8. Business Process Flashcards

(76 cards)

1
Q

What are the legal implications of an insurer providing a quotation?

A

They do not remain valid indefinitely

If the insurer does not specify on the quotation the time period for acceptance, then ‘reasonable time’ applies

If the client accepts the quotation on the terms provided in the time period, the insurer can’t back out

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2
Q

What is another term for the share of a risk?

A

Order “a 50% order to place”

Broker may only be given 50% of a risk to place

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3
Q

When is the contract between insured and insurer concluded?

A

At the point when the UW puts their line down on the slip (written line)

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4
Q

What does ‘signing down’ mean?

A

When the shares of a risk are reduced to 100%. Each insurer’s written line is reduced proportionally

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5
Q

What are natural reasons for contract termination?

A

Cancellation by insured
Cancellation by insurer
Fulfilment
Expiry of the policy period

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6
Q

What are reasons for unexpected termination?

A

Breach of the duty of fair presentation
Breach of warranty
Fraud

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7
Q

What are two practical reasons an insurer might want to renew?

A

It is cheaper to renew than write from scratch
The more stable the portfolio of clients, the more reliable the statistical data

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8
Q

What is meant by ‘days of grace’?

A

Best described as a perceived elastic end to the previous policy which allows the insured some scope should they be late in renewing their insurance - THIS IS AN URBAN MYTH

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9
Q

How do UWs prevent paying for losses before they write their line?

A

Rely on duty of disclosure from client / broker

Use a warranty called warranted no know or reported losses

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10
Q

What is a proposal form?

A

Used to present a risk in conjunction with MRC / slip - rarely used outside of yacht and professional indemnity

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11
Q

What is a market reform contract?

A

Document summarising the risk in a standard format

Underwriters can formally indicate their lines in a non-electronic placement

Document shared with client as copy of contract

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12
Q

What is the Core Data Record (CDR)?

A

Critical transaction data that must be captured at the point of bind in order to complete
- premium validation and settlement (Lloyd’s + companies)
- Claims matching at first notification of loss (Lloyd’s + companies)
- Tax validation and reporting (Lloyd’s)
- Regulatory validation and reporting (Lloyd’s)

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13
Q

What is endorsement?

A

Document which the broker presents changes in the contract to the UWs

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14
Q

What is the General Underwriters Agreement (GUA)?

A
  • An agreement between UWs on who will deal with contract changes
  • Clarify extent of authority given to leaders
  • Enable flexibility for each class of business to refine the ruls
  • Ensure that all UWs are advised of the changes even if they are not involved
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15
Q

What is a Market Reform Contract Endorsement (MRCE)?

A

Document for request of change to an insurance contract with sections for:
- Risk and endorsement identification
- Contract changes
- Information
- Agreement
- Contract administration and advisory

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16
Q

Describe premium processing documentation

A

3 documents a broker must prepare

  1. Client premium and insurance premium tax
  2. Insurer premium receipt less any deductions (for non-London insurers)
  3. A London Premium Advice Note (LPAN) for insurers using central settlement
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17
Q

What is a warranty?

A

A promise made by the insured relating to facts or performance concerning the risk

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18
Q

When does a breach of warranty by the insured not result in a loss discharge for the insurer?

A

Insurance Act highlights 3 provisions
- Particular types of losses
- Losses in particular locations
- Losses at particular times

Cannot rely on a breach of these conditions if a loss occurs in the insured can show it did not increase the risk of loss.

Burden is on the insured

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19
Q

What are some sources of wording and clauses?

A

Market bodies and organisations
- LSW
- ISO
- LMA
- NMA
- AVN

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20
Q

When is contract certainty achieved?

A

The complete and final agreement..

of all terms between insured and insurer..

at the time they enter into the contract..

with contract documentation provided promptly thereafter

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21
Q

Firm order

A

Process of the client giving the broker formal instructions to proceed

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22
Q

What does a line ‘to stand’ mean?

A

That insurers line will not be reduced proportionally during signing down

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23
Q

6 sections of MRC

A

Risk details
Information
Security details
Subscription agreement
Fiscal and regulatory
Broker remuneration and deductibles

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24
Q

Unique Market Reference

A

Risk Details

unique reference by the broker for every risk

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25
Type
Risk details Type of insurance
26
Insured
Risk details Name of insured
27
Insured address
Risk details Head office
28
Policy period
Risk details Dates, time, time zones
29
Interest
Risk details What is being insured
30
Limits of liability
Risk details Policy limits
31
Insured's retention
Risk details Any amount the insured is keeping (excess / deductible)
32
Situation
Risk details Territorial limits
33
Conditions
Risk details T&Cs of contract
34
Loss payee
Risk details Who else might be paid
35
Subjectives
Risk details Provisions required by insurers before they come on risk (surveys)
36
Law and jurisdiction
Risk details Location of court in dispute
37
Premium
Risk details Consideration
38
Premium payment terms
Risk details Time to pay premium
39
Tax payable
Risk details Insurance Premium Tax
40
Recording, transmitting, storing data
Risk details Non mandatory - data protection details
41
Insurer contract documentation
Risk details Policy issuement
42
Notice of cancellation provisions
Risk details Terms of cancellation
43
Insurer's Liability
Security details Extent of liability of each insurer
44
Order
Security details Share of the risk placed on MRC
45
Basis of written lines
Security details Percentage of risk
46
Basis of signed lines
Security details Basis different to written lines
47
Signing provision
Security details How will signing be done
48
Written lines
Security details UW stamps and write their lines
49
Slip leader
Subscription agreement
50
Bureau leader
Subscription agreement Company market lead
51
Basis of agreement to contract changes
Subscription agreement Combination of insurers to agree to changes
52
Basis of claims agreement
Subscription agreement Combination of insurers to agree to claims
53
Claims administration
Subscription agreement Other claims info
54
Delegated claims agreement
Subscription agreement Delegated claims individuals
55
Experts fee collection
Subscription agreement
56
Settlement due date
Subscription agreement Date when premium should be paid
57
Bureaux arrangements
Subscription agreement Signing on a de-linked basis
58
Tax payable by insurers
Fiscal and regulatory
59
Country of origin
Fiscal and regulatory
60
Overseas broker
Fiscal and regulatory
61
Regulatory risk location
Fiscal and regulatory Regulatory interest in risk
62
Surplus lines broker
Fiscal and regulatory Identify surplus lines broker
63
State of filing
Fiscal and regulatory US State to file in
64
US Classification
Fiscal and regulatory US should be notified about any risk from US or paid in USD
65
Allocation of premium to coding
Fiscal and regulatory Risk code
66
Allocation of premium to years of account
Fiscal and regulatory Used if policy exceeds 18 months
67
Regulatory client classification
Fiscal and regulatory
68
Fee payable by the client
Broker remuneration and deductions Indication of client fee to broker
69
Brokerage amounts
Broker remuneration and deductions Total figure or split by retail / wholesale
70
Other deductions
Broker remuneration and deductions
71
Sections of MRCE
Risk and endorsement identification Contract changes Information Agreement Contract administration or advisory
72
Structure of general insurance policy document
Heading Recital Signature Operative clauses Exceptions Conditions Schedule
72
Two types of condition
Condition precedent to contract Condition precedent to liability
73
Condition precedent to contract
Requirement to have an insurable interest Non-marine must have this at point of purchase AND point of claim
74
De linking
Risk sent to Xchanging before payment of premium
75
In a GUA, who agrees under part 1, 2, and 3
Part 1 - slip leader (not buerau leaders) Part 2 - slip leader + agreement Part 3 - all underwriters