Chapter 11: Insurance Contracts Flashcards
Deductible
Insured required to pay first dollars of insured loss
What do deductibles mitigate (3)
loss covered by insurer
moral hazard
expense in settling a claim
Straight or flat deductible
insured pays deductible up to a limit and all loses above that limit is covered by insurer
Percentage deductible
insured pays first percentage of loss with the insurer paying all excess loses above the percentage limit
Larger the deductible the lower the
premium
Exclusions
identify losses that are not covered by insurance
What happens if insurer denies claim based on exclusion
they must provide provide proof to the insured that they applied exclusion correctly
Purposes of exclusions: eliminate losses from (2)
catastrophic events
moral hazard
Purposes of exclusions: Eliminate coverage (2)
coverage not needed by typical insured
where another policy is designed to provide coverage
Purpose of exclusion to prevent
noninsured parties from benefiting coverage