General Insurance Flashcards

1
Q

What is insurance?

A

Transfer of risk of loss from an individual or business entity to an insurance company, which, in turn spreads the cost of unexpected losses to many individuals

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2
Q

Pure risk

A

Refers to situation that can only result in a loss or no change. Only type of risk insurance companies are willing to accept

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3
Q

Speculative risk

A

Involves the opportunity for either loss or gain. Not insurable

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4
Q

Exposure

A

A unit of measurement used to determine rates charged for insurance coverage

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5
Q

Homogeneous

A

A large number of units having the same or similar exposure to loss

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6
Q

Hazards

A

Conditions or situations that increase the probability of an insured loss occurring

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7
Q

Perils

A

The causes of loss insured against in an insurance policy

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8
Q

Loss

A

Defined as the reduction, decrease,or disappearance of value of a person or property insured in a policy, caused by a named peril

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9
Q

Avoidance

A

Eliminating exposure to loss, example never flying on airplane to avoid a crash

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10
Q

Retention

A

The planned assumption of risk by an insured through the use of deductibles, copayments, or self insurance

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11
Q

Sharing

A

A method of dealing with risk for a group of individual persons or businesses with the same or similar exposure to loss to share the losses that occur within the group

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12
Q

Reduction

A

Includes actions such as installing smoke detectors in your home having an annual physical to detect health problems early or perhaps making a change in our lifestyle

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13
Q

Transfer

A

Most effective way to handle risk, insurance is the most common method of transferring risk from an individual or group to an insurance company

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14
Q

Due to chance

A

A loss that is outside the insureds control

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15
Q

Definite and measurable

A

A loss that is specific as to the cause, time, place, and amount

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16
Q

Statistically predictable

A

Insurers must be able to estimate the average frequency and severity of future losses and set appropriate premium rates

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17
Q

Not catastrophic

A

Insurers need to be reasonably certain their losses will not exceed specific limits

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18
Q

Randomly selected and large loss exposure

A

There must be a sufficiently large pool of the insured that represents a random selection of risks in terms of age, gender, occupation, health, economic status, and geographic location

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19
Q

Adverse selection

A

The insuring of risk that are more prone to losses than the average risk

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20
Q

Law of large numbers

A

The larger the number of people with a similar exposure to loss, the more predictable actual loss will be

21
Q

Reinsurance

A

A contract under which a one insurance company indemnifies another insurance company for part or all of its liabilities.

22
Q

Insurer

A

Any person or company engaged as the principal party in the business of entering into insurance contracts

23
Q

Stock companies

A

Owned by stockholders who provide capital necessary to establish and operate the insurance company and who share in any profits or losses. Issue nonparticipating policies, in which policy owners do not share in profits or losses

24
Q

Mutual companies

A

Owned by the policy owners and issue participating policies. Entitled to dividend that are not taxable, but dividends are not garunteed

25
Independent agency/American agency system
An independent agent represents several companies and is appointed an a non exclusive basis
26
Exclusive agency system/ captive agents
The agent represents only one insurer and is appointed on an exclusive basis
27
General agency system
A general agent is an entrepreneur, empowered by the insurer that he or she represents on an exclusive basis to sell insurance in a specified territory and to appoint subagents
28
Managerial system
A sales force is supervised by a branch manager who in contrast to the general agent is a salaried employee of the insurer
29
Direct marketing system
A company which advertises through the mail, internet, television, or through other mass marketing techniques and requires the applicant to complete the application and return it directly to the insurer by mail or online therefore bypassing the agent, is a direct response marketing system
30
Express agent authority
A principal intends to grant to an agent by means of the agent s contract, it is the Authority that is written in the contract
31
Implied agent authority
Authority that is not expressed or written into the contract , but which the agent is assumed to have in order to transact the business of the insurance for the principal
32
Apparent authority
The appearance or the assumption of authority based on the actions, words, or deeds of the principal or because of circumstances the principal created
33
Contract
An agreement between two or more parties enforceable by law
34
4 essential elements of a legal contract
Agreement, consideration, Competent parties, Legal purpose
35
Consideration
The binding force in a contract
36
Contract of adhesion
Insurance contracts are offered on a take it or leave it basis by the insurer
37
Aleatory contract
Insurance contracts are aleatory which means there is an exchange of unequal amounts or values
38
Personal contracts
Between the insurance company and an individual
39
Unilateral contract
Only one of the parties to the contract is legally bound to do anything
40
Conditional contract
Requires that certain conditions must be met by the policy owner and the company in order for the contract to be executed and before each party fulfills it’s obligations
41
Indemnity (reimbursement)
A provision in an insurance policy that states that in the event of loss an insured or beneficiary is permitted to collect only to the extent of the financial loss and is not allowed to gain financially because of existence of an insurance contract
42
Utmost good faith
Implies that there will be no fraud, misrepresentation, or concealment between parties
43
Representation
Statements believed to be true to the best of one’s knowledge but are not garuteed to be true
44
Misrepresentations
Untrue statements on an application and could void the contract
45
Material misrepresentation
Statement that if discovered would alter the underwriting decision of the insurance company
46
Warranty
An absolutely true statement upon which the validity of the insurance policy depends
47
Concealment
The legal term for intentional withholding of information of a material fact that is crucial to making a decision
48
Fraud
The intentional misrepresentation or intentional concealment of material fact used to induce another party to make or refrain from making a contract
49
Risk retention
Reduce expenses and improve cash flow, increase control of claim reserving and claims settlements and to fund losses that cannot be insured