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More About This Title Property and Liability Insurance Entities 2016
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Founded in 1887, the American Institute of Certified Public Accountants (AICPA) represents the CPA and accounting profession nationally and globally regarding rule-making and standard-setting, and serves as an advocate before legislative bodies, public interest groups and other professional organizations. The AICPA develops standards for audits of private companies and other services by CPAs; provides educational guidance materials to its members; develops and grades the Uniform CPA Examination; and monitors and enforces compliance with the accounting profession's technical and ethical standards.
The AICPA's founding established accountancy as a profession distinguished by rigorous educational requirements, high professional standards, a strict code of professional ethics, a licensing status and a commitment to serving the public interest.
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1 Nature, Conduct, and Regulation of the Business 01-98
General Nature of the Business 01-03
Kinds of Insurance 04-08
Legal Forms of Organization 09
Methods of Producing Business 10-17
Major Transaction Cycles 18-36
Underwriting of Risks 18-27
Pooling, Captives, and Syndicates 28-30
Processing and Payment of Claims 31-32
Investments 33-36
Accounting Practices 37-98
State Insurance Regulation 37-45
National Association of Insurance Commissioners 46-47
Federal Regulation—Securities and Exchange Commission 48-53
Federal Regulation—The Dodd-Frank Wall Street Reform and Consumer Protection Act 54-64
Federal Regulation—Terrorism 65-69
Industry Associations 70
Statutory Accounting Practices 71-89
Generally Accepted Accounting Principles 90-97
Comparison of SAP and GAAP 98
2 Audit Considerations 01-186
Introduction 01
Scope of the Audit Engagement 02-14
General Considerations 02-04
PCAOB Integrated Audit of Financial Statements and Internal Control Over Financial Reporting 05-09
Additional PCAOB Audit Standards 10-14
Planning and Other Auditing Considerations 15-73
Audit Planning 16-17
Audit Risk 18-22
Risk Assessment Procedures 23-28
Understanding the Entity, Its Environment, and Its Internal Control 29-47
Common Industry Ratios and Performance Metrics 48-60
Identifying and Assessing the Risks of Material Misstatement 61-64
Performing Audit Procedures in Response to Assessed Risks 65-71
Use of Assertions in Obtaining Audit Evidence 72-73
Other Risk Assessment Activities and Considerations 74-78
Planning Materiality 74-76
Performance Materiality and Tolerable Misstatement 77-78
Consideration of Fraud in a Financial Statement Audit 79-80
Insurance Industry—Fraud Risk Factors 81-103
The Importance of Exercising Professional Skepticism 83
Discussion Among Engagement Personnel Regarding the Risks of Material Misstatement Due to Fraud 84-87
Obtaining the Information Needed to Identify the Risks of Material Misstatement Due to Fraud 88-89
Identifying Risks That May Result in a Material Misstatement Due to Fraud 90-94
Assessing the Identified Risks After Taking an Evaluation of the Entity’s Programs and Controls That Address the Risks Into Account 95-96
Responding to the Results of the Assessment 97
Evaluating Audit Evidence 98
Responding to Misstatements That May Be the Result of Fraud 99-100
Communicating About Possible Fraud to Management, Those Charged With Governance, and Others 101-102
Documentation and Guidance 103
Use of Information Technology 104-107
Going Concern Considerations 108-116
Evaluating Misstatements 117-120
Audit Documentation 121-129
Consideration of the Work of Internal Auditors 128-129
Communication of Matters Related to Internal Control 130-137
Identification of Deficiencies in Internal Control 131-132
Communication of Deficiencies in Internal Control 133-137
Communication of Other Matters With Those Charged
With Governance 138-142
Matters to Be Communicated 140-142
Communications by Successor Auditors 143
Auditor Independence 144-145
Auditing Fair Value Measurements and Disclosures 146-148
Considerations for Auditors to Comply With the NAIC Model Audit Rule 149-170
Awareness 150-151
Change in Auditor 152
Auditor’s Letter of Qualifications 153
Qualifications of the Auditor 154
Indemnification 155
Partner Rotation 156
Prohibited Services 157-159
Consideration of Internal Controls in a Financial Statement Audit 160
Notification of Adverse Financial Condition 161-162
Report on Internal Controls 163-165
Working Papers 166
Communications to Audit Committees 167
Management’s Report on Internal Controls Over Financial Reporting 168-170
Auditor’s Consideration of State Regulatory Examinations 171-175
Auditor’s Consideration of Permitted Statutory Accounting Practices 176-180
SEC Requirements for Management’s Report on Internal Control Over Financial Reporting 181-186
3 Premiums 01-132
Background 01-29
Types of Premiums Adjustments 04
Summary of Premium Transaction Flow 05-26
Involuntary Markets 27-29
Accounting for Premiums and Acquisition Cost 30-110
Premium Revenue and Premium Adjustments 30-49
Premium Receivable 50-55
Acquisition Costs 56-83
Premium Deficiencies 84-97
Medicare Part D 98-102
Accounting for Contracts That Do Not Transfer Insurance Risk 103-104
Disclosure Considerations 105-110
Auditing Premiums and Acquisition Costs 111-132
Audit Planning 111
Consideration of Fraud in a Financial Statement Audit 112
Audit Risk Factors—Premiums and DAC 113-116
Management Estimates 117-119
Risk of Material Misstatement—Inherent Risk Factors 120-121
Internal Control 122-124
Control Environment 125-126
Risk Assessment Process 127-128
Control Activities 129
Audit Procedures Responsive to the Assessed Risks of Material Misstatement 130-131
Audit Consideration Chart 132
4 The Loss Reserving and Claims Cycle 01-205
Introduction 01-02
Types of Businesses and Their Effect on the Estimation Process 03-14
Policy Duration 04
Type of Coverage 05
Kind of Insurance Underwritten: Line of Business or Type of Risk 06-14
The Transaction Cycle 15-32
Claim Acceptance and Processing 16-18
Claim Adjustment and Estimation 19-24
Claim Settlement 25-28
Reinsurance Receivable 29-30
Salvage and Subrogation 31-32
Components of Loss Reserves 33
Estimating Methods 34-53
Illustrative Projection Data 44-53
LAE Reserves 54-62
DCC Reserve Calculation Approaches 56-59
AO Reserve Calculation Approaches 60-62
Changes in the Environment 63-66
Critical Accounting Policies and Estimates Disclosure 67-68
Use of Specialists by Management in Determining Loss Reserves 69-71
Guaranty Fund and Other Assessments 72
Accounting Principles 73-93
Discounting Loss Reserves 75-82
Structured Settlements 83-85
Reinsurance Receivables 86
SAP 87-93
Disclosures of Certain Matters in the Financial Statements of Insurance Enterprises 94-113
Applicability to Statutory Financial Statements 94
Relationship to Other Pronouncements 95
Liability for Unpaid Claims and Claim Adjustment Expenses 96-113
Auditing Loss Reserves 114-205
Planning Considerations—Overview 114-119
Consideration of Fraud in a Financial Statement Audit 120-122
Risk of Material Misstatement—Inherent Risk Factors 123
Internal Control 124-126
Control Environment 127
The Entity’s Risk Assessment Process 128-129
Information Systems 130
Control Activities 131-132
Identifying and Assessing the Risks of Material Misstatement 133
Audit Procedures Responsive to the Assessed Risks of Material Misstatement 134-142
Use of Loss Reserve Specialists 143
Loss Reserve Specialists Engaged by the Auditor 144-146
Use of Management Specialists by Auditors in Evaluating Loss Reserves 147-149
Auditor’s Response to Management’s Use or Non-Use of a Loss Reserve Specialist 150
Evaluating the Reasonableness of the Estimates 151
Analytical Procedures 152-157
Testing the Data, Assumptions, and Selection of the Estimate 158-162
Auditing the Underlying Data Used in the Loss Reserving Process 163-168
Develop a Point Estimate or Range to Evaluate Management’s Estimate 169-170
Loss Reserve Ranges 171-177
Factors That Could Affect a Range of Reasonably Possible Outcomes 178-184
Evaluating the Financial Effect of a Reserve Range 185-193
Auditor Uncertainty About the Reasonableness of Management’s Estimate and Reporting Implications 194-195
Evaluating the Reasonableness of Loss Adjustment Expense Reserves 196-197
Ceded Reinsurance Recoverable and Receivable 198-203
Understanding the Impacts of Foreign Exchange 204
Audit Consideration Chart 205
5 Investments and Fair Value Considerations 01-246
Introduction 01-08
Overview 01
Investment Evaluation 02-03
Recordkeeping and Key Performance Indicators 04-05
The Transaction Cycle 06-07
Safekeeping 08
Regulation 09-14
Statutory Limitations 10-14
FASB Accounting Standards Codification 820 and 825 15-40
Definition of Fair Value 16-22
Application to Liabilities and Instruments Classified in a Reporting Entity’s Shareholders’ Equity 23-25
The Fair Value Hierarchy 26-30
Fair Value Determination When the Volume or Level of Activity Has Significantly Decreased 31-33
Disclosures 34-35
Fair Value Option 36-38
Statutory Accounting 39-40
Accounting Practices 41-219
Significant Differences Between GAAP and Statutory Accounting 42
Cash and Cash Equivalents 43-49
Debt and Equity Securities 50-96
Mortgage Loans 97-111
Troubled Debt Restructurings 112-120
Real Estate 121-131
Derivatives, Including Futures, Options, and Similar Financial Instruments 132-146
Joint Ventures and Partnerships 147-161
Investments in SCA Entities 162-177
Investment Income Due and Accrued 178-182
Asset Transfers and Extinguishments of Liabilities 183-197
Repurchase Agreements 198-210
Securities Lending 211-218
Other Information 219
Auditing Investments 220-246
Audit Planning 220
Consideration of Fraud in a Financial Statement Audit 221
Audit Risk Factors—Investments 222-225
Risk of Material Misstatement—Inherent Risk 226-228
Internal Control 229-231
Control Environment 232
Risk Assessment Process 233-234
Information System 235-236
Control Activities 237
Service Organizations 238-241
Audit Procedures Responsive to the Assessed Risks of Material Misstatement 242-243
Group Audit Considerations for Investments in Alternative Investments and Subsidiary, Controlled
and Affiliated Entities 244
Audit Consideration Chart and Procedures 245-246
6 Reinsurance 01-119
Types of Reinsurance 07-08
Reinsurance Contracts 09-19
Bases of Reinsurance Transactions 15-18
Frequently Used Terms in Reinsurance Contracts 19
Accounting Practices 20-81
Generally Accepted Accounting Principles Accounting Practices 20-75
Statutory Accounting Principles 76-81
Special Risk Considerations 82-86
Auditing Reinsurance 87-119
Audit Planning 87
Consideration of Fraud in a Financial Statement Audit 88
Audit Risk Factors—Reinsurance 89-91
Risk of Material Misstatement—Inherent Risk 92
Internal Control 93-94
Control Environment 95
Risk Assessment Process 96-97
Information and Communication 98-99
Control Activities 100
Audit Procedures Responsive to the Assessed Risks of Material Misstatement 101-102
Internal Control of the Ceding Entity 103-104
Internal Control of the Reinsurer 105-106
Auditing Procedures for the Ceding Entity 107-109
Auditing Procedures for the Assuming Entity 110-113
Pools, Associations, and Syndicates 114
Reinsurance Intermediaries 115-118
Audit Consideration Chart 119
7 Income Taxes 01-78
Introduction 01-02
Federal Income Taxation 03-20
Statutory Accounting Practices and Taxable Income 05-07
Special Income Tax Provisions 08-20
State Taxation 21-22
GAAP Accounting for Income Taxes 23-56
Basic Principles of GAAP Accounting for Income Taxes 25-46
Disclosure Requirements Contained in GAAP Literature 47-56
Statutory Accounting for Income Taxes 57-62
Disclosure Requirements Contained in Statutory Literature 62
Changes in Tax Law 63
Auditing Income Taxes 64-78
Audit Planning 64
Consideration of Fraud in a Financial Statement Audit 65
Audit Risk Factors—Income Taxes 66-68
Risk of Material Misstatement—Inherent Risk 69
Internal Control 70-71
Control Environment 72
Risk Assessment Process 73-74
Control Activities 75
Audit Procedures Responsive to the Assessed Risks of Material Misstatement 76-77
Audit Consideration Chart 78
8 Insurance-Related Expenses, Taxes, and Assessments 01-91
Introduction 01-05
Premium and State Taxes 06-12
Guaranty Fund and Other Assessments 13-65
Generally Accepted Accounting Principles 19-22
Statutory Accounting Principles 23-30
The Patient Protection and Affordable Care Act 31-65
Capitalized Costs and Certain Nonadmitted Assets 66-70
Pensions 71-73
Audit Considerations 74-91
Audit Planning 74
Consideration of Fraud in a Financial Statement Audit 75
Audit Risk Factors 76-78
Internal Control 79-81
Audit Procedures Responsive to the Assessed Risks of Material Misstatement 82-91
9 Captive Insurance Entities 01-43
Introduction 01-06
Types of Captive Organizations 07-26
Captive Operations 27-29
Specific Transaction Considerations and Accounting Principles 30-35
Taxes 33-35
Audit Considerations 36-43
Audit Planning 36
Consideration of Fraud in a Financial Statement Audit 37
Audit Risk Factors 38-40
Internal Control 41-42
Audit Procedures Responsive to the Assessed Risks of Material Misstatement 43
10 Reports on Audited Financial Statements 01-85
Reports on Financial Statements 01-02
Unmodified Opinions on GAAP Financial Statements 03-05
Modified Opinions 06-28
Qualified Opinion 10-11
Disclaimer of Opinion 12-14
Adverse Opinion 15-17
Emphasis-of-Matter Paragraphs 18-27
Evaluating Consistency of Financial Statements 28
Additional Guidance When Performing Integrated Audits of Financial Statements and Internal Control Over
Financial Reporting 29-32
Considerations for Audits Performed in Accordance With PCAOB Standards 29-31
Reporting on Whether a Previously Reported Material Weakness Continues to Exist 32
Auditors’ Reports on Statutory Financial Statements of Insurance Entities 33-54
NAIC—Codified Statutory Accounting 34-36
Regulatory Basis Financial Statements Intended for General Use 37-42
Regulatory Basis Financial Statements Intended for Limited Use 43-48
Regulatory Basis Financial Statements—Other Issues 49-54
Correction of Error 55-60
Correction of an Error—Regulatory Basis Financial Statements Intended for General Use 59
Correction of an Error—Regulatory Basis Financial Statements Intended for Limited Use 60
Opinion on Supplemental Schedules 61-67
Other Reports 68-85
Accountant’s Awareness Letter 69-71
Change in Auditor Letter 72-75
Notification of Adverse Financial Condition Letter 76-79
Auditor Reports for Communicating Unremediated Material Weaknesses in Internal Control to
Insurance Regulators 80-83
Accountant’s Letter of Qualifications 84-85
Appendix
A Accounting for Financial Instruments
B The New Leases Standard: FASB ASU No. 2016-02
C Overview of Statements on Quality Control Standards
D The New Revenue Recognition Standard: FASB ASU No. 2014-09
E Property and Liability Insurance Entity Specific Disclosures
F Examples of Development Data
G List of Industry Trade and Professional Associations, Publications, and Information Resources
H Schedule of Changes Made to the Text From the Previous Edition
Glossary
Index of Pronouncements and Other Technical Guidance
Subject Index