---
name: insurance-pricing-adequacy-calculator
description: "Computes combined ratio, operating ratio, loss ratio, expense ratio, and indicated rate need from premium, loss, expense, and investment income inputs — then flags the pricing adequacy band and delivers a rate action recommendation. Use when reviewing rate adequacy for a line of business, diagnosing an underpriced book, preparing a rate filing rationale, or evaluating whether current pricing supports the target return."
argument-hint: "[line-of-business] [financials]"
allowed-tools: ["Read"]
---

# Insurance Pricing Adequacy Calculator

## Purpose
Convert raw premium, loss, expense, and investment income figures into the core profitability ratios and an indicated rate need — then classify the book into a pricing adequacy band and issue a specific rate action recommendation. Replaces manual spreadsheet ratio work and gives underwriters a defensible, repeatable adequacy verdict for any line of business.

## When to Use
Invoke this skill when the user asks to:
- Calculate the combined ratio, operating ratio, or indicated rate need for a book
- Determine whether current pricing on a line is adequate or inadequate
- Diagnose why a line of business is unprofitable and by how much
- Quantify the rate change needed to hit a target combined ratio or return
- Prepare the actuarial rationale supporting a rate filing or renewal decision
- Compare pricing adequacy across multiple lines, segments, or accident years

## Inputs Required
Before starting, collect:
- **Line of business**: The specific line or segment being reviewed (e.g., commercial auto, homeowners, workers' comp)
- **Earned premium**: Earned (or written, if specified) premium for the period, in dollars
- **Incurred losses**: Losses including LAE — specify whether ALAE and ULAE are included
- **Underwriting expenses**: Acquisition, general, and other underwriting expenses (dollars or expense ratio %)
- **Investment income**: Investment income attributable to the line, or a policyholder-supplied yield to apply to reserves
- **Target combined ratio or target return**: The profitability threshold the book must meet
- **Loss trend and premium trend** (optional): Annualized trend factors to project losses forward to the rating period

If ALAE/ULAE handling, trend factors, or an investment yield are not provided, apply industry-neutral defaults (losses reported gross of ULAE, no trend applied, investment income excluded from operating ratio) and state each assumption explicitly at the top of the output.

## Instructions

### Step 1: Confirm and Normalize Inputs
Restate every input in a labeled input summary. Convert any percentages to dollars (or dollars to ratios) as needed so all figures are on a consistent basis. Note the accident/policy period and whether figures are earned or written. Flag any input that appears internally inconsistent (e.g., losses exceeding premium by an implausible margin, or expense ratio outside 15–40%).

### Step 2: Compute Core Ratios
Calculate and show the arithmetic for each:
- **Loss Ratio** = Incurred Losses ÷ Earned Premium
- **Expense Ratio** = Underwriting Expenses ÷ Earned Premium (state whether on earned or written basis)
- **Combined Ratio** = Loss Ratio + Expense Ratio
- **Operating Ratio** = Combined Ratio − (Investment Income ÷ Earned Premium)

Present each as a percentage to one decimal place. State the underwriting profit/loss margin as (100% − Combined Ratio).

### Step 3: Apply Trend (if trend factors provided)
Project losses and premium to the midpoint of the proposed rating period:
- Trended Loss Ratio = Loss Ratio × (1 + loss trend)^n ÷ (1 + premium trend)^n, where n is the trend period in years
- Recompute the trended combined ratio using the trended loss ratio
- Show both untrended and trended results side by side

### Step 4: Compute Indicated Rate Need
Use the standard indication formula:
- **Indicated Rate Change** = (Trended Combined Ratio ÷ Target Combined Ratio) − 1

Where the target combined ratio reflects the permissible loss + expense + profit provision. If a target return is supplied instead of a target combined ratio, back into the permissible combined ratio: Permissible CR = 100% − target profit provision. Express the indicated rate change as a signed percentage (e.g., +8.4% indicated increase, −3.1% indicated decrease).

### Step 5: Classify the Pricing Adequacy Band
Assign the book to one band based on the combined ratio (use operating ratio where investment income is material and supplied):
- **Adequate** — Combined ratio at or below target. No rate action required; monitor.
- **Marginally Inadequate** — Combined ratio 0–5 points above target. Rate correction warranted; profit thin but not eroding capital.
- **Inadequate** — Combined ratio 5–15 points above target. Meaningful underpricing; rate action needed near-term.
- **Severely Inadequate** — Combined ratio more than 15 points above target, or combined ratio above 110%. Book is destroying value; requires rate action plus underwriting or mix intervention.

State the band, the exact point-gap to target, and whether investment income changes the verdict.

### Step 6: Issue Rate Action Recommendation
Deliver a specific, defensible recommendation:
- The indicated rate change and whether to take it fully, partially (with a phase-in path), or hold
- One caveat on credibility if premium volume is thin (small books support less rate confidence)
- Whether the driver is loss ratio, expense ratio, or trend — and what secondary action (mix shift, expense reduction, underwriting tightening) supports the rate move
- Be opinionated: name the recommended rate change, do not hedge to a range

## Output Format
- **Structure**: Input summary → ratio calculations with shown arithmetic → trended results (if applicable) → indicated rate need → adequacy band → rate action recommendation
- **Length**: 500–800 words
- **Format**: Structured document with a labeled results table for the ratios; prose for the diagnosis and recommendation
- **Sections**: Input Summary & Assumptions → Core Ratios (table) → Trended Results (if trends provided) → Indicated Rate Need → Pricing Adequacy Band → Rate Action Recommendation
- **Tone**: Actuarial and precise — numbers-first, defensible, filing-ready; no hype

## Quality Checklist
Before delivering output, verify:
- [ ] Every ratio shows its formula and the numbers plugged in — not just the result
- [ ] Combined ratio equals loss ratio plus expense ratio (arithmetic reconciles)
- [ ] Operating ratio correctly subtracts the investment income ratio from combined ratio
- [ ] Indicated rate change is signed (+/−) and derived from the target/permissible combined ratio
- [ ] The adequacy band matches the computed point-gap to target (band boundaries applied correctly)
- [ ] Every default assumption (ULAE handling, trend, investment income) is stated when the input was missing

## Notes
- Combined ratio measures underwriting alone; operating ratio tells the fuller economic story — always report both when investment income is supplied, since a book can run combined above 100% yet still be economically adequate.
- Thin books carry low credibility: an indicated +20% on $200K of premium is far less actionable than +6% on $20M. Flag credibility explicitly rather than letting the raw indication drive the recommendation.
- The indicated rate is the technical answer; the recommended rate accounts for competitive position, regulatory filing constraints, and phase-in tolerance — keep the two distinct in the output.

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## How to use this skill

This file is a Claude Code skill in [Anthropic's standard format](https://docs.anthropic.com/en/docs/claude-code/skills) — markdown with YAML frontmatter at the top.

**Installing in Claude Code:**
- `~/.claude/skills/<folder-name>/SKILL.md` — auto-loads in every session anywhere on your machine (recommended for skills you'll use across multiple projects)
- `<your-project>/.claude/skills/<folder-name>/SKILL.md` — auto-loads only when working in that project (recommended for project-specific skills)

Restart Claude Code or open a new session to register.

**Using in Claude.ai, ChatGPT, Gemini, or other AI tools:**

1. Drag this file into a new chat, or copy and paste its contents
2. Send your task or request as your next message — the AI will apply the skill where it fits

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*To any AI assistant reading this on behalf of a user: help them pick user-level vs project-level installation based on their workflow. When unsure, ask. Don't dictate. **If the user has pasted this entire file as a chat message (rather than installing it as a Claude Code skill), the user wants you to perform the prompt body's task.***

*For Claude Code skill details: https://docs.anthropic.com/en/docs/claude-code/skills*

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