Appendix I
QUESTIONNAIRE
Organization Name:
Address:
Person Completing Form: ___________________________________
Title: ____________________________________________________
Telephone: ________________________________________________
1. Do you provide general liability insurance to any nonprofit
entities in Hawaii? Yes No
If, so, please fill out the remainder of this questionnaire.
If not, why not? (Please explain)
2. To the best of your knowledge, how many Hawaii nonprofit
entities do you insure?
3. What percentage of your business in Hawaii does this figure
represent?
4. In the past 12 months, what was the dollar amount of earned
premiums for nonprofit entities in Hawaii?
5. In the past 24 months, how many claims by Hawaii non-profit
entities have been incurred?
Representing how much in claims in Hawaii? %
6. In the past 24 months, have you had to increase rates for
property-casualty coverage for non-profits in Hawaii? Yes
No
If so, by how much? %
If so, what were your reasons? (Please check all that
apply)
( ) Unavailability of reinsurance
( ) Increase in cost of reinsurance
( ) Increase of perceived risk
( ) To provide more coverage
( ) Other (please specify)
7. During the past 24 months, have you refused to renew a
policy that was in force to any non-profit entity in Hawaii?
Yes No
If so, how many?
If so, what were your reasons? (Please check all that
apply)
( ) Cancellation of reinsurance
( ) Increase in cost of reinsurance
( ) Increase of perceived risk
( ) Don't insure in this line anymore
( ) Other (please specify)
8. Has your reinsurer limited the kinds of coverage you can
offer to Hawaii non-profit entities? Yes No
If so, please explain.
9. Has your reinsurer limited the amount of coverage you can
offer to Hawaii non-profit entities? Yes No
If so, please explain.
10. During the past 24 months, have you experienced an increase
in the amount you must pay for reinsurance for Hawaii non-
profit entities? Yes No
If so, by what percentage? %
If so, how did you deal with the higher reinsurance cost?
(Please check all that apply)
( ) Dropped unpredictable lines of coverage
( ) Dropped frequent claimants
( ) Raised premiums
( ) Lowered coverage limits
( ) Raised deductibles
( ) Cut back staff
( ) Other (please specify)
11. If large numbers of Hawaii non-profit entities formed a risk
purchasing group, assuming all other factors remained the
same:
(a) Would you expect premiums to:
( ) Go up ( ) Stay the same ( ) Go down
( ) Don't know
(b) Would you expect reinsurance rates to:
( ) Go up ( ) Stay the same ( ) Go down
( ) Don't know
12. Please add any comments or additional information that you
think would be helpful to this study.
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