Property & Casualty Flashcards
Agent
Producer acting as a legal representative of Insurance Co
Broker
representative of insured/client
Risk
chance of loss
speculative risk
chance of loss one accepts in hopes of a gain
pure risk
chance of loss w/o possibility of a gain
spreading the risk
sharing the risk among customers
risk avoidance
staying away from risky activities
risk reduction
taking measures to reduce risk
risk shifting
get someone else to agree to accept risk. i.e. hold harmless agreement
risk retention (self-insuring)
having enough funds to cover losses
Insurance
- transfers risk from insured to insurer
- contract where Insurer agrees to proctect Insured against injury, damage, or liability from a future event
- social device through which indicviduals by paying a premium fee transfer a defined & limited portion of their risk to an insurance co.
Indemnification
concept that an insurance policy is to make the Insured whole after suffering a loss
insurance covers
pure risk but not speculative risk
law of large numbers
mathematical concept that says its easier to predict losses based on historical data if we have a large number of insureds
insurable losses are:
predictable, accidental, measurable, but not catastrophic
stock companies
sell shares of stock to investors
non participating companies (policy holders don’t participate in profits. owners do)
owned by stockholders
mutual companies
owned by policy holders participating company (policy holders may receive dividends if there's a profit)
reciprocal company (cooperative)
group of policy holders who have an agreement of indemnification managed by attorney in fact.
fraternal benefits society
sell insurance to policyholders with common ethnic, religious, or charitable heritage
National Assoc of Insurance Commissioners
provides unity in insurance laws throughout the country
perils
cause of loss
underwriting
refers to selection & classification of risk
hazard
factor that increases the chance of a loss occurring
physical hazard
tangible condition that make occurrence of peril more likely
morale hazard
carelessness or sloppiness
moral hazard
insured’s intentional act or disregard that may cause a loss or make a loss more likely to occur
insurable interest
financial interest in covered property if a loss occurs
needs to exist at time of loss not when policy is issued
limit of liability
max a policy will pay for any one loss
deductible
portion of the loss that the insured must absorb before insurance company begins to pay; doesn’t uphold indemnity
other insurance clause
each policy will pay a portion of the loss
Property policys = pro-rata
Liability policies = share equally
Assignment
transfer of policy to new policy owner. must be agreed to in writing by owner (assignor), new owner (assignee) and insurance company
nonrenewal
termination of coverage at the end of existing policy period; no reason has to be provided
cancellation
termination during the policy period (10 days notice)
reasons for cancellation
- nonpayment of premium
- material misrepresentation or concealment
- substantial increase in risk
Insurer cancels policy refund is
pro-rata
insured cancels policy refund is
short-rate
basic & broad provide
named peril coverage
comprehensive coverage
does not provide named peril coverage: aka all risk/special/open perils/extended coverage
exclusions
peril or item not covered
inherent vice
natural deterioration
liberalization clause
automatically updates policy
coinsurance clause
encourage insureds to insure to full value; requires property to be covered to specific percentage
contract
agreement consisting of an offer and its acceptance made by competent parties to provide something (consideration) for each other
insured gives insurer 2 items of consideration
- money-premium 2. information-application
representation
statement made to the best of the applicants knowledge
warranties
statements made on an application form that the applicant guarantees to be true. insured’s promise to do something
concealment
intentionally hiding the truth or intentionally telling only a partial truth regarding a material fact. includes acts of omission
misrepresentation
intentional lie
contract of adhesion
insured has no say in contract/policy
credit report
don’t need insureds permission or notify insured
investigative report
compiled by investigator, must notify applicant
real property
buildings & other structures
Additional Coverages
- debris removal
- removal/preservation of property
- fire dept service charge
replacement cost
pays the insured the full cost (up to limits of the policy_ of buying new, similar property to replace damaged or destroyed property
actual cash value - ACV
depreciate value
valued policy
exact amount of the benefit is in the policy
Appraisal Provision
- each party selects appraiser
- appraisers choose a neutral 3rd party - umpire
- agree - then its done. if not umpire casts tie breaker
Can only settle disputes over money - not covered perils
direct loss
damage to property itself