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Fidelity Insurance: Pricing Defection Risk

Fidelity Insurance: Pricing Defection Risk

Section titled “Fidelity Insurance: Pricing Defection Risk”

This document explores the insurance industry’s approach to pricing “bad actor” risk—directly relevant to the delegation accounting framework. If we can price defection risk actuarially, we can make delegation balance sheets more precise.


Employee Dishonesty / Fidelity Bonds

The core product covering theft, fraud, and embezzlement by employees.

AttributeTypical Range
Coverage limits50K50K - 5M+
Annual premium0.3% - 2% of coverage
Deductible1K1K - 50K
Required controlsBackground checks, dual controls, segregation of duties

Example pricing: A 1Mpolicyforasmallorganizationwithminimalcontrolscosts 1M policy for a small organization with minimal controls costs ~2,000-3,000/year. With strong controls, this drops to ~$600-1,000/year.

Directors & Officers (D&O) Liability

Covers wrongful acts by leadership, including fraud, self-dealing, and breach of fiduciary duty.

AttributeTypical Range
Coverage limits1M1M - 100M+
Annual premium2K2K - 15K for $1M (small org)
Key exclusionsCriminal acts (usually), prior known claims
Critical forNonprofits, startups (protects personal assets)

Cyber Crime / Social Engineering

Growing category covering wire transfer fraud, invoice manipulation, phishing attacks.

AttributeTypical Range
Coverage limits100K100K - 10M
Annual premium1K1K - 20K+
Key exclusionsVoluntary transfers (tricky with social engineering)
EvolutionInsurers learned painful lessons 2015-2020

Contrary to intuition, defection risk has favorable properties for insurance:

Actuarial data exists

  • Decades of claims history from commercial insurers
  • FBI Uniform Crime Reports provide baseline theft rates
  • Association of Certified Fraud Examiners publishes biennial studies

Moral hazard is manageable

  • Required controls as policy conditions
  • Regular audits verify compliance
  • Deductibles ensure skin in the game

Limited correlation

  • Employee theft doesn’t cluster like natural disasters
  • Economic downturns increase theft, but effect is modest (~20-30% increase)
  • Not catastrophically correlated (unlike pandemic, earthquake)

Recovery infrastructure exists

  • Forensic accounting recovers ~30-40% of fraud losses
  • Criminal restitution adds additional recovery
  • Subrogation allows insurers to pursue perpetrators

The Fundamental Equation

Premium = (Base Rate × Coverage) × Risk Multipliers × Control Discounts + Expense Loading
where:
Base Rate ≈ 0.5-1% (reflects historical loss ratio)
Risk Multipliers = f(industry, employee count, cash handling, prior claims)
Control Discounts = 0.3-0.7 (strong controls → big discount)
Expense Loading ≈ 20-30% (admin, investigation reserves)

Standard exclusions (~90% of policies):

ExclusionRationale
Known bad actorsCan’t insure pre-existing fraud
Acts by owners/principalsMoral hazard too severe
Failure to prosecuteRequires criminal charges to claim
Collusion with insuredPrevents insurance fraud
Inventory shrinkage (general)Too hard to prove employee theft vs. other loss

Underwriting friction:

  • Extensive questionnaires about internal controls
  • Background check requirements for covered employees
  • May require audited financials
  • Higher premiums (or denial) for prior claims
  • Annual control attestations

This is directly relevant to delegation accounting: better controls = lower exposure = lower premiums.

Tier 1 Controls (10-30% premium reduction)

ControlMechanismDetection Rate
Segregation of dutiesDifferent people authorize, execute, recordHigh
Dual signaturesRequired for transactions >$XHigh
Mandatory vacationForces job rotation, catches ongoing fraudMedium
Background checksCriminal, credit, reference verificationMedium

Tier 2 Controls (additional 10-20%)

ControlMechanismDetection Rate
External auditsCPA reviews annually minimumHigh
Reconciliation proceduresDaily cash counts, monthly bank recsHigh
Access controlsTime-locked safes, multi-person vaultMedium
SurveillanceCameras in cash-handling areasMedium

Tier 3 Controls (additional 5-15%)

ControlMechanismDetection Rate
Universal bondingAll employees bonded, not just high-riskMedium
Anonymous hotlineOperational fraud tiplineHigh (tips catch ~40% of fraud)
Regular trainingAnnual fraud awareness refreshersLow-Medium
IT audit trailsComplete logging for financial systemsHigh

Tier 4 / Extreme Controls (additional 5-10%, diminishing returns)

ControlMechanismDetection Rate
Biometric accessFingerprint/retina for financial systemsHigh
Real-time monitoringAI/ML fraud detectionMedium-High
Third-party escrowFor large transactionsVery High
Blockchain audit trailsImmutable transaction recordsVery High
Total Cost = Premium + Control Implementation + Control Maintenance + Expected Uninsured Loss
Optimize where: d(Total Cost)/d(Control Investment) = 0

Practical breakpoints:

Organization SizeOptimal Control LevelReasoning
<$500K budgetTier 1 onlyControl costs exceed premium savings
500K500K-2M budgetTier 1 + partial Tier 2External audit may be +EV
2M2M-10M budgetTier 1-2 + partial Tier 3Hotline, training worthwhile
>$10M budgetFull Tier 1-3All controls +EV for insurance alone

The catch: Tier 4 controls are rarely +EV purely for premium reduction. They’re justified by:

  • Regulatory requirements
  • Reputational protection
  • Deterrence beyond insured losses
  • Grant/contract requirements

Substitution effects: Strong controls on cash → fraud shifts to procurement, travel expenses, phantom vendors. Insurers learned this and now require holistic control environments.

Control decay: Controls degrade over time as people find workarounds. Insurers assume ~10-20% annual decay without refresher training and audits.

Moral hazard from insurance: Better coverage → less vigilant monitoring. Optimal contracts include:

  • Deductibles (skin in the game)
  • Coverage caps (catastrophic only)
  • Co-insurance provisions (insured bears percentage)
  • Required control maintenance

Direct insurance against politician fraud is essentially non-existent. The theoretical barriers:

Adverse selection dominates

Politician TypeWillingness to BuyEffect
Clean politiciansLow (overpaying for risk they won’t create)Exit market
Corrupt politiciansHigh (cheap money laundering)Dominate market
ResultOnly bad risks remainMarket collapse

Moral hazard is catastrophic

  • Insurance removes personal deterrent effect
  • Politician knows they’re covered → more willing to steal
  • Unlike employee theft, politician controls enforcement

Principal-agent problem

  • Who’s the beneficiary? Taxpayers can’t contract with politician
  • If politician is beneficiary, they profit from their own fraud
  • Government as beneficiary creates circular incentives

Enforcement nightmare

  • Proving “fraud” requires conviction
  • Politicians influence prosecution
  • Long delays between act and conviction
  • Statutes of limitations

Campaign liability insurance

  • Covers campaign staff errors and omissions
  • Does NOT cover candidate fraud
  • Protects against volunteer mistakes, event injuries

Government official surety bonds

  • Some jurisdictions require for treasurers, tax collectors
  • Surety (guarantor) pays, then recovers from official
  • This is NOT insurance—official still owes the money
  • Functions as credit enhancement, not risk transfer

D&O for appointed officials

  • Covers negligence and honest mistakes
  • Explicitly excludes fraud and criminal acts
  • Protects against lawsuit defense costs

If you wanted to design political fidelity insurance, what would it look like?

Beneficiary structure options:

StructureMechanismProblems
Taxpayer fundInsurance pays government treasuryPolitician doesn’t care (not their money)
Bond marketMunicipal bond insurers pay bondholdersIncentivizes bondholder monitoring, but limited scope
Escrow/bond postingPolitician posts bond, forfeits on convictionFunctions as delayed compensation, not insurance
Victim restitutionInsurance pays fraud victims directlyVerification nightmare, coverage scope unclear

Pricing impossibility:

ParameterEstimateUncertainty
Baseline corruption charge rate2-5% of politiciansHigh variance by jurisdiction
Conviction rate if charged60-70%Varies by offense type
Average theft amountBimodal: 10Kvs10K vs 10M+Extreme variance
Detection rate20-40% of fraud detectedVery uncertain

Implied pricing:

  • Actuarially fair premium: ~1-3% of coverage annually
  • With adverse selection adjustment: 10-20%+
  • At 20% premium, corrupt politician stealing 1Mpays1M pays 200K for $800K net—still profitable
  • No equilibrium exists where clean politicians participate

Performance bonds (infrastructure model)

  • Contractor posts bond for project completion
  • Third-party surety monitors performance
  • Works because completion is observable
  • Applicable: Politician posts bond, forfeits if convicted

Clawback provisions (executive comp model)

  • Deferred compensation recovered if fraud discovered
  • Pension forfeiture for convicted officials
  • Many jurisdictions have these laws
  • Problem: Enforcement is discretionary

Prediction markets

  • Bet on whether official will be convicted within N years
  • Information aggregation, not insurance
  • Legal in some jurisdictions for research
  • Example: Polymarket has had markets on politician investigations

Escrow mechanisms

  • Politician’s salary held in escrow for N years post-service
  • Released only if no conviction
  • Creates substantial contingent liability without insurance

Association of Certified Fraud Examiners (ACFE)

The ACFE’s biennial Report to the Nations is the primary data source on occupational fraud:

FindingValueImplication
Median loss per case~$117,000Significant but insurable
Median duration before detection12 monthsControls that accelerate detection are valuable
Tip-based detection~40% of casesHotlines are highly effective
Internal audit detection~15% of casesAudits catch less than expected
Owner/executive fraud5× higher losses than employee fraudBut harder to insure

Key papers:

  • Holtfreter, K. (2005). “Is occupational fraud ‘typical’ white-collar crime?” Journal of Criminal Justice. — Demographic analysis of fraud perpetrators
  • Hollow, M. (2014). “Money, Morals and Motives: An Exploratory Study into Why Bank Employees Commit Fraud.” Journal of Financial Crime. — Qualitative analysis of rationalization
  • Murphy, P. (2012). “Attitude, Machiavellianism and the rationalization of misreporting.” Accounting, Organizations and Society. — Why people convince themselves fraud is acceptable

Moral hazard and adverse selection:

  • Rothschild, M. & Stiglitz, J. (1976). “Equilibrium in Competitive Insurance Markets.” QJE. — Foundation of adverse selection theory
  • Shavell, S. (1979). “On Moral Hazard and Insurance.” QJE. — Optimal insurance under moral hazard
  • Winter, R. (2000). “Optimal Insurance Under Moral Hazard.” Handbook of Insurance. — Comprehensive treatment

Crime insurance specifically:

  • Boyer, M. (2007). “Resistance (to fraud) is futile.” Journal of Risk and Insurance. — Models optimal enforcement vs. insurance
  • Dionne, G. & Wang, K. (2013). “Does insurance fraud in automobile insurance increase claims?” Journal of Risk and Uncertainty. — Empirical evidence on moral hazard in fraud contexts

Corruption pricing:

  • Mauro, P. (1995). “Corruption and Growth.” QJE. — Cross-country evidence on corruption costs
  • Fisman, R. (2001). “Estimating the Value of Political Connections.” AER. — Uses firm values to price political relationships
  • Khwaja, A. & Mian, A. (2005). “Do Lenders Favor Politically Connected Firms?” QJE. — Banks price political connections into loans

The “selectorate theory” framing:

Bueno de Mesquita et al.’s The Logic of Political Survival (2003) provides a framework where politician behavior is predictable based on:

  • Size of selectorate (who could potentially support leader)
  • Size of winning coalition (who actually keeps leader in power)
  • Private vs. public goods provision

This maps to insurance: smaller winning coalitions → more extraction → higher “premiums” would be needed.

Relevant theory:

  • Holmström, B. (1979). “Moral Hazard and Observability.” Bell Journal of Economics. — Optimal contracts under partial observability
  • Tirole, J. (1986). “Hierarchies and Bureaucracies.” Journal of Law, Economics, & Organization. — Delegation chains and information
  • Aghion, P. & Tirole, J. (1997). “Formal and Real Authority in Organizations.” JPE. — When delegation is optimal despite agency costs

Corruption-specific mechanism design:

  • Becker, G. & Stigler, G. (1974). “Law Enforcement, Malfeasance, and Compensation of Enforcers.” JLE. — Efficiency wages as corruption prevention
  • Mookherjee, D. & Png, I. (1995). “Corruptible Law Enforcers.” RAND Journal of Economics. — Optimal monitoring under corruption risk

Traditional insurance requires proving a specific fraud occurred. Parametric insurance pays based on observable indices:

Potential design:

TriggerThresholdPayout
”Financial irregularity index”>2 standard deviationsAutomatic
Audit findings count>N material findingsScaled
Whistleblower reportsVerified reports >XPer-report
Forensic accounting scoreBelow thresholdAutomatic

Advantages:

  • Eliminates investigation costs
  • Faster payout
  • Less litigation
  • Objective triggers

Disadvantages:

  • Gaming the index
  • False positives
  • Index construction is hard
  • May not cover actual losses

Premium adjusts based on internal prediction market on fraud risk:

Premium_t = Base_Premium × f(Market_Probability_of_Fraud_t)
where Market_Probability comes from internal betting market

Mechanism:

  • Employees bet on whether fraud will be discovered in next N months
  • Betting reveals private information
  • Premium adjusts in real-time
  • Information aggregation + incentive alignment

Challenges:

  • Manipulation (bet against, then report)
  • Thin markets in small organizations
  • Legal/regulatory issues
  • Cultural acceptance

Industry peers cross-insure each other:

Structure:

  • Pool of similar organizations contributes to fund
  • Claims paid from pool
  • Surplus returned as dividends
  • Members have information advantages over commercial insurers

Existing examples:

  • Credit union leagues (mutual fidelity coverage)
  • Church denominations (clergy misconduct pools)
  • Trade associations (industry-specific risks)

Advantages:

  • Better information sharing
  • Aligned incentives (peers monitor each other)
  • Lower overhead than commercial carriers
  • Specialized underwriting expertise

Disadvantages:

  • Limited capital for large losses
  • Correlation risk within industry
  • Governance challenges
  • Adverse selection within pool

Insurance that adjusts continuously based on observed risk indicators:

Data inputs:

  • Access pattern anomalies (from IT systems)
  • Transaction velocity changes
  • Segregation of duties violations
  • Employee sentiment indicators
  • Financial ratio changes

Mechanism:

Premium_daily = Base × Σ(Risk_Factor_i × Weight_i)
where Risk_Factors update daily based on telemetry

Enabling technologies:

  • API integration with financial systems
  • ML anomaly detection
  • Real-time audit trail analysis
  • Behavioral analytics

Current status:

  • Cyber insurance moving this direction (Coalition, Corvus)
  • Fidelity insurance lags (data integration harder)
  • Regulatory barriers in some jurisdictions

Part 6: Implications for Delegation Accounting

Section titled “Part 6: Implications for Delegation Accounting”

The insurance market provides market prices for defection risk. This makes delegation balance sheets more concrete:

Balance Sheet ItemInsurance AnalogMarket Price
Exposure (theft)Fidelity bond premium0.3-2% of coverage
Exposure (executive fraud)D&O premium0.2-1.5% of coverage
Contingent liability (if caught)Policy limits + exclusionsDefines maximum recovery

Example: Alice delegating $1M to Bob

If Alice can buy fidelity coverage at 0.5% ($5,000 premium):

  • Market is pricing Bob’s defection risk at ~$5,000 expected
  • This is Alice’s insurable exposure
  • Uninsurable exposure (coverage exclusions) adds to this

6.2 Control Investment as Exposure Reduction

Section titled “6.2 Control Investment as Exposure Reduction”

The control-premium relationship maps directly to delegation accounting:

Control InvestmentPremium ReductionImplied Exposure Reduction
$0 (baseline)0%0%
$5K (Tier 1 controls)25%25%
$15K (Tier 1-2)45%45%
$30K (Tier 1-3)60%60%

Marginal analysis: If 10Kincontrolsreducesexposureby10K in controls reduces exposure by 15K (premium savings + uninsured loss reduction), invest.

6.3 Why Political Insurance Fails Inform Oversight Design

Section titled “6.3 Why Political Insurance Fails Inform Oversight Design”

The impossibility of political fidelity insurance reveals what makes delegation risky:

Insurance Failure ModeOversight Implication
Adverse selectionNeed universal coverage (like bonding requirements)
Moral hazardNeed monitoring independent of the insured
Enforcement captureNeed external enforcement (not self-policing)
Detection difficultyNeed information systems politician doesn’t control

Design principle: If you can’t insure it, you need structural controls instead.

Open questions:

  1. Optimal control portfolios: Which combinations of controls maximize exposure reduction per dollar?

  2. Dynamic pricing feasibility: Can real-time risk indicators predict fraud well enough to price dynamically?

  3. Political mechanism design: What non-insurance mechanisms best approximate insurance for political delegation?

  4. Cross-organizational mutual insurance: Could EA/rationalist organizations create a mutual fidelity pool with information advantages?

  5. Parametric trigger construction: What observable indices best predict fraud without being gameable?

  6. Moral hazard quantification: How much does insurance actually increase fraud? (Empirical estimates vary widely.)


ConceptKey Finding
Fidelity insurance existsMature market, 0.3-2% of coverage
Controls reduce premiums30-70% reduction possible
Political insurance doesn’t existAdverse selection + moral hazard + enforcement capture
Novel structures possibleParametric, prediction market hybrid, mutual, dynamic
Implication for delegation accountingInsurance premiums provide market prices for defection risk

The insurance industry has spent decades pricing defection risk. Their methods—actuarial analysis, control requirements, exclusion design—are directly applicable to delegation accounting. Where insurance fails (political contexts), the failure modes tell us what structural controls are needed instead.


  • ACFE (2024). Report to the Nations: Occupational Fraud. — Primary data source
  • Rothschild & Stiglitz (1976). “Equilibrium in Competitive Insurance Markets.” — Adverse selection foundation
  • Holmström (1979). “Moral Hazard and Observability.” — Contract design under partial observability
  • Bueno de Mesquita et al. (2003). The Logic of Political Survival. — Selectorate theory
  • International Risk Management Institute (IRMI). Crime Coverage Guide. — Practitioner reference
  • Nonprofit Risk Management Center. Coverage Guides. — Sector-specific
  • Surety & Fidelity Association of America. Loss Statistics. — Claims data