Class 25 Flashcards

1
Q

general justifications for government regulations of any industry

A
  • respond to imperfect market
  • info limitations
  • excess monopoly power
  • public policy rationale
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2
Q

justifications for gov. intervention w/ insurance regulation

A
  • insurance is integral to business and personal activities

- insurance involves a long-term relationship (promise)

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3
Q

benefit of insurance v. gov.

A
  • slow from gov.

- moral hazard when from gov.

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4
Q

intended outcomes of insurance regulation/areas that are regulated

A
  • ability to fulfill promise to compensate for losses in the future
  • access to insurance (regulates pricing and availability of insurance)
  • proper behavior of both insurers and policyholders (focus on insurers)
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5
Q

ensure insurer’s ability to fulfill promise to compensate for losses in the future

A
  • prevent insolvency

- protect policyholder once insolvency has occurred (guarantee)

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6
Q

what are the capital requirements?

A
  • seek independence of exposures
  • require high asset quality (risk) and value
  • prefer accurate and low volatility of estimated liabilities
  • need to match assets with liabilities
  • identify and manage other risk sources (poor investments)
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7
Q

guarantee association

A
  • set up by state

- all other insurance co.s pay for losses by consumer if their insurance co. becomes bankrupt

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8
Q

ensure access to the insurance market

A
  • residual pools (programs required by gov. to provide coverage)
  • underwriting restrictions (limit ability to deny coverage)
  • pricing or rate making (rates = the price of coverage per unit of coverage)
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9
Q

how is pricing/rate making regulated?

A

needs to be:

  • adequate
  • not excessive
  • not unfairly discriminatory
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10
Q

adequate

A

premiums are high enough to cover claims and expenses to prevent insolvency

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11
Q

ensure proper behavior

A

licensing and trade practices

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12
Q

licensing

A

a license is required to have permission to conduct business

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13
Q

admitted insurer

A

meets all state regulations

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14
Q

non-admitted insurer

A
  • often do cyber insurance

- barely regulated

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15
Q

domestic

A

home state

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16
Q

foreign

A

out of state

17
Q

alien

A

out of country

18
Q

trade practices

A

activities that may lead to fines, penalties, loss of license, if not done properly

19
Q

types of trade practices that are regulated

A
  • claims handling
  • advertising
  • sales practices
  • policy forms