1/D - Hazards and Risk Flashcards
Risk: 2 Meanings
The word “risk” has two meanings in the insurance industry:
- The potential for financial loss; being exposed or open to damage
- An insured item
Speculative Risk
- Undertaken with no certainty of either gain or loss
- Made knowingly, by conscious choice
- Cannot be insured
Pure Risk
- Risk with no chance of gain
- Only two possible results: 1) loss or 2) no loss
- No chance of gain
- Can be insured
Exposure
The extent to which a person, item, or organization is open to damage or loss.
Insurers consider a risk’s exposure when deciding whether or not to insure it.
Exposure
- Expressed in dollars or units
- A determining factor in issuing a policy and settling a premium
Hazard
A condition increasing the likelihood or severity of a loss
Hazard vs. Exposure:
- Exposure is the possibility of loss
- Hazards are things that increase that possibility
- More Hazards = Higher Exposure
Peril
The actual cause of loss or damage
Insurance Policies can be:
- Named Peril - lists each peril that is covered
- All Peril (Open Peril) - covers all perils except those specifically excluded
Loss
- Reduction in value of an insured item
- Financial loss due to an occurrence or accident
- For insurers: the amount paid out in a claim settlement
Insurable Risk
- Risk: an item, person, or organization that has been insured
- Not everything is insurable
- Six qualifications determine what can be insured
Adequate Premiums
Insurer must be able to cover claims with premium income
- Potential losses cannot be too much for the insurer to pay
- Insurer must be able to cover claims and expenses
- If premiums must be set too high, the risk is not insurable
Definable Risk
The Risk must be definable:
1. The insurer can define the exact conditions under which the item is covered by the policy.
Example: Jewelry is covered up to a specified limit if stolen.
2. The item itself is definable (it can be precisely described).
Example: A house, car or diamond necklace can be defined. An entire riverbed cannot.
3. The item has precise value.
Example: A house or car does. A family photo does not.
Unexpected Losses
The loss must be:
- Unforeseeable
- Unexpected
- Reasonably unpreventable
- Completely random in nature
Substantial Losses
The loss must cause substantial economic hardship.
Exclusions
The insurer must be able to exclude coverage for large-scale disasters and catastrophic events.
- Insurers have to charge adequate premiums
- Some losses would require such large premiums that it is impossible to insure them
Law of Large Numbers
A large number of similar risks must be insured.
- Spreads the risk across more policies
- Helps the insurer predict losses more accurately
- “Similar risks” can mean: cars, houses, persons’ lives, similar businesses, etc.