Property & Casualty Insurance Flashcards
The process whereby a stock insurer becomes a mutual insurer is called:
Mutualization
•stock insurers decides to be privately owned by policyholders is known as Mutualization
The process whereby a mutual insurer becomes a stock company is called:
Demutualization
•Mutualization changes to demutualization, now the company is owned by the stock/share owners
The provision in a property policy which states that the insured has been paid up to their insurable interest is:
- Actual cash value
- Stated value
- Guaranteed replacement
- Valuation clause
Valuation clause
•valuation cause determines the formula used to pay up to the insureds insurance interest
The part of the policy that states the amount of coverage, the insured property, policy period is:
- Conditions
- Insuring agreements
- Exclusions
- Declarations
Declaration
•declaration section identifies who, what, how long, and how much (amount) property is insured for
Part of the policy that establishes limits upon the insurer and the insured within the insurance policy is:
- Conditions
- Declarations
- Exclusions
- Insuring agreement
Conditions
•conditions outline the rights and duties of the insured and insurer. AKA provisions, agreements, and clauses
Which are characteristics of negligence?
- Breach and proximate cause
- Duty and breach of the duty
- Duty, breach, proximate cause, damages
- Breach of duty and damages cause
Duty, breach, proximate cause, damages
•all four characteristics must be present
Which of the following is not a federal program?
Workers’ compensation
•statement of fact
Absolute risk (liability) is imposed:
- When there is intent to cause injury
- When the insure party intend the risk
- When there is negligence whether proven or not
- None of the above
When there is negligence whether proven or not
•absolute risk or liability is aka liability without regard to fault or strict liability
X is in an accident with Y. X suffers $5000 of damage but it is determined that x is 60% responsible for the accident. How much would x receive under contributory negligence rules?
$0
• if the injured party is partly responsible for their own injuries, contributory negligence rules eliminate liability.
What is the main purpose of tort law?
To determines financial responsibility of the damages.
.•a tort is a civil wrong.
The insurer decides not to renew an insureds personal auto policy. How much notice must the insurer provide to the insured?
- 5 days
- 30 days
- 20 days
- 10 days
30 days
•30 days required for notice of non-renewal of auto & home
Which of the question is usually true regarding compensatory damages?
- General damages have specific economic value
- Special damages do not have a specific economic value
- There is usually no direct correlation between the amount of general and special damages awarded to the v
- Punitive damages are award to a person for actual pain and suffering
There is usually no direct correlation between the amount of general and special damages awarded to the victim
Frequently there is no direct correlation between general damages (e.g. Pain and suffering) and specific/special damages.
An insurer’s loss reserve for a claim is:
- The exact amount the insurer will have to pay to close the claim
- The maximum amount the insurer will have to pay to close the claim
- An estimate of the amount the insurer will pay for present and future loss.
- Equal to claim paid divided by earned premium reserve, not including loss of adjustment expense
An estimate of the amount the insurer will pay for present and future loss.
Insurer’s reserve is the amount required to pay current claims, upon submission of claim forms, and estimate of future claims.
Which of the following is an example of loss prevention?
- A homeowner decides not to install a pool in the backyard
- Homeowner install a security system
- Homeowner install a sprinkler system
- Decide not to restore water damage to basement
A homeowner decides not to install a pool in the backyard
Loss prevention-avoidance of loss (not reduction)
Which of the following describes the act of making a false entry in any book, statement of report of any insurer with the intent to deceive any examiner lawfully appointed to examine the insurers affairs?
- An unfair practice
- An error or omission
- An exclusionary act
- An aleatory
An unfair insurance trade practice
California insurance code 790.03.d,e
A person cab base his/her claim for legal liability on the basis if all the following, except:
- Breach of liability
- Negligence
3 intentional tort - Absolute liability
Breach of liability
Breach of contract falls under contract law
The terms “assignment” refers to:
- The insurers right to collect damages from a 3rd party
- The insurance policy applying to each insure
- The insured’s right to receive broad new coverage from the insurer at no change
- The transfer of the insured’s interest in a policy to another
The transfer of the insured’s interest in a policy to another
Aka transfer of ownership rights
The term subrogation refers to:
- The insurances policy applies separately to each insured
- The transfer of the insured’s interest in a policy to another policy
- The insured’s right to receive broad new coverage from the insurer at no charge
- The insurer’s right to recover postman from a responsible 3rd party
The insurer’s right to recover postman from a responsible 3rd party
The insurer “ subrogation” or “substitutes” itself for the insured in the suit I
Insurer’s right to recover the payment of a claim, after they paid the insured for their property losses from a negligent 3rd party is known is:
- Liberalization
- Subrogation
- Arbitration
- Assignment
Subrogation
Transfer of the insured’s right against a party at fault to the insurance company
An insurance deductible is:
- The insurance payment for health care that is not considered a coverage expense
- The portion of the insurance premium paid for coverage by the insurer
- The amount of covered expense that the insured pays before the insurer pays
- The cost of a covered expense minus a co-payment
The amount of covered expense that the insured pays before the insurer pays
Amount retained by policy owner to pay a lower premium
All of the following are requirements for a notice by mail to an insured by an insurer, except:
- Notice must be sent with return receipt required
- Notice must be addressed to the person being notified
- Postage must be prepaid
- Notice must be mailed to the resident or principal place of business
Notice must be sent with return receipt required
Policies sent through the mail require a return receipt. There is no such requirement for general notices
Which of the following is considered special damages?
- Compensation for time away from work
- Compensation for a persons emotional suffering
- Compensation for loss of a foot
- Compensation for a scar
Compensation for time away from work
Compensation for loss of quantifiable amounts (economical damages)
Which advisory organization(s) develop forms for the standard market?
- Insurance services office and American association of insurance service
- National association of insurance commissioners and the American association insurance services
- National association of insurance commissioners and the insurance services office
- Insurance services office and the American association of managing general agents
Insurance services office and American association of insurance service
ISO produces policy forms for the standard market. NAIC advises on regulation.
Which of the following would be considered special damages?
- Lost wages
- Pain and suffering
- Scarring
- Loss of an index finger
Lost wages
Special damage awards are tangible or measurable; the other answers are general damages.
Which of the following is an example of loss prevention?
A homeowner decides not to install a pool in the backyard
Loss prevention = avoidance of loss (not reduction)
An insurance deductible is:
The amount of covered expense that the insured pays before the insurer pays
Amount retained by policy owner to pay a lower premium
What do the initials S.T.A.R.R represent?
Methods of risk management
are: Sharing, transfer, avoid, retain, and reduce
All of the following would be considered benefits of insurance, except:
- Payment for the loss of coverages
- Redemption of the financial uncertainty of the insured
- They can be a source of investment funds
- Retention of the loss by the insured
Retention of the loss by the insured
This is the opposite of insurance
What gives an insured party the right to seek compensation if it is proven that another person with negligent contributed to the injury? @
- Tort law
- Case law
- Statutory law
- Criminal code
Tort law
A tort is a legal wrong other than a crime or breach if contract. Must common tort is Negligence.
Under a special cause of loss form, if a landslide is caused by an unnatural flow of water due to improper grading, the loss is:
- Excluded under the concurrent causation
- Covered; there are no exclusions for this type of loss
- Excluded under the governmental action exclusions
- Excluded under the utility service exclusion
Excluded under the concurrent causation
Concurrent means that there was more than one cause for the loss
An open peril policy protects against the loss from:
- Mainly, perils of the sea
- Perils found outside the open
- Only the perils openly named in the policy
- Any peril, other than those specifically excluded
Any peril, other than those specifically excluded
Definition for a peril is also referred to as All Risk and Special form
What factor supports the principle of indemnity?
- Utmost good faith
- Reasonable expectations
- Insurance interest
- Contract of adhesive
Insurable interest
An insured needs to have an insurable interest in order to be “made whole” by the policy proceeds
All of the following are characteristics of an ideally insurable loss exposure, except:
- Losses that are definite and measurable
- Losses that are catastrophic
- Losses that are accidental
- Large number of exposure units
Losses that are catastrophic
Catastrophic losses are a high severity (ex hurricane) which does not lend itself to accurate prediction, and thus is not an ideally insurable loss exposure
All of the following are considered intentional torts, except:
- Libel
- Ownership of a wild animal
- Slander
- Assault
Assault
Assault is a crime act and falls under criminal act
What is the difference between per accident limit in a split limits policy and the single limits?
- There is no difference
- The per accident limit applies to property damage, and the single limit applies to all the claims
- The per accident limit applies to all claims, and the single applies only to bodily injuries
- The per accident limit applies only to bodily injuries, and the single limit applies to all claims
There is no differences
Both split limit and single pilot pay for bodily injury and property damage
The intentional relinquished of a known right is:
- Concealment
- Waiver
- Estoppel
- Warranty
Waiver
In fire and casualty insurance, a waiver means the act of giving up or surrendering a right or privilege that is known to exist
Which type of loss is a business exposed to death, retirement or disability of a key employee?
- Workers’ compensation exposure
- Personal loss exposure
- Personnel loss exposure
- Human loss exposure
Personnel loss exposure
Another name for employee is “personnel”
The amount to replace an insured’s damaged property, less depreciation, is known as the:
- Stated amount
- Agreed amount
- Actual cash value
- Replacement value
AVC
Definition of AVC
Replacement cost - depreciation
The Commercial property conditions include a condition called “liberalization” the effect of this condition is: @
- To require the insurer to liberally construe the other commercial property conditions in case of disagreement between the insurer and the insured
- To protect the insured from policy c once
To automatically apply broader coverage to the commercial property coverage part if a policy form revision would broaden coverage without an additional premium
Definition
In a commercial lines program policy, common policy conditions do not include which if the following as a condition? @
Perils insured
The conditions part of a policy states the rights and duties of the insurance company and the insured
A possibility of financial loss resulting from the ownership of property is known as:
Insurable interest
Although insurable interest varies according to the type of policy, there is always an expectation is a monetary loss that can be covered by insurance.
Laura is driving her own car on behalf of her employer. Laura’s negligent operation of her car injures a member of the public. The employer may be held liable because of what is called: @
Vicarious liability
Vicarious liability imposed business owners for the actions of their employees
Type of exposure can be best defined as a condition or situation where the exposure to financial loss is presented to a business owner by the injury, disability, death, sickness, of a valuable employee?
Personnel loss exposure
Personnel losses relate to employees, personal property loss relates to property and liability loss relates to harm that insureds inflicted upon others
Which is the following is also know as human loss exposure?
- Liability loss exposure
- Indirect loss exposure
- Property loss exposure
- Personal loss exposure
Personal loss exposure
A type of exposure that can be defined as a condition or situation where the exposure to financial loss is presented to an individual or family from causes such as injury,
Which of the following best characterizes a speculative risk?
- Insuring a life with a policy that policy that provides double indemnity for accidental death
- A person who is careless and/or irresponsible
- Transferring the risk of loss to another party
- A situation that offers the possibility for a loss or a gain
A situation that offers the possibility for a loss or a gain
A good example would be gambling