Insurance Terminology Flashcards
Peril
Anything that causes a financial loss (fire, wind, theft)
Hazard
A condition that serves to increase the frequency or severity of perils (gasoline soaked cloth in garage)
Physical Hazard
Physical characteristics of the person or property that increases the chance of loss (slippery sidewalk, recently mopped floors with no caution sign)
Moral hazard
DISHONEST tendencies, often due to an insured’s weakened financial condition, that are likely to increase loss frequency and severity
Morale Hazard
An indifference to loss when insurance is in place, which creates carelessness and increases the chance of loss (unlocked doors, leaving purse out in public)
Adverse selection
The likelihood that parties with the greatest possibility of loss are the ones who most desire the insurance - insurance seeks to avoid (ex) sick person’s interest in health insurance)
Unilateral Contract
Only insurer PROMISES to do anything (no promise insured will pay the premium)
20 - year term policy for $900 - can’t negotiate to pay $850 for the contract.
Contract of adhesion
ONE party prepares the contract
Aleatory contract
Action is based on a specific event - death benefit paid WHEN insured dies
Speculative risk
Chance of loss OR gain - not insurance (gambling)
Pure risk
Only a chance of loss or no loss - natural disaster
Static risk
Loss caused by non-economic factors, occur regularly, insurable (death of family breadwinner)
Collateral source rule
Court cannot reduce damages against negligent party simply because the plaintiff has insurance
Negligence
Failure to act in a way that a reasonably prudent person would have acted under the circumstances (not documenting patient files after providing medical procedures)
Negligence per se
Act constitutes negligence, thereby relieving the burden to prove negligence (driving wrong way on highway)