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4.4 Legal risk - Scor

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(iv) Pandemic<br />

In Life reinsurance, a severe pandemic is a major <strong>risk</strong>.. In the past century, three major outbreaks of influenza occurred and<br />

claimed millions of lives. The occurrence of a similar event could cause large losses to SCOR, due to an increased mortality<br />

far beyond the usual volatility. Experts closely monitor current influenza virus strains and those of other infectious diseases.<br />

A lethal virus strain not only of influenza but of any other communicable disease could lead to a heavy increase in mortality<br />

rates and increased medical costs which could significantly affect SCOR’s results.<br />

The potential loss relating to a severe pandemic is estimated using models. However, the limited amount of available<br />

historical data, combined with the generic model <strong>risk</strong>, create a high degree of uncertainty in the results. The financial<br />

outcome of a severe pandemic could, therefore, differ considerably from that expected by the model, thus leading to a<br />

potentially significantly higher loss than expected.<br />

(b) Behavioral <strong>risk</strong>s<br />

SCOR Global Life is also exposed to <strong>risk</strong>s related to policyholder behaviour. This includes <strong>risk</strong>s such as lapsation, antiselection<br />

at policy issue, resale of policies, exercising of policy options by the policyholder different from expected, and<br />

fraudulent applications.<br />

(i)<br />

Lapsation<br />

Lapses refer to either non-payment of premium by the policyholder or to policies which are terminated by the policyholder<br />

before the maturity date of the policy. Depending on the product design, higher or lower policyholder lapses than assumed<br />

in the pricing may reduce SCOR Global Life’s expected future income. Policyholder lapses may differ from expectations due<br />

to a changing economic environment or other reasons, such as changes in tax incentives for the insurance policies,<br />

tarnished reputation of the cedant or from the introduction of more attractive insurance products in the market. SCOR<br />

studies and closely monitors this <strong>risk</strong>.<br />

(ii) Anti-selection<br />

Anti-selection refers to the problem of asymmetry of information between the insured and the insurer. An individual applying<br />

for life or health insurance cover usually has better knowledge about his or her own state of health than the insurer. The <strong>risk</strong><br />

to the (re)insurer is of policyholders deliberately deciding among other things to:<br />

• take out a policy in the knowledge that either their chances of claiming is high or higher than average;<br />

• terminate a policy in the knowledge that their chances of claiming are low or lower than average; or<br />

• choose and exercise a policy option which allows to increase the policyholder’s expected benefit.<br />

This might lead to a portfolio composition which differs from the one assumed during pricing and might imply lower than<br />

expected profits for both the direct insurer and reinsurer.<br />

(iii) Resale<br />

In general, for most individual life covers, the policyholder and the insured person are identical. The pricing of these policies<br />

is based on this assumption. However, there is a trend, especially in the U.S., where policyholders who can no longer afford<br />

or for other reasons do not want to continue to pay the premiums, are selling their polices and the eventual death benefit to<br />

third parties who continue to pay the premium. These “stranger owned life insurance,” or STOLI policies, lead to deviations<br />

between actual and expected lapse rates which can be a <strong>risk</strong> to the insurer and reinsurer of the cover.<br />

(c) Catastrophe <strong>risk</strong>s<br />

As previously indicated, natural or man-made catastrophic events can cause very significant material damages affecting the<br />

Non-Life activities of the Group. In addition, such events could cause multiple deaths and serious injuries which could<br />

potentially seriously impact the Life activities of SCOR, particularly under contracts covering groups of employees working at<br />

the same location.<br />

(d) Risks linked to the types of guarantees<br />

Certain life insurance products include guarantees, most frequently with respect to premium rates, insurance benefits, and<br />

surrender or maturity values, or guarantees with regard to interest accrued on reserves or policyholder funds. Other<br />

guarantees may exist, for example, with regard to automatic adjustments of benefits or options applied in annuity policies.<br />

Such guarantees may be explicitly or implicitly covered by the reinsurer under the reinsurance contract and if so expose the<br />

reinsurer to the <strong>risk</strong> of adverse developments which increase the value of the guarantee and thereby necessitate respective<br />

increases in benefit reserves.<br />

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