Crop Insurance

USDA Needs to Improve Oversight of Insurance Companies and Develop a Policy to Address Any Future Insolvencies Gao ID: GAO-04-517 June 1, 2004

U.S. Department of Agriculture's (USDA) Risk Management Agency (RMA) administers the federal crop insurance program in partnership with insurance companies who share in the risk of loss or gain. In 2002, American Growers Insurance Company (American Growers), at the time, the largest participant in the program, was placed under regulatory control by the state of Nebraska. To ensure that policyholders were protected and that farmers' claims were paid, RMA agreed to fund the dissolution of American Growers. To date, RMA has spent about $40 million. GAO was asked to determine (1) what factors led to the failure of American Growers, (2) whether RMA procedures were adequate to monitor companies' financial condition, and (3) how effectively and efficiently RMA handled the dissolution of American Growers.

The failure of American Growers was caused by the cumulative effect of company decisions that reduced the company's surplus, making it vulnerable to collapse when widespread drought in 2002 erased anticipated profits. The company's decisions were part of an overall strategy to increase the scope and size of American Growers' crop insurance business. However, when anticipated profits did not cover the company's high operating expenses and dropped its surplus below statutory minimums, Nebraska's Department of Insurance (NDOI) declared the company to be in a hazardous financial condition prompting the state commissioner to take control of the company. In 2002, RMA's oversight was inadequate to evaluate the overall financial condition of companies selling federal crop insurance. Although RMA reviewed companies' plans for selling crop insurance and analyzed selected financial data, oversight procedures generally focused on financial data 6 to 18 months old and were insufficient to assess the overall financial health of the company. Additionally, RMA did not routinely share information or otherwise coordinate with state regulators on the financial condition of companies participating in the crop insurance program. For example, NDOI had identified financial and management weaknesses at American Growers. Since American Growers' failure, RMA has acted to strengthen its oversight procedures by requiring additional information on companies' planned financial operations. It is also working to improve its coordination with state insurance regulators. However, as we completed our review, neither of these initiatives had been included in written agency policies. When American Growers failed, RMA effectively protected the company's policyholders, but lacked a policy to ensure it handled the insolvency efficiently. RMA has spent over $40 million, working with the state of Nebraska, to protect policyholders by ensuring that policies were transferred to other companies and that farmers' claims were paid. NDOI accommodated RMA's interests by allowing RMA to fund the operation of the company long enough to pay farmers' claims. Prior to American Growers' failure, RMA did not have an agreement with the NDOI commissioner defining state and federal financial roles and responsibilities. If the NDOI commissioner had decided to liquidate the company, RMA may have incurred more costs and had less flexibility in protecting policyholders.

Recommendations

Our recommendations from this work are listed below with a Contact for more information. Status will change from "In process" to "Open," "Closed - implemented," or "Closed - not implemented" based on our follow up work.

Director: Team: Phone:


GAO-04-517, Crop Insurance: USDA Needs to Improve Oversight of Insurance Companies and Develop a Policy to Address Any Future Insolvencies This is the accessible text file for GAO report number GAO-04-517 entitled 'Crop Insurance: USDA Needs to Improve Oversight of Insurance Companies and Develop a Policy to Address Any Future Insolvencies' which was released on July 01, 2004. This text file was formatted by the U.S. General Accounting Office (GAO) to be accessible to users with visual impairments, as part of a longer term project to improve GAO products' accessibility. Every attempt has been made to maintain the structural and data integrity of the original printed product. Accessibility features, such as text descriptions of tables, consecutively numbered footnotes placed at the end of the file, and the text of agency comment letters, are provided but may not exactly duplicate the presentation or format of the printed version. The portable document format (PDF) file is an exact electronic replica of the printed version. We welcome your feedback. Please E-mail your comments regarding the contents or accessibility features of this document to Webmaster@gao.gov. This is a work of the U.S. government and is not subject to copyright protection in the United States. It may be reproduced and distributed in its entirety without further permission from GAO. Because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately. Report to Congressional Requesters: June 2004: CROP INSURANCE: USDA Needs to Improve Oversight of Insurance Companies and Develop a Policy to Address Any Future Insolvencies: GAO-04-517: GAO Highlights: Highlights of GAO-04-517, a report to congressional requesters. Why GAO Did This Study: U.S. Department of Agriculture‘s (USDA) Risk Management Agency (RMA) administers the federal crop insurance program in partnership with insurance companies who share in the risk of loss or gain. In 2002, American Growers Insurance Company (American Growers), at the time, the largest participant in the program, was placed under regulatory control by the state of Nebraska. To ensure that policyholders were protected and that farmers‘ claims were paid, RMA agreed to fund the dissolution of American Growers. To date, RMA has spent about $40 million. GAO was asked to determine (1) what factors led to the failure of American Growers, (2) whether RMA procedures were adequate to monitor companies‘ financial condition, and (3) how effectively and efficiently RMA handled the dissolution of American Growers. What GAO Found: The failure of American Growers was caused by the cumulative effect of company decisions that reduced the company‘s surplus, making it vulnerable to collapse when widespread drought in 2002 erased anticipated profits. The company‘s decisions were part of an overall strategy to increase the scope and size of American Growers‘ crop insurance business. However, when anticipated profits did not cover the company‘s high operating expenses and dropped its surplus below statutory minimums, Nebraska‘s Department of Insurance (NDOI) declared the company to be in a hazardous financial condition prompting the state commissioner to take control of the company. In 2002, RMA‘s oversight was inadequate to evaluate the overall financial condition of companies selling federal crop insurance. Although RMA reviewed companies‘ plans for selling crop insurance and analyzed selected financial data, oversight procedures generally focused on financial data 6 to 18 months old and were insufficient to assess the overall financial health of the company. Additionally, RMA did not routinely share information or otherwise coordinate with state regulators on the financial condition of companies participating in the crop insurance program. For example, NDOI had identified financial and management weaknesses at American Growers. Since American Growers‘ failure, RMA has acted to strengthen its oversight procedures by requiring additional information on companies‘ planned financial operations. It is also working to improve its coordination with state insurance regulators. However, as we completed our review, neither of these initiatives had been included in written agency policies. When American Growers failed, RMA effectively protected the company‘s policyholders, but lacked a policy to ensure it handled the insolvency efficiently. RMA has spent over $40 million, working with the state of Nebraska, to protect policyholders by ensuring that policies were transferred to other companies and that farmers‘ claims were paid. NDOI accommodated RMA‘s interests by allowing RMA to fund the operation of the company long enough to pay farmers‘ claims. Prior to American Growers‘ failure, RMA did not have an agreement with the NDOI commissioner defining state and federal financial roles and responsibilities. If the NDOI commissioner had decided to liquidate the company, RMA may have incurred more costs and had less flexibility in protecting policyholders. What GAO Recommends: GAO recommends that RMA (1) develop written policies to improve reviews of companies‘ financial condition, (2) develop written agreements with states to improve coordination on the oversight of companies and (3) develop a policy clarifying RMA‘s authority as it relates to federal and state actions and responsibilities when a state regulator takes control of a company. In commenting on this report, RMA agreed with our recommendations and has begun implementing them. www.gao.gov/cgi-bin/getrpt?GAO-04-517. To view the full product, including the scope and methodology, click on the link above. For more information, contact Lawrence J. Dyckman at (202) 512-3851 or dyckmanl@gao.gov. [End of section] Contents: Letter: Results in Brief: Background: Company Decisions Contributed to American Growers' Failure: RMA Financial Oversight Was Inadequate to Identify American Growers' Financial Weaknesses: RMA Effectively Protected American Growers' Policyholders but Lacked a Policy to Efficiently Address Insolvencies: Conclusions: Recommendations: Agency Comments and Our Evaluation: Appendixes: Appendix I: Scope and Methodology: Appendix II: Penalties and Financial Losses Associated with Marketing CRC Plus for Rice Reduced American Growers' Surplus: Appendix III: Agent Commissions and Other Expenses Created High Operating Costs: Appendix IV: Purchase of Competitor's Crop Insurance Business Created Additional Expenses: Appendix V: American Growers' Surplus Was Inadequate to Cover Expenses When Underwriting Gains Did Not Materialize: Appendix VI: RMA Paid Policyholders' Claims after American Growers' Failure: Appendix VII: Rain and Hail's Proposal to Purchase Selected Assets of American Growers: Appendix VIII: RMA's Decision to Pay American Growers' Agent Commissions: Appendix IX: Comments from RMA: GAO Comments: Appendix X: GAO Contacts and Staff Acknowledgments: GAO Contacts: Acknowledgments: Tables: Table 1: Comparison of Ratio Requirements and American Growers' 6 Failed Ratios for December 2000: Table 2: Comparison of Ratio Requirements and American Growers' 5 Failed Ratios for December 2001: Table 3: RMA Costs Incurred in the Dissolution of American Growers as of March 2004: Table 4: Claims Paid to Policyholders After American Growers' Failure: Figure: Figure 1: American Growers' Policyholders Claims Paid vs. RMA Reimbursements: Abbreviations: CRC Plus: Crop Revenue Coverage Plus: FCIC: Federal Crop Insurance Corporation: IRIS: Insurance Regulatory Information System: NAIC: National Association of Insurance Commissioners: NDOI: Nebraska Department of Insurance: RMA: Risk Management Agency: SRA: Standard Reinsurance Agreement: USDA: U.S. Department of Agriculture: Letter May 27, 2004: The Honorable Bob Goodlatte: Chairman, Committee on Agriculture: House of Representatives: The Honorable Charles W. Stenholm: Ranking Minority Member, Committee on Agriculture: House of Representatives: The Honorable Jerry Moran: Chairman, Subcommittee on General Farm Commodities and Risk Management: Committee on Agriculture: House of Representatives: The Honorable Collin C. Peterson: Ranking Minority Member, Subcommittee on General Farm Commodities and Risk Management: Committee on Agriculture: House of Representatives: Federal crop insurance is part of an overall safety net of federal programs for American farmers.[Footnote 1] Federal crop insurance provides protection for participating farmers against the financial losses caused by droughts, floods, or other natural disasters and against the risk of crop price fluctuations. Participation in the program is voluntary; however, participation is encouraged through federal premium subsidies. In 2003, the program provided nearly $40 billion in risk protection for over 200 million acres of farmland at a cost of over $3 billion to the federal government. The U.S. Department of Agriculture's (USDA) Risk Management Agency (RMA) has overall responsibility for the crop insurance program. RMA manages the contracts with the companies that sell and service crop insurance, oversees the development of new insurance products for farmers, and monitors compliance with program provisions by both farmers and insurance companies. RMA also acts as the ultimate guarantor for policy losses, in the event companies are unable to fulfill their obligations under the federal crop insurance program. RMA administers the program in partnership with private insurance companies that share a percentage of the risk of loss or gain associated with each insurance policy written. In addition, RMA pays companies an expense reimbursement--a percentage of premiums on policies sold--for the administrative costs of selling and servicing federal crop insurance policies. Companies sell crop insurance to farmers through agents, who are paid a commission by the companies on the policies they sell.[Footnote 2] American Growers Insurance Company (American Growers) failed in 2002; at that time, it was the largest participant in the federal crop insurance program, accounting for about 20 percent of the premiums written in 2002. American Growers experienced a 50 percent decline in its surplus over a 9-month period, from January through September 2002.[Footnote 3] This decline in the company's surplus prompted the Nebraska Department of Insurance (NDOI), the regulator for the state in which American Growers was chartered, to take control of the company, due to its hazardous financial condition. On November 22, 2002, NDOI issued a state order of supervision. Under the order of supervision, American Growers could not sell any new insurance policies or conduct other nonroutine business without the approval of the supervisor appointed by NDOI. Rather than immediately liquidating the company, NDOI decided with RMA to place the company in rehabilitation--the process where the regulator, in this case NDOI, takes control of the management of the company--and to operate the company to settle remaining claims and transfer existing policies to other companies. On December 20, 2002, NDOI obtained a court order that placed American Growers into rehabilitation under the auspices of NDOI. Under rehabilitation, NDOI appointed a rehabilitator who took control of American Growers to oversee the orderly termination of the company's business and to allow for an orderly transfer of policies to other companies. To ensure continued service to farmers who purchased crop insurance through American Growers, RMA chose to pay costs associated with managing the company while American Growers finished collecting and processing premiums and settling claims. To date, RMA's funding of American Growers' operations has cost taxpayers over $40 million to pay agent commissions, staff salaries, and other operating expenses. You asked us to determine (1) what key factors led to the failure of American Growers, (2) whether RMA procedures were adequate for monitoring crop insurance companies' financial condition, and (3) how effectively and efficiently RMA handled the dissolution of American Growers. In addition, you asked us to determine the factors that led to RMA determinations that affected a proposed sale of American Growers' assets to Rain and Hail LLC (Rain and Hail); and RMA's decision to guarantee that all American Growers' agent commissions be paid. Information related to Rain and Hail's proposal is provided in appendix VII. Information on RMA's decision to pay agent commissions is provided in appendix VIII. To determine the key factors that led to the failure of American Growers, we examined company documents and financial statements, reviewed RMA and NDOI files, conducted interviews with employees and company personnel, and obtained statistical analyses of the crop insurance program from RMA's data mining center.[Footnote 4] We compared American Growers' financial information with that of other companies in the crop insurance program. We also spoke with crop insurance companies to gain an industry perspective on the failure of American Growers and RMA's actions. To evaluate RMA's procedures for monitoring companies, we reviewed RMA's regulations and methods, interviewed RMA staff, and reviewed documentation to verify that monitoring procedures were followed. To determine the effectiveness of RMA's handling of the dissolution of American Growers, we examined RMA's decision-making process, reviewed financial and other documents, and interviewed RMA and American Growers' staff, National Association of Insurance Commissioners (NAIC)[Footnote 5] officials, and industry groups. We also contacted state insurance commissioners where crop insurance companies are chartered to discuss oversight issues and coordination with RMA. We performed our work between July 2003 and May 2004, in accordance with generally accepted government auditing standards. Appendix I contains more detailed information on our scope and methodology. Results in Brief: American Growers failed because of the cumulative effect of a number of business decisions by the company. First, in 1999, the company developed and sold a new supplemental insurance product that was not guaranteed by RMA. The new insurance provided supplemental revenue protection for rice, a crop with which American Growers had limited revenue protection experience. Claims and litigation associated with the sale of this new product resulted in significant losses to the company's surplus. Second, the company incurred above average operating expenses in an effort to increase market share. From 2000 to 2002, American Growers paid agent commissions that averaged 12 percent higher than other companies participating in the program. The company also paid expenses not directly related to the sale and service of federally funded crop insurance, such as trips to resort locations. These expenses, among others, created operating costs that were 11 percent greater than the average operating costs of other companies selling crop insurance, and these expenses exceeded the reimbursement RMA provides companies. Third, in 2001, American Growers attempted to increase its market share by purchasing policies and assets from another company, but it failed to achieve the level of efficient operations necessary to make this decision profitable. The cumulative effects of failed growth strategies and high operating costs weakened the financial condition of the company and reduced its surplus, setting the stage for its eventual financial failure. Finally, in 2002, the company projected underwriting gains--the amount by which the company's share of retained premium exceeds its retained losses--in excess of its 10-year average--and was relying on these anticipated profits to cover the company's high operating expenses. When such profits did not materialize, as the result of a widespread drought in 2002, American Growers' surplus dropped significantly, leading NDOI to declare the company to be in a hazardous financial condition, and prompting NDOI to take control of the company. In 2002, when American Growers was experiencing financial difficulties, RMA's oversight was inadequate to evaluate the overall financial condition of the companies participating in the program. One of RMA's primary responsibilities is to ensure a sound system of federal crop insurance, in part, by monitoring insurance companies' compliance with provisions of the federal crop insurance program. However, we found that although RMA reviewed companies' operation plans and analyzed certain financial data, oversight procedures were insufficient to assess the overall financial health of a company. RMA oversight procedures focused on historical financial information--from the prior 6 to 18 months--and whether a company had the financial resources to pay claims on policies based on past surplus, not on whether the company would be able to cover its operating expenses in the upcoming year. In the case of American Growers, RMA was unaware that the company was projecting profits on crop insurance policies sold in excess of historic averages to pay for its operating expenses, or that failure to achieve these profits could result in the financial failure of the company. Additionally, RMA did not routinely share information or otherwise coordinate with state regulators on the financial condition of companies participating in the crop insurance program. NDOI had identified financial and management weaknesses at American Growers and had considered planning an on-site examination of the company to determine the extent of those weaknesses; but NDOI was unable to disclose this information because RMA had not signed an agreement that would allow NDOI officials to share such confidential business information with RMA. Since the failure of American Growers, RMA has taken steps to improve its financial oversight of companies participating in the crop insurance program. However, at the time of our review, RMA had not developed written policies to formalize its oversight procedures. Additionally, RMA was working with state regulators to increase RMA-state coordination and was working with NAIC on draft language for confidentiality agreements that would allow state regulatory agencies to share sensitive business information with RMA. RMA effectively protected farmers insured by American Growers, but it lacked a policy to efficiently address insurance provider insolvencies. Once the company failed, RMA worked with NDOI to protect policyholders by ensuring that policies were transferred to other companies participating in the federal crop insurance program and ensuring that claims were paid. To date, all American Growers' policies have been transferred, and nearly all of the claims have been paid. However, servicing the company's crop insurance policies cost RMA over $40 million for such things as agent commissions, employee severance packages, and staff salaries. RMA would like to recoup some of these costs if American Growers' assets are sold, but whether this will occur is unknown. Finally, while RMA was able to effectively cooperate with NDOI to dissolve American Growers, RMA has no written policy or information sharing agreements to guide its coordination with states for ensuring the most effective and efficient resolution of any future insolvencies in the federal crop insurance program. As the failure of American Growers demonstrates, without written agreements RMA is vulnerable to state insurance regulators' actions when a company fails. To address these issues, we are recommending that the Secretary of Agriculture direct RMA to (1) formalize actions under way to improve the financial and operational reviews used to monitor the financial condition of companies, (2) improve coordination with state insurance regulators regarding the financial oversight of companies, and (3) develop a written policy clarifying RMA's and states' authority and responsibility when a state regulator decides to place a company under supervision or to liquidate a company. We provided USDA with a draft of this report for its review and comment. We received written comments from the Administrator of USDA's Risk Management Agency. RMA agreed with our recommendations and stated that it is (1) formalizing the improvements in oversight that we recommended in the new Standard Reinsurance Agreement (SRA) and (2) developing written agreements with state insurance regulators and the NAIC to improve data sharing and oversight and to clarify RMA's authority, as it relates to federal/state actions when a state takes action against a crop insurance company. Our detailed response to RMA's written comments are presented with RMA's written comments in appendix IX. Background: Farming is an inherently risky enterprise. In conducting their operations, farmers are exposed to both production and price risks. Crop insurance is one method farmers have of protecting themselves against these risks. Over the years, the federal government has played an active role in helping to mitigate the effects of these risks on farm income by promoting the use of crop insurance. Federal crop insurance began on an experimental basis in 1938, after private insurance companies were unable to establish a financially viable crop insurance business. The federal crop insurance program is designed to protect farmers from financial losses caused by events such as droughts, floods, hurricanes, and other natural disasters as well as losses resulting from a drop in crop prices. The Federal Crop Insurance Corporation (FCIC), an agency within USDA, was created to administer the federal crop insurance program. Originally, crop insurance was offered to farmers directly through FCIC. However, in 1980, Congress enacted legislation that expanded the program and, for the first time, directed that crop insurance--to the maximum extent possible--be offered through private insurance companies, which would sell, service, and share in the risk of federal crop insurance policies. In 1996, Congress created an independent office called RMA to supervise FCIC operations and to administer and oversee the federal crop insurance program. Federal crop insurance offers farmers various types of insurance coverage to protect against crop loss and revenue loss. Multiperil crop insurance is designed to minimize risk against crop losses due to nature--such as hail, drought, and insects--and to help protect farmers against loss of production below a predetermined yield, which is calculated using the farmer's actual production history. Buy-up insurance, the predominant form of coverage, provides protection at different levels, ranging from 50 to 85 percent of production. Catastrophic insurance provides farmers with protection against extreme crop losses. Revenue insurance, a newer crop insurance product, provides protection against losses in revenue associated with low crop market prices in addition to protecting against crop loss. RMA, through FCIC, pays a portion of farmers' premiums for multiperil and revenue insurance, and it pays the total premium for catastrophic insurance. However, farmers still must pay an administrative fee for catastrophic insurance.[Footnote 6] RMA determines the amount of premium for each type of insurance policy by crop. RMA, through FCIC, contracts with private insurance companies who then sell these policies to farmers. Companies sell crop insurance to farmers through agents. An agent, a person licensed by the state in which the agent does business to sell crop insurance, is employed by or contracts with a company to sell and service eligible crop insurance policies. While most companies pay their agents a commission to sell and service crop insurance policies, some companies pay agents a salary. American Growers paid its agents a commission. RMA establishes the terms and conditions to be used by private insurance companies selling and servicing crop insurance policies to farmers through a contract made with the companies called the SRA. The SRA is a cooperative financial assistance agreement between RMA, through FCIC, and the private crop insurance companies to deliver federal crop insurance under the authority of the Federal Crop Insurance Act.[Footnote 7] Under the SRA, FCIC reinsures or subsidizes a portion of the losses and pays the insurance companies an administrative fee or expense reimbursement--a preestablished percentage of premiums--to reimburse the companies for the administrative and operating expenses of selling and servicing crop insurance policies, including the expenses associated with adjusting claims.[Footnote 8] While the reimbursement rate is set at a level to cover the companies' costs of selling and servicing crop insurance policies, the companies have no obligation to spend their payment on expenses related to crop insurance, and they may spend more than they receive from FCIC. The current reimbursement rates, set by statute, are based on recommendations in our 1997 report[Footnote 9] of the costs associated with selling and servicing crop insurance policies. However, RMA does not have a process for regularly reviewing and updating these rates. RMA is currently conducting a limited review of companies' expenses to validate the costs of selling and servicing federally reinsured crop insurance policies. RMA, through FCIC, is the reinsurer for a portion of all policies covered by the federal crop insurance program. Reinsurance is sometimes referred to as insurance for insurance companies. It is a method of dividing the risk among several insurance companies through cooperative arrangements that specify ways in which the companies will share risks. Reinsurance serves to limit liability on specific risks, increase the volume of insurance policies that may be written, and help companies stabilize their business in the face of wide market swings in the insurance industry. As the reinsurer, RMA shares the risks associated with crop insurance policies with companies that sell federal crop insurance. However, if a crop insurance company is unable to fulfill its obligations to any federal crop insurance policyholder, RMA, as the ultimate guarantor for losses, assumes all obligations for unpaid losses on these policies. Reinsurance is also available through private reinsurance companies. Crop insurance companies must maintain certain surplus levels to issue crop insurance policies. However, they may increase their capacity to write policies and may further reduce their risk of losses by purchasing reinsurance from private reinsurance companies on the risk not already covered by FCIC. American Growers was originally established in 1946 as Old Homestead Hail Insurance Company. The company went through several reorganizations and name changes between 1946 and 1989. In 1989, the company became American Growers Insurance Company, operating as a subsidiary of the Redland Group, an Iowa-based insurance holding company. Acceptance Insurance Companies Inc.,[Footnote 10] (Acceptance)--a publicly owned holding company that sold specialty property and casualty insurance--acquired American Growers in 1993. As a wholly owned subsidiary of Acceptance, American Growers was primarily responsible for selling and servicing federal crop insurance policies and shared the same general management as the parent organization. Another wholly owned subsidiary of Acceptance, American Agrisurance Inc., served as the marketing arm for American Growers. Company Decisions Contributed to American Growers' Failure: American Growers' failure was the result of a series of company decisions that reduced the company's surplus, making it vulnerable to collapse when widespread drought erased anticipated profits in 2002. The company's decisions were part of an overall management strategy to increase the scope and size of American Growers' crop insurance business. The company's surplus declined due to losses and other costs from mistakes made when introducing a new crop insurance product, decisions to pay higher than average agent commissions, and the purchase of a competitor's business. Additionally, the company's operating expenses were about 1 1/3 times its reimbursement from RMA. In other words, American Growers was spending $130 for every $100 it was receiving from RMA to pay for selling and servicing crop insurance. American Growers planned to use profits from policy premiums to pay for the expenses not covered by RMA's reimbursement. When these gains did not materialize due to widespread drought, the company's surplus dropped below statutory minimums, prompting NDOI to take control of the company. First, the company introduced a new crop insurance product, but mistakes associated with the sale of this product resulted in significant losses in the company's surplus. In 1997, the company chose to market a new crop insurance product, Crop Revenue Coverage Plus (CRC Plus), which was a supplement to federal crop insurance, but which was not reinsured by RMA. In 1999, American Growers expanded the sale of this product into rice, a crop with which it had little experience. When the company realized it had mis-priced the product for rice and withdrew the product, farmers who had planned on using CRC Plus sued the company. Financial losses, legal settlements, and other costs related to CRC Plus caused significant losses in the company's financial surplus. Appendix II provides further details on the losses associated with CRC Plus. Second, American Growers chose to spend more than RMA reimbursed it for selling and servicing crop insurance, in part, because the company chose to pay above-average agent commissions in order to attract more agents to sell for the company. As part of its effort to expand operations, the company in 2000 to 2002, paid agent commissions about 12 percent higher, on average, than those offered by other crop insurance companies. In addition to paying agent commission rates above the average of other companies in the industry, American Growers offered agent sales incentives, such as trips to resort locations, and funded other expenses not required to sell and service federal crop insurance. These expenses, among others, created operating costs that were 11 percent greater than the average operating costs of other companies selling crop insurance, and these expenses exceeded the reimbursement RMA provided companies. Appendix III provides additional details of the high operating costs associated with agent commissions and other expenses. Third, the company purchased the crop business of a competitor, which increased its expenses. In 2001, American Growers attempted to expand its share of the crop insurance market by purchasing assets from another company, including that company's book of crop insurance business. Because American Growers was unable to achieve the operational efficiencies it had anticipated, this acquisition resulted in additional operating costs and expenses that were higher than the reimbursement that RMA provided companies to cover the sale and service of crop insurance. Appendix IV provides additional details on the operating expenses incurred from the purchase of a competitor's crop insurance business. Finally, the company relied on large underwriting gains to pay for its expenses, rather than RMA's reimbursement. When these gains did not materialize due to widespread drought in 2002, the company's surplus dropped to a level that prompted NDOI to take control of the company. In its 2002 operating budget, American Growers projected profits in excess of its 10-year average and relied on these anticipated profits to cover the company's operating expenses and to further its growth. The company's profit projections were based, in part, on retaining a higher percentage of the risk for the policies it sold than in past years. By retaining a higher percentage of the risk on the policies, American Growers could increase its profits if claims were low. Conversely, the company increased its exposure to loss if claims were high. However, profits did not materialize as the result of widespread drought, which caused overall federal crop insurance program losses to increase from $3 billion in 2001 to $4 billion in 2002. When American Growers' expenses and losses dropped the company's surplus below statutory minimums, NDOI declared the company to be in a hazardous financial condition and took control of the company--first placing the company under supervision in November 2002 and then in rehabilitation in December 2002. Appendix V provides additional details on the decline in American Growers' surplus. RMA Financial Oversight Was Inadequate to Identify American Growers' Financial Weaknesses: At the time of American Growers' failure, RMA's financial oversight processes were inadequate to identify the full extent of financial weaknesses of insurance companies participating in the federal crop insurance program. RMA's actual oversight procedures focused primarily on whether a company had sufficient surplus to pay claims based on its past performance, rather than the overall financial health and outlook of the company. In addition, RMA did not generally share information or coordinate with state regulators on the financial condition of companies participating in the federal crop insurance program. Although RMA reviewed companies' operational plans and selected financial data, such as annual financial statements, in the case of American Growers, RMA was unaware that the company was projecting underwriting gains in excess of historic averages to pay for its operating expenses. The company's failure to achieve these gains resulted in a substantial reduction in its surplus and its subsequent financial failure. In the case of American Growers, RMA and NDOI did not begin cooperating on overseeing the company until it had been placed into supervision in November 2002. RMA's Procedures Were Inadequate to Evaluate Companies' Overall Financial Condition: In 2002, when American Growers failed, data provided to RMA by the companies participating in the federal crop insurance program provided an overall picture of company operations and complied with RMA's regulations. However, the information provided was typically 6 to 18 months old; and, according to an RMA official, the agency's oversight focused primarily on whether a company had financial resources to pay claims on crop insurance policies and not on the overall financial health of the company.[Footnote 11] RMA's approach to financial oversight stemmed, in part, from the fact that the companies participating in the program are private and are licensed and regulated by state insurance departments. State insurance departments are responsible for monitoring the overall financial condition of companies chartered and licensed to operate in their state. In addition, some of the companies selling crop insurance are affiliated with holding companies or other related companies, which RMA does not review for financial soundness. Since American Growers' failure, RMA has begun requiring federal crop insurance companies to provide additional financial data to help the agency determine if companies are adequately financed to perform their obligations under their SRAs. One of RMA's primary responsibilities is to ensure the integrity and stability of the crop insurance program, in part, by monitoring insurance companies' compliance with program criteria such as submitting statutory statements required by state regulators and meeting certain financial ratios, as defined in federal regulations. To ensure that the companies participating in the federal crop insurance program sell and service insurance policies in a sound and prudent manner, the Federal Crop Insurance Act[Footnote 12] requires crop insurance companies to bear a sufficient share of any potential policy loss. Title 7, Code of Federal Regulations, chapter IV, contains the general regulations applicable to administering the federal crop insurance program. The SRA between RMA and participating crop insurance companies establishes the terms and conditions under which RMA will provide subsidy and reinsurance on crop insurance policies sold or reinsured by insurance companies. These terms and conditions state, in part, that companies must provide RMA with accurate and detailed data, including their (1) annual plan of operation, (2) financial statements filed with the applicable state insurance regulator, and (3) any other information determined necessary for RMA to evaluate the financial condition of the company. When approving a company to participate in the crop insurance program, RMA analyzes it according to 16 financial ratios set forth in RMA regulations.[Footnote 13] Combined, these 16 ratios are intended to provide RMA a reasonable set of parameters for measuring insurance companies' financial health, albeit generally from a historical perspective.[Footnote 14] The 16 financial ratios include such things as (1) change in net writings, (2) 2-year overall operating ratio,[Footnote 15] (3) change in surplus, and (4) liabilities to liquid assets. Ten of the 16 ratios specifically refer to changes related to companies' surplus--the uncommitted funds used to cover policy claims. When a company fails more than 4 of the 16 financial ratios, RMA requires the company to submit an explanation for the deviation and its plans to correct the situation.[Footnote 16] If the explanation appears reasonable, RMA approves the company to sell and service crop insurance for the next crop year. In August 2001, RMA notified American Growers that the company had 6 ratios, based on its December 2000 financial statement, that fell outside acceptable ranges, including its 2-year overall operating ratio, change in surplus, and 2-year change in surplus. Table 1 shows the 6 ratio requirements and American Growers' ratio for each of the 6 ratios it failed. Table 1: Comparison of Ratio Requirements and American Growers' 6 Failed Ratios for December 2000: Ratio: Two-year overall operating ratio; Ratio requirement (percent): < 100%; American Growers' ratio (percent): 122%. Ratio: Investment yield; Ratio requirement (percent): 4.5 to 10%; American Growers' ratio (percent): 13%. Ratio: Change in surplus; Ratio requirement (percent): -10 to +50%; American Growers' ratio (percent): -22%. Ratio: Combined ratio after policyholders' dividends; Ratio requirement (percent): < 115%; American Growers' ratio (percent): 145%. Ratio: Two year change in surplus; Ratio requirement (percent): > -10%; American Growers' ratio (percent): -18%. Ratio: Return on surplus; Ratio requirement (percent): > -5%; American Growers' ratio (percent): -40%. Source: GAO analysis of RMA data. [End of table] According to an RMA memorandum dated October 2001, American Growers reported that most of its unacceptable ratios were due primarily to underwriting losses related to its multiperil crop insurance that produced unfavorable results due to drought conditions in 2000, particularly in Nebraska and Iowa, and the impact of the federally subsidized reimbursement not covering the company's expenses. Additionally, American Growers cited the cost of the class-action lawsuit relating to its CRC Plus product as a contributing factor. Finally, American Growers explained that the expansion of its crop operations through the purchase of a competitor's crop insurance business was expected to provide efficiencies that would reduce expenses and help improve the company's profitability in the future. Based on American Growers' explanations, RMA determined that the company's 2002 SRA should be approved. RMA did not believe that the adverse developments that American Growers had experienced were significant enough to move the company close to insolvency. RMA's decision was partially based on anticipated improvements in overall performance resulting from American Growers' acquisition of another company's assets and the potential for achieving greater economies of scale. Furthermore, while American Growers failed more than 4 of the 16 financial ratios, it was not the only company with such results. Of the 18 companies participating in the federal crop insurance program in 2002, other companies had a higher number of failed ratios than American Growers, though most had fewer. Specifically, of the other 17 companies, 3 companies had 7 or more failed ratios, 1 had 6--the same number as American Growers, and 13 companies had 4 or fewer failed ratios. In March 2002, American Growers had 5 ratios, based on its December 2001 financial statement, that fell outside acceptable ranges, including change in net writings, 2-year overall operating ratio, and liabilities to liquid assets. Table 2 shows the 5 ratio requirements and American Growers' ratio for each of the 5 ratios it failed. Table 2: Comparison of Ratio Requirements and American Growers' 5 Failed Ratios for December 2001: Ratio: Change in net writings; Ratio requirement: (percent): -33 to +33%; American Growers' ratio: (percent): 51%. Ratio: Two-year overall operating ratio; Ratio requirement: (percent):

The Justia Government Accountability Office site republishes public reports retrieved from the U.S. GAO These reports should not be considered official, and do not necessarily reflect the views of Justia.