Basic Principles Flashcards

1
Q

Commercial Insurer

A

(or private insurance companies) Businesses that sell insurance for profit.

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2
Q

Stock Companies

A

(One of the two forms of commercial insurance) Non-participating (because the policyholders do not own the company do not receive company dividends due to profit from stocks and stock dividends)

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3
Q

Mutual Companies

A

(Second form of commercial insurers)
Participating because the policy owners are the policy holders as well therefore receiving dividends and voting in board directors.

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4
Q

Participating and Non participating

A

Known as a mixed insurer company.

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5
Q

Fraternal Benefit Societies

A

Non profit religious, ethnic or charitable organizations that provide insurance solely for their members.

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6
Q

Risk Retention Groups

A

Mutual companies formed by people in the same group or profession.

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7
Q

Service Providers

A

Provide benefits in return for premium payments. Ex: PPO’s and HMO’s

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8
Q

Reciprocal Insurers

A

Unincorporated groups of members that provide annuity insurance to other members therefore being both policyholders and policyowners “reciprocal”

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9
Q

Re-insurers

A

Passing of insurance to another company that takes on the risk of that policy (The ceding company is the company giving he policy away)

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10
Q

Captive Insurer

A

Fall back to a parent company’s loss

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11
Q

Home Service Insurers

A

Insurance for home coverage face amounts are typically small ($1,000 to $2,000) and premiums are paid weekly.

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12
Q

Government Insurance

A

Federal and State government are also insurers.

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13
Q

Social Security (OASDI)

A

Income benefits for those that are of old (retirement), survivors of those who died young, and disability qualifiers.

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14
Q

Medicare

A

Care for the elderly

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15
Q

Medicaid

A

Health insurance for the financially needy

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16
Q

S.G.L.I & V.G.L.I

A

Serviceman’s or Veteran’s Group Life insurance for active and retired.

17
Q

Tri-Care

A

Health insurance for military members and their fam.

18
Q

Self-Insurers

A

Capital saved up by the employer to cover potential losses.

19
Q

Distribution System

A

How insurance is sold to the public either through captive agents (One insurance agency) or Independent agents (Sells for themselves or others)

20
Q

Career Agency Systems

A

Commercial insurers setting up base to recruit and train other agents.

21
Q

Personal Producing General Agency System

A

The inverse of the career agency system where insurance is sold by independent agents

22
Q

Independent Agency System (American Agency System)

A

The system in which independent agents operate.

23
Q

Managerial System

A

A system of companies ran by a branch manager instead of one general agent at each company.

24
Q

Industry Oversight and Regulations

A

The policies and regulations that determine state by state laws with minimal federal oversight.

25
Q

Oversight Policy: 1869 Paul V Virginia

A

Insurance transactions crossing state lines are NOT interstate commerce.

26
Q

Oversight Policy: 1905 The Armstrong Investigation Act

A

Gave insurance regulation to states instead of the federal government. (Federal government cant “Armstrong” the states lol)

27
Q

Oversight Policy: 1944 U.S V. South-Eastern Underwriters Association.

A

Ruled insurance transactions crossing state lines are interstate commerce therefore subject to federal regulation. (Didn’t change power of insurance regulation by the state)

28
Q

NAIC National of Insurance Commissioners

A

An organization of commissioners from all 50 states the district of Colombia and 4 us territories