Risk + Loss Flashcards

1
Q

Risk means…

A

“chance of loss”

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2
Q

What is “pure risk”?

A

Pure risk involves only the chance of a loss, and no gain, to the person assuming the risk.

Pure risk includes:

  1. untimely death
  2. serious illness or disability of a person

Only pure risk is insurable (though not every pure risk is insurable).

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3
Q

What is “speculative risk”?

A

Speculative risk, which is uninsurable, can result in loss or gain.

Examples of speculative risk include gambling and investing in the stock market.

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4
Q

Define “loss”

A

A loss is an unplanned reduction in economic value.

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5
Q

Explain direct vs. indirect loss.

A

The death of a family breadwinner is a direct loss under a life insurance policy.

The loss of the decedent’s income is an indirect loss resulting from the direct loss of the insured’s life.

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6
Q

What is exposure and exposure units?

A

Also called loss exposure, exposure is the state of being subject to a possible loss.

Life and health insurers would charge a higher premium to provide insurance protection to a coal miner (high risk) than an accountant (low risk).

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7
Q

What is a “peril”? List 4 examples of a peril.

A

A peril is the immediate cause of a loss.

A peril is the event that insurance protects against.

Examples include:

  • death
  • disability
  • accidental injuries and
  • sickness

Every insurance policy defines, and is defined by, its covered peril(s).

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8
Q

What is a “hazard”?

A

A hazard is a condition that raises the chance of encountering a peril or increases the severity of a loss.

For example, insufficient light in a high-crime commercial area is a hazard. Potholes along a busy highway are considered road hazards. Similarly, cigarette smoking, poor diet, and excessive alcohol consumption are health hazards that increase the likelihood of illness or early death.

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9
Q

What are the 3 types of hazards?

A

Moral hazards.

Moral hazards are an individual’s traits or habits that increase the chance of a loss. Alcoholism, smoking, and drug addiction are examples of moral hazards. A willingness to defraud insurers is considered a moral hazard for which insurers remain alert.

Morale hazards.

Morale hazards are also individual tendencies, but they arise from a state of mind, attitude, or indifference to loss. Driving recklessly is an example of a morale hazard. In fact, doing anything recklessly because “I have insurance for that” demonstrates a morale hazard.

Physical hazards.

Physical hazards are individual physical characteristics that increase the chance of loss. They exist due to a person’s physical condition as opposed to arising from his or her character. High cholesterol is an example of a physical hazard.

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10
Q

List 5 ways to manage risk

A

Common risk management techniques are

  • avoiding the risk;
  • reducing the risk;
  • retaining the risk (all risks that are not avoided or transferred are retained by default);
  • sharing the risk; and
  • transferring the risk to an insurance company
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11
Q

RISK AVOIDANCE

List one example of risk avoidance.

A

One way to manage a risk is to avoid it.

Though it would be impractical to try and avoid all of life’s risks, risk avoidance is a reasonable strategy to deal with especially dangerous (and avoidable) risks.

For example, refusing to operate a vehicle after drinking alcoholic beverages or taking drugs is a practical way to avoid injury, death, and property damage that may result from driving while under the influence of alcohol or narcotics.

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12
Q

RISK REDUCTION

List one example of a risk reduction.

A

If entirely avoiding a particular risk is impractical, it may be possible to reduce it.

Exercising regularly, avoiding poor health habits, and keeping a balanced diet can reduce the risk of many illnesses, including heart disease and cancer.

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13
Q

RISK RETENTION

List an example of a risk retention device.

Who bears responsibility?

A

Risk retention is simply the acceptance of risk and dealing with it through the use of personal funds should a loss occur.

If the financial loss is small and the risk is remote, risk retention makes sense. However, if the potential loss is great or the risk is high, risk retention may lead to financial disaster. The use of deductibles in health and property insurance is a risk retention device.

Through the deductible people retain the financial consequence of small losses, leaving the insurance to cover the larger ones.

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14
Q

RISK SHARING

Who does it work best for?

A

The earliest forms of insurance were based on risk sharing, by which people who share a common risk band together and promise to “chip in” and compensate a member of the group who suffers a covered loss.

The custom of risk sharing made sense for small groups facing relatively modest losses, but it is difficult to achieve in larger groups.

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15
Q

RISK TRANSFER

A

Risk transfer— transferring the loss to a third party —is the basis for most forms of insurance today.

Through risk transfer an individual or business transfers the risk of loss to an insurance company in exchange for the payment of a premium.

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16
Q

What makes a pure risk insurable?

To be insurable, a pure risk must conform to certain requirements:

  • The type of loss must be ________.
  • The loss must be ________ as to time, cause, and location.
  • The potential for financial loss must be _____________.
  • The value of the loss that is to be insured must be __________.
  • The insured event must be ___________ or outside the insured’s control.
  • Only losses that are due to chance are insurable.

Even though it is inevitable, death is an insurable risk because of the uncertainty as to when it occurs.

A

To be insurable, a pure risk must conform to certain requirements:

  • The type of loss must be definable.
  • The loss must be definite as to time, cause, and location.
  • The potential for financial loss must be measurable.
  • The value of the loss that is to be insured must be definite.
  • The insured event must be accidental or outside the insured’s control.
  • Only losses that are due to chance are insurable.

Even though it is inevitable, death is an insurable risk because of the uncertainty as to when it occurs.

  • The defined risk must be part of a large group of similar (or homogeneous) risks that the insurance company can use to predict future losses.
  • The defined risk must not be catastrophic. Insurance companies do not cover war or associated perils that might stem from disagreements between countries.
  • The risk must not be one of the company’s stated exclusions.
17
Q

UNDERWRITING

Seeks to determine is the applicant is an __________risk.

A

When an insurance company receives an application for coverage, it begins a process known as underwriting.

Through the underwriting process, insurance company underwriters determine if the risk proposed for insurance should be accepted or rejected.

That is, it seeks to determine if the applicant represents an insurable risk. Underwriters use the application, agent’s report, and other data to determine if an applicant is insurable.

18
Q

LAW OF LARGE NUMBERS

A

Insurance is largely based on statistics, probabilities, odds, and averages. It relies heavily on the concept of the law of large numbers, a statistically accurate way to predict future losses.

Based on the idea that predictions become more accurate as the number of exposures increase, the law of large numbers is the mathematical principle of probability that insurance is based on.

Using the law of large numbers and risk data, insurance company mathematicians, called actuaries, determine the likelihood of death (mortality) or serious illness (morbidity) for males and females at any given age.

Mortality tables are used in determining life insurance premiums, while morbidity tables are the basis of health insurance premiums.

19
Q

ADVERSE SELECTION

A

An important goal of the underwriting process is to avoid adverse selection by insurance applicants.

Adverse selection means to “select against.”

It is the tendency of persons at greater risk of loss to seek out and maintain insurance.

Adverse selection increases the probability of a claim, and is sometimes referred to “selection against the company.

20
Q

INSURANCE REGULATION

Federal laws that have a direct bearing on insurance include the following:

  • FCRA
  • ERISA
  • COBRA
  • HIPAA
  • PPACA
A

Insurance is regulated primarily at the state level.

Every state has an agency generally called the insurance department.

Federal laws that have a direct bearing on insurance include the following:

  • Fair Credit Reporting Act (FCRA)
  • Employee Retirement Income Security Act (ERISA)
  • Consolidated Budget Reconciliation Act (COBRA)
  • Health Insurance Portability and Accountability Act (HIPAA)
  • Patient Protection and Affordable Care Act (PPACA)
21
Q

REGULATORY ASSOCIATIONS

What is the NAIC? And FINRA?

A

The National Association of Insurance Commissioners (NAIC), represents the insurance department of every state, the District of Columbia, and several U.S. territories.

The NAIC meets regularly to review developing insurance issues and to promote uniformity by developing model insurance regulations.

While the individual states are not required to adopt NAIC model regulations, most do adopt them in some form.

The National Conference of Insurance Legislators (NCOIL) is comprised of state legislators from every state. The NCOIL works to help state legislators make informed decisions on insurance issues that affect their constituents. NCOIL works in tandem with the NAIC to help state legislators understand the importance of NAIC model regulations.

It is also important to note that variable life insurance and variable annuities are regulated primarily by the Financial Industry Regulatory Authority (FINRA), which is a private corporation that acts as a self-regulatory organization (SRO) overseeing the business of securities brokerage firms (including those selling variable insurance products) and exchange markets.

22
Q

The use of deductibles in health and property insurance is a …

A

risk retention device

23
Q

Key Points

A
  • Risk means the “chance of loss.”
  • Only pure risk is insurable.
  • A loss is an unplanned reduction in economic value.
  • A peril is the event that insurance protects against.
  • A hazard is a condition that raises the chance of encountering a peril or increases the severity of a loss.
  • The use of deductibles in health and property insurance is a risk retention device.
  • Risk transfer—transferring the loss to a third party—is the basis for most forms of insurance today.
  • Through the underwriting process, insurance company underwriters determine if the risk proposed for insurance should be accepted or rejected.
  • The law of large numbers is the mathematical principle of probability that insurance is based on.
  • Mortality tables are used in determining life insurance premiums, while morbidity tables are the basis of health insurance premiums.