P&C Flashcards

1
Q

What is Depreciation

A

Reduction in value, particularly due to wear and tear

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2
Q

What is exposure

A

Susceptibility to risk

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3
Q

What is implied warranty

A

A legal term meaning that the product is suitable for its intended purpose and that it fits an ordinary buyer’s expectation

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4
Q

What is an insurance policy

A

A contract between a policy owner (and/or insured) and an insurance company which agrees to pay the insured or the beneficiary for loss caused by specific events

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5
Q

Who is an insurer (principal)

A

The company who issues an insurance policy

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6
Q

What is obsolescence

A

Depreciation in the value of a property due to becoming outdated

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7
Q

What is a premium

A

The money paid to the insurance company for the insurance policy

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8
Q

What is insurance

A

Insurance is a transfer of 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 there were no insurance mechanism, the cost of a loss would have to be borne solely by the individual who suffered the loss

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9
Q

3 elements of insurable risk (interest)

A

Financial
Blood (a relative)
Business (a business partner)

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10
Q

What is risk

A

The uncertainty or chance of a loss occuring

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11
Q

Two types of risk

A

Pure Risk
Speculative Risk

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12
Q

What is pure risk

A

Refers situations that can only result in a loss or no change. There is no opportunity for financial gain. Pure Risk is the only type of risk insurance companies are willing to accept

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13
Q

What is Speculative risk

A

Involves the opportunity for either loss or gain. An example is gambling. These types of risks are not insurable

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14
Q

What is a peril

A

The cause of loss insured against the policy

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15
Q

What is a hazard

A

Hazards are conditions or situations that increase the probability of an insured loss occurring

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16
Q

What is loss

A

Loss is defined as the reduction, decrease, or disappearance of value of the person or property insured in a policy, caused by a named peril. Insurance provides a means to transfer loss

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17
Q

What is indemnity

A

Indemnity (sometimes referred to as reimbursement) is a provision in an insurance policy that states that in the event of a loss an insured or a beneficiary is permitted to collect only to the extent of the financial loss and is not allowed to gain financially because of the existence of an insurance contract. The purpose of insurance is to restore, but not let an insured or a beneficiary profit from the loss.

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18
Q

What is subrogation

A

Subrogration is the insurers legal right to seek damages from third parties, after it has reimbursed the insured for the loss. Subrogration is based on the principle of indemnity by preventing the insured from collecting on the loss twice : once from the insurer and a second time from the party that caused the damage

19
Q

Accident

A

Accident is a sudden, unplanned and unexpected event, not under the control of the insured, resulting in injury or damage that is neither expected nor intended

20
Q

Occurance

A

A broader definition of loss than accident because it includes those losses caused by continuous or repeated exposure to conditions resulting in injury to persons or damage to property that is neither intended nor expected

21
Q

Two types of property losses

A

Direct and indirect

22
Q

Actual Cash Value

A

The actual Cash Value method of valuation reinforces the principle of indemnity because it recognizes the reduction of value of property as it ages and becomes subject to wear and tear and obsolescence.

23
Q

Replacement Cost

A

Is defined as the cost to replace damaged property with like kind quality at today’s price without any reduction for depreciation. This method of loss valuation is contrary to the basic concept of indemnity because following a loss it may provide the insured with a settlement in excess of the property’s actual Cash Value

24
Q

Market Value

A

Is a seldom used method of valuing a loss based upon the amount a willing buyer would pay to a willing seller for the property prior to the loss. This method takes into consideration the value of land and location, rather than just the cost of rebuilding the structure itself

25
Law of Large Numbers
The larger number of people with similar exposure to loss, the more predictable the actual losses will be
26
3 types of hazards
Physical - a physical condition Moral- a tendency toward increased risk Morale- an indifference to loss
27
Accident vs. Occurrence
Accident - sudden, unplanned and unexpected event resulting in injury or damage Occurrence - includes losses caused by continuous or repeated exposure to conditions resulting from injury or property damage
28
Negligence
Failure to use reasonable and prudent care
29
4 elements of negligence
Legal Duty Standard of care Unbroken chain of events Actual loss or damage
30
Types of valuation
Actual Cash Value Replacement cost Market value Agreed value Stated value Salvage value
31
Types of Liability
Strict liability -often applied to product liability cases Vicarious liability - liability imposed on one party as a result of another
32
Limits of liability
Per occurrence Per person Aggregate Split Combined
33
Proximate Cause
Cause of bodily injury or property damage is natural and reasonably foreseeable For injured party to collect damages, negligence must have proximate cause
34
Deductible
Dollar amount must be met by insured before insurer provides coverage Higher deductible equals lower premium
35
Elements of a legal contract
Agreement Consideration Competent parties Legal purpose
36
Binders
Temporary agreement issued by an agent or insurer providing temporary coverage until a policy can be issued Expires when the policy is issued
37
Policy Components
Declarations Definitions Insuring agreement Additional coverage Conditions Exclusions and policy limits
38
Declaration
Section containing the basic underwriting information such as the insured's name, address, amount of coverage, premiums and a description of insured locations
39
Definitions
Clarifies terms used in the policy
40
Insuring agreement
Establishes the obligation of the insurance company to provide insurance coveragesas stated in the policy
41
Additional Coverage
Provides an additional amount of coverage for specific loss expense, at no additional premium
42
Conditions
Indicates the general rules or procedures that the insurer and insured agree to follow under the terms of the policy
43
Endorsements
Printed addendums to a contract that are used to change the policy's original terms, conditions, or coverages
44
Exclusions and Policy Limits
Perils that are not insured against and what persons are not insured. Policy limits are the maximum amounts an insured may collect or is protected under the terms of the policy