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.
Part 1: The Existing Market
Section titled “Part 1: The Existing Market”1.1 Primary Product Categories
Section titled “1.1 Primary Product Categories”Employee Dishonesty / Fidelity Bonds
The core product covering theft, fraud, and embezzlement by employees.
| Attribute | Typical Range |
|---|---|
| Coverage limits | 5M+ |
| Annual premium | 0.3% - 2% of coverage |
| Deductible | 50K |
| Required controls | Background checks, dual controls, segregation of duties |
Example pricing: A 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.
| Attribute | Typical Range |
|---|---|
| Coverage limits | 100M+ |
| Annual premium | 15K for $1M (small org) |
| Key exclusions | Criminal acts (usually), prior known claims |
| Critical for | Nonprofits, startups (protects personal assets) |
Cyber Crime / Social Engineering
Growing category covering wire transfer fraud, invoice manipulation, phishing attacks.
| Attribute | Typical Range |
|---|---|
| Coverage limits | 10M |
| Annual premium | 20K+ |
| Key exclusions | Voluntary transfers (tricky with social engineering) |
| Evolution | Insurers learned painful lessons 2015-2020 |
1.2 Why This Is Actually Insurable
Section titled “1.2 Why This Is Actually Insurable”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)1.3 Key Limitations and Exclusions
Section titled “1.3 Key Limitations and Exclusions”Standard exclusions (~90% of policies):
| Exclusion | Rationale |
|---|---|
| Known bad actors | Can’t insure pre-existing fraud |
| Acts by owners/principals | Moral hazard too severe |
| Failure to prosecute | Requires criminal charges to claim |
| Collusion with insured | Prevents 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
Part 2: Control Systems and Pricing
Section titled “Part 2: Control Systems and Pricing”2.1 The Control-Premium Relationship
Section titled “2.1 The Control-Premium Relationship”This is directly relevant to delegation accounting: better controls = lower exposure = lower premiums.
Tier 1 Controls (10-30% premium reduction)
| Control | Mechanism | Detection Rate |
|---|---|---|
| Segregation of duties | Different people authorize, execute, record | High |
| Dual signatures | Required for transactions >$X | High |
| Mandatory vacation | Forces job rotation, catches ongoing fraud | Medium |
| Background checks | Criminal, credit, reference verification | Medium |
Tier 2 Controls (additional 10-20%)
| Control | Mechanism | Detection Rate |
|---|---|---|
| External audits | CPA reviews annually minimum | High |
| Reconciliation procedures | Daily cash counts, monthly bank recs | High |
| Access controls | Time-locked safes, multi-person vault | Medium |
| Surveillance | Cameras in cash-handling areas | Medium |
Tier 3 Controls (additional 5-15%)
| Control | Mechanism | Detection Rate |
|---|---|---|
| Universal bonding | All employees bonded, not just high-risk | Medium |
| Anonymous hotline | Operational fraud tipline | High (tips catch ~40% of fraud) |
| Regular training | Annual fraud awareness refreshers | Low-Medium |
| IT audit trails | Complete logging for financial systems | High |
Tier 4 / Extreme Controls (additional 5-10%, diminishing returns)
| Control | Mechanism | Detection Rate |
|---|---|---|
| Biometric access | Fingerprint/retina for financial systems | High |
| Real-time monitoring | AI/ML fraud detection | Medium-High |
| Third-party escrow | For large transactions | Very High |
| Blockchain audit trails | Immutable transaction records | Very High |
2.2 The Optimization Problem
Section titled “2.2 The Optimization Problem”Total Cost = Premium + Control Implementation + Control Maintenance + Expected Uninsured Loss
Optimize where: d(Total Cost)/d(Control Investment) = 0Practical breakpoints:
| Organization Size | Optimal Control Level | Reasoning |
|---|---|---|
| <$500K budget | Tier 1 only | Control costs exceed premium savings |
| 2M budget | Tier 1 + partial Tier 2 | External audit may be +EV |
| 10M budget | Tier 1-2 + partial Tier 3 | Hotline, training worthwhile |
| >$10M budget | Full Tier 1-3 | All 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
2.3 Dynamic Considerations
Section titled “2.3 Dynamic Considerations”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
Part 3: Political Fidelity Insurance
Section titled “Part 3: Political Fidelity Insurance”3.1 Why This Market Doesn’t Exist
Section titled “3.1 Why This Market Doesn’t Exist”Direct insurance against politician fraud is essentially non-existent. The theoretical barriers:
Adverse selection dominates
| Politician Type | Willingness to Buy | Effect |
|---|---|---|
| Clean politicians | Low (overpaying for risk they won’t create) | Exit market |
| Corrupt politicians | High (cheap money laundering) | Dominate market |
| Result | Only bad risks remain | Market 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
3.2 What Actually Exists
Section titled “3.2 What Actually Exists”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
3.3 Theoretical Design Space
Section titled “3.3 Theoretical Design Space”If you wanted to design political fidelity insurance, what would it look like?
Beneficiary structure options:
| Structure | Mechanism | Problems |
|---|---|---|
| Taxpayer fund | Insurance pays government treasury | Politician doesn’t care (not their money) |
| Bond market | Municipal bond insurers pay bondholders | Incentivizes bondholder monitoring, but limited scope |
| Escrow/bond posting | Politician posts bond, forfeits on conviction | Functions as delayed compensation, not insurance |
| Victim restitution | Insurance pays fraud victims directly | Verification nightmare, coverage scope unclear |
Pricing impossibility:
| Parameter | Estimate | Uncertainty |
|---|---|---|
| Baseline corruption charge rate | 2-5% of politicians | High variance by jurisdiction |
| Conviction rate if charged | 60-70% | Varies by offense type |
| Average theft amount | Bimodal: 10M+ | Extreme variance |
| Detection rate | 20-40% of fraud detected | Very uncertain |
Implied pricing:
- Actuarially fair premium: ~1-3% of coverage annually
- With adverse selection adjustment: 10-20%+
- At 20% premium, corrupt politician stealing 200K for $800K net—still profitable
- No equilibrium exists where clean politicians participate
3.4 Better Mechanisms Than Insurance
Section titled “3.4 Better Mechanisms Than Insurance”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
Part 4: Research Literature
Section titled “Part 4: Research Literature”4.1 Actuarial Foundations
Section titled “4.1 Actuarial Foundations”Association of Certified Fraud Examiners (ACFE)
The ACFE’s biennial Report to the Nations is the primary data source on occupational fraud:
| Finding | Value | Implication |
|---|---|---|
| Median loss per case | ~$117,000 | Significant but insurable |
| Median duration before detection | 12 months | Controls that accelerate detection are valuable |
| Tip-based detection | ~40% of cases | Hotlines are highly effective |
| Internal audit detection | ~15% of cases | Audits catch less than expected |
| Owner/executive fraud | 5× higher losses than employee fraud | But 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
4.2 Insurance Economics
Section titled “4.2 Insurance Economics”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
4.3 Political Economy
Section titled “4.3 Political Economy”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.
4.4 Mechanism Design
Section titled “4.4 Mechanism Design”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
Part 5: Novel Insurance Structures
Section titled “Part 5: Novel Insurance Structures”5.1 Parametric Triggers
Section titled “5.1 Parametric Triggers”Traditional insurance requires proving a specific fraud occurred. Parametric insurance pays based on observable indices:
Potential design:
| Trigger | Threshold | Payout |
|---|---|---|
| ”Financial irregularity index” | >2 standard deviations | Automatic |
| Audit findings count | >N material findings | Scaled |
| Whistleblower reports | Verified reports >X | Per-report |
| Forensic accounting score | Below threshold | Automatic |
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
5.2 Prediction Market Hybrid
Section titled “5.2 Prediction Market Hybrid”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 marketMechanism:
- 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
5.3 Mutual Insurance Cooperatives
Section titled “5.3 Mutual Insurance Cooperatives”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
5.4 Dynamic/Real-Time Pricing
Section titled “5.4 Dynamic/Real-Time Pricing”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 telemetryEnabling 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”6.1 Pricing Delegation Risk
Section titled “6.1 Pricing Delegation Risk”The insurance market provides market prices for defection risk. This makes delegation balance sheets more concrete:
| Balance Sheet Item | Insurance Analog | Market Price |
|---|---|---|
| Exposure (theft) | Fidelity bond premium | 0.3-2% of coverage |
| Exposure (executive fraud) | D&O premium | 0.2-1.5% of coverage |
| Contingent liability (if caught) | Policy limits + exclusions | Defines 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 Investment | Premium Reduction | Implied 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 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 Mode | Oversight Implication |
|---|---|
| Adverse selection | Need universal coverage (like bonding requirements) |
| Moral hazard | Need monitoring independent of the insured |
| Enforcement capture | Need external enforcement (not self-policing) |
| Detection difficulty | Need information systems politician doesn’t control |
Design principle: If you can’t insure it, you need structural controls instead.
6.4 Research Directions
Section titled “6.4 Research Directions”Open questions:
-
Optimal control portfolios: Which combinations of controls maximize exposure reduction per dollar?
-
Dynamic pricing feasibility: Can real-time risk indicators predict fraud well enough to price dynamically?
-
Political mechanism design: What non-insurance mechanisms best approximate insurance for political delegation?
-
Cross-organizational mutual insurance: Could EA/rationalist organizations create a mutual fidelity pool with information advantages?
-
Parametric trigger construction: What observable indices best predict fraud without being gameable?
-
Moral hazard quantification: How much does insurance actually increase fraud? (Empirical estimates vary widely.)
Summary
Section titled “Summary”| Concept | Key Finding |
|---|---|
| Fidelity insurance exists | Mature market, 0.3-2% of coverage |
| Controls reduce premiums | 30-70% reduction possible |
| Political insurance doesn’t exist | Adverse selection + moral hazard + enforcement capture |
| Novel structures possible | Parametric, prediction market hybrid, mutual, dynamic |
| Implication for delegation accounting | Insurance 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.
Further Reading
Section titled “Further Reading”Academic
Section titled “Academic”- 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
Industry
Section titled “Industry”- 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
Related Pages
Section titled “Related Pages”- Delegation Accounting Overview — Balance sheet framework
- Power Struggles — Application to political contexts
- Risk Decomposition — Accidents vs. defection