CPCU Exam Flashcards
(17 cards)
Steps for new product launch
(1) Assessing new opportunities
(2) Defining product, underlying support, and pricing & obtain approval
(3) Creating business forecast (KPIs, etc.) & obtain senior mgmt approval
(4) Complying with regulatory requirements (file with DOI, etc.)
(5) Selecting distribution systems / channels
(6) Introducing the product (sales training, customer support training)
State DOI v NAIC v Fed Regulators
State DOI - incl department (rates, monitoring, etc.) and commissioner (hearings)
NAIC - coordinates regulatory activities between states and sets standards
Fed - particularly applies to public entities
Claims program experience factors
Qualitative - realistic reserving, negotiation skills, litigation cost management, etc.
Quantitative - timeliness of reports, # of files opened / closed, % of claims to litigation
Claims handling process
(1) Acknowledging and assigning the claim
(2) identifying the policy
(3) contacting insured
(4) determining cause of loss, liability, and loss amount
(5) Concluding the claim
Reservation of rights letter vs nonwaiver agreement
Reservation of rights letter - letter specifying coverage issues and informs the inured that the insurer is handling the claim but may later deny
Non-waiver agreement - signed doc saying investigation is underway and neither party waives rights under the policy
Alternative dispute resolution methods (ADR)
(1) Mediation - neutral 3rd party to come up with mutually agreed upon solution
(2) Arbitration - neutral 3rd party to decide an outcome / settlement
(3) Appraisals - 3rd party valuation of property
(4) Mini-trial - abbreviated trial in front of a mock judge or panel who decide outcome
(5) Summary jury trial - abbreviated trial in front of a mock jury who decide outcome
Field vs Corporate UW
Field - select risks, classify and price, recommend coverage, manage book of business, support producers, support marketing objectives
Corporate - market research, set UW policy and guidelines, develop coverage forms, review rates, educate / train, reinsurance, support complex acct (including manuscript policies), UW audits
Commercial UW process
(1) Evaluate application
(2) Develop UW alternatives (risk control measures, premium adj, amended policy terms / conditions)
(3) Select UW alternative
(4) determine appropriate premium
(5) Implement UW decision
Reundewriting process
(1) Analyze book of business
(2) Identify the problem and corrective measures
(3) Select corrective measure (policy level or org level)
(4) Implement corrective measure
(5) Monitor the book of business
4 hazards
(1) Moral - intentionally create loss (fraud)
(2) Morale - carelessness leads to loss
(3) Physical - tree over house
(4) Legal - regulatory, poor litigation environment etc
Supplementary data sources for personal lines
Govt databases (MVR, court records)
Credit reports (# in households, income)
Loss histories (CLUE from lexisnexis - 7 yrs of claims data; A-PLUS from ISO with prop and auto claims)
Marketing plan components
(1) Product proposal and sales target
(2) SWOT
(3) Marketing goals
(4) Marketing strategies
(5) Projected outcomes
Marketing activities
(1) Market research
(2) Segmentation
(3) Product development
(4) Marketing plan
(5) Advertising and promotion
(6) Customer and public relations
(7) Sales fulfillment
(8) Reporting results (internally and external market reporting)
Insurance producer activities
(1) Prospecting
(2) Risk management review
(3) Sales
(4) Policy issuance
(5) Premium collection
(6) Customer service
(7) claims handling
(8) consulting
6 functions of reinsurance
(1) Cat protection
(2) increased large line size
(3) Increase PHS
(4) stabilize loss experience
(5) Withdrawal from market segment
(6) UW guidance
DOI vs Commissioner
DOI activities
(1) licensing
(2) approving policy forms
(3) holding rate hearings
(4) solvency info
(5) market conduct evals
(6) Investigating policyholder complaints
(7) Rehabilitating insolvent insurers
(8) Cease and desist orders
(9) fining insurers
Commissioner
(1) oversee DOI
(2) Declare orders
(3) Determine whether to issue new licenses
(4) Review pricing and coverage
(5) conducting market examinations
(6) Holding insurance issue hearings
(7) issuing annual report