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1588 Cards in this Set

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If either the principal or the agent fails to fulfill its obligations and thereby harms the other, __________ are available to allow the injured party to recover.
Legal remedies
Agent’s (implied fiduciary) duties to a principal (5)
- Loyalty
- Obedience
- Reasonable care
- Accounting
- Information
Principal’s duties to an agent (4)
- Agreed-on period of employment
- Compensation
- Reimbursement for expenses
- Indemnity for losses
Producer
An individual who sells insurance products and related services. (May be an agent or a broker.)
Agent
Authorized representative of an insurer
Broker
Authorized representative of an insured
T or F: An independent agent in Pierre, S.D.; a sales rep for a large direct writer; an exclusive insurer’s agent in Belpre, OH; and a broker in NYC are all
Producers
Violation of duties subjects an agent to:
- Discharge
- Liability for any damages to the principal (even if the agency contract does not expressly state these duties)
Subagent
An agent of an agent; owes the same duties to the principal that the original agent owes.
T or F: An ‘original agent’ is responsible to the principal for any subagent’s violation of duty.
TRUE. An ‘original agent’ IS responsible to the principal for any subagent’s violation of duty -- even if the agent has exercised good faith in selecting the subagent.

Further, a subagent owes the agent who did the hiring substantially the same duties.
T or F: If a subagent is employed without a principal’s authority, an agency relationship nonetheless arises between the principal and the subagent.
FALSE. No agency relationship arises between the principal and the subagent.

The principal is not liable to third parties for an unauthorized subagent’s acts; at the same time, the unauthorized subagent owes no duties to the principal.
The duty of loyalty (agent’s duties to a principal) boils down to this:
The agent must not undertake any business venture that competes with or interferes with the principal’s business.

The principal can claim any profits the agent realizes in dealing with the principal’s property. (e.g., any gift the agent receives form a 3rd party while transacting the principal’s business belongs to the principal.)
Duty of obedience (agent’s duties to a principal) boils down to this:
The agent must obey, and to perform in accordance with, a principal’s lawful instructions.

If the agent disobeys a reasonable instruction, the principal can sue for any resulting damages and can also terminate the relationship. Generally, the agent cannot challenge the instruction, unless it calls for illegal or immoral acts.
If the principal has given ambiguous instructions, the agent owes the principal the duty to
Exercise his or her best judgment in carrying them out.
T or F: If harm to the agent is possible, or if an emergency arises, the agent might be justified in disobeying the principal’s instructions.
TRUE. If harm to the agent is possible, or if an emergency arises, the agent might be justified in disobeying the principal’s instructions.
There are 3 exceptions to the rule that an agent cannot delegate the authority granted by a principal to another person. These exceptions are:
- Ministerial duties
- Customary appointments
- Emergency appointments
Ministerial duties
The routine or mechanical tasks performed by agents
Customary appointments
If custom and usage of a particular business involve the delegation of authority, the agent can delegate.
Emergency appointments
In an emergency that requires the appointment of another to protect the principal’s interests, the agent can make an emergency appointment.
Duty of reasonable care (agent’s duties to a principal) boils down to this:
An agent must exercise the degree of care and skill that a reasonable person would exercise under the same or similar circumstances.

An agent with special skills or training is held to the standard of care of a reasonable person possessing those skills.
T or F: An agent’s failure to act when action is reasonably required also constitutes a breach of the duty of reasonable care.
TRUE. It DOES constitute a breach of that duty.
An agency contract carries an ___________ that the agent will carry out the duties of the agency with reasonable care to avoid injury to the principal.
Implied promise
Charles asks Marcie, an insurance broker, to obtain an automobile insurance policy with collision coverage for his car. Marcy obtains a policy and delivers it to Charles, but the policy does not include collision coverage. After Charles has an accident, he learns that no collision coverage is in force. Charles may have a _____________ against Marcie for breach of the duty of _____________.
Cause of action; reasonable care.
Cause of action
A plaintiff’s legal grounds to sue a defendant.
T or F: Reasonable care is required only when the agent is paid for the services.
FALSE. Reasonable care is required whether or not the agent is paid for the services.
T or F: Unpaid agents cannot be compelled to perform duties, but once they begin performance, they are held to the standard of reasonable care.
TRUE. Unpaid agents cannot be compelled to perform duties, but once they begin performance, they are held to the standard of reasonable care.
T or F: An agent and a principal can agree that the agent is not to be liable to the principal for ordinary negligence.
TRUE. An agent and a principal can agree that the agent is not to be liable to the principal for ordinary negligence.

An agent, however, cannot evade liability for gross negligence. To limit the agent’s liability for gross negligence would be against public policy.
Agent’s duty of accounting boils down to this:
An agent must account to the principal for all the principal’s property and money that come into the agent’s possession.

As part of this duty, the agent must keep the principal’s property, including money, separate from the agent’s. If the agent commingles the property or money, then the law assumes that it all belongs to the principal unless the agent clearly proves otherwise.
Agent’s duty of information boils down to this:
An agent owes a duty to keep the principal informed of all facts relating to the agency; i.e., to make reasonable efforts to provide the principal with information relevant to the affairs entrusted to the agent.
Failure to perform the duty of information makes the agent…
Liable to the principal for any resulting loss
T or F: Most courts impose a duty to communicate information that the agent obtains outside the scope of the agent’s employment.
FALSE. Most courts DO NOT impose this duty.
The basic principles of ____________, __________, and __________ form the framework of fundamental legal and business characteristics.
Agency formation, the agency relationship, and contracts.

Operating within this framework and understanding duties reduces the number and severity of E&O claims an agent faces over a career.
T or F: Depending on the offense, a principal can sue an agent for breach of the agency contract or in tort for harm done.
TRUE. Depending on the offense, a principal CAN sue an agent for breach of the agency contract or in tort for harm done.
Remedies available to a principal against an agent:
- Requiring the agent to transfer improperly held property
- Requiring the agent to pay the value of the benefit the agent received
- Requiring the agent to pay damages for negligence or tort
If the agent is insolvent, the principal’s best remedy is a suit to:
Transfer the property
If the agent has personally profited from the transaction, then the principal’s best remedy is:
A suit for the value of the benefit the agent received.
A suit for breach of agency contract might sometimes be a preferable remedy because
The statute of limitations is generally longer for contract suits than for tort suits
Principal’s duties to an agent
- Agreed-on period of employment
- Compensation
- Reimbursement for expenses
- Indemnity for losses
T or F: A contract to pay a salary by the month or year indicates that employment is guaranteed for the stated period.
FALSE. A contract to pay a salary by the month or year does NOT necessarily indicate that employment is guaranteed for the stated period. (It does, however, make the parties liable for any breach of contract within that period.)
If no compensation agreement exists, an agent is entitled to
The reasonable value of the services rendered.

(If the contract does not mention compensation but an agent under similar circumstances would receive compensation for services, compensation is required for the reasonable value of the services.)
T or F: AN agent who breaches agency duties is nonetheless entitled to rightful compensation.
FALSE. An agent who breaches agency duties is not entitled to compensation.
Duty of indemnity for losses
The principal owes a duty of indemnity, or reimbursement, for any losses or damages the agent has suffered because of the agency and incurred through no fault of the agent.
A principal must indemnify an agent for the expenses incurred in defending any lawsuits resulting from
The agent’s authorized acts.

(If the expense resulted from the agent’s own intentional or negligent conduct, even though the principal directed the act, the agent is usually not entitled to indemnification.)
Because a subagent is both the agent’s and the principal’s agent, the subagent is entitled to indemnity from
Either of them
Agent’s remedies against a principal
Can sue for:

- Compensation
- Indemnity
- Reimbursement

Can also:
- obtain a court order requiring an accounting from the principal
- Exercise a lien, or right to retain possession of the principal’s goods, until the principal has paid the amounts due
General lien
The ability to hold the principal’s goods and papers until all accounts are settled.

Available to attorneys, bankers, stockbrokers who serve in an agent capacity
Special lien
Allows retention of the principal’s property until the account for the immediate transaction between the principal and agent is settled
T or F: All independent insurance agents operate under the law of agency.
TRUE. They do.
The determining factor of the applicable law is:
The type of activity in which the producer is engaged.

(The NAIC adopted this perspective in its Producer Licensing Model Act of 2000 (PLMA)).
PLMA
Producer Licensing Model Act of 2000. Provides for a single producer license that authorizes all producers to broker insurance for insurers or as consumer representatives under selected lines of business, such as personal lines insurance, commercial lines insurance, property and casualty insurance, or surplus lines insurance.
Ultimately, should a producer’s activities lead to a lawsuit, the _____________ has the burden of proof in establishing whether the insurance seller is an agent or a “broker in an insurance transaction”, regardless of license type.
Plaintiff
The duty of _________ owed by an insurance agent to his/her principal raises some special considerations.
Loyalty.

This is because an insurance agent has dual loyalty (loyalty to principal and loyalty to client)
Dual agency
A relationship in which the agent represents both a buyer and a seller to conduct a transaction between them
If the agent is seen as unduly favoring either the insurer or the insured in a given situation, the slighted person may resort to _________ to recover its loss.
An E&O claim
In the usual insurance company-agent relationship, courts tend to infer that the agent’s fiduciary duties are owed to ________.
The insurer
Statutes in many states stipulate that insurance agents are agents of the insurer and not of the insured so that information given to the agent, or payment made to the agent, is _______ on the insurer.
Binding
T or F: Courts tend to recognize the dual agency status of agents and brokers as an exception to the general rule of an agent’s serving only one principal.
TRUE. The courts DO tend to recognize this.
The producer usually represents the insurer when:
- Binding insurance
- Keeping records
- Collecting premiums
- Issuing and canceling policies
The producer usually represents the insured when:
- Suggesting and selecting coverages or insurers
Independent agents or brokers should be careful not to violate their duties to:
Either principal.
When representing the insurance seller (an insurer), the producer is a
Agent
When representing the insurance buyer, the producer is a
Broker
As a matter of consumer protection, most courts and state insurance regulators have taken the position that
The broker can be considered an agent for the insurer as well as the insured’s representative.
___________________, rather than the strict legal relationship of the parties, often determines whether the producer is considered the agent of the insurer or the insured.
The nature of the circumstances.

For example, most states have laws that make the broker the insurer’s legal agent for the purpose of premium collection.
T or F: If an insurer, through its dealings, allows a broker to act so that a reasonable third party believes the broker is the insurer’s agent, then the broker is the insurer’s agent under the law.
TRUE. If an insurer, through its dealings, allows a broker to act so that a reasonable third party believes the broker is the insurer’s agent, then the broker IS the insurer’s agent under the law.
Another factor that can impact whether an agent represents the insurer or the insured is
How authority is granted.

I.e., insurers grant authority to their agents by an agency contract written and executed by both principal and agent. Brokers rarely enter into written agreements with insurance buyers, but it is good practice for a broker to have a written agreement covering any fees that a customer may be charged.
T or F: Although the broker represents the insurance buyer, it is common to find a written agreement granting binding authority between a broker and an insurer.
FALSE. BECAUSE the broker represents the insurance buyer, it is RARE to find a written agreement granting binding authority between a broker and an insurer.
Broker’s commission is typically a part of the
Insurance premium.

In this regard, they are no different from agents who are paid a commission.
Many brokers (especially when dealing with large commercial accounts) have moved away from traditional commission arrangements toward this:
A fee system in which the customer pays for the broker’s professional services in addition to paying the insurance premium to the insurer.
When a broker charges a fee, the insurance is usually ________
“Written net”

That is, the premium is reduced to eliminate the producer commission. The broker is then free to negotiate a fee based on the work to be performed, irrespective of the size of the insurance premium.
Commission v. Fee system
Example on 1.12 for possible review
Advantages of the fee system
- Minimized potential for conflicts of interest (because there’s no commission)
- The fee can be an amount that covers service, overhead, and profit; in a competitive market in which premiums are shrinking, the broker’s fee may remain constant or even increase
Disadvantage of the fee system
Fees are visible to the insurance buyer (instead of built into the premium, as with a commission)
Producers considering going to a fee-based system should be sure to review
Applicable state laws and regulations before implementing such a system.
Authority
The agent’s legal power arising from the agency relationship.

An agent’s power to bind the principal is determined by the agent’s authority, which is derived expressly, by implication, or from the facts of the situation.
Types of authority
- Express authority
- Implied authority
- Apparent authority
Express authority
The authority that principal specifically grants to the agent through specific instructions.

Includes the authority needed to carry out acts incidental to those instructions.
An agent receives express authority through __________.
A legal agreement (either oral or written) granted by the principal
Two degrees of agency, defined by the range of express authority granted
- General agent
- Special agent
General agent
Has authority to perform all acts that are usual and customary in such a capacity.

For example, a construction project general manager or a stockbroker managing an investment portfolio conducts a series of transactions for a principal on an ongoing basis.
Special agent
Is usually restricted to performing just those acts essential to the situation.

A special agent may conduct a single transaction or a small group of transactions for the principal on a limited-term basis, such as a stockbroker asked to purchase a certain number of shares in a specific company.
Most property-casualty insurance producers are ________ agents in the legal sense, with authority, within expressed limits, to make or to modify contracts of insurance and to perform all of the other activities necessary to the efficient operation of an insurance agency.
General
Insurance agency agreements define the agent’s express authority in relation to:
- Binding and issuing policies
- Collecting and remitting premiums
- Earning commissions
Implied authority
The authority implicitly conferred on an agent by custom, usage, or a principal’s conduct indicating intention to confer such authority
T or F: Implied authority is within the scope of authority granted by a principal to an agent, even though not expressly granted.
TRUE. Implied authority IS within the scope of authority granted by a principal to an agent, even though not expressly granted.
T or F: Implied authority can exist independently of express authority.
FALSE. Implied authority cannot exist without express authority.
T or F: An agent should be able to believe that any actions made in accordance with accepted custom are within the scope of the authority granted.
TRUE. An agent should be able to believe that any actions made in accordance with accepted custom are within the scope of the authority granted.
A producer who is in doubt about the extent of implied authority should
Ask the principal for clarification
T or F: Implied authority also may arise from a principal’s conduct that could be construed as intending to confer such authority.
TRUE. Implied authority also may arise from a principal’s conduct that could be construed as intending to confer such authority.

For example, if an insurance agent has for years been able to bind property submissions without limit on value, that agent has, by implication, the right to continue to do so until the insurer expresses otherwise.
When, through any of its employees or solicitors, an insurance agency exceeds its express or implied authority from an insurer, the agency may be liable to both the customer and the insurer for
Financial loss cuased as a result of the exceeded authority
Apparent authority
A third party’s reasonable belief that an agent has authority to act on the principal’s behalf

a.k.a. “authority by estoppel”
Authority by estoppel
The theory that if a principal creates the appearance of authority in an agent and a third party reasonably relies on that appearance, the principal should be estopped from denying that authority.

a.k.a. Apparent authority
Estopped
Prevented
Apparent authority is derived from the
Circumstances of the situation; it’s determined by how a third party perceives the situation.
The purpose of apparent authority is to
Protect innocent third parties, allowing them to recover from the principal when the principal has made it appear, either intentionally or unintentionally, that the agent has authority to act.
However, third parties cannot be absolved of all responsibility. When an agent acts in a way that appears to be adverse to the best interests of the principal, the third party has a duty to
Determine the extent of the agent’s authority by a direct inquiry to the principal.
Ratification
Creation of an agency relationship resulting when a principal adopts the act of another who has purported to act for the principal and has neither power nor authority to perform the act for the principal.
Five requirements must be met for a court to affirm agency by ratification:
- The agent must claim to act for the principal at the time of the original transaction
- The principal must ratify the entire transaction
- The principal must ratify before the third party elects to withdraw
- The principal must have full knowledge of all of the facts
- The transaction must be legal
If all five ratification requirements are met, the principal is
Bound by the transaction.

The inception of the resulting contract dates from the time of the original contract.
If the principal does not ratify the agent’s act, the result is that:
The agent alone is liable on the specific contract not ratified.
Independent contractor
A person (or an organization) hired to perform services without being subject to the hirer’s direction and control regarding work details.
If the person engaging an independent contractor begins to exert control over the contractor in the performance of the task assigned, the result is:
The status of the independent contractor may be lost, and the parties become employer and employee.
T or F: A principal is responsible for the actions of an independent contractor.
FALSE. The principal is not responsible for that.
Undisclosed principal
Agency relationship situation in which the principal asks the agent to act as if the agent were the principal.

For example, assume a prospective land purchaser is afraid prices will dramatically increase if the owners know the prospective purchaser is in the market. The land purchaser can instruct the real estate agent to act as if he or she were the prospective purchaser, thereby hiding the true purchaser’s (the undisclosed principal’s) existence from the sellers.
When a third party deals with an agent for an undisclosed principal and later learns of the existence of the principal – for instance, when the principal attempts to back out of the contract – the third party has this choice:
The choice of suing either the agent or the principal for performance on the contract.

The agent is not absolved of responsibility for performance on the contract.
T or F: A principal can be partially disclosed.
TRUE. In this situation, the agent is instructed to acknowledge the principal’s existence but withhold the principal’s identity. The legal protection afforded to the third party is virtually the same as with an undisclosed principal; that is, if a breach occurs, the third party can sue either the principal or the agent.
Nonexistent principal
Used when an agent gives a third party the impression that he or she is acting for a principal when, in fact, there is no principal.
In cases of nonexistent principals, the producer must
Bear any loss from the time the customer reasonably believes the coverage is in force until the purported principal (or Lloyd’s underwriter, for example) accepts the submission.
T or F: Producers are required by state laws to be licensed in every state in which they do business.
TRUE. Producers ARE required by state laws to be licensed in every state in which they do business.
National Insurance Producer Registry (NIPR)
A unique public-private partnership that supports the work of the states and the NAIC in making the producer licensing process more cost effective, streamlined, and uniform for the benefit of regulators, insurance producers, insurers, and consumers.

Has eliminated many of the inconveniences that arise from a multi-state regulatory system.
T or F: State insurance laws allow insurers to give authority to unlicensed agents.
FALSE. State insurance laws prohibit insurers from giving any authority to unlicensed agents.
Agency contracts tend to stipulate the automatic termination of the agency if the agent’s license is:
- Suspended
- Canceled
- Nonrenewed
Producers who engage in insurance business without first complying with state licensing requirements are subject to
Prosecution and fines
T or F: A license prevents a policyholder from suing an agent or an insurer for an error or omission.
FALSE. Obviously it does not do that.
To obtain a license to sell a particular type of insurance, a producer must pass a
Written examination
Gramm-Leach-Bliley (GLB) Act
Included provisions that have led to greater licensing reciprocity among states.
The ultimate goal of regulators regarding producer licensing is to
Move beyond reciprocity and to resolve issues related to uniformity in producer licensing.
The vision of the NIPR is to
Provide one place for producers to go to meet all aspects of the producer licensing and appointment process using an electronic communication network.
The NIPR developed these two items:
- The Producer Database (PDB)
- The NIPR Gateway
Producer Database (PDB)
An electronic database consisting of information relating to insurance producers that links participating state regulatory licensing systems into one common repository of producer information.
Key benefits of the PDB:
- Increased productivity
- Lower cost
- Reduction of paper
- Access to real-time information
- Ability to conduct national verification of the license and status of a producer
NIPR Gateway
A communication network that links state insurance regulators with the entities they regulate to facilitate the electronic exchange of producer information.
Data standards have been developed for the exchange of these 4 items through the NIPR Gateway
- License application information
- License renewal information
- Appointment information
- Termination information
Reasons that some states license claims representatives
So that those who make claim decisions for insurers:

- Are aware of prohibited claim practices
- Have a minimum level of technical knowledge and skill
- Understand how to handle insureds’ claims fairly
Claims representative licensing involves:
- An examination
- A background check
- Ethics requirements
T or F: Public adjusters, who represent insureds for a fee, are generally required to be licensed to ensure technical competence and to protect the public.
TRUE. Public adjusters, who represent insureds for a fee, ARE generally required to be licensed to ensure technical competence and to protect the public.
Insurance consultants
Give advice, counsel, or opinions about insurance policies.

Some states require they be licensed, and those requirements vary by state. Separate examinations are usually required to be an insurance consultant in both life-health insurance and property-casualty insurance.
The Independent Agent’s Guide to Agency-Company Agreements
Guide created by the IIABA to help standardize insurance agency contracts for ease and consistency in doing business.
The relative bargaining power of the insurer and the insured determines this
How extensively the contract offered by the insurer is modified to favor the agency
T or F: Agency agreements vary considerably and often alter the general duties of the principal and the agent.
TRUE. Agency agreements DO vary considerably and DO often alter the general duties of the principal and the agent.
Producers must understand the agency contract because
The agency owner is liable for the conduct of producers, and a producer’s act that is contrary to the agency contract could jeopardize that contract
The seven major provisions of agency contracts are:
1. The term of agreement/termination
2. Rehabilitation
3. Ownership of expirations
4. Payment procedures
5. Indemnification
6. Contract amendments
7. Miscellaneous provisions
T or F: Very few contracts set an indefinite term.
FALSE. Many contracts set an indefinite term by allowing the insurer to terminate contract for any reason as long as the specified notice is given.
T or F: Many agency contracts set a specific term, with automatic rollover/renewal, unless the agent violates the agreement.
TRUE. This is also common.
An agency contract should specify the types of agent ______ that would permit the insurer to cancel it.
Violations
The contract should prohibit terminations based on
Volume or mix of business placed with the insurer.

That is, unless the insurer has clearly informed the agent of such requirements in writing sufficiently in advance of termination to allow the agency a reasonable chance of meeting the requirements. The contract should also preclude any such termination if failure to meet the requirements is caused by the insurer’s underwriting practices.
The contract should allow termination based on
Agency loss ratios, though only if the agency’s tendency to write consistently poor business is documented over a period of years.
These two items should be excluded from loss ratio calculations, according to the book:
- Shock losses (CAT storms)
- Uninsured motorist losses
Industry practice requires that a party canceling an agency contract must give
180 days’ written notice

This needs to include the specific reason(s) for the termination.
Run-off provision
An insurer contract provision allowing current customers’ policies to be renewed for a specified period after the termination of an agency’s contract.
A mass nonrenewal (as the result of a termination) may cause confusion and hardship for the individual insureds. To allow for a smooth transition for the insured from the terminating insurer to the new insurer chosen by the agency, contracts include:
A run-off provision
Run-off provisions are being increasingly complicated by
The growing number of state or other governmental restrictions on policy terminations.
One possible solution to the complication of run-off provisions and governmental restrictions would be
A provision continuing a limited agency contract only for policies affected by the regulation.

This provision would grant the agency control of the policy whether or not it is ultimately continued in force with the current insurer. Without such a provision, an insurer may intend to move a policy to another of its agents for servicing, in effect assuming ownership of the expiration.
Rehabilitation clause
Provides for a period during which the agency can work to avoid termination. The insurer agrees to make a good faith effort to determine with the agency exactly what the agency must do to retain the contract.
Rehabilitation is based on the idea that
Contract termination is always the least favorable resolution to an agency’s failure to fulfill an insurer’s requirements.
In the case of agents who represent one insurer exclusively, this party typically owns the expirations.
The insurer
For independent agencies, ownership of policy expirations determines whether an agency is truly __________.
Independent
Long-term value of the agency
The price at which it can be purchase or sold, or its value when passed on to heirs
The long-term value of the agency is based on
Control and ownership of the book of business.

Any restrictions or limitations on such control reduce the agency’s value.
Ownership of a book of business by _______ is well established by court cases.
Agencies; however, the specific wording in contracts often varies.
Some contracts allow insurers to claim ownership from the agency if
The contract is terminated for certain reasons
Some insurers require ______________ of expirations
Joint ownership
Ideally, from the agency’s perspective, the contract should avoid limitations and should recognize:
The independent agency’s clear and complete ownership of expirations under all circumstances.
Agency bill
A payment procedure in which a producer sends premium bills to the insured, collects the premium, and sends the premium to the insurer, less any applicable commission

a.k.a. statement billing
Direct bill
A payment procedure in which the insurer assumes all responsibility for sending premium bills to the insured, collecting the premium, and sending any commission payable on the premium collected to the producer.
Agency billing is typically used for
Large commercial accounts
Agency billing also gives an agency these benefits:
- Control of the funds
- Possible significant investment income on the premiums invested between the date collected and the date paid to the insurer
Nearly all personal insurance is billed with this method
Direct billing; also, a growing percentage of small and medium commercial business is direct billed.
Indemnification section of an agency contract
Should delineate when the insurer will indemnify or defend the agency or hold the agency harmless if the claim arises solely or partially through the insurer’s error.
An agency should avoid any contract clause that bases insurer indemnification of an agency on a ___________ standard.
Contributory negligence liability standard.
Contributory negligence
Means that an individual who contributes to his or her own injury should not recover damages for that injury. With contributory negligence, even if the agency is even 1 percent at fault, the insurer has no obligation to indemnify the agency for any of the claim.
A fairer method than contributory negligence is this standard:
Comparative negligence
Comparative negligence standard
Holds the agency responsible for its percentage of responsibility for the claim and holds the insurer responsible for the remainder.

Under this standard, fi the agency is found 1 percent at fault, the insurer will still indemnify and defend for the other 99 percent of the claim.
________ of E&O claims is just as important as indemnification for them
Defense

An agent should verify whether the contract requires the insurer to provide legal defense for the agent in an E&O claim. If not, the agent should make sure that E&O coverage is adequate for this purpose.
Contract amendments section of an agency contract
Because the agency’s ability to establish long-term plans is based on the stability of its contracts, the ease and frequency of amending the terms are vital.
T or F: Many contracts allow the insurer to amend – with an average of 90 days advance notice – regardless of the agency’s consent.
TRUE. However, this is not ideal for agents. An agency might seek out a revised provision allowing for amendment by mutual agreement to give the agency longer notice of changes. (180 days minimum advance notice should be requested.)
Miscellaneous provisions section of an agency contract
Contains provision relating to arbitration and to the procedures to follow upon sale of the agency
Arbitration clause
A clause in an agency contract that provides a formal method for the agency and insurer to resolve disagreements arising under the contract.
Generally, the rules of this organization are followed in an arbitration situation.
The American Arbitration Association, or AAA.

These rules include the selection by each party of an independent representative (called an arbitrator).
T or F: The decision of the arbitrators is binding but not final.
FALSE. The decision of the arbitrators is binding and final on both the agency and the insurer.
When an agency is sold, the buyer may be basing a percentage of the agency’s value on the insurer’s extending its contract to the new owner. To address this, a contract may specify that:
The insurer must be given reasonable notice of any impending sale, and if the insurer does not plan to appoint the new owner as an agent, the insurer will at least continue the contract for a specified time to allow the new owner to move the business to another insurer.
If provided in a separate agreement, the provisions for changing the commission schedule follow the same guidelines as
Those for the contracts themselves
Requiring a minimum 12-month interval before a given commission rate can be changed gives the agency’s financial planning some
Stability
To keep premiums competitive, the commission rates for preferred types of policies may be ____ than for standard or specialty products.
Lower
T or F: Commission rates / schedules may be negotiable.
TRUE. They might be. The agency should be certain to discuss with the insurer exactly what criteria will lead to a better commission schedule. Conversely, the agency should also learn what criteria or actions will lead the insurer to lower commission rates.
Contingent commission agreement
A contract provision in which an insurer agrees to make supplemental payments to producers based on profitability alone or on a combination of profitability, volume, and growth in the agency’s book of business placed with that insurer.
Contingent commission bonuses can provide up to _________ of total agency revenues
10 percent or more
Factors to be considered by a producer negotiating a contingent commission agreement:
- The qualifying volume requirement
- Lines of insurance included and excluded
- How the insurer calculates income
- How losses are defined
- Whether a stop-loss provision applies to exclude claims over a certain dollar amount
- How profit is to be calculated
- When profit sharing commission will be paid to the agency
- Whether the commission is subject to arbitration
- What happens if the agency contract is terminated
______________ make it difficult for agencies to determine the best contingent commission agreement option.
Changing market conditions
Because of changing market conditions and other questions/factors, insurers and agents should regularly review contingent commission agreements in an ongoing effort to provide
The optimal mix of reward and incentive intended
For agencies that participate in contingent commission agreements, the IIABA, NAIC, and other industry governing bodies recommend
Full disclosure of payment arrangements between insurers and producers and between producers and their customers.
In forming an agency, the ________ selects the agency’s legal form of business organization
Principal
To help the agency reach its goals, a legal form should be selected that
Matches the agency’s structure and daily operations AND best sutis both the business and its owners
Three legal forms of business organization that apply here:
- Sole proprietorships
- Partnerships
- Corporations
Sole proprietorship
A form of business in which one person owns the business assets and is personally liable for the business’s debts
Advantages of sole proprietorships
- All profits are included in the owner’s income and not taxed separately
- Limited capital requirements
- Require a minimum degree of legal formality to establish themselves as a new business
- Be his/her own boss
Only requirements that must be met for operating an insurance agency as a sole proprietorship:
- Obtaining a license issued by the state insurance regulatory authority
- Making a filing in compliance with fictitious trade name regulations if the sole proprietor’s name is not the name under which the agency is to be operated
Disadvantages of sole proprietorships
- If the owner dies or becomes seriously disabled, the enterprise is terminated by operation of law
- Unlimited personal liability for debts and judgments arising from the firm’s operation
- Difficulty in raising capital
- The uncertainty of future employment for the employees and producers who are associated with, but are not owners of, the firm
- The pressure of management responsibilities (payroll, paying creditors, satisfying customer needs)
T or F: A firm cannot begin as a sole proprietorship and later change legal form.
FALSE. Many firms begin as sole proprietorships and later change legal form to a partnership or corporation for the reasons discussed in the following sections.
Partnership
A for-profit business entity jointly owned by two or more persons who share ownership and profits (or losses), although not necessarily on an equal basis.
Advantages of partnerships
- Not taxed separately
- Relatively easy to establish (same filing and license requirements as a sole proprietorship)
- Minimum degree of legal formality
- Sharing of management responsibilities
- Easier to raise capital than sole proprietorship
- Limited liability if a limited partner
In a partnership, every partner has a _________ relationship with the other partners and with the business.
Fiduciary
A partner’s fiduciary duties are implied in
Law; no contract can waive them
Disadvantages of partnerships
- Limited duration depending on the partners’ health and life
- Unlimited personal liability of each partner – even for the acts of the other partner(s)
By law, a partnership terminates on the death or, possibly, the disability of
Any of the partners

However, a formal partnership agreement usually provides for the automatic creation of a new partnership consisting of the remaining partners on the death, disability, or retirement of a partner.
Two types of partnership
- General partnership
- Limited partnership
General partnership
All the owners are general partners with all the rights and obligations of a partner who operates the enterprise
Limited partnership
Includes at least one general partner and at least one limited partner, although there can be many partners in either category.
Advantage of being a limited partner
The maximum personal liability of each limited partner is the value of the capital invested by that partner. (However, federal income tax laws still treat the limited partnership as a partnership.)
T or F: The limited partnership form of business enables a firm to raise capital from outside investors who are assured of limited personal liability as long as they are not active in the business.
TRUE. It does allow for that.
Three types of corporations
- Corporations
- S corporations
- Limited liability companies
Corporation
An entity organized under law and entitled to the same rights as a person, distinct from its owners.
State government activates a corporation by
Issuing a charter to the incorporators
Once chartered, a corporation becomes
A legal entity in and of itself
Stockholders
Corporation owners
A corporation is managed by
A board of directors elected by the stockholders
T or F: A corporation has a life beyond that of its owners and is unaffected by the owners’ disability or death.
TRUE. A corporation has a life beyond that of its owners and is unaffected by the owners’ disability or death.
Liability for corporations
The corporation offers limited liability to all owners, similar to that afforded to limited partners, so that the maximum that corporation owners stand to lose is their investment.
Most closely held corporations (those owned by only a few stockholders) have this kind of agreement
A written buy and sell agreement giving surviving stockholders the right and obligation to acquire the stock of a departing stockholder
Advantages of insurance agency corporation
- Limited personal liability for owners for the corporation’s contracts and torts
- An unlimited corporate lifespan
- Separate legal entity status
- Stockholders can easily transfer their stock
- Easier to obtain capital than partnership
- May make it easier to obtain capital because corporations can issue shares
Disadvantages of the corporation as a legal form are:
- The additional work required to comply with each state’s general corporation law
- The costs required to file articles of incorporation with the appropriate entity of the state in which the corporation is domiciled
- The time and expense required to document the activities of the corporation
- Corporate earnings taxed separately
S corporation
A small business corporation restricted to no more than 100 stockholders that elects to be taxed under Subchapter S of the Internet Revenue Code.
How liability works for a Subchapter S corporation
Limited liability is provided to its owners
How tax treatments works for an S corporation
Tax treatment is similar to that of a partnership or sole proprietorship. Profits, losses, and other tax items are passed through to the shareholders and are taxable to them on their individual returns.
Disadvantage of being an S corporation
Complying with a government’s S corporation laws can be time consuming and expensive
Limited liability company (LLC)
A form of business entity that provides its owners the limited liability of a corporation and the tax advantages of a partnership

- Limits the liability of its owners or members
- Pays taxes only on its profits
Three major features of an LLC
- For federal and most state taxes, the LLC is treated as a partnership (with more tax flexibility than an S corporation)
- The personal assets of the members are shielded, as in a regular corporation, from the LLC’s liabilities and obligations
- LLCs have substantial flexibility in management arrangements and sharing of economic benefits among the members
LLCs must have a minimum of ___ members
Two
The business structure of choice for closely held enterprises
LLC

It is popular with service businesses, such as engineering, real estate, and investment firms, as well as insurance agencies
A concern of LLCs
The work and costs incurred to comply with a state’s LLC laws
Choosing a legal form requires the advice of
Legal and accounting experts
Fictitious-name filings made with the state are published in
A newspaper in the county in which the firm is located
Issues that determine the legal form chosen by an insurance agency
- Extent of personal liability the owners are comfortable with
- Continuity requirements of the business
- The owner’s desire to control the business
- Taxation
- The business’s overall goals
Advantages of an LLC
- Limited liability to owners
- Not taxed separately
- Flexibility in sharing economic benefits
Operating affiliations help the agency attain its goals by:
- Reaching additional customers and prospects
- Taking advantage of new marketing opportunities
- Realizing economies of scale
Operating affiliations
Organizations founded primarily to assist agencies in reaching production and financial goals. They contribute to the competitive stance of an agency by providing services to the agency or making competitive products available to it.

(The IIABA and PIA are not included.)
Operating affiliation types:
- Independent agency networks
- Insurance company affiliations
- Specialty marketing groups
- General purpose groups
- Common identity groups
Independent agency network
A group of agencies that contractually link to share services, resources, and insurers to gain advantages normally available only to large regional and national brokers

a.k.a., agent groups, agent clusters, agent alliances
Recent interest in networking has been fostered by agencies’
- Need for information technology systems
- An awareness of the special treatment insurers offer to large agencies
Independent agency network members often share
- Support services
- Physical space
T or F: Network members share each agency’s book of business
FALSE. Each member of the group, or cluster, retains ownership of the member’s individual book of business
An independent agency network differs from a merger in these two ways:
1. A separate entity, the network, is created (usually as a partnership or corporation) in which shares of stock are owned by network agencies
2. Ownership of policy expirations remains separately with the participating agencies
Advantages of a networking arrangement:
- Network members often receive special treatment from their insurers (because of volume)
- Network members have greater influence for negotiating agency-company contracts
- Insurers deal with one entity instead of several and realize economies and efficiencies in communication and work flow
- Can bring specialists together to form a new entity that can better serve customer needs
- For the entrepreneur who values independence, the network provides an alternative to merging or selling the agency
- Allows agents to delegate certain tasks and focus instead on selling
- Can provide economies in physical space, staffing, and insurer relations
- Can allow for effective pooling of advertising expenditures
- Can provide a trial period for agents who have reservations about whether a merger is appropriate for them
Disadvantages of a networking arrangement:
- Independent businessowners may have difficulty agreeing on agency management issues
- Network members must share financial information with one another; results in a loss of privacy
- Members lose direct personal control of agency cash flow
- Often requires hiring an operations manager, and some agents may have difficulty delegating the administration of the agency
For agency owners who are used to taking decisive action, the process often
Moves too slowly.

Forming a network requires patience and perseverance, attendance at many meetings, and a tolerance for members who may lose interest in the project.
Five activities involved in determining whether or not to join an independent agency network:
1. Develop a questionnaire
2. Inventory insurers
3. Decide whether to move
4. Appoint start-up committees
5. Decide on a structure for the board of directors
Start-up committees might address these issues:
- Resources
- Finance
- Management
- IT
- Personnel
Many network arrangements employ this rule, regardless of agency size
One agency, one vote
Insurance company affiliations
Formed by insurers for the purpose of marketing specialized products, such as group commercial or personal insurance.

Usually, these orgs are set up for mass marketing programs to industry trade groups, and the insurers create the sales opportunity by directly soliciting the group or by underwriting it for one of their agents (often called an originating agent), who agrees to permit the network to make the direct sales.
Benefit to the producer of affiliating with an insurer’s marketing organization
The producer gains access to an exclusive product of the insurer that is not available to other agents.
Territorial exclusivity
Often granted by the insurer to a producer in an insurance company affiliation; it’s a right that prevents other agents from accessing sales opportunities in that defined territory. The insurer provides leads to the agency.
For many agents, the decision to affiliate with an insurance company is
A defensive tactic taken to prevent their competitors from acquiring the affiliation.
Specialty marketing groups
The primary purpose of these entities is to generate mass sales for the affiliated producer by soliciting groups at a national or regional level and by providing leads to the affiliated agencies.

These groups are independently owned mass-marketing networks with programs underwritten by more than one insurer. They earn their revenue by receiving a commission from the insurer to cover profit and the costs of the marketing programs they operate.
General purpose groups
The purpose of these organizations is to provide the affiliated agencies with a diverse package of resources, including educational opportunities, preferential treatment for affiliated agencies from certain insurers, a forum in which to exchange information with other agencies, and management assistance.

Feature meetings of affiliated agencies in which marketing and management information is exchanged. An annual fee paid by each affiliated agency support’s the group’s activities.
Common identity groups
Established to give the participating firms national or international presence and resources. Primary emphasis is account servicing.

Participants are likely to be large agencies that require reliable affiliates for local service on interstate or international accounts. Costs of operation are paid by the participating firms via an annual service fee.
In deciding on an affiliation, a producer should evaluate these factors:
- Services provided
- Personnel
- Exclusivity
- Fees
- Contract
- Financial strength
- [Also, reputation]
Selection of a service should be based more on
Services that are currently being provided than on those that are promised for some time in the future
A producer who is considering affiliation must check these:
References given by those in the support organization to be certain not only that the people are reliable but also that they are experienced insurance professionals.
Producers considering affiliations should determine and be comfortable with the organization’s _________ and __________.
Financial strength, stability

The best way to determine this information is to talk to the top personnel about the organization’s business philosophy, financial performance over time, and current financial status.
Insurance producers have a responsibility to obey the laws and ________ that govern their business activities.
Regulations
T or F: Regulation of insurance rests with the federal government rather than the states.
FALSE. Regulation of insurance rests with the states rather than the federal government. This is largely the result of the McCarran-Ferguson Act (Public Law 15), a federal law passed in 1945.
Federal laws apply to insurance only to the extent that
State regulations do not apply
No federal legislation enacted since ____ has attempted to specifically regulate the relationship between policyholders and privately owned insurers.
1945
Dodd-Frank Wall Street Reform and Consumer Protection Act
Created the Federal Insurance Office within the Department of the Treasury. The office monitors the insurance industry for gaps in regulation and whether underserved communities have access to affordable insurance.

Requires states to participate in the national insurance producer database.
Securities and Exchange Commission (SEC) exception
Because of an exception in the securities laws, the SEC does not have regulatory authority over the sale of most life insurance. To sell these products legally, a producer must hold a federal securities license (because these products are considered ‘securities’ thanks to the Supreme Court) and abide by federal regulations. (P&C insurance does not have any investment features that would subject it to federal securities laws)
Federal Emergency Management Agency (FEMA)
Created to prepare the nation for all hazards that can potentially cause major loss of life and of property and to effectively manage federal response and recovery efforts after any national incident. In managing and administering the NFIP, FEMA sets the insurance rates, coverage limits, and eligibility requirements for flood insurance.
Department of Transportation (DOT)
DOT regulations affect insurance because they specify limits of insurance that commercial truckers must carry in different cargo and usage circumstances.
The Motor Carrier Act of 1980
Substantially increased the effect of DOT regulations on insurance sales. A producer who insures commercial vehicles must be aware of applicable DOT regulations and provide a trucker with all prescribed insurance.
Fair Credit Reporting Act of 1970
Enforced by the Federal Trade Commission; purpose is to protect consumers from the disclosure of inaccurate and arbitrary personal information held by consumer reporting agencies and to establish procedures for reporting and correcting credit record mistakes.
The Fair Credit Reporting Act of 1970 requires insurers to
Inform an insurance applicant in advance if it intends to order various consumer reports.

An applicant can challenge the information in the report. Also, because insurance agencies and brokerages submit insurance applications, the producer may be responsible for providing appropriate notice to the applicant that various consumer reports may be obtained as part of the application process.
T or F: Some states have their own fair credit reporting acts with more stringent disclosure requirements than the federal law.
TRUE. Producers must comply not only with federal law but also with state laws in such cases.
Gramm-Leach-Bliley Act
a.k.a. the Financial Services Modernization Act of 1999

Allows banks, insurance agencies, and brokerages to have ownership interest in one another, a right that did not exist previously in all states. Additionally, the act requires all financial institutions, including insurance agencies, to establish policies about how to collect and disclose nonpublic personal financial information about customers.

Promotes affiliation and diversification in the nation’s financial banks, insurers , and brokerage firms. Includes privacy requirements that protect consumers’ personal financial information held by financial institutions.
Electronic Signatures in Global and National Commerce Act (ESIGN)
From 2000

- Declares the validity of electronic signatures for interstate and international commerce (including insurance transactions)
- Prohibits denial of the legal effect of certain electronic documents and transactions signed with an electronic signature
- Clarifies the circumstances under which an electronic record satisfies any statute or regulation that mandates a record in writing
USA Patriot Act
2001

Requires financial institutions to establish anti-money-laundering programs; however, P&C and health insurers and insurance agents and brokers are exempt. The requirements DO apply to life insurers but not to life insurance agents.

Makes it harder for terrorists, other criminal entities, and individuals to engage in money-laundering activities
Sarbanes-Oxley Act
2002

Criminalizes many corporate acts, including accounting abuses, that were previously relegated to various regulatory authorities.

Tightens internal accounting controls and holds company executives responsible for financial misdeeds; designed to reduce conflicts of interest between external audit firms and the companies they audit; designed to increase the independence of board members.
CAN-SPAM Act
2003

Commercial email messages, unless exempt, should include a notice that the message is an advertisement or solicitation, and provide an opt-out option.

Insurance producers who have already established business with current customers and are electronically corresponding regarding insurance transactions or the general insurance relationship are exempt from the act.
Telemarketing and Consumer Fraud and Abuse Prevention Act
1994

Prohibits repeated calls or prolonged conversation by telemarketers; limits calls to between 8 am and 9 pm daily; requires telemarketers to reveal their identities and the purpose of the call
Do Not Call Implementation Act
2003

Authorized the FTC to implement and enforce the do-not-call provisions of the Telemarketing Sales Rule and to impose fees on telemarketer violations to pay for the national do-not-call registry.
In the book, state regulating agencies are referred to as
Insurance departments
The individuals who head insurance departments
Commissioners
Five areas of state regulation that directly affect producers:
- Licensing laws
- Unfair trade practices acts
- Unfair claims settlement practices acts
- Regulations governing the handling of premiums
- Regulations governing dealing with suitable insurers
Producers who operate without a license are subject to these types of penalties:
- Civil
- Criminal (possibly)
The majority of states have adopted this act to address licensing.
The NAIC’s Producer Licensing Model Act

In doing so, they have replaced the license classifications of agent and broker with the single license classification of “producer”
T or F: Most states require separate licenses for insurance agencies that operate as corporations, partnerships, or other legal entities.
TRUE. Most states DO require separate licenses for insurance agencies that operate as corporations, partnerships, or other legal entities.
Most jurisdictions require a license in order to conduct the following “transactional” activities:
- Solicit applications for insurance
- Negotiate before a contract of insurance is executed
- Execute a contract of insurance
- Transact any insurance matters subsequent to executing the original contract
States that have implemented the NAIC’s Producer Licensing Model Act have standards for:
- Who should be licensed
- License classifications
- Lines of authority
- License applications
Licenses generally have a term of
1 or 2 years

They are usually renewed with payment of a fee
In 1978, the NAIC adopted a model regulation establishing requirements for this:
Continuing education; however, states requiring continuing education set their own standards
Countersignature laws
Laws that require all policies covering subjects of insurance within a state to be signed by a resident producer licensed in that state.

All but a few states have eliminated these laws.
Provisions of countersignature laws may require that the resident producer be paid
Some fraction (usually 25 to 50 percent) of the total commission.
Countersignature laws are being eliminated because
- Some regulators believe they are archaic and unnecessary
- Some courts believe them to be unconstitutional restrictions on interstate commerce
Every agency and brokerage should have a current copy of
The state insurance code (or know where to find it on the Internet).

This code is an important reference tool for determining acceptable actions and agency procedures.
Unfair trade practices
Methods of competition or advertising or procedures that tend to deprive the public of information necessary to make informed insurance decisions.
Individuals engaging in any unfair trade practices may be subject to:
- Cease and desist orders
- Loss of licenses
- Heavy fines
Unfair trade practices common to the NAIC Model Act (which has been adopted in some form by all states):
- Misrepresentation and/or False Advertising
- Defamation
- Boycott, Coercion, or Intimidation
- Twisting
- Rebating
Misrepresentation and/or False Advertising
An insurer’s written or oral statement that does not accurately describe an insurance policy’s coverage or benefits
Defamation
A false, malicious, or abusive written or oral communication that harms another’s reputation or character
Boycott, Coercion, or Intimidation
The act of compelling an insurance consumer to purchase from a particular producer or insurer
Twisting
The unethical act of persuading a policyholder to cancel or replace a policy solely to sell another policy, without regard to possible negative consequences to the policyholder
Rebating
The act of providing the buyer of an insurance policy a portion of the amount of the policy premium he or she paid (or the producers’ commission) or anything of significant tangible value in return for purchasing the policy (permitted in some states, such as California and Florida under certain conditions)
Purpose of Unfair Claims Settlement Practices Acts
To protect insureds and claimants during the claim filing, investigation, and settlement process
Most unfair claims practices regulations set specific _______________ for communicating with claimants and policyholders.
Time frames.

These time frames are binding on producers as well as on insurers. Improperly handling claims can expose the agency to regulatory penalties as well as to errors and omissions claims.
Common unfair claims settlement practices (11):
- Knowingly misrepresenting policy provisions to a claimant or insured at the time of the claim
- Failing to promptly acknowledge pertinent communications about a claim
- Failing to adopt and use reasonable standards for settling claims
- Attempting to settle claims late and/or unfairly when the insurer’s liability has become reasonably clear
- Failing to affirm or deny coverage of a claim within a reasonable period after receiving a proof of loss statement
- Attempting to settle a claim for less than could be reasonably expected, according to public advertising material
- Failing to offer a reasonable and accurate explanation for denying a claim
- Compelling policyholders to file suit to recover amounts due them by offering them substantially less than the amounts that could be recovered by litigation
- Refusing to pay claims while conducting a reasonable investigation based on all available information
- Engaging in activities that result in a disproportionate number of complaints against the insurer received by the state insurance departments
- Failing to provide necessary claim forms promptly, including explanations about how to use the forms effectively
In many states, if the producer collects insurance premiums, the premiums must be
Kept in a separate trust account and must not be commingled with other personal or business funds.

Failure to comply with this requirement can subject the producer to civil and criminal penalties, including fines, loss of license, and imprisonment.
Suitable insurer regulations
Prohibit producers form writing insurance with insurers not licensed or admitted to do business in the state (unless the producers have special licenses to do so, or unless they broker the insurance through an individual or entity that is licensed).
T or F: Any action of inaction on the producer’s part that impairs the insurer’s ability to handle a claim may cause an E&O loss for the agency or brokerage.
TRUE. Any action of inaction on the producer’s part that impairs the insurer’s ability to handle a claim may cause an E&O loss for the agency or brokerage.
T or F: In some states, producers placing business with approved, or “admitted”, insurers or with authorized unapproved, or “nonadmitted”, insurers are relieved of legal liability to their customers if the insurer subsequently becomes insolvent.
TRUE. This regulation is based on the premise that the insurance department is responsible for determining the financial stability of the insurer before allowing it to do business in the state.

However, if a producer places business with an unauthorized insurer, the insurer’s insolvency could prompt an E&O claim against the producer. Producers should be aware of their states’ regulations about admitted and nonadmitted insurers.
Due diligence
The diligence an individual can reasonably expect to exercise in discharging a duty or an obligation; also, the diligence that, in turn, can reasonably be expected from that individual.
A producer’s responsibility in using due diligence includes:
- Determining the insurer’s legal status
- Analyzing the insurer’s financial ability to provide the purchased coverage
- Evaluating the insurer’s suitability for the customer and the customer’s loss exposures
Management
The set of functions, including planning, organizing, leading, and controlling resources that enable organizations to achieve their goals efficiently and effectively.
Four functions of management:
- Planning
- Organizing
- Leading
- Controlling
Planning
Identifying and selecting organizational goals and the means to best achieve those goals
Organizing
Establishing task and authority relationships that allow people to work together to achieve organizational goals
Leading
Motivating, coordinating, and energizing individuals and groups to work together to achieve organizational goals
Controlling
Establishing accurate measuring and monitoring systems to evaluate how well the organization is achieving its goals
Careful planning can help you
- Reduce costs
- Increase profits
- Allocate resources
- Achieve desired results (goals)
____________ provides a means for the organization to progress from where it is to where it wants to be.
Planning
Plans
Written records documenting the organization’s mission, goals, strategies, objectives, budgets, policies, and procedures.
Purpose of a plan
To minimize the degree to which an organization is surprised by unforeseen, costly events.
T or F: Plans developed solely by senior management tend to be the most effective.
FALSE. Plans that are developed by involving the entire organization are generally more effective than plans that are developed solely by senior management.
An effective and efficient plan must have these four characteristics:
- Unity
- Continuity
- Accuracy
- Flexibility
The ‘unity’ characteristic
Only one centralized guiding plan should be put into operation at a time to achieve the organization’s mission and goals.
The ‘continuity’ characteristic
Previous/existing plans should be continually modified so that they fit into a single organizational framework.
The ‘accuracy’ characteristic:
Managers should gather and use all available relevant information in the planning process, recognizing that inaccuracy can result from incompleteness.
The ‘flexibility’ characteristic:
Managers should be able to modify the plan when changes are necessary.
Large organizations have these three major types of plans for different organizational levels:
- Corporate plan
- Business (divisional) plans
- Functional plans
Corporate plan
A plan that contains senior management’s decisions relating to the organization’s goals
Corporate plans tend to be strategic, meaning that they
Set the overall course and direction for the organization
Business plan (divisional plan)
A plan that contains divisional managers’ decisions about the division’s goals and how the division will support the organization’s corporate goals.
Functional plan
A plan that contains managers’ decisions about the functional unit’s goals and how the functional unit will support the division’s and the organization’s corporate goals.
Strategic goals
Goals that are long-term, usually taking two to four years to accomplish
Corporate mission
A broad, concise statement of the primary corporate purpose, products, services, and markets; designed to be long-standing
The mission, goals, and strategy expressed in a corporate plan can often provide a preliminary indication of
The markets in which an organization intends to compete
______________ plans reflect the strengths, weaknesses, opportunities, and threats present in the business-level environment.
Business (divisional)
Function (group)
A specialized group in which individuals have similar skills or use the same resources to accomplish tasks

(e.g., marketing accounting, manufacturing, R&D)
A goal to increase cash flow from operations by 15 percent would be a
Business plan goal

It would support a corporate goal, such as to attain an earnings growth of 10 percent
Seven steps in the planning process
1. Develop a mission statement
2. Develop goals
3. Develop strategies
4. Develop objectives
5. Develop budgets
6. Establish policies and procedures
7. Monitor the plan
The mission statement should be:
- Broadly stated
- Needs-based (focused on the desire to meet the needs of current and potential customers)
Sometimes organizations develop a vision statement to accompany the mission statement. A vision statement is intended to be
An inspiring and positive description of what the organization aspires to.

It usually includes the values that guide the organization.
Goals
The final desired results for the planning period, whether strategic (long-term) or short term.
“Our agency will generate $1 million in new commission income within the next three years” is an example of a
Strategic goal
“Our agency will decrease the amount of outstanding accounts receivable by 50 percent within the next six months” is an example of a
Short-term goal
To be effective, each goal or objective should possess five characteristics:
(SMART)

- Specific
- Measurable
- Achievable
- Relevant
- Time bound
Measurable
Means that at the end of the period the goal can be said either to have or to have not been accomplished.
_______________ helps to determine whether goals are achievable
Forecasting
Variables that might be forecasted:
- Market size
- Growth trends
- Expenses
- Customers’ demographic characteristics
- Nature of the competition
- Economic conditions
- Regulatory practices
- and more
Forecasts can help an agency set realistic
Production goals
__________ forecasts are easier to develop than _______ forecasts.
Internal forecasts are easier to develop than external forecasts
Effective goals have fixed _______
Deadlines
Strategies
Are a series of decisions that form the foundation of organizational planning.

They should be shared throughout an organization to gain feedback and to coordinate activities. They indicate how organization plan to accomplish their missions and achieve their goals.
Like plans, strategies can be:
Corporate, business, or functional
Objectives
Milestones or intermediate steps required to achieve goals.
Objectives always support a
Goal.

Typically, each goal has multiple objectives. Goals and objectives share the same SMART characteristics.
Budget
A written estimate of operating revenues and expenses for a future period.
A budget must
- Be written and realistic
- Include senior management’s vision
- Include line managers’ expertise
Two types of budgets
- Operational budgets
- Capital budgets
Three types of operational budgets
- Sales budgets
- Expense budgets
- Cash budgets

These are also all short-term budgets
Long-term budget
Figures for 1 to 3 years
Short-term budget
Figures up to 1 year
Budgeting should be more detailed in the
Short-term
Capital budgets
Require a longer planning horizon than the one-year operating budgets.
When planning for growth, an agency should forecast sales for the next
3 years
Expense budget
Every major expense category should be itemized in this short-term budget; it should project when expenses will be incurred and paid.
Cash budget
Helps the organization determine whether it will have enough cash or liquid assets on hand to meet its financial requirements in any situation at any given time.
Cash budget is based on this simple concept:
Cash available minus the cash needed equals the cash balance.
Cash available
Determined by starting with the balance in last month’s bank account and adding to this balance the cash receipts from previous months’ bills to be collected. Also added are any liquidated investments, expected contingent commissions, or any other item that would produce cash.
Capital budgeting
The process of planning expenditures on assets whose returns are expected to extend beyond one year. (Office renovations, the purchase of furnishings, etc. Also includes the long-term investment of excess cash.)
Policies
Guidelines for making decisions and performing activities
Procedure
An established series of steps or instructions for performing normal and recurring activities

Can help the agency monitor and control both time and money. Usually established at the functional level.
Procedures clearly describe:
- What needs to be done
- In what order
- Within what time frame (if applicable)
Management by exception
A management concept wherein management monitors plans and may respond to results that differ from standards and/or parameters defined by the organization’s goals and objectives.
Activities that enable people to work together effectively to achieve the organization’s goals and objectives:
- Establishing the organizational structure, including defining relationships and designating who has authority and responsibility for various activities
- Creating a position description for each position in the organizational structure
- Establishing job qualifications for the person who fills each position
- Hiring the right number of people with the skills necessary to achieve the organization’s goals and objectives
One of the most common organizational problems is
The failure to clarify organizational relationships

People need to know who is responsible for what and how authority and responsibility are delineated.
Three basic forms of organizational structure are based on delegated authority and responsibilities:
- Line
- Functional
- Line and staff
Line organization
An organization that has a vertical structure in which authority flows from the top of the structure to the bottom and responsibility for delegated tasks flows in reverse.

The type of structure likely to be adopted by a small insurance agency.
Delegating internal activities works only if delegation is
Complete; must give sufficient authority
Advantage of a line organization
Simplicity
Disadvantage of line organizations
They are based on the presumption that the firm’s owners are competent in all phases of the business. An owner who is inexperienced or untrained in certain areas may overlook or ignore those areas to the detriment of the organization’s profitability.
Perhaps the greatest disadvantage of a line organization
The possibility that the owner will be unable or unwilling to stop being involved in activities that are better performed by others.
Functional organization
An organization in which the owner retains line authority but can staff each function with an expert in each respective area.

A functional organization can capitalize on the strengths of the line organization structure while minimizing some of its weaknesses.
Greatest advantage of functional organizations
They are built around experts in each field.
The effectiveness of a functional organization depends on
The behavior of the participants.

If good communication and negotiations occur among the functions, functional expertise within the organization can improve productivity.
A disadvantage of the functional organizational structure
Authority is divided, and this may create problems if an employee must report to more than one person.
Line and staff organization
An organization that combines certain features of the line organization (which develops employees’ general skills) and of the functional organization (which develops experts in specific fields).
The most common structure used in mid-size and large insurance agencies
Line and staff organization
This structure tends to employ individuals with general skills who can contribute in many different areas
Line organization (i.e., simple line organization)
In a line and staff organization, each employee reports to __________ because authority and responsibility are fixed.
Only one person
A line and staff organization can improve these areas, for example:
- Accountability
- Coordination
- Training
A few disadvantages of the line and staff organizational structure:
- Staff people may attempt to assume line authority because they want to see their ideas implemented
- Ideas that improve effectiveness and efficiency may sometimes not be implemented
- May not be possible for small organizations because they have an insufficient number of employees
Position descriptions
Written summaries of particular jobs in an organization

Each box in an org chart should have one
A position description includes
- Position in the organization
- Overall responsibilities
- Specific responsibilities
- Nature and scope
Specific responsibilities
Job responsibilities that form the basis on which their success or failure on the job will be measured
Nature and scope section
Shows how the position fits within the department associated with it.
Those who create and review position descriptions must be aware of the legal implications of this act:
The Americans with Disabilities Act (1990)
Position qualifications
Specify the requirements necessary to perform the responsibilities of the position. Should be written for an ideal candidate.
An organization is adequately staffed when it has
A sufficient number of employees with the appropriate skills to achieve organizational goals and objectives
Adequate staffing is important to an organization because
Its ability to meet short-term and long-term goals and objectives is largely based on having the right people in place at the right time to implement plans.
Staffing is important for these additional reasons:
- Preparing for growth
- Adapting to change
- Sustaining employee morale
Organizations conduct several activities to maintain adequate staffing, including these:
- Completing staffing projections
- Prospecting for employees
- Evaluating candidates
- Doing the activities above on an ongoing basis (not just when a need arises)
Benefits of prospecting for employees in anticipation of future needs (instead of waiting until a new employee is needed):
- It increases the odds of selecting the right person (by developing a pool of potential candidates)
- It saves administrative time, effort, and expense when a position becomes available
- It helps the organization achieve a competitive edge in the face of a shrinking labor supply
The best way to identify potential employment prospects:
Referrals from existing staff and other business sources
Two advantages of referrals:
- Finding people to interview is inexpensive
- Some pre-screening has most likely already been done by the individual making the referral
Advantage of using reputable employment agencies to identify potential employment prospects:
Effectiveness in screening
Disadvantage of using reputable employment agencies to identify potential employment prospects:
They charge a fee, which increases the total recruitment expense
Blind ad
An ad that asks prospects to send a resume to a post office box or a generic email address and does not list the employer’s name.

Only prospects with the required knowledge, skills, experience, and traits need to be contacted, and this approach prevents unqualified prospects from contacting the organization.
The candidate evaluation process consists of these seven tasks:
1. Contacting candidates
2. Reviewing the job application
3. Interviewing candidates
4. Testing candidates
5. Checking references
6. Verifying candidates’ experience and education
7. Offering employment
This is the primary device for evaluating the candidate, and it frequently forms the basis for the manager’s questions during the in-depth interview.
The candidate’s job application
A good job application form that complies with federal regulations can help overcome the problems associated with
Discrimination in hiring
The process of interviewing candidates is significantly affected by
Civil rights legislation, which governs the questions employers can ask job candidates.

This legislation puts the burden on the employer to ensure that the application and the interview/selection are not discriminatory on the basis of race, creed, sex, nationality, color, age, disability, or marital status.
Americans with Disabilities Act
1990.

Federal law that prohibits discrimination in all employment practices against qualified individuals with disabilities in organizations with 15 or more employees.

Requires employers to base employment decisions on the ability of the individual to perform the essential job functions, with or without reasonable accommodations.
Reasonable accommodations (ADA)
Any modifications to the work facility, the application process, the job, or the manner in which the job is performed that do not place undue hardship on the employer.
Examples of questions that CANNOT be asked before an offer of employment has been made to a candidate:
- Do you have any disabilities that would affect your job performance?
- How many days did you miss from work last year because of illness?
- Have you ever submitted a workers’ compensation claim?
- Have you had any major illnesses in the last five years?
T or F: You can ask a job candidate to show how they would accomplish specific job tasks.
TRUE. You CAN do that.
Personal interview formats can vary from _______ to ____________.
Formal (structured) to informal (nonstructured), depending on management’s preferences and the interviewer’s skill
Formal interviews are designed to
Overcome the problems many managers have in asking the right questions and correctly interpreting the answers.
Critical views of formal interviews make this case:
They are inflexible; standard questions do not elicit enough information

Also, recording answers can create anxiety for the candidate
Informal, nonstructured interviews encourage applicants to
Talk freely
A major problem with the nonstructured interview
It requires much more interpretive skill on the part of the interviewer to determine which information presented is relevant to the position.
Many organizations use a format that falls between formal and informal interviews, which uses:
Predetermined guidelines and questions that allow the interviewer a degree of flexibility.
This type of question elicits specific answers.
Close-ended
To observe applicants in a relaxed setting, an employer might conduct an interview in a
Social situation, such as at a restaurant

Might be especially useful for interviewing salespeople (since they are often required to entertain)
Types of tests that can be used to evaluate candidates:
- Personality or interest tests
- Aptitude tests
- Knowledge tests
- Intelligence tests
Purpose of personality or interest tests
Reflect positive or negative aspects of the candidate’s personality as they relate to the specific job and other employees in the organization
Purpose of aptitude tests
Measure the candidate’s inherent ability for selling, detail work, or other essential job functions
Purpose of knowledge tests
Determine how much an applicant knows about the technical aspects of the job
Purpose of intelligence tests
Measure a candidate’s innate intelligence
Psychological tests are often used in these situations
Often used in the selection process for sales-related and management roles.
The Office of Federal Contract Compliance stipulates that tests should be
Professionally developed and validated if they are to be used in the employment selection process.
Purpose of testing
To identify certain traits and qualifications that cannot be adequately measured by other selection tools.

They can lend objectivity to the evaluation process. They can also help offset the high costs of hiring and training by increasing the chances of selecting people who will be effective and satisfied in the jobs they are hired to perform.
T or F: Relatives and friends are generally good options for objective references.
FALSE. Relatives and friends are generally NOT OBJECTIVE references.
Unless managers are ____________, employees will not be as effective as they could be.
Effective leaders
Major aspects of leadership that are most important in an insurance agency environment:
- Motivating
- Delegating
- Managing conflict
Motivating
The psychological process that generates and sustains an individual’s desire to achieve
The root of motivation
Need

A desire to satisfy a need motivates action.
Need
Both what a person must have and what a person wants.

Includes physical needs (food and shelter), security needs (physical safety & economic wellbeing), social needs (status, belonging), and self-expression needs (for personal accomplishment & the opportunity to grow)
An individual’s degree of need determines:
- The strength of the desire
- The level of motivation
- The resultant action
Maslow’s Hierarchy of Needs
Often represented as a pyramid

The bottom of the pyramid represents basic needs, and the top represents self-actualization needs. The lowest level of unmet needs on the pyramid is the prime human motivator. (Only one level of needs is primarily motivational at a time.)
Maslow’s hierarchy includes these types of needs:
(top to bottom – I think)

- Self-actualization
- Esteem
- Belongingness
- Safety
- Basic
Some of the more common needs in an agency setting:
- Money
- Security
- Recognition
- Work importance and responsibility
- Status
- Advancement
- Goals
- Incentives
Wages should adequately reflect
The difficulty and market value of a job
These are essentials to satisfying the need for security
- Consistent, stable leadership
- Keeping employees informed of the agency’s financial status
Examples of things that can provide status
- Fringe benefits
- Physical surroundings
- Feedback
- An assigned office
- Cubicle
- Parking space
- A certain title
- A certain territory of operations
- Respect
- Esteem of co-workers
For a goal to be effective, the length of time between the goal-setting and the probable completion of the goal should be
Short enough for the individual to be able to visualize the result.
Two types of incentives
Monetary and non-monetary
Some managers find that quarterly bonuses provide better results than one-year-end payment because
Frequent reinforcement is more effective as a motivator than long-term reinforcement
Nonmonetary incentives:
- Benefits
- Ownership
- Fringe benefits
- Time off
ESOP
Employee stock ownership plan (a type of nonmonetary benefit, and a type of ownership)
Fringe benefit
“perks” – everything but salary. Typical fringe benefits in insurance agencies include auto allowance (or a company car), expense accounts, and professional organization memberships.
____________ must also participate in creating a favorable work environment.
Employees
Popular incentives that some organization snow offer focus on these two areas:
- Child care
- Elder care
Delegating
The art of getting work done through other people by giving them responsibility and authority to do the work
One of the most difficult activities for many managers to handle effectively
Delegating
A critical error managers often make
Doing only half of what is required for effective delegation: freely distributing responsibility for the work but retaining the authority to do the work.

Employees cannot be given the manager’s work without the authority to accomplish that work. Effective delegation means transferring the work and the authority as well.
Key to effective delegation
Lead by communicating clearly and concisely when delegating a task.

A manager must:
- State expected results
- Clearly define the scope of the authority and responsibility
- Facilitate the flow of information
The _______ of command must be clearly understood.
Chain

Chain of command: employees must know who is delegating what work to them and to whom to refer matters that exceed their authority.
A manager should be _________ when dealing with differences that arise between employees
Objective and impartial
Managers can use ____________ to resolve many conflicts
Negotiation
Negotiation
Involves discussing the issue in conflict and considering alternatives with the aim of reaching a mutual agreement.
Integrative bargaining
A form of cooperative negotiation in which the parties in conflict work together to understand their relationship, their interests, their respective perceptions, and their attitudes in order to achieve a mutually satisfactory resolution.
Distributive negotiation
Adversarial negotiation in which the parties compete for resources while conceding little to the negotiation process
Five strategies for manager to use as needed in their organizations to manage conflict, facilitate integrative bargaining, and avoid the negativity of distributive negotiation:
- Emphasize superordinate goals
- Focus on the problem, not the people
- Focus on interests, not demands
- Create new options for joint gain
- Focus on what is fair
Superordinate goals
Goals that both managers and employees can agree to in order to achieve a greater organizational purpose, regardless of the sources of conflict
Although managing conflict is important, ___________ is equally important to enable the organization to reach its goals and objectives.
Controlling an organization
Controlling
The function by which managers establish accurate measuring and monitoring systems to evaluate how well the organization has achieved its goals and objectives.

It includes the employee performance evaluation process.
____________ is essential to good management.
Control.

Control is used to influence employee behavior and is the vital follow-up to planning, organizing, and leading because it monitors the results of those functions.
Organizations use control to:
- Respond to events after they have occurred
- Keep staff motivated and focused on organizational goals
The control process (four steps):
1. Establishing performance standards against which performance is to be evaluated
2. Measuring results
3. Comparing results against chosen performance standards
4. Evaluating the results and implementing corrective action if the performance standards are not being met
Standards usually involve:
- Employee performance results (individually and as a group)
- Financial results
- Sales results
Control reports
Meant to present a comparison of performance against an established standard and to reveal improvement or decline. They should contain only key comparisons.
Managers can evaluate organizational and individual employee results in two areas:
(1) Outputs (e.g., a manager could measure the number of new business policies sold)
(2) Activities (e.g., the number of prospects visited)
Questions that might be asked to evaluate performance standards:
- Were the standards set so high that they were unattainable?
- Were the standards set so low that they were accomplished too easily?
- Did external changes (such as a major competitor’s move into the geographic area) affect the employees’ and the organizations’ ability to achieve performance standards?
Anyone who manages or supervises employees is responsible for providing them with
An evaluation of their performance
Whether it shows success or a need for improvement, an evaluation must be
Objective and accurate
The goal-setting process should be ______.
Collaborative. The manager and employee working together to establish goals.
Goals for individual employees should be based on
The organization’s overall goals and objectives.

These goals should also support established strategy.
Factors considered in performance evaluation
- Whether goals have been met
- Whether skill levels in areas such as written and oral communication are strong
Formal performance appraisals should occur at least this often
Annually
Feedback may be based solely on the manager’s appraisal or may include input from
Co-workers or subordinates within the same department; or, customers or insurers outside of the organization or from co-workers in other departments within the organization who frequently interact with the employee.
Insurance agencies are primarily this type of organization
Sales organization
Sales management
The planning, leading, organizing and controlling of sales efforts to achieve the agency’s strategic goals
Agency sales manager
Coordinates selling with other elements of total marketing programs; is responsible for the general sales force administration, setting year-to-year sales and marketing goals, planning programs to achieve those goals, and evaluating results
Dedicating at least one employee to the agency sales manager position helps fulfill the two purposes of agency sales management:
- To maximize the agency’s production efforts
- To promote effectiveness and efficiency when selling insurance products and providing service to insureds
Primary purpose of agency sales management
To maximize production efforts
You probably don’t want to appoint your best producer to be the agency sales manager while continuing to act as a producer, because that will create
Dual-role inefficiencies

The result is often a decrease in production; you lose the experienced producer and create dissatisfaction among the other producers because they now have an inexperienced manager
The best solution when looking at creating an agency sales manager position
Hiring a full-time agency sales manager who has management training and who is given no production responsibilities.
Another option for an agency that does not have the resources or prefers not to hire an agency sales manager with no production responsibility is to
Develop IT solutions to assist with sales management
Agency sales management must be efficient because
The cost of sales force management is typically the largest single insurance agency operating expense.
Efficient sales management helps reduce or eliminate wasted time and expense resulting from
- The duplication of effort
- Inadequate staffing or training
- Misdirected resources
Typical features of IT systems that provide more effective and efficient sales management for an agency are:
- Client information and customer service applications
- Interface with insurer systems
- Commission calculation and tracking
- Agency sales goals and performance
- Individual producer sales goals and performance
Agency IT systems can increase the effectiveness of cyber-relationships with
Insurers
Two categories of systems for managers to choose from when considering their options for sales management systems:
- Top-down
- Bottom-up
An agency’s _______________ determines both the types of insurance it will produce as well as the management style and culture of an agency.
Focus.

This focus can also determine how successful the agency will be.
Top-down system
A system in which management sets the long-range and annual sales goals for the agency and determines how they will be achieved.
Process in a top-down system
1. Producers are given specific goals to help the agency reach its overall goals
2. Management then periodically monitors producers and branch offices to ensure they are on target for achieving their goals
An agency with a top-down sales management focus should use IT systems that
Have a similar framework.

The types of reports available through the system would include tracking of agency and producer sales results against goals.
Bottom-up system
A system that uses aggregate sales information from agency units, producers, and branch offices to create overall agency goals.
Process in a bottom-up system
Producers and branch managers (usually in larger agencies) set both individual and agency sales goals; may involve meetings, or the flow of information from small agency units through large agency units.
The IT systems used by agencies with a bottom-up focus must be able to
Provide the data and reports to support this type of sales management.
A seven-step process can be used by an agency’s managers to develop and implement a sales plan:
1. Develop a mission statement
2. Develop goals
3. Develop strategies
4. Develop objectives
5. Develop budgets
6. Develop policies and procedures
7. Evaluate results
Mission statement
A broad statement of the agency’s purpose and overarching goals. It frames a vision for the agency and its producers.
Mission statements are important because they
Frame the beliefs and purpose of an organization’s work
Producers are more likely to be successful if they
Believe in the value of what they and their agency are doing
Strategies evolve from
The broader agency goals.

Typical insurance agency sales strategies involve premium volume, business mix, or specialization.
Premium volume strategies
Designed to increase the agency’s volume to a planned level
Business mix strategies
Involve a plan to change the mix of agency business.

For example, to decrease emphasis on sales in one area (such as commercial insurance) and increase sales in another area (such as health and disability insurance.)
Specialization strategies
May include growth in narrowly defined areas (e.g., professional liability insurance), or growth in a predetermined market (e.g., the agency’s current customers).
Like goals, objectives are developed using
SMART criteria.
The Independent Insurance Agents of America (IIAA) Best Practices Study found that a weakness among leading insurance agencies was
Poor sales planning.

The study also found that effective agency management was one of the keys to success
The most common aspect of budgeting is
To allocate money in a way that best serves the agency’s goals
Other aspects of budgeting:
The allocation of people and time
As sales increase, management should plan a budget for allocating
Additional support staff
Examples of common policies relating to sales management:
- Obtain a 25% down payment (minimum) to accompany all new business applications
- Transfer servicing of all commercial accounts generating premiums under $5,000 annually to the Small Accounts Unit
- Review renewal of personal insurance V.I.P. accounts with producers and CSRs; all other renewals are the sole responsibility of personal insurance CSRs
Policies
Define the general work rules and tell agency personnel what to do in certain situations; they help facilitate workflow and accelerate transaction processing
Policies and procedures are often drawn from
- Insurer recommendations
- Best practices
- Errors and omissions (E&O) insurer requirements
- The agency’s own history of proven best practices
The result of not implementing or maintaining procedures can be
- Duplication of effort
- Inefficient processing
Agencies with well-structured sales management systems provide ________ procedures for producers that facilitate training and help maintain quality control
Written
An agency sales manage monitors an agency sales plan by:
- Examining individual weekly and monthly production reports
- Conducting sales meetings
- Determining how results compare to the plan’s goals
T or F: At various stages in its life cycle, an agency may have to alter its organizational structure to accommodate growth or market changes, yet remain true to its fundamental focus in sales.
TRUE. At various stages in its life cycle, an agency may have to alter its organizational structure to accommodate growth or market changes, yet remain true to its fundamental focus in sales.
Three steps in establishing an organizational structure:
1. Define and assign responsibilities
2. Group responsibilities by position
3. Determine job interrelationships
Typical organizational structures used by insurance agencies:
- Line of business, such as commercial or personal lines
- Functional teams, such as producers, customer service representatives, IT, and accounting
- Insurer, in those agencies that place business with several key insurers
- Premium or revenue volume
- Account, such as an alphabetical or a geographical assignment of customers
- A hybrid, combining two or more of these.
When examining an existing agency’s organizational structure, management must
Disregard the current structure and list the responsibilities performed, regardless of existing positions or individuals handling those responsibilities
Manager can begin defining sales responsibilities by
Examining a producer’s job description
Producers have eight key accountabilities that are necessary to sell to and retain customers:
- Prospecting
- Fact-finding
- Sending the submission to the underwriter
- Preparing proposals
- Presenting the proposals
- Closing
- Providing initial customer service
- Providing long-term customer service
Key producer accountability: Prospecting
The sales process begins with it; producers should build and maintain a database of potential customers.
In most P&C agencies, who is responsible for prospecting?
Each producer
To maximize producers’ selling time, many agency mangers have shifted prospecting duties to
Other agency employees or to outside services
Key producer accountability: Fact-finding
Involves loss exposure identification, which is the basis of the customer’s needs.

May include physically inspecting the prospect’s operations and premises, completing survey forms, drawing flowcharts of operations, reviewing the prospect’s marketing materials and Web site, and researching financial statements to determine which assets need protection.
Key producer accountability: Sending the submission to the underwriter
The producer is ultimately accountable for obtaining premium quotations for requested coverages by submitting the information to the underwriter.
Key producer accountability: Preparing proposals
Can range from informal discussion of competing quotes to a formal meeting with a slide or video presentation
Key producer accountability: Presenting the proposals
The producer must clearly present the information – ideally using illustrations, examples, and understandable language for complex technical insurance proposals.
Key producer accountability: Closing
I.e., asking for the sale; vital because few people will purchase if they are not asked to make the purchase. Solely the producer’s responsibility.
Key producer accountability: Providing initial customer service
Includes, but is not limited to, ensuring that applications are completed and signed, collecting payment, and issuing a binder along with a binder bill.
Key producer accountability: Providing long-term customer service
The producer must see that the policy is delivered to the insured, plan regular contacts with the insured, and arrange for audits, if required.

Also, before policy renewal, new information on operations should be gathered and renewal questionnaires reviewed. Claims may required follow-up action. Audits and claim handling may be ongoing.
Responsibilities associated with long-term customer service, such as audits and claim handling, should be
Carefully assigned and supervised to meet (and, whenever possible, exceed) the customer’s expectations.
Grouping responsibilities into positions has this effect
Maximizes the agency’s use of the human and economic resources that support the sales management organization.
T or F: Generally, the larger the agency, the smaller the potential for position specialization.
FALSE. Generally, the larger the agency, the GREATER the potential for specialization.
Production CSRs
In some agencies, the staff is organized into teams. In an effective team, support staff may be responsible for some production as part of their responsibilities for the team’s book of business. The support staff’s accountabilities may include the retention percentage on the business they service. These “production CSRs” may eventually develop the skills and knowledge to become producers.
Because securing the right people is key to an agency’s success, the agency manager must plan how to:
- Staff the agency
- Make effective hiring decisions
- Provide training and development of staff members
Four major types of staff in an insurance agency
- Managers
- Producers
- Customer service representatives
- Administrative and support staff
Managers
Responsible for meeting the overall goals of the agency.

Sales managers, specifically, are responsible for meeting the agency’s sales goals and answer to the agency owner/principal.
Producers
Licensed to sell insurance products and are key to an agency’s success in meeting sales objectives
CSRs
Licensed and have extensive responsibility in providing service to customers and assisting with sales functions
Administrative and support staff
Perform functions that assist managers and key staff members in meeting the agency’s goals.

The typical functions performed by administrative and support staff include accounting, IT, HR, proposal and report preparation, and various other activities.
Ratio of producers to CSRs-and-support staff
Must be planned by the sales manager

A ratio with a high number or producers to a small number of support staff may result in producers inefficiently spending time on administrative functions. A ratio with a small number of producers to a high level of support staff may result in insufficient resources devoted to selling.
An agency’s managers should plan for _______ in determining staffing ratios.
Current and anticipated business needs
Frequency with which agencies should plan their staffing levels
At least an annual basis
Producers are typically compensated by
A percentage of the commissions they generate
Support staff are typically compensated by
A salary (although in some cases it might be a combination of commissions and salary)
Two major reasons for hiring a new producer
- Replace a producer who has left the agency
- Increase sales for the agency
When hiring a replacement producer, the hiring manager should:
- Determine why the previous producer left
- Consider the type of producer who should be hired
- Conduct an exit interview
Managers should plan recruitment efforts toward candidates whose interest, experience, and goals…
Align well with those of the agency.
An agency’s managers should have a plan in place for hiring producers before
A critical need arises
Four major types of educational and training opportunities available for producers and other agency staff:
- Educational organizations
- Training and continuing education
- Producer associations
- Insurers
Educational organizations
For example, the Institutes (AICPCU-IIA), and the organizations that offer CLU, ChFC, LOMA, etc.
T or F: Producers are required to obtain a certain number of continuing education credits as part of state licensing requirements.
TRUE. Producers ARE required to obtain a certain number of continuing education credits as part of state licensing requirements.
Producer associations
Local, state, and national agents’ associations that develop seminars, courses, and workshops to address the training needs of producers in different stages of professional development. (IIABA and PIA, for example)
Activities involved in managing producers to achieve sales goals (6):
- Setting performance standards
- Measuring performance results against those standards
- Using reporting and accountability systems
- Conducting performance evaluations
- Taking corrective action
- Rewarding employees
Three most commonly used producer compensation systems:
- Commission only
- Salary only
- Salary and commission
Generally, the commission-only system works well with
Experienced producers who have an established book of business.
Under the commission-only system, generally ___ to ____ percent of the commissions the agency receives goes to the producer:
15 to 40 percent
The salary-only compensation system is used most commonly with
Newly hired producers, often for a period of time such as six months or a year.

Management determines a salary, which is adjusted quarterly or annually to reflect the producer’s sales level.
The salary-and-commission compensation system is appropriate for
A producer who is responsible for producing new business but who still extensively services existing accounts.

Salary is paid for servicing renewals, and commission is paid for new business.
Extra benefits
Can include club memberships, award trips the agency wins from insurers, agency ownership, company automobiles, and expense accounts.
Performance standards used by agencies:
- Budgetary standards
- Sales standards
- Engineered standards
- Individual performance standards
- Judgment and experience standards
- Historical standards
Budgetary standards
With a current budget, agency management can easily and quickly evaluate the agency’s performance relative to budget projections
Sales standards
Address sales volume, product mix, commission income, and profit levels; these then establish the basis for individual performance standards.
Engineered standards
Based on an objective quantitative analysis of a specific work situation; they measure the potential output of individual employees or employee groups.
Individual performance standards
Negotiated with the employees at the beginning of the evaluation period and documented in writing to support the performance evaluation at the end of the period. Standards should be qualitative AND quantitative.
Judgment and experience standards
Not scientific or quantitative; they are based simply on management’s judgment and experience.

Usually, quantified standards – for example, those that can be derived from performance evaluations – are needed for comparison purposes to supplement judgment and experience standards.
Historical standards
e.g., benchmarks, can come from internal or external sources
IIABA Best Practices Study
Identifies the top 25 percent of best-performing independent agencies. The annually published findings provide agencies with benchmarks against which to compare their results.
How performance results are measured
By comparing the performance standards to actual results
Most agencies measure both…
Overall agency results and individual employee results
A common performance evaluation process in many agencies is to
Ask the employee to complete a self-evaluation and to use it, along with the evaluation completed by the manager, as the basis for the final evaluation.
A performance evaluation should serve these two additional purposes:
- Serve as the basis for the producer’s development plan
- Serve as a way to discover changes needed in the agency’s program for guiding and training sales personnel
Corrective action may involve changes in
- Agency goals
- Systems
- Staff
When an individual is not performing up to the established standards, corrective action may include:
- Training
- A change in responsibilities
- Probation or dismissal
The sales manager should strive to develop all producers to reach the standards of
The agency’s top producer

The top producer (or producers) should be determined based on several years of performance. Each sales manager should identify the characteristics of the agency’s top producers.
Personal production plan
A written document developed by a producer that describes what the producer will accomplish, how it will be accomplished, and when it will be accomplished.
The most important part of a producer’s job
Selling
A personal production plan must:
- Be consistent with an agency’s plans
- Support an agency’s plans
A personal production plan is developed using
The same seven steps as an agency’s plan.

i.e.,

1. Develop a mission statement
2. Develop goals
3. Develop strategies
4. Develop objectives
5. Determine budgets
6. Establish policies and procedures
7. Monitor the plan
Agency management system software allows producers to
- See immediately the results of their efforts
- Demonstrate accountability to the plan
- Ensure that goals are aligned throughout the organization
An agency can combine and summarize individual production plans. If the agency uses bottom-up planning, the resulting summary provides
Agency sales projections
An agency can combine and summarize individual production plans. If the agency uses top-down planning, the resulting summary provides
A basis for planning that can be revised based on management’s requirements.
Examples of personal mission statements
“To serve the financial services needs of the community”
“To find those people or organizations I can serve within the provisions of my agency contract”
“To provide premier risk management services to my community”
Goals (in the context of production plans)
Producers’ final targets for the planning period
Typical production (or sales) planning period
One year; should coincide with the agency’s fiscal year.
Producers should establish _________ in every area of their accountabilities and developmental activities.
Goals
Once goals have been set, _________ can be developed to indicate specific ways the producers can achieve their goals and, ultimately, their missions.
Strategies
Qualities of a good personal production plan strategy
- Personal
- Relate to the organization’s mission and goals
- Narrow the focus of personal activities
- Remain broad enough to allow a variety of sales activities
- Identifies specific markets for current selling activities
- Should be shared so that others in the agency can coordinate activities
Objectives (in a personal production plan)
Milestones toward goals and directed at accomplishing the goals they support
Like goals, objectives should be
SMART (specific, measurable, achievable, relevant, time bound)
The steps in the planning process allow an agency to
Develop plans for action
Agency management system software can allow an agency to
Develop templates for its producers’ personal production plans that align them with the agency’s overall strategy.
Three levels at which goals are developed:
- Organizational
- Agency
- Individual producers

(Hence the order of chapters 2 – 4)
If a producer participates as a sponsor at a commercial account’s annual charity golf event, the producer’s budget plan should include
The related expenses
Time budgeting
The allocation of available business-related time toward the accomplishment of the producer’s goals
Policies
Guidelines for making decisions and performing activities.

Policies can limit staff to a single course of action in most cases.
Whereas policies indicate what should be done, procedures indicate
How things should be done
Agencies have several approaches to monitoring plans, including:
- Self-monitoring by producers
- Monitoring by the agency principal or sales manager at weekly, monthly, or quarterly sales meetings
Examples of information that results reports may contain:
- Annual net commission goals
- Number of referrals received
- Number of cross-selling referrals obtained
- Number of x-dates obtained
- Number of successful contacts made
- Number of quotes issued
- Number of new policy sales
- Number of lost policies
- Annual net commissions lost
_________ are ultimately accountable for achieving their annual production plan goals and objectives.
Producers
Producers who achieve their goals enable agencies to
Achieve their goals.

Therefore, agency principals and sales managers usually are willing to assist producers in making plan adjustments if doing so improves a producer’s chances for success.
____________ are the building blocks of an agency’s annual sales production plans.
Individual producer plans
Many agencies combine all their producers’ personal production plans into a
Personal production plans summary
Agency production plans summary
Provides an overview of all of the producers’ goals, which should support the agency’s goals and mission.
Agencies should share the agency production plans summary with
All agency personnel (including claim, technology, and support staff, who assist producers in achieving annual production goals.
A producer’s annual production goal is supported by
- Underlying annual objectives
- Key production activities

(both are monitored monthly)
Monthly activity analysis
Part of an agency production plans summary; has a calculation for the number of quotes and accounts written that the producer needs to achieve the annual goal.
A model personal production plan for a producer should possess these five characteristics:
- Should be negotiated with the sales manager or principal to ensure that producers direct their efforts towards the type of business the agency wants to sell
- Gives a producer a set of self-directed sales activities that are derived from and support the goals and objectives
- Gives the sales manager or agency principal a convenient evaluation tool (by having specific goals and objectives)
- Assists the producer with meeting goals and objectives, helping the producer generate new business more rapidly
- Corresponds with the agency’s plan
Independent, entrepreneurial activities encourage the producer to
Focus on executing the production plan.

For example, producers may be involved in cross-selling and networking, referral and lead generation, and prospecting activities, all of which are self-directed.
________ determines the size and types of business the agency can produce.
Insurer representation
If the agency emphasizes commercial lines over personal lines, property-casualty insurance over life and health insurance, and large over small accounts, the producer’s goals…
Must do the same
When preparing production plans, producers should consider the benefits of ________ as a new-business source.
Referrals
______________ can help producers focus on fulfilling their personal production plans, which focus on sales.
Time management
As a practical matter, producers spend most of their time _________________________.
Servicing existing customers and managing their accounts, leaving little time available for selling.

One estimate is that producers spend less than one hour of selling for every four hours of nonselling time.
Five essential time management strategies to increase the time available for selling:
- Eliminate time-wasters
- Set priorities
- Prepare for meetings
- Plan
- Manage phone calls and emails
Top 5 major time-wasters:
1. Management by crisis
2. Telephone interruptions
3. Inadequate planning
4. Attempting too much
5. Drop-in visitors
Top 6 – 10 major time wasters:
6. Ineffective delegation
7. Personal disorganization
8. Lack of self-discipline
9. Inability to say “no”
10. Procrastination
Top 11 – 15 major time wasters:
11. Meetings
12. Paperwork
13. Leaving tasks unfinished
14. Inadequate staff
15. Socializing
Top 16 – 20 major time wasters:
16. Confused responsibility or authority
17. Poor communication
18. Inadequate controls and progress reports
19. Incomplete information
20 Travel
Producers who establish and adhere to a sales system with a personal production plan can
Mitigate the effects of many time-wasters
One way to avoid a crisis situation
Planning for the best way to keep it from occurring – such as, for insurance producers, ensuring that customers who require flood coverage are offered flood insurance well before any threat of hurricane occurs.
To minimize telephone interruptions, the producer can
- Use technology
- Seek the cooperation of other staff to determine priorities
- Screen telephone calls
Important customer calls and emergency calls should be
Handled immediately

Other calls can be referred to support staff, postponed, or expedited within predetermined guidelines
The heart of an effective time management system is
Setting and adhering to priorities
Many time management systems suggest starting by
Listing every task that needs to be done in a given amount of time; assigning priorities based on importance
Key to any time management system is defining these terms:
“Important” and “urgent”

The focus for producers must be on what is important.
An important task can be defined as any task that
Leads to accomplishing goals
An urgent task is one that
Demands immediate action.

Urgent tasks are typically time sensitive and involve demands on a producer’s time made by colleagues or customers. However, urgent items may or may not be the most important tasks the producer should complete to achieve his or her goal.
Strategies for eliminating time-wasting caused by: management by crisis
- Set and adhere to deadlines to avoid self-created crises
- Build extra time into schedules to handle unanticipated events
- Conduct an after-action review after each crisis to determine how to avoid or better manage future crises
Strategies for eliminating time-wasting caused by: Telephone and E-Mail Interruptions
- Forward phone calls to support staff or voice mail during certain periods to allow blocks of uninterrupted time
- Set aside certain times when you routinely ask people to call
- Designate blocks of time for returning phone calls and emails
- Create a voicemail message requesting that callers leave all information necessary to respond to the call
Strategies for eliminating time-wasting caused by: Inadequate planning
- List long-term goals and specify associated short-term goals or objectives with intermediate dates
- End each day by determining what you will accomplish the next day
Strategies for eliminating time-wasting caused by: Attempting too much
- Break large tasks into a series of small tasks
- Complete one task before you begin another
Strategies for eliminating time-wasting caused by: Ineffective delegation
- Make a list of recurring tasks; determine which tasks are delegable to other staff members, and make assignments
- Determine which tasks other staff members could complete after training; arrange for required training
- Conduct a staff audit to determine who is doing what, who needs additional skills, and whose responsibilities can be expanded
Strategies for eliminating time-wasting caused by: Personal disorganization
- Group similar tasks and perform them at the same time
- Take advantage of the agency management system software’s organizational tools
- Work on tasks for one project at a time
Strategies for eliminating time-wasting caused by: Lack of self-discipline; procrastination
- Select the top two or three tasks daily from your ‘To Do’ list that are important and urgent and that you dislike doing. Complete these tasks first to avoid being distracted by them throughout the day
- Complete the hardest task(s) for the day first
Strategies for eliminating time-wasting caused by: Inability to say ‘no’
- Select and rehearse a standard phrase you can use when asked to do something that is not your responsibility. (For example, “I can understand how you need help with this project. However, my projects are consuming all of my time.”)
Strategies for eliminating time-wasting caused by: Meetings
- Determine whether a meeting really is necessary
- Set goals, agendas, and time limits for all meetings
- Set aside particular times of the week for all meetings
- Start and end meetings on time
Strategies for eliminating time-wasting caused by: Leaving tasks unfinished
- Estimate the amount of time needed to complete a task; schedule sufficient time to complete each task; work on one task at a time to the exclusion of all others
- Maintain a running list of next tasks to be performed in all project folders; check off each task as completed
Strategies for eliminating time-wasting caused by: Socializing
For a week ro two, track the amount of work time you spend socializing, with whom, and where; estimate how much work time you are losing each year; avoid persons and situations that cause you to over-socialize at work
Strategies for eliminating time-wasting caused by: Confused Responsibility or Authority
Clarify job responsibility and authority with supervisor and any direct reports at the beginning of each performance year and new project
Strategies for eliminating time-wasting caused by: Poor communication
Identify who needs to be notified of what for each task
Strategies for eliminating time-wasting caused by: Inadequate controls and progress reports
- Develop formal procedures for complex but routine tasks
- Create checklists to ensure that processes are correctly followed
- Create an electronic template for progress reports, indicating required information
Strategies for eliminating time-wasting caused by: Incomplete information
Specify the information that meeting attendees will need to bring to a meeting, or provide it in advance
Strategies for eliminating time-wasting caused by: Travel
- Combine several visits per trip
- Set aside specific times of the month or year for business travel to minimize work disruptions at other times
- Create an action plan for each business trip, and strive to complete the plan on each trip to minimize follow-up travel
Tyranny of the urgent
Treating priorities as if all plans, goals, and objectives should be developed, implemented, and accomplished in one day; usually resulting from the act of constantly working only on tasks labeled “urgent”
Sharpening the saw
The practice of changing the focus from handling only the current emergency to spending time preparing for future needs
B tasks
Training, education, reflecting, planning
For B tasks, producers should think of time spent on them as
Investing in a long-term payoff
A producer can increase the amount and effectiveness of time spent on A and B tasks by concentrating on selling activities during the time of day he or she feels
Most alert and works most efficiently, i.e., peak performance times
Producers should have a _________ in mind before any meeting.
Specific goal

Without a goal, a meeting can extend past its usefulness.
This can help to organize a sales call.
A short outline of why a producer wants a customer’s or prospect’s policy expiration dates
A good way to prepare for an important presentation is to
Try it out on a member of the agency staff, preferably a nontechnical person.

In this way, the producer not only gets practice but also receives feedback about clarity and persuasiveness. A nontechnical person can point out when the terms used are vague or confusing.
When making an appointment, a producer should set both a _____ time and an _____ time.
Start, end
A producer’s most valuable resource
Time
T or F: Email messages are not technically business records.
FALSE. They ARE. For this reason, agencies, should develop office procedures and guidelines for producers to effectively and efficiently manage data files.
Issues related to email management:
- Email creation
- Email responses
- Email retention
- Email retrieval
- Email delation
Issues related to email management: Email creation
A producer can establish standard messages, use concise language, and descriptive subject lines
Issues related to email management: Email responses
Responses should be timely; procedures should be established to document action taken; automatic responses should be in place for nonbusiness hours
Issues related to email management: Email retention
Folders should be established within the email service
Issues related to email management: Email retrieval
Producers should save and file information including client data, correspondence, meeting notes, and coverage-related documentation; document storage guidelines should be created
Issues related to email management: Email deletion
Periodic review and removal of unnecessary messages is key
Negotiation
A process in which two or more parties discuss an issue and consider alternatives to reach mutual agreement
Some basic negotiation rules and techniques:
- Know the other party
- Avoid “single-issue” negotiation
- Do not push the advantage
- Deliver more than promised
One reason people handle negotiations poorly
They assume one side must win and the other must lose. Learning how to negotiate effectively focuses on creating the ‘win-win’ situation. Effective negotiators consider anything other than a ‘win-win’ to be a loss.
Knowing the other party (negotiation)
Requires determining the other person’s style of doing business and the other person’s goals
Avoiding ‘single-issue’ negotiation
E.g., negotiation based only on price.
One way to avoid the ‘single issue’ trap;
Have more issues on the table, with price being only one.

For example, the price can be lowered, but only if the prospect gives something back in another area – such as by accepting less coverage.
Do not push the advantage (negotiation)
Producers should not highlight the difficult position of prospects who are in a difficult position. No matter how much the situation results in the producer’s favor, the producer should not push the advantage. This benefits the producer, particularly if the insurance market later becomes more competitive.
Deliver more than promised (negotiation)
Always seeking to exceed customer expectations.

Giving something more than promised after negotiations are complete creates an important advantage in future negotiations with the same customers. A customer may remember an unexpected bonus far more than the details of the negotiation.
Before deciding to represent an insurer, a producer should
Evaluate whether the insurer’s way of doing business is compatible with the producer’s.
The agency’s owner(s) should evaluate these seven factors before establishing a relationship with an insurer:
- Financial stability
- Reputation
- Policyholder services
- Claim services
- Marketing philosophy and practices (including compensation or commissions)
- Underwriting philosophy and practices
- Terms and conditions of representation (the agency agreement)
Each of the seven relationship factors is important in terms of:
- How the agency is able to represent itself to customers
- Its overall level of profitability
Policyholders pay premiums in anticipation of
Being indemnified when a loss occurs
If an insurer becomes insolvent before a loss is paid, the policyholder receives
Nothing, except what may eventually be recovered from state-run insolvency funds established to protect against such an event.
As producers evaluate an insurer's financial stability, they should
- Understand the various legal implications of insurer insolvency
- Understand the role insurance regulators play in financial oversight
- Monitor insurer financial stability
- Keep customers informed about the financial stability of insurers they represent
During the late 1990s and into the early part of the 21st century, the number of insurer insolvencies
Increase dramatically.
T or F: Courts in several jurisdictions have dismissed damage awards against producers for failure to use proper care in selecting an insurer.
FALSE. Courts in several jurisdictions have allowed damage awards against producers for failure to use proper care in selecting an insurer.

However, most courts have ruled that the agency is not a guarantor of the financial condition or solvency of an insurer.
Higginbotham & Associations Inc. v. Greer
1987 Texas court of appeals decision

Refused to hold an agency responsible for an insured's losses resulting from an insurer's insolvency.
Guidelines established by the court in Higginbotham & Associates, Inc. v. Greer, regarding the agency's legal duties when selecting an insurer and monitoring its financial condition:
- The agency has an ongoing duty to place coverage with a solvent insurer
- The agency has an ongoing duty to reasonably monitor an insurer's financial condition
- The agency has a duty to disclose solvency information to the insured
- The agency has a duty to protect the insured when the risk of insolvency becomes too great
Sources that can help an agency make a reasonable determination of an insurer's strength:
- Financial rating services (A.M. Best)
- State insurance regulatory agencies
- The NAIC
One of the most respected sources for insurer financial information
A.M. Best Company
Best's Key Rating Guide
Displays summary financial information and ratings for more than 3000 major property-casualty insurers over a period of five consecutive years.
T or F: A.M. Best's rating system provides an absolute measure of an insurer's strength.
FALSE, obviously.
Rating of C++ and C+ (A.M. Best) is categorized as
Marginal
Rating of B and B- (A.M. Best) is categorized as
Fair
Rating of C and C- (A.M. Best) is categorized as
Weak
Rating of D (A.M. Best) is categorized as
Poor
Rating of E (A.M. Best) is categorized as
Under Regulatory Supervision
Rating of F (A.M. Best) is categorized as
In Liquidation
Rating of S (A.M. Best) is categorized as
Rating Suspended
Reasons a company might not qualify for an A.M. Best rating:
* Limited financial information
* Small level of surplus
* Lack of sufficient operating experience
* Dormant or run-off status
Rating of B++ and B+ (A.M. Best) is categorized as
Very Good

This is the lowest level of the “Secure” ratings; everything below is a “Vulnerable” rating
Weiss Ratings
Popular with consumer groups because it uses only publicly available data rather than figures provided by insurers.
Demotech
Uses its own analysis model to provide financial strength ratings for smaller, niche property-casualty insurers.
Many state insurance regulatory agencies provide this type of information to consumers (and producers)
Insurer financial and compliant information
The format of an insurer's annual statement is prescribed by
The NAIC

The goal of it is to simplify comparison.
NAIC Insurance Regulatory Information System
(IRIS)

Helps regulators identify potentially insolvent insurers through the use of financial ratios and tests.

The system evaluates annual statements of participating insurers and calculates twelve financial ratios. A usual range of values for each of the ratios is compared with the actual ratios.
Two main parts of a financial statement:
The balance sheet and the income statement
Balance sheet
A snapshot of an insurer's assets and liabilities at one point in time
Assets
Cash, stocks, securities, and real estate

May also include premium due from agents, reinsurance proceeds due, and other obligations owed to the insurer, such as notes receivable.
Liabilities
Balance of any notes or debts payable, claim reserves, unearned premium reserves, and any other type of debt the insurer owes
Policyholders' surplus
The difference between assets and liabilities
Income statement
(i.e., profit and loss statement)

Presents a summary of an insurer's financial activities over a period of time. It includes revenues and other income, expenses, and net income or earnings.
Revenues and other income
Funds the insurer receives from premiums written and investments, plus miscellaneous income
Net income
The difference between revenue and expenses
Conditions that may indicate an insurer is having financial problems:
- High loss ratios (abnormally so) compared with the industry average
- Negative operating income or cash flow
- Sale of or other reduction in assets
- Abnormal decline in policyholders' surplus
- Change in policyholders' surplus in excess of 10 percent annually
- Increase in net premiums written in excess of 25 percent, or dramatic changes from one year to the next
- Change in the insurer's investment portfolio, such as a decline in bonds, an increase in loans, movements into cash or short-term accounts, low net asset yields, or other questionable investments
- Increase in ratio of net premiums written to policyholders' surplus to excess of 3:1 and/or rising
An increase in net premiums written in excess of 25 percent, or dramatic changes from one year to the next can indicate
Instability in the insurer's operations
A change in policyholders' surplus in excess of 10 percent annually can indicate
Lower levels of surplus to absorb losses, or increasing reliance on reinsurance
An increase in ratio of net premiums written to policyholders' surplus to excess of 3:1 and/or rising can indicate
A reduction in capacity, perhaps from poor underwriting results – even as insurer receives short-term influx of cash
Producers should consider these factors when evaluating an insurer's financial stability:
- Reinsurance arrangements vary greatly and can materially affect the insurer's financial position should a catastrophic loss occur
- The producer should examine the classes of business written and the premium volume of business in each class
- The producer should determine whether the insurer has withdrawn recently from any states
- An insurer's investment selections should be reviewed
Sudden increases in classes of business the insurer has not previously handled could indicate
Inadequate pricing, inexperienced underwriting, or both.
Frequent changes in accounting firms could be a sign of
Financial trouble.
Delayed claim payments may indicate
That the insurer needs to preserve its cash
Poor customer service may indicate that the insurer is
In poor financial condition. Two or three months' policy issuance delay could cause the policyholders' surplus to be overstated on the annual statement.
If the insurer has the lowest rates or the highest commissions, it may be seeking to
Buy business for some quick cash.
If independent premium finance companies will not finance policies issued by the insurer, it may mean that
Finance companies have difficulty collecting unearned premiums from canceled policies.
Large changes in the insurer's agency force may signal
Dissatisfaction among current agencies representing the insurer.
T or F: An insurer's overall size is an indication of financial stability.
FALSE. Many small insurers, particularly those handling specialized insurance, are carefully and conservatively managed and can be more financially sound than large insurers.
Insurance is regulated on the ______ level.
State
One state's regulators may have difficulty assessing the full scope of an insurer's financial problems because
Most insurers operate in many states, with financial dealings often handled through branch offices and subsidiaries spread out among states.
The Higginbotham case provided no guidance on
The definition of “reasonable diligence”
An important function of an agency's computer system is
To produce a customer list by insurer, so that customers of the affected insurer can be contacted if necessary. (Courts are likely to consider such an action on the producer's part as reasonable, particularly if an insurer's solvency is threatened.)
A simple disclosure form letter giving customers the necessary information should suffice as
“Reasonable diligence” in the event of the threat of insurer insolvency
Hard market
The cost of insurance increases and the availability of coverage decreases
When the market cycle turns hard, reserves often
Decrease in relation to premiums written
A stock insurance company can improve its policyholders' surplus by
The sale of additional stock.

Such a sale can help keep the insurer financially healthy.
These organizations do not have the option of selling stock to raise capital (because they have no stockholders):
- Mutual insurers
- American Lloyds
- Reciprocal exchanges
To improve their policyholders surplus during a hard market, non-stockholder organizations may have to
Adopt more restrictive underwriting practices and control expenses
________________ becomes an important part of the agency's defense, should a dissatisfied customer sue the agency.
Documenting the producer's efforts to avoid placing coverage with a financially unstable insurer.
Good documentation may include these actions:
- Develop and maintain a financial information file on each insurer and wholesaler with whom the agency transacts business
- Establish an agency minimum-standard Best's rating for insurers (such as “A-” or better)
- Use advisory form letters with customers and prospects when using an admitted insurer with a Best's rating less than the agency minimum standard (or with no rating at all)
An insurer's reputation can impact an agency in these ways:
- Relates to how the insurer treats policyholders
- A damaged reputation can lead to insolvency
Reputation is a key asset to an insurer because of its
Intrinsic, intangible value and its potential to generate (or erode) future value
T or F: A good reputation can differentiate on insurer from another, thus creating a competitive advantage.
TRUE. It can.
Indicators of an insurer's good reputation:
- Its image as a good corporate citizen
- A consistent record of delivering high quality, fairly priced products and services
- Fair and efficient claim handling
- A responsive customer service department
Policyholder services
The non-claim-oriented service provided by an insurer, including:
- Procedural matters
- Support services
- Information technology
Joint Agency/Company Planning Tool
A best practices resource from the IIABA for determining key issues regarding each type of policyholder service
Policyholder services are particularly important in relation to insurers that have
Customer service centers
Customer service centers
In return for a reduced percentage commission, insurer customer service centers offer service support for functions such as providing policy information and processing endorsements. Consequently, the independent agency can focus on sales while maintaining good customer service.
Procedural matters (in a policyholder services context)
Relate to how easy it is to do business with the insurer.
An important part of evaluating an insurer's information technology is considering the quality of the insurer's
Agency interface
Insurer's agency interface
Provides agencies with standardized workflows for managing the insurer's sales, service, and renewals from directly within their agency management system.
Many insurers have implemented ________ standards and are using the ________ network to move electronic data between themselves and their agency partners.
ACORD XML, IVANS
_____________ are an excellent source of information about an insurer's claim services.
Previous claimants.

Informally surveying neighbors and friends can often provide insights not available from other sources.
Marketing representatives (or underwriters serving in a similar capacity)
Outline the insurer's philosophy and practices to the agency and screen the agency for compatibility
How close the marketing and sales executive's position is to senior management is one indication of
The importance that insurer places on the sales and marketing function.
The insurer's sales and marketing staff
Is responsible for conveying the insurer's marketing philosophy to its agencies both before and after their appointments.
When evaluating an insurer's marketing philosophy and practice, producers should consider factors such as:
- Type of business
- Quotas
- Production and appointment practices
- Compensation
Generally, insurers that use the independent agency and brokerage marketing system pay __________ commissions to producers than those that use the exclusive agency marketing system.
Higher

Direct writers tend to fall between the other two for commission on new business but pay considerably less commission for renewals.
Most insurers offer ___________, typically as provisions added to the overall agency agreement.
Profit-sharing agreements
Profit-sharing agreement
A contractual agreement that pays contingent commissions or bonuses if the insurance agency meets predetermined premium quotas, growth targets, and/or loss ratios.
Key considerations in evaluating an insured's underwriting philosophy and practices:
- The location of an insurer's underwriting office
- The level of the binding authority the office grants to the producer
- Underwriting guidelines
Binding authority granted to producers usually applies only to
Small commercial or personal accounts, and generally only after the insurance agency has shown technical ability in handling those types of insurance.
Brokers normally cannot bind the insurer without
Prior approval
Rate levels
The premium an insurer charges for its products.

Can have a considerable effect on the producer's ability to sell that insurer's products. Representing an insurer that does not maintain a competitive pricing philosophy is difficult.
Many insurers have developed their own package policies or hybrids of policies developed by advisory organizations such as ISO or AAIS. Examples of these include:
Packages for churches, contractors, and condominiums.

Often these package policies are developed in conjunction with one producer and are then offered to other producers.
A final important consideration in evaluating underwriting philosophy and practices is
Staff competence and stability, especially the avoidance of high turnover
The terms and conditions of insurer representation are described in the
Agency agreement.
An insurer evaluates agencies to represent it via this process:
By considering whether the resulting match would both serve the needs of the agency's target market and be consistent with the insurer's marketing and growth objectives
After reviewing the insurers available for representation, determining that the agency and a particular insurer meet each other's requirements, and deciding to contact the insurer, a producer must
Negotiate an agreement
Generally, the factors an insurer examines when evaluating an agency include these:
- Location and appearance
- Financial condition
- Type and mix of business
- Other insurers represented
- Loss experience
- Personnel
- Information technology (IT)
- Business plan
Agency's formal presentation to conduct business
A presentation designed to lead to an agency appointment
Insurer's evaluation of an agency's financial condition
Includes evaluation of historical operating performance, current balance sheet, and income statements for at least the previous two to three years.
Insurers look for an agency with a consistent history of
Profitable operation
The agency's collection practices are of interest because an agency's poor collection record could mean that the insurer
Might not get paid on time or that the agency might need to borrow frequently to make insurer payments.
If the agency represents many insurers, it might indicate that the agency cannot
Place thee required new business volume with the prospective insurer.

A high number of insurers represented may also indicate that the agency does not have a clear marketing focus.
A prospective insurer will want to see production and loss runs for at least the last ___ years (preferably _ years) for every insurer the agency currently represents.
3; 5
Loss runs
Reports detailing an insured's history of claims over a specific period, valued as of a specific date.
If a high loss ratio is the result of a series of small losses, or if the loss frequency is always high, these might be the causes:
Poor new business screening or poor producer underwriting practices.
The most important asset an agency has to offer
The agency's employees.

For this reason, the prospective insurer will request information on the backgrounds of key agency personnel.
Before entering into a relationship that also has fiduciary aspects, an insurer should have these items available for review:
Financial, professional, and personal references regarding the agency's key personnel.
Insurance agencies that take full advantage of their _______________ can serve their customers more efficiently and market products and services with greater effectiveness and economy than those that do not.
Agency management systems
Issues an insurer typically considers regarding an agency's business plan:
- How much new business growth is projected and in what areas?
- What is the agency's long-term business plan?
- What could the insurer provide to help accomplish that plan?
- What, therefore, could the agency provide in terms of premium volume?
Agency perpetuation plan
How the agency will handle any changes in management or ownership, including possible funding mechanisms; it should be included in the business plan.
Producers can use these items to systematically sell the insurer on the agency.
- Agency profile forms
- Agency profile packages
Agency profile package
Should include a cover letter that briefly describes the agency's qualifications and explains why an additional insurer is needed; will also provide info on the agency's local economic environment
Typically, an insurer appoints agencies that express business goals and practices that are
Similar to its own
Producers may place insurance through wholesalers if
Their standard markets are unable to accept a submission.
The number of insurers an agency contracts varies by:
- Agency size
- The type of the account's business activities
- General economic conditions
Producers should send applications only to those insurers
Whose goals are compatible with the agency's AND who can meet the specific insurance needs of the accounts in question.
Factors to be considered in account placement:
- The insurer's ability to handle the submission
- Policyholder services offered
- Price agency compensation
- Volume requirements
Facultative reinsurance
Reinsurance of individual loss exposures in which the primary insurer chooses which loss exposures to submit to the reinsurer, and the reinsurer can accept or reject any loss exposures submitted.

Negotiated on a case-by-case basis; it can be very expensive.
By reducing or eliminating reinsurance, producers should receive:
- A better premium
- Full percentage commission
- Full credit toward meeting the insurer's volume requirements
Sales quotas
New business minimums
On large accounts, insurers customarily negotiate commissions with the
Producer

The producer may agree to relinquish part of the compensation to reduce the customer's cost or because the work involved in servicing some large accounts may not be as extensive as it would be to handle a number of smaller accounts that may be transaction-intensive.
Recognizing that the customer's needs come first, a producer must select an insurer based on achieving volume requirements only when
All other factors are equal
Wholesaler
Any insurance entity that serves as an intermediary between an insurance retailer and the insurer.

If none of the insurers the agency represents can effectively provide what the customer needs, the producer should then approach wholesalers to place the customer's insurance through surplus lines or specialty insurers.

Wholesalers provide a variety of insurance products through different types of insurers. A single wholesaler may serve several functions in the insurance marketplace and perform different services depending on the type of insurer it represents and its relationship with the insurer.
Managing general agent (MGA)
An authorized agent of the primary insurer that manages all or part of the primary insurer's insurance activities, usually in a specific geographic area.
Most wholesalers call themselves ______ in a general sense, while in legal and licensing terms they are either managing general agents or surplus lines agents, usually holding both types of licenses in states where the MGA license is offered.
Brokers
An MGA is granted authority by an insurer to
Act on its behalf in executing insurance transactions.
Advantages for insurers of operating through MGAs
- Limit fixed costs (because they do not have to staff and support a branch office)
- Offer expertise in particular markets
- Often design insurance programs in collaboration with the insurers they represent
- Perform functions such as claim administration, information management, risk control and risk management services, underwriting and marketing services, policy insurance, and premium collection.
Program underwriting managers
Similar to MGAs, but their authority may be limited to accepting submissions from agencies on an insurer's behalf for specific types of customers on a program basis.
Surplus lines agent (or surplus lines broker)
A wholesaler who places insurance policies with nonadmitted (surplus lines) insurers.

These agents/brokers are not admitted to do business in a particular state but are approved to write surplus lines by state regulations. Can be a retailer that places its own customers' insurance with a surplus lines insurer it directly represents, or it can be a wholesaler that places surplus lines insurance referred to it by a retailer.
The surplus lines broker system provides insurance for customers that require:
- High limits of insurance
- Unusually broad or specialized coverage
- Coverage for an unusual, unique, or unfavorable loss exposure
Producers also use wholesalers to
Protect loss ratios and relationships with represented insurers
Typically, producers should select a wholesaler (or multiple wholesalers) that performs these functions:
- Provides access to insurers and services that the producer's customers need
- Represents financially sound insurers
- Provide prompt, courteous, and efficient service
- Employ experienced and knowledgeable staff
- Belong to a trade organization for wholesalers
- Maintain appropriate licenses
- Maintain and provide evidence of errors and omissions insurance
Trade organizations for wholesalers
American Association of Managing General Agencies (AAMGA) or the National Association of Professional Surplus Lines Offices (NAPSLO)
The key to placing business with a wholesaler
The wholesaler's ability and knowledge of the insurers it can access to place accounts.
Because of the specialty nature of the wholesale market, it is generally necessary for a producer to
Establish relationships with more than one wholesaler.
Sometimes a wholesaler will have a special relationship (such as an MGA contract) with one insurer; this will provide
Faster quotations and placement of coverage
The increased complexity of many business has prompted small agencies to use wholesalers, especially during
Hard markets.

Traditionally, only the large independent agents and brokers used wholesalers.
Reduced market capacity among standard insurers has this effect on wholesalers
It increases marketing opportunities for insurance wholesalers
Many states allow insurance to be placed with a nonadmitted insurer only after the producer
Has tried to place the coverage with admitted insurers.
Several states have ________ through which all surplus lines business must be routed.
Stamping offices
Stamping offices
Audit surplus lines transactions and oversee the activities of eligible and potentially ineligible insurers.
Control is also exercised through the mandatory licensing of surplus lines agents and brokers, who are accountable for __________________ on this type of business
Federal and state premium taxes
Avoiding E&O difficulty when selling and servicing surplus lines insurance requires careful attention to
product differentiation, the insurer relationship, and the overall transaction.
Reasons why E&O claims reported to liability insurers increase when a producer deals in surplus lines insurance.
Policy forms are different; the producer's relationship with the insurer is different; more parties are involved in the transaction
Surplus lines laws are designed to protect licensed insurers from
Unfair competition
Various state statutes contain some or all of these requirements regarding surplus lines:
- Certification by the agent that coverage is not available from an admitted insurer
- Affidavit signed by the policyholder acknowledging policy placement with a surplus lines insurer
- Affidavit signed by the producer indicating that the policy was not placed with a surplus lines insurer to gain price or policy form advantage
- Prohibition on use of surplus lines insurance placement to gain a price advantage
- Certification by the producer that coverage was rejected by at least three admitted insurers
The purpose of the insurer-producer partnership
To provide insurance protection
These help facilitate open communications between producers and insurers
Special insurer programs and joint agency-insurer planning
Agency advisory council
Typically composed of selected producers who work for or represent the insurer. Typically meet regularly to discuss policy decisions that affect eh agency production force.

The success of a council is directly related to the insurer's intent when it establishes the council.
Major criticism of the agency advisory council approach
It reaches only selected producers.

To help solve this problem, many insurers notify all their producers before council meetings to allow input from every concerned agent.
Commission reductions or stricter underwriting guidelines are usually announced in one of these ways:
In person by sales representative or by letter
A few insurers include producers as members of their
Board of Directors
Ways in which communications are fostered among producers and insurers
- Informal channels
- Formal channels
- Special insurer programs
- Joint Agency-Insurer Planning
Special insurer programs (a.k.a. Special agency programs?)
Give certain agencies more responsibility and authority for underwriting, claims, and policy issuance. In return for an in acknowledgement of the extra work, the agency may receive additional compensation.

Although these experimental programs have received mixed reviews from the insurers and agents participating in them, the mutual respect of one side for the other seems to have increased.
The IIABA Joint Agency/Company Planning Tool
Provides a strategy for building a successful relationship between the agency and the company.

It includes a format for merging an agency's production goals with an insurer's production plans so that the joint planning process can support clear and measurable goals based on mutual agreement between agency and insurer executives.
The ultimate goal of joint planning
To build a collaborative planning relationship, leading to an understanding of each party's strengths, abilities, and goals.
Good joint planning can produce results such as
Improved client service, higher retention rates, an dincreased prodcutivity.
Factors that have contributed to an unfavorable public view of the industry:
- Negative press
- Consumers' negative experience with insurers
- The complexity of insurance contracts
A well-crafted advertising campaign can help agents overcome the perception that insurance is
A commodity (that is, undifferentiated, except by price, and interchangeable with another product of the same type).
Three types of advertising
- Image advertising
- Product advertising
- Institutional (nonproduct) advertising
Image advertising
Creates an image or perception of an advertiser's products and services, rather than focusing solely on the products or services themselves.
Image advertising is especially important in insurance because
Consumers are purchasing the intangible promise that a claim will be paid if a future covered loss occurs
Product advertising
Generates sales by promoting a company's goods or services
Institutional (nonproduct) advertising
Designed to sell ideas through the promotion of an organization's mission or philosophy.

In an institutional advertising campaign, sales generation may not be as important as, for example, informing consumers that the organization supports charities.
A combination of these two types of advertising can lead to public awareness of, interest in, and ultimately, acceptance of the producer, the agency, and the agency's products and services.
Product advertising and institutional advertising
To be effective, an advertising message must be
Consistent and repetitive until, ideally, the consumer take action.
Only ads that are carefully constructed to reach the target audience have a chance to be
Noticed
Ad campaign
A series of different ads with a single purpose

Usually take a campaign to establish an idea in the consumer's mind that will be converted into action. Repetition is the key.
Ways in which advertising can be used by agencies:
- To sell a new name and public image to current and prospective customers
- As a competitive tool
- To maintain current customer relationships and develop new ones
Before initiating an advertising campaign, an insurance agency should
Perform a strategic market analysis of its current business environment.
After a strategic market analysis, and insurance agency should
Consider goals for its advertising campaign
Types of goals for an advertising campaign
- Enhancing awareness of its name
- Informing consumers of specialty market expertise
- Identifying buyers' interest in specific products
- Associating the image with a better-known entity
- Enhancing the image of the insurance industry
Steps for performing a Strategic Market Analysis
1. Identify the target markets.
2. Fit the target market and advertising campaign to the marketing plan.
3. Identify specific marketing goals for the advertising campaign.
4. Perform a SWOT analysis
5. Put the analysis results in writing. Thereafter, update the analysis if necessary, but only after reviewing each of the preceding steps.
Target market
A defined segment or group within a market on which a company focuses its marketing activities.
SWOT analysis
A managerial planning exercise used to identify organizational strengths and weaknesses and environmental opportunities and threats
When assessing internal strengths and weaknesses, agencies should determine
Whether they have adequate internal resources to take advantage of the opportunities the advertising campaign may bring in
At the conclusion of the strategic market analysis, the insurance agency must determine
Whether the advertising will support its goal of increasing sales.
Brand
A set of characteristics that differentiation the organization from its competitors
Keys to enhancing name awareness or recognition through advertising
- Repetition of the advertising message
- Variation of the media used to present it
An advertising message must be
Consistent and repeated to consumers

(so they remember not only the product or service but also its benefits)
Psychologists have found that a person needs to hear or see something a minimum of ___ times before the message is memorized.
Three
A campaign advertising an agency's or a producer's expertise in a particular specialty market is usually directed to a ____ rather than to the general public
Target market

(The same is true of a name awareness campaign.)
Specialty identification advertising is intended to reach
Specific prospects not necessarily familiar with the insurance agency, its products, or its services
Specialty market advertising campaigns are typically limited to
Medium-to-large-size insurance agencies.

Small independent firms are usually not specialized in one particular product and may not want to spend their advertising dollars on one type of business.
By identifying buyers' interest in specific products, an insurance agency can
Emphasize product offerings for which it has a competitive advantage or a service.

The advertising campaign should answer the buyer's question: “What's in it for me?” Responses to such campaigns can affirm buyers' interest, or lack of interest, and agencies should modify their campaigns accordingly.
Insurance agents can also identify with the insurers they represent by producing
advertising and marketing materials in partnership with them or by linking to their websites.

In turn, insurers can direct business to their independent agents through the use of agency locators on their web sites.
T or F: If an insurance agency has a business relationship with a bank, an investment firm, or another type of financial services provider, then identifying with the agency's financial services partner could form the basis of an effective advertising campaign.
TRUE. If an insurance agency has a business relationship with a bank, an investment firm, or another type of financial services provider, then identifying with the agency's financial services partner COULD form the basis of an effective advertising campaign.
______________ emphasize to the public valuable service that insurance provides to individuals and communities in distress.
Service-oriented ads

i.e., ads that highlight an agency's response to catastrophes, earthquakes, fires, tornadoes, and hurricanes to illustrate prompt and compassionate claim service and the importance of proper insurance.
The success of an agency's advertising campaign depends on
The time and money it can commit to it
A ___________ should be attached to each advertising goal.
Profit goal
Agencies typically allocate a ______ budget item for advertising each year and allocate _______ for campaigns as opportunities arise.
Lump-sum; specific funds
The percentage of net revenue spent on advertising generally ______________ as the size of the agency increases.
Decreases
These types of agencies usually spend less on advertising than their independent agency counterparts because they are included in the national advertising programs of their sponsoring companies.
Direct writers and exclusive agencies
The budgeting method an agency uses for advertising depends on the agency's
- Marketing plan
- Management's business philosophy
- Geographic location
- Available funds
Five methods insurance agencies typically use to establish advertising budgets:
- Affordable (all-we-can afford) method
- Percentage-of-sales method
- Competitive parity method
- Return on investment (ROI) method
- Objective and task method
Affordable method (a.k.a., 'all-we-can-afford' method)
An advertising budgeting method with which an organization focuses all its internal resources on operations and production and allocates what remains to advertising.
Percentage-of-sales method
An advertising budgeting method with which an organization bases its budget on a percentage of sales of the product.

(Is a more focused method than the affordable method.)
An agency using this budgeting method does not consider specific advertising goals or budget for them.
The affordable method

(Consequently, the chances are high for overspending or underspending.)
Advertising's primary goal
To increase sales.
The affordable method of advertising budgeting is typically used by
Small insurance agencies, and large agencies that are not focused on marketing
A modification of the percentage-of-sales method uses ________ rather than past sales to determine advertising direction.
Future sales

With this method, the ad budget is based ons ales projections for the coming year, either as a percentage of those projections or as an industry standard percentage.
Advantages of the percentage-of-sales method
- Simple for insurance agencies to establish
- Simple to use

Therefore, it is one of the most commonly used budgeting methods among organizations.
Main disadvantage of the percentage-of-sales method
If it is based on past sales, the current year's advertising budget is generated by the prior year's sales; therefore, sales stimulate advertising when advertising should stimulate, and help generate, sales.

Using future sales overcomes this disadvantage.
Other disadvantages of the percentage-of-sales method
- The agency does not consider its plans for the coming year in setting the advertising budget
- A decrease in sales over time will trigger advertising budget decreases precisely at the time when advertising and promotion may reverse negative sales results
Competitive parity method
An advertising budgeting method with which an organization assesses the competitive environment and uses the amounts spent by its major competitors as benchmarks.

The idea: this type of budget-setting takes advantage of the collective wisdom of the marketplace and creates relative stability among marketplace competitors.
Three disadvantages of the competitive parity method
- Does not have an aggressive sales focus (it is defensive and based partly on the sometimes erroneous assumption that the competition's spending is effective)
- It overlooks advantages that one insurance agency may have over another
- There is no guarantee that competitors will not adjust their budgets, thereby damaging marketplace stability.
Although the competitive parity method is simple to use, it is best used in combination with
One or more other methods of setting an advertising budget
Return on investment (ROI)
An advertising budgeting method with which an organization treats advertising expenses as investments and monitors its advertising results to determine investment returns.
A disadvantage of the ROI system
Evaluating advertising using only sales provides incomplete results.

Insurance agencies can consider additional metrics (agreed-upon standards of measure used to indicate progress or achievement), such as expansion into a new market, name awareness, brand identification, and image enhancement.
Objective and task method
An advertising budgeting method that involves three steps: defining the advertising communication (media) objectives, determining the strategies needed to attain them, and estimating the costs associated with executing the strategies.

The total advertising budget is the sum of these costs.
When an advertising budget is established by the objective and task method, the advertising goal is to:
Generate sales.
This method of establishing an advertising budget is used by the majority of advertising firms in the United States.
The objective and task method
After determining the goals and budget for its advertising campaign, an agency next decides whether it will enlist assistance in devising and implementing the campaign. There are three primary sources of support for this:
- Advertising agencies
- Insurers
- Agents' associations
Similar to insurance producers, advertising agencies are usually paid in this manner
On commission
Media companies pay the advertising agency
A percentage commission, which is included in the fee paid to the media company by the insurance agency doing the advertising
How much you should spend on your advertising is for _____________ to determine.
Marketing professionals
Advantage of using an advertising agency
The staff has professional expertise, objectivity, and commitment to the process.
Disadvantage to relying exclusively on advertising professionals
They do not know the intricacies of the insurance business.

Agencies using an advertising agency must work closely with them to achieve desired results.
To avoid pressure to spend more than it can afford, the insurance agency should establish its advertising and public relations budget
Before contacting an advertising agency.
If there is an identifiable consumer need, it would be tot he agency's advantage to be
The first local insurance agency to promote this product.
For insurance agencies that cannot afford the services of specialized advertising agencies and that prefer not to invest their advertising dollars in a general advertising agency relationship, advertising support can be provided by
The insurers they represent
Cooperative (co-op) advertising
A means of sharing the cost of producing and placing advertisements.
Many insurers have co-op plans but are hesitant to publicize them or freely distribute them for these reasons:
- Insurance agency commitment (insurers do not want to invest in agencies that are not committed to advertising and that are unwilling to follow the ad campaign with a sizable sales effort)
- Booked new business (insurers do not want to create a program for agencies that will not give them a specific portion of the new business generated by the advertising campaign
- Spread-of-risk (insurers may not want to increase their writings in certain geographic areas)
- Available resources (insurers may not have the resources required to create individual programs for each individual agency)
A typical co-op advertising program may offer agents
A dollar-for-dollar match on approved advertising costs up to a set amount.

In addition to funding, the insurer may provide prepackaged radio spots, printed advertising slicks, and additional professional support.
Trusted Choice
IIABA marketing brand designed to inform consumers of the value independent agents bring to the insurance relationship, specifically in the areas of product choice, coverage customization, and client advocacy.

Offers marketing support to agencies.
Classes of media that agencies might use for advertising:
- Print
- Radio and television
- Digital interactive
- Direct mail
- Out-of-home
- Supplementary media items
A single use (one-off) print advertisement can be costly; however, an with ________ can be cost effective.
Negotiated frequency-of-use discounts
With newspaper ads, producers can provide ____________ that other media cannot accommodate.
Details about their agencies or products
Newspapers provide
Flexibility (because ad size, other factors can vary)

Production costs are low, and the format can be changed frequently and quickly.
Readers of these publications are technical or managerial professionals who typically are more receptive to detailed ads that deliver a specific message about the products and services .
Specialized magazines, journals, and other periodicals that serve the interests of particular industries.
Radio advertisement benefits
- Can reach a significant section of the population
- Can target listeners according to a variety of criteria (station, programming, timing)
- Production costs are relatively low compared to TV
- Can be especially effective in metropolitan areas
Television advertisement benefit
- Help create name and image identification
Disadvantage of TV ads
- Expensive
This factor is very important with radio and TV ads
Frequency
___________ offer subscribers scores of channels and sell affordable advertising time on many cable TV networks.
Local cable systems.

Local access TV networks also offer an opportunity for the local agent to purchase advertising time and may even make prepackaged production facility resources available so that an agent can produce a consumer affairs-type program of 15 to 30 minutes that can be aired on the local cable access network.
Components of an effective internet marketing strategy:
- Featuring the agency's website address in all agency literature and advertising
- Linking the agency's website to its affiliate insurer websites and agent locators
- Advertising the agency's website (through links or banner ads) on partner websites (such as car dealers, financial services firms, or mortgage brokers)
- Linking the agency's website to national, regional, and local agent and professional associations; linking to their agent locators; or advertising on their websites
- Collaborating with affiliated insurers in Internet lead-generation advertising programs
- Establishing and/or encouraging a virtual community of site users that allows them to interact with each other and with agency representatives
- Creating and integrating cell phone applications that link to the website and promote the agency's brand
For the average insurance agency, _______ may be the preferred way to reach prospective customers.
Direct mail.

It offers selectivity, simplicity, and flexibility – a particular producer can mail anything at any time and in whatever quantity desired to focus on particular marketplace segments.
Reply instrument
A major part of any direct mail campaign; a postcard or other document that helps the producer gather information on prospects, gain feedback, and build a mailing list database.
Probably the most important part of the direct mail advertising campaign
Developing a mailing list
Sources for mailing list development:
- Telephone directory
- Subscription lists
- Club, trade, professional, service, and alumni organization lists
- Newspaper listings and public records
- Mailing list brokers and lead-generation services
Out-of-home media can reach consumers using many subclasses, including:
Most importantly:

- Billboards
- Transit signs
- Telephone directories

Also:

- Movie theaters
- Bus shelters
- Subways
- Trade shows
- Sports stadiums
Billboards
Reach a general audience and leave a fleeting impression. (Same with transit signs.) Primarily build name recognition.

Most effective when integrated with other media, such as radio or TV.
Supplementary media items
Promo items such as pens, golf tees, mugs, or memo pads
Two variations of the supplementary media item gift:
- Durable gift (such as a computer mouse pad)
- Consumable gift (such as food; may be less expensive)
Rebating
Offering anything of value, other than the insurance itself, to an applicant as an inducement to buy or maintain insurance.
Free advertising can result from these sources:
- Press releases
- Published articles
- Media appearances
- Public speeches and seminars
- Community outreach
A press release should contain:
- The name and contact information of a person who can provide additional information
- A release date
- An attention-getting headline
- A lead paragraph that conveys the “who, what, where, why, and how” of the story
- Subsequent paragraphs elaborating on the opening paragraph

A press release that includes this complete information is most likely to yield a published item.
Integrated marketing communications
The process of coordinating an agency's media messages, marketing mix, and other business functions so that the agency's stakeholders and prospects receive consistent, coordinated marketing information.
_______________ of informational seminars is another way to direct a message to a particular group the agency wants to serve.
Agency sponsorship
An agency's public image is a reflection of
The brand built by its marketing and honed by the reputation it develops through interaction with internal and external stakeholders.
An agency's image is also shaped by its
- Advertising
- Physical location
- Interior design
- Personnel
- Promotion
Physical location (image factor)
A large, commercially oriented brokerage located in a prestigious downtown office building may present a favorable image to the medium-to-large commercial and industrial entities that constitute the firm's clients and prospects.
Regarding image and personnel, ________ is as important as professional and technical ability.
Friendly, courteous concern
Most new business is derived from
Referrals that are generated by satisfied customers
Promotional advertising
An advertising program directed towards a targeted group, designed to generate immediate sales of specific products or product lines.
Efficiently and effectively using an agency's ____________ together with promotional advertising can enhance an agency's marketing strategy.
Management system.

Conversely, hap-hazard promotion can be counter-productive.
A frequently used method of communicating with customers
To include a brochure or letter with every piece of outgoing mail.
T or F: Independent agents have found that promotional advertising campaigns help sell their agencies to insurers.
TRUE. Frequently, large sales organizations prepare separate brochures specifically for insurers.
T or F: Insurer-agency agreements usually require producers to obtain advance approval for any advertisement that includes the insurer's name or mentions its specific products.
TRUE. Violation of such a provision could result in termination of the agency agreement as well as possible civil action for breach of contract.
Public relations resembles advertising in that it
Involves communication of a desired image.
Public relations differs from advertising in
How the image is projected – it takes a longer, broader view of the importance of a firm's reputation and image as a corporate asset.
Public relations
A communications program designed to manage an organization's image and reputation by creating constructive relationships with various groups of people.
Broad goal of public relations
To earn the public's acceptance and confidence
One of the most important requirements of agency public relations
Being informed about the insurance industry.

No amount of civic involvement will compensate for lack of knowledge and the inability to serve the public as promised. An agency's producers and support staff should have a basic understanding of the insurance mechanism and detailed knowledge of the areas directly affecting their jobs.
Requirements of an effective public relations campaign:
Agencies and producers are:
- Informed about the insurance industry
- Ethical
- Responsible citizens of the community.
____________ place the producer in a position to solicit business and establish contacts that may result in new accounts.
Community activities (e.g., memberships in the Rotary or Lions Clubs or the Chamber of Commerce)
Certain public relations activities have a cost attached, but usually the real cost is
Time
Because the benefits of public relations may be delayed or indirect, public relations activities can be a source of
Friction between those who place more value on community activities and image-related activities and those who place more value on traditional business activities.

Consequently, an agency's management must determine the optimum amount of time for producers to spend in PR, understanding that every contact made during the course of public relations activities can become a client or lead to a referral.
In addition to adding new customers, an agency can contribute to its growth by
Making new sales to existing customers
Internal growth
Growth of new sales to existing customers
T or F: Most insurance customers prefer to do business with one producer at a time – typically the producer who sold them their policy.
TRUE. They do prefer that, typically.
Advantages of internal growth:
- Commissions increase at little expense when the premiums on a policy are increased.
- When the premium base is increased on existing accounts, the overall loss ratio of the agency, in the absence of a catastrophe, typically improves
- If the agency's account service representatives can be shown that they are, in effect, counseling individual customers regarding their insurance, pricing, and risk management alternatives, their jobs can be enriched, leading to greater job satisfaction.
Potential prospects for internal growth in an agency's existing customer base:
- “One-policy” personal lines accounts
- Commercial accounts that may lack some coverages or have some of their insurance policies through other agencies.
Good prospects for new personal lines accounts:
Executive officers or key employees of commercial customers.

This is because they already have demonstrated confidence in the producer.
Prospect list based on existing accounts can be constructed in one of these two ways:
- Built manually
- Generated electronically
Approaches to promoting internal growth by upgrading existing accounts:
- Commit to an insurance-to-value program to ensure customers' property values and liability limits are current with inflationary trends
- Broaden coverage provided to the customer
- Offer additional policies as a customer's loss exposures change or new products become available
- Use account selling by offering policies a customer has purchased through other agencies
- Offer fee-based services
The ___________ should establish the basis on which policy-limit adjustments for inflation are made.
Agency
A majority of property-casualty insurers use guides or software produced by Marshall & Swift/Boeckh that help
Establish property values against which property limits can be compared and adjusted.
Guides that help agencies establish insurance-to-replacement-cost values do some based on these types of factors:
- Location
- Type of construction
- Square footage
- Additions for attached garages, fireplaces, basements, and so on
Each account should be periodically reviewed to determine whether liability limits are adequate in light of
- Recent liability judgments
- The insured's assets and activities
- Overall loss exposures
Tactics an agent might do to help insure to value:
- Establish recommended minimums of liability coverage (above any state-required limit)
- Increase all liability limits to levels necessary to comply with the underlying limits of an umbrella policy
One of the most disquieting aspects of insurance production
Telling an insured that a claim is not covered
Advantages of writing the broadest coverage appropriate whenever possible:
- Some claims are paid on behalf of or to customers that would not otherwise be covered
- When an 'open perils' policy is sold, the insurer must cover any claim submitted unless the policy form specifically excludes the claim
- Broad coverage can be written at no administrative cost to the agency, thereby increasing the profit almost in direct proportion to the size of the commission
- Errors & omissions claims are minimized because customers have fewer gaps in coverage.
Examples of broadened coverage
- The open perils (“special”) forms in both personal and commercial lines
- The difference in conditions (DIC) form
Examples of additional policies that a producer can use to develop accounts include
- Personal and commercial umbrellas
- Employment practices liability
- Directors and officers liability
- Pollution liability
The best prospect is
The customer already on the books.
Benefits of 'writing the entire account'
- Customer's coverage is better coordinated, with fewer gaps or overlaps
- Possibly simplified, single-bill accounting
Account selling
The producer identifies existing customers who have purchased additional policies from other agencies and offers to evaluate those policies using the producer's own insurers and risk management providers.
To identify prospects for account selling, producers do this:
Review all accounts for coverage needs not currently insured through the agency, and then send letters based on existing policy expiration dates to solicit new business related to those policies.
X-dating
Just another term for 'expiration dating', or account selling
Purpose of charging fees for certain services
- Offsets the reduction in income from reduced commissions
- Compensates the producer for additional services performed
In many cases, producers charge fees for services that insurance agencies have
Traditionally performed as part of the commission received for the sale of insurance, such as risk management and claim handling.
T or F: All states permit licensed producers to charge fees.
FALSE. Not all states permit licensed producers to charge fees. Some states prohibit a producer from charging a fee in addition collecting a commission on the sale of the same insurance product to the same customer.
Where producer fees are permitted, the producer should always disclose the following to the customer:
- The fees charged
- The services provided
An agency grows externally by
Adding new customers
External growth is promoted by this function
The sales function.
The sales function is supported by these producer accountabilities:
- Prospecting
- Fact-finding
- Sending the submission to the underwriter
- Preparing and presenting proposals
- Closing
- Providing both initial and long-term customer service
A producer begins the process of external agency growth by conducting these 3 activities:
- Prospecting
- Fact-finding to determine the potential customers' needs
- Submitting accounts to underwriters
Prospect
An individual (or organization) from whom a producer solicits business.
Prospecting involves these steps:
- Qualifying suspects into prospects
- Creating prospect profiles
- Building a prospect database and keeping it current
In most P&C insurance agencies, ___________ are responsible for prospecting.
Producers
The prospect inventory begins with ______
“Suspects” – individuals or organizations that meet certain customer qualifications established by the agency or producer.
The number of suspects is
The total pool available for a particular marketing focus.

For example, a marketing focus may be made up of individuals who own homes in a specific geographic area.
The transition from suspect to prospect is a process of elimination, sometimes referred to as the
Sales funnel
Suspects can generally be qualified into prospects by a screening process that asks questions such as:
- Do they need the product?
- Are they acceptable from an underwriting viewpoint?
- Will they pay premiums promptly?
- Can the producer arrange to meet with them?
- Are they the right type of market for the agency or producer?
- Are they likely to buy the targeted product?
After compiling the prospect inventory, the producer creates these:
Prospect profiles
Profiling
Gathering desired information about customers and prospects.

Profiling gives the producer sufficient personal and, where applicable, business information to organize activities leading to prospect contact.
The profile for a personal lines prospect could include these data:
- Personal information (name, birth date, address and contact info, marital status, and family members)
- Ownership of property
- Education
- Occupation, including employer's name, title, and nature of work
- Social groups, membership, and affiliations
- Hobbies, interests, and recreational activities
- Name of current producer and expiration dates of current policies
The profile information for a business prospect could include this data:
- Company name, address, contact information, and website
- Type of business and products or services
- Size of business, including assets, sales, number of employees, and payroll
- Type of organization and management
- Credit rating
- Prominent execs and other key people
- Business operating policies
- Terminology unique to the business
- Major income and expense items
- Competition
- Current producer, years insured with that producer, any reasons to expect dissatisfaction with current producer, and expiration dates of current policies
The more that is known about an agency's prospects, the better a producer can
- Identify their needs
- Segment the market
Sources of information for prospect databases:
- Centers of influence
- Referrals
- The Internet, social networking, websites, and other social media
- Direct mail
- Cold calls
- Natural contacts
- Personal observation
- Information directories
- Commercial mass marketing
Center-of-influence prospecting
A process of meeting people through other people of influence.
A producer develops centers of influence from
Personal and business encounters
Centers of influence
People who are known and respected in their own sphere of activity and alert to changing situations that would make people good insurance prospects.
The most common types of referrals
- Sought-after referrals
- Engineered introductions
Sought-after referral
Results from a producer's request to a satisfied customer for recommendations of neighbors, friends, competitors, or related organizations.
Engineered introduction
Results when the producer has identified and qualified a commercial prospect but needs an introduction to a key individual in the prospect's organization.
Natural contacts
Individuals with whom producers come in contact in the normal course of their work or personal activities.
People may be more likely to buy from a producer with whom they have
Common interests
Personal observation
e.g., being on alert for possible prospects, and noticing a “sold” sign on a vacant lot, dwelling, or building – it might alert an observant producer to the opportunity to inquire and obtain sufficient information to generate suspects or prospects
A producer can be introduced to a prospect through linked connections on _________, a professional networking site.
LinkedIn
Joint advantage of the Internet and direct mail
- They qualify prospects through the use of questionnaires and loss exposure surveys rather than in person
- They offer access to people who would otherwise remain unknown to the producer.
- They can improve producer workflow and planning by encouraging the producer to establish a system of follow-up to direct mail or Internet campaigns.
These forms of prospecting can be done either online or by direct mail:
- A preapproach letter
- Giveaways
- Print or email newsletters
Preapproach letter
Designed to sell the prospect on the idea of scheduling an interview. Suggests that the producer has an idea of interest and value to share with the prospect and states a specified time that the producer will phone for an appointment or visit.
Giveaways work especially well for ______ prospects.
Personal lines
Print or email newsletters promote ___________ rather than serve as a direct source of prospects.
Public relations
Cold calls can be effective:
- For new producers
- For experienced producers during slow referral periods
Do Not Call registry
Prohibits calls to numbers listed on the registry unless the caller has an established business relationship with the person listed.
Producers can improve the effectiveness of their cold calls to businesses through thorough preparation that includes:
- Research the business on the Internet
- Studying its operation and competitive environment
- Matching the business in advance to prospective insurers
Mailing list organizations
Can provide information on a broad or specific basis, tailored by agency request.
Commercial mass marketing
Conducted by membership organizations or by insurers that develop insurance programs for specific business entities.

Organizations in similar types of business, such as dry cleaners, often form trade associations, in part to gain the economic influence to obtain favorable consideration for insurance, which they then market to their members. Such organizations usually have producers who are members or who represent insurers to market association-sponsored programs to association members. The association provides a membership list to the marketing organization, and the marketing organization assigns these prospects to the appropriate member producer.
Fact-finding
Involves identifying a prospect's loss exposures in order to offer insurance based on the prospect's specific needs.
Fact-finding activities
- Physically inspecting the prospect's operations or premises
- Interviewing the employer and key staff members
- Researching financial statements to determine which items of value need protection.
By demonstrating strong risk management skills in identifying, assessing, and analyzing a prospect's loss exposures, a producer can
Position himself or herself as a valuable risk management resource
A.M. Best Company's Best's Underwriting Guide
An online service that describes the hazards, loss exposures, and underwriting considerations of nearly 600 commercial and industrial operations
Submission
Designed to persuade the underwriter to offer coverages and pricing terms that sell the account.
Underwriters who regularly receive submissions from a producer are likely to accept as many as possible if the producer
Understands and accepts occasional declinations
Underwriters typically cooperate with producers who
They know and trust

The producer can build trust by providing complete information; being open and honest in communication builds trust.
Open communication between a producer and underwriter should be
Reciprocal
Sales proposals arise when a producer's prospect indicates interest in
Becoming a customer
_______________________ can make preparing and presenting new business proposals more efficient.
Establishing a general format for all new business proposals
________________ provide and store proposal formats.
Agency management systems
Purposes of effective proposals:
- Informing the customer of recommended coverages and their premium costs
- Reinforcing the agency's corporate identity
- Projecting the agency's image
- Demonstrating the amount of work the agency performs on the customer's behalf
Information in a proposal for new business:
- The identities of the prospect, agency, and insurer
- Loss exposures to be treated
- Insurance or other risk management techniques recommended to treat those exposures
- Premium
Agency management system proposal formats include these elements:
- Cover page
- Introduction
- Section for each type of coverage (including limits, conditions, and definitions)
- A coverage and premium summary
- A concluding section selling the agency
Sections of a proposal that specify how the information on which the proposal is based was gathered and analyzed
Coverage sections
A proposal demonstrates producer ___________ by detailing how premiums and the producer's commission are determined.
Transparency

If the producer's income is based on fees rather than commission, the proposal explains how fees are generated on the account.
The proposal is designed to serve as the basis of the customer's file if the prospect becomes a customer. This approach serves two purposes:
- It is a labor-saving and quality-control device for the agency
- Is a tool for renewal processing
Whatever system or format is used, the proposal should be:
- Easy to read
- Easy to present
- Help the producer to close the sale
When presenting a proposal, this tactic encourages the prospect to pay attention to the producer's presentation and not be distracted by the cost.
Including the premium summary as a separate page
________ is important in presenting the proposal to the prospect; the prospect must be able to understand what the presenter is saying.
Clarity
Very few individuals will buy if they are not in some way asked to...
“make the buy”. That is, to close.
Closing, or asking for the sale, is often considered part of
The proposal presentation
Initial customer service
Service after a sale, provided by the agency, which includes:
- Completing and signing applications
- Collecting a deposit or down payment on the premium
- Issuing a binder along with a binder bill
T or F: You should always be willing to leave a proposal with the prospect.
FALSE. Whether to leave the proposal with the prospect is a decision the producer must make based on the prospect.
Long-term customer service
One the policy has been issued, it must be delivered, audits may need to be arranged, periodic contacts with the customer should be scheduled, and filed claims will require follow-up action.
Prior to policy renewal date, these actions need to be taken:
New info on operations should be gathered and presented to the underwriter
T or F: Initial service on renewals is the same as it is on new business.
TRUE. Initial service on renewals IS the same as it is on new business.
The agency should assign as much service work as possible to ___________ in order to maximize the producer's sales time.
Support staff
T or F: Every type of communication between an agency and its customers or prospects is to some extent a sales tool.
TRUE. Every type of communication between an agency and its customers or prospects IS to some extent a sales tool.
The quality of printed and electronic communication reflects
The quality of the agency
By including basic proposal information on the customer's billing statement, the bill can
Act as a proposal

Basic proposal information would include the customer's, insurer's, and agency's identity; the loss exposure to be treated; the recommended coverage; (though not in detail,) the premium
The more important the primary piece of mail,...
The less attention is paid to the secondary communication.

Therefore, key mailings should go out from the agency without additional sales messages.
The form of collateral literature should be determined by these two factors:
- The market
- The message
T or F: Collateral literature can be sent to a large, undifferentiated market.
TRUE. It CAN be sent to a large, undifferentiated market.
Envelope stuffers are aimed primarily at
Reinforcing corporate identity.

However, they can be costly to produce, and because they promote no specific action by either customers or agency personnel, their effectiveness is difficult to measure.
The form of collateral sales literature that producers are most likely to be directly involved with is
A letter to accompany renewals.

Some producers consider the time they spend writing these letters equivalent to time spent on cold calls or following up on referrals.
A renewal letter should
- Have a specific goal
- Be addressed to a specific audience
The goal of a renewal letter will determine
- What it says
- How it is said
- How it looks
In general, ___________ are the most effective direct-mail sales tool.
Personal letters
For a form letter, a producer would write
A general letter appropriate for all its recipients

The letter should be clear and brief.
The primary purpose of a renewal letter is still to
Provide the premium statement that accompanies the letter.
The final paragraph of a renewal letter should either:
- Call for a specific action the producer intends to take, or
- Inform the customer of a specific action the producer intends to take
A form letter can be transformed into a personalized letter in several ways, such as by modifying:
- The manner in which the recipient is addressed
- Using the recipient's name in the body of the letter
- Refer to the customer's specific occupation
Unless the number of renewal letters issued throughout the year is extraordinarily large, the producer should
Sign each one personally
Producers can gain and maintain competitive advantage through these two activities:
- Market segmentation
- Target marketing
Understanding market segmentation and target marketing enables producers to conduct these activities:
- Develop association programs
- Design special insurance products or approaches
- Target niche markets
Market
A collection of sellers and buyers of products and/or services
Market segmentation
The process of identifying and dividing the groups within a market that share needs and characteristics and that will respond similarly to a marketing action.
Marketing
The set of business activities (including planning, pricing, and promotion) that directs the exchange of goods and services in an effort to meet the needs and goals of individuals and organizations.
Target marketing
Focusing marketing efforts on a specific group of consumers.
___________ and ____________ are innovative marketing approaches that can help consumers differentiate the producer from the competition
Market segmentation and target marketing
Four common bases of market segmentation:
- Behavioristic segmentation
- Geographic segmentation
- Demographic segmentation
- Psychographic segmentation
Behavioristic segmentation
The division of a total consumer market by purchase behavior.
The basis for behavioristic segmentation
The satisfaction customers seek from products
Behavioristic segments are determined by a variety of variables that provide marketers with clues about who their customers are, why they buy, and how they consume. These are:
- User status
- Usage rate
- Purchase occasion
- Benefits sought
- Loyalty status
User status
The customer's or potential customer's current relationship to a particular product.

e.g. nonuser, ex-user, potential user, first-time user, regular user
Usage rate levels
- Light user
- Medium user
- Heavy user
This type of commercial class might be considered a 'heavy user' of insurance products
Contractors; they spend a relatively large percentage of their income on insurance and bonds.
Purchase occasion classifications
- Regular occasion
- Special occasion (e.g., a contractor that has won a large construction contract is likely to purchase heavy equipment)
Benefits sought (behavioristic segmentation)
- Economy
- Convenience
- Reliability
- Prestige
Loyalty status
A producer may seek to identify people who have brand loyalty to the producer's insurer in order to target a marketing program to them.
Key variables for geographic segmentation
- Region
- County size
- Climate
- City size
- Density (urban, suburban, or rural)
Voluntary geographic segmentation is usually chosen in order to
Reduce administrative and distribution costs

Conversely, geographic segmentation may be non-voluntary if it is legally restricted.
Legal restrictions that keep regional insurers out of some states:
- The requirement to file required papers and post appropriate bonds before beginning operations
- The expense of developing new business from producers
- Establishing a new group of producers
- Adjusting to the local competitive atmosphere
Many producers face geographic restrictions, usually imposed by
State licensing laws or the agency's contract with its insurer(s)
Producers should consider _____ and _____ when choosing their geographic segment or territory.
Expenses; number of prospects
Generally, the larger the premium and the greater the number of prospects involved, the _______ the territory that can be considered (for geographic segmentation)
Greater
Demographic variables
- Age
- Gender
- Education
- Occupation
- Ethnicity
- Income
- Family size
- Family life-cycle
A variable used to segment commercial lines insurance markets
Type of business by asset size (or by Standard Industrial Classification, or SIC)
Increasingly, demographic variables are combined with _____________ to select target markets for advertising.
Geographic segmentation.

This technique is called geodemographic segmentation.
This area is one rapidly growing market for which insurers must develop demographically based marketing strategies that may differ from strategies developed for other cultures.
The Far East
Insurers who wish to tap the Far East market must pursue these objectives
- Adjusting and expanding distribution strategies amid shifting demographics and consumer buying patterns.
- Developing strategies to shape and comply with the heightened pace of local and global regulatory and accounting developments.
- Developing dependable capital sources required to support accelerating business growth.
Takaful
A form of insurance based on Islamic principles.
This would be an appropriate demographic variable for producers specializing in estate planning for life insurance or for an agency located in a retirement community.
Age
Scheduled personal property endorsements or personal inland marine floaters could be marketed to people with this demographic characteristic.
High-income
In these types of occupations, the people in those occupations are candidates for difficult-to-place professional liability insurance.
Attorneys and physicians
In these types of occupations, the professional loss exposure could be endorsed to a homeowners policy.
Beauticians and teachers
Stages of the life-cycle (a demographic segmentation variable)
- Young, single
- Young, married, no children
- Young, married, youngest child under age 6
- Young, married, youngest child age 6 or older
- Young, unmarried, with children
- Older, married, with children
- Older, unmarried, with children
- Older, married, with no children under age eighteen
- Older, single
- Other
An agency located in a geographic area with a relatively small population can realize significant profits with this kind of target marketing.
'Type of business' segmentation.
Psychographic segmentation
Divides a market by individuals' values, personalities, attitudes, and lifestyles.
Producers should develop their target market selections based on
Which segments hold the most economic potential AND on their agencies' overall marketing plans.
3 ways in which markets are approached by marketers
- Undifferentiated
- Differentiated
- Concentrated
Undifferentiated market
The entire market of buyers for any particular type of product or service.

For example, to a firm in the sugar business, all sugar users make up the undifferentiated sugar market.
T or F: Marketing to an undifferentiated market is generally economical.
TRUE. It is generally economical. It uses media that have broad appeal.
Marketing to an undifferentiated market generally uses this type of media
Media that have broad appeal; these are particularly useful in building strong brand identification for a product or service in the minds of potential customers.
Treating markets as _______ is common in P&C insurance.
Undifferentiated
Advantages to positioning yourself as a generalist
- Book of business is spread over many lines and many insureds, helping to offset excessive losses in any one area
- Advertising can be basic
Disadvantage to positioning yourself as a generalist
By treating all customers in the same general manner, an agency or producer may overlook those with specific needs
Differentiated market
A market that contains a number of marketing segments, each with its own characteristics requiring separate marketing strategies.
Market segment
A portion of the market that has special characteristics and similarities that set it apart from the total market.
Two marketing approaches that an organization can use for a differentiated market:
- Operate in and sell a special product to one or more of the differentiated markets
- Choose a different marketing approach for each market (many agencies choose this approach)
Disadvantages to marketing to a differentiated market
- Can be expensive
- Requires the producer to have more knowledge than a producer in an undifferentiated market
- Higher promotional costs
- Higher costs of handling specialized products and services
Concentrated target marketing
A target marketing strategy by which marketers target a segment of a total market with the intent to capture a large or concentrated share of that segment
Key distinction between a segmented market and a concentrated market is
The marketing approach used.

When selling to a concentrated target market, the seller does not attempt to address the entire market with special products or approaches and also does not limit its market to a small, well-defined market segment. Rather, the seller focuses its resources and efforts on serving the identified large subunit or share of that segment of the total market. Because concentrated target markets require some specialization by the seller, total costs can be reduced, and advertising can be used to appeal to buyers in the concentrated target markets via media that specialize in those markets.
The key to market segmentation
Determining what type of similarity is desired among prospects in the seller's market
Advantages of specialization to the producer
- Can become a recognized expert; can gain technical expertise in a narrow area
- Can give the producer confidence in that segment
Advantages of specialization to the agency
- Educating and training efforts may be more efficient (if staff are required to learn technical and administrative procedures for only one business segment)
- Relationships with insurers and underwriters can improve due to the producer's expertise
- Can use advertising dollars more efficiently (using specialty trade magazines)
- Enhanced ability to recruit – if an organization employes someone from outside the insurance industry, the new producer can rapidly become productive in a speciality, saving the agency the time and expense required for training
When considering specializing advertising to a target market, an agency's producers should first do this:
Inquire at the marketing departments of insurers the agency represents.
Part of the success of the direct writer and exclusive agency marketing systems can be attributed to
Their use of a targeted approach, e.g., the fact that producers are trained in only one computer rating system, perhaps only part of the portfolio, etc.
The producer specializing in a target market faces potential disadvantages:
- Too specialized; cannot serve others' needs
-
T or F: An agency with a significant percentage of its business in one target market can find itself in financial peril if suddenly only a few insurers are willing to accept that segment of business and if, of those that do, the premiums are high.
TRUE. An agency with a significant percentage of its business in one target market CAN find itself in financial peril if suddenly only a few insurers are willing to accept that segment of business and if, of those that do, the premiums are high.
A producer's production plan should allow time to study the market segment and to provide
Appropriate products for the segment
In planning market segmentation, producers should consider these factors:
- Technical resources
- Type of products sold
- Age of product
- Market segment competition
In the independent agency and brokerage system, the producer may be restricted by
The agency's technical resources.

However, these producers can select insurers with products designed for a specific market segment and the technical resources to support those products.
If a product is standard and offered by every insurer, it is a ___________ product.
Homogeneous.

It makes sense in this case to treat the market as homogeneous and not attempt market segmentation.
The more a particular product can be modified, the better it is suited to __________.
Segmentation.
Depending on the scope of the product, or when a new type of product is introduced, it may be best to treat markets as _______________.
Undifferentiated.

For example, when the business auto coverage program was introduced, it applied to practically all commercial insurance buyers. It was intended to reach the broad business auto market. Producers, recognizing that practically all commercial accounts on the books could use the BAC, targeted them all with the new product.
As a product matures, certain disadvantages of targeting the basic product to small group of customers become apparent. At that point, ____________ become an appropriate marketing strategy.
Product differentiation or market segmentation and targeting
If the producer's primary competitors are using specialization and market segmentation, the producer should
Use the same marketing strategy. (The reverse, however, is not true.)
Association program marketing
A type of targeted marketing that producers can perform to increase sales and capture market share.
Associations
Groups whose members are bound together through shared special interests (business, professional, educational, civic, or other)
Associations are ready-made ___________.
Target markets
For a marketing program to be successful, association groups should possess four key elements:
- Homogeneous membership
- Attractive class of business
- Willingness of insurers to provide coverage
- Strong association endorsement
Association programs offset the reduced premium by offsetting these expenses for the insurer
Underwriting expenses; the exposure units are similar with associations. No individual should greatly influence the performance of the group because of its size or its exposures.
Many association groups are formed with a __________ as the base.
Special product.

e.g., contractor business policies or church policies have special coverages designed to fit the unique loss exposures of these customers.
One disadvantage of the association group approach
The possibility of losing the association endorsement because of a change in association management or leadership.

Once the work of putting the association program together has been accomplished, another producer – one who is in favor with the current management or leadership – can easily step in and duplicate the program. Association endorsement of a target market is a plus but does not always guarantee a successful program.
When an association group is local, the __________ usually has exclusive rights to sell the program to the group members.
Originating producer
Most association groups with national eligibility are marketed through
Local agents
Benefits to the producer of an association program:
- Marketing costs are reduced through the association's endorsement
- New prospects and referrals can result as the producer develops expertise in dealing with the association's focus
Benefits of an association program to the participating association members:
- Access to loss control recommendations
- Premium reductions or group dividends
Benefits of an association program to the participating insurer:
- Having easy access to a large number of prospects in a preferred business class can improve its loss ratio
- Increase in Inflow of new business premium
- Increased loss control consciousness can improve loss experience
The results of market segmentation can be optimized with ____________.
Product targeting
Product targeting
The development of a product or service for the special needs of a market segment (or the emphasis of the features of a product or service that fit the needs of a market segment).
Producers who target products use these tactics:
- Product targeting techniques
- Needs profiles
- Target market terminology during sales calls
Product targeting techniques involve designing
- Special insurance products
- Special approaches to market segments
- Both of the above
One way to target a market segment is to use a special insurance product. Examples:
- Animal mortality coverage
- Animal embryo coverage
Some agencies join _____________ to have access to special products.
Marketing affinity groups
T or F: Generally, special approaches to market segments offer producers more difficult opportunities to target markets.
FALSE. Generally, these approaches (such as joining an affinity group or associating themselves with insurers who offer special products) are easier; producers need not spend a great deal of time or effort finding a special insurance policy or endorsement. Rather, they can direct their energy toward finding new ways of selling to potential customers in the market segment.
The purpose of market segmentation
To find common characteristics of a group of people or organizations that respond to a marketing effort.
To determine unique insurance needs of the target market, the producer should
Perform a risk management analysis and recommend necessary policies, endorsements, and services where appropriate.
Targeting based on needs has this effect:
It separates a market segment from the total market. When product features are applied to customer needs, they become product benefits for customers.
In a competitive marketplace, the most potent weapon at a producer's disposal often is:
Data about the target market
Data mining
The process of extracting hidden patterns from data
The producer must examine the insurer's policies to see which coverages are available and which are excluded, because:
Target market segmentation, based on the proposed customers' insurance needs, may generate unique loss exposures.
An insurance product consists of
Policy and service
When offering a cooperative program, the producer and insurer should
Sign a written memorandum recording the agreement.
In an insurance sales call, the producer should take extra care to use language and examples that are meaningful to the customer and should avoid
Insurance industry jargon
Understanding the segment's terminology also helps the producer develop
Examples to illustrate how various coverages can manage the customer's loss exposures.
Niche market
A small segment of a total market. Niche marketing presents an opportunity for an agency to distinguish itself in a crowded market by developing an expertise in an area that its competitors may lack.
Effective niche marketing has these benefits:
- Can improve an agency's reputation
- Can increase its referral business
- Can reduce its competition
- Can increase its visibility and efficiency
Some factors producers may consider in identifying niche markets as they construct niche market customer profiles include:
- Commission level (the producer or agency should determine the minimum commission level acceptable for the niche market)
- Account size (the minimum to maximum acceptable size of a niche market account varies by agency preference, agency resources, and producer expertise)
- Growth potential (the potential niche market should present an opportunity for expansion and development
- Competition level (should allow room for the producer or agency to enter it)
Once a niche market is identified, the producer should determine whether or not it can be _________.
Profitable
To determine whether or not a niche market will be profitable, a producer should consider these issues:
- Ability to identify individual prospects within the group
- Prospects' need for my product, service, or opportunity
- Ability of the prospects to pay for what I'm offering
- Ease of delivering my sales message to these prospects under favorable circumstances
- Is the group large enough to produce the volume needed
The key to niche marketing
Market penetration
Two important factors that affect market penetration:
- Building customer relationships
- The sponsoring insurer
The smaller the niche market, the...
Smaller the margin for error
If a producer offers a good product but at an unreasonably high price, he or she may experience this result:
An inability to penetrate the niche market due to pricing
Nothing in recent history has had a greater effect on how an insurance agency conducts its daily business than
Advances in information technology
Information technology
A system that helps produce, manipulate, store, communicate, and distribute information.
Purposes of IT in an agency's overall strategic business plan:
- Supporting and linking key agency business functions
- Supporting customer services
- Supporting sales
- Maximizing efficiency
- Reducing errors and omissions (E&O) loss exposures
Most agency management systems integrate these two functions
- Agency administration
- Agency business prospecting based on target markets
Suspect
A user the agency suspects might be interested in insurance
Agency databases enable agency personnel to mine the agency's customer data for
Cross-selling opportunities
Premium accounting systems
(Often included in agency management systems)

These help agents improve their collections and premium processing and provide financial reporting that assists with the agency business.
Real-time processing
Enables agency personnel to instantly access information on the customer in the insurer's files and respond immediately to customer requests.
Items a real-time system provides agencies with:
Detailed customer information on:
- Quotes
- Billing inquiries
- Claim inquiries
- Loss runs
- Policy information
- Endorsement information
- Other requests
With real-time functionality, agency personnel can enter client data once into an agency management system that can then
Interface with multiple insurers' systems.
Real-time __________ influence customer expectations.
Workflows.

Customers expect immediate responses from web-based self-service systems and agency contacts.
Any _________ that personnel can provide will help build positive customer relationships.
Value-added services
Through the use of IT, agencies have come to maximize their....
Profit potential
Reasons why agencies that apply IT in their operations, particularly real-time workflows, typically have higher profit margins than agencies using older technology or manual systems:
- Improved operating efficiencies
- Reduced transaction costs
- Lower overall labor costs
- Higher per-employee revenue
- Increased new business sales
- Improved account development
The benefits of technological advancements that proactively manage customer accounts, suggest products to meet insureds' changing needs, and increase personal interaction with customers all ultimately translate to
Customer retention (and, therefore, improved profits, because it costs more to prospect new customers than to retain existing ones)
Database tools in real-time systems enable agencies to
Refine their marketing processes.

Agency personnel can mine the agency database, segmenting both customers and prospects based on specific criteria.
What factor has made web development a viable medium for agency sales, service, and support?
The costs involved have declined.

Social media is free, and interface options for savvy agency personnel, combined with intelligent web design, can foster the success of agency branding initiatives.
Research confirms that agencies that embrace technological advancements experience this effect:
They benefit from improved insurance sales and retention.
In addition to supporting more effective selling, IT tools help agencies monitor their own financial performance and enhance profitability through better
- Analysis
- Budgeting
- Development

The results is a more desirable and stable book of business.
Real-time workflow and one-stop process meet the overall goal of agency management to
Maximize agency productivity and efficiency
Single entry, multiple use
The process by which CSRs enter data into a system only once and then use it for multiple purposes, such as to update insurers' data files or to populate an insurance claim form.

Eliminates redundancies by updating customer files throughout the system.
Benefit of one-stop processing
It eliminates delays and possible confusion when work processes involve multiple people handling the same piece of business.
Real-time technology gives agency employees immediate, continuous access to
Accurate, up-to-date customer information
How IT helps agencies reduce errors and omissions (E&O) loss exposures
By standardizing office procedures (including those relating to policy processing, claim handling, and customer documentation)
These practices reduce the likelihood of an error or omission that might lead to an E&O claim:
- Proper use of well-designed agency procedures by all personnel
- Mining agency data to locate up-selling and cross-selling opportunities among existing customers (can help avoid E&O claims that can occur when an agency suggests coverages or products that fail to provide the protection that clients need)
T or F: Courts have made email dates and times, along with other computer transactions, admissible as evidence in errors and omissions cases if witnesses can attest to facts related to the record.
TRUE. Courts HAVE made email dates and times, along with other computer transactions, admissible as evidence in errors and omissions cases if witnesses can attest to facts related to the record.
Because of the rapid pace of change in IT, agency owners and managers must recognize that IT planning is a __________ process.
Dynamic and ongoing
When developing an IT plan, an agency should complete these steps to ensure alignment with its business strategy:
1. Review current IT needs
2. Identify new and emerging IT requirements
3. Prioritize needs according to budget and strategy
4. Finalize the plan
The first step in any IT plan is to review the current IT needs of the organization by identifying these elements:
- Stakeholders
- Business processes that involve stakeholders
- IT that currently supports those business processes
- The agency's overall IT needs (e.g., software that supports the required IT products)
An insurance agency should begin IT planning by
Compiling a list of its internal and external stakeholders
By developing a _________ of each stakeholder, the agency will better be able to match stakeholders' IT needs to products in a later step.
Brief profile
Compiled demographics in a stakeholder profile should include:
- Age range
- Gender
- Geographic location
- Knowledge, skills, and abilities
- Preferences
Agencies may find it helpful to consider stakeholders who are either _________ or _________.
Customer-facing or insurer-facing
One prominent example of an external stakeholder
An insurer's underwriter.

An underwriter might need agency personnel to have access to agency/company interface application for real-time access or upload and download capability to synchronize updates in the insurer's system with the agency management system.
Another crucial external stakeholder is the
Customer
One internal stakeholder is the agency's accounting staff. Which of these IT products would most likely meet the needs of accounting staff in a typical insurance agency? (Choose all that apply):

a. Email and other electronic communications.
b. ACORD forms
c. Accounting software
d. Reporting software
e. Banking interface software and login
f. Prospecting information
Answers a, c, d, and e are most likely to meet the IT needs of agency accounting staff.

In some agencies, accounting uses the agency management system that includes integrated accounting functions. (Note that this list is not complete. Depending on the IT capabilities and accounting job function, accounting staff might need insurer interface and web communication capabilities similar to that of an agency CSR. Accounting staff generally would not need access to ACORD forms or prospecting information.)
The second step in IT planning
Involves identifying new (to the agency) and emerging IT requirements.
Identifying new and emerging IT requirements entails
Reviewing the internal and external stakeholders identified in Step 1, plus any new or emerging stakeholders and their profiles.
New and emerging IT can be categorized as any one of these three types:
- Requests
- Demands
- Requirements
Requests
Involve IT products or capabilities that stakeholders would like to have but that would results in no negative consequences if the agency fails to provide them.
Demands
Similar to requests, except that not meeting demands could have negative consequences for the agency.
Generally, stakeholders' IT demands are driven by
IT available form the agency's competition.
Requirements
Stronger than demands and are usually based on strong benefits or disadvantages to the stakeholder. If a stakeholder's IT requirements are not met, the agency will certainly suffer negative consequences.
Third step in IT planning
Prioritize needs according to the agency's business objectives and strategies and the initial budget.
Final step in IT planning (with 5 substeps)
Finalize the plan. This includes:

- Purchasing and implementing the IT identified in Step 3
- Planning and implementing the training needed for the IT
- Evaluating the success of the implementation
- Making any changes needed to improve the IT's effectiveness or use
- Reviewing and modifying the IT plan
When selecting an upgrading an agency management system, an agency must realize that
Purchasing the most popular system brand will not ensure its success.
Agency/company interface
Provides electronic data exchange and communications between agencies and insurers. It offers efficiencies and other benefits to agencies.
The ultimate goal for agency/company interface:
Single-entry multiple-company interface (SEMCI)
SEMCI
Single-entry multiple-company interface; it is a method of using one information technology (IT) system, typically an agency management system, to enter data only once so that it can be transmitted to multiple insurers or used for other designated purposes.

Those purposes might include quoting, policy issuance, or claim submission.
True SEMCI would
Immediately synchronize the data between the agency management system and the insurer's system. (No system has achieved this, although some are close.)
Agency/company interface supports these overall agency goals:
- Reduce information input errors when completing policy and customer information
- Eliminate duplicated work processes by agency and insurer personnel
- Reduce costs for the agency and the insurer
- Improve the relationship and communication between the agency and the insurer
- Improve customer service
- Improve the competitive position of agencies and their insurer partners
The external result of agency/company interface
Improved customer service

This ultimately provides the greatest benefit to the agency. It increases customer retention and, by enhancing the agency's reputation, promotes sales.
Real-time interface
An electronic technique that enables agency personnel to access insurers' policy information files for customer information and requests.
Upload
The feature that copies information from an agency management system to an interface system for transmission to an insurer.
Download
An electronic transmission that synchronizes all of the agency's data with the insurer's data.

Occurs after the insurer's daily policy system processing and, usually, during off-peak hours when telecommunications rates are lower (so cost-efficiency is improved). Usually early in the morning, so the agency's data is updated when the agency opens for business.
Partial download
Offered by some agency/company interfaces; allows the agency personnel to deliver certain products immediately to their clients, such as quotes
ACORD
The Association for Cooperative Operations Research and Development; has advocated for and succeeded in implementing standardization of insurer information systems.

This standardization helps improve electronic transmissions between agencies and insurers whether or not they interface through third-party providers.
Cloud computing
Any web-based service that makes data available on demand and that provides for expansion of user capabilities.
Way in which cloud computing complements agency/company interface:
By allowing web-enabled access to insurer's policy databases.
Other benefits of cloud-computing
On a fee basis, is less costly than purchasing and maintaining server hardware and software; is more cost-efficient for agencies
Even for small-volume agencies, real-time and download service costs are typically offset by
The cost-efficiencies derived from using the services.
Industry organizations that have emerged as major supporters of agency/company interface:
- ACORD
- The Agency Council for Technology (ACT)
- IVANS
- Vertafore
- Applied Systems
ACORD
A global, not-for-profit insurance industry organization that has played a key role in the evolution of interface processes in the property-casualty and life insurance industries.
ACORD was originally organized to
Standardize paper forms used for routine insurance transactions.
AUGIE
ACORD User Groups Information Exchange

An ACORD-sponsored user group that acts as a forum for agents, brokers, insurers, vendor user groups, and trade associations working together to improve agency productivity and efficiency.
ACT
Agency Council for Technology; associated with the IIABA; ACT provides an open, action-oriented approach to critical IT issues and helps coordinate interface efforts.
IVANS, Vertafore, and Applied Systems are this type of organization
Third-party providers that offer services for P&C insurers and other businesses.

They integrate industry-standard data exchange systems with various agency management systems and assist agencies and insurers with tools such as agency/company interface, real-time processing, and download and upload capabilities.
IT-related resources that IVANS, Vertafore, and Applied Systems provide agents access to include:
- Printable and electronic insurance forms
- Benchmark tools
- Human resource information tools
- IT resource tools
- Electronic newsletters
- Training and education
- Direct marketing services
- User groups
User groups
Groups of technology users who share common interests and concerns
Most agencies can group their information needs into three categories:
- Strategic
- Managerial
- Operational

(Going down that list, each requires more detailed information than the last.)
Hierarchy of Agency Information Needs: categories, top to bottom (pyramid-style)
Top: Strategic
Middle: Managerial
Bottom: Operational
Hierarchy of Agency Information Needs: Strategic
- Performance
- Decision Support/Modeling Tools
- Competition
- Industry
- Economic Factors
Hierarchy of Agency Information Needs: Managerial
- Sales Management
- Budgets and Financial
- Workflow Tracking
- Employee Performance
Hierarchy of Agency Information Needs: Operational
- Prospects
- Customers and Policies
- Rating
- Claims
- Premium Accounting
- Standardized Forms and Templates
- Employees
- Training and Development
- Administration
Strategic information
Data an agency collects that form the basis for the agency's strategic planning.

Can include internal information about agency performance and external information, including information about competitors, the insurance industry, and economic factors.
Agency management can use internal and external strategic information in this manner
As input for benchmarking tools and decision support and modeling tools to assist in strategic planning
Internal reports typically relate to
Financial and productivity measures
Benchmarking tools
Used by senior management to evaluate how the agency is performing relative to its competition
Modeling tools
Apply predictive analytics, which use historical and current facts to predict an outcome.

These tools enable senior management to test the financial outcome of strategic changes they could make within the agency operation.
From a strategic perspective, some of the most important information stored in the agency's database is
Why a customer moved an account from the agency or why a quotation was not accepted.
Types of managerial information:
- Sales management
- Budgets and financial
- Workflow tracking
- Employee performance
Unique to agencies (compared to other businesses) regarding financial information:
The fiduciary role with the insurer and the insured. In this role, the agency must maintain funds collected from customers separately from operating accounts until the funds are remitted to the insurer.

(This additional facet of financial management requires special expertise. Information systems are used to support and manage all budget and financial reporting, including the agency's separate fiduciary accounting.)
Workflow
An IT system that provides electronic tracking.
Producer performance is usually measured based on information regarding these factors:
- Commission levels
- Hit ratios
- Attainment of production goals
- Retention of existing business
- Quality of submissions

This info is readily available through an agency management system.
Operational information
Data needed to conduct the agency's daily activities.

It can include information on prospects, customers and policies, rating, claims, premium accounting, standardized forms and templates, employees, training and development, and administration.
Prospect information in an agency management system can be especially helpful to these types of producers
New producers and producers new to a market segment, enabling them to learn about the segment's needs.
Stored prospect information provides this benefit to the agency:
It can easily be compared to insurer preferences.

Some agency management systems automate these comparisons and recommend insurers.
How can prospect information be used in market segmentation?
Info in agency management systems can be mined for selection by segments based on similar characteristics.
The ____________ with which an agency responds to a prospect's or customer's request for a premium quotation can often make the difference between writing and not writing the account.
Promptness
Comparative raters
Real-time agency/company interface that works in conjunction with some third-party providers to enable agencies to produce multiple quotations with various insurers, using different limits and coverages and without duplicating the input information.
Proprietary rating IT
Rating IT developed by or on behalf of an individual insurer for that insurer's use and for the agent's use, with the insurer's permission.
Generally accessing the insurer's policy rating system by logging into it from the insurer's website or a mobile device are inefficient approaches because
Information must be entered in the agency's and the insurer's IT systems.
Claim __________ can be produced from the agency management system after a daily download process has synchronized it with the insurer's data.
Histories
Download eliminates the need for
Duplicate entry of claims
Premium accounting, one part of transaction processing, is completed by the CSR when
A policy, an endorsement, or a premium audit is received.
Most formal agency correspondence with prospects, customers, and insurers is generated using
Electronic form letters from the agency management system
When account servicing issues occur, electronically dated forms and correspondence can help determine....
At what point a problem occurred; they might also point to a cause.
Employee information that is included in a database helps...
Streamline human resource management.
Benefits of IT systems for training
IT systems enable agencies to deliver employee training and development in a consistent manner without requiring another employee to serve as a trainer.
Agencies use agency management systems to
Collect and process customer and prospect data.

This enables them to increase sales to new and existing customers.
Agency management systems range from simple to complex and include these types:
- Integrated agency management systems
- Insurer proprietary management systems
- Manual management systems
Integrated agency management systems
The vast majority of agencies uses these; they are designed to integrate with other IT, such as the Internet, agency/company interface, and social media interface.
Insurer proprietary management systems
Some agencies use these; they are developed and maintained by an individual insurer.

Agencies are required to have a separate computer dedicated to transacting business with that insurer using that insurer's management system. This approach is usually inefficient and requires dual entry of information.
Manual management systems
For smaller-premium agencies that do not use computers, and that generally use direct billing to handle their accounting needs. They keep paper files.
T or F: Less than half of independent insurance agencies use real-time upload and commercial lines download capabilities.
FALSE. MORE than half do. Over 95 percent use personal lines download capabilities.
Nearly ___ percent of agencies using IT use insurer's portals developed for agencies.
45 percent.
Nearly ____ percent of agencies surveyed believed that their agency achieved significant productivity improvements by implementing new technology.
50 percent.

A slightly lower percentage believed that strong Internet performance is the greatest technology challenge they face.
Many agency management systems offer _____________ that uses analytical, forecasting, and reporting tools to enhance sales potential.
Integrated workflow software
T or F: Using an agency management system for account development is both more effective and can reduce an agency's E&O loss exposures.
TRUE. As a third benefit, it enhances the producer's and the agency's professional image.
T or F: ACORD applications and other forms are generally included in the agency management system.
TRUE, they are generally included.
An agency management system is useful in these areas:
- Sales management
- Customer database management
- Claim management
- Transactional filing
- Electronic filing and document imaging
- Rotational servicing
- Electronic workflow/routing
Most agencies that use document imaging do this:
They scan paper correspondence and forms immediately upon receipt in the agency and index them for storage with the customer information in the agency management system.
An agency can use accurate, up-to-date claim information three ways:
- Loss histories sorted by customer and by type of coverage enable the agency to automatically generate detailed claim information for use in renewing a customers coverages
- The agency can produce internal reports showing the loss ratios of each customer
- The agency can produce reports that show loss ratios by insurer and type of business for use in negotiating with insurers.
Transactional filing
a.k.a., t-filing

Allows an agency to eliminate the time and expense required to file paper policy requests and correspondence in individual customer files and encourages agency personnel to locate paper documents using the agency management system.
Transactional filing involves creating two types of paper files:
- A permanent paper file is created for each customer and is stored alphabetically. (These files contain signed apps, appraisals, financial statements, etc.)
- A second file, the actual transactional file, is also created. (This file contains one division for each day of the year, so that all time-sensitive docs are filed by the transaction date.)

If and when the paper file needs to be retrieved, agency personnel can determine the transaction date from the agency management system and locate the paper support document based on that day's transactional file.
E-filing
Allows for dated electronic communications to be linked to the customer's records in the agency management system for ready access
Front-end scanning of documents (i.e., as they are received) ensures that
All correspondence is immediately available through the agency management system
Agencies that rely on e-filing and document imaging experience these benefits:
- Improved workflow
- Reduction in storage needs for paper documents
T or F: In some states, original paper documents must be retained for a minimum period.
TRUE. You probably think that one was obvious. It was.
Rotational servicing
The automatic routing of an incoming customer call to any CSR who is not already assisting a customer.

Also uses the agency management system.
The ultimate goal of rotational servicing
To handle service requests quickly and immediately.
An insurance agency must structure its customer service organization so that it does this:
Effectively and efficiently retains current customers and attracts new ones.
An agency’s customer service organizational structure must do these two things:
- Promote productivity
- Facilitate efficient work processing
A carefully constructed, well-managed organizational structure accomplishes these two things:
- Reduces duplication of effort
- Delegates as many tasks to customer service representatives (CSRs) as they are qualified to handle
An important part of an agency principal’s or manager’s job, regarding customer service organizational structure, is
To recognize the need for change when the existing structure becomes ineffective and no longer supports agency goals.
Steps that agency principals and managers should take when evaluating how well the customer service organizational structure supports the agency’s business plan:
1. Determine the customer service goals that are essential to success and build the organizational structure around them
2. Build linkages between customer service functions to coordinate delivery of customer service.
3. Determine the degree of authority necessary to manage each customer service function and to what extent authority is centralized and decentralized.
4. Determine whether some customer service tasks can best be done by someone outside the agency (outsourced).
Three tasks that should be completed to create a customer service organizational structure that promotes productivity and facilitates efficient work processing:
- Perform an organizational structure analysis
- Select a customer service organizational structure
- Monitor the customer service organizational structure
Four steps in an analysis of customer service organizational structure:
1. Identify tasks
2. Group and rank tasks
3. Delegate the necessary authority so that each task can be effectively performed.
4. Coordinate the various job positions that perform customer service tasks and communicate the responsibilities for the tasks.
Identifying customer service tasks helps the agency determine…
The scope and nature of its customer service.
Delegation is essential because
It allows sales personnel to concentrate on sales
Reasons managers fail to delegate:
- Managers believe they can perform the job better than anyone to whom they could delegate it
- Managers lack confidence in the employees and their skills
- Managers lack the ability to direct others
- Managers have not implemented controls to monitor performance of delegated tasks
Suggested response for failure to delegate due to: believing they can perform the job better than anyone to whom they could delegate it
Having the managers perform customer service tasks is not as economically efficient for the agency as having employees directly responsible for customer service performing them.
Suggested response for failure to delegate due to: lacking confidence in the employees and their skills
Managers should provide employees with training, new tools, or additional resources needed to perform the tasks.
Suggested response for failure to delegate due to: lacking the ability to direct others
Agency principals should assess managers’ leadership, management, and supervisory skills and provide training, if necessary.
Suggested response for failure to delegate due to: having not implemented controls to monitor performance of delegated tasks
Performance management systems should be implemented to determine whether remedial action is necessary
One way in which an organization communications responsibilities
Through an org chart, which illustrates reporting relationships and organizational structure
A well-designed org chart indicates
- How customer service tasks are grouped
- Where authority and communication originate
Customer service work has traditionally been structured in one of two major ways:
- By line of business
- By function

(In can be structured in a combination of both ways.)
In fact, the best customer service organizational structure for a particular agency may be the one that is organized by
Both line of business and by function
Structuring customer service by line of business typically creates three divisions:
- Personal insurance
- Commercial insurance
- Life insurance, health insurance, and employee benefits
Profit center
A division within an organization that is responsible for generating its own revenue and paying its own expenses with the aim of generating its own profit.
Examples of possible profit centers within an agency:
- Risk management
- Loss control
- Claim administration
T or F: Many agencies divide accounts by the expertise required to handle the account.
TRUE. For example, personal and small commercial accounts usually require about the same level of customer service expertise, and, in fact, many of the coverages are similar. (They are often called ‘basic accounts’ and can generally be handled by the same CSR.)
Some agencies use ____________________ to serve their personal insurance accounts so that they can focus internally on organic sales and growth.
Customer service centers.

(These agencies continue to provide direct service for large commercial accounts and select commercial lines accounts that generate over a certain volume in revenue.)
Advantages of organizing customer service by line of business
- Follows traditional divisions of the insurance business
- Simplifies training and education (because employees focus on insurer policies, rates, and UW guidelines for the specific business they handle)
Disadvantages of the line of business organizational structure
- It often requires duplicate customer service functions. (Described as a MAJOR disadvantage.)
- Can also impede the flow of information among divisions
- It can deter management and CSRs from focusing on one customer’s total needs (instead, needs tend to be viewed separately by each division)
An agency should have procedures in place to notify all divisions when a customer experiences a…
Major life event
Advantages of the functional structure
- CSRs develop specialized expertise in their functions
- Employee training is simplified because it is focused for each employee
Common “functions”
Marketing, sales, claims, and accounting.
Major disadvantage of a functional structure
Processing customer transactions involving a life insurance policy, for example, can be entirely different from processing those involving a property or liability policy, and employees need different skills to handle these transactions efficiently.
To address the major disadvantage of a functional structure, agencies often do this:
Combine a functional structure with a line of business structure.
Typical functional structure for large agencies
Those with slightly more commercial business than personal or life insurance usually have separate marketing, sales, claim, and accounting functions for personal insurance and life insurance but retain line of business structures for commercial, personal, and life insurance.
Cross-functional work team
A customer service organizational structure in which all customer service functions are contained in a single business unit.

Every team member is responsible to and for every other member. Are results-oriented. The team as a whole reports to another agency employee who has line authority over them. Used by some medium and large agencies.
Once a customer service organizational structure has been selected and implemented, a customer service manager must:
- Monitor its effectiveness in light of changing workflows
- Revised procedures and job positions when necessary
- Ensure that job positions are properly coordinated
A customer service manager should be involved in his function:
Human resources management
To accomplish customer service structure monitoring most effectively, an agency must…
Have someone with the designated responsibility and authority to manage customer service.
As the agency grows, it becomes more difficult for it to function smoothly without a customer service manager. At that point, it may be advisable for an agency principal who functions as a customer service manager to
Separate and assign the customer service management tasks so that he or she can focus on sales and/or other management tasks.
A primary customer service function an agency offers is
Support services

Those include processing communications, managing information, and preparing documentation
Initial communications create
Critical first impressions

Handling customer interactions politely and promptly is crucial.
Voice mail systems should always offer the customer the option to
Speak to a representative; they should also inform the customer of this option early in the answering message.
Voice mail presents this E&O concern:
The outgoing message needs to clearly state the agency’s office hours, including when the office will reopen, because the increasing use of cell phones and other mobile devices may lead customers to expect to be able to contact agency personnel at any time of the day or night, particularly to report claims.
Agencies should have these guidelines for processing voice mail:
- Specify the time within which voice mail messages should be answered
- The required frequency for checking the system for messages
- Protocol for outgoing voicemail messages
Disadvantages of electronic communications:
- The nearly instantaneous response capability of email may contribute to more errors or misunderstandings than the deliberative process typically associated with composing a formal letter
- Email recipients also may be more inclined to ignore or delete electronic correspondence than printed correspondence (creating problems if documentation is needed)
Once a mail is opened, agency personnel should stamp the date and time on the agency copy of the documents. This is because…
The date is important for defense if an E&O claim is made or if a customer has a question about service. Date stamping also helps staff prioritize their work.
_______________________ is fundamental to good information management.
Timely and accurate entry of information
“Managing” account information is another phrase meaning
Storing and retrieving account information

As an act, it can affect all employees’ productivity.
Information that is any of these 3 things can cost an agency time and money and interfere with customer service:
- Not easily accessible
- Out of date
- Inaccurate
Policyholder information agencies should store:
- Records of open and closed claims
- Pending transactions or suspense records
- Policy expiration information
- Accounting data
Parts of a customer’s electronic file:
- Applications
- Correspondence
- Billing information
- Accounting information
These items are often scanned and attached to the customer’s electronic file:
- Policies
- Photographs
- Appraisals
- And similar documents
Supports service functions
- Processing communications
- Managing information
- Preparing documentation
This practice is often best for preparing policy-related documentation
Using computerized templates that standardize common agency documents.

Contributes to good customer service and reduces agency transaction costs.
Policyholder information systems (6)
- Active filing system
- Dead filing system
- Claim filing system
- Pending filing system
- Expiration filing system
- Policyholder accounting filing system
Contents of an active filing system
All policies and related information for active policyholders
Considerations for an active filings system
Transactional and electronic filing and agency/company interface greatly enhance and agency’s ability to electronically maintain customer information.
Contents of a dead filing system
Expired and canceled policies
Considerations for a dead filing system
May be needed for legal or regulatory reasons; such files are kept 3 to 5 years
Contents of a claim filing system
Information about individual claims
Considerations for a claim filing system
Usually stored electronically as part of the policyholder’s file
Contents of a pending filing system
Requests for policies or endorsements sent to insurer, claim filings, or information requests to insured that require action
Considerations for a pending filing system
Electronic systems include calendars and generate reminders when action is necessary.
Contents of an expiration filing system
Policy expiration dates
Considerations for an expiration filing system
Storage system must provide an accurate and complete record of expiring policies to ensure that renewals are processed on time
Contents of a policyholder accounting filing system
Accounting files for each insured
Considerations for a policyholder accounting filing system
The accounting department usually handles this policyholder information, although CSRs generally handle the invoicing when processing a policy or an endorsement.
Technical service functions (3)
- Marketing and sales transactions
- Claims
- Accounting
The technical service function of sales and marketing encompasses:
- New business
- Renewals
- Endorsements (policy changes) and adjustments
Many agencies use their agency management systems to prepare _____________ and to _____________.
Proposals; maximize proposal value.
How many days before renewal does a producer typically update the client document and order the renewal?
60 days
After a producer receives the insurance placement order (with proposed changes, if any, as agreed upon) from the client, ___________ are prepared.
Binders

Many agencies deliver invoices with these binders; others bill when the policy itself is delivered.
CSRs must review new policies for accuracy by
Checking rating, classification, and coverage information against the original application, the proposal, and the binder and verifying policy limits and premiums.

E&O claims can result when policies do not provide all the insurance coverages outlined in the initial proposal.
Reasons why placing new business on the books is almost more expensive for an agency than renewing existing business:
- The cost of processing new business applications
- Higher first-year commissions
- Higher attrition rate among new business
An agency’s profitability is traditionally tied to…
The percentage of business renewed.
When are policy expiration lists generated and distributed?
90 to 120 days before the renewal date.

(This is how the renewal process begins.)
T or F: Most personal insurance policies, including automobile and homeowners, are directly billed and automatically renewed through the insurer.
TRUE. Most personal insurance policies, including automobile and homeowners, ARE directly billed and automatically renewed through the insurer.
Many agencies use ___________ provided by insurers or trade associations to assist in renewal review.
Checklists
This industry group has prepared 58 checklists for reviewing the coverage provisions of personal and commercial insurance policies.
International Risk Management Institute (IRMI)
Broker of record letter
A written statement signed by a policyholder or prospect advising an insurer that a particular producer (the broker of record) acts as the insured’s representative in all dealings with that insurer.

A producer may use such a letter when working with a new customer, to negotiate with an insurer on behalf of an existing customer, or to negotiate with an insurer on behalf of a prospect.
T or F: A broker of record letter is a creation of statute/regulation.
FALSE. A broker of record letter is NOT a creation of statute or regulation, and no formal producer notification procedures refer to the use of such letters. When a policyholder authorizes a new broker of record, the insurer usually notifies the former producer of the change.
Examples of types of policy changes
- Completing change request forms
- Sending form letters to the customer
- Issuing binders or certificates of insurance
- Producing invoices

Although most of these processes may be automated through agency management systems, data must be entered accurately and all transactions must be documented in the system.
Claims are typically handled at the _________ level.
Insurer
Good claim service requires treating each person who has a claim with
Sympathy and concern
T or F: Occasionally, producers may need to intercede with the insurer’s claim representative on the insured’s behalf.
TRUE. This is why, although producers are not typically involved in claims, they should be advised and kept informed of the status of their insureds’ claims involving large or complex losses, lawsuits, questionable coverage, or other unique or questionable circumstances or if a claim has been denied or disputed by the insurer.
Written loss reports frequently use one of these forms and are usually submitted in this manner.
ACORD Loss Notice forms; submitted electronically.
The agency claim file can be closed after…
The claim representative receives a check or draft for the insured or after other insurer notification that the claim has been settled on behalf of all involved parties.
No sale is complete until the agency has…
Recorded and collected the premium and commission for the business sold.
T or F: Most agency accounting is automated within the agency’s management system, working with the carrier’s system and the agency’s bank.
TRUE. Most agency accounting is automated within the agency’s management system, working with the carrier’s system and the agency’s bank.
Agencies use three systems of billing:
- Agency bill
- Direct bill
- Premium finance plans
All personal lines accounts and many commercial lines accounts use this form of billing:
Direct bill
Agency bill system
An insurer billing system that requires the agency to perform certain premium handling tasks, including invoicing and crediting, collecting premiums, investing premiums, and remitting premiums, to companies (less any applicable commissions)
Premium float
An arrangement that allows an agency to collect insurer premiums; invest the premiums and generate earnings on the premiums payable to the insurer; and forward premiums, minus any earnings generated, to the insurer when the insurer account is payable.
Direct bill system
A payment procedure in which the insurer assumes all responsibility for sending premium bills to the insured, collecting the premium, and sending any commission payable on the premium collected to the producer.
Independent agencies and brokerages still use this system for a portion of their business
Agency bill
After the invoices or credit memos have been prepared and issued, most of the other functions associated with the agency bill system become the responsibility of this group:
The accounting department
A major drawback of the agency bill system
The agency is responsible for paying the premium to the insurer if it has not been collected from the insured.
A primary advantage of agency billing
It allows the agency to generate additional revenue from investing premium dollars while they are in the agency’s possession.

Insurers usually do not expect the agency to remit the premiums until 30 or 45 days after policy or endorsement issuance. If the premiums are collected on time or even ahead of the effective date, the agency may invest premiums for as long as two months or more. (This arrangement is called “premium float”.)
Some large agencies add as much as ___ percent to their annual gross income through prompt collections and premium float investment.
5 percent
Agencies usually pay premiums (minus any commissions due to the agency) to insurers with this frequency
Once a month
Account current
The agency’s own statement.

Agencies usually pay premiums (minus any commissions due to the agency) to insurers once a month, along with either an insurer-prepared statement or the agency’s own statement (called the “account current”).
This system relieves agency personnel of the responsibility of invoicing, tracking, collecting, and remitting premiums, which can be both costly and time consuming.
The direct bill system.
Disadvantages of the direct bill system
- It eliminates the premium float and can therefore affect an agency’s cash flow
- Can create extra work for agency personnel when it is not functioning properly or when insureds send their payments late
T or F: The time the direct bill system saves agencies probably outweighs its disadvantages, particularly if an agency has a large personal lines book of business.
TRUE. The time the direct bill system saves agencies probably DOES outweigh its disadvantages, particularly if an agency has a large personal lines book of business.
T or F: Agencies using the direct bill system create invoices and make payments to insurers.
FALSE. Agencies using the direct bill system do NOT create invoices OR make payments to insurers.
T or F: Most insurers have established premium finance plans that allow insureds to pay small premiums in installments.
FALSE. Most insurers have established premium finance plans that allow insureds to pay LARGE premiums in installments.
As premiums grow and cash flow becomes a greater concern, ______________ are becoming more popular.
Premium finance plans.
The producer and customer decided whether the premium will be financed at this time:
At the time of the sale of a policy (or sometimes as part of the proposal).

They then sign a contract.
T or F: For a premium finance plan, generally, the agency must collect the premium down payment and submit it to the insurer with the insurance application and premium finance plan contract.
TRUE. For a premium finance plan, generally, the agency MUST collect the premium down payment and submit it to the insurer with the insurance application and premium finance plan contract.

After that, the agency is no longer responsible for collecting premiums (unless it is an in-house finance plan) or remitting premiums to the insurer because the finance company handles these tasks. Either the finance company or the insurer sends the commissions to the agency, either in advance for the entire year or as each premium installment is received.
This is an important aspect of the accounting function
Generating accounting reports used to process and record financial transactions.

(The records on which accounting reports are based are also used to generate financial and management reports, which are given to agency principals and managers.)
Two standard reports that do directly affect the management of customer services:
- Statement of account
- Aged accounts receivable report
Statement of account
A monthly statement providing the customer with a summary of the outstanding premiums owed to the agency.
Aged accounts receivable report
A report used to determine which customers are behind in paying their premiums; usually generated in thirty-day past-due increments.

Not sent to the customer.
Analyzing aged accounts receivable can have a substantial effect on an agency’s net income because
Collection problems can be identified before the agency develops bad debt on accounts that accrue earned but uncollectible premiums.
Things that can jeopardize an agency’s sales and customer retention
- Service issues
- Workload backlogs
A key productivity factor in most agencies is
Technology
Benchmarks
Can help determine whether the agency has too few or too many employees; helps assess customer service quality and performance levels and target areas for improvement.
__________________________ provide the means to measure dimensions related to productivity, such as transactions per employee, time per transaction, and premium/revenue per employee
Agency management systems
Common benchmarks
- Number of accounts handled per CSR
- Commission generated per CSR
- Revenue per employee
Benchmarks should be tempered by these two types of differences:
- Business mix differences (e.g., commercial commissions versus personal commissions)
- Territorial differences (e.g., insurance costs by state)
Insurance agency productivity problems can arise from several major causes, including these
- Lack of information technology/agency management system functionality
- Improper organizational structure
- Unsuitable employees
- Poor training
- Insufficient direction and control of employees
- Poor employee morale
- Inefficient processes
- Backlogs
Insufficient direction and control of employees
A productivity issue; i.e., a sound performance evaluation system can eliminate substantial duplication and wasted time.
Financial management
The effective management of assets, liabilities, capital structure, revenues, and expenses.
Agencies make financial decisions by going through these activities:
- Assigning financial management responsibility
- Creating strategic and financial plans
- Benchmarking
In small agencies, ___________ typically has financial management responsibility, usually with the assistance of _______________.
The owner; a bookkeeper.
In small agencies, owners must find ways to effectively manage ______ while also _________.
Finances; making sales.
Large agencies might employ these types of positions to handle financial management functions.
CFO, VP of Finance, or Controller
Functions of a financial manager (e.g., CFO, VP of Finance, or Controller)
- Manage the receipt and disbursement of funds (accounts receivable and payable)
- Coordinate investments
- Provide financing reports to management
- Allocating funds to current and fixed assets
- Obtaining the best mix of financing alternatives
- Negotiating with vendors
- Making investment decisions
An agency’s strategic plan should be based on its established ___________________.
Mission statement and overall vision.
Mission statement
A broad expression of an entity’s goals.

Provides info on who the customers are and how the agency meets those customers’ needs.
The complexity of an agency’s strategic plan will vary based on…
The size of the agency
An agency’s strategic plan should be based on an analysis of these three things:
- The organization’s core competencies
- The experience of its employees
- Its current and prospective customer base

Other factors of note:
- Current competitive environment
- Available insurers
- Any demographic, sociocultural, legal, technological, and economic trends
Elements of a final strategic plan
- Business mix (percentage of personal, commercial, or other lines sold)
- Financial goals (profit targets and expense levels)
- Process for how success will be measured (including internal and external benchmarks)
Income statement
The financial statement that reports an organization’s profit or loss for a specific period by comparing the revenues generated with the expenses incurred to produce those revenues.

Important in identifying sources and amounts of income and expenses.
Balance Sheet
The financial statement that reports the assets, liabilities, and owners’ equity of an organization as of a specific date.

Indicates current financial condition.
Cash flow statement
An accounting statement that presents the sources and amounts of cash inflows and outflows over a time period.

Illustrates the movement of cash into and out of the agency.
Financial planning is the act of
Developing and reviewing financial statements (i.e., annual budget, balance sheet, income statement, cash flow statement)
Budget
Indicates what the agency anticipates spending and the project revenues based on the strategic plan
Sources of revenue for an agency
- Commission payments
- Interest income
- Other income
Sources of expense for an agency
- Salaries
- Employee benefits
- Rent
- Depreciation
At minimum, an agency must generate a level of cash flow that…
Meets day-to-day operating expenses.

To generate positive long-term cash flow, the agency must continue to generate revenue while controlling expenses.
Financial ratio analysis
Evaluates the agency’s financial performance and strength.
Ratios typically evaluated in financial ratio analysis:
Those in the general areas of profitability, liquidity, and efficiency.
Benefit of financial ratio analysis
Provides insurance professionals with easily comparable standard measures of performance and is one of the most popular methods used to evaluate an organization’s financial performance and to compare organizational performance to industry benchmarks.
Benchmarking
The process of comparing results to industry standards or best practices.
Agencies use benchmarking to
- Evaluate their own performance
- Identify opportunities for improvement
External benchmarking
Comparing the agency’s actual results with results from similar businesses in the same industry.
Internal benchmarks
Standards of comparison set within the agency.

(They may be based on past agency performance and past budgets.)
_______________ are the most frequently used internal benchmarks.
Past performance benchmarks.

Compares the agency’s performance during a current period with that of the same period in the prior year.
Comparing actual results with project results and benchmarks identifies:
- How the agency is performing
- What revenue and expense trends exist
- What specific areas need attention in light of the agency’s goals
Variances
When the agency’s results are higher or lower than average results for the industry. E.g., higher-than –expected expense levels or lower-than-projected revenues might trigger inquiries and further analysis.
Revenue control
Involves:
- Legal and regulatory compliance (such as properly handling premiums received as payment for insurance policies)
- Properly managing both earn and unearned commissions on accounts (if policies are not billed directly by the insurance company)
Expense control
Involves:
- Properly managing the agency’s accounts receivable
- Effectively controlling expenses by establishing internal controls for personnel costs and other accounting costs
- Carefully measuring, analyzing, and then reducing expenses where appropriate
One of the types of considerations a financial manager must make:
Income tax considerations

Legal form of ownership, employee benefits plan, etc. all create the need for income tax considerations to be made
An agency’s asset valuation can be based on intangibles such as
- Goodwill
- Customer retention factors
- Expertise of staff and management
- Other factors
Valuation factors for an agency
- The agency’s organization and efficiency of operations
- The quality of its financial information
- The type of business it produces
- The results of that business
- The key employees available to the business
- The type of valuation method applied to the book of business
Agencies control revenue by establishing proper handling procedures for:
- Premiums received
- Unearned commission reserve accounts
- Return commissions on brokered policies
Premiums have these two components:
- The commission (which the agency earns, and in which it has an interest)
- The remainder of the premium (which is due to the insurer for providing insurance coverage)
Anticommingling laws
Present in some states; these are state laws that prohibit depositing funds (premiums) due to insurers into agency operating or personal accounts – i.e., commingling of funds.

Ultimately, these prohibit an agency from commingling the insurer’s share of premiums with agency funds. They specifically state that the agency has a fiduciary obligation to the insurer for such funds.
Courts have interpreted an agency’s legal responsibility for premiums held until they are due to the insurer in two different ways. This is the first way:
That agencies are acting in a fiduciary capacity for funds held.

If the agency is the insurer’s fiduciary, it is a trustee of the funds (not the owner). Some state laws may require that agencies handle funds as a fiduciary. If a choice is available, putting funds into fiduciary accounts offers the agency the advantage of having creditor protection and increased FDIC protection.
Courts have interpreted an agency’s legal responsibility for premiums held until they are due to the insurer in two different ways. This is the second way:
That agencies are insurers’ debtors.

Treating premiums as funds for which the agency acts as an insurer’s debtor gives the agency greater flexibility in cash management. However, agencies that take this approach incur more work in managing the funds. As they review their revenue control requirements, they should be aware of their states’ anticommingling laws.
Fiduciary
A person or entity that holds a position of trust, manages another person’s or entity’s affairs or funds, and has a duty to that person or entity to act in a trustworthy manner.
T or F: Some state laws require that premiums be deposited in a premium trust account at an approved bank.
TRUE. Some state laws DO require that.

Checks drawn from the trust account are permitted to the extent that the remaining balance is at least equal to the total of net premiums collected and owed to insurers, whether or not payment is immediately due.
If the trust account balance is lower than required, the agency is said to be “________________”
“Out of trust”
Procedure for compliance with anticommingling laws:
1. Establish two bank accounts (an operating account and a trust account)
2. All premiums collected are deposited in the trust account
3. When premiums are remitted to the insurer, a check equal to the commission is also written and deposited in the operating account
4. Use the operating account to pay agency expenses (such as payroll, insurance, and office supplies)
5. Use the trust account to make refunds to customers and to pay insurers, MGAs, and surplus lines brokers

Therefore, the agency never uses any money belonging to insurers for agency operations.
Funds in trust accounts are segregated to protect them from…
Claims by agency creditors.

A bank may offset a claim against funds in an agency’s operating account, but not against funds in an agency’s trust account.
One way in which anticommingling laws help agencies in their financial management :
By preventing the use of funds owed to insurers, these laws force agencies to collect their accounts receivable vigorously in order to have adequate operating funds available.
Another advantage of a trust account:
Added protection in the event of bank insolvency.
FDIC rules stipulate that the $250,000 FDIC insurance applies in this way to insurers to whom the agency owes premiums:
The $250,000 FDIC insurance applies to EACH insurer to whom premiums are owed.

However, the FDIC has sole discretion in determining whether the failed bank’s records are sufficiently clear to apply the $250K limit to multiple insurers for whom the insurance agency was holding the trust funds.
Producers usually treat commissions as earned revenue at this point in time:
When a policy is written or an initial premium is paid.

(This overstates income, however, because producers are generally required to refund commissions to insurers on return premiums to insureds, which may be due whenever policy endorsements generate a credit or a policy is canceled before expiration. Small return premiums may not create problems. However, if a policy with a large premium is canceled or if an insurer terminates an agency's large book of business, large return premiums are due.)
Conservative accounting
Requires creating an unearned commission reserve account, similar to the unearned premium reserve account that appears on insurer balance sheets.

(Insurers are legally required to include the entire unearned premium in the unearned premium reserve account. However, for the unearned commission reserve account, agencies need only create an account equal to the probable amount of commissions that may have to be refunded to insurers because of endorsements or cancellations.)
The amount of unearned commission reserve maintained depends on three factors:
1. Total amount of unearned commissions (indicates the maximum amount at risk)
2. Ratio of return commissions to total commissions for several years (shows the average experience over time)
3. Total amount of commissions on large accounts (recognizes that these commissions are more susceptible to competition than accounts and that they represent a greater loss exposure regarding unearned commission)
T or F: Unless the reserve is less than the entire unearned commission, no set formula for determining its amount exists.
FALSE. Unless the reserve is EQUAL to the entire unearned commission, no set formula for determining its amount exists.
T or F: In most states, brokers are required to refund return commissions.
FALSE. In most states, brokers are NOT required to refund return commissions. The law regards a broker as earning the commission at the time of the policy sale.

However, agencies always are obligated to refund all unearned commissions on a return premium. To help control revenue, agencies should require brokers to sign brokerage agreements stipulating return commission policies.
Accounts receivable
A current asset representing monies owed to a business by customers for goods or services rendered.
T or F: For most agencies, accounts receivable are the largest current asset.
TRUE. For most agencies, accounts receivable ARE the largest current asset.
T or F: Most agencies have a formal program to control accounts receivable.
FALSE. Most agencies do NOT have a formal program to control accounts receivable.
T or F: Direct writers do not have accounts receivable.
TRUE. They require premium payment with the insurance application.

Accounts receivable controls generally apply only to agency-billed premiums.
The average collection period ratio
Average collection period = ((Average accounts receivable balance / Total agency-billed premium) x 365)

Indicates how long it takes an agency, on average, to collect its accounts receivables.
XYZ Agency has $2.4 million in annual agency-billed premiums. Its average accounts receivable balance is $493,000. The collection period for XYZ can be calculated as follows:
Average collection period = (($493,000 / $2,400,000) x 365) = 75 days

This would indicate a lax collection policy because the agency must typically transmit payments to the insurer within 30 to 45 days. To pay insurers, the agency would have to either borrow funds or use its operating funds.
An agency's collection period of greater than ___ days indicates that the agency is extending more credit to its insureds than it has from the insurer.
45
To effectively manage accounts receivable, agencies must perform these activities:
- Evaluate accounts receivable cost factors
- Develop an accounts receivable policy
- Arrange for premium financing
Agencies must evaluate these accounts receivable cost factors:
- Surrendered opportunity cost of accounts receivable funds
- Increased accounts receivable collection cost
- Cost of borrowing to finance accounts receivable
- Increased bad debt expense
- Potential commission losses from failure to extend credit
Opportunity cost
The difference between the maximum profit that an investor could have made from an alternative investment and the profit the investor has actually made from the investment.
Bad debt
Any account receivable that is considered uncollectible.
Accounts receivable are an opportunity cost to the agency because...
Interest can be earned on accounts receivable funds
Determining when an account receivable becomes uncollectible is based on
An agency's credit policy
Ideally, agency credit policies should specify:
- When an account becomes a bad debt
- Who is the responsible party
When an account receivable is designated as a bad debt, it is typically eligible for special tax consideration for that year, as a _________
Business bad debt “write-off”
Bad debt expense varies directly with the ____ of accounts receivable.
Age

Reducing the collection period should sharply reduce bad debts.
Effective management of accounts receivable requires an accounts receivable policy that specifies...
The terms under which credit will be extended.

It should assign responsibility for implementing the credit terms. It should also state who will make collection calls and the circumstances under which the account will be turned over to a collection agency.
_______________ is vital to expense control and improves the long-term relationship between the agency and the customer because the payment terms are agreed to in advance.
Clearly specifying payment options and expectations
Conducting ________ on applications should also be part of the accounts receivable policy.
Credit checks
Alternative methods of paying premiums have become important because of this reason:
Customers are reluctant to tie up operating capital in prepaid insurance premiums.

(Customers may be more willing to purchase insurance products when presented with flexible payment methods for premium financing.)
Benefit of premium financing for insurers
They receive prompt premium payment
Benefit of premium financing for producers
They can sell more insurance
Benefit of premium financing for customers
They can make convenient payments on their insurance as they do on other purchases
Agencies can use any of these five premium financing methods:
- Agency financing
- Bank financing
- Insurer financing
- Premium finance company financing
- Captive finance company financing
Agency financing
Agencies use their own in-house premium financing.

One variation of agency financing is that premiums are paid in installments without a service or finance charge.
Bank financing
A premium financing method in which a bank enters into a premium finance agreement with the insured. The insured is required to make a down payment and to pay installments until the unpaid balance and the finance charges are paid.

(When all parties have signed the agreement, the bank advances the full premium to the insurer or the agency.)
Agencies should be aware that bank financing can _______ the insured's and the agency's overall credit line, and the bank's financing terms may contain ___________ that are disadvantageous to the agency.
Reduce; recourse provisions
Insurer financing
Many property-casualty insurers offer premium financing for policies exceeding a minimum premium.

(Often, only annual policies qualify for financing, and they require a down payment of 20 to 30 percent, with the balance paid over 9, 10, or 11 months.)
If the insurer also finances semiannual policies, the down payment is typically ___ percent.
50; the other 50 percent is paid in three monthly payments.
Premium finance company financing
Similar to bank financing; at policy inception, the premium finance company pays the insured's total premium to the insurer or agency. Insured pays a down payment to the premium finance company and the balance through one of many available installment options.
Benefits of premium finance company financing to the agency
- Prompt commission payment
- Reduced billing expense
- Reduced collection expense
- Lower accounts receivable
- Use of the money until payable to the insurer
Perhaps the greatest advantage of premium finance company financing
The variety of installment options (handles seasonal income variations well)
T or F: Premium finance companies offer the advantage of confidential borrowing that will not affect the insured's credit line.
TRUE. Premium finance companies DO offer the advantage of confidential borrowing that will not affect the insured's credit line.
If an insured defaults on any installment payments, the premium finance company requests that the insurer do this:
Cancel the policy.

(Any unearned premium is then returned to the premium finance company as collateral.)
The premium finance agreement contains a limited power-of-attorney clause that allows the company to request...
That a policy be canceled when the insured has not made a scheduled payment.

(Often this request for cancellation provides only five days' notice to the insured, rather than the standard 10-day notice of cancellation for nonpayment of premium.)
The provision stating that the policy can be canceled when the insured has not made a scheduled payment is probably the most important provision in the premium finance agreement because...
It protects the premium finance company's interest
Captive finance company financing
Must exceed a minimum dollar amount; written by captive finance companies owned or controlled by insurance agencies or agency networks. Mostly available only for annual or semiannual policies.
Captive finance companies
Owned and controlled by insurance agencies or agency networks and are operated according to their needs or demands; only policies written by the insurance agency are accepted for premium financing.
Saving a dollar in expenses is equivalent to...
Making a dollar of pre-tax net income.
Some agencies try to control expenses only when disbursements are made; however, this approach does not really control expenses because...
The money has already been spent
Agencies can control expenses using these approaches:
- Internal controls
- Expense measurement
- Expenses analysis
- Expense reduction
Two types of Internal controls used as a method of controlling expenses
- Personnel controls
- Accounting controls
Personnel controls
Include screening job applicants and prosecuting dishonest employees
A general indicator of a job applicant's suitability can often be obtained by...
Speaking with the employee's prior supervisor and asking whether the supervisor would rehire the former employee.
Failure to prosecute an employee when in possession of conclusive evidence of that employee's dishonesty establishes a precedent within the agency that may encourage this kind of behavior:
It may encourage others to commit dishonest acts.

Therefore, agencies should have written policies that specify the actions the agency will take in the event of employee dishonesty.
Accounting controls used as a method of controlling expenses
Include the organizational plan, procedures, and other records that are concerned with the safeguarding of assets and the reliability of financial records.
Accounting controls are designed to provide reasonable assurance that these 3 actions occur:
- Transactions are executed in accordance with management's general or specific authorization and control
- Transactions are recorded as necessary to maintain accountability for assets and liabilities
- Access to assets is permitted only with management's authorization
In addition to internal accounting controls, an independent CPA can be engaged to perform one of three levels of service in preparing agency financial statements:
- A compilation
- A review
- An audit
CPA compilation
The CPA compiles and reports data provided by agency management in the form of financial statements without rendering an opinion on the financial statements.
CPA review
The CPA does not provide an opinion on the financial statements, but does provide a limited negative assurance by indicating nothing has come to the CPA's attention to suggest that the financial statements are materially misstated.
CPA audit
The CPA performs enough work to be able to express an opinion that, with a reasonable level of assurance, the financial statements taken as a whole present a true and fair representation of the agency's financial position and the results of its operations for the period audited.
Expense measurement
A practical way to quantify the effect of expense control measures.
Assume an agency is writing $2 million in annual premiums at an average commission of 13 percent, generating gross commissions of $260,000. Assuming management earns 50 percent of gross commissions before taxes, the agency yields a pre-tax net income of $130,000. Also assume that the agency can reduce expenses by $130,000. The reduction in expenses goes directly to pre-tax net income. Describe how this illustrates the effect of expense control measures.
A $130,000 reduction in expenses has the same effect as $2 million in additional annual premiums for the agency.

(Consequently, this expense measurement indicates that expense reduction has about 15 times the effect of an increase in premium volume.)
For example, at a commission level of 20%, a $1 reduction in expenses is as profitable as this increase in premium volume:
$10.

At a commission level of 18%, = $11
16% = $12.50
14% = $14.29
12% = $16.67
10% = $20.00
Expense analysis
Involves developing expense benchmarks and analyzing results to assess agency performance and target specific areas for improvement.
A weakness of published benchmarks
They are averages.

By contrast, the best benchmark is established by developing a profit goal, establishing a budget, and using cost accounting to determine expense control measures.
Expenses can be reduced by implementing these two tactics:
- Sound time-management practices
- Cost accounting
Clear expectations save time by reducing the need to
Undo or redo work
Cost accounting
The systematic tracking, recording, and analyzing of an organization's expenses relative to its associated products, activities, and departments.
Many agencies have rejected cost accounting systems as impractical for these reasons:
- The expense of implementing cost accounting systems
- The burden of additional work for agency staff

Fortunately, the expense and burden of obtaining such information have decreased. Therefore, agencies should seriously consider the benefits of cost accounting.
One simple cost accounting technique
Determine the cost of the agency's time.
How to calculate the cost of the agency's time
This can be calculated by dividing the total payroll (including all employee benefits) by the number of employees (part-time employees count as one-half). Tasks are then examined based on how long they take to perform.
Important tax considerations for insurance agencies (3):
- Legal form of ownership
- Tax-advantaged employee benefit plans
- Lease arrangements
Disadvantage of the corporate form of ownership
The IRS compares the compensation of owner-employees (corporate executives) with that of corporate executives in comparable businesses and decides whether it is reasonable or excessive. Amounts found to be excessive are not deductible as business expenses by the corporation.

The corporation also pays taxes on on their salaries. Consequently, owner-employees are subject to taxation at both the corporate and the personal levels.
The double taxation that is disadvantageous about the corporate form of ownership can be avoided by electing __________ status.
Subchapter S
How income from Subchapter S corporations is taxed
It's not taxed at the corporate level but is passed to stockholders in much the same way as partnership income.
Tax advantage of a typical corporation
Tax-free group life insurance

(not available in a Subchapter S corporation)
The taxation for LLC (limited liability company) members is the same as for...
Partnership income
The liability for LLC members is protected in a similar manner to...
Employee-owners of a corporation
Employee benefit plans provide agencies with a means of...
Rewarding employee performance and attracting and retaining quality employees.
Six common employee benefit plans used by agencies:
1. Bonus plans
2. Qualified profit sharing plans
3. Employee stock ownership plans (ESOPs)
4. Deferred compensation plans
5. Section 401(k) plans
6. Stock option plans
Bonus plans
Reward employees when they achieve their goals and/or the agency makes a certain amount of profit.
The sooner a bonus is paid after goals are achieved or a profit is made, the __________ its motivational effects.
Greater
T or F: Annual bonuses are more effective than monthly bonuses.
FALSE. Monthly bonuses are more effective.
T or F: Bonuses based on overall agency or work group performance tend to encourage teamwork and may help make the staff work more harmoniously.
TRUE. Bonuses based on overall agency or work group performance tend to encourage teamwork and may help make the staff work more harmoniously.
Qualified profit sharing plans
Plans by which an employer makes special deferred sums based on the profits of the business available to all employees.

Typically averages between 15 and 25 percent of an agency employee's total compensation.
Benefits of a qualified profit sharing plan
- Unite employees in a common goal
- Encourage teamwork and cooperation
- Tax benefits
ESOP
Employee stock ownership plan; is a qualified (eligible for special tax considerations for both the employer and employee) retirement plan that provides employees to participate in their agency's growth as investors.
ESOPs are usually structured either as a ____ or as a _____.
Stock bonus plan; a combination bonus plan and pension plan.
T or F: With an ESOP, the employee has the right to sell the stock back to the employer for its fair market value.
TRUE – that is, if an employer's stock is not tradable on an established public market.
Deferred compensation plans
Plans by which an employer agrees to pay an employee in the future for work performed today.
Benefit of a deferred compensation plan
For those employees with sufficient current income, this allows them to be paid in the future under specified conditions when the employee presumably is in a lower income tax bracket.
IRS requirement re: deferred compensation
An employee who agrees to defer a bonus until retirement must agree to forfeit the deferred bonus to the employer if he or she quits. (Otherwise, the amount deferred is immediately taxable to the employee.)
Section 401(k) Plans
Allow employees to authorize their employers to reduce their salary and contribute the salary reduction to an employer-sponsored qualified retirement plan.
Employee contributions to a 401(k) are made on a ______ basis.
Pre-tax
T or F: Employers can deduct their contributions to an employee's 401(k) as business expenses.
TRUE, they can.
Stock option plans
Benefit plans that are tied to an agency's stock value and that reward certain employees based on the increase in the value of the agency's stock.

(These types of plans are rare among insurance agencies, except in very large agencies or public brokerages.)
How a typical stock option plan works
Employees are given the right to purchase stock at a specified price within a specific time period. The employer receives a corporate income tax deduction for compensation expense when the employee realizes compensation income from the stock plan.
One common method for decreasing income tax liabilities
Leasing fixed assets, such as computer equipment, rather than purchasing them.
Benefits of leasing arrangements
- Permits tax deduction of the full cost of leasing the asset
- Allows deductions for asset appreciation to be accelerated as compared with deductions for asset appreciation
- Permits 100 percent financing (making financing charges tax-deductible business expenses and conserving cash and working capital)
Additional benefits of leasing fixed assets (4)
- Permits rapid changes in equipment and reduces the risk of obsolescence
- May be more flexible because lease arrangements may contain less restrictive provisions than debt arrangements
- Does not add debt to a balance sheet and does not affect financial ratios (therefore, it may increase borrowing capacity)
- Can shift agency income to family members or key agency members who own the assets that are leased to the agency
T or F: Although owning an asset may often be preferable to leasing it, leasing usually offers these advantages without corresponding tax disadvantages.
TRUE. Although owning an asset may often be preferable to leasing it, leasing usually DOES offer these advantages without corresponding tax disadvantages.
Leased employees
Subject to the control of the agency in the same way as regular employees, but are employed by leasing contractors who are responsible for all payroll taxes, employee benefits, and (usually) workers compensation coverage.

Provides tax advantages for the agency and expense savings compared with hiring additional full-time employees.
Three categories of ratios that are particularly useful in evaluating an agency's financial performance and strength:
- Profitability ratios
- Liquidity ratios
- Efficiency ratios
Profitability ratio
A financial ratio that measures the performance of a company and indicates how well a company is achieving its profitability goals by analyzing how profit was earned relative to sales, total assets, and net worth.
Many problems related to profitability can be explained, in whole or in part, by a firm's ability to....
Use its resources effectively.
To be meaningful, profitability ratios must be
Compared to industry or other external benchmarks
Profitability ratios appropriate for agencies (3):
- Net profit margin ratio
- Return on assets (ROA) ratio
- Return on equity (ROE) ratio
Profit margin ratios are used for this purpose
To assess the ability of the firm's management to control the various expenses involved in generating sales rather than the expenses involved in cost of goods sold.
Net profit margin ratio
Net profit margin = Net income / Sales
Return on assets (ROA) ratio
Return on assets = Net income / Total assets
ROA ratio is used for this purpose
Evaluates the overall effectiveness of the firm's management
Return on equity (ROE) ratio
Return on equity = Net income / Owner's equity
Liquidity ratios help answer this question:
“Does the firm have sufficient cash and near-cash assets to pay its bills on time?”
Near-cash assets
- Savings accounts
- Certificates of deposit
- Marketable securities that can easily be converted to cash
Purpose of liquidity ratios
Used to measure a firm's ability to satisfy short-term debt obligations as they are due.
Liquidity ratios appropriate for agencies (4)
- Current ratio
- Acid test ratio
- Accounts receivable ratio
- Cash ratio
Current ratio
A liquidity ratio that indicates the company's ability to meet its short-term financial obligations, calculated by dividing current assets by current liabilities
The higher the firm's current ratio, the more easily the business can...
Meet current obligations using current assets
Calculation for current ratio:
Current ratio = Current assets / Current liabilities
An agency's current ratio is considered good if...
It equals 2 or higher.

(An agency with a ratio of 2 has twice as many current assets as current liabilities.)
Acid test ratio (quick ratio)
A liquidity ratio that provides a measure of a company's ability to meet is current obligations if it cannot sell its inventory.
Calculation for acid test ratio (quick ratio)
Acid test ratio = (Current assets – Inventory) / Liabilities

or, for insurance agencies,

Acid test ratio = (Cash + Accounts receivable + Near cash assets) / Liabilities
Current assets
- Cash
- Near cash
- Accounts receivable
- Inventory

(an insurance agency's inventory is usually negligible, so it's mostly just cash, near cash, and accounts receivable for insurance agencies)
Cash ratio
Cash ratio = Cash / Current liabilities
Accounts receivable ratio
Accounts receivable ratio = Accounts receivable / Current liabilities
An agency with a higher cash ratio than accounts receivable ratio has much _______ liquidity.
Stronger

This is part of why you can't just consider the acid test ratio when considering liquidity.
Efficiency ratios
Indicate how well a firm is using its resources; they can reveal that even profitable agencies may not be efficient and productive.
Efficiency ratios appropriate for agencies (4):
- Cost per account ratio
- Revenue per employee ratio
- Retention ratio
- Expense ratio
Cost per account ratio
Calculated by dividing office or sales costs by the number of accounts the agency handles. (Can be expressed as either office cost per account or sales cost per account):

Office cost per account = Office costs / Number of accounts

Sales cost per account = Sales costs / Number of accounts
Why can cost per account ratios be misleading?
They ignore the fact that agency costs are mostly fixed. (Therefore, most agencies can write additional accounts without increasing either sales or office costs.)
Cost accounting is necessary to determine...
Whether a policy should be written when the premium is compared to the cost of handling the particular account
Revenue per employee ratio
Revenue per employee = Total revenue / Number of employees
Retention ratio
a.k.a., retention rate

Measures the rate at which the existing book of business is renewed during a particular period (usually a calendar year)

Retention rate = (Number of existing accounts at the end of the period* + Number of new business accounts written) / Number of existing accounts at the beginning of the period

*not including any new business written
Factors that influence retention rates:
- The competitiveness of the agency's insurers
- Quality of customer service
- Economic conditions
- An insurer's willingness to write certain classes and lines of business
The higher the retention ratio, the more _____ the agency operations.
Efficient
Expense ratio
Expense ratio (insurance agencies) = Total agency expenses / (Commissions + Fee Income)
Because an insurance agency has little physical inventory, its value is based largely on __________.
Intangibles
Items a prospective buyer should consider when evaluating an agency for purchase include:
- Organizational form and operations
- Financial information
- Nonfinancial valuation factors
- Valuation methods
Aspects of an agency's organization that a prospective buyer examines:
- Legal form of ownership
- Operational organization (changing this after purchase can be expensive and time consuming)
Many different aspects of an agency's operations affect the agency's value. These are some issues of primary concern to prospective buyers:
- Companies represented
- Type of billings (agency, direct, etc.)
- Relations with customers (will they move post-purchase?)
- Errors and omissions (# of claims filed against it)
- New business potential (% of customers with only one policy?)
Balance sheet
Composed of assets, liabilities, and the owners' equity.
An agency's book value
The value of its assets on the balance sheet.

Sometimes book value is a valid measure, and sometimes it is not.
_____ is the most liquid asset.
Cash
The value of cash on hand and in the bank is its ________
Book value, which is its true value.

Similarly, short-term investments. Are also usually worth their book value.
The value of accounts receivable to a prospective buyer depends largely on...
How likely they are to be collected.
The value of real estate and other tangible property is shown on the balance sheet as the original purchase price minus any accumulated depreciation (for tax purposes). The result is that the book value...
Does not match the property's market value.
Any current and long-term agency liabilities _______ the agency's value if the purchaser assumes the liabilities.
Decrease.

For example, the accounts current, if assumed by a purchaser, decrease the agency's value because they must be paid relatively soon after agency purchase.
T or F: The book value of owners' equity is equivalent to the actual agency value.
FALSE. It is not normally equivalent to the actual agency value. An agency's purchase price includes its goodwill value of renewal business This is probably the agency's greatest asset, even though it is not listed on the agency's balance sheet, because it yields income for years to come.
This document is probably the most important financial document used to determine an agency's value
The income statement

It's so important because the agency's income-producing ability is the most important feature to a prospective purchase.
Sources of revenue
- Commissions
- Investment income
- Other revenue (fees for service, rentals, and real estate commissions)
These commission factors are also important
- The percentage of commissions to written premiums
- The trend of both actual commissions and commission percentages
If an agency has a history of steady investment gain as a result of investing premiums from their receipt until payment to insurers, this revenue source can ________ agency value.
Increase
An agency's expenses are a valuation factor to the extent that the prospective buyer considers them __________.
Uncontrollable.
Five types of additional financial information should be considered when determining an agency's value:
- Cash flow
- Billings
- Mix of business
- Loss ratio
- Tax factors
In determining value, the significance of cash flow is based on
The size and timing of cash available to make payments to previous owners.

(Buyers naturally prefer large amounts of cash to be immediately available. Conversely, an agency with a substantial amount of accounts receivable over 60 days old has a reduced value because of the increased costs to carry the receivables and the increased risk of bad debts.)
The fewer the billings based on premium volume, the....
Better

(at least as far as agency valuation is concerned; this is because the cost to bill a customer for a $25 installment payment is approximately the same as the cost to bill for a $5,000 annual payment)
A large number of billings may indicate that the agency
Finances a large percentage of business.
Loss ratios that are historically high (above 80 percent, for example) _____ agency value.
Decrease.
Covenant not to compete
An agreement in a sales contract made by the seller not to engage in insurance sales in the same geographic area as the agency for a specified period, such as 3 or 5 years.

a.k.a., a noncompete agreement
Section 197 intangibles
An IRS section with three valuations:

- The value of the noncompete agreement
- The value of the expiration list
- The value of goodwill

These items receives special tax treatment.
The most important nonfinancial valuation factors:
- Employees
- Key employees
- Geographic representation
- Subjective variables
One major indication of the merits of current employees, in addition to compensation, is __________.
The turnover rate.

If turnover is excessive, management problems may exist. If turnover appears high, a buyer should meet with the prospective seller to determine the nature and extent of any management or morale problems.
The greater the likelihood of losing key employees, the _____ the agency value.
Lower
Some buyers, particularly national brokerage firms, pay higher prices for agencies in geographic areas where...
They want to open an office..

Conversely, agencies may be worth less in areas where numerous national firms already have offices.
To a large extent, an agency's value is _______ and, in many cases, based on the buyer's ______.
Subjective; needs.
An agency's true value
What a prospective buyer is willing to pay; it is largely determined by the agency's profit potential as perceived by its buyer.
Three commonly used valuation methods for valuing insurance agencies:
- Traditional method
- Discounted present value method
- Publicly traded brokers multiple of earnings method
Traditional method of valuing agencies
Valuation that uses a multiple of commissions rater than net earnings. Agencies were said to be worth form one to two times annual commissions.
Two major shortcomings of the traditional method of valuing agencies
- It fails to focus on profitability
- It fails to discount payments (i.e., a sale at 2 times commission paid out in five years at little or no interest is treated the same as an all-cash payment)
Discounted present value method of valuing agencies
Estimates the revenue that the agency's book of business will generate over a specific period.

The discounting is because the actual payments would not be received immediately. This valuation method is based on the general principle that a dollar to be received a year from now is worth less than a dollar received today.
Publicly traded brokers multiple of earnings method of valuing agencies
Based on a selected multiple of the brokerage's stated earnings.

Although publicly traded brokers are much larger than the average insurance agency, they are in some ways an assemblage of large local agencies. However, unlike a small agency, these firms often include such operations as third-party administration, risk management, and claim handling services. These significant differences between large brokerages and the typical agency make this valuation method the least appropriate for most agency operations.