Topic 7 - Risk Flashcards

1
Q

What are the two insurance coverages we discussed in class that are not insurable and require government involvement?

A

Flood and Terrorism

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2
Q

What are the big differences between those two government-involved insurance
programs (terrorism and flood insurance)?

A

a. Terrorism has never cost the taxpayers money
b. Terrorism requires the private insurance market to accept some risk
c. Neither of the above are true for flood

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3
Q

If you fell down the steps at your friends house and broke you ankle, then went to
the hospital. The cost of the emergency room visit was $15,000. Your medical
insurance only paid for $10,000 of the visit? How much would the insance
company request from your friend during subrogation? How much of that
amount would you get to keep?

A

a. The hospital would request $15,000
b. You would keep the first $5,000
c. Insurance can keep anything above 5,000 – which in this case would be
$10,000

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4
Q

What are the five characteristics of an insurable risk?

A

1) A large number of similar objects
2) Losses are accidental or unintentional
3) Losses can be determined and measured
4) Losses not catastrophic to insurer
5) Large loss principle

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5
Q

What is the large number of similar objects?

A

The nature of objects similar so reliable statistics can be formed is a key
Ex) Life insurance, automobiles

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6
Q

What does losses are accidental or unintentional mean?

A
  • There must be some uncertainty or no risk
  • Insured should have no control over increasing frequency or severity
  • Must be accidental
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7
Q

What does losses can be determined and measured mean?

A

Losses should be easily determined and measured
Ex) Pain and suffering are hard to measure so they don’t make for a good insurable risk

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8
Q

What does losses not catastrophic to insurers mean?

A

Insurers try to avoid insuring things that could result in a lot of loss and is not predictable
Ex) Natural disasters (hurricanes, floods, earthquakes)

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9
Q

What does the large loss principle mean?

A
  • Maximum loss needs to be sufficient
  • Administrative/loading costs too high for it to be affordable
    *Small losses are better off paid through savings
    Ex) Never buy cell phone insurance
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10
Q

What is a homogenous risk pool?

A

Risks that have similar characteristics either in the description of risk itself or in claims

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11
Q

What is income/wealth transfer?

A

Transfer of money from those who do not have a loss to those who do have a loss

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12
Q

What is a heterogeneous risk pool?

A

A group of entities that are exposed to different types of risks

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13
Q

Why do firms/individuals buy insurance?

A
  • Peace of mind
  • Serve other contracts
  • Enhance credit worthiness/protect assets
  • Regulation/compliance with the law
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14
Q

What is risk or loss sharing?

A

Trade an unknown/uncertain loss without insurance for an unknown/certain loss with insurance

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15
Q

What is indemnification?

A
  • Indemnify means to compensate
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16
Q

What is full indemnification?

A
  • All losses are paid for no matter how large or small
17
Q

What is partial indemnification?

A
  • Cost sharing and partial insurance
    Ex) Deductible, copay, coinsurance
18
Q

What is the principle of indemnity?

A

In the event of a property loss, the insured should not collect more than the actual cash value of the loss (ACV)

19
Q

How is ACV calculated?

A

ACV = Replacement cost - depreciation cost

20
Q

What is Pmax?

A

The most an individual will pay for insurance for a particular risk?

21
Q

What are common insurance contract issues?

A

Misrepresentation and Concealment

22
Q

What is misrepresentation?

A

A false statement is made by the applicant when filing the claim

23
Q

What is the principle of subrogation?

A

Substitution of insurer for insured

24
Q

What is TRIA?

A

Terrorism risk and insurance act

25
Q

How does TRIA work?

A

The government backs up the terrorism risk for insurance carriers

26
Q

What are some examples of loss control that we went over in class?

A

Sump pumps (pump water out of the basement), trench drain, waterproof paint, properly maintained gutters, and commercial structures

27
Q

How do insurance companies sell flood insurance?

A

Insurance companies sell flood insurance on behalf of the federal government

28
Q

How are premiums paid for with flood insurance?

A

The government subsidizes the premium (essentially means that the taxpayers pay for the rest of the premium)