Key Insurance Terms Flashcards
Peril
Anything that causes a financial loss.
Example: Wind, fire, theft.
Hazard
A condition that serves to increase the frequency or severity of perils.
Example: Gasoline soaked cloth in garage.
Physical hazard
Physical characteristics of the person or property that increases the chance of loss.
Example: Slippery sidewalk.
Moral hazard
Dishonest tendencies, often due to an insured’s weakened financial condition, that are likely to increase loss frequency and/or severity.
Example: Exaggerated claims.
Morale hazard
An indifference to the loss when insurance is in place, which creates carelessness and increases the chance of loss.
Example: Unlocked doors (home or car).
Adverse selection
The likelihood that parties with the greatest probability of loss are the ones who most desire the insurance. Insurance seeks to avoid adverse selection.
Example: Sick person’s interest in health insurance.
Unilateral contract
An insurance contract is a unilateral contract. Only the insurer promises to do anything, as there is no promise for the insured to pay the premium.
Example: A unilateral contract is a 20-year term policy for $900. You can’t negotiate to pay $875 for the premium.
Contract of adhesion
One party prepares the entire contract.
Example: An insurance contract is a contract of adhesion.
Aleatory contract
An agreement under which action is predicated on a specific event. The events are not controlled by either party.
Speculative risk
Involves both the chance of loss or gain, such as gambling. Speculative risk is not insurable.
Pure risk
Involves only the chance of loss or no loss.
Static risk
Losses caused by factors not related to the economy (e.g. death of the family breadwinner). These tend to occur with regularity and can be insured against.
Collateral source rule
Holds that damages assessed against a negligent party should not be reduced simply because the injured party has other sources of recovery available (such as insurance or employee benefits).
Negligence
The failure to act in a way that a reasonably prudent person would have acted under the circumstances.
Example: Not documenting patient files after providing medical procedures.
Negligence per se
The act itself constitutes negligence, thereby relieving the burden to prove negligence.
Example: A driver causes an accident by driving the wrong way on the highway.