Property & Casualty Insurance Flashcards
(113 cards)
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.