Chapter 1-General insurance Flashcards

(44 cards)

1
Q

Who is a legal representative of an insurance company?

A

Agent/Producer

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2
Q

Who is the person applying for insurance?

A

Applicant/Proposed insured

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3
Q

Who receives the benefits of an insurance policy?

A

Beneficiary

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4
Q

What is a broker in insurance?

A

An insurance producer who represents the client, not the company

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5
Q

What is the principle of indemnity?

A

Insured cannot recover more than their loss; they are restored to their original position

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6
Q

What is an insurance policy?

A

A contract between the policyholder and the insurance company agreeing to pay for losses

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7
Q

Who is the person covered by a policy?

A

Insured

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8
Q

What is an insurer?

A

The company issuing the policy

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9
Q

What is the law of large numbers?

A

Larger groups with similar risks allow better prediction of losses

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10
Q

Who is entitled to rights in a policy?

A

Policy owner

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11
Q

What is a premium?

A

Money paid to the insurance company for coverage

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12
Q

What is reciprocity/reciprocal?

A

Mutual rights and privileges

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13
Q

What is insurance?

A

Transferring the risk of loss from an individual to an insurer

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14
Q

What principles is insurance based on?

A

Indemnity, risk pooling, and the law of large numbers

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15
Q

What is risk in insurance terms?

A

Uncertainty regarding financial loss

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16
Q

What are the two types of risk?

A

Pure (only loss) and speculative (loss or gain)

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17
Q

Which type of risk is insurable?

A

Pure risk

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18
Q

What are the key elements of insurable (pure) risk?

A
  • Due to chance
  • Definite/measurable
  • Predictable
  • Not catastrophic
  • Large exposure
  • Randomly selected exposure
19
Q

What are the 5 methods of handling risk (STARR)?

A
  • Sharing
  • Transfer
  • Avoidance
  • Reduction
  • Retention
20
Q

What is a hazard?

A

A condition that increases the chance of loss

21
Q

What are the types of hazards?

A
  • Physical
  • Moral
  • Morale
22
Q

What is a peril?

A

The cause of loss covered in the policy

23
Q

What factors are used in determining life insurance rates?

A
  • Age
  • Medical history
  • Occupation
  • Sex
24
Q

How are insurers classified by funding?

A
  • Government (taxes)
  • Private (premiums)
25
What are the ownership types of private insurers?
* Stock (nonparticipating) * Mutual (participating)
26
What is a fraternal benefit society?
A nonprofit group offering insurance benefits to its members
27
What is the law of agency?
Legal relationship where agent acts on behalf of insurer
28
What are the types of agent authority?
* Express * Implied * Apparent
29
What is fiduciary responsibility?
A position of trust and accountability
30
What is a domestic insurer?
Incorporated in the same state
31
What is a foreign insurer?
Incorporated in another state or U.S. territory
32
What is an alien insurer?
Incorporated outside the U.S.
33
What is an authorized/admitted insurer?
Has a Certificate of Authority to operate in a state
34
What is an independent agency system?
One agent represents multiple companies
35
What is a captive agent system?
One agent represents one company exclusively
36
What is a direct response system?
No agents; company markets directly to consumers
37
What are the elements of a legal contract?
* Agreement * Consideration * Competent parties * Legal purpose
38
What does a contract of adhesion mean?
Prepared by one party, accepted by the other
39
What is an aleatory contract?
Exchange of unequal values (e.g., paying small premiums for large coverage)
40
What is a unilateral contract?
Only one party (insurer) is legally bound
41
How are ambiguities in contracts interpreted?
In favor of the insured
42
What is utmost good faith?
Both parties must rely on each other’s honesty
43
What is a material misrepresentation?
A significant false statement; may void the policy
44
What is estoppel?
A consequence of waiving a legal right