorporate a forecast cost-of-service approach in establishing the regulated entities operational costs and set a revenue path according to a CPI + X formula. This is typically referred to as the cost ‘Building Block’ approach. Unlike other utilities, MVIL is required to set prices in advance for claims that may or may not occur and where the timing of payments in also uncertain. As a result, a different form of pricing methodology is appropriate and the Commission has decided to regulate MVIL using Price Cap (Maximum Average Price Cap) form of regulation. 2.3 FORM OF REGULATION The Commission has adopted the previous form of regulation for the next regulatory period albeit with some slight changes to the term of the regulatory period, service standards and the pricing formula. 2.4 BENEFITS OF THE FORM OF REGULATION The key benefits of the adopted form of regulation are that all the issues of importance to the Commission as the regulator, and MVIL as the regulated entity, is contained in the new Regulatory Contract. In addition to the premium setting process, the Regulatory Contract covers other areas of importance such as: The definition of regulated service; The initial prices for these regulated service; An adjustment mechanism for prices over the term of the Regulatory Contract; The term of the new Regulatory Contract; The definition of force majeure and other regulatory pass through events which would result in a change within the Regulatory Contract; The service standards; and The review process associated with the subsequent regulatory period. The Regulatory Contract sets out specific formulas the regulator must use to determine premiums for the issuance of the CTP motor vehicles insurance cover in each regulatory year. This arrangement provides an environment of certainty to both the service provider (MVIL) and the customers. In addition, the arrangement ensures that the discretion of the Commission in setting premiums is reduced as a result of strict adherence to the formulas set out in the Regulatory Contract. 17 Furthermore, it allows for an equitable and affordable coverage for the wider general public with uniform premiums by class of vehicles throughout PNG. Some degree of cross-subsidisation between policyholders is necessary to maintain the affordable aspect of premiums. 2.5 LENGTH OF REGULATORY PERIOD The regulatory period for the previous Regulatory Contract was 10 years (2002-2011). The Commission is of the view that a 10 year period is too long given that circumstances can significantly change over that period of time. The adoption of a regulatory period of less than 10 years is consistent with the Commission’s determinations on the appropriate regulatory control periods for other regulated entities. Past experience has shown significant variance between the actual and forecast costs for several regulated businesses as evidenced in 2009 when PNG Ports requested an early review of its 10 year regulatory contract due to significant forecast costs variances and the rehabilitation needs of its network of 16 declared ports. The Commission has set the Regulatory Contract to be for a period of 5 years with the option for the Commission to have the option to extend the Contract for a further 5 years subject to MVIL meeting minimum performance standards. The advantage of this approach is that there is no need to undertake a full and costly review if it is not necessary. Examples of minimum requirements are: Claim rates (i.e. claims per vehicle) and average costs (i.e. costs per accident) are relatively stable moving in line with projections. A significant growth in claim rates or average costs would warrant a more detailed assessment; Expense rates (i.e. expenses per vehicle) are relatively stable or moving in line with projections; There have not been significant changes in the vehicle fleet or the nature in which vehicles are used. A significant change in the vehicle fleet would warrant a review of the premium liabilities or MVIL may not be able to charge sufficient premiums; MVIL has met its minimum service requirements or has at least provided satisfactory explanations/reasons for minimum service standards not being met; MVIL has sufficient solvency to maintain ongoing operations. Thus, the level and stability of the assets supporting MVIL’s must be adequate. 2.6 MID TERM REVIEW OF COMPETITION In stances where the Commission believes that an existing non-regulated service or a new non regulated service has the potential to have a significant substantive degree of market power, it may require MVIL to submit a written statement which makes an assessment of the need for and extent of regulation of the provision of MVIL CTP services in PNG. The manner in which the statement must be provided or the processes in conducting a Mid Term Competition Review are outlined explicitly under clause 7.2 in the Final MVIL CTP Regulatory Contract. 18 3. PRICING ISSUES 3.1 PREVIOUS PRICING ISSUES The Commission under the previous Regulatory Contract set out a premium rate across all vehicle classes. The weighted average of these premiums, which are determined for each vehicle class, must not exceed the Maximum Net Average Premium (MANP). The premiums for each vehicle class needed to consider the uncertainty relating to the ‘true’ price, the need to manage premium movements from year to year as well as ensuring premiums remains affordable. These issues are more significant than the mechanics of pricing alone. Under the current Regulatory Contract, MVIL is required to appoint an appropriately qualified independent international actuarial consultant to conduct an actuarial assessment report of the industry. Finity consultant was appointed by MVIL to do the End of Term Actuarial Report for the existing regulatory period. Some of the pricing issues highlighted in the Finity Report that have been considered are: 3.2 Vehicles Cross-subsidisation: Some vehicle classes are currently subsidising other vehicle classes. For instance, PMVs pay less than their theoretical premiums with sedans paying more. In other words, sedan drivers effectively subsidise PMV drivers. An element of crosssubsidisation is necessary as the increase to the underlying premiums would raise affordability issues. It is therefore necessary to ensure reasonable movements are applied on any annual basis. Vehicle Groupings: MVIL via the Finity Report highlights that some vehicle categories are too small to enable statistically sound relativities to be determined. The report groups the vehicle categories into 11 classes for the purpose of determining vehicle relativities. The Commission concurs with the grouping of classes to better enable relativities to be determined and is satisfied with the 11 classes used. While the Commission has accepted the proposed 11 vehicle classes it request MVIL maintaining vehicle numbers at a more detailed level than the 11 classes to enable the detailed monitoring of the changes in mix of vehicles driven over the coming years. Allocation of Expenses: The Finity Report highlighted that to allow for the correlation between administration expenses and claims costs (increasing number and size of claims increases the expenses associated with managing claims for a particular vehicle class), the expense assumption to be applied should be a combination of a fixed cost for each vehicle and variable cost differentiated by class of vehicle. The variable costs are applied as a function of the risk premium. This represents a change from previous practice, whereby a flat cost per policy was charged but should be a more equitable allocation with higher costs allocated to classes with higher claims costs. UNCERTAINTY IN THE MECHANISMS OF PRICE DETERMINATION The historical claims experience highlights that different vehicles types have considerably different claim frequency and cost of claims. 19 Claims costs take several years to emerge and the cost in any year of insurance requires an element of estimation to determine to full cost. There is inherent uncertainty in any estimates of future claim liabilities. This uncertainty is due to the fact that the ultimate liability for any claim is subject to the outcome of events yet to occur, for instance, the likelihood of claimants bringing suit, the size of judicial awards, changes in medical and other technologies affecting treatment of claimants and attitudes of claimants towards settlements of their claims. Thus, there is considerable uncertainty surrounding the true cost of claims in any one insurance year and even greater uncertainty when split by vehicle category. MVIL, through the Finity Report, has assumed that future motor vehicle bodily injuries or deaths caused will proceed as observed in recent years. No allowance has been made for changes to the legal, social or economic environment (or to the interpretation of current policies) that might affect the cost, frequency or future reporting of claims. It is possible that one or more changes to the environment could change which would materially impact the estimates put forward. 3.3 MVIL’S PROFIT AND SOLVENCY POSITION As a minimum, MVIL’s premiums must be sufficient to cover the future cost of claims resulting from claims incurred in the year of the policy. This means that the premiums, plus future investment income on those premiums, must be greater than or equal to the cost of claims. MVIL’s accounts show underwriting losses in 4 of the last 8 years (2004 to 2011) and an aggregate profit over that time. However, the underwriting result can be misleading and needs to be interpreted carefully. The largest contributor to the underwriting profit is the profit in 2011. Much of this reported profit relates to a reassessment of the cost of claims across a range of policy years and does not necessarily indicate that the premiums for the 2011 policy year were adequate. A review of the operating profit or loss highlights that the impact of the insurance business (via the underwriting profit) is immaterial compared to the impact that movements in investments have. This is because MVIL’s investment assets swamp their insurance liabilities. MVIL’s strong historical solvency position is dependent on some significant illiquid investments. Valuations of these investments have varied considerably and substantial write downs in asset values have been observed in 2010 and 2011 (in particular). There is some risk that further write-downs in asset values could occur which would reduce MVIL’s level of solvency. With current assets in cash and bank accounts exceeding the estimated insurance liabilities, the financial position of MVIL appears to be sound at this point in time. The Commission considers, however, that MVIL should not aim to utilise its current strong solvency position to cross-subsidise premiums. 3.4 ADDITIONAL FUNDING FROM THIRD PARTY Any additional funding from third party such as, donations, in the form of gifts, interest-free concessional loans or Community Service Obligations (CSO) from the Government, etc, intended to make insurance cover cheaper or improve the access to CTP Motor Vehicle Insurance services for customers in a particular area should be identified separately by MVIL. The Commission is of the view, therefore, that regulated entities (including MVIL) are not entitled to recover the costs of acquiring such contributed assets or concessional value of interest on borrowings from their price paths; hence, any such gifted assets or ‘soft’ loans should be excluded from the 20 regulated asset base and appropriate adjustment to the aggregate cost of capital or debt should be made to avoid ‘double-dipping’. It must also be noted that if the Commission considers it necessary or desirable, will require MVIL to publicise the details of the assets and capital projects it proposes to acquire using third party funding or financial assistance of any kind, including, but not limited to, concessional interest loans, at a time and in a manner the Commission considers appropriate. 4. DETERMINATION OF PREMIUMS REQUIRED FOR 2013 The average premium required for 2013 requires an estimate of: the number of vehicle registrations; the number of claims or accidents; the average cost of those claims or accidents; the expenses that will be incurred by the MVIL; the cost of reinsurance; and a suitable profit loading. This section works through the various elements of the required premium projection. 4.1 BASIC PRINCIPLES OF INSURANCE PROJECTIONS Unlike most products and services, the cost of providing an insurance product is typically quite uncertain. That uncertainty varies depending on the nature of the insurance being provided and is typically higher for products such as CTP compared to motor vehicle property insurance. In determining the average price for many (non-insurance) products, the uncertainty relates to the number of units that will be sold and across which the fixed expenses can be spread – the cost of producing the product is typically well understood. For insurance, there is not only uncertainty in the number of policies that will be sold but also uncertainty in relation to the underlying cost of the insurance product. Thus, it is necessary to estimate the likely cost of claims for the new underwriting period as well as the number of policies that will be sold. Figure 4.1 provides a schematic of the claims cost projection that is required. Figure 4.1 – Example of Claim Payment Development Year of Accident 2005 2006 2007 2008 2009 2010 2011 2012 2013 1 644 501 345 368 363 548 547 2 1,661 1,058 1,174 1,225 1,151 1,659 3 1,772 1,480 1,695 1,498 1,994 Delay to Payment 4 5 6 7 2,245 1,954 1,435 1,240 2,190 2,047 1,765 1,505 1,767 2,469 21 8 9 10+ Figure 4.1 provides an example of what is often called a claims triangle. To explain: In this case the figures contained in the triangle represent payments made; Each row of payments relates to a particular year of accident; Payments made in delay year 1 are made in the year of the accident, payments made in delay year 2 are made the year after the accident and so on; For the 2009 accident year, there were 363 payments made in the accident year (i.e. in 2009), 1,151 made in delay year 2 (i.e. the year following accident = 2010) and 1,994 payments made in delay year 3 (i.e. 2011); Each column of payments represents payments made at the same time after accident; Each diagonal of payments represents payments made in a calendar year (e.g. the 2011 payments = 547+1,659+1,994+2,469+1,767+1,765+1,240); The green section of the triangle represents the known claims experience; The red section represents the claim payments that must be estimated in order to determine the total cost for a particular accident year. Claim payments extend well beyond 10 years after the accident with some amounts observed after 20 years post accident; The blue section of the diagram represents the costs that need to be projected in order to determine the premium required for 2013. Policies underwritten in calendar year 2013 will have exposure spanning 2013 and 2014 (since a policy written on 31 December 2013 will be covered up to 31 December 2014). It is clear from Figure 4.1 that there is a substantial estimation process that is required in order to forecast the required premium for 2013. Those forecasts need to adequately consider the potential for changes in claim rates and costs including the impact of inflation and the investment income that will be earned on the premiums received (until claim payments are made). 4.2 METHOD FOR DERIVING THE PREMIUM DETERMINATION MODEL The basis for determining the premium to apply to each vehicle is made up of two components: The average premium required across all vehicles; and The premium relativity for each vehicle class. The average premium is determined via an analysis of aggregate claims and exposure information. The average premium required for 2013 requires an estimate of: the number of vehicle registrations; the number of claims or accidents; the average cost of those claims or accidents; the expenses that will be incurred by the MVIL; the cost of reinsurance; and a suitable profit loading. Premium relativities measure the average cost of each class of vehicle against the average cost of the whole fleet combined. For example, it can be shown that a premium relativity of 1.2 (sometimes shown as 120) for a class of vehicle, means that the average premium is 1.2 times that the overall average premium. 4.3 4.3.1 AVERAGE PREMIUM REQUIRED Number of Vehicles 22 Figure 4.2 shows historical vehicle numbers (2001 to 2009) and projected vehicle numbers (2010 to 2013) as forecasted by Finity. Vehicle numbers have grown strongly over the last decade with growth averaging around 4,500 per annum. Similar levels of growth are anticipated going forward. Figure 4.2 – Actual and Projected Number of Vehicles Subsequent to Finity’s review, the 2010 and 2011 vehicle numbers have become available. The actual number of vehicles (and for those projected for 2012 and 2013) are around 3,000 lower than the Finity forecast. We have applied the forecast based on the data up to 2011 for the purpose of determining the premium pool. Table 4.1 sets out the results of the projections. Table 4.1 – Vehicle Number Projections Item Aggregate Projection Projection by Class Finity Projection Projection using 2011 data1 2010 2011 2012 2013 81,021 81,269 80,000 75,318 85,567 86,064 84,885 81,668 90,113 90,858 89,769 86,367 94,659 95,652 94,654 91,067 Note: 1. Based on actual 2011 registrations projected at Finity assumed growth rate. Table 4.1 shows that the three projections produce very similar estimates of the number of vehicles expected in 2012 with the difference between the highest and lowest estimate being 1.2%. The forecast at 2013 is about 4% lower when the actual registrations for 2010 and 2011 are incorporated. Given the manner in which the average premium is calculated a change in estimated vehicle numbers does not impact the estimated average premium required. 4.3.2 Accident Frequency The accident frequency represents the number of accidents per 1,000 vehicles. Accident frequency is used rather than the number of accidents to remove distortions caused by changes in the vehicle fleet – as the number of vehicles on the road increases, the number of accidents would also be expected to increase. 23 A frequency is often calculated using the number of claims rather than the number of accidents. Since the PNG CTP scheme is fault-based, all claims relating to a particular accident should be allocated to the at-fault vehicle. It is therefore simpler to use number of accidents. Figure 4.3 shows the observed accident frequency from 2003 to 2009 (as per Table 5.1 from the Finity Report). Note that the frequency for the more recent years includes an element of projection given that some accidents take several years to be reported. For the 2009 year, around 60% of the frequency is based on known accidents and 40% on accidents estimated to be reported after 2009. For the 2008 year the ratios are approximately 92% and 8% respectively. Figure 4.3 - Observed Accident Frequency 1.60% Accident Frequency 1.40% 1.20% 1.00% 0.80% 0.60% 0.40% 0.20% 0.00% 2003 2004 2005 2006 2007 2008 2009 Accident Year Figure 4.3 shows an improving trend in the accident frequency from 2003 to 2008 and a slight kick up in 2009. For the purposes of determining the accident frequency to adopt for 2013, an assumed rate of between 1.1% and 1.2% would seem reasonable. Thus Finity’s assumption of 1.15% appears to be reasonable. 4.3.3 Average Accident Size For the same reasons as with the frequency measure, the average size is measured as an average cost per accident. The average cost by accident year contains a significantly greater element of estimation then the accident frequency. Most accidents (over 90%) are notified within 2 years of the accident occurring. The payment of claims, however, takes considerably longer. For example, the actual payments represent only 4% of the projected ultimate cost for the 2009 accident year and only 20% of the 2008 accident year ultimate cost. It typically takes around 8 years for 90% of the costs for claims in an accident year to be paid. The Finity liability report provides an estimate of the ultimate average accident cost by accident year which is summarised in Figure 4.4 below. 24 Figure 4.4 Average Accident Size – in Dec-09 Kina Values 40,000 Average Size - K 35,000 30,000 25,000 20,000 15,000 10,000 5,000 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 - Accident Year Figure 4.4 shows that the average size reduced considerably over the early years of the scheme but that there is an apparent upward trend since around 2003. Based on the recent experience, an average size (in Dec-09 Kina values) of between K25,500 and K27,000 would appear to be reasonable. The average size assumption required for the 2013 premiums needs to be adjusted to allow for: Inflation from 2009 to 2013; The potential for costs to continue to grow by more than inflation (typically referred to as superimposed inflation); Claims inflation from 2013 until the payments are made; Discounting the future cash flows to allow for investment income. Inflation is assumed to be 6% per annum; No allowance for superimposed inflation is made; and, The expected interest earnings on the premiums received is 6% per annum; If: then the reasonable range for the average size assumption is around K32,000 to K34,000. If the growth above inflation observed from 2003 is expected to continue and the assumed rate of growth is 2% per annum then the range of average size assumptions becomes approximately K37,500 to K40,000. If the 2% growth is only expected to occur from 2013 (i.e. not between 2009 and 2013) then the range becomes K35,000 to K38,000. It is clear from the paragraphs above that the average size could span a broad range, from a low of about K32, 000 to a high of approximately K40,000. The key issue is the level of superimposed inflation that is anticipated. Finity has assumed an average size of K35,526 for the 2012 year although adjusting for 2% superimposed inflation rather than 4% (as used in the Finity Report) and inflating to 2013 actually results in the same average size assumption. This appears to be reasonable though an understanding of the experience between 2009 and 2011 would provide good insight into the level of growth in average size that should be assumed. 25 4.3.4 Claim Cost per Vehicle The claims cost per vehicle is simply the accident frequency multiplied by the average accident size. Based on the observations in Sections 4.3.2 and 4.3.3 a reasonable range for the estimated cost per vehicle is set out in Table 4.2. Table 4.2 Claim Cost per Vehicle Item Low Frequency High Finity Assumption 1.10% 1.20% 1.15% Average Size 30,500 42,500 35,526 Risk Premium 335.50 510.00 408.55 Table 4.2 shows a wide range in potential risk premium (or cost per vehicle). The low end of the range is likely to be somewhat optimistic and the high end is likely to prove to be too pessimistic. The amount assumed in the Finity Report is reasonable. 4.3.5 Average Expenses per Policy Table 4.3 Summary of Administration Expenses Item Expenses - Km Expenses per policy - K 2011 2009-11 Average Finity Assumption 18.009 201 20.238 225 18.200 203 Administration expenses increased substantially between 2008 and 2009 from around K12.5 million to K21.2 million. Expenses for 2010 were K21.5 million and the 2011 figure has been reported as K18 million. Various aspects of the recent administration expenses with MVIL have been discussed and it has been concluded that expenses are likely to be higher than those forecasted by Finity. The main reason for the expectation of higher expenses is the need to fund additional branches in order to meet MVIL’s service targets. As a result, we consider an expense allowance of K225 per policy to be reasonable. 4.3.6 Average Reinsurance Premium per Policy Table 4.4 Summary of Reinsurance Expense Item RI Expense – Km RI Expense per policy - K 2011 2009-2011 Average Finity Assumption 0.700 0.762 0.885 7.80 8.49 9.86 26 The recent reinsurance expense information provided by MVIL appears to be estimated rather than actual with the 2010 and 2011 figures being the same and both less than the 2009 amount. Globally the cost of reinsurance is expected to increase in 2012 (and most likely 2013) and it seems appropriate to adopt a reinsurance expense which allows for this increase. The amount adopted by Finity is consistent with the observed reinsurance cost in 2009. This appears to be an appropriate starting point in the absence of updated information relating to the MVIL’s reinsurance negotiations. 4.3.7 Profit Loading Given the uncertainty in future claims costs that are exhibited in CTP insurance it is typical for insurers to require higher profit loadings than would be required for motor vehicle property insurance, for example. Profit margins of 8% to 15% are not uncommon. As a result of their substantial net asset position, MVIL has the ability to withstand variations in claims experience without putting its solvency position at risk. Given MVIL’s high level of solvency, Finity recommended a profit margin of 2.5% of premium. The Commission considers that the adoption of a profit margin at this level is a fair compromise between underwriting the insurance business at its true cost versus taking advantage of MVIL’s significant net assets. The Commission notes that should a significant proportion of MVIL’s assets be redistributed for some reason then it may be necessary to increase the profit loading in the premiums. 4.4 VEHICLE CLASSES RELATIVITIES Vehicle class relativities are used to determine the premium to charge to particular vehicle classes. There are currently 38 vehicle classes although 4 have no registered vehicles and 7 have fewer than 50 registered vehicles. A further 7 classes have fewer than 500 registrations. Due to the low level of registrations in many classes their own claims experience is not sufficient in terms of providing a reliable basis for determining its premium relativity. A class with 500 registrations would be expected to have around 5 claims per annum. The occurrence or otherwise of a significant claim could materially impact the observed premium relativity. Thus, for determining premium relativities it is necessary to combine similar vehicle classes in order to have a sufficient level of claims experience to provide a reliable basis for analysis. Given the need to combine vehicle classes for analysis it raises the question as to whether the number of vehicle classes should be reduced. 4.4.1 Vehicle Class Groups As described in Section 3.1, Finity has grouped the 38 vehicle classes into 11 major classes. Overall, the groupings appear to be reasonable being based on grouping vehicles with similar characteristics. There are some potential anomalies which are highlighted below. Buses with more than 9 seats (which are around 5% of the vehicle fleet) are categorised as extra-large cars – low risk. This places them in the same category as business use utilities and long wheel based station wagons but in a lower risk category than vans exceeding 9 seats. Taxis are categorised as larger car – private which seems odd given that taxis are clearly not for private use. It may be, however, that their claims experience is more akin to a private van than a business use sedan. There are several cases where vehicles are placed in private use categories yet are clearly business use vehicles. It may well be that their use is more similar to private use than business use. 27 It is not possible to determine whether the vehicle classes highlighted above are incorrectly grouped without being able to examine the claims experience for that class alone. Reliance has therefore been placed on the adequacy of Finity’s analysis for determining the appropriate groupings. 4.4.2 Observed and Adopted Vehicle Relativities The observed vehicle relativities can have significant variation from year to year. The lack of case estimate information means that relativities have had to be based on claim payment information. Further, the lack of reliability of transaction data extracted from MVIL’s systems means that a split of the premium relativities between claim frequency and average claim size has not been undertaken. Such a split is desirable since the impact of small numbers of large claims can be more readily observed and allowed for. The figures below provide a summary of the observed and selected relativities for each of the vehicle class groupings. Note that the vehicle class relativities are based on the risk premium. The relativity of the total premium (i.e. once expenses and profit margin are added) is different since elements of the additional costs are the same Kina amount for each vehicle. Figure 4.5 – X-Large Cars – Low Risk – Observed and Selected Relativities 1.00 0.90 0.80 Relativity 0.70 0.60 0.50 0.40 0.30 0.20 0.10 X-Large Cars - Low Risk Selected 0.00 2000 Avg2001 Avg2002 Avg2003 Avg2004 Avg2005 Avg2006 Avg2007 Avg CPP CPP CPP CPP CPP CPP CPP CPP The extra-large cars (low risk) group is the dominant vehicle class with just over 19,000 vehicles in 2009 or 25% of the vehicle fleet. It is clear from Figure 4.5 that the claims experience has been significantly lower than the relativity recommended. The recommended relativity is lower than that recently charged and has been limited to fit within the prescribed premium rating principals. 28 Figure 4.6 – X-Large Cars – High Risk – Observed and Selected Relativities 2.00 1.80 1.60 Relativity 1.40 1.20 1.00 0.80 0.60 0.40 0.20 X-Large Cars - High Risk Selected 0.00 2000 2001 2002 2003 2004 2005 2006 2007 Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Extra-large cars (high risk) are the second largest category of vehicles with just over 13,000 registered vehicles in 2009 (or 17% of the vehicle fleet). The historical experience is in line with the recommended relativity. Figure 4.7 – Smaller Cars – Private – Observed and Selected Relativities 0.45 0.40 0.35 Relativity 0.30 0.25 0.20 0.15 Smaller Car - Private 0.10 Selected 0.05 0.00 2000 2001 2002 2003 2004 2005 2006 2007 Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP The smaller car – private class is of a similar size to the extra-large (high risk) class with around 11,500 registered vehicles in 2009 (15% of the fleet). The observed experience is similar to the recommended relativity. 29 Figure 4.8 – Utility - Private – Observed and Selected Relativities 2.00 1.80 1.60 Relativity 1.40 1.20 1.00 0.80 Utility - Private 0.60 Selected 0.40 0.20 0.00 2000 2001 2002 2003 2004 2005 2006 2007 Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP The utility – private class had around 7,000 registered vehicles in 2009 (or 9% of the fleet). Recent experience shows a deteriorating trend and the recommended relativity may understate the future claims experience. Figure 4.9 – Larger Car– Private– Observed and Selected Relativities 0.90 0.80 0.70 Relativity 0.60 0.50 0.40 0.30 Larger Car (excl Utility) - Private 0.20 Selected 0.10 0.00 2000 2001 2002 2003 2004 2005 2006 2007 Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP The larger car (excl. utility) – private class had around 6,000 vehicles registered in 2009 (8% of the fleet). The experience has deteriorated over time and the recommended relativity is similar to the most recent claims experience. If, however, the claims experience continues to deteriorate then the relativity could be understated. 30 Figure 4.10 – Smaller Car – Business– Observed and Selected Relativities 0.90 Smaller Car - Business 0.80 Selected 0.70 Relativity 0.60 0.50 0.40 0.30 0.20 0.10 0.00 2000 2001 2002 2003 2004 2005 2006 2007 Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP The smaller car – business class had approximately 5,500 registrations in 2009 (7% of the fleet) and shows quite variable claims experience. The recommended relativity appears to provide a reasonable estimate of the average experience. Figure 4.11 – PMV (Buses) – Observed and Selected Relativities 12.00 10.00 PMV (Buses) Selected Relativity 8.00 6.00 4.00 2.00 0.00 2000 Avg 2001 Avg 2002 Avg 2003 Avg 2004 Avg 2005 Avg 2006 Avg 2007 Avg CPP CPP CPP CPP CPP CPP CPP CPP The PMV (buses) claims experience has been considerably worse than the relativity applied. Whilst the experience appears to have improved over time, the relativity still needs to almost double to reflect the claims experience. The poor experience for buses is not uncommon – the relativity for buses in Australia in typically considerably higher than average. 31 Figure 4.12 – Utility > 1.25 tonnes – Observed and Selected Relativities 4.50 4.00 3.50 Relativity 3.00 Utility exceeding 1.25 tonne Selected 2.50 2.00 1.50 1.00 0.50 0.00 2000 2001 2002 2003 2004 2005 2006 2007 Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP The utility exceeding 1.25 tonne class had around 4,000 registered vehicles in 2009 (5% of the fleet). The historical experience has been variable and, with the exception of the 2000 year the experience has been less than the recommended relativity. Figure 4.13 – Trade Plate – Observed and Selected Relativities 0.35 Trade Plate 0.30 Selected Relativity 0.25 0.20 0.15 0.10 0.05 0.00 2000 Avg2001 Avg2002 Avg2003 Avg2004 Avg2005 Avg2006 Avg2007 Avg CPP CPP CPP CPP CPP CPP CPP CPP There were around 3,500 tractor/trade plate registrations in 2009 (5% of the fleet). The experience has been quite variable though there is potential for the recommended relativity to be a little higher than the future experience. 32 Figure 4.14 – Motor Cycle– Observed and Selected Relativities 0.60 Motor Cycle 0.50 Selected Relativity 0.40 0.30 0.20 0.10 0.00 2000 2001 2002 2003 2004 2005 2006 2007 Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP There were around 1,000 motorcycles registered in 2009 (1% of the fleet). The experience, whilst variable, has tended to exceed the recommended relativity. We note that the relativity of 0 in 2007 implied there were no (or very few) motor cycle claims – this may be a data issue or a timing issue rather than a true relativity. Figure 4.15 – Trailer – Observed and Selected Relativities 1.00 0.90 0.80 Relativity 0.70 Trailer 0.60 Selected 0.50 0.40 0.30 0.20 0.10 0.00 2000 2001 2002 2003 2004 2005 2006 2007 Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP Avg CPP There were approximately 900 trailers registered in 2009 (1% of the fleet). The 2001 and 2002 years must have some sizeable claims relating to them and should be given only partial weight when setting the future relativity. Of concern is the recent claims experience which is higher than the recommended relativity. There is some chance that the emerging experience will be worse than the recommended rate. 33 4.4.3 Cross-subsidies Across Classes Due to restrictions placed on premium movements from year to year as well as movements in the observed claims experience compared to expectations, there are some classes whose recommended relativities differ from those based purely on the observed experience. The key vehicle classes where the recommended premium relativities differ from the experience are summarised in Table 4.5. Table 4.5 – Observed and Experience Relativities for Selected Classes Recommended Experience PMV (Buses) X-Large Cars – Low Risk Utility exceeding 1.25 tonne 2.73 0.90 1.80 5.50 0.40 1.60 Approximate Difference in Premium K965 -K215 -K130 Utility – Private Use Motor Cycle Trailers 1.09 0.20 0.07 1.20 0.23 0.14 K35 K15 K30 Item Cross-subsidies across vehicle classes are common in CTP schemes around the world. The comprehensive nature of the insurance means that it is necessary to maintain affordable premiums. 4.4.4 Determining the Required Premium by Vehicle Class The required premium for each vehicle class is calculated as follows: Plus Plus Plus Risk premium – equals the average risk premium (K409) multiplied by the recommended premium relativity for that class; Administration expenses – equals 50% of the recommended average administration expenses (50% x K225) plus 50% of the recommended average administration expenses multiplied by the premium relativity for that class; Reinsurance expense – equals 50% of the recommended average reinsurance expense (50% x K9.86) plus 50% of the recommended average reinsurance expense multiplied by the premium relativity for that class; Profit loading – equals 2.5% times the sum of the risk premium, the administration expenses and the reinsurance expense. 34 5. MVIL FINANCIAL FORECAST MODEL A forecast financial model was prepared prior to commencement of the initial contract period. As part of this review, the initial model has been updated to project the financial position of MVIL from 2012 to 2021. Model assumptions updated to reflect the experience observed as at 31 December 2011 and expectations of future experience. As part of the process, the projection position as at 31 December 2011 from the original model has been compared to the observed experience. For the 2012 to 2021 projection particular focus has been placed on areas where the initial projection was materially different to the actual experience. 5.1 2002 FORECAST VERSUS EXPERIENCE Figure 5.1 compares the actual and expected premium income. The overall trend in premium income is consistent with expectations although the actual experience has been around 20% to 25% lower than expected. Figure 5.1 – Premium Income Premium Income 80,000 70,000 2002 Projection Kina '000's 60,000 Actual 50,000 40,000 30,000 20,000 10,000 - 2004 2005 2006 2007 2008 2009 2010 2011 Figures 5.2 and 5.3 show that both reinsurance expense and administration costs have both substantially exceeded forecasts. With reinsurance costs being 2.5 times higher than forecasted while, claims administration expenses have been about twice as high as was projected 35 Figure 5.2 – Reinsurance Expense Reinsurance Expense 2002 Projection - Actual Kina '000's (200) (400) (600) (800) (1,000) (1,200) 2004 2005 2006 2007 2008 2009 2010 2011 Figure 5.3 – Claims Administration Expenses Claims Admin Expenses 2002 Projection Kina '000's (5,000) Actual (10,000) (15,000) (20,000) (25,000) 2004 2005 2006 2007 2008 2009 2010 2011 Figure 5.4 summarises the incurred claims costs. These represent amounts paid plus movement in insurance liabilities (outstanding claims and unearned premiums). Claims costs have remained relatively stable over the 2004 to 2011 period and have been substantially lower than the continuously increasing costs that were projected. Given the average term of the liabilities an increasing trend in claims costs would be expected for the first 10 or so years of the scheme. The relatively stable experience observed is likely to have been caused by releases from conservative liability estimates in the early years of the scheme. 36 Figure 5.4 – Incurred Claims Costs Claims Costs - (10,000) Kina '000's (20,000) 2002 Projection (30,000) Actual (40,000) (50,000) (60,000) (70,000) 2004 2005 2006 2007 2008 2009 2010 2011 The combination of items in Figures 5.1 to 5.4 produces the underwriting profit summarised in Figure 5.5. Profits have been considerably higher than expected due in particular to the considerably lower than expected claims costs. Figure 5.5 – Underwriting Profit Underwriting Profit 25,000 20,000 2002 Projection Kina '000's 15,000 Actual 10,000 5,000 (5,000) 2004 2005 2006 2007 2008 2009 2010 2011 (10,000) (15,000) (20,000) Figure 5.6 summarises the investment income. There have been some considerable asset increases which have driven the significant income observed. The losses in recent year similarly reflect large reductions in those asset values. 37 Figure 5.6 – Investment Income Investment Income 250,000 2002 Projection 200,000 Actual Kina '000's 150,000 100,000 50,000 (50,000) 2004 2005 2006 2007 2008 2009 2010 2011 (100,000) (150,000) (200,000) The overall profit has been dominated by the investment income, the movements of which are of the order of 10 times the movements in the underwriting profit. Thus, even though there have been strong underwriting profits in recent years, the poor investment performance in recent years has led to substantial losses. The most significant impact on this result would have been the Global Financial Crisis which can be clearly depicted during the last three (3) years, 2009 -2011. Figure 5.7 – Profit before Tax Profit before Tax 250,000 200,000 2002 Projection Kina '000's 150,000 Actual 100,000 50,000 (50,000) 2004 2005 2006 2007 2008 2009 2010 2011 (100,000) (150,000) The losses observed in recent years have eroded the net assets as shown in Figure 5.8. Although there have been significant losses in the last 3 years, the net assets are still well in excess of those projected (assuming no dividends). 38 Figure 5.8 – Net Assets Net Assets 700,000 2002 Projection 600,000 Actual Kina '000's 500,000 400,000 300,000 200,000 100,000 - 2004 5.2 2005 2006 2007 2008 2009 2010 2011 APPROACH TO FINANCIAL FORECAST The 5 year forecast from 2013 to 2017 has been based on recently observed experience and assumed little or no change in investment mix and strategy. The forecast incorporates expected premiums in 2013 and allows for growth in costs and income and is designed to provide a reasonable but high level summary of the future of the scheme. 5.2.1 Key Assumptions The key forecast assumptions are: 5.3 Inflation is assumed to be 6% per annum; Superimposed inflation is applied to claims costs and premium growth at a rate of 2% per annum; Investments are assumed to earn 6% per annum; Receivables, prepayments and other assets are assumed to grow at 2% per annum; Investments in associates and subsidiaries as assumed to maintain their current value; Sundry creditors and accruals are assumed to grow at 2% per annum; New year claims costs are assumed be incurred at a loss ratio of 62%; Registration and commission income is assumed to be 12% of gross written premium; The reinsurance expense is assumed to be 2% of gross written premium; Underwriting expenses are assumed to be 14% of gross written premium; VAT refund is assumed to be 9.1% of claim payments; Claim payments are assumed to grow at inflation plus superimposed inflation (i.e. 8% per annum); and Administration expenses are assumed to grow at 6% per annum. 2013 – 2017 FORECAST The forecast outcomes are summarised in the following graphs. They include the observed experience from 2004 to 2011 and the projected experience from 2013 to 2017. 39 Figure 5.9 – Actual and Projected Premium Income Kina '000 Premium Income 90,000 80,000 70,000 60,000 50,000 40,000 30,000 20,000 10,000 - Actual 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Calendar Year Figure 5.10 – Actual and Expected Reinsurance Expense Kina '000 Reinsurance Expense 1,800 1,600 1,400 1,200 1,000 800 600 400 200 - Actual 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Calendar Year 40 Figure 5.11 – Actual and Projected Claims Administration Expenses Claims Admin Expenses 30,000 Kina '000 25,000 20,000 15,000 10,000 Actual 5,000 - 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Calendar Year Figure 5.12 – Actual and Expected Claims Costs Claims Costs 35,000 30,000 Actual Forecast Kina '000 25,000 20,000 15,000 10,000 5,000 - 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Calendar Year 41 Figure 5.13 – Actual and Expected Underwriting Profit Underwriting Profit 25,000 Actual 20,000 15,000 Kina '000 10,000 5,000 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 -5,000 -10,000 -15,000 -20,000 Calendar Year Figure 5.14 – Actual and Expected Investment Income Investment Income 250,000 Actual 200,000 150,000 Kina '000 100,000 50,000 -50,000 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 -100,000 -150,000 -200,000 Calendar Year 42 Figure 5.15 – Actual and Expected Profit Before Tax Profit Before Tax 250,000 Actual 200,000 Kina '000 150,000 100,000 50,000 -50,000 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 -100,000 -150,000 Calendar Year Figure 5.16 – Actual and Expected Net Assets Net Assets 700,000 600,000 Kina '000 500,000 400,000 300,000 Actual 200,000 100,000 - 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Calendar Year 43 5.4 SUMMARY OF FINANCIAL PROJECTIONS The tables below summarise the forecast profit and loss and balance sheet statements. Table 5.1 – Projected Balance Sheet Balance Sheet - K'000 2010 2011 2012 2013 2014 2015 2016 2017 CURRENT ASSETS Cash and Bank Accounts Receivables Prepayments & Other Assets 76,212 133,680 15,907 14,296 964 866 170,397 206,622 247,125 292,325 342,680 398,691 15,319 15,625 15,938 16,256 16,581 16,913 915 934 952 971 991 1,011 Total Current Assets 93,084 148,842 186,631 223,181 264,014 309,552 360,253 416,615 NON CURRENT ASSETS Investments in UnQuoted shares Investments in Quoted shares Investments in Subsidiaries Investments in Associates Other Investments Property Plant Intangible Assets Future Income Tax Benefit 11,643 1,643 453,129 126,638 17,718 17,718 20,906 20,906 97,023 100,563 47,261 49,988 14 125 125 135,000 143,100 151,686 160,787 170,434 180,660 17,718 17,718 17,718 17,718 17,718 17,718 20,906 20,906 20,906 20,906 20,906 20,906 105,000 111,300 117,978 125,057 132,560 140,514 52,500 55,650 58,989 62,528 66,280 70,257 125 125 125 125 125 125 Total Non Current Assets 647,804 317,594 331,248 348,798 367,401 387,120 408,023 430,179 Total Assets 740,888 466,436 517,879 571,979 631,416 696,673 768,275 846,794 Sundry Creditors & Accruals Outstanding Claims IBNR Unearned Premiums Provision for Income Tax Loans -2,192 -4,257 -78,895 -77,455 -20,752 -15,130 -19,915 -23,925 391 391 -100,000 - -3,343 -3,410 -3,478 -3,547 -3,618 -3,691 -93,511 -108,151 -123,962 -141,038 -159,480 -179,397 -21,179 -22,873 -24,703 -26,680 -28,814 -31,119 -29,054 -31,157 -33,413 -35,831 -38,425 -41,207 391 391 391 391 391 391 - Total Liabilities -221,364 -120,376 -146,696 -165,200 -185,165 -206,705 -229,946 -255,023 Net Assets 519,525 346,060 371,184 406,779 446,251 489,967 538,329 591,771 Capital Reserve Share Capital Asset Revaluation Reserve Accumulated Profits -33,528 -33,528 -33,519 -33,519 -2,689 -2,689 589,260 415,795 -33,528 -33,528 -33,528 -33,528 -33,528 -33,528 -33,519 -33,519 -33,519 -33,519 -33,519 -33,519 -2,689 -2,689 -2,689 -2,689 -2,689 -2,689 440,919 476,515 515,987 559,703 608,064 661,507 Total Equity 519,525 346,060 371,184 406,779 446,251 489,967 538,329 591,771 LIABILITIES 44 Table 5.2 – Projected Profit and Loss Statement Profit & Loss - K'000 Gross Premium Income Less:Unearned Premium Movement Add: Net Registration and Commission Income 2010 45,177 3,099 5,511 2011 54,946 4,010 6,352 2012 2013 2014 2015 2016 2017 58,108 57,980 62,178 66,679 71,506 76,682 5,129 2,103 2,255 2,419 2,594 2,782 6,973 6,958 7,461 8,001 8,581 9,202 Gross Premium & Net Registration Income 47,589 57,288 59,952 62,835 67,384 72,261 77,492 83,102 700 6,482 700 7,689 1,162 1,160 1,244 1,334 1,430 1,534 8,135 8,117 8,705 9,335 10,011 10,735 Net Premium & Registration Income 40,407 48,898 50,655 53,558 57,435 61,593 66,051 70,833 Claims Paid Outstanding Claims Movement IBNR Movement Less: Reinsurance Recovery Less: VAT 1/11 Refund 19,303 -215 562 1,787 17,767 -1,440 -5,623 1,670 18,213 4,236 6,049 1,656 Net Incurred Claims Expense 17,864 9,035 Staff Costs Admin Costs Premises & Equiptment Costs Computing Costs Other Costs 8,189 5,114 3,290 667 4,220 6,371 6,343 1,927 624 2,744 Administration Expenses 21,479 18,010 20,364 21,585 22,881 24,253 25,709 27,251 Total Claims & Administration Expenses 39,344 27,044 47,206 45,736 48,964 52,423 56,132 60,108 1,064 21,854 3,449 7,822 8,472 9,170 9,920 10,725 Investment Income Share Price Movements - Gain/(Loss) 3,665 31,013 -61,413 -180,654 24,751 27,774 31,000 34,547 38,442 42,717 -3,076 -0 0 Total Investment Income/(Loss) -57,748 -149,641 21,675 27,774 31,000 34,547 38,442 42,717 Operating Profit / (Loss) Before Tax -56,684 -127,787 25,124 35,596 39,472 43,716 48,361 53,442 Less Reinsurance Expense Less Underwriting Expenses Underwriting Profit/(Loss) 45 19,670 4,575 1,694 1,788 21,244 4,941 1,830 1,931 22,943 5,336 1,976 2,086 24,779 5,763 2,134 2,253 26,761 6,224 2,305 2,433 26,842 24,151 26,083 28,170 30,423 32,857 7,666 6,731 2,236 645 3,085 8,126 7,135 2,370 684 3,270 8,614 7,563 2,512 725 3,467 9,131 8,017 2,663 769 3,674 9,678 8,498 2,823 815 3,895 10,259 9,008 2,992 864 4,129 5.5 CONCLUSIONS FROM THE FINANCIAL FORECAST The financial forecast shows a strong growth in operating profit in future years. However, much of the forecast profit emanates from investment income with around 75% of profit estimated to arise from investment income. Whilst such returns are feasible, they do not allow for drops in asset values which could have a material impact on the forecast profit. As such, the forecast should be considered as the outcome if the assumed future conditions occur. The forecast also shows a considerable growth in the underwriting profit. This is simply an outcome of assuming that policies are written at profitable levels and that the claims experience is as expected. There is considerable uncertainty around what that might be and this is evidenced via a simple scenario test. If the investment income was assumed to be 3% per annum rather than 6% per annum then the 2017 investment income would reduce from K42 million to K9 million. The change in net assets as a result of the lower investment income is summarised in Figure 5.17. Figure 5.17 – Impact of Low Investment Performance on Projected Net Assets Net Assets 700,000 600,000 Kina '000 500,000 400,000 300,000 Actual 200,000 Forecast 100,000 Low - 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Calendar Year Overall, the projection of MVIL’s financial position using neither pessimistic nor optimistic assumptions shows that the business is expected to be sustainable for the foreseeable future. 46 6. PRICE CONTROL FORMULA 6.1 FORMULA STRUCTURE AND COMPONENTS The Maximum Average Net Premium (MANP) is set by the Commission via the Regulatory Contract. The MANP is based on the average premium across all vehicle types. As such, the MANP is influenced by both the premiums charged to each class of vehicle as the number of vehicles within each vehicle class. Thus, the MANP could change purely due to a change in the mix of vehicle registered. The MANP determined by the Commission in each regulatory year needs to ensure that MVIL is able to recover the expenses associated with the provision of third party insurance to consumers. The existence of the MANP is to ensure that consumers are not required to pay more than is necessary. The MANP (expressed in Kina) for Regulatory Year t (MANPt) is calculated as follows: MANPt ARPt AEt ARIPt 1 PLt where: ARPt AEt ARIPt PLt is the Average Risk Premium (expressed in Kina) for Regulatory Year t; is the Average Expenses (expressed in Kina) for Regulatory Year t; is the Average Reinsurance Premium (expressed in Kina) for Regulatory Year t; and is the Profit Loading for Regulatory Year t. The components of the formula are defined in Section 6.2. The basis of allocating the components to each vehicle class is described in Section 6.3. 6.2 FORMULA COMPONENT DEFINITIONS 6.2.1 Average Risk Premium The Average Risk Premium (expressed in Kina) for Regulatory Year t (ARPt) is calculated as follows: AF ARPt t AAS t 100 where: AFt is the Accident Frequency per 100 vehicles for Regulatory Year t, which is equal to 1.15, or such other number as determined by reference to that part of the Mid Term Actuarial Report or that number determined by the Commission; AASt is the Average Accident Size for Regulatory Year t, which: (b) for the First Regulatory Year is equal to K35,526; (c) for the 2015 Regulatory Year, it is determined by reference to that part of the Mid Term Actuarial Report or that number determined by the Commission; and (d) for each other Regulatory Year t is calculated as follows: AAS t AAS t 1 1 CPI t SI t where: 47 AASt-1 CPIt is the Average Accident Size for the Regulatory Year immediately preceding the relevant Regulatory Year t; is calculated as: PNGCPIt-1 = (PNGCPIt-1–PNGCPIt-2) / PNGCPIt-2x` where: PNGCPIt-1 is the Adjusted PNG CPI for the 12 month period ending on 30 September in Regulatory Year t-1 or calendar year t-1 and is calculated in accordance with of Schedule YYY of the Regulatory Contract ; and PNGCPIt-2 is the Adjusted PNG CPI for the 12 month period ending on 30 September in Regulatory Year t-2 or calendar year t-2 and is calculated in accordance with Schedule 6 of the Regulatory Contract ; or such other value as determined by reference to that part of the Mid Term Actuarial Report or that number determined by the Commission; and SIt is the forecasted Superimposed Inflation for Regulatory Year t, which is equal to 2.0%, or such other value as determined by reference to that part of the Mid Term Actuarial Report or that number determined by the Commission. 6.2.2 Average Expenses The Average Expenses (expressed in Kina) for Regulatory Year t (AEt) are calculated as follows: AEt AEt 1 1 CPI t where: AEt-1 is the Average Expenses (expressed in Kina) for Regulatory Year t-1. purposes, AE2012 is K202.74; and CPIt is calculated as: For these PNGCPIt-1 = (PNGCPIt-1–PNGCPIt-2) / PNGCPIt-2x` where: PNGCPIt-1 is the Adjusted PNG CPI for the 12 month period ending on 30 September in Regulatory Year t-1 or calendar year t-1 and is calculated in accordance with of Schedule YYY of the Regulatory Contract ; and PNGCPIt-2 is the Adjusted PNG CPI for the 12 month period ending on 30 September in Regulatory Year t-2 or calendar year t-2 and is calculated in accordance with Schedule 6 of the Regulatory Contract ; or such other value as determined by reference to that part of the Mid Term Actuarial Report or that number determined by the Commission; and 48 6.2.3 Average Reinsurance Premium The Average Reinsurance Premium (expressed in Kina) for Regulatory Year t (ARIPt) is calculated as follows: ARIPt ARIPt 1 1 CPI t where: ARIPt-1 is the Average Reinsurance Expenses (expressed in Kina) for Regulatory Year t-1. For these purposes, ARIP2012 is K9.86; and CPIt is calculated as: PNGCPIt-1 = (PNGCPIt-1–PNGCPIt-2) / PNGCPIt-2x` where: PNGCPIt-1 is the Adjusted PNG CPI for the 12 month period ending on 30 September in Regulatory Year t-1 or calendar year t-1 and is calculated in accordance with of Schedule 6 of the Regulatory Contract ; and PNGCPIt-2 is the Adjusted PNG CPI for the 12 month period ending on 30 September in Regulatory Year t-2 or calendar year t-2 and is calculated in accordance with Schedule 6 of the Regulatory Contract ; or such other value as determined by reference to that part of the Mid Term Actuarial Report or that number determined by the Commission; and 6.2.4 Profit Margin The profit margin to be applied to the sum of the average risk premium, average expense and average reinsurance premium is 2.5%. The appropriateness of this assumption is to be reconfirmed in the Mid Term Actuarial Report. 6.3 ALLOCATION TO VEHICLE CLASS Premiums are calculated for each vehicle class by combining the average premium components with the vehicle class relativities (described in Section 4). The MANP for class i in year t (MANPi,t) is calculated as: MANPi,t = (ARPi,t + AEi,t + ARIPi,t) x (1+ PLt) where: ARPi,t is the average risk premium for class i for Regulatory Year t and equals ARPt x PRi,t; PRi,t is the premium relativity for class i for Regulatory Year t; AEi,t is the average expenses for class i for Regulatory Year t and equals 0.5 x (AEt + AEt x ARPi,t / ARPt); ARIPi,t is the Average Reinsurance Premium for class i for Regulatory Year t and equals 0.5 x (ARIPt + ARIPt x ARPi,t / ARPt); and PLt is the Profit Loading for Regulatory Year t. 49 We note that risk premium is apportioned based on the premium relativity for each class and the expenses and reinsurance premium are 50% fixed cost and 50% based on risk premium. 6.4 2013 STARTING VALUES Using the formula [MANPt = (ARPt + AEt + ARIPt) x (1 + PLt)] and the explanations provided thereof in the preceding passages, and based on the historical information provided by MVIL, the Commission has determined the premiums for the first regulatory year 2013 as shown in the table below. The same formula will be used to determine the premiums for the duration of the regulatory period from 2014 to 2017. Table 6.1 Premiums for year 2013 Risk Premium Relativity 2013 MNP Insurance Levy Trailer 0.07 145.9 Tractor/Trade Plate 0.20 Motor Cycle Smaller Car - Private NRSC Sub-total VAT Gross Premium 1.46 7.30 154.65 15.47 170.12 214.50 2.15 10.73 227.37 22.74 250.11 0.20 214.50 2.15 10.73 227.37 22.74 250.11 0.30 267.28 2.67 13.36 283.31 28.33 311.64 Smaller Car- Business 0.35 293.66 2.94 14.68 311.28 31.13 342.41 Utility -Private Larger Car (excl Utility) Private 1.12 700.01 7.00 35.00 742.01 74.2 816.21 0.64 446.70 4.47 22.34 473.50 47.35 520.85 X Large Car -Low Risk 0.90 583.91 5.84 29.20 618.94 61.89 680.84 X Large Car - High Risk 1.58 942.76 9.43 47.14 999.32 99.93 1099.26 Utility exceeding 1.25 tonne 1.80 1058.86 10.59 52.94 1122.39 112.24 1234.63 PMV Buses 2.73 1551.79 15.52 77.59 1644.89 164.49 1809.38 Risk Premium 409 Vehicle Class Expenses 203 RI Expenses 9.68 Profit Margin 2.5% 6.5 ESCALATIONS TO COST COMPONENTS Average Accident Size is assumed to increase in line with CPI inflation plus an additional 2% Super Imposed inflation. Both Average Expenses and Average Reinsurance Premium are assumed to increase in line with CPI inflation (only) each year. 6.6 CHANGES IN VEHICLE MIX Since changes in vehicle mix can impact the calculated MANP, the Regulatory Contract has been set such that the mix of vehicles in 2011 is used for the determination of the MANP in years 2 and 3 of the contract period and the mix of vehicles in 2014 is used for the determination in years 4 and 5. This 50 avoids the occurrence of a situation whereby an increase in the proportion of high risk vehicles leads to a reduction in premium rates for those vehicles in order to maintain the required MANP. 6.7 OTHER RISK SHARING PROVISIONS Specific allowance for a Force Majeure Event is made for in the regulatory contract. If one occurs, MVIL may apply to the Commission to charge customers an additional FM Pass Through Amount to compensate MVIL for additional costs. Subject to a number of conditions, including consideration of the extent to which it would have been reasonable for MVIL to have procured insurance against the consequences of the Force Majeure Event, the Commission musk seek to ensure that the FM Pass Through Amount fully compensates for the increase in costs the MVIL submits it has incurred. 6.8 CHANGES FROM PRIOR REGULATORY CONTRACT The most significant change proposed by MVIL, through the Finity Report, is the simplification of the calculation of the MANP formula. In particular the basis of determining the Average Expenses, the Average Reinsurance Premium and future premium inflation. In addition, MVIL has incorporated a requirement for an actuarial review to support the determination of the Average Accident Size (AAS) and the Accident Frequency (AF) with the review proposed to be completed every two (2) years. Under the Regulatory Contract, the mid-term review will be required to be completed after two (2) years. MVIL’s proposal specifies a review of the claim frequency and average claim size. Given the potential for expenses are reinsurance costs to change also, the Commission recommends that all elements of the break-even premium be considered as part of the mid-term review. The key benefits of the changes proposed are identified as being greater simplicity and a reduced likelihood of inadequate pricing due to cost development. These are partially offset by potential differences in the actual and expected rates of inflation. The changes allow MVIL to have the ability to respond to claims experience trends which are not able to be included within a simplified premium formula. The Commission supports the amended formula although it is noted that this it will require greater emphasis be placed on proper and accurate data collection by MVIL. 6.9 TOTAL REVENUE REQUIREMENTS The total revenue for the commencement year net of charges is estimated to be K58 million. This estimate is based on the MANP for 2013 multiplied by the expected number of registrations for 2013 of 91,067. The actual revenue will vary depending on the actual number of registrations and the mix of registrations by class. The required revenue will depend on the number and cost of claims, the exact answer to which will not be known for many years. 51 7. SERVICE STANDARDS 7.1 SERVICE STANDARDS UNDER PREVIOUS REGULATORY CONTRACT According to Schedule 4 of the previous Regulatory Contract, MVIL was required to meet two main minimum service standards and they relate to: a) the provision of facilities either by itself or through an agent for motor vehicle owners to obtain Third Party Insurance Cover; and b) the provision of facilities either by itself or through an agent for claims assessment and claim payment for customers wishing to make a claim for damages (death or bodily injury) arising out from the use of motor vehicles by not later than 31 December 2004. Furthermore, these facilities were to provide an avenue for claimants/customers to raise queries relating to claims and, where necessary, facilitate in forwarding claims to the central claims assessment facilities located in Port Moresby. Note that for both requirements, the facilities were to be set in each provincial capital in PNG and to be open and accessible to members of the public during ordinary business hours on all business days. 7.2 MVIL’S PERFORMANCE DURING PREVIOUS REGULATORY PERIOD a) Facilities for Third Party Insurance Cover Issuance A requirement of the service standards under the previous Regulatory Contract required MVIL, by itself or through an agency, to establish facilities in each provincial centre for customers to obtain third party insurance cover. As such, MVIL established eleven branches and eight agencies throughout the country for this purpose as shown in Table 7.1. 52 Table 7.1: MVIL Branches & Agencies for Third Party Insurance Cover Issuance Branch Single Sticker Capital NCD/CP Pom √ √ WHP Mt Hagen √ √ NCD/CP EHP ENBP Simbu MP WSP ESP SHP WNBP MBP Pom Goroka Kokopo Kundiawa Lae Vanimo Wewak Mendi Kimbe Alotau √ √ √ √ √ √ √ √ √ √ √ √ √ √ ARB Enga MP MP Buka Wabag Madang Lorengau √ √ √ √ √ √ 5. Kiunga - Ningerum Transport P/L WP Daru √ √ 6. Kavieng - Traffic Isle Ltd NIP Kavieng 7. Lihir - Lihir Tyre Center 8. Tabubil - Tawap Kamen Investments P/L NIP Kavieng √ √ WP Daru √ √ 1. Central Traffic Registry 2. Mt Hagen Traffic Registry 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. MVIL Registry NCD MVIL Goroka MVIL Kokopo MVIL Kundiawa MVIL Lae MVIL Vanimo MVIL Wewak MVIL Mendi MVIL Kimbe MVIL Alotau Online Manual Twin Sticker Province √ √ √ √ √ √ AGENTS 1. 2. 3. 4. Buka Traffic Registry Enga Provincial Govt Madang Provincial Govt Manus Provincial Govt √ √ There were three provincial centers without any branches or agencies being Popondetta, Kerema and Daru. Discussion of Issues A Popondetta office was in operation until it was affected by Cyclone Guba in 2007 and was subsequently closed. Motor vehicle owners in the Northern Province since 2007 have been sending their necessary documents to Port Moresby for vehicle registration and CTP insurance cover. The Commission considers this situation to be regrettable and considers that it appropriate that immediate measures to rectify the situation are undertaken. Given its geographic location and limited number of registered vehicles, it is not viable to establish an agency in Daru town. MVIL has agencies in Kiunga (Ningerum Transport P/L) and Tabubil (Tawap Kamen Investments P/L) which are both necessary given the vehicle numbers in those district townships. The Commission understands that a branch/agency was not established in Kerema town due to the road link with Port Moresby. All vehicles owner in Gulf Province travel to Port Moresby to register their motor vehicles and for the payment of third party insurance cover. Whilst it is MVIL’s obligation to establish branches/agencies in each provincial capital, the Commission encourages the establishment of a branch/agency in areas it is economically viable. 53 It should also be noted that the issuance of the twin stickers2, particularly the registration of motor vehicles is a matter beyond the Commission’s jurisdiction. As such, the Commission cannot impose requirements on MVIL to issue twin stickers as part of its minimum service standard requirements. However, the Commission strongly encourages MVIL to make all necessary efforts to issue twin stickers in consultation with the relevant stakeholders such as the provincial governments. b) Claims Assessment & Payment Facilities The second requirement under the previous Regulatory Contract provided for MVIL to ensure it had a greater claims administration presence throughout the country. MVIL decided against decentralisation of claims processing on the basis that it was not financially viable to handle claims administratively in each provincial centre. Furthermore, MVIL claimed that factors such as lack of infrastructure, communications facilities and rising security issues for staff warranted the concentration of claims administration at the head office in Port Moresby. As an alternative, MVIL has been serving its customers through provincial visitations. MVIL claimed to visit provincial centres (not all provinces though) two times annually to attend to claims resulting from motor vehicle accidents. For instance, to attend to claims from Southern Highlands, Enga and Western Highlands Provinces, MVIL officers fly into Mt Hagen and spend a week there to attend to the claimants. For Eastern Highlands and Simbu Provinces, MVIL officers spend a week in Goroka to attend to the same. The trips to other provinces depend on number of accidents occurring. MVIL claimed that prior to visitations, public announcements in the print media and the radio stations informing the general public of the visitation were made. MVIL further claimed that medical staff visitations were slated on a needs basis. MVIL considered that such visitations have greatly improved the speed of claims settlements, a claim which is considered questionable by the Commission. The Commission considers that the reasons provided by MVIL for not providing facilities to assess and pay claims are shallow and therefore has proposed to include further minimum services standards for MVIL to lift their performance in this regulatory period. These additional service standards are discussed in more details under section 10 of this Final Report. 2 Twin sticker refers to an adhesive label that contains both the motor vehicle registration and the CTP motor vehicle third party insurance information. It can be noted from Table 7.1 that provinces that have branches issue twin stickers (except Lae), whilst the MVIL agents issue each sticker separately. 54 8. COMMUNITY SERVICE OBLIGATIONS The Government currently does not have a Community Service Obligation Policy. In the absence of a funding mechanism for CSOs, the Commission has adopted a uniform pricing approach when setting the price paths for regulated entities in previous reviews. Since the establishment of the Commission in 2002, the Commission has consistently adopted a uniform pricing approach in the regulation of utilities. This includes Postal services, PNG Ports’ essential ports services and water charges. The ‘uniform pricing’ (also known as ‘postage stamp pricing’) for all centres provides a funding mechanism for the regulated entities to continue to deliver vital services to centres around PNG that are considered in a commercial sense as ‘loss making’. The loss making centres/sectors of a regulated business are incapable of recovering the stand alone costs of delivering service. 8.1 MVIL COMMUNITY SERVICE OBLIGATIONS As part of its regulatory obligations, MVIL has to maintain a presence in all provincial centres throughout PNG. The premiums are uniform across all centres to ensure that the compulsory service can be provided at an affordable level. Furthermore, a degree of cross subsidies between policyholders with high claims experience and other policy holders exists to ensure that cover can be provided at an affordable level to all vehicle owners in PNG. In the absence of a CSO Policy, the uniform premiums and cross-subsidies between different policy holders helps to ensure that MVIL continues to provide sustainable CTP motor vehicle insurance coverage scheme throughout PNG. As a state owned entity, MVIL has an obligation to accommodate CSOs in its operations. 8.2 CSO AND PREVIOUS REGULATORY CONTRACT Under the previous Regulatory Contract, there was no provision for any CSO and it is noted that there is no Government CSO policy in place. However, as part of its CSO as a state owned entity, MVIL undertook the initiative to promote the national road safety awareness campaigns, spending a considerable amount of money to tackle the issues of ‘speeding, drink driving, pedestrian safety and overloading of Public Motor Vehicles’ with a view to reduce the increasing number of road accidents. Given PNG’s passion for rugby league, MVIL has fronted its campaign with some of the best known players in the Australian National Rugby League (NRL) Competition. The Commission notes that approximately K1 million was used for this public awareness campaign since its commencement in November 2009. Whilst the Commission supports the objectives of the campaign, it has concerns about the potential for recovering the expenses via reductions in claims costs. To put the cost of the public awareness campaign into perspective, K1 million is about 3% of the annual claims cost. Thus, to be effective, the campaign would need to reduce the number of accidents by around 30 per annum. Other strategies should be considered with the focus being on those which are expected to have the maximum possible impact of reducing the number of accidents. In its submission, the Insurance Commission, whilst noting that the advertising campaign outlined above was a good initiative, queried whether MVIL had figures to show the effectiveness of the campaign. The Insurance Commission also queried whether MVIL might consider partnering with other relevant stakeholders such as taking the campaign to schools to educate the drivers of the future. The Commission considers that MVIL should ensure that there is evidence that the advertising campaign is benefiting the community before committing to further campaigns. 55 8.3 CSO UNDER THE NEW REGULATORY PERIOD The Commission’s view is that MVIL should consider other options as well as the previous strategy as part of its CSO. Partnership with other agencies – There are a range of other government agencies/organisations whose actions could assist in the reduction of accidents and hence CTP claims. Organisation such as the Land Transport Board, Provincial Traffic Registry, Traffic Police, providers of road worthiness certificates, legislators (e.g. via the tightening of drinkdriving laws) and the National Road Safety Council (NRSC) all have the potential to influence the number of accidents. Given these organisations tend to have limited funding, it may be beneficial to PNG citizens for MVIL to sponsor particular strategies or campaigns. Potential examples include: o o 9. Roadblocks to impound unregistered or uninsured vehicles; Police blitzes targeting unlicensed drivers and those under the influence of alcohol. Claim management - Another area for MVIL to assist as part of its CSO is to do with claims. Premium collection involves a relatively straightforward transaction. Assessing and settling claims are, however, considerably more complicated. MVIL should continue to examine measures to reduce claim processing times as well as the providing the appropriate level of compensation to injured road users; Public Awareness and Education – the Commission notes that there is a need for MVIL to educate the public about the existence of CTP coverage, their rights and the processes for lodging a claim. Much of the education revolves around public awareness of the various aspects of MVIL’s business (including the extent of cover and the practical basis for lodging claims and time limits) but should also include road safety education. KEY ISSUES RELATING TO MVIL There are many key business issues currently confronting MVIL and the third party insurance industry. Some of the various kinds of risks and uncertainties MVIL faces in the process of conducting its business are covered in this section. 9.1 INCREASING NUMBER OF MOTOR VEHICLES With the positive growth of the country’s economy over the last decade, an increasing number of people continue purchasing motor vehicles for personal use whilst the boom in the mining and mineral sectors has also increased the demand for heavy duty vehicles. Moreover, the importation of used vehicles over the internet has dramatically increased the number of vehicles around the country. MVIL statistics indicate that the number of vehicles registered has increased by over 4,500 per annum over the last decade. The increase in the number of vehicles in PNG warrants a review of the previous vehicle classes and to consider the need to introduce new vehicle classes. An increase in the number of motor vehicles is also expected to lead to an increased number of accidents each year. Feedback from the Insurance Commissioner commented on the quality of vehicles being imported as another area of concern. Recent registration statistics show an increasing trend in vehicle numbers which is supported by vehicle import statistics. The change in nature of type and use of vehicles warrants further investigation as to whether the previous vehicle classes were suitable. The Commission notes that this may need to be a 56 subjective assessment since there is unlikely to be sufficient claims experience to reliably differentiate the historical data. 9.2 DETERIORATION OF ROAD INFRASTRUCTURE The failure to properly maintain a road can contribute to an accident, through such factors as the accumulation of debris on the road, the presence of potholes or other wear, deterioration or fading of road signs, overgrown trees and foliage that obstructs a driver's line of sight or obscures signage. In the built up areas, inadequate signage and traffic controls are also an issue. Moreover, given the rough conditions of the rugged PNG terrains and the deteriorating road networks in the country, it is considered that a lot of unnecessary and avoidable accidents are occurring. The rate of deterioration of the roads is further fuelled by the increasing number of motor vehicles which overcrowd and congest the limited road network thus putting excess strain on the roads. This is exacerbated by a lack of maintenance. Poor road conditions are expected to result in higher numbers of claims. Apart from contributing to accidents, there are more wide reaching impacts. Inefficient road infrastructure can be an important factor which impedes (potential) investments in an economy, as revealed by a study undertaken by the Institute of National Affairs. Whilst feedback highlighted that the deteriorating road infrastructure should not directly concern MVIL, the Commission notes that MVIL is impacted by the deterioration via both increased numbers of accidents and their severity. As a result, the Commission considers that MVIL should play a strong advocacy role in pushing for improvements in the road infrastructure across the country – particularly because this will become a worsening issue as both the population and the vehicle fleet increase. 9.3 FRAUDULENT CLAIMS Almost as long as there has been insurance, there have been people who have tried to defraud insurance companies and MVIL is no exception. Whilst the Commission does not have specific evidence, MVIL has claimed that fraudulent claims are real and do occur. It has been claimed that a variety of people including policemen, lawyers, doctors and accident victims have colluded to lodge claims to defraud MVIL. It is a matter of priority that strategies should be implemented to ensure that claims that are not genuine are not paid. In 2006, the former Chief Executive Officer of MVIL Dr. John Mua was reported in the Post Courier as saying that 10% to 15% of the accident claims at MVIL were fraudulent. The Insurance Commission, in its submission, highlighted that evidence of fraudulent claims should be met with severe penalties. The Commission considers that MVIL should seek to ensure that systems are in place to identify and reject fraudulent claims in order to control the inflationary costs on premiums. 9.4 SETTLEMENT COSTS AND DECISIONS BY THE JUDICIARY As per section 49(2)(a) of the Motor Vehicles (Third Party insurance) Act, the maximum limit is K150,000.00 for death or bodily injury to any one person in an accident or K750,000.00 for any one accident or series of accidents arising out of the one event. There may be instances where a considerable number of injuries and/or deaths caused by a major accident warrant a review of the maximum limit set. One such incident was the January 2010 accident in the Markham Valley where more than 40 people died and several were seriously injured. The maximum mandatory amount of K750,000 per accident is clearly insufficient when shared amongst the more than 40 people who were injured or died. 57 The Commission considers that a review of the Act to set a fair and reasonable level of compensation in such cases is preferable and to avoid the victims needing to dispute the matter through the courts. 9.5 INVESTMENTS MVIL has a range of investments which are not considered standard for a manager of a CTP scheme. Direct investments such the controversial K100 million investment in Australia is an example of such investments. The Insurance Commission raised a similar concern in its submission and suggested that safeguards in the MVIL might be initiated. The IPBC highlighted that the nature of MVIL’s investments fell under their monitoring functions. Given the IPBC’s feedback the Commission is satisfied that specific requirements on MVIL’s investments are not required at this point in time. The Commission reserves the right to alter this view if MVIL’s liquidity (readily sellable assets) is not sufficiently higher than its liabilities. The Commission notes that a standard investment basis for a scheme such as MVIL would be to have excess funds managed by a professional investment manager who would seek to offset the risk profile of this sort of insurance. There is also some potential that investment in some areas could create a conflict of interest between the management of the scheme and the management of the investment. 9.6 DELAYS IN CLAIM PAYMENTS It is noted that a lot of claims are paid many years after the date of lodgment of a claim. Claims processing time is one of the main issued addressed in the new Regulatory Contract. Some level of delay is inevitable given the nature of injuries and claims settlement process though. CTP claims are referred to as long tail claims due to the time it can takes for both claims to be reported and claims to be settled. Late reported claims are often referred to as IBNR (Incurred But Not Reported) claims. 9.7 ISSUANCE OF SAFETY STICKERS TO MOTOR VEHICLES It is widely acknowledged that unroadworthy vehicles are operating on a daily basis. The Commission considers that the impounding of these vehicles would help reduce the use of these vehicles. This may also require tougher penalties on drivers of unroadworthy vehicles as well as incentives to Police to charge offenders. Feedback from the Insurance Commission supports the Commission’s view that tougher penalties should apply. In fact, the Insurance Commission suggests that fewer garages should be eligible to provide roadworthy certificates. The Commission concurs with the views of the Insurance Commission, noting that a reduction in unroadworthy vehicles would ultimately be expected to result in reduced premiums. 9.8 PROCUREMENT OF DRIVING LICENSES The Commission is aware of claims that some people are fraudulently obtaining driving licenses. This brings into question the integrity of the agencies and its employees that issue driving licenses and is a major concern for the safety of road users. The Commission considers that a concerted effort is required from all relevant agencies to address this issue. The Insurance Commission recommended in its submission that more severe penalties be introduced (and enforced) to combat this issue. The Commission concurs with the views of the Insurance 58 Commission, noting that a reduction in fraudulently obtained licenses would ultimately be expected to result in reduced premiums. 10. CHANGES UNDER THE NEW REGULATORY CONTRACT The new Regulatory Contract is largely the same as the previous one. proposed in the new Regulatory Contract are summarised below. 10.1 The major amendments LENGTH OF THE REGULATORY PERIOD The new Regulatory Contract contains a regulatory period of 5 years with the option of a further 5 years subject to certain criteria being met as detailed in Section 2.5. The new Regulatory Contract will Commence from 1 January 2013 to 31 December 2017 (both dates inclusive). 10.2 COST OF FUNDING NEXT REGULATORY CONTRACT To ensure that money is readily available to fund the cost of any future reviews, the Commission has included a clause in the new Regulatory Contract (refer to clause 8.3) to make it mandatory for the GoPNG to fund the review. If the Commission notes that the GoPNG will not provide funding for the next regulatory contract review by or towards the end of the year 2016, the Commission will seek funding from the MVIL management. If MVIL will provide the funding for the cost of the review, this review cost will be allowed to be recovered under the new price set for the next regulatory period. The Commission is concerned that the cost of the review funded by the regulated entity is allowed to be factored in the determination of the price path for period and therefore contributes towards exponential or subsequent increases in charges/rates for the services provided each year after year. 10.3 REPORTING FRAMEWORK A reporting framework has been included in the new Regulatory Contract as Schedule 5 with regards to financial information of MVIL, accidents and claims information. Also refer to Appendix A in this report for a copy. The Commission has, in the development of the Reporting Framework, sought to find a balance between the need for detailed information for the effective monitoring and reporting of MVIL performance and the regulatory burden the provision of the data creates. The Commission considers that the report requirements contained in the new Regulatory Contract strikes the correct balance and notes that the requested information mirrors that that the management of an effective and efficient business would require to make informed decisions in its day to day operations. Further, the Commission will ensure that operational costs are at efficient levels so that additional costs are not passed onto consumers. It will assist the Commission to apply a price path for regulated services such that it reflects the efficient cost of providing compulsory third party insurance service provided by MVIL within PNG. a) Financial Information It is imperative to monitor the revenues and expenses of MVIL to ensure that MVIL spends within budget and as planned. Specifically, the Commission needs to know exactly how much is generated each from both the regulated and non-regulated services, what portion of the cost of operation is consumed by both the regulated and non-regulated services, monies are spent only on essential areas of their operation, amongst other things. In doing this annually, the Commission will ensure that operational costs are at efficient levels so that additional costs are not passed onto consumers. It will assist the 59 Commission to apply a price path for regulated services such that it reflects the efficient cost of providing CTP insurance cover by MVIL within PNG It should be noted that the inclusions in the new Regulatory Contract are consistent with the other regulatory contracts issued by the Commission to regulated entities such as PNG Ports Corporation Ltd, PNG Power, Post PNG and Water utilities. b) Information on Accidents It is also important that the Commission keeps track of the number of accidents occurring by vehicle type and the amounts paid for claims by accident period and province etc. This information is required to enable the monitoring of vehicle relativities. Vehicle relativities are required to ensure that appropriate premiums are charged to the various vehicle types. A reporting template to this effect has been developed and referred to in the Regulatory Contract. c) Information on Claims The Commission will require from MVIL the claims information to ensure that claims are paid within the mandatory time period of 6 months that is set in the new regulatory period. As such, on a quarterly basis, claims information by province should be furnished to the Commission inlcuding the number of claims submissions received by MVIL, total amount of claims paid, average amount paid, total number of claims paid (or not paid) within a quarter. 10.4 MINIMUM SERVICE STANDARDS The Commission considers that the minimum service standards in the previous Regulatory Contract are insufficient. Hence, the Commission has included additional service standards as outlined hereunder. The three key areas for MVIL to improve their performance are; Third Party Insurance issuance, claim payments and preventive measures to reduce accidents. Full details of the requirements are provided in Schedule 3 of the new Regulatory Contract. a) Facilities for Third Party Insurance Cover Issuance The Commission is pleased to note that MVIL has a presence in all provincial capitals either through itself or agencies as shown in Table 7.1. MVIL is encouraged to continue to maintain its presence, however, the Commission urges MVIL to upgrade agencies to branch level as the way forward where economical. As such, MVIL will be required to upgrade its operational status from an agency to branch level for the provinces of Madang and Enga by 31 December 2013 in order to meet the demands imposed by the increased number of motor vehicles and economic developments in the said provinces. Other provinces operating as agencies can continue to operate as such until such time that circumstances warrant an upgrade to branch level. On the same note, it is of great concern to the Commission that MVIL has yet to re-open its office at Popondetta to date. Hence, MVIL will be required to re-open its office at Popondetta by 31 December 2013. b) Claims Assessment & Payment Facilities The reasoning provided by MVIL for not decentralising the claims assessment and payment facilities to other provincial centres as discussed under section 7.2(b) of this report are considered by the Commission as insufficient. As such, the Commission will require offices to be set up in the forthcoming regulatory period in selected provinces as a short term measure but with a view to increasing them to other provinces where economically warranted in the long term. 60 The sites selected for the establishment of claim handling facilities in the short term are Mt. Hagen, Goroka, Lae and Kokopo. This will result in claim handling services being available in all regions of PNG It is anticipated that by 31 July 2015, the branches in these centres will be operational and able to accommodate the assessment, processing and payment of claims. The Commission has taken this measure to purposely reduce the time taken by MVIL to pay out claims as it has caused countless and varied miseries to claimants. Currently to follow up on claims, customers have been expending their limited resources flying in from other regions to Port Moresby only to be faced with a lot of unexpected difficulties and delays. The regional facilities, customers can follow up on their claims at the nearest centres additional the establishment of claim centres in all regions will facilitate claims being processed within the required timeframe for claims settlement and discourage claimants from travelling to the headquarter (Port Moresby) to follow-up on their claims. It is expected that customers will pursue their claims through the nearest regional MVIL offices from August 2015 onwards. Only claims matters that require further deliberation will be sent to the headquarters in Port Moresby for the senior executives’ decisions. Nonetheless, the provincial visitations will continue to be encouraged by the Commission as and when MVIL feels necessary to attend to claims issues. A report of these visitations will also be provided to the Commission for comments. MVIL will also be required to make direct contact with the customers using the contact details provided in the claims application forms before these visitations. MVIL will also have to inform customers not contacted directly through other available modes of communication such as the print media, social media et al for three weeks prior to the dates of visitations. Further, the Commission is pleased to note that the establishment of a new claims management system at the headquarters in Port Moresby will reduce the time taken to assess process and pay out claims. As such, part of the minimum service standards, MVIL will be required to pay out claims within six (6) months from the time a claim is first lodged. Should a claim exceed 6 months without satisfactory explanations provided to the Commission, a penalty fee of 10% will be incurred on the value of the final claim payment for every month it exceeds beyond the period stipulated and paid to the customer. Where MVIL considers there will be extension required, it must provide justification for the extension to the Commission during the first week of the fifth month to avoid penalties and allow time for the Commission and MVIL to deliberate further on the next course of action to undertake. Again, based on the merits or otherwise of the explanations, the Commission will make a decision accordingly. Moreover, as one of the measures to improve on turnaround time to pay claims, a toll-free telephone number will be set up by MVIL at the headquarters in Port Moresby specifically for claimants to followup on their claims. MVIL will be required to have this service readily available by 30 June 2013. The customers will call the toll-free telephone number free of charge with the charges by telephone carriers charged to MVIL. The toll-free telephone number service will also be set up at the regional centres once established. (c) Other Service Standards It is important for MVIL to commit to a community service obligation that is aimed at educating and conducting awareness about safe driving practises as a measure to minimise accidents. This will be considered as part of the minimum service standards in the next regulatory period. The twin sticker issue is seen to be causing unnecessary inconveniences to the customers. Whilst twin sticker issues are beyond the Commission’s jurisdiction, the Commission still believes that MVIL must make all efforts in consultation with the relevant stakeholders, particularly the provincial government authorities, to ensure that MVIL issues only twin stickers via all its branches and agencies throughout the country by 31 December 2015. It would be beneficial to all parties were MVIL branches and agencies to become a one-stop shop where both the third party insurance cover and the vehicle registration stickers are issued as one. As part of the service standards in the forthcoming regulatory 61 period, MVIL will be required to take all necessary measures to ensure that only twin stickers are issued before the date set herein. MVIL will also be required to provide evidence by way of furnishing documents to the Commission that it is indeed trying its best to make it a reality. 10.5 MINIMUM SERVICE STANDARDS VERSES SENIOR MANAGEMENT REMUNERATION The Commission would like to see that senior management who have the responsibility to ensure that minimum service standards be held accountable should MVIL perform below expectations. Senior management have a duty to ensure that the customer has access to quality and reliable services from MVIL. Failure to meet the minimum service standards would see senior management of MVIL having their remuneration reduced if sufficient explanations are not provided to the Commission. The Commission would like to see these actions taken on an annual basis, based on objective criteria, as a measure to maintain and improve on the service standards requirements. These are appropriate incentives provided to MVIL to ensure that service standard requirements are met. 10.6 COMPETITIVE PROCUREMENT PROCESS This clause is another new performance clause included in the Regulatory Contract which allows the Commission to ensure that, for any planned capex programmes or investment (procurement of office building, etc.) best business practises are followed. That means that any capital investment projects undertaken by MVIL must be competitively tendered. 10.6.1 GENERAL DUTIES AND OBLIGATIONS In terms of any procurements, MVIL is required to provide to the Commission its Approved Annual Plans indicating its annual capital and operational plans which it intends to undertake at a value of which will be at or over K500,000.00. The Commission will also require documentation as evidences of any capital and operational expenditure procurements valued to be K500,000.00 or above during previous regulatory period, this contract period or the subsequent regulatory period as outlined in clause 6.4 of the Final Regulatory Contract. 10.7 RING FENCING The Commission as part of this new regulatory contract has now increased the quality and frequency of MVIL’s reporting system to the Commission. If and when the Commission considers it appropriate to promote competition in the market, it may require MVIL to adopt a ring fencing approach for all of its operations and report to the Commission on an annual basis. MVIL may be required to submit to the Commission the following; Its Contestable and Third Party Insurance Services operated by MVIL or any relevant shareholder of MVIL, and Its annual reconciliation between revenues and costs delivered by both the Regulated and Nonregulated services such as issuance of drivers’ licences, registration of safety stickers, transfer of registration titles, plates, etc provided by MVIL or relevant shareholder of MVIL. The reporting template for the regulated and non-regulated services must be completed and submitted to the Commission by no later than 30 June of each regulatory period. This information must be tied back to either, audited financial statements where available or monthly management reports to the board, where audited financial statements are not available. Importantly, the audited financial 62 statements do not necessarily need to be signed by the Auditor General, rather must have cleared all other audit standards that is signed by a qualified accountant as required by the regulatory contract. 63 APPENDIX A. Reporting Framework 1. Financial Information Reporting Template Branch Name Current Year Total Previous Year Total Comments Revenue* A Direct Operating costs* B Indirect Operating costs* C Total operating costs* D=B+C Surplus/Deficit for the E=A-D branch * denotes that the information must tie back to either, audited financial statements – where available, or monthly management reports to the Board of Directors – where audited financial statements are not available. a) Revenue – refers to revenues from both regulated & non-regulated services. MVIL regulated business Vehicle Class Revenue* 1) Trailer 2) Tractor/Trade Plate 3) Motor Cycle 4) Smaller Car - Private 5) Smaller Car- Business 6) Utility -Private 7) Larger Car (excl Utility) -Private 8) X Large Car -Low Risk 9) X Large Car - High Risk Current Year Total A 10) Utility exceeding 1.25 tonne 11) PMV Buses Direct operating costs* Indirect operating cost* Total Operating Costs B C D=B+C 64 Previous Year Total Comments Surplus/Deficit For The Class E=A-D * denotes that the information must tie back to either, audited financial statements – where available, or monthly management reports to the Board of Directors – where audited financial statements are not available. Revenue – refers to total of gross premiums from the different vehicle types listed. It also includes VAT and levies for the Insurance Commission and NRSC etc. b) Information on both regulated and non-regulated services Current Revenue Total Business Revenue Regulated Services Vehicle Registration Licenses Replacement of Registration Sticker Replacement of Registration Sticker PMV Transfer of Registration Plate Number Trader Plate Plate for use on a motor vehicle Plate for use on a motor cycle Replacement - certificates for trade plates Trailers Substitute of Registration Certificate Release of Information - Provision others Non Regulated Services Year Total Previous Year Total Revenue Comments A B C D E F G H I J K L M N O=B+C+D+E+F+G+ H+I+ J+K+L+M+N Other revenues TOTAL REVENUE* Regulated Services – refers to revenues received from the issuance of CTP motor vehicles insurance which includes VAT and levies for the Insurance Commission and NRSC. Other revenues – refers to revenues collected from sources other than those mentioned and needs to be explained; e.g. aid grant etc. Total Business Costs Current Year Total Regulated services (direct) Regulated services (indirect) Total regulated Unregulated services (direct) Unregulated services (indirect) Total Unregulated services A B C=A+B D E F=D+E 65 Previous Year Total Comments Other costs Total costs G H=C+F+G Other costs - all other costs to be explained; e.g. interest on loans etc. Total business payments Funded by regulated services Funded by unregulated services Total Dividend* Current Year Dividends Previous or capital return# Total Year Total A B C=A+B Comments * denotes that the information must tie back to either, audited financial statements – where available, or monthly management reports to the Board of Directors – where audited financial statements are not available. # separately report dividends from capital returns. Note: For the avoidance of doubt Audited Statements can include statements which have prepared and reviewed by an auditor but not signed off by the Auditor General of PNG. 2. Information on Accidents a) Accidents Information per Vehicle Class Vehicle Class No. of Accidents Trailer Tractor/Trade Plate Motor Cycle Smaller Car - Private Smaller Car- Business Utility -Private Larger Car (excl Utility) -Private X Large Car -Low Risk X Large Car - High Risk exceeding 1.25 tonne PMV Buses 66 Amount Paid Province b) Information on Claims Provinces by Region Total # of claims received Total # of claims paid Total amount paid (K) Average amount paid per claim (K) Total # of claims paid within 3 months Total # of claims not paid within 3 months 1. Highlands a) Hela b) SHP c) Enga d) WHP e) Jiwaka f) Simbu g) EHP 2. Momase a) WSP b) ESP c) Madang d) Morobe 3. Islands a) Manus b) NIP c) ENBP d) WNBP e) AROB 4. Southern a) MBP b) Northern c) Central d) NCD e) Gulf f) Western Note: To avoid any confusion Hela = Hela Province, SHP = Southern Highlands Province, Enga = Enga Province, WHP = Western Highlands Province, Jiwaka = Jiwaka Province, Simbu = Simbu Province, EHP = Eastern Highlands Province, WSP = West Sepik Province, ESP = East Sepik 67 Province, Madang = Madang Province, Morobe = Morobe Province, Manus = Manus Province, NIP = New Ireland Province, ENBP = East New Britain Province, WNBP = West New Britain Province, AROB = Autonomous Region of Bougainville, MBP = Milne Bay Province , Northern = Northern Province, Central = Central Province,NCD = National Capital District, Gulf = Gulf Province and Western = Western Province. 68