Chapter 2 Flashcards
Adverse Selection:
Adverse selection is broadly defined as selection against the company. It includes the tendency of people with higher risks to seek or continue insurance to a greater extent than those with little or less risk. Adverse selection also includes the tendency of policyowners to take advantage of favorable options in insurance contracts. Adverse selection occurs when a company takes on risk without being accurately compensated for the actual amount they must ultimately pay in claims. Companies must avoid adverse selection to be profitable and stay in business
Hazard:
A hazard is any factor, condition, or situation that creates an increased possibility that a peril (a cause of a loss) will actually occur. Examples of hazards include icy roads, driving while intoxicated, and improperly stored toxic waste
Homogeneous Exposure Units
Homogeneous exposure units are similar objects of insurance that are exposed to the same group of perils. (Similar risks, such as wood houses in a fire rather than brick houses)
Indemnity contract:
Contracts of indemnity attempt to return the insured to their original financial position. They will not profit from heir loss, however just be compensated for the loss and nothing more.
Law of Large Numbers:
The law of large numbers is a fundamental principle of insurance that the larger the number of individual risks combined into a group, the more certainty there is in predicting the degree or amount of loss that will be incurred in any given period. For example, suppose an insurance company insures one hundred thousand homes (instead of only 100 homes) against fire and collects $1,000 in premium from each homeowner. In this situation, the premiums should provide enough money so the insurer can pay all losses to policyholders during the year while at the same time covering all overhead costs and still making a profit. Suppose an insurer only insured 100 homes, and five of them were total losses in the same year. That type of loss might bankrupt the carrier, especially if an unexpected event increased the losses. No matter what, there is safety in larger numbers
Loss:
Loss is the unintentional decrease in the value of an asset due to a peril.
Accident vs. Occurrence
if Sally needs a knee replacement from being involved in a car accident, there likely are some witnesses that saw the accident and, in theory, could provide the exact time and location of the accident that caused the injury. Suppose Sally needs a knee replacement from years of intense physical activity. In that case, there are no witnesses that could provide the specific time and location of the occurrence that resulted in the need for Sally’s knee replacement. Every accident is an occurrence, but not every occurrence is an accident.
Loss Exposure:
Loss exposure is the risk of a possible loss.
Moral Hazard:
Moral hazard is a hazard brought on by the effect of personal reputation, character, associates, personal living habits, financial responsibility, and environment, as distinguished from physical health, upon an individual’s general insurability. For example, a dishonest person is more likely to lie to an insurance company—both on an application and when submitting a claim for loss, thus creating a higher likelihood of engaging in insurance fraud. Drug use and alcohol abuse are commonly associated with moral hazards. Moral hazards make the loss more likely to occur due to the dishonest character of the insured
Morale Hazard:
Morale hazard is a hazard arising from indifference to loss because of the existence of insurance. Morale hazards are often associated with having a careless attitude. For example, Alex leaves his car running unattended, with the doors unlocked to heat it on a cold winter morning. This act makes it more likely that his car will be easily stolen by a passing car thief looking for such vehicles. On some unintentional mental level, the insured simply does not care that this kind of loss might happen, probably because the vehicle is insured. Reckless driving, jumping off a cliff, stealing, racing motorcycles, carefree, careless lifestyle are often associated with morale hazards. They just do not care about loss prevention since the property is insured
Peril:
Peril is the immediate, specific event causing loss and giving rise to risk.
Specified (named) perils
Insurance contracts that cover Specified or Named Perils individually list those perils that they cover. If a loss is caused by a peril that is not listed within the insurance policy, then the loss is not covered.
Special (Open) Perils:
Special or Open Peril insurance policies do not name the perils they cover. Instead, such policies begin by saying they cover all direct causes of loss. These policies then list all the perils that they exclude from coverage.
Physical Hazard:
Physical hazards are physical or tangible conditions existing in a manner that makes a loss more likely to occur.
Pure risk
A type of risk that involves the chance of loss only; theres no opportunity for gain; it is insurable. For example, Injuries, illness, and death represent pure risks because an individual can only suffer a loss in the form of missed work and medical bills or burden survivors through the untimely loss of one’s life.