Cook Flashcards
Voluntary market characteristics
Limiting coverage (compliance level)
Limited medical payments coverage
High deductibles for collision
Significantly higher premium
Residual Market Programs
Automobile insurance plans
JUAs
Others
Automobile Insurance Plans (Assigned Risk Plan)
All auto insurers in a state assigned portion of high risk drivers based on market share
Assigned Risk Plan characteristics
Demonstrate unable to obtain insurance within certain number of days
Minimum limits of insurance offered at least equal to compulsory requirement
Ineligibiles (no license, felony within 36 months, habitual violators)
Joint Underwriting Association
Uses servicing insurers; Agents/brokers submit applications to JUA or servicing insurer. JUA sets rate and approves form
Difference between Assigned Risk and JUA
JUA shares losses amongst pool; servicing insurers compensated for service based on proportion of market share
Reinsurance facilities for high risk drivers
Insurers accept all applicants with license
If insurer does not wish to retain, can assign to reinsurance facility while continuing to service it
Losses shared by market share
Maryland state fund
Insures high risk drivers
Private insurers subsidize losses and charge surcharge to own insureds
Automobile insurance rate regulation
Purchasing insurance a right, not a privilege
Desire of companies to make profit conflicts with perceived right
FAIR Plans
Provides coverage when insurers in voluntary market cannot offer coverage at reasonable rate
Candidates tend to be susceptible to damage caused by riots and civil commotion
Must apply through authorized agent or broker
Policy issuing syndicate
FAIR plan – issues policies, staff handle UW, processing, claims handling
Servicing organization in FAIR
Voluntary insurers handle maintenance of contract, and perform services in return for portion of premium
FAIR plan qualifications
Property must be ineligible in voluntary market and inspected by FAIR plan administrator
Must meet certain basic safety levels under conditions under owner’s control (ex: fireworks factory as neighbor)
Uninsurable properties under FAIR
Vacant / open to trespass
Poorly maintained / unrepaired fire damage
Subject to unacceptable physical hazards
Violates law of public building
Not built in accordance with building and safety codes
Difference in condition policy
More coverage than FAIR plan (limited number of perils such as vandalism, riot, windstorm)