Insurance & Benefits Flashcards

1
Q

What is risk?

A

Uncertainty about financial loss

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2
Q

What are the two types of risk?

A
  1. Speculative Risk:

2. Pure risk:

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3
Q

Speculative Risk:

A

Taken on by choice, not usually covered

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4
Q

Pure risk:

A

Events beyond ones control, covered by insurance. Protection against loss, but doesn’t allow for gain

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5
Q

What are the risk mgmt techniques?

A
  1. Risk avoidance
  2. loss control
  3. risk retention
  4. risk transfer
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6
Q

Risk Avoidance is:

A

Elimination of source of risk

Substitution or separation of things

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7
Q

Loss control is:

A

Reduce the possibility of a loss’s scale/size
Loss prevention - before the act
loss reduction - after the fact

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8
Q

Risk Retention is:

A

Self-insure against:
high frequency/low severity losses
losses that are so unlikely to occur it’s not worth insuring

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9
Q

Risk transfer is:

A

Non-insure ie. waver

insurance transfer

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10
Q

Risk pooling

A

Group sharing of losses where loss transfers from individual to everyone in the group

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11
Q

Law of Large numbers

A

Using probability and large numbers of ppl, that which is unpredictable for an individual becomes predictable in a group

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12
Q

Insurance (def)

A

Undertaking of one party to protect another party against loss or liability. In the event of loss, one party promises to pay the other party.

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13
Q

Characteristics of insurable risk

A
  • must be chance occurrence
  • Loss must be definite
    • Contract of indemnity: covers actual amount of loss
    • Valued Contract: amount payable is fixed and known
  • loss must be significant
  • rate of loss must be predictable
  • loss must not be more than insurer can bear
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14
Q

Types of group insurance benefits:

A
  1. Life
  2. AD&D
  3. Short term disability
  4. long-term disability
  5. Critical illness
  6. WCB
  7. EI
  8. Dental, extended health
  9. Travel
  10. MSP
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15
Q

Death benefit

A

could be for amounts for last expenses, mortgage, spousal (all non-taxable)
Could be in any payment forms (flat amount, 2x annual earnings, etc.)
Can be optional

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16
Q

What are the advantages of group insurance?

A

All ees covered
Low cost
Efficient premium collection
wide range of options

17
Q

Types of group life plans

A
  • ee life
  • AD&D
  • Dependent life
  • Survivor income
18
Q

What are the operating issues?

A

Exclusions and limitations

Underwriting

19
Q

Underwriting methods:

A
  • fully pooled
  • fully experience rated
  • experience rated with pooling limit
  • experience rated with annual stop-loss
  • non-insured death benefits
20
Q

What is a living benefit?

A

A loan (with interest accruing) agains any life insurance for terminally ill member.

21
Q

What are the problems with insurance?

A

Fraud:

  • on applications
  • false claims
  • on details of claims
  • conspiracy to defraud