Annex 1 - Review of the current state of world aquaculture stock mortality insurance

QUESTIONNAIRE FOR PRIMARY INSURERS

Conducted on behalf of the Food and Agriculture Organization of the United Nations (FAO), Rome.

The information that you provide in this survey will be treated in the strictest confidence, and will not be made available in any format that can identify your information with your company. Your answers will be combined into a single section of an overall review, a copy of which will be made available for free to those who provide the information requested.

Please provide as much information you can, in answer to the following questions:

Your Company’s name:

The information in this box will only be used in case follow-up for possible clarification is needed, and will not be published or released beyond the team of FAO consultants and staff.

About the growing systems that you will insure:

List the growing systems that you currently insure:

List any other growing systems that you believe you will be insuring in the reasonably near future:

List any growing systems that you are not prepared to insure:

About your underwriting capacity:

What is your Company’s net capacity (in US$) on any single risk (i.e. at any single location or in respect of an aggregation of locations): $

What is your Company’s gross capacity (with reinsurance), in US$, on any single risk (i.e. at any single location or in respect of an aggregation of locations): $

Are you restricted to underwriting aquaculture risks in your own country only: YES NO

If "NO", list the other countries in which you provide these services:

Is your capacity available to follow the terms of other specialist underwriters or will you only support your own terms and conditions? Will follow other underwriters Only our own:

Handling claims:

Do you handle your own losses or do you use independent loss adjusters?

Use own adjusters only

Use independent adjusters

Risk management surveys:

Do you do your own risk management surveys or use independent experts?:

Use own surveyors only:

Independent surveyors

Basic terms and conditions:

Will you underwrite "all risks" terms and conditions or are you only prepared to underwrite "named perils" terms? "All risks " Only "named perils"

Have you developed your own Application Forms? YES NO

(If you answer "YES" to this question, please provide a copy of your Application Forms.)

Have you developed your own policy terms and conditions? YES NO

(If you answer "YES" to this question, please provide a copy of your policy wording.)

Your Company’s experience: For how long has your Company been underwriting aquaculture crop insurance? _______years. How would your describe your Company’s aquaculture underwriting results since it started underwriting aquaculture business, or over the last ten years?
	Very bad	Bad	Neutral	Good	Very good
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994

Your name:

Your position:

Your office address:	1.
	2.
	3.
State/county/province:
Postal/zip code:
Country:

Your tel. no.:

Your fax no.:

Your e-mail:

Your Department’s Web site URL:

The information in this box will only be used in case of need for follow up on possible clarification, and will not be published or released beyond the team of FAO consultants and staff.

Your comments: If you have any comments that you would like to make, or if you have any other information or experiences you wish to share that you feel would help the survey, please feel free to enter them here and on additional paper if needed.