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52 Cards in this Set

  • Front
  • Back
Selection of RM techniques
1. Avoid risks if possible
2. Implement appropriate loss control measures
3. Select the optimal mix of risk retention and risk transfer
Loss Control
anything we can do to engineer the frequency and severity of losses away
loss control will always be used in conjunction with:
either risk retention or risk transfer
General guidelines for RISK RETENTION
-Optimal for losses that have a LOW EXPECTED SEVERITY and a HIGH expected FREQUENCY
General guidelines for RISK TRANSFER
low expected frequency and HIGH expected severity
When losses have both high expected frequency and high expected severity:
likely that risk transfer, risk retention, and loss control will all need to be used in varying degrees
Implementing Decisions: interaction between:
1. Risk managers 2. insurance agents 3. brokers 4. insurance carriers
best way of handling subjective risk
adding knowledge through research, training, or education
a risk taker may be more willing to assume even greater risks as:
knowledge increases
Risk retention
involves the assumption of risk; if a loss occurs, an individual firm will pay for it out of whatever funds are available at the time
Risk Transfer
A risk management technique whereby one party (transferor) pays another (transferee) to assume a risk that the transferor desires to escape
Types of Retention
1. Planned Retention
2. Unplanned Retention
3. Funded Retention
4. Unfunded Retention
Planned Retention
a conscious and deliberate assumption of recognized risk
Unplanned Retention
The implicit assumption of risk by a firm or an individual that does not recognize that a risk is acknowledged to exist but the maximum possible loss associated with it is significantly underestimated.
Funded Retention
Pre-loss arrangement to ensure that money is readily available to pay for losses that occur
unfunded Retention
Absorbing the expense of losses as they occur, rather than making any special advance arrangements to pay for them
Types of Funded Retention
1. Credit
2. Reserve funds
3. Captive Insurers
4. Pools
5. Large Deductible Plans
6. Retrospective Rated Plans
7. Self-Insurance
Captive Insurers
a subsidiary formed to insure the risks of a parent or affiliated company
Types of Captive Insurers
1. Single Parent Captive (Pure Captive
2. Group Captive
3. Association Captive
Advantages of Captive Insurers
1. Cash Flow
2. Taxation Benefits
3. When a firm writes its insurance captive, it can write the policy exactly the way it wants
Disadvantages of Captive Insurers
1. Premium Taxes
2. Funding Obligations
3. Demand time and energy of the risk manager
4. Firm must have enough of a loss exposure to warrant these expenses
Pools
Well suited for organizations that are too small to use a captive or self-insure
advantages of Pools
1. Economies of Scale
2. Dividends
3. Claims and loss control expertise consolidated
Disadvantage of Pools
Ownership can mean additional capital outlay requirements
Large Deductible Plans
1. Very Straightforward
2. In exchange for a premium reduction, the insured agrees to pay for losses up to a chosen deductible level
3. Insurer may front claims pmt, then bill back the insured
4. Insurer maintains responsibility for adjusting the claims
Retrospective Rated Plans
Plans are one in which the premium rate is adjusted at the END of the policy period based on a portion of the insureds ACTUAL LOSSES during the policy period
Self- Insurance
1. way of mixing risk retention and risk transfer
2. Same statistical techniques used to select deductibles can be used in choosing a retention level for a self-insurance program
3. cash flow advantage of funds set aside in a reserve fund is an additional factor that must be considered in assessing the value of self-insurance
4. Even though firms may save money in the long run, firms may not choose it
Conditions where self-insurance is possible and feasible
1. have sufficient # of objects so theyre not subject to simultaneous destruction
2. objects should be similar in nature and value so calculations of probable loss will be accurate within a narrow range
3. firm must have accurate records or have access to satisfactory stats to enable it to make good estimates of expected losses
4. firm must make arrangements for administering the plan and managing the self-insurance fund
5. financial condition of the firm should be satisfactory
when self-insurance works well
1. losses that are fairly predictable
2. losses that are high frequency and low severity
3. losses that are paid out long after they occur, thus providing cash flow benefits
4. when insured desires control over the adjudication and closure of a claim
Decisions regarding retention: financial resources
total assets, total revenues, asset liquidity, cash flows, working capital, ratio of revenues to net worth, retained earnings, ratio of debt to net worth
premature death
occurs before the life stage where death becomes increasingly accepted by society as a part of the natural, expected order of life
executor fund
monies required to settle a deceased's estate. may include payment of outstanding debts, estate and inheritance taxes, and expenses to transfer assets to survivors.
Executor
person appointed to carry out the terms of the deceased's will
those affected by death
young children, surviving spouse, other surviving dependents
Business-related Death Exposures
Key employee- an employee who performs services that would be hard to replace if they died; or a person with ownership rights in the firm
Why have death rates been declining
1. advances in medical technology
2. improvements in economic states
Mortality Tables
express the probabilities of living and dying at various ages in a convenient format for a particular assumed population of persons. DEATH RATES IN INSURANCE MORTALITY TABLES ARE PURPOSELY OVERSTATED FOR CONSERVATIVENESS
Human Life Value
the sum of money that, when paid in installments of both principal and interest over the individual's remaining working life, will produce the same income as the person would have earned, after deducting assumed amount for taxes and personal maintenance expenses
Exposure due to Loss of Health: 2 Categories
1. Expenses that must be paid for MEDICAL CARE
2. Income that cannot be earned due to time away from work while health problems persist
Factors contributing to the high cost of Health Care
1. Fact that people are living longer
2. New medical Technology
3. Frequency and Severity of liability awards
4. Cost shifting
Variation of Physicians and Surgeon Fees: medical expenses vary
geographically, specialty of the provider, type of visit
Long Term Care Options
skilled nursing home care, custodial nursing homes, personal care homes, intermediate nursing home care, home health care
Disability Loss
when a person is unable to work because of an illness or injury
Temporary Disabilities
persons eventually recover and return to work
Permanent Disabilities
someone is expected to remain disabled until death
Total Disability
completely incapable of gainful employment during the time of the disability
Partial Disability
a decreased ability to earn a living but not a complete cessation of employment possibilities
Causes of Disability
1. Accident
2. Illness
Primary Loss
loss of income that would have been earned if a person had not become disabled.
Sources of Income for elderly persons
payments from employee retirement programs, federal social security benefits, part time earnings, investment income from financial assets, public assistance
Consumerism
the theory that an increasing consumption of goods is desirable to the economy
Why might consumerism be a solution to our national health insurance issues?
expand health insurance coverage, improve coverage for those with health insurance, improve access to and quality of care, control rising healthcare costs, offer universal coverage.