Chapter 3 - Property & Casualty Insurance Basics Flashcards
Insurable Interest
Financial interest in property to be insured. Must exist at the time of loss
Requirements to prove insurable interest
- Legitimate financial interest in preserving the property to be insured 2. There must be no potential for gain 3. There must be potential for loss
Underwriting
The process of reviewing applications for insurance and the information on the application. Risk selection process
Underwriter’s function
Refers to the operations of an insurance company where underwriter is responsible for evaluating applications submitted to the insurer and determining whether a policy should be issued, and if so, the terms, conditions and rates for that policy
Loss ratio
Refers to a formula used by insurance companies to compare premium income to losses, including claims paid and claims-related expenses.
Formula:
(Incurred losses + loss adjusting expense) \ earned premium = loss ratio
Geographic Redlining
The practice of refusing to serve a particular area solely because of its location or because it is served by a volunteer fire department
Insurance credit score
A point system used by insurance underwriters to predict risk and possibility of claims, and determine charges for premiums
Insurance Rate
The amount charged for a particular amount of coverage. Charged per unit of exposure
Class rating (or manual rating)
Refers to the practice of computing a price per unit of insurance that applies to all applicants possessing a given set of characteristics
Individual rating
Used for unique risk. 5 rate making approaches: judgement, schedule, experience, retrospective, and merit
Judgement Rating
Used when credible statistics are lacking or when the exposure units are so varied that it is impossible to construct a class.
Schedule rating
Rates developed by applying a schedule of charges and credits to some base rate to determine the appropriate rate for an individual exposure.
Experience rating
The insured’s own past loss experience enters into the determination of the final premium.
Retrospective rating
Self-rating plan under which the actual losses during the policy period determine the final premium, subject to a minimum and maximum premium.
Merit rating
Most commonly used in personal auto. The insured’s premium is based not on the actual loss record, but on other factors that indicate the probability that loss will occur. Ex. Bad driving record
Loss costs
Rating developed by ISO provides insurer with that portion of a rate that does not include provisions and expenses (other than adjusting expense). Based on historical aggregate loss and loss adjustment expenses projected through development to their ultimate value and through trending to a future point in time
Components
Factors that determine rates including loss reserves, loss adjusting expenses, operating expenses, and profits
Negligence
The failure to use the care that a reasonable, prudent person would have taken under the same or similar circumstances
Elements in establishing negligence
- Legal duty 2. Standard of Care 3. Unbroken chain of events 4. Actual loss or damage
Legal duty
Shown that the defendant had a legal duty to act or not to act
Standard of Care
Defendant must have used a standard of care that breached that legal duty. Acting as a reasonable person
Proximate cause
Act or event considered a natural or reasonably foreseeable cause of the damage or event that occurs and damages property or injures a plaintiff