Insurance Review Flashcards
het·er·o·ge·ne·ous
Different or diverse risks
Homogeneous
The same or similar risk
Principle of indemnity
When cash value equals DB.
sub·ro·ga·tion
the substitution of one person or group by another in respect of a debt or insurance claim,
Example: force carrier to provide you a new car for accident that isnt your fault. They take over the claim.
Collateral source rule
Can sue for injury damages even if they have their own personal loan. tort law. Double pmt.
Declarations
Identifies person, property or activity that is insured.
Insuring agreement
Explains the promise of the insurance company
Attractive nuisance
Swimming pool
Negligence per se
Violate a statute. School zone or crosswalk
Strict liability
Product liability. Romaine lettuce ecoli breakout
Absolute liability
Extra hazardous condition. Workers comp and wild animals
Vicarious liability
One person is held responsible for negligent behavior of another. Branch mgr responsible for agents
Capital utilization calculation for life insurance
Deceased salary 120k, spouse gets $20k social security, rate is 7%.
120k-20k=100k
100k / .07 = $1,428,571
Add $100k for 1st yr = $1,528,571
HO Section I
Dwelling
Other structures
Personal property
Loss of use
HO Section II
Personal liability
Medical pmts
Basic perils
WHARVVES/FLT
Broad Form
Basic plus RAFF
Ruptured system
Artificial energy
Falling objects
Freezing pipes
Open Form
Best coverage. Covers everything except specific exclusions
Forms of HO coverage
HO-2: broad HO-3: Open HO-5: HO-3 plus personal property HO-4: Renters - covers personal property HO-6: condo HO-8: old homes
HO Exclusions - 8
OPEN WIF
Ordinance of law Power failure Earthquake Neglect and nuclear War Intentional loss Flood
PAP - Comp coverage (other than collision
Glass breakage Mistakes Falling objects Fire, theft, larceny Flood Earthquake Hail Vandalism Contact with bird Explosion
Medicare Part A - hospital insurance
Subject to deductibles and co-pay 150 day limit for hospital care 100days for skilled nursing Hospice care Patient pays for first 3 pints of blood
Medicare Part B
Doctor services
Free preventative care
Depression
Drugs
Excluded: Dentures and dental care Eye exams Immunizations Prescription drugs
Medicare Part D
Prescription drugs
Open enrollment is 10/15-12/7 and effective on 1/1