General Ins Principles Flashcards

1
Q

Law of Large Numbers

A

The larger number of individuals with similar exposure to loss is more predictable of future losses

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2
Q

Insurable Interest

A

*Must exist at time of loss. Policyowner would incur financial loss.

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3
Q

3 elements of Insurance Interest

A

Financial, Blood, Business

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4
Q

Risk

A

Uncertainity regarding financial loss

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5
Q

What are the two types of Risk?

A

Pure & Speculative

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6
Q

Pure Risk

A

Insurable because it only involves the chance of loss. No chance for financial gain.

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7
Q

Speculative Risk

A

Involves opportunity for gain or loss. NOT Insurable Ex: Gambling

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8
Q

Hazards

A

Circumstances or settings that increase the likelihood of an insured loss occurring. Ex. Slippery floor

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9
Q

3 kinds of Hazards

A

Physical, Moral, Morale

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10
Q

Physical Hazard

A

Structural, Material, or Operational features of the risk

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11
Q

Moral Hazards

A

Deals with an applicant who lies on application or submits fraud claims

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12
Q

Morale Hazards

A

An indifference to loss. Ex: No intention of fixing something, insurance will pay when breaks.

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13
Q

Indemnity

A

Often referred to as reimbursement.

  • Beneficiary allowed to collect to the extent of financial loss.
  • Cannot gain financially from a loss
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14
Q

Subrogation

A

Insurer’s legal right to seek damages from third parties after insured is reimbursed. Prevents insured from collecting twice.

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15
Q

Accident vs Occurence

A

Accident-unplanned, sudden and unexpected event resulting in damage or injury.

Occurence-includes losses caused by repeated exposure to conditions resulting from property damage or injury

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16
Q

Two types of Damages

A

Property and Bodily

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17
Q

Special Damages

A

Out-of-pocket expenses for medical, loss of wages, or miscellaneous expenses

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18
Q

General Damages

A

Compensate for disfigurement, mental anguish, or pain and suffering

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19
Q

Punitive Damages

A

Punishment for gross negligence, extreme behavior or willful intent

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20
Q

Negligence

A

Failure to use reasonable and prudent care

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21
Q

4 elements of Negligence

A
  • Actual loss or damage
  • Legal Duty
  • Unbroken chain of events
  • Standard of care
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22
Q

6 types of Loss Valuation

A
  • Actual Cash Value
  • Replacement Cost
  • Market Value
  • Agreed Value
  • Stated Value
  • Salvage Value
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23
Q

Types of Liability

A

Strict and Vicarious

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24
Q

Strict Liability

A

Often applied to PRODUCT liability cases

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25
Q

Vicarious Liability

A

Liability imposed on one party as a result of another.

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26
Q

Limits of Liability

A
  • Per Occurence (accident)
  • Per Person
  • Aggregate
  • Split
  • Combined
27
Q

Proximate Cause

A

Cause of property damage or bodily injury is natural and reasonably forseeable

28
Q

Deductible

A

Dollar amount must be met by the insured before insurer provides coverage

*Higher Deductible = Lower Premium

29
Q

Coinsurance

A

Policyholder maintains minimum amount of insurance coverage on property

Partial loss is paid in full if minimum is met

Coinsurance clause is not affected in a total loss

30
Q

Loss Payment = (Insurance carried / Insurance required) x Loss Amount

A
31
Q

Insurance to value

A

Replacement cost settlement for policyowners who carry minimum insurance coverage

32
Q

Deposit Premium

A

Estimated premium is paid in advance of a policy being issued

33
Q

Deposit Premium Audit

A

Insurance provider may audit the insured’s records and books to determine an adequate premium

34
Q

Certificate of Insurance

A

Written evidence demonstrating that the insurance policy has been issued

Lists the amounts and types of insurance provided

35
Q

Peril

A

Causes of loss that are insured against

36
Q

Legal Hazards

A

Describe an array of legal or regulatory conditions that affect an insurer’s ability to collect premiums.

37
Q

Loss

A

Refers to the decrease or reduction of value of the individual or property insured in a policy

38
Q

Direct Loss

A

Involves other damage where the covered peril was the proximate cause of loss.

Example: Water damage from fire dept putting fire out but fire was proximate cause of loss.

39
Q

Indirect Losses

A

losses resulting from direct loss.

Examples: Extra living expenses that occur while home is being repaired or loss of profits a business might suffer having to close down due to repairs.

40
Q

Named Peril

A

Term used in property insurance to describe the extent of coverage provided under an insurance policy form that lists covered perils.

**No coverage is provided for unlisted perils

41
Q

Open Peril

A

insures against any risk of loss that is not specifically excluded.

42
Q

Burglary

A

Crime of forced entry with criminal intent

43
Q

Robbery

A

Taking of property from the custody of an individual by harming or threatening bodily harm.

44
Q

Theft

A

Any act of stealing, includes both burglary and robbery

45
Q

Mysterious Disappearance

A

Disappearance of property without any knowledge as to time, location or how property was lost.

  • this type of loss is excluded from most policies
46
Q

Vacancy

A

Refers to covered structure where no one has been working or living for the required time stated in a policy (typically 60 days)

47
Q

Unoccupancy

A

No one has been working or living within requried period of time, but some property is stored

48
Q

Blanket Insurance

A

Single property policy that offers coverage for more than one class of property at one location, or for multiple classes of property at more than one location.

49
Q

Specific Insurance

A

Property policy that insures specific kind or unit of property for a specific amount of coverage.

50
Q

Loss Valuation

A

A factor in calculating the premium charged and the amount of coverage required

51
Q

Actual Cash Value (ACV)

A

Calculated by deducting depreciation from the current replacement cost to replaced damaged property with like kind and quality

52
Q

Replacement Cost

A

Cost of replacing damaged property with like kind and quality at today’s price without any deduction for depreciation

53
Q

Functional Replacement Cost

A

Cost of replacing damaged property with less expensive and more modern equipment.

Example: building with lath and plaster walls may be replaced with drywall which is lower cost but just as functional

54
Q

Market Value

A

Rarely used method of loss valuation based upon the amount a willing buyer would pay to a willing seller for the property before the loss occurs.

55
Q

Agreed Value

A

Property policy with a provision agreed upon by the insured as to the amount of coverage that signifies a fair valuation for the property

56
Q

Stated Value

A

Amount of coverage scheduled in a property policy that is not exposed to any coinsurance requirements in the event of a covered loss.

57
Q

Salvage Value

A

Estimated value of an asset upon its sale at the end of its life. Property that can be sold as a whole or in parts.

Example: Totaled car being sold for parts so insurer can lower cost of claim

58
Q

Limits of Liability Definition

A

Insurance carriers liability for payment as stated in an insurance policy. Is the maximum amount of money the insurer will pay for particular loss

59
Q

Per Occurence (Accident)

A

Liability policy sublimit that puts a ceiling on payment for all claims that result from a single accident.

60
Q

Per Person

A

Maximum payment amount available for bodily injury to a single perosn in an accident.

61
Q

Aggregate Limit

A

Maximum limit of available coverage provided under liability policy during a policy year, regardless of number of accidents and claims.

*Resets on policy’s anniversary date

62
Q

Split Limit

A

Seperate limits of liability for different coverages.

For example 25/50/25

63
Q

Combined Single

A

Single dollar amount of liability that applies to the total damages of property and bodily injury.