unit 1 General Insurance Flashcards

(75 cards)

1
Q

Insurance is a contract that transfers

A

the risk of financial loss from an individual or business to an insurer.

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2
Q

Risk is uncertainty about whether

A

a loss will occur

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3
Q

Speculative Risks–loss or gain can occur–like gambling

A

not insurable

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4
Q

Pure risk-only loss can occur–like car accident

A

loss is insurable

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5
Q

Loss

A

reduction in the value of an asset

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6
Q

Exposure

A

risks for which the insurance company would be liable

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7
Q

Calculation for insurance premiums

A

rate multiplied by number of exposure units

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8
Q

peril

A

cause of loss–death simply what caused the loss

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9
Q

hazard

A

anything that increases the chance that loss will occur

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10
Q

hazards do not cause the loss

A

it is something that becomes dangerous and can make a loss more likely to happen

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11
Q

three types of hazard

A

physical moral and morale

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12
Q

example of physical hazard

A

heart condition

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13
Q

example of moral hazard

A

dishonesty because it increases the chance that an individual might lie on an insurance application or fake a loss

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14
Q

morale hazard

A

the insured carelessly leaving the doors and windows unlocked when not at home

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15
Q

STARR–Methods of handling risk

A

Sharing Transfer Avoidance Retention Reduction

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16
Q

Sharing

A

Stockholders in a corporation share the risk of profit or loss

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17
Q

Transfer

A

what happens with insurance

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18
Q

Avoidance

A

not engaging in certain activity (like not driving to avoid accident)

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19
Q

Reduction

A

wearing seatbelts–lessening chance that loss will occur or lessening extent of a loss that does occur

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20
Q

Retention

A

individual will pay if loss occurs

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21
Q

CANHAM

A

Calculable Affordable Non-catastrophic Homogeneous Accidental Measurable

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22
Q

Calculable

A

Premiums must be calculable based upon prior loss statistics for that particular risk in order to predict future losses

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23
Q

Affordable

A

The premium for transferring the risk should be affordable for the average consumer

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24
Q

Non-catastrophic

A

Insurance cannot insure events that cause widespread losses to large numbers of insureds at the same time. Ex. Peril of war is excluded

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25
Homogeneous
The individual risks that the insurer covers must all be similar or homogeneous in regard to factores that affect the chance of loss
26
Accidental
Insurance is a method of handling risk if a loss is certain to occur there is no risk
27
Measurable
It must be possible to estimate the loss as a dollar amount. Insurance covers the financial loss of unexpected death or medical bills from sickness
28
Adverse selection
the tendencey for higher risk individuals to get and keep insurance more than individual s who represent an average level of risk Risks that have a greater than average chance of loss
29
To avoid adverse selection insurers make an extensive evaluation of information related to a particular risk
underwriting
30
Reinsurance
insurance for insurers
31
Facultative
the reinsurer evaluates each risk before allowing the transfer
32
Treaty
the reinsurer accepts the transfer according to an aggrement called a treaty
33
Stock insurer
owned by stockholders, if the company makes money, a taxable dividend from the profits may be paid to the stockholders/shareholders
34
Mutual Insurer
owned by its policyholders, if the company is profitable excess premiums can be returned to its policy holders nontaxable dividend
35
Fraternal Insurer
Provides insurance and other benefits | Must be a member of the society to get the benefits
36
Risk Retention Group
Liability insurance company created for policyholders from the same industry . Example care dealers RRG--only car dealers can be policy holders
37
Lloyds Association
Insurance provided by individual underwriters, not insurance companies
38
Self-insurance
retaining rather than transferring risk
39
Residual Market
Insurance from the state or federal government
40
state of domicile
insurers home state
41
Domestic
the state where a company is incorporated
42
Foreign
any state or US territory other than the state where incorporated
43
Alien
incorporated in any country other than USA
44
Surplus Lines
Insurance sold by unauthorized/non-admitted insurers--if on the states approved list of surplus insurers
45
Surplus Lines
Can only be sold to certain high risk insureds
46
Surplus Lines Insurers
Cant be sold just for a cheaper rate than licensed/admitted insurers
47
States require companies to have a license to sell insurance in the state. The license is called
a certificate of authority
48
Independent agents
sales are made by agents/producers who represent more than one company
49
Exclusive or captive agents
sell for one company
50
General agent/managing general agent
recruits other agents in a certain area who actually sell the insurance to the customer
51
Direct writing
the company sells the insurance through salaried employees of the company
52
Direct Response
no agent/producer involved
53
Agency
Insurance agent acts on behalf of the principal (insurance company)
54
Express
what the agents written contract with the company states
55
Implied
not written but are the actions agents normally do to sell insurance
56
apparent action
the agent does that a reasonable person would assume as authority, based on the agents actions and statements
57
fiduciary
a person in a position of financial trust
58
Fiduciary-Trust
Promptly send premiums to insurer Knowledge of products Comply with laws and regulations no commingling
59
Independent insurance agents
sell the insurance products of several companys and work for themselves or other agents
60
exclusive or captive agents
represent one company
61
general agents
hire train and supervise other agents within a specific geographical area
62
direct writing companies
pay salaries to employees
63
CLOAC
Consideration Legal Purpose Offer Acceptance Competent Parties
64
Consideration
giving something of value
65
Legal purpose
Risk transfer doesnt violate the law
66
Offer
Made by insured
67
Counter offer
Agrees toe issure policy but with higher premiums or restrictions/exclusion Insured either accepts the conditions or withdraws her application
68
Acceptance
insurer accepts risk ad presented
69
Competent
insured age 18 and sane
70
Aleatory
not equal value--small premium for a large amount of coverage
71
Utmost good faith
the insured and insurance company have a right to expect honesty from each other
72
Unilateral
only ONE promise made
73
Insurance company
Promises to pay for a covered loss
74
Waiver
the intentional and voluntary giving up of a known right
75
Estoppel
a legal doctrine that prevents a party from denying an action if it had been accepted previously