Principles of Life and Health Insurance Flashcards
This is the department that calculates policy rates, reserves, and dividends.
Actuarial Department
This is the person who investigates claims and arranges for them to be settled or denied
Adjuster:
In the United States, this is an insurer whose principal office and domicile location is outside this country.
Alien Insurer
This is an insurer who has received a certificate of authority from a state’s department of insurance which authorizes them to conduct insurance business in that state.
Admitted Insurer
This is an individual or organization that’s authorized to solicit, sell, and transact (bind) coverage for specific insurance providers under the terms of one or more agent contracts.
Agent
This is an admitted insurer.
Authorized Insurer
This is a person who represents himself and the insured (i.e., the client or customer). A broker cannot bind coverage on behalf of an insurance carrier because a broker is not appointed as an agent.
Broker
This is an insurer that’s established and owned by a parent firm for the purpose of insuring the parent firm’s loss exposure.
Captive Insurer:
This is a license that’s issued to an insurer by an insurance department (or equivalent state agency) that authorizes that company to conduct insurance business in that particular state.
Certificate of Authority:
This is the amount of earnings that are paid to policy owners as dividends after the insurance company sets aside funds required to cover reserves, operating expenses, and general business purposes
Divisible Surplus
This is an insurer with its principal or home office in the state in which it’s authorized.
Domestic Insurer
This is an insurer whose principal office or domicile location is in a state that’s different from the state in which it’s transacting insurance business.
Foreign Insurer
This is a non-profit benevolent organization that provides insurance to its members
Fraternal Benefit Society:
This is an agency that any number of insurance companies through contractual agreements.
Independent Insurance Agency
This is the transfer of risk through the pooling or accumulation of funds
Insurance
This is NOT an insurer but a group of individuals and companies that underwrite unusual insurance policies
Lloyds of London
This is the division that’s responsible for acquiring prospective applicants through various advertising media
Marketing Division
This is an insurance carrier that only sells one line of insurance.
Monoline Insurer
This is an insurance company or independent agent that provides a “one-stop-shop” for businesses or individuals who are seeking coverage for all of their insurance needs. For example, many large insurers offer individual policies for automobile, homeowner, long-term care, life, and health insurance needs.
Multi-Line Insurer
This is an insurance company that’s characterized by having no capital stock, being owned by their policy owners, and typically issuing participating insurance.
Mutual Insurance Company
This is an insurer that has not received a certificate of authority from a state’s department of insurance which authorizes it to conduct insurance business in that state
Non-Admitted (Unauthorized) Insurer:
This is a policy that’s typically issued by stock companies. This type of policy doesn’t allow policy owners to participate in dividends or to elect the board of directors
Nonparticipating Policy
This is an insurance policy that pays policy dividends to policy owners. By receiving dividends, policy owners share in the company’s divisible surplus and also elect the company’s board of directors.
Participating Policy
This is an agency that represents one or more specific insurers. A PPGA is a similar agency system, but PPGAs don’t recruit, train, or supervise career agents
Personal Producing General Agency (PPGA)
This is the person who’s responsible for the payment of premiums and who possesses all ownership rights of the contract. Typically, is also the insured.
Policy owner
This is an insurer that’s owned by private citizens or groups that offer one or more insurance lines. They are NOT government-owned
Private (Commercial) Insurer
This person acts on behalf of a consumer who’s settling an insurance claim.
Public Adjuster:
This is an unincorporated organization in which all members insure one another. An attorney-in-fact manages it.
Reciprocal Insurer
This is the acceptance by one or more insurers (referred to as “ “) of a portion of the risk being underwritten by another insurer that has contracted with a consumer to cover the entire risk
Reinsurance
This is a company that provides financial protection to insurance companies. They handle risks that are too large for insurance companies to cover on their own and make it possible for insurers to obtain more business than they would otherwise be able to obtain.
Reinsurer
This is a group-owned liability insurer that assumes and spreads product liability and other forms of commercial liability risks among its members
Risk Retention Group: RRGs are liability insurance companies owned by its members. RRGs allow businesses with similar insurance needs to pool their risks and form an insurance company that they operate under state regulated guidelines.
This is a company that establishes a self-funded plan to cover potential losses rather than transferring the risk to an insurance company.
Self-Insurer
These are customer service employees. They are not required to obtain a license because they neither sell nor solicit coverage, and they don’t bind coverage
Service Representatives
This is an insurance company that’s owned and controlled by a group of stockholders (or shareholders) whose investment in the company provides the safety margin necessary in the issuance of guaranteed, fixed premium, nonparticipating policies.
Stock Insurance Company
This is non-traditional insurance that’s only available from a surplus lines insurer. This type of insurance provides coverage for substandard or unusual risks and is not available through private or commercial carriers.
Surplus Lines Insurance
This is a non-admitted insurer.
Unauthorized Insurer
This is the department within an insurance company that’s responsible for reviewing applications, approving or declining applications, and assigning risk classifications
Underwriting Department:
