Insurance Flashcards

1
Q

When must there be an insurable interest for property and casualty?

A

At time of policy and loss

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2
Q

You only need an insurable interest at the time of issuance for life insurance.

A

True

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3
Q

Reformation

A

When the contract fails to express original intent, contract can be amended. “I didn’t have the intention to spend $1,000 at Reformation…”

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4
Q

Should the measure of damage be mitigated by payments received from sources other than the negligent party?

A

No

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5
Q

Subrogation - Insurer pays claim and takes over legal rights the insured had against the negligent

A

If you think SUBway is good food, you no longer have legal rights to eat anywhere else.

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6
Q

Is there a possibility of higher income taxes with self-insurance?

A

Yes, because contributions to the self-insurance fund are not deductible during the tax year.

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7
Q

High deductibles are an example of what?

A

Risk retention

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8
Q

What are the four principles of indemnity?

A
  1. Insurable interest
  2. The concept of actual cash value
  3. Other insurance (limit the ability to profit from a loss)
  4. Subrogation
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9
Q

Why can’t an employer purchase or own a policy in a cross-purchase agreement?

A

In a cross-purchase agreement, no insurable interest exists for the company (stockholder buys another stockholder’s interest)

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9
Q

Is insurance unilateral or bilateral?

A

Unilateral; one of the parties (insurer) makes a binding promise, that if broken, breaches the contract

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10
Q

What increases either frequency or severity of loss?

A

Hazards

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11
Q

What are the requirements for an insurable risk?

A

Accidental
Plenty of homogenous exposure units
Must not be catastrophic
Definite and Measurable

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12
Q

Loss exposure is _______ by having a _____ pool of insured people share in the financial losses suffered by members of the pool

A

Reduced; Large
Law of Large Numbers

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13
Q

Stop-loss coverage to partially self-insure its employee medical insurance program might be used by?

A

Companies with as few as 100 employees

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14
Q

Peril

A

Cause of a loss

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15
Q

Indemnified

A

Made whole

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16
Q

Under the insuring agreement(s),…

A

the insurance company promises to pay for the loss if the loss should result from the covered perils

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17
Q

Factual statements identifying the specific person, property, or activity being insured; descriptive information about the insurance being provided

A

Declarations; D.I.C.E

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18
Q

Attractive Nuissance

A

High degree of care is imposed on the land occupier for certain conditions on the land (pool that isn’t screened or fenced, vacant land where children play, land with access to water)
The lifeguard is so ATTRACTIVE…there’s easy access to him because there’s no fence!

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19
Q

Negligence per se

A

situation where the standard of care is set by a statute (school zones, cross walks)

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20
Q

Strict Liability

A

Generally limited to manufacturers and distributors of defective products (e. coli)

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21
Q

Absolute Liability

A

Extra hazardous condition which results in losses to others (keeping of wild animals)

22
Q

Vicarious Liability (respondeat superior)

A

when one person is held responsible for negligent behavior of another person (branch manager of a B/D)

23
Q

Assumption of risk

A

Ski lift ticket with assumption of risk disclosure, voluntarily choosing to encounter risk

24
Contributory Negligence
Any negligence on the injured party defeats the claim (jay walking, drunk driving)
25
Comparative Negligence
Doesn't fully defeat the claim but is used to mitigate damages payable by the other party (damages are proportional)
26
Last Clear Chance
Any contributory negligence of the injured party will not bear recovery of damages if the other party, immediately prior to the accident, had a last clear chance to prevent the accident but failed to do so (road rage)
27
Do you use real rate of return calculation for capital retention questions?
No; Return - inflation. Amount of $ needed annually/(return - inflation)
28
Most unintentional acts can be covered by liability insurance.
True
29
A.M. Best is the BEST for giving what level of detail on insurance carriers?
Detailed, historical data (15 classes, A++ to F)
30
Loss Adjustment
Notice of loss Investigation Proof of loss Payment or denial
31
Do you need to add one year of needed income to capital retention questions?
Yes!
32
Capital retention calculation: If there is no time element, is it a TVM question?
No!
33
Participating Policies __________ the premium.
Overcharge; if costs are low or returns are high, participants can receive a dividend of premiums unused.
34
Personal Property in a Homeowner's policy specifically excludes:
animals, motor vehicles/aircraft, property of roomers or boarders, property in an apartment rented to others (can buy an endorsement, Landlord's Furnishings, that can cover property in the rented room
35
Homeowner's Part E (Personal Liability) - what is excluded?
Business/professional activities Use of motorized land vehicles (except RV or motorized golf carts USED ON PROPERTY) Watercraft <50hp or 26 ft Aircraft BI to any person who is eligible for worker's comp
36
Basic Perils
WHARVES/FLT Windstorm Hail Aircraft Riot Vandalism or Vehicles Explosion Smoke Fire Lightning Theft
37
Exclusions to all Homeowner's policies
OPEN WIF Ordinance of Law Power failure Earth movement (Earthquake) Neglect, Nuclear hazard War Intentional Loss Flood
38
Broad Perils
Basic + RAF Rupture of a system Artificially generated electricity Falling objects Freezing of plumbing
39
Fine art/antiques under HO policy by an endorsement
Easily stolen items usually insured on an agreed-value basis
40
Actual Cash Value ________ depreciation. ___________ ____ does not include a deduction for depreciation.
includes; Replacement value
41
Is land included in property loss calculations?
No
42
Insurance required = replacement cost * coinsurance % (90% for commercial)
insurance carried / insurance required * loss - deductible
43
when the amount of insurance is _ 80% of the dwelling's replacement cost, the insurer will pay the greater of:
< less than; ACV or replacement cost formula insurance carried / insurance required * loss - deductible
44
What are requirements for a vehicle to be eligible for coverage under a PAP?
Owned by an individual must be private passenger automobile must not be used as livery conveyance such as taxi or limo no business purposes Must not be rented to others
45
When someone moves out of a HH, PAP coverage ends at the earliest of:
The end of 90 days following the spouse's change of residency the effective date for the spouse's own new policy the end of the policy period
46
Part A (PAP) - liability or BI/PD coverage
provides protection against judgements and covered exposures resulting from bodily injury deemed to have been caused by the insured
47
What kind of coverage does a business owner policy provide?
liability protection, property damage, and medical payment coverage
48
What is worker's compensation an example of?
Absolute liability
49
What is covered under worker's compensation insurance?
Disability benefits (tax-free) Rehabilitation (tax free) Survivor's death benefit (tax-free) Medical expense (no limit; reimbursement is tax free) Sick leave benefits are not provided
50
Is unemployment compensation taxable?
Yes
51
group disability insurance premiums are generally paid for by the ER so group disability payments are taxable.
True. Note that worker's comp pays disability benefits tax free. sick pay is a disability insurance benefit that is taxable.
52
what kind of business insurance are the premiums deductible for an ER?
Worker's comp, unemployment, commercial umbrella, BOP