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70 Cards in this Set
- Front
- Back
Stock Insurance |
Owned by stock holders - non-participating policies |
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Mutual Insurance |
Owned by policy holders - participating policies |
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Reciprocal Insurance |
Group owned insurance - risk sharing by unrelated individuals |
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Lloyds of London |
Group of syndicates - specialize in a particular risk |
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Fraternal Benefit Society |
Social, non-profit organization base on a lodge or fraternal system |
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Risk Retention Group (RRG) |
Group owned insurer spreading liability risk of a member with a similar need |
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Reinsurance |
A device used by insurers to transfer/share a risk |
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Ceding company |
The insurer originating the application |
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Reinsurer |
The insurer that shares the risk |
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Financial Rating Services |
Evaluate and rate the financial stability of the insurance company (shared publicly) |
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Domestic Insurer |
Organized under the law of a specific state |
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Foreign Insurer |
Organized under the law of any state other than "that state" |
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Alien Insurer |
Outside of the US |
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Admitted |
Certified to insure in a state |
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Non-Admitted |
Not certified to insure in a state |
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Surplus Lines Insurance |
High-risk - can transact w/out certification (Unauthorized in a state) |
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Independent Agent |
Person who enter into an agency with more than 1 insurer & has ownership of the business |
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Exclusive Agent |
Represents one insurer having common ownership. Insurer provides office space, clerical support, prepares contract, mailing renewals, handles claims, etc. |
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Direct Writer |
Insurer that deals with public through an agent |
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Direct Mail |
Markets from home |
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Career Agency Systems |
Agents are recruited, trained, and managed |
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Personal Producing General Agency |
Doesn't recruit, sells insurance for carriers they are already contracted with |
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Agent |
Represents an insurer |
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Expressed Authority |
Written on paper |
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Implied Authority |
Assumed |
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Apparent Authority |
Exceeds authority |
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Insurance Broker |
Negotiates contracts |
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Fair Credit Reporting Act |
Makes sure data is safe and private |
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Violent Crime Control Act |
Possible employees cannot be convicted of a crime involving dishonesty or trust |
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Risk |
Is the uncertainty of a loss |
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Speculative Risk |
Possibility of a loss or gain EX: Gambling |
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Pure Risk |
Possibility of a loss or no loss EX: Death |
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Peril |
The cause of a loss |
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Hazards |
Increase the chance of a loss |
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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 |
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Moral Hazard |
Dishonest tendencies EX: Maxing out credit cards and then filing for bankcruptcy |
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Morale Hazard |
Indifference to a loss or failure to protect ones property from loss EX: Leaving your house w/out locking your door |
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Adverse Selection |
Insuring of risks more prone to losses than average risks |
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Sharing Risks |
Pooling finds to spread the risk |
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Transferring Risks |
By purchasing insurance, an insured transfers the risk |
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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 |
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Reduction |
Prevention of a potential loss |
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Retention |
Taking the responsibility of a loss - carrying a deductible |
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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 |
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The Law of Large Numbers |
The larger the number of exposures the closer the losses will equal the underlying probability of a loss |
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Insured |
A person, organization, or company protected by an insurance policy |
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Insurer |
The party who indemnifies for losses (Insurance Company) |
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Insurable events |
An event that may cause loss or damage (must be accidental) |
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Underwriting |
The process of evaluating a risk for the purpose of issuing insurance coverage - to be accepted or rejected |
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Insurable Interest |
The reasonable concern of a person to obtain insurance for any individual or property against unforeseen events |
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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 |
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Indemnity Contract |
Pays specific $$ amount for a loss |
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Parole Evident Rule |
Written contract can't be altered without the written consent of both parties |
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Valued Contract |
Pays a stated amount in the event of a loss EX Life insurance Contract |
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Subrogation
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When a claim is paid by the insurer |
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Contract of Adhesion |
One party prepares a contract and submits it to the other party of a "Take-it-or-leave-it" basis |
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Aleatory Contract |
Parties to a contract exchange unequal amounts of money - the premium paid is less than the potential benefit. |
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Personal Contract |
Cannot transfer/assign any policy and covers the insurable interest of the insured EX: Life insurance contract are not personal contracts |
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Unilateral Contract |
Enforces the promises of only the insurer |
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Conditional Contract |
To make the contract enforceable, both parties must perform duties |
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Principle of indemnity |
An insured is to be restored to the same financial condition as before the loss (cannot profit) |
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Utmost Good Faith |
Both parties rely upon statements and promises of each other |
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Representation |
Statements on the application believed to be true to the best of one's knowledge |
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Misrepresentation |
A false statement on the application that voids the acceptance of the risk |
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Warranties |
Guaranteed to be true |
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Concealment |
Intentional withholding of known facts |
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Fraud |
Intentional misrepresentation or concealment with intent to deceive |
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Waiver |
Voluntary abandonment of a known or legal right or advantage |
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Estoppel |
Legal doctrine that prevents the denial of a fact, if the fact was admitted to be tried by a previous action |
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