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55 Cards in this Set

  • Front
  • Back

Insurer

Carrier/company that manufact and sell coverage as policy or contract

Insurance Angency

Independent organization that recruit, contact with and support sales agent and producer

Insured agent or Producer

Individual representing an ins comp when transacting ins

NAIC

Consist of all state and territorial commisioners. 2)no legal authority 3)promotes uniformitu among states

FIO FEDERAL INS OFFICE

Establishing by Dodd-Frank reform and ins act. 2. Monitors fair/affors cov for poor, minority etc. Ins produc educate,support,network, lobby for ins company and producer

State Legislative branch

Writes anz pases atatr insurance laws or statue to protect insuring public

State judicial branch

Interpret and determine statue to be constitutional

State executive branch

Enforce Statue put in place

Ins Commissioner/director

Appt by Governor - has power to issue rules & regulations to enforce Statues

Fraternal benefits society

Social organization that engage in charitable activity with same members of faith,lodge,order non-profit

Risk retention grps (rrg)

Grp owned insurers with similar risk i.e. coalminera, carnival workers, licensed in at least one state, owned by policyholders, must have sufficient liquid assets

Self insurer

Assume financial risk one's self. Usually avail only to large companies above certain max limits

Joint reinsurance pool

A company that can't get coverage can apply thru pool and state random pull a company that has to cover them

Government insurer

Created for large coverage -crime,crop,flood

Stock ins co

Owned by stockholder/shareholder;stockholder elect director/officers taxable dividends,non partcipating policy issued

Mutual ins company

1.owned by policyholders 2.policyholder vote on board of trustee or director 3. Non-taxable dividend 4.issued participating policy

Reciprocal ins company

1.grp owned insurers who share risk 2.grp of people not company 3. Each subscriber assumes risk. 4. Addl prem may b req if short. Exchange of ins vis Attorney-in-fact

Lloyds of London

Facilitate agreement bywn insured and insurer 2. Used for large policies i.e. jlo booty, lebron hand 3. High risk high price. Membera liable for roak they assume

Reinsurance co

Assume all risk from primary/ceding company

Reinsurance co

Transfer rosk among ins co.

Primary/ceding company

Insurer requesting reinsurance

Reinsurance co

Insurer sharing in risk

Treaty of agreement

Covers all risk contained in the subject lines of business automatically (already existing relationship of coverage

Facultative agreement

Allows ceding co. & reins co. He opportunity to negotiate coverage for addl risks

Financial rating service

Independent financial rating services eval and ratr the financial stability of insurance co. 2. Avail to public

Rating service co.

Am best, standard & poor's , moodys investment services, weiss ins ratings

Producer

Responsible for placing business with financially sound insurer

Domicile

The jurisdiction (state/country) where an insurer is formed or inc.

Domestic insurer

Insurer organized under the laws of this state, whethet or not its admitted to do business in this statr

Foreign insurer

Insurer not organized undrr laws of this state but in another statr in us whthrt admitted or not

Alien insurer

An insurer organized under the laws of any jurisdiction outside ua whether admitted to do business in this state or not

Admitted (authorized) insurer

Authorized by this stated commisioner of ins to do business in this state. It has rcvd a cert of authority to do business

Non-admitted

Applied for auth and was declined or pending. Not curr authorized

Places theu Non-admitted carriers

Surplus & Excess lines

Surplus lines broker

Find coverage when ins csn not be obtained thru admitted ins. Collect tax & fees to send to state

Executives

Oversee the operation of the business

Acturial department

Gather and interpret statistical info used in rate making. An actuary determines probability of loss and sets premium rates

Underwriting dept

Selects risks (person or property to insure) and rating that determines actual policy prem. Use judgment

Marketing/sales dept

Responsible for advertising and selling

Claims dept

Assista the policyholder in the event of loss

Exclusive or captive agency syst

Agent solely represent one company,insurer retain ownership rights to the business qritten by agent. Insurer may or may not provide office and agency support serv. Agebt is ee or commiss I n independent contractor

Direct writing syst

Agent ee of insurer, paod salary,plus bonus or commision

Independent agency

Work with more than one insurer

Career agency systm

Agents recruited, trained and supervised by either a mang ee or general agent who is contract with insurer

Personal producing general agent

No recruiting,sell ins for insurer but maintain on office and staff. Multi contracts with differ agents

Mass marketing

Specific type ins, large grp i.e. AARP, insurer reduce marketing and underwriting expenses

Law of agency

Relationship btwn two parties agent acts on behalf of insurer (principle)

Principle (Insurer)

Responsible for acts of agent unless acts excees the authority of contract

Producer aka Agent

Appt by ins co. To represent it and present policies on its behlf

Express Authority (producer)

Written in contract

Implied authority (agent)

Public assumes i.e. making copies/send/fax

Apparent authority(producer)

Exceeds authority expressed i.e. took premium though policy is lapsed

Agent responsibility to Insurer

Fiduciary duty to insurer,espec ehen handle prem $,report facts that affect underwriting, solicit negot sell cancel policy with insurer

Agent responsibility to insrd

Fwrd prem timely, seek applicant ins needs, eval curr ins cov, serve best interest, recomm best protection

Broker

Licensed indiv who negotiate ls ins contract with insurer on behalf of insrd, represent applicant,license not applicable in all states