Ch. 1 Flashcards

1
Q

What are the primary benefits of insurance coverage?

A
  1. Helping insureds regain their footing after a loss.
  2. Managing cash flow uncertainty
  3. Meeting legal requirements (Think auto ins. Unless you live in NH or AK, in rural areas unconnected to state highways.)
  4. Promoting risk control
  5. Enabling efficient use of resources (Money that would be set aside for losses can be used for other things.)
  6. Providing credit support.
  7. Providing a source of investment funds (For the consumer as well as the insurer.)
  8. Reducing social burdens
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the costs of insurance?

A

Premiums paid by insureds
Operating costs of insureds
Opportunity costs
Increased losses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the 4 major roles of insurance?

A

A Risk Management Technique – enables a person to deal with loss exposures and their financial consequences.
Risk Management techniques include loss prevention measures, such as safety goggles and helmets, or loss reductions measures such as fire extinguishers to “reduce” the severity of fire losses.

A Transfer system – One party, the insured, transfers the chance of financial loss to another party, the insurance company, or the insurer.

A Business – Various operations must be conducted in a way that generates sufficient income to pay claims and provide a reasonable profit for its owners.

A Contract – A contract exists between the insured and the insurer that states what potential costs of loss the insured is transferring to the insurer and expresses the insurer’s promise to pay for those costs of loss in exchange for a stated payment by the insured.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Explain why insurance would be considered a “Transfer System”?

A

Insureds exchange the possibility of a large loss for the certainty of a much smaller, periodic payment (premium). Everyone who owns property has a loss exposure, which is any condition or situation that presents the possibility of a loss.

The law of large numbers is a mathematical principle that is the foundation of insurance, and it enables insurers to make predictions about losses.
An example of the law of large numbers is your age as the first factor in determining your life ins. premium because it is based on the mortality of people of your gender, age and other statistics. Actuaries calculate how much you will pay each month for insurance based on ALL the people your age, gender, and with your family statistics for health and longevity.

An exposure unit is a measure of loss potential and is used in pricing insurance.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the law of large numbers?

A

The law of large numbers is a mathematical principle that is the foundation of insurance, and it enables insurers to make predictions about losses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What’s an “Exposure Unit”?

A

An exposure unit is a measure of loss potential and is used in pricing insurance.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the 3 ways to handle “Loss Exposure” as a policyholder?

A

You can do this through avoidance (use public transportation instead of buying a car), loss control (safety helmets and goggles for construction workers), and loss reduction (fire extinguishers.)

Each insured retains a certain amount of exposure when he or she determines the amount of deductible for their insurance policies.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does “Risk Management” mean for the insured party?

A

Is the process of making and implementing decisions to handle loss exposures.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the 3 types of “Loss Exposure”

A

PERSONAL LOSS EXPOSURES can cause financial loss to individuals because of death, disability or unemployment. Property insurance protects assets while liability insurance provides for payment on behalf of the insured for injury to others, including the cost to defend.
PROPERTY (Real, which is land and property attached to it.) Personal is all property that is not real property, tangible, or intangible. Net income losses are indirect and they reflect a reduction in revenue or an increase in expenses, or both.

LIABILITY LOSS EXPOSURE is any condition or situation that presents the possibility that a liability loss will happen (bodily injury, property damage, libel, slander, humiliation, defamation, invasion of privacy are examples.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Explain “Personal Loss Exposure”

A

PERSONAL LOSS EXPOSURES can cause financial loss to individuals because of death, disability or unemployment. Property insurance protects assets while liability insurance provides for payment on behalf of the insured for injury to others, including the cost to defend.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Explain “Property” as a loss exposure.

A

PROPERTY (Real, which is land and property attached to it.) Personal is all property that is not real property, tangible, or intangible. Net income losses are indirect and they reflect a reduction in revenue or an increase in expenses, or both.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Explain “Liability Loss Exposure”

A

LIABILITY LOSS EXPOSURE is any condition or situation that presents the possibility that a liability loss will happen (bodily injury, property damage, libel, slander, humiliation, defamation, invasion of privacy are examples.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the six types of “Private Insurers”?

A

1) Stock
2) Mutual
3) Reciprocal Insurance Exchanges
4) Lloyd’s
5) Surplus Lines Insurers
6) Captive Insurers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What’s the difference between Stock and Mutual insurance companies?

A

Stock Insurance companies, which are corporations owned by stockholders; purpose is making a profit.

Mutual Insurance companies, which are corporations owned by their policyholders; purpose is providing insurance to policyholders.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What’s a “Reciprocal Insurance Exchange”?

A

Reciprocal Insurance Exchanges, which are unincorporated associations that provide insurance services to subscribers, which are individuals with similar needs like doctors, etc. The first began with dry good merchants in NY.
(Also known as inter-insurance exchanges, these began in 1881 to provide coverage at minimum cost to subscribers. Difference between these and Mutuals is that the risk is transferred to an organization in a Mutual, but it is transferred to other subscribers in an Exchange.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What’s “Lloyd’s”?

A

Lloyd’s is an association of investors, grouped in syndicates, who are represented by underwriters to write insurance and reinsurance. Each investor is a “Name” and belongs to one or more groups called syndicates. They insure unusual types of risks and surplus lines.

17
Q

What’s a “surplus line” insurer?

A

Surplus Lines Insurers usually create coverages that are unavailable in the standard market due to pricing or underwriting requirements. They are non-admitted which means they are not authorized by the state insurance dept.

18
Q

What’s a “Captive Insurer”?

A

Captive Insurers are formed to cover the loss exposures of its parent or members. They may be less expensive because the acquisition costs are eliminated. A premium paid to a captive remains within the corporate structure until it is used to pay claims.

19
Q

Explain “Insurtech” companies?

A

This is the coupling of insurance and technology with these categories:
Microinsurance are firms offering insurance to economically disadvantaged or underserved segments of the population that are united in risk pools, through web-enabled devices.
Internet of Things (IoT) is data-capture devices to help insurers more accurately assess and price individual risks.
Peer-to-Peer insurance are firms that used web-enabled platforms to facilitate the formation of self-selected risk pools whose members (friends, relatives or like-minded individuals) pool premiums and collectively pay for members’ insured losses. (Also called Social Insurance. Every member knows who is in the group, who is filing a claim, and how much money is in the pool.
Reinsurance is a necessity and some P2P groups refund any unused funds back to the members. New concept that originated in Germany in 2010.)

On-demand or need-based insurance are firms that use web-enabled customer interfaces and sensor technology to offer coverage that allows near-total customization for customers. Consumers can purchase coverage on their smartphone whenever and wherever they want, usually when the asset is in use and at risk.

20
Q

What is “reinsurance”?

A

This permits the primary insurer to transfer some loss exposures to the reinsurer.
It also enables a small insurer to provide insurance for large accounts whose needs would otherwise exceed the insurer’s capacity.

21
Q

What are some of the federal programs that provide insurance to citizens?

A

The Federal Government provides Social Security, the National Flood Insurance Program, the Federal Crop Insurance Program and the Federal Deposit Insurance Corporation.

The Government develops and maintains these programs because they have the financial resources to do so, as well as the authority to mandate coverage. They provide a way to fill unmet needs that the private market does not , with the hope of achieving collateral social purposes.

22
Q

What are the 6 steps to processing a claim?

A
  1. Acknowledge claim
  2. Identify the policy
  3. Contact the insured or representative
  4. Investigate and document the claim
  5. Determine cause of loss and loss amount
  6. Conclude the claim