Supervisory Review Process




(1)
Johannes Gutenberg University, Mainz, Germany

 




Abstract

This chapter addresses the legal outlining of the supervisory review process. There is an apparent contradiction between principles-based insurance supervision on the one hand and, on the other hand, legal certainty along with foreseeability of supervisory action under art. 36 of the Solvency II Directive. With this in view, the chapter next examines the objectives and subject matter of the supervisory review process, with particular scrutiny given to requirements relating to solvency and governance. The powers of supervisory authorities to remedy weaknesses and deficiencies are then taken up.


First published as “Das aufsichtliche Überprüfungsverfahren nach Art. 36 Solvency II-Richtlinie und § 289 VAG-RegE” [in English: The Supervisory Review Process under Art. 36 of the Solvency II Directive and Sec. 289 of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act]], in: Dreher/Wandt, eds., Solvency II in der Rechtsanwendung [in English: Solvency II in Legal Application], Frankfurt Edition, Volume 26, Karlsruhe (2012), 73 ff. with Christoph Ballmaier as coauthor. Christoph Ballmaier was at that time a research assistant at the law school of Johannes Gutenberg University in Mainz.



2.1 Introduction


The principles-based approach of the Solvency II regulatory scheme presents new challenges for insurance supervision. The new supervisory scheme for insurance undertakings has been made dynamic and flexible. These changes put supervision into conflict with legal certainty and foreseeability of official actions.1 Paradoxically, these changes also increase the intensity of scrutiny by supervisory authorities. These authorities are primarily charged with concern for the actual risk status of the supervised undertakings.2 Consequently, they must collect and evaluate large amounts of information from the insurance undertakings.3 Occasionally they must even evaluate the adequacy of measures taken by insurance undertakings’ management. This places the supervisory authorities in a position where they must make extensive evaluations and give substance to undefined legal terms. It is, therefore, all the more important to have a clear legal structuring of the Supervisory Review Process, now widely known as SRP.

The preceding is the background to the points addressed in this chapter: First, this article provides an explanation of the general principles of insurance supervision under Solvency II (2.2, below). Then, a detailed account is given of the objective and concept behind the review process under art. 36 of the Solvency II Directive and the VAG RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act]4 (2.3, below).5 Next, the subject areas involved are set forth (2.4, below). Finally, this article addresses in detail the regulatory intervention powers in the context of the Supervisory Review Process (2.5, below).


2.2 Principles of Insurance Supervision Under Solvency II


As prescribed by the Solvency II Directive, the Supervisory Review Process, in its function as a part of insurance supervision, tracks the general principles of the new insurance supervisory scheme.6 One such principle is first of all the risk-oriented character of supervision, a quality that requires supervision to align with the actual risk status of insurance undertakings. This principle is designed to guard against orthodoxy of statistical models. A further principle requires that the individual circumstances of an insurance undertaking be taken into account in evaluating whether it meets supervisory requirements (the principle of proportionality).7 Similarly, the principle of materiality ensures that supervisory activities and regulatory requirements are dictated only by material circumstances. For example, immaterial information does not fall under the regulatory duties to report.8 Immaterial risks do not figure into the evaluation of the individual risk status of an insurance undertaking.

When put into the regulatory mix along with undefined legal terms as to matters of fact and with discretionary schemes as to legal consequences, these principles allow discretionary scope in assessment (assessment orientation) to the supervisory authorities.9 The new insurance supervisory scheme also displays an increased orientation to the modalities and processes of insurance undertaking activities and does not focus on results alone (process orientation). Further, the supervisory scheme increasingly incorporates models and methods from the field of economics into its tool kit (economization). This applies to assessment of compliance with the qualitative as well as the quantitative requirements.10


2.3 Objective and Concept of the Supervisory Review Process



2.3.1 Objective


Art. 36, para. 1, subpara. 1 of the Solvency II Directive directs the Member States to ensure that “the supervisory authorities review and evaluate the strategies, processes and reporting procedures which are established by the insurance and reinsurance undertakings to comply with the laws, regulations and administrative provisions of this Directive”. Art. 36, para. 1, subpara. 2 provides further detail to the effect that certain requirements on the system of governance are matters for investigation, namely those requirements addressing the risk profile. Also subject to such investigation is the ability of the undertakings to identify those risks. The Supervisory Review Process is modeled on the Supervisory Review Process (SRP) adopted as part of Basel II in the banking sector,11 which process itself will in turn be modified by Basel III along the lines of the Solvency II Directive.12

Supervisory authorities must determine whether insurance undertakings in their strategies, processes, and reporting procedures are achieving the prescribed supervisory objectives. They do not, however, consider the modalities of attaining these objectives, to the extent these are violations of the law for reasons not based on the insurance supervisory regime. The objective of regularly conducted Supervisory Review Processes is to ensure timely intervention by supervisory authorities when the Solvency II Directive objectives on supervision are threatened. Protection of insureds and beneficiaries under insurance contracts thus stands front and center in the Supervisory Review Process as the main objective under Recital 16 and arts. 27 and 28 of the Solvency II Directive.13 Against this background, the Supervisory Review Process supports the supervisory authorities in their tasks of appraising and monitoring risks so that necessary measures may be taken.14

The Supervisory Review Process is an ongoing process. This status is not contradicted by art. 36, para. 6 of the Solvency II Directive and sec. 289, para. 3, sent. 2 of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act], which provide that the Supervisory Review Process is to be conducted “regularly”. The terms of art. 36, para. 6 of the Solvency II Directive and sec. 289, para. 3, sent. 2 of the VAG RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act] provide that an assessment of the strategies, processes, and reporting procedures is to be done on a periodical basis and that the supervisory authorities are to establish the minimum frequency of the assessments. In sum, the Supervisory Review Process constitutes a comprehensive process conducted by the insurance supervisory authorities applying an individualized, risk-oriented scrutiny to assess compliance with regulatory requirements.15 To this extent, the Supervisory Review Process mirrors the extensively required self-review imposed on insurance undertakings for the first time by Solvency II with regard to regulatory requirements,16 for example by instituting an internal review process and an ORSA.17


2.3.2 Art. 36 of the Solvency II Directive and Its Implementation in Sec. 289, Paras. 2–4 of the VAG Reg-E [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act]



2.3.2.1 The Terms of Art. 36 of the Solvency II Directive


Art. 36, para. 1, subpara. 1 of the Solvency II Directive provides that the supervisory authorities shall review insurance undertakings’ compliance with legal and administrative provisions adopted on the basis of the Directive. The immediately following subpara. 2 along with paras. 2 through 4 supply detail concerning the areas to be examined. Paragraph 2 recites a non-exhaustive list, including system of governance, technical provisions, own capital requirements, investment rules, quality and quantity of own funds, and where applicable the correctness of an internal model. Paragraph 3 imposes upon the Member States a duty to deploy tools adapted to continuous supervision in order to identify “deteriorating financial conditions” and to monitor the remedy of that deterioration.

Paragraph 1, subpara. 2 goes on to specify that the Supervisory Review Process shall comprise the assessment of the system of governance and of the risks that insurance undertakings are or could be exposed to. In art. 36, para. 6, subpara. 2, the Solvency II Directive instructs the supervisory authorities to determine, based on the principles of proportionality, how often they will subject an insurance undertaking to the periodic supervisory processes of review, evaluation, and assessment. The supervisory authority may thus also determine the appropriate subject-matter scope of the supervisory process, based on the risk profile of the insurance undertaking. Article 36, para. 5, of the Solvency II Directive prescribes that the Member States shall provide their insurance supervisory authorities with such intervention powers as will enable these authorities to demand that insurance undertakings remedy weaknesses or deficiencies discerned by the authorities.

In art. 36, para. 1, subpara. 2, the Solvency II Directive provides for assessment of risks that an insurance undertaking faces or may face. This assessment is the conceptual counterpart to the own-risk and solvency assessment (ORSA). Article 36, para. 4 of the Solvency II Directive requires supervisory authorities to assess the adequacy of the “methods and practices” of insurance undertakings designed to identify and withstand future or possible risks arising from economic conditions of the insurance undertakings.

Article 36 of the Solvency II Directive contains some overlapping provisions. For example, para. 2 (a) and para. 1, subpara. 2 both identify the system of governance as a matter for review. Since an insurance undertaking must incorporate risks attending economic conditions into its risk management system18 and—pursuant to paragraph 1, subpara. 2—the SRP includes risk assessment, paragraph 4 is in part superfluous. Furthermore, the non-exhaustive nature of art. 36, para. 1 of the Solvency II Directive is important with regard to the application of the law. This nature leads to art. 36, para. 4 of the Solvency II Directive, also not exhaustive,19 which sets forth further matters for review.20

Article 36, para. 3 of the Solvency II Directive prescribes that the supervisory authorities shall have in place appropriate monitoring tools to enable them to identify deteriorating financial conditions in insurance undertakings and to monitor the pertinent remedies. This prescription comports with Recital 17 of the Solvency II Directive in imposing on the Member States the regulatory task of sufficiently equipping and establishing the administrative processes of their authorities. This provision is irrelevant in relation to the supervised undertakings because in other places the Solvency II Directive establishes intervention powers for the purpose of monitoring financial condition. Monitoring tools are procedures to collect information pertaining to insurance undertakings. Information comes to the supervisory authorities on the one hand in the Report to Supervisors (RTS),21 in the Solvency and Financial Condition Report (SFCR),22 and by virtue of the insurance undertakings’ ad hoc reporting duty. In addition, however, information is gained from on-site investigations authorized under art. 34, para. 5. And further yet, in some instances the Solvency II Directive imposes an information and reporting duty on third parties.23 Still further, the supervisory authorities have access to generally available sources and they observe the insurance markets. These activities enable them to form conclusions pertaining to individual insurance undertakings.24 This information-gathering is aimed at identifying risks to insureds and beneficiaries, among such risks being deterioration of financial conditions.25


2.3.2.2 The Implementation in the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act]


The implementation of art. 36 of the Solvency II Directive in German law on the one hand is complete with the RegE [Government’s Draft] but from another view exceeds its mandate and thus misses the mark. The Supervisory Review Process is defined in sec. 289, para. 3, sent. 2 of the VAG RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act]. Pursuant to this definition, the process consists in assessing the “strategies, processes, and reporting procedures established by insurance undertakings to comply with the legal and administrative provisions adopted by Directive 2009/138/EC”. It is inapposite to incorporate this definition into the paragraph on “financial supervision”, which is distinguished from “legal supervision” also in the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act]. Financial supervision is a part of legal supervision. This is so because the Supervisory Review Process, for example as regards the system of governance and the ORSA expressly noted in art. 36, para. 2 (a) of the Solvency II Directive, includes “legal supervision” under sec. 289, para. 2 of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act] along with “business activities” in the same manner as “financial supervision” along with “business organization” captured in the following paragraph. In view of the exclusive supervision under the laws of the country of origin only in the area of financial supervision under art. 30, para. 1 of the Solvency II Directive, the assignment of the Supervisory Review Process to the financial supervision area entails significant legal consequences. In addition, art. 30, para. 2, subpara. 1 of the Solvency II Directive defines the factual scope of financial supervision without including the requirements as to the business organization. A further inconsistency is seen in the separation of the legal definition from the description of the object of the Supervisory Review Process, a description appearing in paragraph 4.

In this paragraph 4, along with paragraph 3, the RegE [Government’s Draft] integrates the terms of art. 36, paras. 1 and 6 of the Solvency II Directive. But without explanation, RegE [Government’s Draft] fails to include the list of examples in art. 36, para. 2 of the Solvency II Directive. This feature needlessly hampers application of the law but does not create an incomplete implementation that is contrary to law. The draft act also declines to grant special powers for the remedy of weaknesses or deficiencies established in the supervisory process.26 Consequently, the statement of grounds for RegE [Government’s Draft] envisions no such requirement. Under this statement of grounds, a weakness or deficiency satisfies the conditions of sec. 289, para. 1 of the VAG RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act] and constitutes abusiveness within the meaning of sec. 292 para. 1, sent. 3 of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act].27 In opposition to this stance, however, is the general view that supervision according to the principles of abusiveness is not consistent with the Solvency II Directive, which contemplates only legal supervision.28 Finally, sec. 289, paras. 2–4 of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act] does not mention the monitoring tools for determining deterioration of the financial foundations of an insurance undertaking (art. 36, para. 3 of the Solvency II Directive).29

Further, a certain easing of BaFin [Federal Financial Supervisory Authority] supervision in the government’s draft of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act] is not congruent with the Solvency II requirements. On this point, sec. 45, para. 2 of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act] provides for auditors’ review of the solvency statement under sec. 69 of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act],30 resulting in a separate report on the result. The same applies to the insurance undertakings’ obligation under sec. 47, para. 2 of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act] in each case “to submit promptly” to the supervisory authority “the reviewed solvency statement and the review report on the solvency statement”. No legal basis for this scheme appears in the Solvency II Directive. In its response on this point, the Bundesrat [German Federal Council] thus explained31: “The solvency statement is a key element of the new Solvency II rules. Its review cannot be assigned to an external auditor. This is to be accomplished as a core task of insurance supervision, not least because responsibility for this area rests with insurance supervisory authorities”. In its response, the German federal government noted32 “providing for audit of the solvency statement will make reviewing the content substantially easier for the supervisory authority”. This approach, however, contradicts core requirements of the Solvency II Directive. Namely, art. 27 of the Directive requires “that the supervisory authorities are provided with the necessary means and have the relevant experience [and] capacity… ”. Similarly, under art. 36, para. 3, “[t]he supervisory authorities shall have in place appropriate monitoring tools… ”. And in reference to auditors, art. 35, para. 2 (c) and art. 72, para. 1 of the Solvency II Directive provide only for a right of information regarding the findings from the statutory audit, and do not anticipate use of these findings for further purposes such as a relaxation of supervision for the insurance supervisory authorities.


2.3.3 The CEIOPS Advice on Procedures for Supervisory Authorities


The Supervisory Review Process is a continuing process. CEIOPS recommended dividing this process into four components,33 placing particular value—but incorrectly only—on a realistic risk-profile assessment of an insurance undertaking by the supervisory authorities. Primarily with information on an insurance undertaking based on the RTS34 and the SFCR,35 the supervisory authority shall first perform a preliminary assessment of the risk profile. Criteria particularly pertinent to this assessment are the business organization, the quantitative requirements, the business performance, and the external business environment.36 Having thus formed a first opinion of the risk profile, supervisory authorities shall use this opinion to determine the scope of appropriate measures.37 In a step identified as Follow-up Assessment, the assessment of the risk profile shall be updated on a continuous basis.38 Appropriate supervisory actions are put into play once the authority has completely assessed the risk profile. The authority shall make full use of the information available and employ further clarification measures if necessary.39


2.4 The Subjects of the Supervisory Review Process



2.4.1 Subject of the Investigation and Investigatory Standard



2.4.1.1 Subject of the Investigation


The starting point for the Supervisory Review Process is art. 36, para. 1, subpara. 1 of the Solvency II Directive and, in like manner, sec. 289, para. 3, sent. 2 of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act]. Under these provisions, the Supervisory Review Process shall review and evaluate the “strategies, processes, and reporting procedures” established by insurance undertakings to comply with the provisions of the insurance supervisory regime. The new supervisory regime endeavors to identify processes. The deficiencies of these processes may be manifested in the form of inadequate provision of capital, which in itself is also an indicium of weaknesses and deficiencies in insurance undertakings. In other words, the new orientation of the supervisory regime is not merely on the results of business, but also on the modalities and procedures employed therein.40

The term “process” appears to have been adopted from the field of business management. Thus, the science of business management can provide insight into the legal term “process”, as it appears in art. 36, para. 1, subpara. 1 of the Solvency II Directive. A process is the convergence of material and human resources to accomplish an objective.41 The express listing of the reporting procedure as a matter for review highlights the importance of a functioning communications structure and culture. This emphasis, however, is superfluous in view of the broad scope of the term “process”, as presented here. The identification of strategy as a matter for review ultimately does not raise concerns here under art. 16 of the Charter of Fundamental Rights of the European Union (CFREU) or under art. 12 of the GG [German Basic Law]42 because it is compliance strategy alone and not business strategy that is subject to supervisory evaluation.

In contrast, under art. 36, para. 2 of the Solvency II Directive, “compliance” with subsequently named requirements is subject to the Supervisory Review Process. In contradistinction to art. 36, para. 1, subpara. 1 of the Solvency II Directive, art. 36, para. 2 is not restricted by its terms to “strategies, processes, and reporting procedures”. Whether an insurance undertaking satisfies the regulatory capital requirements is of course indirectly an issue relating to investment strategies and other processes. But separate from procedural approaches, the issue is one directly related to purely result-oriented matter. With reference to the scheme set forth in art. 36 of the Solvency II Directive, one might assume that art. 36, para. 2 of the Solvency II Directive is restricted at the outset to review of compliance with requirements that address “strategies, processes, and reporting procedures”. This is so because art. 36, para. 2 clearly refers to art. 36, para. 1 of the Directive. The language of art. 36, para. 2 of the Solvency II Directive by its own terms clearly contradicts this interpretation. This passage addresses “compliance” with requirements and is not restricted to the “strategies, processes, and reporting procedures” as noted in art. 36, para. 1, subpara. 1 of the Solvency II Directive. Moreover, the scheme of art. 36, para. 2 of the Solvency II Directive bears on art. 36, para. 1, subpara. 2 of the Solvency II Directive. This latter provision in turn provides for the “assessment of the qualitative requirements relating to the system of governance” and for its part is not restricted to strategies, processes, and reporting requirements.


2.4.1.2 Investigatory Standard


The review criteria to be applied by the supervisory authorities arise from art. 36 of the Solvency II Directive and from sec. 289, para. 3, sent. 2 and para. 4, sent. 1 of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act]. The “review”, “evaluation”, and “assessment” provided for here relate to whether the insurance undertakings have in place strategies, processes, and reporting procedures to ensure that they comply with the “laws, regulations, and administrative provisions adopted pursuant to this Directive”. In contrast, art. 34, para. 1 of the Solvency II Directive provides further that supervisory authorities shall have the power “to ensure that insurance and reinsurance undertakings comply with the laws, regulations and administrative provisions with which they have to comply in each Member State”. Against this background, the Supervisory Review Process accords with art. 34, para. 1 of the Solvency II Directive as a procedure to establish infringements.43 In a departure from the suggestion in the title to the rule, this provision contains an assignment not only of task but also of power.44 And in accord, for example, with art. 40, art. 71, para. 2, and art 72, para. 1, subpara. 1 (a) of the Solvency II Directive, art. 36, para. 1, subpara. 1 of the Solvency II Directive relates exclusively to compliance with “the laws, regulations and administrative provisions adopted pursuant to this Directive”. These are the respective national implementation rules based on the Solvency II Directive, i.e., in Germany the rules of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act] and the rules of the implementing regulation. The corresponding EIOPA Guidelines are not part of this scheme because they are not legally binding and, because of the comply or explain approach, have only a de facto binding effect. Nevertheless, the supervisory authorities resort to the Guidelines to construe the rules they elucidate. Thus, review, evaluation, and assessment as to insurance undertakings can lead to no more than the conclusion that an infringement of the identified rules exists or not. A more extensive supervision of insurance undertakings is not possible on this basis.45

The undefined legal terms “review and evaluation” must be given definite content, also in the context of the principle of proportionality.46 The Solvency II Directive is largely silent as to this definite content. Article 31, para. 2, subpara. 1 (b) of the Directive, implemented in sec. 312, para. 2, no. 2 VAG-RegE, provides that the Member States shall disclose “the general criteria and methods…used in the Supervisory Review Process as set out Article 36”. Upon this basis, the BaFin [Federal Financial Supervisory Authority] could publish further explanatory notices, circulars, and the like. With such disclosure, however, the supervisory authorities restrict their discretionary power under the general principle that administrative authorities are bound by the very rules they lay down. It remains a mystery how these “criteria and methods” are to be developed and applied throughout Europe, in view of the objective of full harmonization, which according to Recital 40 of the Solvency II Directive includes “supervisory convergence…also in respect of supervisory practices”.47 As a result, only the EIOPA by use of appropriate guidelines can forestall the obvious danger of supervisory divergence and thus also regulatory arbitrage.48


2.4.1.3 Review, Assessment, Evaluation, and Report of Results


“Evaluation” within the Supervisory Review Process allows the supervisory authority to assess the insurance undertaking internally with respect to its development and the risk that it might not be able to comply with the requirements of the law in the future. Evaluation does not depend solely on whether infringements by the insurance undertaking have occurred, but also on the prospect of infringements. In this process, all foreseeable circumstances should enter into the evaluation. Evaluation, then, is the result of the review process.

Article 36, para. 1, subpara. 2 of the Solvency II Directive establishes the supervisory evaluation of risks, of qualitative requirements relating the system of governance and of the ability of insurance undertakings to assess those risks. Article 36, para. 4 of the Solvency II Directive expands the scope for assessment to the adequacy of the methods and practices of the insurance undertakings designed to identify and withstand future unfavorable changes. The English-language version of the Solvency II Directive uses the term “assessment” in this context. “Assessment” can be translated as “Einschätzung”. Following the natural literal interpretation, “Bewertung” [assessment] might be distinguished from “Beurteilung” [evaluation] on the criterion of intensity of appraisal. An “Einschätzung” or “Bewertung” according to its ordinary unforced meaning has a stronger appraisal imprint than “Beurteilung”. Despite this (minimal) difference in the appraisal-based character, the difference between “Beurteilung” [evaluation] and “Bewertung” [assessment] is of purely academic interest. From the legal point of view, this situation presents a pleonasm as often occurs in European law because of the compromise nature of many European legal acts. The same situation often arises both within49 and outside insurance law50 and is of no significance in the application of the law.

If the authority discerns an infringement by an insurance undertaking, the undertaking—in Germany—will be subject to an administrative measure requiring remedy of the infringement. If the evaluation determines that the insurance undertaking is in compliance with the supervisory requirements, the supervisory authority likewise must disclose this result to the insurance undertaking subject to the procedure. Initial support for communicating the results of the Supervisory Review Process is found in that such information serves to prevent infringements by confirmation of conduct that previously was unobjectionable.51 In addition, in no. 3.70 CEIOPS’ Advice for Level 2-Implementing Measures on Solvency II: Supervisory Reporting and Public Disclosure,52 CEIOPS took it as given that the insurance undertakings would be aware of their evaluation by the supervisory authority. Otherwise, CEIOPS would not emphasize that the result of the Supervisory Review Process should not be the subject of public reports by insurance undertakings. In addition, the concept of notice of results of the Supervisory Review Process to the affected insurance undertaking is a basis for Issues Paper, no. 4.43, where it is stated that in certain cases discussions between the supervisory authority and the insurance undertaking should be held. Ultimately, however, this result is attributable above all to the principle of transparency of the supervisory process, as set forth in art. 31, para. 1 of the Solvency II Directive.

Thus, the supervisory authority can confirm the compliance of an insurance undertaking with the legal provisions to be met by means of determinative administrative measure. This is so because this determination would be sought by the affected insurance undertaking such that adoption of an administrative measure would be possible in this instance.53 In the absence of a legal basis for a claim, insurance undertakings have no claim to a notice in the form of an administrative measure. In particular, such a measure is not inferable from the construction of sec. 289, paras. 3 and 4 of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act]. In principle, a private individual has no claim to a determinative administrative measure in the absence of a corresponding provision of law.54 Therefore, the form of the report of results in an instance of full compliance, which as such is mandatory, is consigned to the decision of the supervisory authority.


2.4.2 The Governance System as Examination Subject



2.4.2.1 The System of Governance as Source of Risk and as Structural Framework for Adequate Risk Management


The evaluation whether governance requirements55 have been met is a core area of the Supervisory Review Process. Articles 41 ff. of the Solvency II Directive and secs. 24 ff. of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act] contain the governance requirements. Based on the general principles for corporate governance found in art. 41, para. 1 of the Solvency II Directive and in sec. 24 of the VAG-RegE, arts. 42 ff. of the Solvency II Directive and secs. 25 ff. of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act] contain specific details with respect to the requirements for personnel with key functions, for the risk management system, for internal monitoring (including the compliance function), for the internal review function, for the actuarial function and for outsourcing. The implementing regulation56 at Level 2 of the delegated legislative process supplies detail to the basic legal requirements. The Guidelines57 at Level 3, by contrast, are not legally binding.58

Article 41, para. 1 of the Solvency II Directive and sec. 24 of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act] require insurance undertakings to have an “effective system of governance” in place as well as, respectively, an effective and proper “business organization”, adequate to their individual circumstances. Under the risk-based approach of Solvency II, the aim is a system of governance that for its part entails the fewest risks possible and at the same time identifies and adequately deals with the risks arising from business activities and in the organizational area. Governance is effective when it examines its own nature as a source of risk and handles risks without endangering the objectives of supervision. In this manner it will be assured that insurance undertakings meet the primary objective59 of insurance supervision.

Four supervisory criteria arise from arts. 41 ff. of the Solvency II Directive and secs. 24 ff. of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act]. One of these criteria is that an effective communications system must exist,60 which above all shall be directed toward exchange of information about risks. Another criterion is sufficient internal review within the insurance undertaking, a review that takes into account the nature of the system of governance as a source of risk. Also essential is the transparency directive, which for example requires clear lines of responsibility and the issuance of guidelines in the areas of the business organization. Finally, Solvency II is concerned with an appropriate allocation of competencies. Thus, art. 42 of the Solvency II Directive, implemented in sec. 25 of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act], sets forth “fit” and “proper” requirements for personnel having key functions.61 And a component of competence allocation is that, under art. 48, para. 1 (i) and sec. 31 para. 2, sent. 2 of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act], the actuarial function is to be incorporated into the risk management system. Most of the deeply ramified requirements for the components of the governance system can be comprehended within one of these criteria.


2.4.2.2 The Complex Governance Concept in Application of the Law


Especially in the area of governance supervision, it is as difficult as it is sensitive to draw a hard and fast line between the supervision of legality set down under art. 34, para. 1 of the Solvency II Directive and an ill-defined, “back door” supervision according to the principles of abusiveness62 not provided for in the new Solvency II system. But even if, contrary to European law, supervision according to the principles of abusiveness is retained, as is the case under the current VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act], still its predictability should be ensured so far as possible. To this extent, then, a dilemma arises, for example, that the assessment of whether an insurance undertaking has in place an “effective risk-management system” (art. 36, para. 2 (a) and art. 44, para. 1, subpara. 1 of the Solvency II Directive and sec. 27, para. 1, sent. 1 of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act]) presupposes an assessment of a chiefly economic nature on the part of the insurance supervisory authorities: The evaluation of what is “effective” proceeds de facto under commercial and thus theoretical concepts. This leads to a not inconsiderable scope for unpredictable assessment by supervisory authorities and thus also to the problem of uncertainty in the law.63

This is so because even a literal interpretation of the legal requirements at issue becomes difficult due to their abstract nature. They require judgmental detail.

Nevertheless, despite these difficulties one may ascertain the natural sense of such complex concepts as “risk-management system” and “internal control”. In this, one finds assistance in business concepts and findings which are widely accepted by scholars.64 It is especially noteworthy here that the Solvency II legal requirements prescribe merely a minimum level of precautions for an operating business organization. This condition gives rise at the same time to a prohibition on optimization for supervisory authorities with respect to the supervised insurance undertakings.65 By contrast, economic principles generally align with the business organization best suited to maximize profit. For a business policy autonomously oriented thereon, this would signify a de facto order on optimization. Further, the law does not aim for the highest level of individual complexity; rather it seeks an application that is both abstract and of lesser complexity. In distinction to the economic sciences, the law is based upon general values and weighing of interests.66 This should be taken into account when applying art. 36 of the Solvency II Directive. Further, the teleological interpretation of the Solvency II provisions and their concretion have a key role to play, a role that must take account of the principle of proportionality. The risk-based approach of Solvency II requires that the supervised undertakings shall have a risk status that is always within their power to control.

Early on, CEIOPS announced several pertinent criteria in order to provide insurance undertakings and supervisory authorities with non-binding guidelines. Much in this material is to be affirmed.67 CEIOPS, however, proposed among other things handling the problem by creating groups of comparable undertakings in order to identify where each undertaking stands in this group.68 Such a comparison cannot, for example, disclose whether a risk-management system is effective because a determination of effectiveness requires absolute, not relative, criteria. This is particularly so, because arts. 41 ff. of the Solvency II Directive and secs. 24 ff. of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act] prescribe a supervisory minimum standard as to governance which, as a practical matter, insurance undertakings will mostly exceed, in view of the economic advantages of a good business organization. Indeed, a further difficulty is presented by the depth of detail in the proposals, which do not strike a proper balance between certainty in the law and principles-based supervision.


2.4.3 Capital Requirements as Examination Subject



2.4.3.1 General Assessment Requirements


Under art. 75, para. 1 of the Solvency II Directive and sec. 69 of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act], liabilities and assets are to be valued at market value. This valuation is to be based on the amount for which they could be exchanged between “knowledgeable willing parties in an arm’s length transaction”. Title 1, Chapter II of the draft of the proposed implementing regulation is addressed to concretizing these requirements. Both insurance undertakings and supervisory authorities must make use of complex models in order to correctly set market value. The requirements of art. 75 of the Solvency II Directive and sec. 69 of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act] lead to difficult assessments based on the assumption of a hypothetical contractual party.69


2.4.3.2 Compliance with Requirements on Technical Provisions



Overview of the Rules on Technical Provisions

The calculation of the technical provisions arises from the principles of market orientation,70 of prudence, of dependability, and of objectivity.71 Article 77, para. 1 of the Solvency II Directive specifies that the value of the technical provisions shall be equal to the sum of a best estimate and a risk margin. According to art. 77, para. 4 of the Solvency II Directive, insurance undertakings are to value these factors separately. The calculation of the best estimate is to be based on valid data,72 adequate methods,73 and realistic assumptions.74 Under art. 77, para. 2, subpara. 1 of the Solvency II Directive and sec. 72, para. 1 of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act], the best estimate results from the probability-weighted average of future cash-flows, with the insurance undertakings taking account of the relevant time value of money and the risk-free interest rate term structure. Under art 77, para. 3 of the Solvency II Directive and sec. 73, para. 1 of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act], the risk margin must ensure that the reserves are equivalent to the amount the insurance undertaking would require in order to assume and meet the insurance obligations.

Further, when calculating technical provisions, insurance undertakings must consider among other things: inflation, all expenses pertaining to servicing insurance obligations, all payments to policy holders (including for example future discretionary bonuses),75 future choices to be made by policy holders about exercising contractual options, the value of any financial guarantees given,76 and amounts recoverable from reinsurance contracts and special purpose vehicles.77 Under art. 84 of the Solvency II Directive and sec. 79, para. 1 of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act], upon request from the supervisory authorities insurance undertakings must demonstrate the appropriateness of their methods, the adequacy of the data employed, and the appropriateness of their technical provisions. Under art. 85 of the Solvency II Directive and sec. 79, para. 2 of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act], in some cases the supervisory authority may require an increase in the amount of the technical provisions, if the insurance undertakings do not meet the requirements of arts. 76 ff. of the Solvency II Directive and secs. 70 ff. of the VAG-RegE [Government’s Draft of a Tenth Act Amending the German Insurance Supervision Act].


Concretizing the Principle of Proportionality

Supervision of the technical provisions presents a great challenge both for insurance undertakings and supervisory authorities. The requirements of arts. 76 ff. of the Solvency II Directive78 and their implementing rules are complex and to a great degree “technical” in nature. Specifics appear above all in relation to the principle of proportionality and the look into the distant future which both insurance undertakings and supervisory authorities must take.

In arts. 47 TPS1 ff. of the DVO [Level-2-Durchführungsverordnung [in English: Draft Implementing Measures Solvency II]], great detail is devoted to the principle of proportionality. That principle is echoed in art. 47 TPS1, para. 1 of the DVO, which prescribes that the method for calculating provisions should be proportionate to the nature, scale, and complexity underlying the insurance contract obligations. Paragraphs 2 through 5 of the provision set forth the specifics for determining whether the methods employed are proportionate to the risk status. In so doing, paragraphs 4 and 5 of the provision set up legal presumptions. Insurance undertakings may simplify their methods of calculation to the extent the risk status permits. This applies to amounts recoverable from reinsurance contracts and special purpose vehicles, to the risk surcharge, to the best estimate of contractual premium adjustment clauses, for counter-party default, and for the matching premium. In such manner, the principle of proportionality undergoes a concrete legal formation.


Future-Looking Approach

With its risk-based approach, the new supervisory architecture has been conceived to include future events and developments.79 It is, however, almost impossible to avoid some degree of significant unpredictability to the extent models and extrapolations are employed. One example of this is the extrapolation relating to interest rate structure under art. 39 IR [Implementing Regulation]4 and art. 40 IR5 of the DVO projected over a period of several decades. The predictive value of such prognoses is dubious.80

The limited possibility to take account of future developments in calculation of provisions appears also when art. 19 TP [Technical Provision] 6, para. 1 of the DVO is considered. Under this clause, assumptions concerning future insurance undertaking activities are to be taken into account in calculating technical provisions. Succeeding paragraphs 2 through 7 set forth in detail the requirements for assessing these future activities. In part, they go so far as to establish requirements for the projected business decisions themselves.81 The draft of the DVO clearly is based on the legal requirement of “realistic assumptions” in art. 77, para. 2, subpara. 2 of the Solvency II Directive. It is certain that business activities can be planned “realistically”. The question arises, however, as to how far into the future the planning should or even can extend. Supervisory authorities and insurance undertakings face the same difficulties with respect to the unpredictability of future developments. There is a question here concerning how deeply interventions may go into such insurance undertakings’ positions as are protected under basic rights. To answer this question requires above all a sensitive handling of the principles of proportionality and commensurability.

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