2/20 Flashcards

1
Q

A(n) ___ is a corporation owned by stockholders whose objective is to earn a profit for the stockholders by increasing the value of stock and paying dividends.

A

Stock insurer

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2
Q

A(n) ___ is a corporation owned by the policy owners.

A

Mutual insurer

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3
Q

A(n) ___ is owned by the policy owners, has no stockholders, and the insurer doesn’t issue assessable policies.

A

Advance Premium Mutual

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4
Q

A(n) ___ is a mutual insurer that has the right to assess the policyowners an additional amount if the insurer’s financial operations are unfavorable.

A

Assesssment Mutual

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5
Q

A(n) ___ is a mutual insurer that provides life and health insurance to members of a social/religious organization.

A

Fraternal Mutual

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6
Q

___ is not an insurer, but a society of members who underwrite insurance in syndicates. The memberships include corporations, individual members (called Names), and limited partnerships. The members must meet stringent financial requirements.

A

Lloyd’s of London

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7
Q

A(n) ___ is an unincorporated organization in which insurance is exchanged among members called subscribers.

A

Reciprocal Exchange

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8
Q

___ are generally organized as nonprofit, community oriented plans. ___ plans provide coverage for hospital services, and ___ plans provide coverage for physicians’ and surgeons’ fees.

A

Blue Cross and Blue Shield Plans; Blue Cross; Blue Shield

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9
Q

A(n) ___ is a private insurer that provides comprehensive health care services to its members. Broad health care services are provided for a fixed prepaid fee, cost control is emphasized, and the choice of health care providers may be restricted.

A

Health Maintenance Organization (HMO)

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10
Q

A(n) ___ is an insurer owned by a parent firm for purposes of insuring the parent firm’s loss exposures.

A

Captive Insurer

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11
Q

___ refers to life insurance that is sold by mutual savings banks over the phone or through a website.

A

Savings Bank Life Insurance

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12
Q

A(n) ___ is someone who legally represents the principal and has the authority to act on the principal’s behalf.

A

Agent

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13
Q

The principal is legally responsible for all acts of an agent when…

A

The agent is acting within the scope of authority that may be expressed, implied, or apparent.

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14
Q

A(n) ___ provides temporary insurance until a policy is written.

A

Binder

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15
Q

A broker is someone who legally represents the insured, and:

(3 points)

A
  • Solicits applications and attempts to place coverage with an appropriate insurer
  • Is paid commission from the insurers where business is placed
  • Does not have the authority to bind the insurer
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16
Q

A(n) ___ is licensed to place business with a nonadmitted insurer.

A

Surplus Lines Broker

17
Q

Surplus lines refer to any type of insurance for which there is no available market within the state, and coverage must be placed with a ___.

A

Nonadmitted insurer

18
Q

The ___ is a business firm that usually represents several unrelated insurers.

A

Independent Agency

19
Q

Under the ___, an agent represents only one insurer or group of insurers under common ownership.

A

Exclusive agency system

20
Q

A(n) ___ is an insurer in which the salesperson is an employee of the insurer, not an independent contractor.

A

Direct Writer

21
Q

A(n) ___ insurer sells directly to the consumer by TV/media.

A

Direct Response

22
Q

Products are sold through ___, employees who receive a salary and incentive payments based on sales.

A

Group Representatives

23
Q

___ refers to the pricing of insurance and the calculation of insurance premiums.

A

Ratemaking

24
Q

A(n) ___ is the price per unit of insurance.

25
A(n) ___ is the unit of measurement used in insurance pricing.
Exposure unit
26
Rates and premiums are determined by a(n) \_\_\_, using the company's past loss experience and industry statistics.
Actuary
27
The ___ is the portion of the rate needed to pay losses and loss adjustment expenses.
Pure Premium
28
\_\_\_ is the amount that must be added to the pure premium for other expenses, profit, and a margin for contingencies.
Loading
29
The ___ consists of the pure premium and a loading element.
Gross rate
30
The ___ paid by the insurer consists of the gross rate multiplied by the number of exposure units.
Gross premium
31
How is the gross rate calculated?
Pure premium / (1 - expense ratio)
32
\_\_\_ refers to the process of selecting, classifying, and pricing applicants for insurance.
Underwriting
33
The corporate structure of mutual insurers is changing due to... (3 points)
* Increase in company mergers * Demutualization, whereby a mutal company is converted into a stock insurer * Creation of mutual holding companies
34
\_\_\_ is where a mutual company is converted into a stock insurer.
Demutualization
35
A(n) ___ is a company that directly or indirectly controls an authorized insurer.
Holding company
36
The underwriting policy is stated in an underwriting guide, which specifies: (5 points)
* Acceptable, borderline, and prohibited classes of business * Amounts of insurance that can be written * Territories to be developed * Forms and rating plans to be used * Business that requires approval by a senior underwriter
37
Name the three basic principles of underwriting.
* Attain an underwriting profit * Select prospective insureds according to the company's underwriting standards * Provide equity among policyholders