Basic Principles of Life and Health Insurance Flashcards
(72 cards)
What is the department that calculates policy rates, reserves and dividends?
Actuarial Department
What is an Adjuster?
This is the person who investigates claims and arranges for them to be settled or denied.
What is an Alien Insurer?
In the US, this is an insurer whose principal office and domicile location is outside this country.
What is an Admitted Insurer?
This is an insurer who has received a certificate of authority from a state’s department of insurance which authorizes them to conduct insurance business in that state.
What is an Agent?
This is an individual or organization that’s authorized to solicit, sell, and transact (bind) coverage for specific insurance providers under the terms of one or more agent contracts.
What is an Authorized Insurer?
This is an admitted insurer
What is a broker?
This is a person who represents himself and the insured. A broker cannot bind coverages on behalf of an insurance carrier because a broker is not appointed as an agent.
What is a Captive Insurer?
This is an insurer that’s established and owned by a parent firm for the purpose of insuring the parent firm’s loss exposure.
What is a Certificate of Authority?
This is a license that’s issued by an insurance department that authorizes that company to conduct insurance business in that particular state.
What is the department that’s responsible for processing, investigating, and paying claims?
Claims Department
What is the amount of earnings that are paid to policy owners as dividends after the insurance company sets aside funds required to cover reserves, operating expenses, and general business purposes?
Divisible Surplus
What is a Domestic Insurer?
This is an insurer with its principal or home office in the state in which it’s authorized.
What is a Foreign Insurer?
This is an insurer whose principal office or domicile location is in a state that’s different from the state in which it’s transacting insurance business.
What is a non-profit benevolent organization that provides insurance to its members?
Fraternal Benefit Society
What is an Independent Insurance Agency?
This is an agency that can represent any number of insurance companies through contractual agreements. Unlike a captive agency, they are not limited to one insurance company.
What is Insurance?
This is the transfer of risk through the pooling or accumulation of funds.
Who is the Insured?
This is the customer who receives insurance protection under and insurance policy.
Who is the Insurer?
This is an insurance company.
What is the Lloyds of London?
This is NOT an insurer but a group of individuals and companies that underwrite unusual insurance policies.
What is the division that’s responsible for acquiring prospective applicants through various advertising media?
Marketing Division
What is a Monoline Insurer?
This is an insurance carrier that only sells one line of insurance
What is a Multi-line Insurer?
This is an insurance company or independent agency that provides “one stop shop” for businesses or individuals who are seeking coverage for all of their insurance needs.
What is a Mutual Insurance Company?
This is an insurance company that is owned by their policy owners, and typically issuing participating insurance.
What is a Non-Admitted (Unauthorized) Insurer?
This is an insurer that has not received a certificate of authority from a state’s department of insurance which authorizes it to conduct insurance business in that state.