1G-1I Flashcards
Moral, Morale, Physical, and Legal are all types of what?
Hazards
A _______ hazard occurs when an insured person consciously and deliberately acts in a way that is
more likely to result in a loss.
Moral
________ hazards occur when someone
exhibits riskier behavior and becomes indifferent to losses because he has insurance.
Morale
__________ hazards are physical conditions that increase the chance of loss.
Physical
______ hazard refers to when the chances of loss increase because of legal action
Legal
Fraud is the act of deliberately perverting, altering, or misrepresenting the truth, or willfully
deceiving an insurer in order to realize financial gain. True or False
True
What are the two types of Fraud?
Hard and Soft
Define Hard Fraud
Deliberately planning or faking a loss
Define Soft Fraud
Exaggerating a claim to inflate the indemnity
Proximate Cause states that when there is an unbroken chain of events between
an occurrence and a loss, then the loss is a result of the original occurrence. True or False
True
An _________ is an event, incident, or condition that causes damage.
Occurrence
______ ______ is physical harm to tangible property
Direct Loss
Indirect Loss is an economic loss that results from the direct, or physical, loss. True or False
True
An insurance _____ is defined as the insured’s official
demand for payment from the insurer in accordance with the terms of a policy.
Claim
What is the difference in first party and third party claim?
First Party Claim - claim filed by PH against their own insurance policy
Third Party Claim - claim filed against an insurance policy by anyone other than the person named on that policy
- Filing a claim
- Acknowledgement
- Investigation
- Evaluation
- Adjustment
these are all part of what process?
The Claims Process
After receiving a claim, what must an insurer do?
Acknowledge receipt of the claim.
Who investigates the claim to determine if it is valid or not?
The Adjuster
Who accepts or rejects the claim?
The insurer
_________ ________ means that the policyholder has direct financial interest in the insured item,
usually as a result of property rights, contract rights, or potential legal liability.
Insurable Interest
What must you have in order to insure a property?
Insurable Interest
What does Lender Interest represent?
The lender’s financial stake in an insured item
Can a lender change or cancel an insurance policy?
No
____________ is the transfer of rights that allows the insurer to recover its losses after it has paid the insured for a claim.
Subrogation
When a policyholder is indemnified for a loss, they can collect payment for that loss from someone else. True or False
False
Subrogation only applies to the amount actually paid by the insurer, which is limited by the policyholders limits and deductibles. True or False
True
What does a waiver of subrogation do?
Takes away the insurer’s right to recover its losses after paying a claim
