Unit 3 Flashcards

0
Q

Casualty

A

Third-party (injuries to others) catchall for miscellaneous types of insurance not properly classified elsewhere

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1
Q

Property

A

First party the stuff you as an insured own any tangible item that can be insured.

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2
Q

Insurance

A

Is the second party

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3
Q

Underwriting

A

Classifies the applicant based on underwriting guidelines underwriting matches the risk present with premium to be charged job is to protect insurer from losses

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4
Q

Loss ratios

A

Percentage of claims paid versus total premium collected
does not include company expenses and overhead
If it sure has bad loss ratio it will type underwriting rules

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5
Q

Rates

A

Set by insured to cover claims and company expenses Department of Insurance controls filing of rates.

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6
Q

Means of determining rates

5

A
Judgment 
manual 
merit 
experience 
retrospective
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7
Q

Judgment

A

Underwriting determines the rate using their knowledge

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8
Q

Manual

A

Underwriting refers to rates published by the insurer

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9
Q

Merit

A

Underwriting starts with manual rating, this is modified based on unique characteristics of the risk

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10
Q

Experience

A

Modifies a manual rated premium based upon the insurance on lost experience

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11
Q

Retrospective

A

Subject to minimum and maximum premiums where the final premium is determined at the end of the policy. It is based on the insureds prior loss experience initial paid premium is considered a down payment

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12
Q

Lost cost rating

A

Factor used in insurance rates to determine the amount the company needs to cover expected losses

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13
Q

Difference between rate and premium

A

The rate is the cost per unit while the premium is the number of units multiplied by the rate

Rate levels figure in that a company is trying to make a profit this equates to the cost of claims plus the cost of the administrative expenses

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14
Q

Insurance service office ISO

A

A rating Bureau that develops and files rates and policies forms with various states for his clients

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15
Q

Negligence

A

Failure to act as a reasonable person negligence is a civil injury or wrong against another person also known as a tort in negligent suits the plaintiff (injured party) must prove that the other party (defendant) violated a legal duty

16
Q

Standard of care

A

Person did not do what a reasonable person should expect

17
Q

Proximate cause of loss

A

There must be a direct chain of events caused by the negligence of the defendant to prove that they are at fault

18
Q

Legal duty

A

Defendant violated a legal duty to protect the injured party

19
Q

Negligence defenses

A

Intervening cause
assumption of risk
contributory negligence
comparative negligence

20
Q

Intervening cause

A

Something breaking the chain of events from the proximate cause or not allowing the defendant the ability to provide standard of care or legal duty

21
Q

Assumption of risk

A

A reasonable person should know that they are engaging in a dangerous activity

22
Q

Contributory negligence

A

If you are partly at fault in an accident then you cannot recover anything from the other party

23
Q

Comparative negligence

A

If you’re partly at fault a degree of fault is assigned to both parties if you’re only 10% at fault then you get 90% return on damages
varies by state on how this works

24
Q

Statute of limitations

A

Timeframe allowed by law where legal action can be taken

25
Q

Damages

A

Loss caused by negligent acts

26
Q

Special damages

A

Medical expenses and lost wages

27
Q

General damages

A

Covers pain suffering and disfigurement

28
Q

Punitive damages

A

Award when loss cause by gross negligence, absolute, disregard for safety

29
Q

Absolute or strict liability

A

Something so dangerous that liability is absolute

negligence does not need to be proven absolute is typically for individuals strict is typically for business

30
Q

Vicarious liability

A

When one party is responsible for the negligent act of another party