Lesson 1 - General Flashcards

1
Q

What is insurance?

A

Transfer of pure risk from one party to another for a price through a legal contract

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2
Q

What’s needed for insurance to be used? (Elements of insurable risks)

A

1) Loss must be unexpected and accidental
2) Coverage cost must be affordable to almost everyone
3) Risk must be calculable
4) Risk must be one of larger # of risks

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3
Q

Law of Large Numbers (Law of Averages)

A

Mathematical principle that states actual results have a tendency to equal expected or probable results.

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4
Q

What is risk?

A

Uncertainty of financial loss/chance of loss/probability of loss

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5
Q

Type of risk that is uninsurable and why?

A

Speculative risk; involves the chance for loss or gain

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6
Q

Multi step process used to control, prevent, reduce risk?

A

Risk management

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7
Q

Four step process of risk management?

A

1) Identify possible risks present
2) Determine what action to take to reduce risk
3) Implement specific action
4) Monitoring action taken to make changes as needed

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8
Q

Methods with which to handle risks?

A

1) Avoidance
2) Retention (most common method)
3) Transfer
4) Sharing
5) Reduction

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9
Q

What is hazard?

A

Condition that increases the chance of loss

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10
Q

Two class hazards?

A

Physical hazard : Gasoline, unsafe car brakes, cracked sidewalks
Moral/Morale hazard : Mental attitudes, carelessness, dishonest acts

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11
Q

Insurance transfer?

A

Risk transfer accomplished by individual purchasing insurance contract

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12
Q

Perils?

A

Events which cause a loss such as burglary, fire, flood damage etc.

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13
Q

Two ways loss can be classified?

A
Direct Loss
Indirect Loss (Consequential Loss)
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14
Q

Indemnify?

A

Placing an insured in the same financial position following a loss that he existed in before the loss occurred

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15
Q

Insurable Interest?

A

Where individual may suffer economic loss if property is damaged/destroyed

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16
Q

Insurable Interest Requirements in property being insured?

A

1) Prevents/avoids gambling/wagering
2) Measures insured’s possible economic loss
3) Helps guard against moral hazards

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17
Q

Two basic loss valuation methods?

A

Replacement Cost & Actual Cash Value

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18
Q

Valued Policy/Form?

A

Contract which establishes value for items insured at the time the contract is written

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19
Q

Agreed Value/Optional Coverage?

A

Suspends co-insurance provision for 1 year, guaranteeing the insured will not suffer co-insurance penalty

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20
Q

Stated Amount?

A

Limits of coverage is fixed for certain types of eligible property (mostly auto)

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21
Q

Proximate Cause?

A

Broken chain of events led up to an occurrence. (Original cause of loss or damage)

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22
Q

Aggregate Limit?

A

Maximum amount an insurer will pay for a covered loss on a per location or per project basis

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23
Q

Restoration/NonReduction of Limits

A

Without aggregate limit, limits are applied to a single loss and restored in event of future occurrence WITHOUT reduction

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24
Q

Restoration with aggregate limit?

A

Coverage is reduced by amount paid for loss for duration of policy period…Full coverage amount is restored at policy renewal

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25
Q

Deductible?

A

Portion of loss that is the responsibility of insured

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26
Q

Co-Insurance?

A

If insured does not carry a specified percentage (80% the most common for property insurance) for value of property, they won’t collect entire amount of partial loss

27
Q

Accident?

A

Event taking place without one’s foresight or expectation; fortuitous event

28
Q

Occurence?

A

Continuous or repeated exposure to conditions

29
Q

Provision found in property contracts that automatically extends to an insured any advantages made in later edition of policy.

A

Liberalization Clause

30
Q

Open Peril Insurance/All Risk Coverage

A

Protects against all risks of physical loss except perils specifically excluded or limited in policy

31
Q

Insurers are able to use insured’s legal right of recovery against at-fault party for purpose of recovering amount that was paid for the loss

A

Subrogation/Transfer of Rights of Recovery

32
Q

Two basic cancellation concepts in property and casualty insurance?

A

Short Rate Cancellation & Pro-Rata Cancellation

33
Q

Aggregate Excess Insurance?

A

Activated when total losses during specified period reach a specified amount

34
Q

Specific Excess Insurance?

A

Limits maximum cost of any 1 accident during coverage period.

35
Q

When the insured and insurer do not agree on the existence of coverage for a particular loss…

A

Arbitration

36
Q

Appraisal

A

Acknowledges existence of claim but the amount of loss cannot be agreed upon by either party

37
Q

Foreign Insurance Company

A

Company incorporated under the laws of another state, but licensed and permitted to conduct insurance business in USVI

38
Q

Alien Insurance Company

A

Company incorporated outside the US, but licensed in the USVI

39
Q

Mutual Insurance Company

A

Company owned by policy holders

40
Q

Reciprocals

A

Characteristics of a mutual insurer and Lloyds association (individuals who assume risks); cooperative insurance

41
Q

Special type of insurer providing insurance benefits for its members as well as tax exemptions

A

Fraternal Benefit Society

42
Q

Authorized/Admitted Insurance Company

A

Company that received a certificate of authority from USVI and is licensed/authorized to conduct insurance business here

43
Q

Risk Purchasing Group

A

Members whose business are similar and their purpose is purchasing insurance on a group basis

44
Q

Risk Retention Group

A

Members whose business are similar and their primary activity is spreading all/any portion of liability exposure. (Only Liability Insurance)

45
Q

Representatives who operate under authority given them by insurers to make legal transactions with consumers of insurance

A

Agency System

46
Q

The exception to the general rule that insurance is sold mainly through producers

A

Direct-selling systems

47
Q

How may direct selling be accomplished

A

1) Utilizing Mail

2) Telephone without a producer

48
Q

Independent Agency System

A

Where producer represents several or many insurers

49
Q

Exclusive Agency System

A

Where producer represents only one company

50
Q

Provides field supervision of sales in a given territory for the insurer

A

General agents

51
Q

Two areas that consumer should review when choosing an insurer

A

Solvency & Liquidity

52
Q

Reinsurance (Insurance purchased by insurers)

A

Transfer of insurance from one insurance company to another and allowing an insurance company to underwrite higher limits of coverage

53
Q

Two principle forms of reinsurance agreements

A

Specific/Facultative & Treaty/Automatic

54
Q

National Association of Insurance Commissioners (NAIC)

A

Voluntary organization formed to achieve uniformity in state insurance laws

55
Q

Surplus Lines Company

A

Common form of unauthorized carrier; when insurance can’t be supplied, a surplus lines carrier is utilized

56
Q

Lloyds of London

A

Voluntary association who agree to share in insurance contracts (not an insurance company)

57
Q

Salvage

A

Value recoverable by insurance company after paying for loss

58
Q

Short Rate Cancellation

A

When insured cancels contract & return premium is reduced

59
Q

Pro-Rata Cancellation

A

When insurer cancels contract with no penalty charge

60
Q

When 2 or more policies provide coverage that is equally specific so share coverage

A

Contribution by Equal Shares

61
Q

Concurrency

A

Policies designed to cover identical properties & should be written as alike as possible

62
Q

Another name for residual markets

A

Shared/Non-Voluntary Markets

63
Q

Three Marketing Systems

A

1) Independent Agency System
2) Exclusive Agency System
3) Group Insurance