Module 03

Pure Loss Ratio vs. Combined Loss Ratio

Two metrics, two different stories. Knowing which one to use is essential to evaluating any claim about insurer performance — and to writing sound affordability policy.

Partial picture

Claims ÷ Premium

Compares claims paid to premium collected. It ignores everything required to actually deliver insurance — adjusters, , fraud prevention, and more. Useful as one data point, misleading on its own.

Fuller picture

Combined Loss Ratio

(Claims + Expenses) ÷ Premium

Combines claims with the real expenses of running an insurer. A combined ratio around 100% means roughly breaking even on underwriting. Above 100% means paying out more than is collected.

What expenses are included?

Real cost of delivery
Claims adjustment
Reinsurance
Agent commissions
Taxes & fees
Technology
Fraud prevention
Litigation & legal
Staff & operations
Catastrophe response
Regulatory compliance
Try it yourself

The Combined Ratio Calculator

Adjust claims and expenses for every $100 of premium collected. Watch how the combined ratio — and the policy takeaway — change.

Premium collected$100
Claims paid$72
per $100 of premium
Expenses$28
per $100 of premium
Pure Loss Ratio
72%
Claims ÷ Premium
Combined Ratio
100%
(Claims + Expenses) ÷ Premium
$0Premium = $100$150
Claims $72 Expenses $28Break-even line at $100
Policy takeaway

Break-even underwriting result. This is not evidence of excessive pricing.

Weather + Loss Ratios

See Today's Weather Risk

Major weather events show up in Texas loss ratios over time. The Weather Tracker shows current hail, wind, flood, wildfire, freeze, and tropical activity across Texas — and connects those events to claims pressure and affordability.

Open Weather Tracker
Texas Loss Ratio Timeline

When the weather turns, the numbers follow

Weather catastrophes and market shocks can wipe out years of underwriting gains. Explore how major Texas events show up in homeowners and auto insurance loss ratios over time.

A combined ratio of 100% is the break-even point. Below 100% indicates an underwriting profit; above 100% indicates an underwriting loss. In Texas, major weather events and market shocks can push loss ratios above 100% and negate years of prior gains.

Homeowners — Loss Ratio Timeline

100% Break-even19982025

Event year — click bar or marker for detailsBars in deeper red/clay mark years tied to a major Texas event.* Preliminary TDI figures, subject to revision.

Major events do not just affect one year. In Texas, a hail season, hurricane, wildfire, winter storm, or inflation shock can wipe out several years of underwriting gains and influence future pricing, availability, and insurer participation.
Major events on this timeline

Source: Texas Department of Insurance data compiled by TCAIS. Incurred and combined loss ratio data provided by TDI. Event categorizations curated for staffer reference.

What to notice

Texas loss ratios are volatile because Texas risk is volatile. In both homeowners and auto insurance, major weather events and market shocks can push combined ratios above 100%, meaning insurers paid more in claims and expenses than they collected in premium. That is why policymakers should evaluate insurance affordability over time, not by isolating one year or one metric.

Staffer Summary

Texas insurance loss ratios are volatile because Texas risk is volatile. A single hail season, hurricane, wildfire, winter storm, or inflation shock can erase years of underwriting gains. That is why policymakers should evaluate insurance affordability over time — not by isolating one year or one metric.

Policy Takeaway

Actuarially sound rates are not about guaranteeing insurer profits. They are about making sure companies can pay claims after the next major Texas catastrophe — and remain willing to write coverage in the state.

Official TDI Market Snapshot

The Texas homeowners market, in TDI's own numbers

Official Texas Department of Insurance data on the scale and competitiveness of the state's homeowners insurance market — useful context for reading loss ratios alongside real risk and cost pressures.

8,233,096
active homeowners policies in Texas (2025)
$3,506
average annual homeowners premium (2025 preliminary)
$19.75B
direct written premium (2025)
157
homeowners insurers (81 groups)
A competitive marketplace

Texas has a competitive homeowners insurance marketplace, with nearly 160 companies selling homeowners insurance policies in the state.

Recent filed rate requests
  • +3.5% average filed rate request, 30-day period (May 2026)
  • +1.5% average filed rate request, 90-day period (Mar–May 2026)

Official TDI data reinforces the central market picture: Texas has a large, competitive homeowners insurance market, but premiums and losses are shaped by real risk, rising coverage amounts, weather-related claims, and the cost of rebuilding.

Source: Texas Department of Insurance, Texas homeowners insurance market overview.

Texas in the Numbers

What the loss ratios actually show

$1.05
paid out by Texas homeowners insurers for every $1 collected in premium, on average, from 2020–2024
$1.41
paid out for every $1 collected in 2021, the year of Winter Storm Uri
100.9%
combined loss ratio for Texas auto insurers in 2023
112.4%
combined loss ratio for Texas auto insurers in 2022
101.9%
10-year combined loss ratio for Texas auto insurance

These are not the numbers of an industry extracting excessive profits. They are the numbers of a market paying out more — or nearly as much — as it collects, in one of the most weather-exposed states in the country.

Source: TCAIS loss ratio analysis based on Texas Department of Insurance data. Combined ratio includes claims and expenses as a share of premium.

Scenarios

Reading the combined ratio

Texas in context
≈ 100% combined ratio

In recent years, Texas homeowners insurers have averaged a combined loss ratio near 100% — meaning roughly every dollar of premium collected has gone back out to pay claims and the expenses of running the business. That is break-even on underwriting, not evidence of excessive pricing.

Source: TCAIS loss ratio analysis based on recent Texas homeowners market data. Combined ratio includes claims and expenses as a share of premium.

Modest margin
95%
Combined Ratio

Modest underwriting margin. Helps support capital, claim-paying ability, and catastrophe readiness.

Texas today
Texas (recent average)
100%
Combined Ratio

Roughly where Texas homeowners insurers have operated in recent years — about $100 paid out in claims and expenses for every $100 of premium collected. Break-even on underwriting, not excessive pricing.

Underwriting loss
105%
Combined Ratio

Underwriting loss. Repeated losses can pressure availability and insurer participation.

Unsustainable
120%
Combined Ratio

Unsustainable over time. Companies may tighten underwriting, reduce exposure, or stop writing new business.

Staffer Summary

Pure loss ratio tells part of the story. Combined loss ratio gives policymakers a fuller picture of whether rates are adequate to pay claims, cover expenses, and keep companies participating in the Texas market.

Policy Mistake to Avoid

Do not use arbitrary loss ratio targets as a shortcut for affordability policy. If targets ignore real expenses and catastrophe risk, they can push rates below actuarially sound levels and reduce coverage availability.