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70 Cards in this Set

  • Front
  • Back

Stock Insurance

Owned by stock holders - non-participating policies

Mutual Insurance

Owned by policy holders - participating policies

Reciprocal Insurance

Group owned insurance - risk sharing by unrelated individuals

Lloyds of London

Group of syndicates - specialize in a particular risk

Fraternal Benefit Society

Social, non-profit organization base on a lodge or fraternal system

Risk Retention Group (RRG)

Group owned insurer spreading liability risk of a member with a similar need

Reinsurance

A device used by insurers to transfer/share a risk

Ceding company

The insurer originating the application

Reinsurer

The insurer that shares the risk

Financial Rating Services

Evaluate and rate the financial stability of the insurance company (shared publicly)

Domestic Insurer

Organized under the law of a specific state

Foreign Insurer

Organized under the law of any state other than "that state"



Alien Insurer

Outside of the US

Admitted

Certified to insure in a state

Non-Admitted

Not certified to insure in a state

Surplus Lines Insurance

High-risk - can transact w/out certification (Unauthorized in a state)

Independent Agent

Person who enter into an agency with more than 1 insurer & has ownership of the business

Exclusive Agent

Represents one insurer having common ownership. Insurer provides office space, clerical support, prepares contract, mailing renewals, handles claims, etc.

Direct Writer

Insurer that deals with public through an agent

Direct Mail

Markets from home

Career Agency Systems

Agents are recruited, trained, and managed

Personal Producing General Agency

Doesn't recruit, sells insurance for carriers they are already contracted with

Agent

Represents an insurer

Expressed Authority

Written on paper



Implied Authority

Assumed

Apparent Authority

Exceeds authority

Insurance Broker

Negotiates contracts

Fair Credit Reporting Act

Makes sure data is safe and private

Violent Crime Control Act

Possible employees cannot be convicted of a crime involving dishonesty or trust

Risk

Is the uncertainty of a loss

Speculative Risk

Possibility of a loss or gain


EX: Gambling

Pure Risk

Possibility of a loss or no loss


EX: Death

Peril

The cause of a loss

Hazards

Increase the chance of a loss



Physical Hazard

Physical condition that increases the probability of a loss


EX: if you buy an old grass thatched wooden house, the wooden walls and the grass roofing are physical hazards that increase the chance of fire

Moral Hazard

Dishonest tendencies


EX: Maxing out credit cards and then filing for bankcruptcy

Morale Hazard

Indifference to a loss or failure to protect ones property from loss


EX: Leaving your house w/out locking your door

Adverse Selection

Insuring of risks more prone to losses than average risks

Sharing Risks

Pooling finds to spread the risk

Transferring Risks

By purchasing insurance, an insured transfers the risk

Avoiding Risks

After potential risks have been identified some exposure can be eliminated entirely


EX: Not purchasing a car, and never riding in one, eliminates the risk of getting into an accident

Reduction

Prevention of a potential loss

Retention

Taking the responsibility of a loss - carrying a deductible

Elements of Insurable Risk

There must be a large number of homogeneous unites


Loss must be definite


Loss must be accidental and unexpected


Loss must cause financial hardship


Loss must be calculable and premiums affordable


Loss must not include catastrophic perils

The Law of Large Numbers

The larger the number of exposures the closer the losses will equal the underlying probability of a loss

Insured

A person, organization, or company protected by an insurance policy

Insurer

The party who indemnifies for losses (Insurance Company)

Insurable events

An event that may cause loss or damage (must be accidental)

Underwriting

The process of evaluating a risk for the purpose of issuing insurance coverage - to be accepted or rejected

Insurable Interest

The reasonable concern of a person to obtain insurance for any individual or property against unforeseen events

Elements of a Legal Contract

Competent parties - Legal to enter into a contract (of age)


Legal purpose - May not be issued or illegal/immoral purposes


Agreement - Offer and Acceptance


Consideration - What the two parties exchange in value to abide by the conditions of the contract

Indemnity Contract

Pays specific $$ amount for a loss

Parole Evident Rule

Written contract can't be altered without the written consent of both parties

Valued Contract

Pays a stated amount in the event of a loss


EX Life insurance Contract

Subrogation

When a claim is paid by the insurer

Contract of Adhesion

One party prepares a contract and submits it to the other party of a "Take-it-or-leave-it" basis

Aleatory Contract

Parties to a contract exchange unequal amounts of money - the premium paid is less than the potential benefit.

Personal Contract

Cannot transfer/assign any policy and covers the insurable interest of the insured


EX: Life insurance contract are not personal contracts

Unilateral Contract

Enforces the promises of only the insurer

Conditional Contract

To make the contract enforceable, both parties must perform duties

Principle of indemnity

An insured is to be restored to the same financial condition as before the loss (cannot profit)

Utmost Good Faith

Both parties rely upon statements and promises of each other

Representation

Statements on the application believed to be true to the best of one's knowledge

Misrepresentation

A false statement on the application that voids the acceptance of the risk

Warranties

Guaranteed to be true

Concealment

Intentional withholding of known facts



Fraud

Intentional misrepresentation or concealment with intent to deceive

Waiver

Voluntary abandonment of a known or legal right or advantage

Estoppel

Legal doctrine that prevents the denial of a fact, if the fact was admitted to be tried by a previous action