ALL CHAPTERS Flashcards
When is a collective policy issued?
When a risk is co insured
An example of a peril in motor insurance?
A lightning strike
What does the time delay between the receipt of premiums and the occurrence of claims create?
Premium reserve
What does a money policy provide cover for?
Loss, destruction or damage
What does credit insurance provide?
Cover for businesses against the risk of their debtors being unable to meet their obligations
What does marine freight insurance cover?
Liability for damaged goods carried
Which is the most difficult for insurers to evaluate and quantify? A. Physical hazard B. Moral hazard C. Peril D. Risk
A. Moral hazard
What is the role of a members agent?
Advising their clients on the advantages and disadvantages of investing at Lloyds
What must an independent intermediary be capable of?
Offering advise on the basis of a fair analysis of the market
IPT is 20% for what insurance? A. Pecuniary B. Employers liability C. Travel D. Household
C. Travel
What is the function of a managing agent?
Providing their specialist expertise they have to offer in their niche area
Companies that manage one or more Lloyds syndicates on behalf of members are known as?
Managing agents
The Motors Insurance Bureau is financed by…
A levy on authorised UK motor insurers
Under contract certainty rules, when must the signing down of lines be done?
Prior to inception
What area do Mutual Indemnity associations mainly operate in?
Marine insurance
What area do protection and indemnity associations mainly operate in today?
Marine insurance
When is acceptance of an offer complete?
When the letter of acceptance is posted
Example of short period contact?
Travel insurance
When a policyholder cancels their motor mid-term, they are no longer required to make a statutory declaration or any statement acknowledging the policy has been ceased. What act brought this to law?
A. Insurance Act
B. The Deregulation Act 2014
C. CIDRA
B. The Deregulation Act 2015
A person who is risk averse transfers their risk by…
Insurance
Who provides financial backing for Lloyds?
Names
A company manufacture ink cartridges, but due to a manufacturing fault the cartridges leave, causing damage to the property. What insurance would cover this? A. Product liability B. Business interruption C. Employers liability D. Building insurance
A. Product liability
External elements that can threaten the assets or earning capacity of a company are dealt by…
Risk management
Within Lloyds who is responsible for setting guidelines for all syndicates to safeguard standards of underwriting and risk management? A. Names B. FCA C. Lloyds Franchise Board D. PRA
C. Lloyds Franchise Board
Definition of a risk
- Possibility of loss
- Unpredictability
- The chance of gain for example gambling
- Uncertainty
Risk management
Risk identification - Risk analysis - Risk control
Types of risk
- Financial and non financial
- Pure
- Speculative
- Particular
- Fundamental
Example of a peril
- Lightning
- Overflow of water tanks
- Fire
- Explosion
Example of physical hazard
- Security
- High value sports car
- Age of a car
- Construction of a building
Example of moral hazards
- Carelessness of a driver
- Convictions
- Previous claims history if suspicion of fraud
The FCA say that all firms carrying out insurance must be either…
- Authorised
- Exempt from authorisation
Proprietary companies
Owned by shareholders
Mutual companies
Owned by its policyholders
Mutual indemnity associations
Owned by its policyholders
Captive companies
Owned by non insurance parent company
Societas Europeas
Owned by a parent company.
Cost efficient way to merge companies across the EU.
Protected cell companies
A company with a non-cellular part (the core) and unlimited amount of cells.
What is a managing general agent?
A Managing General Agent is a specialist intermediary who has delegated authority to act for one or more insurers and sets like the insurer.
Who forms a syndicate?
Individual members (names) or corporate members invest money to form a syndicate
Who does a syndicate employ?
Syndicates employ a managing agent
Who does a managing agent appoint?
A managing agent appoints an underwriter to accept risks
How are risks placed at Lloyds?
Risks are placed by slips.
Underwriters sign the slip confirming the percentage they will be accepting.
What is contract certainty?
Contract certainty is achieved by the complete final agreement of all terms (including signing down lines) between the insured and insurers before inception.
There must be evidence of this done within 30 days of inception.
Benefits of reinsurance
- Protect portfolio
- Provide improved customer service
- Provide support for insurers entering new areas of business
- Increase capacity
Retroceding
A reinsurer transferring some of their own risk
Retrocession
The process of a reinsurer transferring a risk
Motor Insurance Bureau
- Private company that has an agreement with the government
- Compensates victims of negligent, uninsured or untraced drivers
- Financed by a levy on authorised motor insurers in the UK
Claims personnel
A claims personnel is vital to ensure the proper management of an insurance company.
- They deal with claims quickly and fairly
- Distinguish between real and fraudulent claims
- Determine real costs of claims
Loss adjusters
An expert in claims processing from start to finish, they act for the insurer. They deal with larger claims or complex policy wordings.
- Investigate circumstances of a claim
- Determine whether loss is covered
Loss assessors
A loss assessor is an expert in dealing with insurance claims and acts for the policyholders. They’re appointed by the policyholder to prepare and negotiate a claim on their behalf.
Surveyors
Surveyors carry out a variety of functions on behalf on insurers.
Actuaries
An actuary may be defined as a professionally qualified person who applied probability and statistical theory to problems of insurance, investment, financial and risk management.
Risk managers
They are appointed by firms for taking control of and developing a formal strategy.
- Provide guidance on best in these areas to management
- Transfer of appropriately identified risks by contract of insurance
Lloyds syndicate
- A Lloyds syndicate is made up of one or more members to join together as a group to accept insurance risks.
- Syndicates cover either all or a portion of a risk and are staffed by underwriters.
- They write a range of policies
- They employ a managing agent who appoint an underwriter to accept risks
Managing agent
- A managing agent is a company set up to manage one or more syndicates on behalf of members who provide the capital.
- They employ the underwriters to handle the day to day running of a syndicate.
Contract laws
The English law of contract is essentially a law of bargains.
Essentials of a valid contract
Offer and acceptance + Consideration
Unconditional or qualified acceptance
This is where the offer is not challenged and there is no problem with it
Conditional/qualified acceptance or a counter offer
Where the client would put a condition in place to accept it. (Rejection of an offer)
Postal acceptance
This is where the acceptance is on the day that the letter is sent
Consideration
This is where one party is giving something so one party receives something. A promise of payment is enough for acceptance in this case.
Purpose of a contract
The purpose of a contract ‘policy wording’ is so there is evidence of a contract, it essentially covers the insurers back as the policy holder knows what they’re covered for.
When should an insurer send out a renewal letter to the insured?
Within good time.
Who can cancel a policy
Both the insurer and insured
Breach of warranty
This will discharge the insurer from liability under the policy automatically without the need for he insurer to terminate the policy, unless the insurer waives the breach.
Breach
A breach is a deliberate or reckless/non deliberate careless act.
Warranty
A rule/term of the policy that you have to abide by (specific to your policy)
What is an agent?
- An agent is one who is authorised by a principal to bring that principal into a contractual relationship with another third party.
- Whoever the agent is working for, they are termed the agents principal.
Agent by consent
- Both partied enter into legally enforceable agreement done by express appointment where the terms are written down.
- Insurers issue a TOBA to each agent, stating terms, conditions and the extent to the agents authority.
Agency by necessity
- Arises where a person is entitled with someone else’s goods and it becomes necessary to act a certain way in order to preserve the property in an emergency.
Agency by ratification
Ratification refers to a situation where an agent cats without authority but the principal accepts the facts as having been done by an agent on their behalf.
When is an independent intermediary considered to be an agent of the insured?
- Gives advice on cover of the placing of insurance of helping arrange it.
- Gives advice on how to make a claim/assisting them with it.
When is an independent intermediary considered to be the agent of the insurer?
- An insurer authorises an intermediary to receive and handle proposal forms on its behalf and confirm cover.
What is express authority?
Arises from the terms of an agency agreement, which may be oral or writing.
What is implied authority?
If the agent has to undertake a certain action in order to carry out express instructions, they will have implied authority to do so.
Duties of a principal
- Remuneration = Pay agreed commission.
- Indemnity = Reimbursement of all expenses incurred when acting on behalf of the principal.
What is insurable interest?
The legal right to insure arising out of a financial relationship recognised at law, between the insured and the subject matter of insurance.
Subject matter of insurance
The item or event that is insured.
Subject matter of contract
The financial interest a person has in the subject. matter of the insurance
Legal relationship
The relationship between the insured and the subject matter of the insurance must be recognised at law. If there is no legal relationship there’s no insurable interest.
Financial value
The insurable interest in the subject matter interest in the subject matter of insurance must have financial value.
How is insurable interest created?
- Common law
- Contract
- Statute
What is common law?
We all owe duties to each other and have certain rights under common law. This is the most straightforward, by ownership.
Contract
- These are situations in which we accept greater liabilities than those imposed by common law.
- These occur when we enter into a contract that gives us greater responsibilities.
- A landlord is normally liable for the maintenance of the property they own, however the landlord may make the tenant liable under the terms of the lease.
Statute
- There are few statutes (acts of parliament) which impose a particular duty on certain groups.
- Where these statutes apply they make tenants responsible for the upkeep of the buildings they occupy.
When must insurable interest exist for general insurance?
At inception and at the time of the claim.
When must insurable interest exist for a marine insurance policy?
Only at the time of a claim, it doesn’t have to exist at inception.
When must insurable interest exist for life assurance?
Only at inception, it doesn’t have to exist at the time of the claim.
What is utmost good faith?
Utmost good faith is a positive duty to voluntarily disclose, accurately and fully, all material facts to the risk being proposed, whether requested or not.
Who does utmost good faith apply to?
Both the proposer and insurer.