Insurance Coverage Gap
Story type: Vulnerability
Self-insured retention or coverage gaps are material. The company bears direct exposure to losses within or beyond insurance coverage.
State
Insurance coverage gap
Emergence
The risk structure shows elevated insurance exposure. When self-insured retention is significant while coverage limits have adequacy questions and claims history exists, the company bears direct exposure to losses below or beyond insurance coverage.
Limits
This story describes structural exposure, not claims prediction. It does not predict loss events, claims frequency, or coverage adequacy under stress. Self-insurance often reflects rational risk-retention economics.
Explanation
This vulnerability describes a structural exposure: Self-Insured Retention indicates the deductible or retained layer of risk. Coverage Limit Adequacy suggests whether limits match potential exposures. Claims History Indicator shows historical loss experience. When insurance exposure is elevated, the company absorbs losses directly rather than transferring them to insurers. This is often economically rational but creates earnings sensitivity to loss events.
Interpretation
This story identifies insurance exposure, not loss prediction. It does not claim losses will occur or that coverage is inadequate. Many companies rationally self-insure and benefit from favorable loss experience.