General Insurance Principles Flashcards

1
Q

Insurance companies that is owned by stockholders who purchase shares of stock as an investment. do NOT issue participating policies, and pay stock dividends to
stockholders.

A

Stock Insurance Company

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2
Q

Insurance companies that are owned by policyowners, issue participating policies which pay policy
dividends to their policyowners.

A

Mutual Insurance Company

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3
Q

Bigg Insurance Company, which is organized as a stock insurance company, is owned by its:

A

Stockholders

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4
Q

Ann, an agent, tells Julia that the homeowners policy she is selling to Julia will provide full coverage on Julia’s $5,000 cocktail ring against any loss. This is not true, because coverage for theft of jewelry is limited to a smaller amount. What duty to her client did Ann fail to properly discharge?

A

a duty to fairly represent the terms or conditions of a proposed policy

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5
Q

After finding it difficult to obtain the insurance it needs, Mathews Corporation joins other companies in the same industry and forms an insurance company that they all own. The insurance company they formed is most likely organized as a(n):

A

captive insurance company

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6
Q

The chance of loss

A

Risk

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7
Q

Unplanned reduction in

economic value

A

loss

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8
Q

State of being subject to a
possible loss
High exposure = high
risk

A

Exposure

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9
Q

The cause of a loss (fire,

flood, theft)

A

Peril

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10
Q

Condition that increases

the chance of a peril

A

Hazard

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11
Q

Hazard Example: Alcohol abuse, bad credit

A

Moral Hazard

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12
Q

Hazard Example: Driving recklessly, not

locking doors

A

Morale Hazard

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13
Q

Hazard Example: Slippery floors, congested

traffic

A

Physical Hazard

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14
Q

3 Types of Hazards

A
  1. Moral
  2. Physical
  3. Morale
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15
Q

Transferring of financial risk

An economical way for an individual or group to transfer the financial risk
of loss to an insurance company.

A

Insurance

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16
Q

transfers to a property insurance company the risk of financial loss resulting from damage or destruction of the insured’s personal or commercial
property.

A

Property Insurance

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17
Q

also called liability insurance) transfers to a casualty insurance
company the risk of financial loss resulting from damage to a person or commercial
property due to the insured’s words, actions or failure to take corrective action.

A

Casualty Insurance

18
Q

Process we all use to manage life’s risks

A

Risk Management:

19
Q

The risk management role played by insurance

A

risk transfer:

20
Q

Requirements for an insurable risk?

A
  1. loss must be definable, measurable, outside of applicant’s control, not catastrophic
  2. only pure risks are insurable
21
Q

Tendency of high risks to seek insurance

A

Adverse Selection:

22
Q

Mathematical principle of probability underlying insurance

A

Law of Large Numbers:

23
Q

Mutual companies that operate in a limited geographical area. Originally property insurance, now other types also

A

County mutuals

24
Q

Groups of members that insure each other through contracts of indemnity.

A

Reciprocal insurers

25
Q

These companies; sell insurance to members of a fraternal benefit society

A

Fraternal Insurance Companies

26
Q

Federal government insurance programs:

A

NFIP, Crop Insurance, Social Security, Medicare

27
Q

State government insurance programs:

A

Workers Compensation, Unemployment, Medicaid, FAIR Plans

28
Q

Admitted vs. non-admitted?

A

• Admitted companies need a Certificate of Authority from the state

29
Q

Authority which is explicitly stated (expressed) by the principal in the insurer’s agency agreement.

A

Express authority

30
Q

Authority which consists of those actions that may extend beyond the rights and powers explicitly provided in the agency contract that are incidental and necessary to carry out a grant of express authority.

A

Implied authority

31
Q

Authority which is is not granted by the principal directly to the agent but arises out of the impression the principal gives that the agent is authorized to act a certain way.

A

Apparent authority

32
Q

Producer’s responsibilities to applicants and insureds

A

Full disclosure of all relevant information
Honest representation (no misrepresentation)
Suitable recommendations

33
Q

What is, “• Errors and Omissions (E&O) Insurance

“ ?

A

Protects producer against unintentional mistakes (not willful misconduct)

34
Q

Consideration: By applicant

A

Premium Payment

35
Q

Consideration: By Insurer

A

Good faith promise to honor contract

36
Q

Three requirements for a legal offer

A
  1. Offer
  2. Acceptance
  3. Consideration
37
Q

• Contract of Adhesion?

A

• Ambiguities in the contract are interpreted to the benefit of the policyowner

38
Q

• Indemnity vs. Valued Contracts

A
  • Indemnity: Reimburse loss (most property insurance)

* Valued: Pay policy face amount (hard-to-value property)

39
Q

What is an insurer’s promise in a legal contract?

A

Warranties

40
Q

What are an applicant’s “representation.”?

A

Applicant’s truthful statements on application

41
Q

Is it a misrepresentation if the applicant believes the statements were truthful

A

False/No

42
Q

• Deliberate act to deceive; misrepresentation

A

Fraud