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47 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)

The purpose of buying insurance

To deal with uncertainties (risks) people face in everyday life

Insurance

The transfer of risk from one party to another

Pure Risk

Involves a chance of loss

Becoming disabled, hospitalized, accidental death

Speculative Risk

Chance for a loss or a gain

gambling, lottery tickets, horse racing

Peril

The event that causes a loss. What insurance is insuring against

Health situations, AD&D

Hazard

The increased chance of loss

Physical Hazard

Dangerous occupation/avocation (hobby)

Working with hazardous material, explosives, racing cars, poor health

Moral Hazard

Acting dishonestly in the transaction of insurance

Cheating, fraud

Morale Hazard

Carelessness or being irresponsible. Know it's wrong but do it anyway

Texting/driving, excessive drinking, not wearing a seatbelt

Law Of Large Numbers

Make it possible to predict losses with some degree of accuracy

Morbidity Tables

Tables used for health insurance

Mortality Tables

Tables used for life insurance

Actuaries

Mathematicians who study and compile statistical data that's used to predict probable losses

Indemnity

Compensation for damages or loss

Underwriters

These people are responsible for protecting the insurance company against adverse selection

Good risk vs bad risk

Adverse Selection

The tendency of those in dangerous jobs or high risk lifestyles to get life insurance

Waiver

Purpose is to reduce/eliminate coverage for pre-existing conditions for a period of time

Principle of Indemnity

Insurer agrees to restore the insured to their financial condition prior to loss

Domestic Insurers

Home office is located in the state it sells insurance

ABC Company home office in NYC sells in NY State

Foreign Insurers

Home office is located in another state

ABC Company home office in Chicago, but can sell in NY State

Alien Insurers

Home office is located in another country

ABC Company home office in Canada, but can sell in the U.S.

Stock Company

A company owned by stockholders who issue non-participating policies and pay dividends to stockholders

Mutual Company

A company owned by policy owners who issue participating policies and pay dividends to policy owners

Lloyds Association

Sell any kind of insurance

Katy Perry's Legs, oil tankers, hole in one shot

Commonly used rating companies

AM Best, Standard & Poor, Duff & Phelps, Fitch, Moody's and Weiss

Express Authority

Authority that is written in the contract

Tells what the agents can and can't do

Implied Authority

Authority not expressed or written into the contract, but the agent is assumed to do

Collection of premiums

Comingling

Taking money from clients premiums to use for your own expenses

Taking money from premiums to pay your bills

Utmost Good Faith

Both parties should be telling the truth

Aleatory

Performance depends upon an uncertain event. Uneven/Unequal

A-lean-atory

Adhesion

The insurer drafts the wording and the insured adheres to it

Take it or leave it

Unilateral

Only one party (the insurer) of the contract is legally required to do something

One-Sided

Warranty

Statements that are considered to be guaranteed to be true

Representations

An applicant's statements or response to questions on an application

Misrepresentations

Written or oral statement that is false

A lie

Concealment

Failure to disclose known facts

Hiding the truth

Consideration

Both parties exchange something of value

C=A+P

Independent agents

Represent several companies

Exclusive Agent

Represents one company

Agents Fiduciary Responsibility

Agents responsibility to follow rules

Material Misrepresentation

Had the underwriter known from the beginning, they wouldn't have issued the policy

Estoppel

Can't regain a right you've already given up

Underwriter

Protects insurance company against adverse selection

Good vs bad risk

Offer

Completed App + Premium

Invitation

Application with no premium

Statement of Good Health

Statement saying your health hasn't changed since the last time you saw the field underwriter

Elements of a contract

Consideration - both parties give something of value


Offer - App + Premium


Acceptance/Agreement - agreement between the two


Legal Purpose - 18 for health, 14.5 for life

COAL