8. Business Process Flashcards

1
Q

What are the legal implications of an insurer providing a quotation?

A

They do not remain valid indefinitely

If the insurer does not specify on the quotation the time period for acceptance, then ‘reasonable time’ applies

If the client accepts the quotation on the terms provided in the time period, the insurer can’t back out

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2
Q

What is another term for the share of a risk?

A

Order “a 50% order to place”

Broker may only be given 50% of a risk to place

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3
Q

When is the contract between insured and insurer concluded?

A

At the point when the UW puts their line down on the slip (written line)

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4
Q

What does ‘signing down’ mean?

A

When the shares of a risk are reduced to 100%. Each insurer’s written line is reduced proportionally

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5
Q

What are natural reasons for contract termination?

A

Cancellation by insured
Cancellation by insurer
Fulfilment
Expiry of the policy period

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6
Q

What are reasons for unexpected termination?

A

Breach of the duty of fair presentation
Breach of warranty
Fraud

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7
Q

What are two practical reasons an insurer might want to renew?

A

It is cheaper to renew than write from scratch
The more stable the portfolio of clients, the more reliable the statistical data

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8
Q

What is meant by ‘days of grace’?

A

Best described as a perceived elastic end to the previous policy which allows the insured some scope should they be late in renewing their insurance - THIS IS AN URBAN MYTH

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9
Q

How do UWs prevent paying for losses before they write their line?

A

Rely on duty of disclosure from client / broker

Use a warranty called warranted no know or reported losses

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10
Q

What is a proposal form?

A

Used to present a risk in conjunction with MRC / slip - rarely used outside of yacht and professional indemnity

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11
Q

What is a market reform contract?

A

Document summarising the risk in a standard format

Underwriters can formally indicate their lines in a non-electronic placement

Document shared with client as copy of contract

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12
Q

What is the Core Data Record (CDR)?

A

Critical transaction data that must be captured at the point of bind in order to complete
- premium validation and settlement (Lloyd’s + companies)
- Claims matching at first notification of loss (Lloyd’s + companies)
- Tax validation and reporting (Lloyd’s)
- Regulatory validation and reporting (Lloyd’s)

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13
Q

What is endorsement?

A

Document which the broker presents changes in the contract to the UWs

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14
Q

What is the General Underwriters Agreement (GUA)?

A
  • An agreement between UWs on who will deal with contract changes
  • Clarify extent of authority given to leaders
  • Enable flexibility for each class of business to refine the ruls
  • Ensure that all UWs are advised of the changes even if they are not involved
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15
Q

What is a Market Reform Contract Endorsement (MRCE)?

A

Document for request of change to an insurance contract with sections for:
- Risk and endorsement identification
- Contract changes
- Information
- Agreement
- Contract administration and advisory

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16
Q

Describe premium processing documentation

A

3 documents a broker must prepare

  1. Client premium and insurance premium tax
  2. Insurer premium receipt less any deductions (for non-London insurers)
  3. A London Premium Advice Note (LPAN) for insurers using central settlement
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17
Q

What is a warranty?

A

A promise made by the insured relating to facts or performance concerning the risk

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18
Q

When does a breach of warranty by the insured not result in a loss discharge for the insurer?

A

Insurance Act highlights 3 provisions
- Particular types of losses
- Losses in particular locations
- Losses at particular times

Cannot rely on a breach of these conditions if a loss occurs in the insured can show it did not increase the risk of loss.

Burden is on the insured

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19
Q

What are some sources of wording and clauses?

A

Market bodies and organisations
- LSW
- ISO
- LMA
- NMA
- AVN

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20
Q

When is contract certainty achieved?

A

The complete and final agreement..

of all terms between insured and insurer..

at the time they enter into the contract..

with contract documentation provided promptly thereafter

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21
Q

Firm order

A

Process of the client giving the broker formal instructions to proceed

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22
Q

What does a line ‘to stand’ mean?

A

That insurers line will not be reduced proportionally during signing down

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23
Q

6 sections of MRC

A

Risk details
Information
Security details
Subscription agreement
Fiscal and regulatory
Broker remuneration and deductibles

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24
Q

Unique Market Reference

A

Risk Details

unique reference by the broker for every risk

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25
Q

Type

A

Risk details

Type of insurance

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26
Q

Insured

A

Risk details

Name of insured

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27
Q

Insured address

A

Risk details

Head office

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28
Q

Policy period

A

Risk details

Dates, time, time zones

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29
Q

Interest

A

Risk details

What is being insured

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30
Q

Limits of liability

A

Risk details

Policy limits

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31
Q

Insured’s retention

A

Risk details

Any amount the insured is keeping (excess / deductible)

32
Q

Situation

A

Risk details

Territorial limits

33
Q

Conditions

A

Risk details

T&Cs of contract

34
Q

Loss payee

A

Risk details

Who else might be paid

35
Q

Subjectives

A

Risk details

Provisions required by insurers before they come on risk (surveys)

36
Q

Law and jurisdiction

A

Risk details

Location of court in dispute

37
Q

Premium

A

Risk details

Consideration

38
Q

Premium payment terms

A

Risk details

Time to pay premium

39
Q

Tax payable

A

Risk details

Insurance Premium Tax

40
Q

Recording, transmitting, storing data

A

Risk details

Non mandatory - data protection details

41
Q

Insurer contract documentation

A

Risk details

Policy issuement

42
Q

Notice of cancellation provisions

A

Risk details

Terms of cancellation

43
Q

Insurer’s Liability

A

Security details

Extent of liability of each insurer

44
Q

Order

A

Security details

Share of the risk placed on MRC

45
Q

Basis of written lines

A

Security details

Percentage of risk

46
Q

Basis of signed lines

A

Security details

Basis different to written lines

47
Q

Signing provision

A

Security details

How will signing be done

48
Q

Written lines

A

Security details

UW stamps and write their lines

49
Q

Slip leader

A

Subscription agreement

50
Q

Bureau leader

A

Subscription agreement

Company market lead

51
Q

Basis of agreement to contract changes

A

Subscription agreement

Combination of insurers to agree to changes

52
Q

Basis of claims agreement

A

Subscription agreement

Combination of insurers to agree to claims

53
Q

Claims administration

A

Subscription agreement

Other claims info

54
Q

Delegated claims agreement

A

Subscription agreement

Delegated claims individuals

55
Q

Experts fee collection

A

Subscription agreement

56
Q

Settlement due date

A

Subscription agreement

Date when premium should be paid

57
Q

Bureaux arrangements

A

Subscription agreement

Signing on a de-linked basis

58
Q

Tax payable by insurers

A

Fiscal and regulatory

59
Q

Country of origin

A

Fiscal and regulatory

60
Q

Overseas broker

A

Fiscal and regulatory

61
Q

Regulatory risk location

A

Fiscal and regulatory

Regulatory interest in risk

62
Q

Surplus lines broker

A

Fiscal and regulatory

Identify surplus lines broker

63
Q

State of filing

A

Fiscal and regulatory

US State to file in

64
Q

US Classification

A

Fiscal and regulatory

US should be notified about any risk from US or paid in USD

65
Q

Allocation of premium to coding

A

Fiscal and regulatory

Risk code

66
Q

Allocation of premium to years of account

A

Fiscal and regulatory

Used if policy exceeds 18 months

67
Q

Regulatory client classification

A

Fiscal and regulatory

68
Q

Fee payable by the client

A

Broker remuneration and deductions

Indication of client fee to broker

69
Q

Brokerage amounts

A

Broker remuneration and deductions

Total figure or split by retail / wholesale

70
Q

Other deductions

A

Broker remuneration and deductions

71
Q

Sections of MRCE

A

Risk and endorsement identification
Contract changes
Information
Agreement
Contract administration or advisory

72
Q

Structure of general insurance policy document

A

Heading
Recital
Signature
Operative clauses
Exceptions
Conditions
Schedule

72
Q

Two types of condition

A

Condition precedent to contract
Condition precedent to liability

73
Q

Condition precedent to contract

A

Requirement to have an insurable interest

Non-marine must have this at point of purchase AND point of claim

74
Q

De linking

A

Risk sent to Xchanging before payment of premium

75
Q

In a GUA, who agrees under part 1, 2, and 3

A

Part 1 - slip leader (not buerau leaders)
Part 2 - slip leader + agreement
Part 3 - all underwriters