Does The Insurance Industry Discriminate?
First, let's admit that this article title
and question is tricky; but the answer is yes. Not only is discrimination
practiced by every insurance company; discrimination is absolutely
critical to the industry. The practice is also quite legal and
rightfully so! Before going further, let's remember that discrimination
can have more than one meaning. How may discrimination be defined?
Let's use a very large dictionary, say Webster's Encyclopedic
Unabridged Dictionary Of The English Language (Deluxe Edition):
1. the act or an instance of discriminating.(differentiating or
noting differences), 2. Not applicable, 3. treatment or consideration
of, or making a distinction in favor of or against, a person or
thing based on the group class or category to which that person
or thing belongs rather than on individual merit.
Unfair Discrimination?
The confusion over the desirability or legality
of discrimination arises out of unfair discrimination. Unfair
discrimination stems from the latter definition mentioned earlier.
A choice that is based on a group, class or category. Choices
that revolve around a distinction that is irrelevant to offering
insurance coverage is unfair discrimination. The best (or worse)
example of this is to deny coverage based upon an arbitrary difference
such as race or religion.
Fair Discrimination
Insurers are constantly involved in discriminating
because they are always studying persons and situations to see
if they are in a position to offer insurance coverage. In other
words; they note differences and make choices among the requests
they constantly receive for coverage. The distinctions made among
their insurance applicants are important. Insurers design their
insurance programs based on assumptions on the type of persons,
property and situations they wish to cover.
Market Selection and Pricing
When an insurance company does business, it
has to make decisions about the type of market it wants to serve.
For example, in the car market, does it wish to insure only regular
cars and drivers with pristine records or expensive sports cars
and drivers with a few blemishes? In the homeowner's market, does
the company wish to target very expensive homes, such as those
with a value over $300,000 or might it decide to exclusively write
mobile homes?
Once their market niche is selected, a company has to implement
matching prices. What components must a company consider? Well,
an insurer must charge premiums that reflect the:
- dollar amount of losses paid to all parties filing valid claims
- company's costs to investigate and settle claims
- insurer's operating expenses (including compensation to employees
and agents)
- premiums charged by their competitors
A company's premiums also consider their ability to invest their
income and, of course, they must also consider what rates, particularly
changes in rates, are approved by state insurance regulators.
Underwriting
In the next step after market selection and
pricing, a company has to create and follow rules on selecting
and keeping the type of business that matches its market and which
is supported by their premiums. The rules and practices that a
company follows in selecting and rejecting business is called
underwriting. In other words, via underwriting, an insurer must
discriminate or choose among persons and kinds of property that
fit its insurance program. If a company doesn't apply their selection
standards consistently; it will eventually lose the ability to
do business. What is a quick method to learn what a company considers
to be valid factors to do business? The company's application(s).
If the information is important for underwriting, it should show
up on the application. This is true no matter the type of insurance
or market targeted by the insurer.
Discriminating Conclusion
Remember, the decisions made by an insurer
in writing and renewing coverage must validly affect their market
and prices. When the decisions are not based on these factors...unfair
discrimination takes place.