General Insurance Flashcards

1
Q

What is the most common form of risk management?

A

Insurance

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2
Q

One party is transferring the risk of financial loss to an insurance company so that the insurer absorbs the costs associated with the risk instead of the loss being suffered by that policy.

A

Policy Contract

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3
Q

Uncertainty or chance of a loss occuring

A

Risk

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4
Q

What is an insurance policy’s main intent?

A

To indemnify a party with insurable interest in a financial loss of a person or some property.

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5
Q

To make whole or to restore a person back to where they were before the financial loss.

A

Indemnify

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6
Q

Insurable, no opportunity for financial gain, only loss is suffered, but not all are insurable

A

Pure Risks

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7
Q

Not insurable, opportunity for financial gain, loss, or reward is possible.

A

Speculative Risks

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8
Q

Many units having similar risks present

A

Homogenous

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9
Q

A situation increasing the odds of a loss or circumstance that increases risks or exposure to risks.

A

Hazard(s)

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10
Q

What are the 3 main classes of hazards?

A
  1. Physical Hazards
  2. Moral Hazards
  3. Morale Hazards
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11
Q

A physical condition or status that increases the chance of loss.

A

Physical Hazards

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12
Q

Dishonest acts & fraud.

A

Moral Hazards

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13
Q

Reckless & irresponsible or blatant lack of concern for handling risks in a prudent manner.

A

Morale Hazards

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14
Q

Causes of loss or actual events from which decreases are suffered that are covered by the policy.

A

Peril

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15
Q

he decline in value of a person or thing, the decrease that is suffered after a peril occurs.

A

Loss

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16
Q

What are the 5 methods commonly used in risk management?

A
  1. Avoidance
  2. Retention
  3. Sharing
  4. Reduction
  5. Transfer
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17
Q

Staying away from a risk altogether

A

Avoidance

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18
Q

Involves bearing the loss yourself if the loss occurs

A

Retention

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19
Q

Establishing a homogenous group with which to _________the risks for similar losses so that losses are less per individual.

A

Share

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20
Q

Decrease the possibility or significance of loss when the loss can’t be avoided.

A

Reduction

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21
Q

Shifting the loss from a risk to another party by contract & done through the purchase of an insurance policy

A

Transfer

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22
Q

What are the elements in risk?

A
  1. unexpected
  2. measurable
  3. large homogenous group
  4. not completely disastrous
  5. not mandetory
  6. predictable frequencies
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23
Q

Groups of investors willing to back the risk of a policy in exchange for receiving a premium with people who want insurance.

A

Lloyd’s Underwriters

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24
Q

What are groups of investors called?

25
___ have a certificate of authority from the state department to sell it's insurance products in the state.
Authorized (Admitted) Insurer
26
___ don't have certificate of authority.
Unauthorized insurers
27
What are the categories insurers are categorized by their state of incorporation or where their coporate charter was organized?
Domestic Foreign Alien
28
What category does an insurer fall under if they are incorporated in Louisiana?
Domestic
29
What category does an insurer fall under when they are incorporated in the U.S. & U.S. territories othan than Louisiana?
Foreign
30
What category does an insurer fall under when they are formed outside the U.S.?
Alien
31
What is it called when agencies publish regular information about the strength & stability of insurers stay tup to date on the insurer's claims, reserves, profits, & investments?
Financial Status aka Independant Rating Services
32
A legal term that applies to someone representing someone else.
Agent
33
Who do client's pay?
Insurer
34
Who does the insurer pay?
Agent
35
Who does the producer legally represent?
Insurer
36
What are the types of authority?
1. Express 2. Implied 3. Apparent
37
_____ given authority to do certain things on behalf of the insurance company because functions were expressed orally or in writing.
Express Authority
38
Inherent to the nature of sales contracts & the expectations.
Implied Authority
39
___ understood as part of the job but are not specifically spelled out, point-by-point, in the contract.
Implied Authority
40
___ when insurance companies indicate by their actions.
Apparent Authority
41
What are the elements of a legal contract?
1. Offer & Acceptance 2. Consideration 3. Competent Parties 4. Legal Purpose
42
___ an agreement between two parties or more that is enforceable by law.
Legal contract
43
Take it or leave it contracts
Contract of Adhesion
44
Consideration that is being exchanged is unequal or unrelated o the consideration given by the other party.
Aleatory Contract
45
___ only one party in the contract has made a legally enforceable promise & is bound by law to act.
Unilateral Contract
46
___ both parties have conditions to meet to execute the contract.
Conditional contract
47
___When contract language has more than one meaning.
Ambiguity
48
____ when the ambiguity is obvious.
Patent
49
___ hidden ambiguities.
Latent
50
___ when a producer or insurer can lead the customer to beleive that certain coverages are in existence during the sales process.
Reasonable Expectations
51
What are the legal interpretations affecting contracts?
1. Ambiguous terms in contract of adhesion 2. Reasonable expectaions 3. Indemnity 4. Utmost Good Faith 5. Representation/Misrepresentation 6. Warranties 7. Concealment 8. Fraud 9. Waiver/Estoppel
52
___ a policy will only be as good as the information submitted in the application.
Utmost Good Faith
53
___ smething a person states that they believe to be true.
Representation
54
___ when people answer questions dishonestly.
Misrepresentations
55
____ an engagement by the insured party that certain statements are true or that certain conditions shall be fulfilled, the breach of it invalidating the policy
Warranties
56
___ withholding substantial & relevant information that is needed for an insurer to decide about a policy or its benefits.
Concealment
57
___ the intent to deceive & mislead for a specific benefit or gain.
Fraud
58
___ legal term for giving up a right or privilage.
Waiver
59
___ the legal process used to stop someone from trying to get a right or privilage back that they already waived.
Estoppel