Chp. 1 Flashcards
Life
When you die.
Health
Cover medical/ sickness/ injury/ loss of money
Annuities
Payments over time
Private Insurance Companies
Commercial Insurance Companies funded thru Premiums and selling insurance for profit.
Government Programs
funded with taxes serving national and state social purposes
What are the 2 types of popular Insurance Companies
Stock Insurance Company and Mutual Insurers
Stock Insurance Companies
Can be organized or incorporated under state law. it is owned by STOCKHOLDERS and it shares its profits with stockholders in the form of DIVIDENDS. Is nonpar,
Mutual Insurers
Have no stockholders- policyholders own company- owners get dividens- is PAR
Non-Participating (NON-PAR)
policyholders are not paid
Participating (PAR)
Policyholders get paid
Mutualization
The stock company converts to a mutual company
Demutualization
The mutual company converts to a stock company
Loyd’s of London
Association formed to underwrite and issue insurance where certain items or areas might be uninsurable.
Reinsurers
Insure other insurance companies - the insurance company is the ceding company (transferring risk) - Reinsurer assumes the risk
Home Service Insurers (HSI)
Industrial insurance sold by home services or debit insurance companies - small face amounts of 1k-2k - collect premiums weekly door to door by agent
Service Providers
Offers subscribers benefits for payment of a premium - 2 most common service providers are HMO’s and PPO’s
What is an HMO?
Health Maintenance Organization
What is a PPO?
Preferred Provider Organization
What are some government Insurance programs?
- Social Security
- Medicare
- Medicaid
1945 McCarran and Ferguson Act
The federal government has the right to regulate the insurance industry BUT would not if the states ran the industry effectively and adequately.
1970 Fair Credit Reporting Act
- Provides individuals privacy, protection, fair and accurate credit reporting
- Insurance companies are required to notify applicants of the credit check made on them and allow them access and notification on anything that they find.
Insurance producer
can be representatives with a specific company or an Insurance Broker
Insurance brokers
Agent who represents several insurance companies
Captive Agent
An agent that represents one company.
Independent Agent
An agent that represents 2 or more insurance companiers.
National Association of Insurance Commissioners (NAIC)
- Composed of insurance commissioners
- All 50 states + District of Columbia+ 4 U.S. territories have to be under it
- Responsible for resolving Insurance regulatory problems
- Active in formation and recommendations of insurance legislation designed for uniformity from stat to state to simplify the marketing of insurance.
State Guarantee Association
- Protect policy owners if insurance companies go out of business, becomes insolvent, or is unable to pay claims
Independent rating services
- Rates and Grade financial strength and stability of the insurance company.
- ratings are based on claims, reserves, company profits.
What are the 4 Insurance rating companies?
- AM Best
- Standard and Poor’s
- Moody’s
- Fitch