The Basics (Property & Casualty Insurance) Flashcards
Liability Policy Categories
DICEE
DICEE
Dec/Insur. Agree/Cond/Endor/Excl
Flat Cancellation
Policy cancelled on the effective date/entire premium returned
Nonconcurrency
two or more policies covering the same property, but with non-identical coverages
Pro Rata Loss
Multiple insurance companies pay a portion of loss based on a percentage
Contribution by Equal Shares Loss
all insurers pay an equal amount, up to a max of the smallest policy limit
Provisions
Duties and rights of the insured and insurer
Loss Provisions
What the insurer and insured must do in the event of a loss
Assignment Policy
Policy cannot be transferred between insureds without written consent
Abadnonment
Insured cannot abandon property to the insurer and ask for full reimbursement
Who has the right for Salvage?
The insurer
Liberalization
Broadening and extending coverage with no additional premium
Subrogation
After a pay out, the insurer can sue negligent parties on your behalf
Binder
A temporary written or oral agreement of intermediate coverage
Duties After Loss
PPC + MSC –> Prompt/Protect/Complete/Make/Submit/Cooperate
Prompt…
Notice of Claim
Protect…
Property from Further Damage
Complete…
Detailed Proof of Loss
Make…
Property Available for Inspection
Submit…
to Examination Under Oath
Cooperate…
with the Insurer During Investigation
Measurement Ratios
Loss/Expense/Combined
Loss Ratio
(amount of loss) / (earned premium) = percent loss
Expense Ratio
(underwriting expenses) / ($ written premium) = cost of doing business
Combined Ratio
(loss ratio) + (expense ratio). below 100 is a surplus
Methods of Underwriting Ratings
Judgment/Manual/Experience
Judgment Rating
Premiums created through judgment and experience
Manual (class) Rating
Premiums based on a manual: (rate per unit) x (# of units) = premium
Experience (merit) Rating
Worker’s Comp/Retrospective/Schedule
Rate Components
loss costs, cost of handling claims, operating expenses, profits
Bailee
Someone who has custody of someone’s belongings (like a dry cleaner)
Coinsurance
The amount paid out by the insurer when the insured doesn’t have the minimum insurance necessary
The Umpire
a third party appraiser, appointed to help the insurer and insured come to an agreement on value of loss
Premium Pay Back when Insured Cancels Policy
Short-Rate
Premium Pay Back when Insurer Cancels Policy
Pro Rata
Policy Territory
Where the loss occurred
Cancellations Occur When a Policy Ends:
Before expiration date
Nonrenewals Occur When a Policy Ends:
On the expiration date
Insurable Interest
Financial Risk of Loss, Must be Present at Time of Loss