Chapter 4 Flashcards
The Insurance- Buying Process
By RIBO legislation, Insurances brokerages in Ontario must purchase this coverage
Errors and Omission Liability Insurance
Most common cause of errors and omissions (E&O) claims accounting for more than 50% of all claims
Inadequate coverage
This is the best defense against an E&O claim
well document file (client conversations, both written and oral)
Is a written agreement between an insurance company and a brokerage office.
It states the scope of services to be provided by the brokerage and the compensation the brokerage will receive for providing such services.
Broker Conract
two parties for brokerage contract
Brokerage firm and the insurance company
Provides Eligibility rules and guidelines related to the types of risk a brokerage is authorized to write and bind coverage for, and provides the coverage limits for each policy type.
Authority
States that the brokerage office retains ownership of clients’ files and controls the placement of insurance for those clients. Also makes clear which party owns the expirations and who will continue to provide coverage for these policyholders if the broker contract is terminated by either party.
Ownership of policyholder’s business (expirations)
List of commission schedule for each class of insurance sold and the terms of any contingent profit commission profit commission as a reward for any brokerage whose portfolio of business is profitable for the insurer
Commissions
Major Components of a typical Agreement between an insurance company and a brokerage
Authority
Ownership of policyholder’s business(expirations)
Commissions
Billing Procedures
Claims Handling
Termination
States how premium are to be remitted to the insurer, depending on the premium payment method offered
Billing procedures
Indicates whether the brokerage is authorized to adjust and settle claims or not. If so, it states the types of claims and dollar amount the brokerage can handle.
Claims handling
Spells out the terms for cancellation of the broker agreement by either party along with the length of the notice period(ranging from 90 to 180 days)
Termination
A process whereby the broker asks sufficient questions to understand the nature of the object of insurance or risk, and the client’s objectives in buying insurance.
Needs Assesment
step after analyzing the coverage option and price points of several insurers
Present Coverage Options
if the client wishes to proceed with an insurance purchase, they must complete and sign in an application.
Complete with Application Form
No binder may be issued for a period greater than 30 days
This means that temporary insurance coverage, known as a binder, cannot be provided for more than 30 days. A binder is a temporary insurance contract that provides coverage until a formal insurance policy is issued.
Insurance policies are typically in force for how many months?
12-month term
Policy that has reached its expiry date and has not been renewed or extended
lapsed policy
a certificate that attest to the fact that an insurance policy, or contract of insurance, has been extended for another term
Renewal
also known as 80/20 rule
states that for many events, roughly 80% of effects come from 20% of causes.
The Pareto Principle
an insured person reviews and settles claims on behalf of the insurance company. they could be an employee of the insurance company or an independent contractor hired by the company
Adjuster
The process of reviewing and settling losses under an insurance policy
Adjusting
An insured person who makes an insurance claim. is usually the policyholder, but i can be anyone who is defined as an insured person under the policy
Claimant
A process where the brokerage, as an authorizes representative of the insurance company, has the authority to confirm immediately that coverage is in force
Binding Coverage
The portion of the insurance policy containing the summary of mandatory information, such as the name and address of the the insured, the policy period, a description and location of the property insured, the amount of insurance coverage, the insurable interest of others(if any), the the policy premium
Declaration