Professional Documents
Culture Documents
Group 1 Insurance
Group 1 Insurance
Presented to the
University of Santo Tomas
Alfredo M. Velayo College of Accountancy
Submitted by:
Basa, Angela Beatrice D. | Ceralde, Julien Sofia Yzabel T. | De Castro, Nicco Rob V. | Gaurano,
Aira Sofia M. | Herrera, Ayen Shelpel D. | Laurenciano, Jenavere Jade O. | Packay, Arianne B. |
Sarmiento, Hillery A.| Tamayo, Abby Maei B. | Ussher, Mikyla Elaine P. | Villapando, Jaira Mae
Ashley C. | Villarino, Camille P. | Villon, Joseph Ian D. | Yparraguirre, Bianca Yzabelle V.
4A5 Group 1
Submitted to:
Mr. Almario G. Parco, Jr.
I.Introduction
In the realm of financial protection, Insurance plays a crucial role in managing and
mitigating risks for individuals and organizations. Insurance is a social device that strategically
combines individual risks into a group, pooling financial contributions to cover potential losses.
By accepting significant insurance risks from another party, a contractual agreement is made
between the insured and the insurer in exchange for a premium. This risk transfer mechanism
effectively reduces individual exposure by distributing predictable losses across the group. In the
Philippines, the insurance landscape involves various stakeholders, including policyholders,
insurance companies (categorized into life, non-life, composite, reinsurance, and captive),
insurance agents, brokers, and regulatory bodies.
The industry operates through a well-defined process where the insured engages with
agents or brokers, who subsequently interact with insurers. In the case of insurers, known as
ceding companies, a portion of their risk is transferred to the reinsurance companies. The
reinsurers, also known as the assuming company, assume part or all of the risk of a ceding
insurance company.
As a prominent player, Insular Insurance Company, the first and largest Filipino life
insurance company and the only mutual company in the Philippines provides a diverse range of
insurance products. With over 100 years of experience, it offers solutions such as Medical
Insurance, Term Life Insurance, Universal Life Insurance, Participating Insurance, Annuities,
Unit-Linked Insurance, and many more. Each product serves as a tailored solution against
unforeseen events.
Insular Insurance Company, proudly Filipino, remains dedicated to spreading the benefits
of life insurance to every family, helping them plan confidently for the future. This case study
focuses on Insular Insurance Company's auditing process, discussing industry briefing, business
risks, accounting issues, and auditing procedures. This detailed examination ensures the
company's financial integrity and adherence to industry standards.
Disaster Resilience
Situated in the Pacific Ring of Fire, the Philippines faces daily minor earthquakes and the
risk of major seismic events and volcanic eruptions. Additionally, being in the typhoon belt
exposes the country to around 20 typhoons annually. Its unique geography makes it susceptible
to tsunamis, flash floods, and landslides, straining the underdeveloped infrastructure.
Financial Inclusion
Insurance helps in promoting financial inclusion by providing affordable and accessible
coverage to a broader segment of the population. This enables individuals and businesses to
participate more actively in economic activities without fearing catastrophic financial losses.
Overall Integrity
The Audit Committee proactively engages with statutory auditors before and after audits,
discussing the audit's nature, scope, and addressing any concerns. This approach ensures a strong
system of checks and balances, bolstering the insurer's overall integrity and financial health.
Regulatory Compliance
Insurance companies operate in a highly regulated environment. Auditing ensures
insurers comply with industry regulations, legal requirements, and accounting standards. This
helps avoid legal issues and ensures fair and ethical business practices.
Reserve Adequacy
Insurance companies must maintain adequate reserves to cover future claims. Auditors
evaluate the sufficiency of these reserves, ensuring that insurers can meet their obligations to
policyholders. This is critical for the financial health and sustainability of insurance businesses.
Market Factors
The Philippine insurance industry has been experiencing growth over the past few years.
This is evidenced by the report of Global Data (2023), which indicates that the general insurance
market reached PHP 89.6 billion ($1.8 billion) and forecasts an annual growth of over 7% from
2020 to 2025. Furthermore 2022, the life insurance market amounted to Php 308.8 billion and is
anticipated to experience annual growth exceeding 5% from 2023 to 2027, according to the
Global Data (2023) report. Insights10 (2023) also projects that the healthcare insurance market
will increase from $4.46 billion in 2022 to $8.31 billion by 2030, experiencing an annual growth
rate of 8.1% from 2022 to 2030.
On the other hand, some key players in the general insurance market include Malayan
Insurance Company, Inc., Philippine AXA Life Insurance Corporation, Sun Life of Canada
(Philippines), Inc., and BPI-Philam Life Assurance Corporation. Apart from these, Insular Life
Assurance Company, Inc. is also considered a key player in the Philippines' life insurance
market. Established in 1910, Insular Life has grown to 58 branch locations around the
Philippines and has become one of the country's top life insurance companies. Moreover, in
2021, Insular Life earned a net income of Php 4.7 Billion, representing a significant increase
from the previous year, and the company reported a net worth of Php 47.8 Billion, reflecting its
financial stability and growth within the industry.
Market factors such as shifts in gross written premiums, investment income, and
economic conditions significantly impact Philippine insurance companies' financial statements.
For instance, the general insurance market is reported to have a gross premium 2021 of Php 89.6
billion ($1.8 billion) and expects a CAGR exceeding 7% from 2020 to 2025. Similarly, the life
insurance market, at Php 308.8 billion ($5.6 billion) in 2022, foresees a 5% increase in CAGR
from 2023 to 2027. These market trends directly impact financial performance, evidenced by a
positive relationship between the performance of insurance companies and their market size. In
summary, changes in market size, premiums, and investments influence the insurance companies'
revenue, profitability, and overall financial position.
Regulatory Factors
The Insurance Code, as revised by Republic Act No. 10607, is the fundamental basis of
insurance regulation in the Philippines, providing the legal foundation for insurance and
reinsurance activities. The PIC administers this regulatory framework, supplemented by
corporate regulations from the SEC and BSP agencies. Furthermore, the AMLC and the PCC
contribute legislation with ramifications for the insurance industry. Adherence to SEC
regulations and the acquisition of necessary licenses are required for entities entering the
insurance business in the Philippines, as outlined in the Insurance Code, which designates
eligible entities for the insurance industry, including corporations, partnerships, and associations.
Economic Factors
Insurance companies, like Insular Life, get money from different places to run their
operations and meet financial commitments. These companies' primary sources of money usually
include payments from policyholders (premiums), investment earnings, and reinsurance.
Premiums, the money policyholders pay for coverage against specific risks, are a big part of the
funding. Insular Life, a life insurance company, collects premiums to offer various insurance
products covering Life, health, savings, investments, and education.
Another critical source of financial support is investment income. Insurance companies
invest the premiums they collect in stocks, bonds, and real estate. The returns from these
investments significantly contribute to the overall financial health of the companies. Different
companies may have different investment strategies – some might go for higher returns but
riskier assets, while others might stick to safer, low-risk investments. Additionally, companies
like Insular Life may use reinsurance, transferring some of their risk to other insurers in
exchange for money. This helps them manage the risk of significant losses.
Looking specifically at Insular Life, it aligns with the standard industry practices, relying
mainly on premiums and investment income. As a mutual life insurance company, Insular Life
tends to take a long-term and careful approach to investments, aiming to preserve money and
meet the ongoing needs of policyholders. All these different sources of money help insurance
companies, including Insular Life, operate effectively, handle risks wisely, and fulfill their
promises to policyholders.
The insurance industry faces economic challenges, especially from inflation. Inflation can
affect insurance companies in various ways, increasing costs and making it harder to offer
competitive prices. It also influences how people buy insurance. The rising healthcare costs are a
big problem, leading to higher insurance premiums that can be tough for individuals and
businesses. Regulation changes due to inflation create uncertainty for insurance companies,
making it challenging to plan for the future. If there is a slowdown in the global economy, people
and businesses might have less money to spend on insurance, impacting the income and returns
of insurance companies. Inflation and economic challenges can also affect how insurance
companies invest their money, especially in fixed-income investments, influencing their financial
performance.
Technological Factors
Technological advancements play a crucial role in reshaping the operations and services
of insurance companies. Advanced data analytics enables precise evaluation of risks, allowing
insurers to customize policies based on individual profiles. Artificial Intelligence and machine
learning streamline underwriting processes, improving efficiency and decision-making accuracy.
The Internet of Things (IoT) facilitates behavior-centric underwriting and real-time risk
management through data obtained from connected devices. Cybersecurity technologies are
essential for safeguarding sensitive customer data in the face of growing cyber threats.
Additionally, many insurance companies are developing mobile applications and online
portals to make it easier for customers to manage their policies, submit claims, and access
information. This enriches customer interactions by enabling instant quotes and usage-based
insurance. Chatbots and virtual assistants enhance customer service by delivering prompt
responses and guiding customers through various processes. Lastly, many traditional insurance
companies collaborate with or invest in insurtech startups specializing in innovative
technologies. This allows them to leverage new ideas and technologies without building them
in-house. These technological advancements enhance operational efficiency and contribute to a
more personalized and engaging customer experience.
Operational Risks
Operational risk is naturally present in all business activities. It encompasses many risks,
including human resource management failures, processing errors, technology failures, business
interruption, information security and privacy breaches, business integration, theft and fraud, and
damage to physical assets. Exposures can be financial losses, regulatory sanctions, loss of
competitive positioning, or damage to our reputation. If not managed effectively, operational risk
can impact an insurance company’s ability to manage other vital risks, such as credit, market,
liquidity, and product risks.
Processing Errors
Insurance business operations, including strategies and operations related to risk
management, asset liability management, and liquidity management, are interconnected
and complex. Changes in one area may have a secondary impact on another area of
operations. Failure to appropriately consider these inter-relationships or effectively
communicate changes in strategies or activities across operations could harm the strategic
objectives or operations of another group.
Insurance companies perform many complex transactions, and there is a risk that
errors may significantly impact customers or result in a loss to the organization. Taking
this into account, controls must be in place to ensure processing accuracy for most
significant business processes, and escalation and reporting processes have been
established for when errors do occur.
Environmental Risk
Environmental risk may originate from investment properties subject to natural or
human-made environmental risk. Real estate assets owned, leased and/or managed, and
mortgaged by insurance companies might enter into the chain of liability due to
foreclosure ownership when in default due to damage in the natural environment.
Financial Risks
Insular Group faces financial risks linked to its financial assets, liabilities, insurance, and
liabilities. For insurance companies, one of the main concerns is that the returns from their
financial assets might not cover the obligations arising from their insurance contracts. These
risks emerge due to the exposure in interest rate, currency, and equity products, all subject to
fluctuations driven by general market movements.
Moreover, based on the notes to the financial statement, the company has established
guidelines and protocols for both fixed and equity investments. Regarding fixed investments,
they seek negotiable instruments that offer high returns with low risks, meeting the standards set
by the Investment Committee (IC) and the group’s criteria. The IC mandates that fixed
investments should come from financially sound institutions or corporations, preferably rated
highly by PhilRatings, particularly ranking within the top 15 for banks. In the case of negotiable
instruments tied to reserve and surplus investments, adherence follows the guidelines outlined by
the Code. Regarding equity investments, Insular aims to place its investment portfolio in the
equity market, seeking high returns with minimal risks while aligning with the standards of the
IC. Accordingly, the financial risks mainly comprise credit, liquidity, and market risks, but other
risks are also discussed below.
Market Risk
Changes in the financial markets can influence an insurance company's investment
holdings. Variations in interest rates, stock values, and bond yields can impact the worth of
insurance investments, potentially resulting in financial setbacks and losses. Moreover, market
risk within insurance firms arises from exposure to market fluctuations and uncertainties. These
companies invest the premiums from policyholders to generate profits and prepare for
forthcoming claims. Yet, these investments remain susceptible to market volatility, directly
influencing the overall financial well-being of the insurer.
Credit Risk
Insurance companies frequently allocate funds to assets like bonds, stocks, and real
estate. The risk emerges when the entities responsible for these assets fail to meet their payment
obligations, which could result in financial losses for the insurer. For Insular Life, the main areas
where they face credit risk involve the outstanding balances due from:
● Reinsurers in respect of unpaid claims
● Reinsurers in respect of claims already paid
● Financial assets at FVPL
● Financial assets at FVOCI
● Financial assets at Amortized Cost
Liquidity Risk
Insular Life, like other insurance companies, faces liquidity risks. This happens when an
insurance company lacks sufficient liquidity to cover its short-term liabilities. Meeting its
obligations might become challenging if the company encounters unexpectedly high claim
payments but needs more readily available cash or efficiently convertible assets. In addition,
since the company consistently receives premiums from policyholders, there is also a high
possibility of encountering unforeseen or abrupt claim settlements. If these cash flows aren't
synchronized, it could create a situation where immediate cash requirements surpass the
currently accessible funds. Aside from that, they also allocate their funds across diverse
investments such as bonds, stocks, and real estate. While these investments generate returns,
certain assets must be more readily converted to cash.
Because of these risks, handling liquidity risks effectively is vital for Insular Life to
guarantee meeting immediate obligations, sustaining financial stability, and upholding its
commitment to policyholders. They must employ strategies like preserving sufficient reserves
and utilizing credit options for abrupt liquidity demands, consistently overseeing cash flows, risk
evaluations, and adherence to regulatory liquidity standards, and diversifying assets to balance
liquid and illiquid investments.
Underwriting Risk and Insurance Risk
From the moment of acceptance of an insurance contract, the company should
compensate the policyholder with a specified payment upon the insured event's occurrence. From
the obligation that arises comes the so-called insurance risk. For a contract to be classified as
having exposure to insurance risk, it must meet all the following criteria: the risk associated with
the contract must exist, not be within the scope of financial risks, be subject to uncertainty, and
have a commercial substance. Over time, the insurance company undertakes an underwriting
process that involves assessing the risk associated with insuring an individual or entity and
considering factors like health, lifestyle, and property value. Based on this risk assessment, the
insurer sets the premium the policyholder pays for coverage. However, underwriting risk arises
due to the inherent uncertainty in predicting future events, such as accidents or illnesses. Suppose
the insurer underestimates the risk or unexpected events are more frequent or severe than
anticipated. In that case, the claims costs may surpass the premiums collected, leading to
financial losses for the insurance company. Insurers use tools, models, and historical data to
reduce their underwriting risks. Still, they cannot be eliminated due to the unpredictable
character of events that insurance is designed to cover.
With the aforementioned regulations, insurance companies like Insular Life must have
robust compliance management systems to identify, assess, and mitigate compliance risks. It is
essential for these companies to be updated on the new laws or changes in existing regulations
and proactively adapt them to their practices. Regular monitoring, internal audits, and employee
training programs must be done to ensure ongoing compliance with the country's regulatory
requirements.
Revenue Recognition
Insurance Revenue recognition
In the insurance industry, the primary source of operations is the revenue related to
insurance, leasing, investing in financial instruments, and fund management. Thus, the revenue
recognition principle is one of the essential audit matters that need to be considered because they
are significant and material in amount.
Insurance contracts, leasing agreements, and financial instruments are within the scope
of IFRS 4, Insurance Contracts, IFRS I6, Leases, and PAS 39 Financial Instruments. Thus, they
are outside the scope of IFRS 15 Revenue from Contracts with Customers except for fund
management, which is within the scope of IFRS 15.
● Insurance Premiums
Premiums are recognized as revenue when they become due from the policyholders,
which, for a single premium business, is the date from which the policy is elective. Due
premiums which remain unpaid within the statutory defined limit are recognized as part
of assets.
● Interest Income
Interest income is recognized on an accrual basis, considering the effective interest rate of
the related asset or an applicable floating rate. Interest income includes the amortization
of any discount or premium, or other differences between the initial carrying amount of
an interest-bearing instrument and its amount at maturity calculated on an effective
interest basis. Moreover, interest income on policy loans is earned over the loan term,
generally over one year.
● Dividend Income
Dividend income is recognized when the right to receive the payment is established.
● Rental Income
Rental income from investment properties is recognized straight-line over the term.
● Fund management, revenue from contracts with customers, and other revenues under
PFRS 15
A five-step approach for revenues under PFRS 15 is followed for recognizing revenue.
These steps are:
1. Identify the contract with a customer
2. Identify the performance obligations in the contract
3. Determine the transaction price
4. Allocate the transaction price to the performance obligations in the contract
5. Recognize revenues when a performance obligation is satisfied
Revenue from contracts with customers is recognized when control of the goods or
services is transferred to the customer at an amount that reflects the consideration to
which the company expects to be entitled in exchange for those goods or services. The
company concluded that it acts as principal in all its arrangements because it typically
controls the goods or services before transferring them to the customer.
Auditors face notable risks, particularly concerning commission income and revenue
recognition cut-off. The challenges extend to premiums received in advance, introducing
complexity in determining the appropriate timing for revenue recognition.
Auditors should pay attention to common audit findings, including ensuring proper
revenue recognition for unit-linked policies, accurate utilization cut-off for admin fee income
calculation, and implementing access restrictions in record modification. Hence, auditors must
thoroughly assess whether clients have established controls to mitigate these risks and
challenges. Additionally, evaluating the effectiveness of protocols for timing revenue recognition
and other accounting matters is crucial.
Asset Valuation
● Reinsurance Assets
Reinsurance assets represent balances due from reinsurance companies. Ceded
reinsurance arrangements do not relieve the company from its obligations to
policyholders. Recoverable amounts are estimated consistent with the outstanding claims
provision and per the reinsurance contract.
● Computer Software
Computer software is included under “other assets" in the consolidated statements of
financial position and is carried at cost, less accumulated amortization and impairment
loss, if any. Costs incurred to acquire computer software and costs directly associated
with developing identifiable computer software that generates expected future benefits to
the Group are capitalized. All other costs of developing and maintaining computer
software programs are recognized as expenses incurred.
● Investments in Associates
The investments in associates are accounted for under the equity method. An associate is
an entity in which the company has significant influence. The company adjusts the
associates' equity and profit or loss, as applicable, for any significant difference in
accounting policies for similar transactions and circumstances except for the accounting
for financial instruments.
● Investment Properties
Investment properties consist of land, buildings, and improvements (or portion of them)
owned by the Group that are leased to others or held for capital appreciation or both.
Investment properties are stated at cost, including transaction costs, less accumulated
depreciation and amortization and any impairment in value. Depreciation of building is
computed on a straight-line method over the estimated useful life of the properties of 40
years.
Expenditures incurred after the property and equipment have been put into
operation, such as repairs and maintenance and overhaul costs, are normally charged to
consolidated statements of income in the period in which the costs are incurred.
Additionally, difficulties may emerge when valuing assets at fair value, mainly when
market prices are unavailable. Auditors must assess the reasonableness of management's
assumptions and methodologies in such cases.
Tax Exemption
Insurance companies in the Philippines are entitled to certain tax exemptions as provided
by the National Internal Revenue Code. The main objective of giving these incentives is to
encourage the insurance industry's growth and promote financial stability. Some of the Incentives
which are present for the industry are:
● Income from premiums: the gross income derived from premiums on investment
contracts covering risks present within the Philippines is exempt from income tax. This
covers both life and non-life insurance companies.
● Income from investment: Provided that an insurance company’s investments are made
in certain specified securities, such as government bonds and bonds from other domestic
corporations, the income from these investments is generally exempt from income tax.
● Income from foreign sources: Income derived by an insurance company from activities
conducted outside of the Philippines are generally exempt from income taxes.
● Insurance companies are exempt from VAT on their importation of goods and services
that are used directly and exclusively in the insurance business. This exemption is
provided under Section 8(a)(iv) of the National Internal Revenue Code of 1997, as
amended.
● Section 109(H) of the Tax Code exempts from VAT the sale of insurance policies by an
insurance company. This exemption applies to both life and non-life insurance policies
if the life insurance policy is issued to a resident of the Philippines.
● Insurance companies are exempt from excise tax on premiums paid for insurance
policies. This exemption is provided under Section 165 of the NIRC.
● Section 156(I) of the Tax Code exempts insurance policies, annuity contracts, and other
documents issued by an insurance company from Documentary Stamp Tax (DST). This
exemption applies to both life and non-life insurance policies and documents.
In addition to the prior exemptions, Revenue Regulations No. 12-2002 also provides that
insurance companies also enjoy the following tax incentives on their operations:
● Gross premium tax deduction: Insurance companies are allowed to deduct a certain
percentage of their gross premium income from their taxable income. The deduction rate
is 10% for life insurance companies and 5% for non-life insurance companies.
● Deduction for reinsurance premiums: Insurance companies are allowed to deduct
the premiums they pay to reinsurers from their taxable income.
● Special deductions for mutual insurance companies: Mutual insurance companies are
allowed to deduct certain expenses, such as policyholder dividends and contributions to
policyholder reserve funds, from their taxable income.
● Special tax exemptions and deductions under the Special Economic Zone (SEZ)
incentives regime.
Tax Liabilities
Insurance companies must deal with tax responsibilities and intricacies outlined in
guidelines and the Tax Code. These companies face different types of taxes, such as income tax,
Value Added Tax (VAT), Documentary Stamp Tax (DST), premium tax on unrelated income, and
final withholding tax on interest earned from premium deposits. Income tax, their primary
obligation, is usually imposed at a flat rate of 30% on their net taxable income. Along with
income tax, insurance companies also have to pay VAT on the premiums they collect, typically
set at 12%, with exemptions that apply to specific transactions. Another critical factor for them is
the Documentary Stamp Tax (DST), which affects their operations and transactions as it is
imposed on insurance-related documents, like policies and contracts.
Test of Controls
Internal controls are provided by the management and those charged with governance in
order to identify or prevent the risk of material misstatements. It is essential to evaluate the
internal controls in order to ensure that the company’s records and operations are accurate and
efficient, its assets are safeguarded from fraud or significant loss, and they comply with the
appropriate policies or standards for financial reporting. Under the test of controls, the auditor
shall perform Inquiry, Inspection, Observation, and Reperformance in order to ensure that the
company’s financial information is fairly stated.
For insurance companies like Insular Life, specific tests of control procedures shall be
applied in various activities conducted by the company. For underwriting, which assesses the
insurance policy applications and their exposure to risks, an auditor shall review and check the
approval of the encoded details in the system in order to avoid processing incomplete and
inaccurate applications. Through Inspection, the auditor discovered that Insular Life
continuously uses and maintains an up-to-date management information system that allows the
company to provide precise and valid data regarding risk exposure at any given time. Another
test of control for underwriting is the anti-fraud control, which involves the final approval of the
policy contract before its issuance. In order to adhere to this, the Board of Trustees conducts
regular meetings in order to review and approve the organizational and regulatory requirements
of Group risk management policies. This is essential since the policies are the means to identify
the company’s risks of the company and ensure the appropriate quality and diversification of
assets.
For the transactions on claims and losses of Insular Life, tests of controls that involve
Inquiry and Inspection are the notification or submission of claim documents and the verification
of whether the policy has the authorization to be claimed. Based on the auditor’s report, this is
performed by the company through their InLife’s Claims Portal. This portal is designed for the
policyholders and beneficiaries to file and access their claims for death, disability,
hospitalization, and dread diseases or critical illnesses. Through this, the policyholders can
monitor and check the status of their claims. Additionally, the Reperformance test of control is
done by evaluating the correct amount of claims to be paid and determining proper journal
entries for the claims. The auditor found that the company records claims receivable by offsetting
them against premiums payable to the reinsurers, which is customary in the industry.
Additionally, proactive claims handling procedures are followed to investigate and adjust claims
in order to prevent the settlement of fraudulent claims.
Segregation of Duties
In the context of mutual life insurance companies, specifically Insular Life, Segregation
of Duties is crucial in the implementation of internal control and prevention of financial losses.
The primary objective is to prevent occurrence of errors, fraud, and suspicious transactions and
most importantly, to uphold the integrity of insurance operations.
Segregation of Duties is employed by delegated incompatible authorities and
responsibilities both at individual and functional levels. This aims to mitigate conflict of interest
among employees through ascertaining that incompatible duties are not held by a single
individual only. With this, it prevents employees from having the capability to engage in
fraudulent activities or conceal errors in the routine execution of their duties. In the insurance
operations, all employees engage in the insurance undertakings according to their specific duties
and responsibilities and this minimizes the possibility of circumventing controls.
To reinforce the checks and balances in Insular Life, certain incompatible duties,
including authorization, approval, issuance of policy, collection of premium, processing of
claims, underwriting, recording of transactions, and control activities, are segregated among
different employees or departments. This reduces the risk of malpractice in the workplace.
Substantive Testing
Assertions
Risks within the insurance industry with regard to claims and benefits lie in the
processing and payment of fictitious claims as well as estimations of reserves that were incurred
but not reported. Risks with potential management bias are introduced through estimates and
judgments. In the context of claims payables and expenses, the risk lies in the inaccurate
assessment of the accounts like underestimating or overestimating the liabilities leading to
insufficient reserves or strain on financial resources respectively, thus, leading to misstatements
that impact the financial health of the insurer. If not appropriately identified and addressed, can
lead to improper processing and payment, resulting in financial losses for the insurer. In
response, the mitigation is to review the claims data regularly and ensure adherence to
accounting standards for the said accounts. Furthermore, having robust internal and external
audit processes wherein the utilization of technology is equipped for data analytics and
predictive modeling to enhance accuracy in estimating claims liabilities. Aside from this
verifying actual amounts in terms of schedules and confirmation by external adjusters and
counsel of the claims department.
Valuation and Allocation By analyzing historical data and industry benchmarks, assess
the adequacy of assumptions applied for mortality, morbidity,
To ensure that insurance discount rates, costs, and lapse rates. Check the correctness of
revenue is properly valued reinsurance contract valuations by comparing recorded values
and allocated. to contract conditions and assumptions. Confirm that the use of
the Minimum for Adverse Deviation (MfAD) in assumptions is
compliant with regulatory standards.
Rights and Obligations Examine legal policy reserves and confirm that the company's
assumptions and values meet regulatory standards.Confirm that
To ensure that the company reinsurance agreements do not relieve the company of its direct
is legally entitled to duties to policyholders and that credit exposure is stated
recognize insurance adequately.
revenue.
Accuracy of Financial Risk Confirm that credit risk exposure is adequately disclosed,
Disclosures including credit risk concentrations in the Group's debt
securities portfolio. To ensure compliance with regulatory
requirements, review the Group's fixed and equity investment
To ensure the accuracy of
guidelines and procedures. Examine the adequacy of
credit risk, liquidity risk, disclosures related to the Group's exposure to interest rate,
and market risk disclosures. currency, and equity market risks.
Compliance with Regulatory To ensure compliance, obtain and review relevant sections of
Guidelines the Insurance Code as well as Insurance Commission
guidelines. Confirm that the Insurance Commission's discount
To ensure that insurance rates are consistently applied. Examine the suitability of credit
revenue recognition and risk policies and their compliance with regulatory requirements.
financial risk management
are in accordance with
regulatory requirements.
Conducting substantive testing on the Legal Policy Reserve account within an insurance
company is crucial for various reasons. Firstly, due to the considerable financial impact and
intricate nature of this account, comprehensive validation becomes essential to identify and
rectify errors or misstatements that could significantly affect financial statements. Secondly,
strict regulatory guidelines governing the sufficiency and precision of policy reserves necessitate
substantive testing to ensure adherence, thereby mitigating potential legal and financial
repercussions. The direct influence of the Legal Policy Reserve on financial statement
presentation underscores the necessity for precise reporting. Moreover, the risk of fraud or
mismanagement heightens the importance of substantive testing procedures as precautionary
measures. The accompanying table offers a structured approach, systematically addressing key
audit assertions like existence, rights and obligations, valuation, and compliance. Each specified
audit procedure, ranging from confirming balances to reviewing legal documentation and
assessing actuarial reports, acts as a targeted measure to bolster the accuracy of financial
reporting and provide stakeholders with confidence in the insurance company's financial
statements.
Significant Risks:
● Recording Accuracy:
Risk: There is a risk that the recording of commission expenses in the financial statements will be
inaccurate.
● Timeliness of Identification:
Risk: The company's financial performance could be distorted by late recognition of commission
costs.
● Fraudulent Practices:
Risk: There is a risk that commission payments will be the subject of fraudulent activity, such as
making unlawful payments or falsifying commission records.
In addition, Insular Life conducts regular internal audits or engages external auditors to
assess compliance with different areas. These evaluations help identify areas of non-compliance
or potential risks, allowing for corrective actions to ensure Insular Life operates within legal
boundaries, adheres to industry standards, and protects the interests of its policyholders. Some
factors that insurance companies need to consider are adherence to data protection compliance
with privacy and data security rules, particularly in the handling and safeguarding of customer
information. Additionally, it was also stated in the company's financial statement that the
consolidated FS had been prepared in compliance with Philippine Financial Reporting Standards
(PFRS).
Furthermore, the Insurance Commission issues Circular Letters, Rulings, and Memoranda
that insurance companies must comply with. Insurance Updates include Circular Letter No.
2021-07 that discusses the prepaid facilitation fees from bancassurance arrangements. Such
facilitation fees paid in advance and booked as prepaid expenses shall be treated as non-admitted
assets in determining its financial condition–regardless of whether there is a stipulation of a claw
back provision in a bancassurance engagement. Second is the Circular Letter No. 2021-47, 2021-
20 that deals with the adoption of the Annual Corporate Governance Report in lieu of the
ASEAN Corporate Governance Scorecard. Another illustration is for the compliance of non-life
insurance companies mentioned in Circular Letter No. 2021-27 which tackles the
implementation of sustainable catastrophe insurance premium rates. This is in accordance with
the establishment of the Philippine Catastrophe Insurance Facility that states that all non-life
insurance companies must determine, adopt, and implement risk-appropriate and sustainable
catastrophe insurance rates and rating structure. Lastly, is the Circular Letter No. 2021-43 that
contains the extension of the regulatory relief on the admittance of premiums receivable due to
the Covid-19 pandemic. This states that the admission of the Premiums Receivable account must
be adjusted from 90 days to 180 days from the date of issuance of the policies. Moreover, undue
installment premiums are still considered as admitted assets–given that the issuance of the policy
is within 180 days from the cut-off date. But in the case of defaults in any installment due, the
amounts of all the remaining unpaid installments must be treated as non-admitted assets.
Financial risks, encompassing market fluctuations and credit and liquidity risks, are
skillfully managed through investment guidelines and diversified portfolios. Compliance risks
are significant threats in the industry, prompting insurance companies to implement rigorous
compliance management systems, regular monitoring, audits, and employee training. Auditing
considerations include addressing revenue recognition challenges, asset valuation complexities,
and tax obligations, with meticulous procedures focusing on insurance revenue recognition, asset
valuation, tax exemptions, and internal controls to ensure accuracy and reliability in financial
statements.
Compliance testing, integral to financial sector audits, ensures adherence to relevant laws,
regulations, and industry benchmarks. For Insular Life, this involves evaluating conformity with
the Philippine Insurance Code through regular internal and external audits, emphasizing data
protection, privacy, and adherence to Philippine Financial Reporting Standards. Compliance
testing is also essential for fulfilling regulatory obligations, mitigating risks, upholding
reputation, avoiding financial penalties, and ensuring operational efficiency in a competitive
market.
Insurance Commission. (2022, August 16). Our Mandate, Objectives, and Functions.
https://www.insurance.gov.ph/about/
Uy, M. M., & Marcilla, Ma. E. (2023, September 7). Insurance in the Philippines: Protected by
law, secured by choice. ADCO Law.
https://adcolaw.com/blog/insurance-in-the-philippines-protected-by-law-secured-by-choi
ce/
Gonulal, S. O. (2019, July 1). Philippines Financial Sector Assessment Program: Insurance
https://openknowledge.worldbank.org/handle/10986/36184
InLife Net Income soars 168 percent, Revenues up 43 percent | InLife. (n.d.). InLife Net Income
https://www.insularlife.com.ph/news/inlife-net-income-soars-168-percent-revenues-up-4
3-percent-00000814
Insurance & Reinsurance 2023 - Philippines | Global Practice Guides | Chambers and Partners.
(n.d.).
https://practiceguides.chambers.com/practice-guides/insurance-reinsurance-2023/philippi
nes
Philippines General Insurance Market size, trends by line of business, distribution, competitive
landscape and forecast to 2025. (2023b, May 5). Market Research Reports & Consulting
| GlobalData UK Ltd.
https://www.globaldata.com/store/report/philippines-general-insurance-market-analysis/
Philippines Healthcare Insurance Market Analysis. (n.d.). Insights10.
https://www.insights10.com/report/philippines-healthcare-insurance-market-analysis/
Standard Insurance is thriving in challenging times in the Philippines. (n.d.). World Finance.
https://www.worldfinance.com/wealth-management/navigating-challenges