P&C Flashcards

1
Q

The uncertainty about loss that exists whenever more than one outcome is possible is called a:

A

Risk

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2
Q

A property and casualty insurance agent frequently has the authority to provide temporary insurance coverage known as a:

A

Binder

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3
Q

Something that may increase the seriousness of a loss if loss occurs, or that increases the likelihood that a loss will occur, is called a:

A

Hazard

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4
Q

The law of large numbers states that:

A

The predictions become more accurate as the number of units being considered increases.

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5
Q

The tendency to create a loss on purpose, to collect from the insurance company is called a:

A

Moral hazard

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6
Q

In property, casualty and medical-expense insurance, the principle of making someone whole again after a loss by paying only for actual losses is called:

A

Indemnity

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7
Q

Liability that arises from an extremely dangerous situation. It is often found in cases involving explosives. Also known as “strict liability”.

A

Absolute liability

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8
Q

A sudden and unexpected event, occurring at a specific time and place.

A

Accident

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9
Q

The cost to replace an item of property at the time of loss, less an allowance for depreciation. Often used to determine amount of reimbursement for a loss (Replacement Cost minus Deprecation)

A

Actual Cash Value (ACV)

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10
Q

A person, firm, or corporation other than the Named Insured on a policy, or a lender named in a mortgage clause, who is protected against loss by the terms of the policy.

A

Additional insured

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11
Q

A coverage designed to reimburse the insured for an increase in living expenses necessitated by loss to the dwelling. This Indirect Loss must be the result of Direct Loss by a covered Peril.

A

Additional Living Expense

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12
Q

Represents the insurance company and acts for the company in working on agreements as to the amount of a loss and the liability of the company.

A

Adjuster

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13
Q

A company that meets the state insurance department’s standards and is authorized by the Director to do business in the state.

A

Admitted Company

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14
Q

An individual appointed by an insurance company to solicit, negotiate, effect, or countersign insurance contracts on its behalf.

A

Agent/Producer

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15
Q

A type of policy limit found in Liability policies that limits coverage to a specified total amount for all losses occurring within the policy period

A

Aggregate Limit

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16
Q

An insurance company incorporated in a country other than the United States.

A

Alien Company

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17
Q

Property coverages that are closely associated with and frequently sold with fire insurance: Dwelling Building and Contents form, Earthquake insurance, Sprinkler Leakage, etc.

A

Allied Lines

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18
Q

Insurance protecting the insured from loss arising from any Peril other than those specifically excluded by name. This contrasts with Named Peril Insurance, which names the Peril or Perils insured against.

A

All-Risk Insurance

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19
Q

A questionnaire that is filled out by an agent and the prospect seeking insurance. The form contains rating and underwriting information. The applicant is expected to make representations by answering questions to the best of his knowledge.

A

Application

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20
Q

How does an Appraisal work?

A

If the insured and insurer cannot agree on the amount of loss, either may demand an appraisal. If demanded, each will select an appraiser, who jointly will select an umpire. The appraisers will appraise the loss and either agree or submit differences to the umpire. Agreement by any two of the three will be binding. Each party will pay its own appraiser and share equally the expenses of the appraisal and the umpire.

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21
Q

A structure belonging to the insured structure, such as a tool shed. They are provided for in the Homeowners policy and other Dwelling policies. This coverage is often called Other Structures or Out Buildings.

A

Appurtenant Structure

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22
Q

There are some applicants that underwriters do not care to insure, but because of state law or otherwise, must be provided protection. To become authorized, a Casualty company must agree to participate in the Assigned Risk Pool and take its turn providing Auto insurance to high-risk drivers. Also known as the auto insurance “plan”.

A

Assigned Risk

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23
Q

A survey of the financial records of the insured conducted to determine exposures, limits, etc., which are needed to calculate the premium. The initial premium is only a deposit.

A

Audit

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24
Q

A person who has temporary custody of property belonging to another person.

A

Bailee

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25
Insurance obtained by a bailee, to cover loss or damage to customers' property in the bailee's custody, without regard to liability.
Bailee's Customers Policy
26
Fidelity bond that specifies a single limit of Liability applicable to each employee involved in a loss.
Blanket Position Bond
27
Usually defined to include bodily harm, sickness, disease, including required care, loss of services and resulting in death.
Bodily Injury
28
Insurance that covers the insured against loss (Liability and Physical Damage) arising out of the use of steam boilers or other machinery. May be written as a separate policy or as part of a Commercial Package Policy.
Boiler and Machinery Policy
29
An obligation of the insurance company to protect on against financial loss caused by the acts of others.
Bond
30
One who represents an insured in the solicitation, negotiation, or procurement of contracts of insurance, and who may render services incidental to those functions. They may also be licensed as agents.
Broker
31
In the formation of a legal contract, each party must give something of value. Under contract law, this is referred to as:
Consideration
32
An insurance company owned by its policyholders, who receive a return of unused premiums in the form of policy dividends, is a:
Mutual Company
33
When a property insurance applicant makes a statement on an application that becomes part of the contract and includes a promise by the insured, the statement is considered to be a:
Warranty
34
Which element of an insurance contract requires that the insured have the legal capacity to make a contract?
Competent Parties
35
The broad and special dwelling forms provide two extensions of coverage not found on the basic form. What are they?
Coverages for building collapse and for lawns, trees, and plants
36
As it is defined in Crime insurance policies, the unlawful taking of property by forced entry into the premises, or exit from the premises, while the premises are closed for business. There must be visible evidence of forced entry or exit.
Burglary
37
A commercial package policy designed for certain types of small business, combining Property and Liability coverages. Very similar to a Commercial Package Policy (CPP).
Business Owners Policy (BOP)
38
Termination of contract of insurance in force mid-term (rather than at the renewal date) by voluntary act of the insurance company or insured, effected in accordance with provisions in the contract or by mutual agreement.
Cancellation
39
A type of insurance that is primarily concerned with losses caused by injury to persons and legal liability imposed upon the insured for such injury or damage to property of others.
Casualty Insurance
40
In Property insurance, a clause under which the insured shares in losses to the extent that she is underinsured at the time of the loss
Coinsurance
41
A multi peril, multiline policy that provides a broad spectrum of Property and Casualty coverages for businesses. In addition to required basic Property and Liability insurance, the insured may add additional Marine, Boiler and Machinery, Glass, Crime, Business Auto or Farm coverages.
Commercial Package Policy
42
Doctrine that a defendant is liable only for the amount of damages allocated to that defendant in direct proportion to the defendant's percentage of fault (if not 51% or more at fault, defendant is not held liable).
Comparative Negligence
43
A state fund writing Workers' Compensation insurance in competition with private insurers.
Competitive State Fund
44
Nonbusiness Liability exposure of individuals who are insured under this policy. The most common Personal Liability exposures arise out of the residence premises and activities of individuals and family members. It first became available as a separate policy. Eventually it was incorporated into Homeowners policies
Comprehensive Personal Liability
45
Any form if insurance which is required by law.
Compulsory Insurance
46
The withholding of material facts by an applicant for insurance, which materially affects an insurance risk or loss. May void the policy.
Concealment
47
The portion of an insurance contract that sets forth the rights and duties of the Insured and the insurance company
Conditions
48
Indirect losses that occur as a "consequence" of a direct loss. Includes Time-Element coverages, such as coverage for rental value.
Consequential Loss
49
A characteristic of a legal contract: the thing of value exchanged for the performance promised in the contract.
Consideration
50
A Time-Element coverage that protects the insured against Indirect Loss that results because of a Direct Loss to a supplier business, subcontractor or manufacturer location.
Contingent Business Income
51
Liability that an insured person or business incurs because of the actions of others (family or employees). Also called Vicarious Liability.
Contingent Liability
52
A legal agreement between two parties promising a certain performance in exchange for a certain consideration. To hold up in court, these must contain four required elements: Consideration, Offer, Acceptance and Legal Purpose (remember the acronym COAL).
Contract
53
Provides coverage against liability arising out of an insured's contractual obligation.
Contractual Liability
54
The signature of a licensed agent, which, in most states, must appear on the policy to validate the contract.
Countersignature
55
In Crime insurance, a custodian is the insured or a regular employee or partner of the insured who has care or control of the property within the premises. The term does not include watchman, porter or janitor.
Custodian
56
A coverage provided in many Property contracts that reimburses the insured for expenses involved in removing debris produced by a loss from a Peril insured against.
Debris Removal
57
A portion of the insurance contract that contains information such as the name and address of the insured, the property insured, its location and description, the policy period, the amount of insurance coverage, applicable premiums, and supplemental representations by the insured.
Declarations Page (Dec Sheet)
58
Decrease in the value of property over a period of time due to use, wear and tear, and obsolescence.
Depreciation
59
Loss that is a direct result of a Peril, such as fire.
Direct Loss
60
An insurance company that sells its policies through licensed agents who represent the insurer exclusively, rather than through independent local agents, who represent several insurance companies. Direct writing producers are also called "Exclusive" or "captive" producers.
Direct Writer
61
The return of part of the premium paid for a participating policy.
Dividend
62
An insurance company formed under the laws of the state in which the insurance is written.
Domestic Insurance Company
63
That portion of the premium for which policy protection has already been given during the now-expired portion of the policy term.
Earned Premium
64
The date on which an insurance policy or bond goes into effect and from which protection is furnished.
Effective Date
65
Coverage provided under a Workers' Compensation policy to cover the employer's liability arising out of employees' work-related injuries.
Employers Liability Coverage
66
Provides coverage to an employer for liability arising out of an employee's use of his own auto in the employer's business. May be included under a Business Auto Policy if added to a Commercial General Liability.
Employers Non-Ownership Liability
67
A document, agreed to by both parties, that is attached to the policy and modifies or changes the original policy in some way. No change to a policy may become effective until approved by a company officer.
Endorsment
68
A Professional Liability coverage that protects the insured against liability for committing an error or omission in performance of professional duties.
Errors and Omissions
69
Causes, conditions, or property listed in the policy that are not covered and for which no benefits are payable.
Exclusions
70
A Boiler and Machinery coverage that covers the cost of temporary repairs and the costs of speeding up permanent repairs.
Expediting Expenses
71
The loss record of an insured, a class of coverage, or an insurance company.
Experience
72
A specific endorsement, attached to a standard Fire policy, usually providing coverage for windstorm, hail, explosion, riot, civil commotion, aircraft, vehicular damage, volcanic eruption and smoke damage.
Extended Coverage Endorsement (ECE)
73
A Time-Element coverage for additional expenses incurred by the insured business to continue operations following a Direct Loss by a Peril insured against.
Extra Expense Insurance
74
Fair Access to Insurance Requirements. A program established by law that makes Property insurance available and affordable to insureds who might otherwise be uninsurable because of "environmental hazards".
Fair Plan
75
A federally administered program that makes crime insurance available and affordable to risks that might otherwise have found coverage difficult to obtain.
Federal Crime Insurance
76
A class of bonds that guarantees an employee's honest discharge of duty.
Fidelity Bond
77
A person who occupies a position of special trust and confidence. For example, one handling or supervising the affairs or funds of another.
Fiduciary
78
State laws that require owners or operators of autos to provide evidence that they have the funds to pay for automobile losses for which they might become liable. Insurance is the usual method for providing this evidence to the state.
Financial Responsibility Laws
79
Combustion, sufficient to produce a spark, flame, or glow, that is hostile (not in a place where it is intended to be).
Fire
80
1) Contract that indemnifies an insured for loss caused by the destruction of the insured property resulting from fire. 2) The field of insurance that provides policies on the insured property for a variety of Perils, including fire.
Fire Insurance
81
Any act of stealing. A mysterious disappearance.
Theft or larceny
82
The act of taking property from the care and custody of a person under the threat of bodily harm
Robbery
83
What are the four parts to all policies?
Declarations page, Insuring agreement, conditions, and exclusions. (DICE)
84
A cause of loss is called a:
Peril
85
To make coverage better or enhance without charging the customer more is called:
Liberalization
86
What is the main difference between the various dwelling property forms?
Covered property perils
87
The DP-2 broad form automatically insures covered property against loss from any cause while being removed from a premises endangered by a peril insured against for no more than:
30 days
88
The broad and special dwelling forms provide two extensions of coverage not found on the basic form. What are they?
Coverages for building collapse and for lawns, trees, and plants
89
A personal articles floater provides coverage on what basis?
Actual Cash Value
90
Fine arts floaters provide for payment of the full policy limit in the event of a total loss, regardless of the actual value of the property. This is called a(n):
Valued contract
91
On an HO-3, replacement cost coverage applies to:
Coverages A and B only
92
A commercial property insurance that has a single limit of insurance for all property coverage at 3 different locations is known as:
Blanket coverage
93
These forms are used by insureds who have fluctuating inventories.
Reporting forms
94
An inland marine policy that covers the insured's merchandise held for sale, the insured's property off premises, customer's property in the custody of the insured and property being transported is a:
Jeweler's block policy
95
On an ocean marine policy, the peril of voluntarily throwing cargo overboard to save the ship is known as:
Jettison
96
Liability without fault or negligence is defined as:
Absolute
97
The transfer of the insured's rights to the insurer after a loss is known as:
Subrogation
98
What states the time and date of claim, as well as the description of the loss?
Notice of claim
99
Injuries caused by hit-and-run drivers are covered under which type of coverage?
Uninsured motorist
100
To provide auto liability coverage for 2 parties who are not married, but reside in the same household, you should add which endorsement to a PAP?
Joint Ownership
101
On a PAP, what is the purpose of carrying underinsured motorists coverage?
It covers your injury in case the negligent party has inadequate BI limits
102
What type of a bond guarantees a job will be completed on time per the terms of the contract?
Performance Bond
103
A real estate agent gave his client an incorrect price of a home, what policy will cover that?
Professional
104
Under a surety bond, the obligee is the party who:
Will be paid damages if default occurs
105
The most significant difference between the claims made and the occurrence forms of a general liability policy is:
What triggers the insurance coverage
106
Forcing a client to buy insurance from a particular lender as a condition of granting a loan is defined as:
Coercion
107
Making false or malicious statements about the financial condition of an insurer or agent is what type of Unfair Trade Practice:
Defamation
108
When the Commissioner finds, after a hearing, that a person has intentionally violated an insurance regulation, what is the maximum fine that may be levied:
$25,000
109
Liquid monies kept by insurers in order to honor their future liabilities to policy holders are called:
Legal reserves
110
When an insurer elects to base their rates on their underwriting experience rather than upon actuarial data, they are utilizing:
Judgment rating
111
The clause in the dwelling policy that limits the liability of the insurer to a portion of the loss no greater than "the amount hereby insured shall bear to the whole insurance covering the property against the peril involved, whether collectible or not" is called the:
Pro-rata liability clause
112
A commercial auto liability coverage that protects an insured whose employees drive their own autos on company business is called:
Non-owned auto
113
What is the name of the area of tort law that provides remedies for wrongful acts other than crimes and breach of contract?
Negligence
114
A careless person represents which type of hazard?
Morale hazard
115
Statements provided by an applicant for insurance are considered to be:
Representations
116
When a direct chain of events resulting from a negligent act causes injury or damage, that act is considered to be:
The proximate cause
117
"This Company may require from the insured an assignment of all right of recovery against any party for loss to the extent that payment has been made by this Company." This sentence defines which of the following?
Subrogation