Market Structure Chapter 27 22 min read

MGAs & Delegated Authority,
where carriers lend their pen.

Carriers cannot underwrite every risk in every market themselves. Delegated authority is the structure by which a carrier authorizes a third party (an MGA, MGU, program admin, or coverholder) to bind risks on its paper within agreed parameters. The model is enormous, fast-growing, and almost entirely document-driven. This is the single largest IDP opportunity in the entire insurance value chain.

$100B+
US MGA premium written
700+
Active US MGAs
~10%
CAGR over the past decade
bordereaux
The reporting backbone
§ 01

The mental model

A delegated authority arrangement is a contract between a carrier (the principal) and a third-party intermediary (the agent) that lets the agent bind risks on the carrier's paper, subject to agreed parameters. The carrier still owns the risk and the policy. The agent operates within authority. Bordereaux are the reporting feedback loop.

Carriers like delegated authority because it gives them access to underwriting expertise, distribution, and small-account economics that they could not build internally without enormous fixed cost. MGAs like delegated authority because they get to underwrite, brand, and grow without putting up balance sheet capital. Brokers like delegated authority because it streamlines placement on classes that would otherwise require shopping each risk individually. Reinsurers like delegated authority because it provides a clean, scalable path to allocating capital into specialty classes. The model exists because it serves all four constituencies, and it has grown because the alternatives have grown more expensive.

Anchor concept

Delegated authority is not outsourcing the risk, only the underwriting and operations. The carrier remains on the hook for every policy bound under its paper. If the MGA writes badly, the carrier loses money. That is why the contract terms (the pen book, the audit rights, the bordereaux requirements) matter so much, and why carriers spend real money on oversight infrastructure for their delegated portfolios.

§ 02

MGA, MGU, program admin

The terminology overlaps and the lines are fuzzy. Below is a working set of definitions that captures the distinctions most market participants would recognize, with the caveat that everyone uses the words slightly differently.

MGA (Managing General Agent)
Has binding authority on behalf of one or more carriers. Underwrites risks within its appointed authority, issues policies on carrier paper, and typically also has at least some claims authority. The most common form. May be branded (independent) or captive (owned by a broker or carrier).
MGU (Managing General Underwriter)
Often used interchangeably with MGA, but in some usage MGU implies a more specialized underwriting function (especially in financial lines, professional liability, cyber, healthcare) and less involvement in distribution. In practice the labels are not consistently applied across the market.
Program Administrator
A program is a packaged offering targeting a specific industry segment (towing operators, restaurants, small contractors, ride-share). The program admin runs the program: underwriting, distribution, sometimes claims, sometimes risk control. Usually has binding authority, often a multi-line wrapper, often supported by reinsurance.
Coverholder (Lloyd's term)
A Lloyd's-approved entity authorized to bind risks on behalf of Lloyd's syndicates under a binder. Functionally equivalent to an MGA for the purposes of binding authority, but with a Lloyd's-specific approval and oversight regime layered on top.
Wholesaler
A wholesale broker that does not have binding authority. Places business with multiple carriers but does not bind directly. Distinct from an MGA, although the same firm may have both wholesale broking and MGA divisions.
TPA (Third Party Administrator)
Handles claims (and sometimes other operations) on behalf of a carrier or a self-insured entity. May or may not be paired with an MGA on the same program. Compensated on per-claim or percentage-of-loss basis.

The market shape

The US MGA market has grown dramatically over the past decade. There are roughly 700 active US MGAs writing $100B+ in premium across casualty, property, specialty, and personal lines. The growth has been driven by (a) capital surplus looking for specialty deployment, (b) carrier appetite for distribution without fixed cost, (c) consolidation of broker-owned MGA platforms (Ryan Specialty, Amwins, Brown & Brown, CRC), and (d) hard market conditions in primary specialty lines where MGA capacity has filled gaps left by carrier withdrawals.

§ 03

The binding authority contract

The binding authority contract (also called the agency agreement, the binder, the program agreement, the delegated underwriting authority agreement, or DUAA, depending on the market) is the document that defines the relationship. Every fight in delegated authority eventually goes back to what this contract says.

Core elements

  • Authority. The classes of business, geography, limits, deductibles, premium thresholds, and exclusions within which the agent is authorized to bind on the carrier's paper.
  • Compensation. The commission rate, the contingent or profit commission structure, and any expense allowance.
  • Premium handling. How collected premium flows to the carrier, the trust account or fiduciary requirements, the timing of remittance.
  • Reporting. The bordereaux schedule, the data fields required, the format, and the delivery method.
  • Claims. The agent's claims authority (if any), the claims handling standards, the TPA arrangement (if any), the carrier's claims oversight rights.
  • Audit. The carrier's right to audit the agent's underwriting, claims, and operations. Frequency, scope, and consequences.
  • Termination. Notice periods, run-off provisions, ownership of expirations, conditions for immediate termination (gross negligence, fraud, breach).

The "pen" and what it covers

The "pen book" or "pen" is shorthand for the totality of the agent's authority. "Holding the pen" means having binding authority. "Surrendering the pen" means terminating the binder. Carriers describe what the agent is allowed to do as "what's in the pen," and renewals or amendments to the binder are about what comes in or out of the pen. Read the pen carefully. The contract is the boundary, and breaches are not academic: a binder bound outside authority can leave the carrier (or the agent) with an uncovered exposure.

Where binders break

The most common binder failure modes are: (1) the agent binds a risk outside the geographic or class authority and the carrier later disputes coverage; (2) the bordereaux reporting falls behind and the carrier discovers losses well after the fact; (3) the audit reveals systemic underwriting drift (writing larger limits, broader terms, weaker risks than the carrier expected); (4) premium remittance is delayed or the trust account is mismanaged; (5) the claims function is run loosely and reserve practices diverge from carrier expectations. Each of these is preventable with operational discipline, and each is endemic in environments where reporting is manual.

§ 04

The pen book and underwriting authority

The underwriting authority granted in a binder typically has the following dimensions:

  • Class of business. The lines the agent can write (e.g., Commercial Property; Habitational; Tow truck operators with fleet up to 25 units).
  • Geography. The states, countries, or territories. May be restricted further by zone (Tier 1 wind, brush fire, earthquake).
  • Limits. The maximum policy limit per risk. Often layered: full authority up to $X, referral required for $X to $Y, no authority above $Y.
  • Deductibles. Minimum deductibles, with referral or restriction below.
  • Premium thresholds. Minimum premium per risk, sometimes maximum without referral.
  • Exclusions. Mandatory exclusions, optional exclusions the agent must consider.
  • Aggregate cap. The maximum aggregate premium the agent can bind in a year.
  • Reinsurance. Where the carrier requires specific reinsurance treaties to be in place for the bound book.

Referral authority

Most binders include a referral mechanism for risks that fall outside the agent's binding authority but inside what the carrier might still write. The referral path: agent submits the risk to the carrier underwriter, who agrees or declines on a one-off basis. Referrals are common for large-limit risks, unusual classes, or accounts with adverse loss history. The referral process is one of the boundary-keeping mechanisms; it also produces a useful audit trail.

Pen book changes mid-term

A pen book is rarely static. Carriers and agents amend the authority during the year as conditions change: hardening market may prompt the carrier to tighten limits or geographic scope; a new class proven out by the agent may be added; an emerging loss issue may prompt mandatory exclusions. Each amendment is typically by formal endorsement to the binder.

§ 05

Premium accounting and money flow

Premium flow in delegated authority is more complex than in direct carrier writing. Money moves through fiduciary or trust accounts, with separation requirements that vary by jurisdiction and by carrier.

The basic flow

  1. The insured (or the retail broker on behalf of the insured) pays premium to the MGA.
  2. The MGA holds the premium in a fiduciary account (segregated from operating funds; often legally a trust account).
  3. The MGA deducts its commission and any agreed expense allowance.
  4. The MGA remits net premium to the carrier on the schedule defined in the binder (typically monthly or quarterly).
  5. The carrier reconciles the remittance against the bordereaux to confirm everything bound has been paid for.

Where it gets complicated

  • Premium installments. Many policies are paid in installments, and the bordereaux must reflect both written and earned/collected premium across the period.
  • Mid-term endorsements. Premium adjustments, both up and down, need to flow through and reconcile.
  • Cancellations and returns. Returned premium has to flow back the chain in the right proportion to the right party.
  • Multiple carriers. Many MGAs hold paper from multiple carriers across different classes. Premium has to be allocated correctly to the right carrier per the right binder.
  • Reinsurance ceding. If the carrier has structured-quota share or other reinsurance behind the binder, the cession has to be tracked at the policy level for reinsurance reporting.

Premium accounting is one of the back-office disciplines where MGAs differentiate themselves. A well-run MGA has clean, current, and reconciled accounts. A struggling MGA does not, and the consequences (delayed remittance, disputed amounts, audit findings) compound quickly.

§ 06

Claims authority and TPAs

Claims authority is a separate dimension of the delegation. An MGA with binding authority does not necessarily have claims authority. The arrangements vary widely.

Three common claims structures

  • Carrier handles claims. The MGA binds and reports, the carrier's in-house claims team handles the loss. Common when the carrier wants tight control over reserves and settlement, or when the line is severity-driven and adjudication expertise matters.
  • MGA handles claims with limited authority. The MGA has authority to handle claims up to a stated dollar threshold and to refer larger losses to the carrier. The MGA's claims function operates as an extension of the carrier. Common in personal lines and small commercial.
  • TPA handles claims. A third-party administrator runs the claims function on behalf of the MGA and the carrier. The TPA may be independent (Sedgwick, Crawford, Gallagher Bassett) or affiliated with the MGA. Common in program business and in the larger MGA platforms.

Claims authority limits

Where the MGA or TPA has claims authority, the binder defines the limits:

  • Reserve setting authority (up to $X per claim, referral above).
  • Settlement authority (up to $Y per claim, referral or carrier consent above).
  • Coverage decisions (binary: coverage decisions reserved to carrier, or delegated within parameters).
  • Counsel selection and litigation strategy.
  • Reporting cadence to the carrier (large loss notices, monthly bordereaux, quarterly reviews).
The reserve discipline question

One of the most consequential questions in delegated claims handling is how aggressively reserves are set. An MGA or TPA that under-reserves makes its loss ratio look artificially good, which inflates contingent commissions and may delay carrier intervention. An MGA or TPA that over-reserves misallocates capital. Carrier audits of TPA reserve practices are routine, and reserve adequacy is a central question in any binder review. Differences in reserve philosophy between the carrier's own claims department and the TPA's practice are a frequent source of friction.

§ 07

Audit and oversight

Carriers who delegate authority retain extensive audit rights. The audits are the principal mechanism by which carriers verify that the agent is operating inside the pen, applying the underwriting standards, handling claims appropriately, and remitting premium correctly.

Types of audit

  • Underwriting audit. Sample bound files for adherence to authority, application of underwriting guidelines, accuracy of rating, completeness of documentation.
  • Claims audit. Sample claim files for coverage decisions, reserve adequacy, settlement authority compliance, vendor selection, documentation quality.
  • Operations audit. Premium accounting, fiduciary trust compliance, IT controls, business continuity, regulatory filings.
  • Bordereaux audit. Reconcile bordereaux data against underlying source files. Sample-based or full population for high-priority binders.

Audit cadence and consequences

A typical major binder is audited annually, with smaller or newer binders sometimes audited more frequently. Findings are categorized by severity. Critical findings (binding outside authority, material reserve inadequacy, premium handling failures) can trigger immediate corrective action plans, partial pen withdrawals, or termination. Lesser findings produce remediation timelines and follow-up audits.

The Lloyd's coverholder oversight regime

Lloyd's has a specific coverholder oversight regime that supplements individual managing agent oversight. Lloyd's maintains the approved coverholder register, conducts periodic reviews, and operates the Coverholder Reporting Standards (CRS) framework that defines minimum bordereaux content and format. Coverholders that fail to comply with reporting requirements can lose Lloyd's approval, which would terminate their ability to bind on Lloyd's paper across all syndicates.

§ 08

Lloyd's vs company delegation

Delegated authority looks broadly similar in the Lloyd's market and the US company market, but the regulatory and operational layer differs.

Lloyd's-specific features

  • Approved coverholder register. Lloyd's centrally approves coverholders. A coverholder approved for one syndicate can, in principle, be used by other syndicates (though each syndicate still issues its own binder).
  • CRS. The Coverholder Reporting Standards framework standardizes bordereaux content and format. Compliance is monitored centrally.
  • Audit infrastructure. Lloyd's accredits coverholder auditors and maintains a shared audit framework.
  • Central Fund. Policyholders on Lloyd's coverholder business have the protection of the Lloyd's Central Fund if individual Members' funds are exhausted.

US company delegation features

  • State-level regulation. MGAs are licensed and regulated by individual state insurance departments. The NAIC MGA Model Act provides a baseline, but state implementations vary.
  • No central registry. Each carrier appoints MGAs individually. No equivalent of the Lloyd's approved coverholder list.
  • State filing requirements. Some states require MGAs to file program details, especially where the MGA is acting as a program administrator. Specific filings vary.
  • Sub-producer relationships. US MGAs frequently appoint sub-producers (retail or wholesale brokers) to source business. The sub-producer relationship adds another layer to the chain.

The hybrid programs

Many large MGA programs blend Lloyd's and US company capacity on the same paper, with Lloyd's syndicates and US-domiciled carriers each taking a share. The MGA holds binders from both, with operational logic that can route specific risks to specific capacity. This is increasingly the dominant structure for cross-border specialty programs.

§ 09

Fronting and capacity dynamics

"Fronting" is a structure where a carrier issues policies in its name (the "fronted" paper) but then cedes most or all of the risk to a reinsurer or to a captive owned by the insured. The carrier provides the policy form, the regulatory standing, and the rating, but does not retain the underwriting risk. Fronting and delegated authority overlap: many MGA programs are reinsured back to the carrier's reinsurer or back to the MGA's affiliated reinsurance vehicle.

Why fronting exists

  • An insured wants admitted paper but the actual capacity comes from a non-admitted source (offshore reinsurer, captive).
  • An MGA wants to deploy reinsurance capacity but the customer needs an admitted policy issued by a licensed carrier.
  • A reinsurer wants to participate in primary US business but does not want to set up its own US carrier license.

Fronting and the MGA

Many MGA programs are built on a fronting structure. The MGA underwrites and binds. The fronting carrier issues the policy and handles regulatory filings. A reinsurance treaty (often quota share) cedes the underwriting risk back to the program's actual capital provider. The MGA, the fronting carrier, and the reinsurance markets each play a defined role. The structure has grown rapidly because it allows specialty MGAs to access reinsurance capacity efficiently while still issuing admitted policies.

Fronting risk concentration

A fronting carrier ceding 90% of its book back through quota share is still on the hook for that 90% if the reinsurer fails to pay. Reinsurance counterparty quality, collateralization (LOCs, trust funds), and the reinsurer's financial strength rating are central to fronting carrier risk management. The 2022-2024 cycle has seen several high-profile fronting carrier issues where reinsurance counterparty problems flowed back to the fronting carrier and to brokers. Read the reinsurance security carefully when evaluating MGA programs.

§ 10

Where IDP earns its keep

Delegated authority is the largest single document automation opportunity in the industry. Volume is high, format heterogeneity is endemic, downstream consequences of bad data are severe, and the user populations (carrier delegated authority teams, MGA operations teams, Lloyd's syndicate ops) are explicitly looking for tooling. This is not a future opportunity. It is the current backlog.

01
Intake
Bordereaux files, claims notices, premium reports.
02
Classify
Premium vs claims bordereaux, MGA, binder.
03
Extract
Map heterogeneous columns to canonical schema.
04
Validate
Authority compliance, premium recon, completeness.
05
Triage
Out-of-authority risks, large losses, breaches.
06
Operations
Clean import, audit log, exception queue.

The delegated authority workflows where Indico shows up

  • Bordereaux normalization. The flagship use case. Take bordereaux files in dozens of formats from dozens of MGAs, normalize to a single carrier or syndicate schema, flag missing required fields, produce clean import files. High volume, recurring, high ROI.
  • Authority compliance check. For each policy bound on the bordereau, validate against the binder authority parameters. Flag any policies that appear to be outside class, geography, limit, deductible, or aggregate cap thresholds.
  • Premium reconciliation. Cross-check bordereaux written premium against premium remittance and against carrier ledger. Identify timing differences, missing items, and apparent discrepancies.
  • Claims bordereaux ingestion. Same problem, claims-side. Normalize loss reports, identify large-loss notices that require escalation, flag reserve movements that may need carrier attention.
  • Audit prep. Pull a sample of bound and claimed files, summarize each into the audit working paper format, surface exceptions for the auditor's attention.
  • Sub-producer file ingestion. Many MGAs receive applications from sub-producers in PDF and email formats and re-key them into their own underwriting systems. The same intake-to-system problem the carriers face, one layer up the chain.
  • Coverholder onboarding. Aggregate the various due diligence documents (audited financials, regulatory filings, references, prior loss summaries, business plan) into a single coverholder approval pack.
Where the demo lands

For an MGA, the demo that opens doors is the bordereaux normalization agent paired with authority compliance checking: take three coverholder spreadsheets in different formats, produce one clean import file, and flag the four policies that appear to be bound outside the binder limits. For a carrier delegated authority team, the demo is the same pipeline but framed as a centralized intake hub: every binder, every reporting cycle, one clean schema, with an exception queue and an audit trail. The compounding ROI argument writes itself: every binder onboarded is permanent volume reduction.

Chapter 27 · Market Structure · 22 min read

MGAs & Delegated Authority — Cheat Sheet

Carriers cannot underwrite every risk in every market themselves. Delegated authority is the structure by which a carrier authorizes a third party (an MGA, MGU, program admin, or coverholder) to bind risks on its paper within agreed parameters. The model is enormous, fast-growing, and almost entirely document-driven. This is the single largest IDP opportunity in the entire insurance value chain.

The mental model: Delegated authority is not outsourcing the risk, only the underwriting and operations. The carrier remains on the hook for every policy bound under its paper. If the MGA writes badly, the carrier loses money. That is why the contract terms (the pen book, the audit rights, the bordereaux requirements) matter so much, and why carriers spend real money on oversight infrastructure for their delegated portfolios.

Watch for

Key terms

MGA · Managing General Agent
MGU · Managing General Underwriter
TPA · Third Party Administrator
DUAA · Delegated Underwriting Authority Agreement
Pen · Binding authority
Bordereau · Periodic risk or claim report
CRS · Coverholder Reporting Standards
Fronting · Carrier issues paper, reinsures elsewhere

If you remember three things

Delegated authority lets a carrier extend distribution and underwriting reach without building it in house, but the carrier still owns the risk. The pen book defines the boundary and the bordereaux are the feedback loop. Bordereaux normalization is the most concrete IDP use case in the entire commercial market.