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Property and Liability Insurance Entities - AICPA Audit and Accounting Guide

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Get ready to expand your knowledge of the auditing and accounting issues significant to the insurance industry. Whether you're preparing your company's financial statements or preparing for an auditing engagement in the insurance industry, this AICPA Audit and Accounting Guide provides you with the latest information on significant accounting and auditing issues and related financial statement considerations.

Have you used the FASB Accounting Standards Codification™ (ASC) to maneuver through the new structure of GAAP? You'll find the helpful guidance you're accustomed to now fully conformed to the ASC, along with a clear explanation of the ASC's significance to the profession, numerical referencing system, and Internet-based research system.

Updated with conforming changes as of June 1, 2009, the guide includes relevant guidance contained in official pronouncements issued through that date, supplemented with specific "how-to" recommendations. The following new pronouncements are particularly significant to this guide and have been reflected in this edition:

  • FASB Statement No. 163, Accounting for Financial Guarantee Insurance Contracts—an interpretation of FASB Statement No. 60
  • FASB Statement No. 162, The Hierarchy of Generally Accepted Accounting Principles
  • FASB Statement No. 161, Disclosures about Derivative Instruments and Hedging Activities—an amendment of FASB Statement No. 133
  • FASB Statement No. 160, Noncontrolling Interests in Consolidated Financial Statements—an amendment of ARB No. 51
  • FASB Statement No. 141(revised), Business Combinations
  • SSAE No. 15, An Examination of an Entity's Internal Control Over Financial Reporting That Is Integrated With an Audit of Its Financial Statements
  • SSARS No. 17, Omnibus Statement on Standards for Accounting and Review Services—2008 SAS No. 115, Communicating Internal Control Related Matters Identified in an Audit
  • National Association of Insurance Commissioners (NAIC) Statement of Statutory Accounting Principles (SSAP) No. 99, Accounting for Certain Securities Subsequent to an Other-Than-Temporary Impairment
  • SSAP No. 98, Treatment of Cash Flows When Quantifying Changes in Valuation and Impairments, An Amendment to SSAP 43-Loan-Backed and Structured Securities

You'll also want to check out the new developments related to the heavily debated fair value issue addressed in FASB Statement No. 157, Fair Value Measurements. With all these must-have features, this guide is an essential reference for firms, small practitioners, and professionals in business and industry.

For a topical listing of subject matter by chapter, click on the Table of Contents tab.

Table of Contents

  • Chapter 1 - Nature, Conduct, and Regulation of the Business General Nature of the Business
    • Kinds of Insurance
    • Organizations
      • Methods of Producing Business
    • Major Transaction Cycles
      • Underwriting of Risks
      • Processing and Payment of Claims
      • Investments
    • Accounting Practices
      • State Insurance Regulation
      • National Association of Insurance Commissioners
      • Federal Regulation—Securities and Exchange Commission
      • Federal Regulation—Terrorism
      • Industry Associations
      • Statutory Accounting Practices
      • Permitted Statutory Accounting Practices
      • Generally Accepted Accounting Principles
      • Comparison of GAAP and SAP
  • Chapter 2 - Audit Considerations
    • Introduction
    • Scope of the Audit Engagement
      • General Considerations
      • PCAOB Integrated Audit of Financial Statements and Internal Control Over Financial Reporting
    • Planning and Other Auditing Considerations
      • Audit Planning
      • Audit Risk
      • Planning Materiality
    • Use of Assertions in Obtaining Audit Evidence
    • Understanding the Entity, Its Environment, and Its Internal Control
      • Risk Assessment Procedures
      • Discussion Among the Audit Team
      • Understanding of the Entity and Its Environment
      • Understanding of Internal Control
    • Use of Information Technology
    • Assessment of Risks of Material Misstatement and the Design of Further Audit Procedures
      • Assessing the Risks of Material Misstatement
      • Designing and Performing Further Audit Procedures
    • Evaluating Misstatements
    • Audit Documentation
      • Consideration of the Work of Internal Auditors
      • Communications by Successor Auditors
    • Communication of Matters Related to Internal Control
    • Communication of Other Matters With Audit Committees
    • Consideration of Fraud in a Financial Statement Audit
      • The Importance of Exercising Professional Skepticism
      • Discussion Among Engagement Personnel Regarding the Risks of Material Misstatement Due to Fraud
      • Insurance Industry Fraud Risk Factors
      • Obtaining the Information Needed to Identify the Risks of Material Misstatement Due to Fraud
      • Considering Fraud Risk Factors
      • Identifying Risks That May Result in a Material Misstatement Due to Fraud
      • Assessing the Identified Risks After Taking Into Account an Evaluation of the Entity's Programs and Controls That Address the Risks
      • Responding to the Results of the Assessment
      • Evaluating Audit Evidence
      • Responding to Misstatements That May Be the Result of Fraud
      • Communicating About Possible Fraud to Management, Those Charged With Governance, and Others
      • Documentation and Guidance
    • Auditing Fair Value Measurements and Disclosures
    • Letters for State Insurance Regulators to Comply With the NAIC Model Audit Rule
    • SEC Requirements for Management's Report on Internal Control Over Financial Reporting
    • Auditor's Consideration of State Regulatory Examinations
    • Auditor's Consideration of Permitted Statutory Accounting Practices
    • The Auditor's Consideration of Regulatory RBC for Property and Liability Insurance Enterprises
      • Introduction and Scope
      • Overview of RBC
      • Audit Planning
      • Going-Concern Considerations
    • Exhibits
  • Chapter 3 - The Premium Cycle
    • Rating
    • The Transaction Cycle
      • Evaluating and Accepting Risks
      • Issuing Policies
      • Billing and Collecting Premiums
      • Paying Commissions and Other Costs of Acquiring Business
      • Adjusting Premiums
      • Home Office and Branch Office Recordkeeping
    • Premiums Transaction Flow
    • Accounting Principles
      • Revenue Recognition
      • Policy Acquisition Costs
      • Premium Deficiencies
    • Accounting for Contracts That Do Not Transfer Insurance Risk
    • Special Risk Considerations
    • Accounting by Certain Entities (Including Entities With Trade Receivables) That Lend to or Finance the Activities of Others
  • Chapter 4 - The Loss Reserving and Claims Cycle
    • Accounting Practices
      • Statutory Accounting Practices
    • Types of Business and Their Effect on the Estimation Process
      • Policy Duration
      • Type of Coverage
      • Kind of Insurance Underwritten, Line of Business, or Type of Risk
    • The Transaction Cycle
      • Claim Acceptance and Processing
      • Claim Adjustment and Estimation
      • Claim Settlement
      • Reinsurance Receivable
      • Salvage and Subrogation
    • Claims Transaction Flow
    • Components of Loss Reserves
    • Estimating Methods
      • Illustrative Projection Data
    • Loss Adjustment Expense Reserves
      • DCC Reserve Calculation Approaches
      • AO Reserve Calculation Approaches
    • Changes in the Environment
    • Use of Specialists by Management in Determining Loss Reserves
    • Guaranty Fund and Other Assessments
      • Auditing Loss Reserves
      • Auditing the Claims Database
      • Evaluating the Reasonableness of the Estimate
      • Analytical Procedures
      • Loss Reserve Ranges
      • Evaluating the Reasonableness of Loss Adjustment Expense Reserves
      • Ceded Reinsurance Receivable
    • Disclosures of Certain Matters in the Financial Statements of Insurance Enterprises
      • Applicability to Statutory Financial Statements
      • Relationship to Other Pronouncements
      • Conclusions
      • Illustrative Disclosures
  • Chapter 5 - The Investment Cycle
    • Regulation
    • Investment Alternatives
      • Short-Term Investments
      • Other Investment Alternatives
    • The Transaction Cycle
      • Investment Evaluation
      • Safekeeping
      • Recordkeeping
    • FASB ASC 820 and 825
      • Definition of Fair Value
      • Valuation Techniques
      • Present Value Techniques
      • The Fair Value Hierarchy
      • Disclosures
      • Fair Value Option
    • Accounting Practices
      • Held-to-Maturity Securities
      • Trading Securities
      • Available-for-Sale Securities
      • Impairment of Securities
      • Accounting for Derivative Instruments and Hedging Activities
      • Statutory Accounting Practices
    • Special Risk Considerations
  • Chapter 6 - Reinsurance
    • Types of Reinsurance
    • Kinds of Reinsurance Contracts
      • Bases of Reinsurance Transactions
    • Accounting Practices
      • Reporting Assets and Liabilities
      • Reporting Revenues and Costs
      • Reinsurance Agreements Not Qualifying for Reinsurance Accounting Under FASB ASC 944
      • Disclosures
      • Statutory Accounting Practices
    • Special Risk Considerations
    • Internal Control of the Ceding Entity
      • Control Environment
      • Control Activities
      • Information and Communications
    • Internal Control of the Assuming Entity
    • Auditing Procedures for the Ceding Entity
    • Auditing Procedures for the Assuming Entity
    • Pools, Associations, and Syndicates
    • Reinsurance Intermediaries
    • Accounting for Foreign Property and Liability Reinsurance
      • Current Practices
      • Comparison With Practices in Other Industries
      • Disclosures
  • Chapter 7 - Taxes
    • Federal Income Taxation
      • Provisions of the Tax Reform Act of 1986 on Property and Liability Insurance Companies
      • Provisions of the Pension Funding Equity Act of 2004 on Property and Liability Insurance Companies
    • Statutory Accounting Practices and Taxable Income
    • Special Income Tax Provisions
    • GAAP Accounting for Income Taxes
    • Basic Principles of Accounting for Income Taxes
      • Changes in Tax Law
      • Financial Statement Presentation and Disclosure
    • Internal Control and Possible Tests of Control
      • Control Environment
      • Control Activities
      • Information and Communication
      • Substantive Procedures
    • Net Operating Loss and Tax Credit Carryforwards
    • Other Issues
      • Unrealized Gains and Losses
      • Accounting for the "Fresh Start"
      • The Alternative Minimum Tax
      • Accounting for Income Taxes—Special Areas
      • Interim Financial Reporting
    • State Taxation
  • Chapter 8 - Reports on Audited Financial Statements
    • Reports on Financial Statements
    • Unqualified Opinions on GAAP Financial Statements
    • Unqualified Opinions With Explanatory Language
      • Emphasis of a Matter
      • Uncertainties
      • Going Concern
      • Evaluating Consistancy of Financial Statements
    • Qualified Opinion
    • Disclaimer of Opinion
    • Adverse Opinion
    • Additional Guidance When Performing Integrated Audits of Financial Statements and Internal Control Over Financial Reporting
    • Reporting on Whether a Previously Reported Material Weakness Continues to Exist
    • Auditors' Reports on Statutory Financial Statements of Insurance Entities
      • NAIC-Codified Statutory Accounting
      • General Use Reports
      • Limited Use Reports
      • General Use and Limited Use Reports
    • Special Reports
      • Special Reports on Loss Reserves
  • Appendix
    • A - Additional Audit Considerations for Loss Reserves, Premiums, Claims, and Investments
    • B - Illustrations of Auditing Objectives and Procedures
    • C - Illustrative Financial Statements and Disclosures
    • D - NAIC Insurance Regulatory Information System
    • E - Examples of Development Data
    • F - Industry and Other Organizations
    • G - Information Sources
    • H - Major Existing Differences Between AICPA Standards and PCAOB Standards
    • I - Schedule of Changes Made to the Text From the Previous Edition
  • Glossary
  • Bibliography

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Excerpts

This AICPA Audit and Accounting Guide has been prepared to assist property and liability insurance entities in preparing financial statements in conformity with generally accepted accounting principles (GAAP) and statutory accounting principles (SAPs) and to assist independent auditors in auditing and reporting on those financial statements.

This guide describes operating conditions and auditing procedures unique to the insurance industry and illustrates the form and content of financial statements and disclosures for property and liability insurance entities, various pools, syndicates, and other organizations such as public entity risk pools. Chapter 1 discusses the nature, conduct, and regulation of the insurance industry. Among the other significant areas discussed in this guide are

•  audit considerations, including a discussion of the auditor's risk assessment process.
•  the premium cycle, including a discussion of rating, transactions, accounting practices, and special risk considerations.
•  the claims cycle, including a discussion of accounting practices and special risk considerations.
•  the investment cycle, including a discussion of regulation, various investment alternatives, accounting practices, and special risk considerations.
•  reinsurance, including a discussion of the kinds of reinsurance, accounting practices, ceded reinsurance, and assumed reinsurance.
•  taxes, including both federal and state.
•  differences between SAP and GAAP.

In addition, appendix B discusses control activities and auditing objectives and procedures.

Discussions of accounting in this guide are generally intended to refer to authoritative literature. Discussions of SAP are mentioned if they differ from GAAP. Some significant differences between GAAP and SAP are discussed also in chapter 1.

Public entity risk pools are required to follow the accounting and financial reporting requirements of Governmental Accounting Standards Board (GASB) Statement No. 10, Accounting and Financial Reporting for Risk Financing and Related Insurance Issues, as amended and interpreted by various GASB pronouncements.1 That statement is based primarily on Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) 944, Financial Services—Insurance, and related pronouncements but includes certain accounting and financial reporting requirements that differ from FASB ASC 944. As discussed in chapter 1, many public entity risk pools are not subject to the same regulation as property and liability insurance entities.

The National Association of Insurance Commissioners (NAIC) continually monitors SAP for insurance entities. Through various committees, such as the NAIC Statutory Accounting Principles and Emerging Accounting Issues Working Group, recommendations are made to state insurance departments regarding changes in statutory accounting and reporting. The NAIC codified SAP for certain insurance enterprises resulting in an Accounting Practices and Procedures Manual. The insurance laws and regulations of the states require insurance entities domiciled in those states to comply with the guidance provided in the manual except as prescribed or permitted by state law. All states require insurers to comply with most, if not all, provisions of the manual. States have adopted the manual in whole or in part as an element of prescribed SAP in those states. If, however, the requirements of state laws, regulations, and administrative rules differ from the guidance provided in the manual or subsequent revisions, those state laws, regulations, and administrative rules will take precedence. The NAIC publication States' Prescribed Differences from NAIC Statutory Accounting Practices describes by state, the differences from the manual.

As issues are resolved, amendments to this guide may be issued by the AICPA, or pronouncements may be issued by FASB or GASB.

1 Governmental Accounting Standards Board Statement No. 34, Basic Financial Statements— and Management's Discussion and Analysis—for State and Local Governments, provides guidance for the format and content of financial statements for all state and local governmental entities, including public entity risk pools.

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