{"id":1548,"date":"2018-05-18T18:00:01","date_gmt":"2018-05-18T15:00:01","guid":{"rendered":"https:\/\/insly.com\/?p=1548"},"modified":"2021-10-26T16:01:44","modified_gmt":"2021-10-26T13:01:44","slug":"four-insurance-distribution-models-to-consider-as-a-start-up","status":"publish","type":"post","link":"https:\/\/insly.com\/en\/blog\/four-insurance-distribution-models-to-consider-as-a-start-up\/","title":{"rendered":"Four Insurance Distribution Models to Consider as a Start-Up"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><p style=\"text-align: justify;\"><a href=\"https:\/\/www.linkedin.com\/in\/kylenakatsuji\/\"><span data-contrast=\"none\">Kyle\u00a0Nakatsuji<\/span><\/a><span data-contrast=\"none\">, the author of this article, was a\u00a0Principal\u00a0at<\/span><span data-contrast=\"none\">\u00a0<\/span><a href=\"https:\/\/www.amfamventures.com\/\"><span data-contrast=\"none\">American Family Ventures<\/span><\/a><span data-contrast=\"none\">,\u00a0the venture capital arm of\u00a0American Family Insurance. There he focused on identifying and supporting early-stage companies affecting the future of the insurance industry. American Family Ventures invests across a variety of sectors, including IoT, fintech, SaaS, and data and analytics. Read the\u00a0<\/span><a href=\"https:\/\/medium.com\/@kylenakatsuji\/so-your-startup-wants-to-sell-insurance-a0167581f7b1\"><span data-contrast=\"none\">original article<\/span><\/a><span data-contrast=\"none\">.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span data-contrast=\"none\">Selling\u00a0insurance is complicated. Not impenetrable, but complicated. The sales process is sort of like a tangled piece of string\u2014 it\u2019s easy to see the beginning and end, but hard to figure out what\u2019s happening in the middle.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span data-contrast=\"none\">When you start untangling, you\u2019ll find prospect lists, telemarketing, direct mail, traditional marketing, and web-based lead generators uncovering and enticing potential customers. You\u2019ll also find captive agents, independent agents or brokers, wholesalers, direct telephone sales, the Internet, affiliates, carriers, and carrier-like entities selling various products.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span data-contrast=\"none\">Some of these strategies work in coordination or create feedback loops \u2014 a customer sees a TV ad, which prompts them to submit a form online, which adds them to a direct mail list, that points them to an online aggregator. That\u00a0puts them in touch with an independent agent selling insurance on behalf of a managing general agency\u2026\u00a0As\u00a0you can see, the number of distribution permutations is considerable. This also applies to insurance distribution.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span data-contrast=\"none\">However, at\u00a0<\/span><a href=\"http:\/\/www.amfamventures.com\/\"><span data-contrast=\"none\">American Family Ventures<\/span><\/a><span data-contrast=\"none\">, we appreciate simplicity. We classify insurance distribution\u00a0start-ups using four groupings: lead generation, agency\/brokerage, managing general agency (MGA), and carrier.<\/span><\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"center aligncenter wp-image-14037 \" src=\"https:\/\/insly.com\/wp-content\/uploads\/2018\/05\/insurance-distribution-groups.png\" alt=\"insurance distribution groups\" width=\"739\" height=\"651\" \/><\/p>\n<p style=\"text-align: justify;\"><span data-contrast=\"none\">As pictured above, the primary distinctions between participants in each group arise from the amount of insurance risk they bear and their control over certain aspects of the insurance transaction (for example, the authority to <\/span><a href=\"http:\/\/smallbusiness.chron.com\/binding-mean-insurance-31759.html\"><span data-contrast=\"none\">bind <\/span><\/a><span data-contrast=\"none\">and <\/span><a href=\"https:\/\/coverhound.com\/insurance-learning-center\/what-is-insurance-underwriting\"><span data-contrast=\"none\">underwrite<\/span><\/a><span data-contrast=\"none\"> insurance policies). <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span data-contrast=\"none\">However, many other trade-offs await insurance start-ups navigating among these four groups. If you consider the evolution of digital customer acquisition, including new channels like <\/span><a href=\"https:\/\/www.cbinsights.com\/blog\/transforming-insurance-distribution\/\"><span data-contrast=\"none\">mobile-first agencies and incidental channels<\/span><\/a><span data-contrast=\"none\">, choosing a niche becomes even more complicated. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span data-contrast=\"none\">In this post, I\u2019ll discuss some of the key attributes of each group, touching on topics relevant for start-ups new to the insurance ecosystem. Please note, in the interest of time and readability, this post is an overview. In addition, any thoughts on regulatory issues are focused on the U.S. and are not legal advice. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<h2><strong>LEAD GENERATION<\/strong><\/h2>\n<p style=\"text-align: justify;\"><span data-contrast=\"none\">Lead generation refers to the marketing process of building and capturing interest in a product in order to create a sales pipeline. In the insurance context, because of the high-touch sales process, this historically meant passing interested customers to agents or call\u00a0centre\u00a0employees. Today, lead generation operators sell to a variety of third parties, including online agencies and digital sales platforms.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span data-contrast=\"none\">Let\u2019s consider a few key attributes of lead generation providers.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ul>\n<li style=\"text-align: justify;\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Revenue model<\/span><\/b><span data-contrast=\"none\">\u00a0\u2014\u00a0there are a variety of lead-selling methods, but the most common is\u00a0pay per lead,\u00a0where the downstream lead buyer (carrier or channel partner) pays a fixed price for each lead received. When pricing leads, quality plays a big role. Things like customer profile, lead content\u00a0or\u00a0data, exclusivity, delivery, and volume all affect lead quality, which frequently drives the buyer\u2019s price sensitivity. As a lead generation provider, you\u2019ll generally make less per customer than others in the insurance distribution chain, but you\u2019ll also assume less responsibility and risk.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li style=\"text-align: justify;\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Product breadth<\/span><\/b><span data-contrast=\"none\">\u00a0\u2014\u00a0with the Internet and enough money, you can generate leads for just about anything. Ask people who buy keywords for class action lawsuits. However, start-ups should consider which insurance products generate leads at acceptable volumes and margins before committing to the lead generation model. Some products are highly competitive, like auto insurance, and others might be too obscure for the lead model to scale, like\u00a0<\/span><a href=\"https:\/\/www.geico.com\/more\/saving\/insurance-101\/unusual-insurance-policies\/\"><span data-contrast=\"none\">alien abduction insurance<\/span><\/a><span data-contrast=\"none\">\u00a0(which, unbelievably, is a real thing). Start-ups should also consider whether they possess information about customers or have built a trusted relationship with them \u2014 the former is often better suited to lead generation and the latter can facilitate an easier transition to agency\/brokerage.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li style=\"text-align: justify;\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Required capabilities (partnerships)<\/span><\/b><span data-contrast=\"none\">\u00a0\u2014\u00a0lead generation providers need companies to buy their data\u00a0or\u00a0leads. Their customers are usually the other insurance distribution groups in this post. Sometimes they sell information to larger data aggregators, like\u00a0<\/span><a href=\"http:\/\/www.acxiom.com\/\"><span data-contrast=\"none\">Axciom<\/span><\/a><span data-contrast=\"none\">, that consolidate lead data for larger buyers. Generators need to show lead quality, volume, and uniqueness in order to secure relationships with lead purchasers, but beyond that they don\u2019t typically require any special partnerships or capabilities.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li style=\"text-align: justify;\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"4\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Regulation<\/span><\/b><span data-contrast=\"none\">\u00a0\u2014\u00a0while I won\u2019t go into detail here, lead generation operators are subject to a\u00a0<\/span><a href=\"https:\/\/www.venable.com\/files\/Publication\/9b7b950b-f9c1-405e-8800-1a1a00c9dbd3\/Presentation\/PublicationAttachment\/ff03e62c-5e07-4774-85e8-1e0c5f669682\/Evolving_Legal_and_Regulatory_Landscape.PDF\"><span data-contrast=\"none\">variety of consumer protection laws<\/span><\/a><span data-contrast=\"none\">.\u00a0<\/span><\/li>\n<\/ul>\n<h2><strong>AGENCIES AND BROKERAGES<\/strong><\/h2>\n<p style=\"text-align: justify;\"><span data-contrast=\"none\">Entities in the agency\/brokerage group (also called\u00a0producers) come in a variety of forms, including independent agents, brokers, captive agents, and wholesale brokers. Of note, most of these forms exist online and offline.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span data-contrast=\"none\">Independent agents represent\u00a0a number of\u00a0insurance carriers and can sell a variety of products. Brokerages are very similar to independent agents in the insurance distribution value chain, having their ability to sell a variety of products, but with a legal distinction \u2014 they represent the buyer\u2019s interests, whereas agents represent the carriers they work for. Captive agents, as the name suggests, sell products for only one insurer. While this might seem limiting, captive agents can have increased knowledge of products and the minutiae of policies. Finally, some brokers provide services to other agents\/brokers that sell directly to customers. These\u00a0wholesale brokers\u00a0place business brought to them by\u00a0retail agents\u00a0with carriers, often\u00a0specialising\u00a0in unique or difficult placements.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span data-contrast=\"none\">An important difference between the lead generation group and the agency\/brokerage group in insurance distribution is the ability to sell and bind policies. Unlike the former, the latter sells insurance directly to the consumer, and in some cases issues\u00a0<\/span><a href=\"https:\/\/www.irmi.com\/online\/insurance-glossary\/terms\/b\/binder.aspx\"><span data-contrast=\"none\">binders<\/span><\/a><span data-contrast=\"none\">\u00a0\u2014 temporary coverage that provides protection as the actual policy is\u00a0finalised\u00a0and issued.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span data-contrast=\"none\">Some attributes of agencies and brokerages.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Revenue model<\/span><\/b><span data-contrast=\"none\">\u00a0\u2014\u00a0agencies and brokerages generally make money through commissions paid for both new business and on a recurring basis for renewals. The amount you earn in commissions depends on the volume and variety of insurance products you sell. Commission rates for this insurance distribution model\u00a0<\/span><a href=\"http:\/\/www.chubb.com\/marketing\/chubb7451.html\"><span data-contrast=\"none\">vary by product<\/span><\/a><span data-contrast=\"none\">, typically based on the difficulty of making a sale and the value (profitability) of the risk to the insurance carrier. Start-ups should expect to start on the lower end of many commission scales before they can provide evidence of volume and risk quality. Agents and brokers can also be fee-only (paid for service directly and receive no commission), but that\u2019s rare.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"text-align: justify;\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Product breadth<\/span><\/b><span data-contrast=\"none\">\u00a0\u2014\u00a0agencies and brokerages sell a variety of products.\u00a0As a general rule, the more complex the product, the more likely the intermediary will include a person (rather than only software). Start-ups should also consider trade-offs between volume and\u00a0specialisation. For example, personal auto insurance is a large product line, but carriers looking to appoint agents (more detail below) in this category usually have numerous options, including brick and mortar and online\u00a0or\u00a0mobile entities. Contrast this with a smaller line like cyber insurance, where carriers may find fewer<\/span><span data-contrast=\"none\">,<\/span><span data-contrast=\"none\">\u00a0specialist insurance distributors who understand unique customer needs and coverages.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li style=\"text-align: justify;\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Required capabilities (partnerships)<\/span><\/b><span data-contrast=\"none\">\u00a0\u2014\u00a0agencies and brokerages are\u00a0<\/span><a href=\"https:\/\/www.amfam.com\/careers\/agent\/agent-careers\/becoming-an-agent.asp\"><span data-contrast=\"none\">appointed<\/span><\/a><span data-contrast=\"none\">\u00a0by carriers. This process is often\u00a0<\/span><a href=\"http:\/\/www.insurancejournal.com\/forums\/viewtopic.php?t=3460&amp;f=2\"><span data-contrast=\"none\">challenging<\/span><\/a><span data-contrast=\"none\">, particularly for start-ups, who are non-traditional applicants. Expect the appointment process to take a while if the carrier isn\u2019t familiar with your acquisition strategy or business model. Start-ups trying to accelerate the appointment process can start in smaller product markets (e.g.\u00a0non-standard auto) or seek appointment as a\u00a0<\/span><a href=\"http:\/\/www.insurancejournal.com\/forums\/viewtopic.php?f=2&amp;t=3111\"><span data-contrast=\"none\">sub-producer<\/span><\/a><span data-contrast=\"none\">. Sub-producers leverage the existing appointments of an\u00a0independent agency or wholesaler in exchange for sharing commissions. You could also apply for membership in an\u00a0<\/span><a href=\"http:\/\/www.insurancejournal.com\/magazines\/features\/2005\/05\/09\/55175.htm\"><span data-contrast=\"none\">agency network or cluster<\/span><\/a><span data-contrast=\"none\">\u00a0\u2014 a group of agents\/brokers forming a joint venture or association to create collective volume and buying power in insurance distribution.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li style=\"text-align: justify;\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Regulation<\/span><\/b><span data-contrast=\"none\">\u00a0\u2014\u00a0agencies and carriers need a license to sell insurance. Each state\u00a0in the U.S.\u00a0has its own licensing requirements, but most involve some coursework, an exam, and an application. As we\u2019ve\u00a0<\/span><a href=\"http:\/\/www.bizjournals.com\/sanfrancisco\/blog\/techflash\/2016\/02\/zenefits-insurance-licensing-conrad-david-sacks.html\"><span data-contrast=\"none\">recently seen with Zenefits<\/span><\/a><span data-contrast=\"none\">, most states have a minimum number of study hours required. There are typically separate licenses for property, casualty, life, and health insurance. Once licensed, many states have a streamlined non-resident licensing process, allowing agencies to scale more quickly.<\/span><\/li>\n<\/ul>\n<p style=\"text-align: center;\"><span data-contrast=\"none\"><a class=\"btn light-green-border medium radius animated animation-delay-1 book-a-demo bounceIn\" style=\"text-align: center;\" href=\"#\">Book a demo<\/a><br \/>\n<\/span><\/p>\n<h2><strong>MANAGING GENERAL AGENCIES (MGAs)<\/strong><\/h2>\n<p style=\"text-align: justify;\"><span data-contrast=\"none\">A\u00a0<\/span><a href=\"https:\/\/www.irmi.com\/online\/insurance-glossary\/terms\/m\/managing-general-agent-mga.aspx\"><span data-contrast=\"none\">managing general agent<\/span><\/a><span data-contrast=\"none\">\u00a0(MGA) is a special type of insurance agent\/broker in the insurance distribution chain. However, unlike traditional agents\/brokers, MGAs have underwriting authority. This means that MGAs are (to an extent) allowed to select which parties\u00a0or\u00a0risks they will insure. They also can perform other functions ordinarily handled by carriers, like appointing producers\u00a0or\u00a0sub-producers and settling claims.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span data-contrast=\"none\">Start-ups often consider setting up an MGA when they possess data or analytical expertise that gives them an underwriting advantage. The MGA structure allows the start-up more control over the underwriting process, participation in the upside of selecting good risks, and influence over the entire insurance experience,\u00a0e.g.\u00a0service and claims.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span data-contrast=\"none\">We\u2019ve recently witnessed MGAs used for two diverging use cases. The first type of<\/span><span data-contrast=\"none\">\u00a0<\/span><span data-contrast=\"none\">MGA exists for a traditional use case \u2014 specialty coverages. They are used by carriers who want to\u00a0insure\u00a0a specific risk or entity, but don\u2019t own the requisite underwriting expertise. For example, if an insurer saw an opportunity in coverage for assisted living facilities, but hadn\u2019t written those policies before, they could partner with an MGA who\u00a0specialises\u00a0in that category and deeply understands its exposures and risks. These specialist MGAs often partner closely with the carrier to establish underwriting guidelines and roles in the customer experience. Risk and responsibilities for claims, service, etc. are shared among the two parties.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span data-contrast=\"none\">The second type of MGA is a\u00a0quasi-carrier,\u00a0set up through a\u00a0<\/span><a href=\"https:\/\/www.irmi.com\/online\/insurance-glossary\/terms\/f\/fronting.aspx\"><span data-contrast=\"none\">fronting program<\/span><\/a><span data-contrast=\"none\">. In this scenario, an insurance carrier (the fronting partner) offers the MGA access to their regulatory licenses and capital reserves to meet the statutory requirements for selling insurance. In exchange, the fronting partner will often take a fee (percentage of premium) and very little (or no) share of the insurance risk. This way, the\u00a0MGA often has full responsibility for product design and\u00a0pricing,\u00a0and\u00a0looks and feels like a carrier in the insurance distribution chain. They underwrite, quote, bind, and service policies up to a specific amount of written authority. These MGAs are often set up when a start-up wants to control as much of the insurance experience as\u00a0possible, but\u00a0doesn\u2019t have the time or capital to establish themselves as an admitted carrier.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span data-contrast=\"none\">Some important characteristics.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ul>\n<li style=\"text-align: justify;\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Revenue model\u00a0<\/span><\/b><span data-contrast=\"none\">&#8211;\u00a0MGAs often get paid commissions, like standard agencies\/brokerages, but also participate in the upside or downside of underwriting profit\u00a0or\u00a0loss. Participation can come in the form of direct risk sharing (obligation to pay claims) or profit sharing. This risk sharing functions as\u00a0skin in the game,\u00a0preventing an MGA from relaxing underwriting standards to increase commissions, which are a function of premiums, at the expense of profitability, which is a function of risk quality.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li style=\"text-align: justify;\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Product breadth\u00a0<\/span><\/b><span data-contrast=\"none\">&#8211;\u00a0MGAs of either type often provide\u00a0specialised\u00a0insurance products, at least at first. The\u00a0specialisation\u00a0they offer is the reason why customers (and\u00a0fronting partners) agree to work with them instead of a traditional provider. That said, you might also find an MGA\u00a0offering\u00a0standard products, but taking\u00a0the MGA form,\u00a0because it has unique customers or a channel for insurance distribution\u00a0or customers and wants to share in the resulting profits.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li style=\"text-align: justify;\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Required capabilities\u00a0<\/span><\/b><b><span data-contrast=\"none\">(<\/span><\/b><b><span data-contrast=\"none\">partnerships)<\/span><\/b><span data-contrast=\"none\">\u00a0&#8211; setting up an MGA generally requires more time and effort than setting up an agency\/brokerage. This is because the carrier vests important authority in the MGA, and therefore must work collaboratively with it to build trust, set guidelines, determine objectives, and decide on limits to that authority.\u00a0Start-ups looking to set up an MGA should be ready to provide evidence they can underwrite uniquely and successfully or have a proprietary channel filled with profitable risks. Fronting often requires a different process, and the setup time required varies based on risk participation or obligations of the program partner.\u00a0Start-ups should also carefully consider the costs and benefits of being an agency vs an MGA \u2014 appointment process difficulty vs<\/span><span data-contrast=\"none\">.<\/span><span data-contrast=\"none\">\u00a0profit sharing, long-term goals for risk assumption, etc. vary across the insurance distribution chain.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li style=\"text-align: justify;\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"4\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Regulation\u00a0&#8211;\u00a0<\/span><\/b><span data-contrast=\"none\">MGAs, like carriers, are regulated by state law. They are often required to be licensed producers. Start-ups should engage experienced legal counsel before attempting to set up an MGA.<\/span><\/li>\n<\/ul>\n<p style=\"text-align: center;\"><a class=\"btn light-green-border medium radius animated animation-delay-1 book-a-demo bounceIn\" href=\"#\">Book a demo<\/a><\/p>\n<h2><strong>CARRIERS<\/strong><\/h2>\n<p style=\"text-align: justify;\"><span data-contrast=\"none\">Insurance carriers build, sell, and service insurance products. To do this, they often vertically integrate\u00a0a number of\u00a0business functions, including some we\u2019ve discussed above \u2014 product development, underwriting, sales, marketing, claims, finance\u00a0and\u00a0investment, etc.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span data-contrast=\"none\">Carriers come in a variety of forms. For example, they can be\u00a0<\/span><a href=\"http:\/\/www.clarkeandsampson.com\/blog\/admitted-vs.-non-admitted-carriers\"><span data-contrast=\"none\">admitted or non-admitted<\/span><\/a><span data-contrast=\"none\">. Admitted carriers are licensed in each state of operation, non-admitted carriers are not. Often, non-admitted carriers exist to\u00a0insure\u00a0complex risks that conventional insurance marketplaces avoid. Carriers can also be\u00a0captives\u00a0\u2014 essentially a form of self-insurance where the insurer is wholly owned by the insured. Explaining captives could fill a separate post, but if you\u2019re interested in the model,\u00a0you can\u00a0<\/span><a href=\"http:\/\/www.naic.org\/cipr_newsletter_archive\/vol2_captive.htm\"><span data-contrast=\"none\">start your research here<\/span><\/a><span data-contrast=\"none\">.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span data-contrast=\"none\">Attributes to consider.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Revenue\u00a0model\u00a0&#8211;\u00a0<\/span><\/b><span data-contrast=\"none\">insurance carrier economics can be complicated, but the basic concepts are straightforward. Insurers collect premium payments from\u00a0the\u00a0insured, which they generally expect to cover the costs of any claims (referred to as\u00a0losses). In doing so, they profit in two ways. The first is pricing coverage so the total premiums received are greater than the\u00a0amount\u00a0of claims paid, though there are regulations and\/or market pressures that dictate profitability. The second is\u00a0investing\u00a0premiums. Because insurance carriers collect premiums before they pay claims, they often have a large pool of capital available, called the\u00a0float,\u00a0which they invest for their own benefit. Warren Buffet\u2019s\u00a0<\/span><a href=\"http:\/\/www.berkshirehathaway.com\/letters\/letters.html\"><span data-contrast=\"none\">annual letters<\/span><\/a><span data-contrast=\"none\">\u00a0to Berkshire\u00a0shareholders are a great source of knowledge for anyone looking to understand insurance economics. Albert Wenger of USV also recently posted an\u00a0<\/span><a href=\"http:\/\/continuations.com\/post\/141655994885\/insurance-fundamentals-contd-adverse-selection\"><span data-contrast=\"none\">interesting series<\/span><\/a><span data-contrast=\"none\">\u00a0that breaks down insurance fundamentals.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li style=\"text-align: justify;\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Product breadth<\/span><\/b><span data-contrast=\"none\">\u00a0&#8211; carriers have few limitations on which products they can offer. However, the products you sell impact regulatory requirements, required infrastructure, and profitability.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li style=\"text-align: justify;\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Required capabilities\u00a0(partnerships<\/span><\/b><span data-contrast=\"none\">)\u00a0&#8211; carriers can market and sell their products using any or\u00a0all of\u00a0the intermediaries for insurance distribution described in this post. While carriers are often the primary risk-bearing entity \u2014 they absorb the profits and losses from underwriting \u2014 in many cases they partner with reinsurers to hedge against unexpected losses or underperformance. There\u00a0is\u00a0a\u00a0<\/span><a href=\"http:\/\/www.mynewmarkets.com\/articles\/91837\/pro-rata-vs-excess-of-loss-reinsurance\"><span data-contrast=\"none\">variety of reinsurance structures<\/span><\/a><span data-contrast=\"none\">, but two common ones are excess of loss (reinsurer takes over all payment obligations after the carrier pays a certain amount of losses) and quota share (reinsurer pays a fixed percentage of every loss).\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li style=\"text-align: justify;\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Regulation<\/span><\/b><span data-contrast=\"none\">\u00a0&#8211;\u00a0I\u2019ll touch on a few concepts, but carrier regulation is another complex topic I won\u2019t cover comprehensively in this post. Carriers must secure the appropriate licenses to operate in each country\u00a0or\u00a0state (even non-admitted carriers, who still have some regulatory obligations). They also\u00a0have to\u00a0ensure any capital requirements issued by regulators are met. This means keeping enough money on the balance sheet (reserves\u00a0or\u00a0surplus) in order to ensure solvency and liquidity,\u00a0i.e.\u00a0maintaining an ability to pay claims. Carriers also generally\u00a0have to\u00a0prove their pricing is\u00a0<\/span><a href=\"http:\/\/www.iii.org\/publications\/insurance-handbook\/regulatory-and-financial-environment\/regulation-modernization\"><span data-contrast=\"none\">adequate, not excessive, and not unfairly discriminatory<\/span><\/a><span data-contrast=\"none\"><span data-contrast=\"none\">\u00a0by filing rates (their pricing models) with state commissioners. Rate\u00a0filings\u00a0can be\u00a0file\u00a0and\u00a0use\u00a0(pre-approval not required to sell policies)\u00a0or\u00a0prior approval\u00a0(rates must be approved before you can sell policies).<br \/>\n<\/span><\/span><\/p>\n<h2><span data-contrast=\"none\">Conclusion\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/h2>\n<p><span data-contrast=\"none\">In this overview, I did not address\u00a0a number of\u00a0other interesting topics, including trade-offs between group choices. For example, you should also consider things like exit\u00a0or\u00a0liquidity expectations, barriers to entry, and creating unfair advantages before starting an insurance business. However, hopefully this brief summary sparks questions and new considerations for start-ups entering the insurance distribution value chain.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">If you are looking for insurance software for your insurance business, whether a carrier, agency, or MGA, reach out to us!\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<\/li>\n<\/ul>\n<p style=\"text-align: center;\"><a class=\"btn light-green-border medium radius animated animation-delay-1 book-a-demo bounceIn\" href=\"#\">Book a demo<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kyle\u00a0Nakatsuji, the author of this article, was a\u00a0Principal\u00a0at\u00a0American Family Ventures,\u00a0the venture capital arm of\u00a0American Family Insurance. There he focused on identifying and supporting early-stage companies affecting the future of the insurance industry. American Family Ventures invests across a variety of sectors, including IoT, fintech, SaaS, and data and analytics. Read the\u00a0original article.\u00a0\u00a0 Selling\u00a0insurance is complicated. [&hellip;]<\/p>\n","protected":false},"author":12,"featured_media":1689,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"content-type":"","inline_featured_image":false,"footnotes":""},"categories":[39],"tags":[103,130,77,79,91,199,28,97],"class_list":["post-1548","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-insurance-innovation","tag-insurance-distribution","tag-insurance-market","tag-lloyds-insurance","tag-mga","tag-mga-software","tag-start-insurance-business","tag-startup","tag-uk-brokers"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Four Insurance Distribution Models to Consider as a Start-Up - Insly<\/title>\n<meta name=\"description\" content=\"Selling insurance is complicated. Not impenetrable, but complicated. 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