Key Terms Flashcards
Refers to situations that can only result in a loss or no change. The is no opportunity for financial gain. This is the only type of risk insurance companies are willing to accept.
Pure risk
The uncertainty or chance of a loss occurring. There are two types: pure and speculative
Risk
This term involves the opportunity for either loss or gain. An example is gambling. This type of risk is not insurable
Speculative risk
The causes of loss insured against in an insurance policy
Perils
Conditions or situations that increase the probability of an insured loss occurring.
Hazards
Individual characteristics that increase the chances of the cause of loss. This type of hazard exist because of a physical condition, past medical history, or a condition at birth
Physical hazard
Tendencies towards increased risk. These hazards involve evaluating the character and reputation of the proposed insured. This term refers to those applicants that may lie on an application for insurance, or in the past, have submitted fraudulent claims against an insurer
Moral hazard
Similar to moral hazards, except that they arise from a state of mind that causes indifference to loss, such as carelessness. Actions taken without fore thought may cause physical injuries.
Morale hazard
The risk of loss from an individual or business entity to an insurance company, which in turn spreads the costs of unexpected losses to many individuals. If the were no insurance mechanism, the cost of a loss would have to be borne solely by the individual who suffered the loss
Insurance transfers
Elements of Pure Risk
Loss must be…
- must be due to chance
- must be definite and measurable
- must be statistically predictable
- cannot be catastrophic
- loss exposure must be large
- insurance must NOT be mandatory
Method of dealing with risk that eliminates exposure to a loss
Avoidance
The planned assumption of risk by an insured through the use of deductibles, copayments, or self-insurance
Risk retention
Purposes of risk retention:
1 To reduce expenses and improve cash flow
2 To increase control of claim reserving and settlements
3 To fund for losses that cannot be insured
A method of dealing with risk for a group of individual persons or businesses with the same or similar exposure to loss to share the losses that occur within that group.
Sharing
A formal risk-sharing arrangement
Reciprocal insurance exchange
Method for dealing with risk including actions that attempt to lessen the possibility or severity of a loss
Reduction
Three Factors to Determine Insurable Interest:
1 Insuring one’s own life
2 Insuring the life of a family member (relative or spouse)
3 Insuring the life of a business partner, key ee, someone w financial obligation
Four Elements of a Contract:
1 Agreement - offer & acceptance
2 Consideration - premium payment & representations in app
3 Competent Parties
4 Legal Purpose
The binding force in any contract. Something of value that each parties gives to the other. The ______ on the part of the insured is the payment if premium and representations made in the app. The ______ on the part of the insurer is the promise to pay in the event of loss.
Consideration
Term for a contract prepared by one of the parties (insurer) and accepted/rejected by the other party (insured). Insurance policies are not drawn up through negotiations and an insured has little to say about its provisions.
Contract of adhesion