Insurance Flashcards

(46 cards)

1
Q

Risk

A

POSSIBILITY of loss:
-Exposure to germs viruses
-Becoming CFP (liability)
-Loosing job
-Owning real estate (like out lake lot)
-Our Trampoline

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2
Q

Peril

A

CAUSE of loss:
-Fire
-Windstorm
-Collision
-Theft
-If a kid breaks their arm on our Trampoline (liability)

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3
Q

Hazard

A

A Condition that may create or increase the chance of loss:
-Building on an Earthquake fault
-Poor Maintenance of a car’s brakes
-2 story dock vs 1 story dock on lake

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4
Q

Which of the following is an example of a hazard?

A. Wagering $100 on the outcome of Saturday’s game
B. Bringing a product to market
are speculative risks
C. Purchasing a House
D. The cause of a loss
E. Building home near a river

A

E. Owning a home near a river carries a physical hazard.

-Wagering $100 on the outcome of Saturday’s game
&
-Bringing a product to market
are speculative risks

Purchasing a house is a property risk.

Cause of loss is a peril

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5
Q

Law of large Numbers

A

‘doorknocking a ton of houses’

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6
Q

Adverse Selection

A

People that have the most risk want the most insurance

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7
Q

Morbidity

A

incidence and severity of sickness and accidents

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8
Q

Insurable Risks (what are they?)

A

-Must be sufficiently large number of units to make losses reasonably predictable
-The loss produced by the risk must be definite & Measurable
-The loss must be fortuitous or accidental
-The loss must not be catastrophic to the insurance company

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9
Q

What are the 4 elements of risk?

A

Law of Large Numbers, Adverse Selection, Morbidity, Mortality table

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10
Q

Which of the following are disadvantages of self-insurance?

A

Take a pic of ‘Applying the facts’ on page 1-4

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11
Q

Risk Control?
Risk Financing?

A

Risk Control:
-Risk Advance
-Risk diversification
-Risk Reduction

Risk Financing:
-Risk Retention
-Risk Transfer

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12
Q

Basic Rules of Risk Management p.1-4

A

-Coverage of potential catastrophes should be purchased first (life, disability, health, homeowners, and auto)

-SEVERITY is more important that probability

-High PROBABLIBILITY will mean high premiums or a decline of coverage by the carrier.

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13
Q

Coinsurance is a method of handling risk by ____________________.

A

Risk Retention
think: ‘I want to KEEP my coinsurance’

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14
Q

High limits of Insurance is a method of handling risk _____________________.

A

Risk Transfer

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15
Q

HSAs entail what risk management techniques?

A

-Risk Retention (the high deductible)

-Risk Transfer (is the insurance)

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16
Q

The handwritten box on pg.1-6

A

Draw out the box on pg. 1-6

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17
Q

A good rule of Risk Management is to

A

consider the potential amount of possible loss fist.
Large Loss exposures must be insured above all.

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18
Q

Principle of Indemnity

A

a principle underlying insurance contracts (other than life insurance) under which the insurer seeks to reimburse the insured for approx amount lost, no more and no less. (make whole)

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19
Q

The four principles supporting Indemnity

A
  1. Insurable Interest
  2. The concept of Cash Value
  3. Other insurance
  4. Subrogation
20
Q

Insurable Interest

A

You must have insurable interest at the time of the loss
in property and casualty ins.

Life Ins must operate at time of issuance, but doesn’t need present at time of death

21
Q

Contract Requirements

A

-agreement
-consideration ($)
-competency and be able to legally make the decision
-Must be for a lawful purpose

22
Q

Adhesion (contract characteristic)

A

-Accept contract ‘as is’ or not at all
-typically the insured is favored of the insurer.

23
Q

Aleatory Contract

A

‘roll the dice’ concept - don’t know which way it will go

24
Q

Tort

25
Subrogation
when an insurer pays a claim, it takes over the legal rights its insured had against a negligent third party.
26
Parts of the Insurance Contract p.1-11
-Declarations -Definitions -Insuring Agreements -Conditions -Exclusions
27
'Notice of loss' is requirement found in what part of the insurance contract?
Conditions
28
Negligence per se
A situation where the standard of care is set by a statute. Ex. school zones, crosswalks (ch.2)
29
Strict Liability
product liability, generally limited to manufacturers and distributors Ex. romaine lettuce w/ e. coli (ch.2)
30
Absolute Liability
extra hazardous condition which results in losses to others. Ex. workers compensation, keeping wild animals (ch.2)
31
Vicarious Liability
one party is held liable for the actions of another 'respondeat superior' ex. branch manager (ch.2)
32
Capital Retention/ Capital Preservation
Divide by interest (when question provides no numbers, presume it is a capital retention question) (ch.2)
33
Why is it becoming more difficult for families to provide long-erm care?
-both spouses growing old -no children around to help -families live apart -divorce (ch.2)
34
Cobra Coverage
covered for 18 months (ch.2)
35
Participating Policies
'pays annual dividend': this means if the premium is not needed, it is returned to policyholders as a dividend generally tax free. (ch.2)
36
Homeowners Insurance policies cover
-dwelling -contents -personal liability (ch.3)
37
Declaration page is the part of an insurance policy that _____________________________
contain representations of the applicant (name, address) Think" I declare my information'
38
What is specifically excluded from Section 1 Coverage A: Dwelling?
Land *Anything attached tot he dwelling is INCLUDED* (ch.3)
39
What exclusions apply to all homeowner policies?
-Ordinance of Law -Power Failure -Earth Movement (earthquake & sinkholes) -Neglect, Nuclear Hazard -War -Intentional Loss -Flood (remember OPEN WIF) (ch.3)
40
Guaranteed Renewable
means the insurer can up the premiums (ch.1)
41
Medicare Part A
Hospital Stay (ch.4)
42
Medicare Part B
Medical Insurance ('B' careful and sign up, voluntary, but needed) -no stop-loss on the 80/20 (ch.4)
43
What are the benefits of Medicare Part B?
-Doctor's services -diagnostic tests, drugs administered by Staff (not self), radiology/pathology, mental illness, PT/OT, outpatient, preventative services EXCLUDED: Teeth, Eye, Ears, prescription drugs, most immunizations (ch.4)
44
Medicare Part D
Vision and Prescriptions
45
Medigap
-Benefits that pay deductibles and coinsurance and other benefits not included in Medicare -Medigap policies only for ppl enrolled in Part A & Part B. (ch.4)
46
Split-dollar Plan