EIOPA · 1731

1731

Regulation
(EU) No 2015/2013 - standard deviations in relation to health risk equalisation systems
Article
147
Submitted
2019-04-02
Answered
2019-10-15

Question

If one company has contracts for “Accident” (1 classification of risks according to classes of insurance from the DIRECTIVE 2009/138/EC OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 25 November 2009 page 116) and not “Sickness” (2 classification) and the contracts have coverages both for income protection and medical expenses, in which category must put the premiums and the reserve to calculate the health risk; In Medical expenses category, in income protection category or to split the premiums and the reserve separately for each category; Also, in this case, there is health cat risk, or not (because the contracts "Accident" are on 1 classification and not in 2 classification)?

Answer

The allocation to segments for the purpose of Article 147 of Commission Delegated Regulation (EU) 2015/35 should follow the allocation as set out in Article 55 therein. The scope of the mass accident, accident concentration and pandemic risk sub-modules of the Health catastrophe risk sub-module is set out in Article 160(2) of Commission Delegated Regulation (EU) 2015/35.

This Q&A is published by European Insurance and Occupational Pensions Authority and is non-binding. It does not constitute legal advice. Updated weekly from official ESA sources.

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