General insurance Flashcards

(45 cards)

1
Q

Insurance

A

A contract that transfers the risk of financial loss from an individual or business to an insurer.

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2
Q

Risk

A

Uncertainty about whether a loss will occur

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3
Q

Types of risk

A

Speculative- loss or gain could occur (not insurable) EG. Gambling/investments

Pure- only loss can occur (is insurable) EG. Car crash/death etc.

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4
Q

Loss

A

Reduction of value in an asset

Value before loss-value after loss= total amount of loss

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5
Q

Exposure

A

Risks for which the insurance company would be liable

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6
Q

Peril

A

Cause for loss

Death/accidents and sickness

For property fire/lightning etc.

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7
Q

Hazard (and hazard types)

A

Anything that increases the chance that a loss will occur

Physical- can be seen or determined (heart condition or wet floor)
Moral- intentionally causing a loss (dishonesty etc.)
Morale- carelessness or unintentional behaviors (leaving door unlocked etc.)

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8
Q

Methods for Handling Risk

A
Sharing
Transfer 
Avoidance 
Reduction
Retention
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9
Q

What is the law of large numbers?

A

Makes insurance possible

The larger the group- the more accurately losses can be predicted. Can’t predict exactly who will have a loss, but can predict fairly accurately how much they will have to pay out in claims

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10
Q

Risks that can be insured must have the following characteristics

A

Calculable (calculable based upon prior loss statistics)
Affordable (premium for transferring risk must be affordable)
Non-catastrophic (cannot insure events that cause widespread loss to large numbers of insureds)
Homogeneous (must be similar in odds of loss)
Accidental (if a loss is certain to occur there is no risk)
Measurable (must be possible to have dollar amount)

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11
Q

Adverse selection

A

Risks that have higher than than average chance of loss

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12
Q

Underwriter

A

Determines that the risk is higher than average. Insurance may charge more, limit the amount liable, or refuse application all together

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13
Q

Reinsurance

A

An insurance company paying another insurance company (reinsurer) to take some of the companies risk of catastrophic loss

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14
Q

2 ways reinsurance works

A

Facultative- the reinsurer evaluates each risk before allowing transfer

Treaty- the reinsurer accepts the transfer according to an agreement called a treaty

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15
Q

Stock insurer

A

Owned by stockholders and shareholders

Board of directors chosen by the stockholders and shareholders

If the company makes money a taxable dividend from the profits maybe paid to the stock holders and shareholders

Issues non par policies

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16
Q

Mutual insurer

A

Owned by the policyholders

Board of directors chosen by policy holders

If the company is profitable excess premiums can be returned to its policy holders (non taxable)

Issues participating policies

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17
Q

Fraternal Insurer

A

Provides insurance and other benefits

Must be a member of the society to get the benefits

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18
Q

Reciprocal insurer

A

Unincorporated group of people that agree to pay each others losses under a contract

Members are assessed the amount they have to pay if a loss to my member of the group occurs

Run by an attorney-in-fact

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19
Q

Risk Retention Group (RRG)

A

Liability insurance company created for policy holders from the same industry. Ex. Car dealership RRG- only car dealerships can be policy holders

20
Q

Lloyd’s associations

A

Insurance provided by individual underwriters, not insurance companies

Ex. Hole in one contests. Hair of celebrities, etc.

21
Q

Self insurers

A

A business that pays its own claims. Retain risk. Set aside funds to cover potential losses

22
Q

Residual market

A

Insurance from the state or federal government level

23
Q

Insurance company location

A

Domestic (in the state where a company is incorporated)

Foreign (any state or US territory other than the state where incorporated)

Alien (incorporated in any country other than USA)

24
Q

Authorized vs unauthorized insurers

A

Certificate of authority (state license for insurance company)

Admitted authorized or approved (state requires the insurance company to have a certificate of authority)

Non-admitted (insurance company not required to have a certificate of authority from the state)

25
Surplus line
Insurance sold by unauthorized/non-admitted insurers (if on the states approved list of surplus insurers) Can only be sold to high risk insureds Can’t be sold just for a cheaper rate than licensed/admitted insurers
26
4 types of agents
Independent- sales are made by agents who represent more than one company Exclusive or captive- sells for one company General agent- recruits other agents in a certain area who actually sell the insurance to the customer Direct writing- company sells the insurance through salaried employees of the company
27
Direct response
Policy is sold directly from insurer to consumer. No agent required
28
Agency
Insurance agent acts on behalf of the principle (insurance company)
29
3 types of agent authority
Express (what the agents written contract with the company states) Implied (not written, but are the actions agents normally do to sell insurance) Apparant( actions the agent does that a reasonable person would assume as authority, based on the agents actions and statements)
30
Fiduciary
Person in a position of financial trust
31
Commingling
Mixing personal funds with insureds funds
32
Sustainability considerations
An agent has the responsibility to make purchase recommendations that are appropriate in light of clients needs/goals/circumstances
33
5 elements to form a valid contract
``` Consideration Legal purpose Offer Acceptance Competent Parties ```
34
Adhesion
Policy written by the insurance company If ambiguous court will take side of the insured
35
Aleatory
Not equal value- small premium for a large amount of coverage
36
Unilateral
Only one purpose Insurance company promises to pay for a covered loss Insured does NOT promise to pay the premium
37
Personal contract
A contract made with one particular person and no one else
38
Conditional contract
Require certain conditions to be fulfilled in order for performance under the contract to be enforced
39
Contract of indemnity
Restore to the insured’s original ore-loss condition, no better, no worse
40
Representation
A statement that is believed to be true Misrepresentation- information that is not true, but doesn’t affect insurance company’s decision (one number wrong on address) Material misrepresentation- information that is not true and does affect decision
41
Warranty
Statement that is guaranteed to be true Always made by the insurance company - if promise to pay is broken company could be sued Maybe made by the insured- if promise is broken insured may have no coverage
42
Concealment
Intentional failure to disclose known facts If intention and the info is material coverage could be voided If NOT intentional coverage cannot be voided
43
Fraud
Intentional act to cheat another Voids policy
44
Waiver
Voluntarily giving up a right
45
Estoppel
Actions reasonably relied on by one party can’t be denied by the party that accepted previously