Shared Flashcard Set

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Insurer Operations and Statutory Accounting
Test 2
186
Business
Undergraduate 4
10/12/2009

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Cards

Term
Direct Writer
Definition

Types of Marketing Systems

An insurance marketing system that uses sales agents who are direct employees of the insurer?

Term
Exclusive agency
Definition

Types of Marketing Systems

An insurance marketing system underwhich agents contract to sell insurance exclusively fro one insurer (or for an associated group of insurers)

Term
exclusive agents
Definition

Types of Marketing Systems

  • Not employees of the insurers
  • restricted by contract to representing a single insurer
Term
independent
Definition
Insurer management can excercise greater control over exclusive agents than over ________ agents.
Term
lower
Definition
In terms of overall compensation, insurers in the exclusive agency system commonly pay one commission rate for new business and another, ____ rate for renewal business
Term
same
Definition
Independent agents and brokers, usually receive the _______ commission rate for both new and renewal business.
Term
new-business
Definition
For exclusive agents, the focus is on ___-________ production, and a reduced renewal commission rate encourages sales and supports growth
Term
indepenent agents and brokers
Definition

Types of Marketing Systems

An insurance marketing system underwhich producers (agents or brokers), who are independent contractors, sell insurance, usually as representatives of several unrelated insurers

Term
  1. Agents
  2. Brokers
Definition
2 types of producers?
Term

Independent Agents and Brokers

 

Definition

Types of Marketing Systems

  • Producers are not employees of insurers
  • Are free to represent as many or as few insurers as they want
  • Own policy expirations and can place business whith any other other insurers they represent.
Term
expirations
Definition
The largest and most marketable asset of an insurance agency?
Term
  1. Flat percent commission on all business submitted
  2. Profit-sharing commission earned by meeting volume or profit goals
Definition
Compensation under the independent agency and brokerage system is typically in two forms?
Term
Independent agents and brokers (producers)
Definition

Types of Marketing Systems

  • provide risk management advice to their customers, helping them to select the insurance coverages needed an on the most advantageous terms
  • Assist their customers:
    •  in establishing and managing self-insurance programs
    • implementing loss control measures
    • detrmining alternatives or supplements to insurance
Term
  1. Aon
  2. Willis
  3. Marsh
Definition
3 big insurance brokers?
Term
agents
Definition
Represent insurance companies
Term
brokers
Definition
represent clients?
Term
exclusive agents
Definition
Limited to selling only the policies of the insurer they represent
Term
exclusive agents
Definition
Ownership of expiration dates only during their employment?
Term
lower
Definition
In terms of overall compensation, insurers in teh exclusive agency system commpnly pay one commission rate for new business and another, ____ rate for renewal business
Term
same
Definition
Independent agents and brokers usually recieve the ______ commission rate for both new and renewal business, because lower renewal commisisons might temp an independent agent to switch business to a different insurer on renewal to get the higher new-business commission
Term
new-business
Definition
For exclusive agents, the focus is on ______-_________ production, and a reduced renewal commission rate encourages sales and supports growth
Term
exclusive agency company
Definition
The _______ __________ _______ handles many administrative functions for the exclusive agent, including policy issuance, premium collection, and claim processing
Term
direct writer
Definition

Types of Marketing Systems

An insurance marketing system that uses sales agents who are direct employees of the insurer?

Term
Direct Writer
Definition

Types of Marketing Systems

Compensated by salary, by commission, or by both salary and a portion of the commission generated

Term
  1. Exclusive agents
  2. Direct writers
Definition
What are the two marketing channels that are relieved of administrative function sby their employers?
Term
does not
Definition
The direct writer does/does not have ownership of their expiration dates?
Term
  1. Earn a profit
  2. Meet customer needs
  3. Comply with legal requirements
  4. Fulfill duty to society
Definition
What are the four equally importat goals of an insurance company?
Term
yes
Definition
Do independent agents and brokers have the authority to settle small claims?
Term
state
Definition
One of an insurer's greatest responsibilities is compliance with _______ regulation?
Term
exclusive agents
Definition
Can be referred to as independent contractors?
Term
Direct Writers
Definition

Types of Marketing Systems

Liberty Mutual uses which marketing system?

Term
Direct mail
Definition

Types of Marketing Systems

  • Run advertisemetns and run a call center
  • Don't have agents knocking on doors
Term
lower
Definition

Types of Marketing Systems

  • Direct mail has ______ sales costs?
Term
lower
Definition

Types of Marketing Systems

  • Direct mail has ______ marketing costs (cost to sell insurance)
Term
direct mail
Definition

Types of Marketing Systems

  • GICEO and USAA are examples of which marketing system?
Term
no
Definition

Types of Marketing Systems

Does direct mail offer commission?

Term
direct mail
Definition

Types of Marketing Systems

Offers less service to customers (no agents)?

Term
direct writers
Definition

Types of Marketing Systems

Focus on large, simple markets?

Term
Excess and surplus lines (E&S) brokers
Definition

Types of Marketing Systems

  • Persons or firms that place business with insurers not licensed (nonadmitted) in the state in which the transaction occurs but that are permitted ("eligible") to write insurance because coverage is not available through standard market insurers
Term
Excess and Surplus Lines (E&S) brokers
Definition

Types of Marketing Systems

  • more flexibility in solvency and products
Term
Excess and Surplus Lines (E&S) brokers
Definition

Types of Marketing systems

  • Do great in hard markets
  • Mainly commercial business
Term
  1. Have access to insurers that ahve the capacity to provide the needed insurance
  2. Can use to place coverage on an unfavorable loss exposure (one that has a poor claim history, difficult to treat exposures, etc.)
Definition
2 advantages of E&S brokers?
Term
  1. Sales
  2. Underwriting
  3. Claims
  4. Risk Management
Definition
What are the 4 functions of producers?
Term
Cold canvass
Definition
Also known as "cold calling," is an insurance sales technique involving the soliciation of insurance prospects either by phone or in person, without a prior appointment 
Term
make sure agent has long term career goals
Definition
What is the best way to make sure you are not buying too much unneeded insurance from a rogue agent?
Term
27-30%
Definition
What is the average underwriting expense?
Term
56.7%
Definition

Expenses by line (%)

  • Surety?
Term
46.9%
Definition

Expenses by line (%)

Boiler and Machinery?

Term
17.7%
Definition

Expenses by line (%)

Workers Compensation?

Term
Commission
Definition
_____________ on business sold is the principal source of income for producers?
Term
expirations
Definition
Ownership of policy _________ applicable to the business sold is the pricipal asset of an insurance company?
Term
  1. quicker service to policy holders
  2. lower loss adjustment expenses (LAE)
Definition
Claim handling by qualified producers offers 2 major advantages?
Term
independent agents and brokers
Definition

Types of Marketing Systems

attracts buyers who have complex insurance needs or consider quality of service more important than cost

Term
Exclusive agents and direct writers
Definition

Types of marketing systems (2)

Successful in dealing with large volumes of insurance buyers who have relatively simple needs- primarily individuals; families; and small, main-street-type businesses

Term
Exclusive agents and brokers
Definition

Types of marketing systems (2)

Appealed most successfuly to customers who are more concerned with price than iwth personalized serivce?

Term
Mass Merchandising and Group Sales
Definition

Types of Marketing approaches

  • Agent goes to group and offers a contract for term life on all employees
  • Is voluntary for employees to participate, then company individually underwrites each application
Term
Mass marketing
Definition

Types of Insurance marketing?

  • Offer an insurer's policies to large numbers of targeted individuals or groups
  • Coverage is frequently offered at a discounted premium, and the insurer retains the right to underwrite each applicant, with guaranteed policy issuance available as an option
Term
Affinity marketing
Definition
A type of group marketing that targets various groups based on profession, association, interestes, hobbies, and attitudes
Term
  1. Less Administrative expenses
  2. Aviod adverse selection ( on average lower claims, lower expenses)
Definition
2 reasons group insurance is good for everyone?
Term
Internet
Definition

Insurers and producers derive a number of benefits from having an _________ presence, including:

  • Reduced costs for underwriting and claim processing serives because of lower overhead arising form automated operations
  • Streamlined business practices-- fewer employees are needed to conduct direct sales
  • Increased brand awareness
  • Broadened marketing potential
  • Lead-generation and cross-selling opportunities for all products, not just property-casualty insurance
Term
Underwriting
Definition

 

The process of determining what loss exposures will be insured, for what amount of insurance, at what price, and under what conditions
Term
Underwriting
Definition
Goal: Selection and Classification of profitable risks
Term
adverse selection
Definition
The primary problem of underwriting is _______ ________ resulting from information assymatries
Term
  1.  bEvaluate loss exposures
  2. Monitoring the loss exposures
  3. Implementing the underwriting decision
  4. Determining the appropriate premium
  5. Selecting un underwriting alternative
  6. Determining underwriting alternatives
Definition
6 Steps of the underwriting process
Term
contingency commission
Definition
A _________ ___________ agreement, which provides teh producer or MGA (Managing general agent) with an additional commission based on a favorable loss ratio and on teh increase in premium volume, provides an incentive for sound underwriting
Term
book of business
Definition
a group of policies, also called a portfilio, witha common characteristic, such as territory or type of coverage, or all policies written by a particular insurer, producer, or agency
Term
adverse selection
Definition
A situation that occurs because people with the greatest probability of loss are the ones most likely to purchase insurance
Term
physical hazard
Definition

Types of hazards

A tangible condition of property, persons, or operations that increases the frequency or severity of loss

Term
Moral hazard
Definition

Types of hazards

A condition that increases that likelihood that a person will intentionally cause or exaggerate a loss; basically conducting fraud

Term
morale hazard
Definition

Types of hazards

A condition of carelessness or indifference that increases the frequency or severity of a loss

Term
Legal Hazard
Definition

Types of hazards

A condition of the legal environment that increases loss frequency or severity

Term
field underwriting
Definition
Where does the underwriting process start?
Term
Excess and Surplus lines
Definition
This type of insurance line has much more manuverability as far as determining price, conditions, and how much coverage to sell, etc..?
Term
Redlining
Definition
  • Used when companies don't apply underwriting standards used in a uniform way
  • A type of discrimination?
Term
Bureaus
Definition
  • Only store medical hard facts (ex. major back problem)
  • Do not store decisions about whether to accept/reject an application
Term
independent producers
Definition
The ability to match each applicant with an appropriate insurer is an essential skill for _____________ _____________?
Term
conduct examinations
Definition

 

bRegulators perform market _________ _________to determine whether insurers adhere to the classification and rating plans they have filed.
Term
rarely
Definition
Retention and Reinsurance _________ makes an unnaceptable risk acceptable?
Term
  1. Preferred
  2. Standard
  3. Substandard
Definition
3 categories of business for underwriters?
Term
Preferred
Definition

Categories of business for underwriters

____________- get a discount on rates, 10% of business

Term
standard
Definition

Categories of business for underwriters

____________- 80%

Term
Substandard
Definition

Categories of business for underwriters

___________- pay a higher premium, 10%

Term
True
Definition

T/F?

Underwriters may still write insurance coverage for a marginal policy to keep the other profitable business from that client?

Term
True
Definition

T/F?

You should hold a wide mix of bsuiness to diversify location exposure?

Term
standard
Definition
If our isurance company is tight on capacity, we should use _______ forms?
Term
personal
Definition
Which lines of insurance are more highly regulated, personal or commercial?
Term
NY, CA, MA
Definition
What are the three states that many insurance companies try to aviod because of their strict regulation?
Term
specialty
Definition
If your company is tight on personnell, your company should avoid writing _______ lines?
Term
bureau, standard
Definition
If your insurance company is low on personnnel (actuaries), you should use ________ forms or ________ rates?
Term
yes
Definition
Does the reinsurer provide some imput on rate calculations?
Term
Cash flow
Definition
__________ _________ Underwriting takes into consideration future investment income into rate making?
Term
losses, expenses
Definition
Premiums= PV of expected ________ + PV of ________?
Term
hard, soft
Definition
_____________ and ____________ markets make up the underwriting cycle?
Term
increase
Definition
In a hard market, prices ______?
Term
decrease
Definition
In a soft market, prices ______?
Term
hard
Definition
Currently, we are in a ____ market?
Term
sessionaire
Definition
What is another word for reinsurance companies?
Term
Cut-through clause
Definition
This clause allows an insured to directly access a reinsurer if the Insurer in question goes bankrupt?
Term
no
Definition
Will a cut-through clause work in homeowner's policies?
Term
no
Definition
Is there a contractual relationship between the insured and the reinsurer?
Term
Ceding
Definition
__________ commission: the reinsurer's portion of underwriting cost
Term
reinsurance
Definition

 

Shifting of part or all of the insurance originally written by one insurer to another insurer?
Term
Primary insurer
Definition
An insurer that transfers teh liability for the loss expsoures it ceeds to a reinsurer?
Term
reinsurer
Definition
An insurer that accepts teh liability for loss exposures ceded by another insurer?
Term
ceding commission
Definition
A fee paid to a primary insurer by a reinsurer to compensate teh primary insurer for acquisition costs such as state premium taxes, agents' commissions, and other operating costs?
Term
retrocession
Definition
A contractual agreement in which one reinsurer transfers part of the liability for its loss expsoures assumed under reinsurance agreemtns to other reinsurers
Term
Cut-through
Definition

__________ __________ endorsement:

An endorsement that provides that, in the event of the insolvency of the primary insurer, teh reinsurer directly assumes the obligations of the primary insurer?

Term
Faculative
Definition

Types of Reinsurance:

  • case by case
  • no obligation by either party
  • flexibility and cost
Term
Treaty
Definition

Types of Reinsurance:

  • automatic
  • obligation by both parties
Term
large
Definition

Reasons for Reinsurance:

Increases ______ line capacity?

Term
smaller
Definition

Reasons for Reinsurance:

Makes _______ insurers competitive

Term
income, reduces
Definition

Reasons for Reinsurance:

Smoothes________ and _________ taxes?

Term
loss
Definition

Reasons for Reinsurance:

Stabilizes _______ ratio?

Term
solvency
Definition

Reasons for Reinsurance:

Improves _________ and reported results

Term
no
Definition
Do proportional or pro-rata treaties have an effect on loss ratios?
Term
price
Definition
Proportional or pro rata treaties are easy to _____?
Term
harder
Definition
Non proportional or excess treaties are _________ to price?
Term
independent
Definition

Non-proportional or excess treaties:

Contract is completely ________ of policies?

Term
grows
Definition
SAP leads to a drain on surplus when an insurer __________?
Term
large-line
Definition

___________-__________ capacity:

A primary insurer's ability to provide a large amount of insurance under a single policy.

Term
surplus
Definition

________ relief:

A flow of funds into an insurer's policyholders' surplus when policy holders' surplus has been reduced by the ineurer's rapid growth in written premiums

Term
treaty
Definition

__________ reinsurance:

an agreement in which the primary insurer agrees to cede certain types of loss expsoures, and the riensurer agrees to accept the loss exposures that fall within the treaty?

Term
facultative reinsurnce
Definition

__________ reinsurance:

An agreement that is negotiated separately for each loss exposure the primary insurer wants to reinsure and that gives the reinsurer the right to accept or reject each loss expsoure

Term
Pro rata
Definition

___________ _______ reinsurance:

An agreement in which the amount of insurance, premium, and losses are divided between the primary insurer and the reinsurer in the same agreed portions (proportional reinsurance)

Term
Excess of loss
Definition

____________ ___ ___________ reinsurance?

An agreement that requires a reinsurer to pay that portion of a loss that exceeds the primary insurer's retention up to the reinsurance limit (nonproportional reinsurance)

Term
Quota Share Treaty
Definition

_____________ ___________ ___________:

A pro rata reinsurance agreement under which the primary insurer cedes a fixed, predetermined percentage of every loss exposure it insurers within a calss or classes

Term
Quota share
Definition

Types of Reinsurance:

Main purpose: to provide surplus relief?

Term
no
Definition

Types of Reinsurance:

Does quota share stabilize loss experience?

Term
yes
Definition

Types of Reinsurance:

Does quota share improve large-line capacity?

Term
no
Definition

Types of Reinsurance:

Does quota share provide catastrophe protection?

Term
yes
Definition

Types of Reinsurance:

Does quota share provide surplus relief?

Term
no
Definition

Types of Reinsurance:

Does Surplus share stabilize loss experience?

Term
yes
Definition

Types of Reinsurance:

Does surplus share improve large line capacity?

Term
no
Definition

Types of Reinsurance:

Does surplus share provide catastrophe protection?

Term
yes
Definition

Types of Reinsurance:

Does surplus share provide surplus relief?

Term
surplus share
Definition

Types of Reinsurance:

Main purpose: to provide large-line capacity while providing some surplus relief?

Term
yes
Definition

Types of Reinsurance:

  • Does excess of loss per risk or per policy stabilize loss experience?
Term
yes
Definition

Types of Reinsurance:

  • Does excess of loss per risk or per policy improve large line capacity?
Term
yes, to some extent, but not purchased for that purpose
Definition

Types of Reinsurance:

  • Does excess of loss per risk or per policy provide catastrophe protection?
Term
no
Definition

Types of Reinsurance:

  • Excess of loss per risk or per policy, is this type of insurance purchased for the main purpose of catastrophe protection?
Term
no
Definition

Types of Reinsurance:

  • Does Excess of loss per risk or per policy provide surplus relief?
Term
Excess of loss per risk or per policy
Definition

Types of Reinsurance:

  • Main purpose: to provide large line capacity while stabilizing loss experience?
Term
yes, to the extent losses fluuctuate because of an accumulation of losses from a single occurrence
Definition

Types of Reinsurance:

  • Does Excess of loss per occurrence stabilize loss experience?
Term
no
Definition

Types of Reinsurance:

  • Does Excess of loss per occurrence improve large line capacity?
Term
yes
Definition

Types of Reinsurance:

  • Does Excess of loss per occurrence provide catastrophe protection?
Term
no
Definition

Types of Reinsurance:

  • Does Excess of loss per occurrence provide surplus relief?
Term
excess of loss per occurrence
Definition

Types of Reinsurance:

  • Main purpose: to protect against catastrophic losses from one event
Term
yes
Definition

Types of Reinsurance:

  • Does Aggregat excess of loss stabilize loss experience?
Term
yes, but not purchased for this purpose
Definition

Types of Reinsurance:

  • Does Aggregat excess of loss improve large-line capacity?
Term
no
Definition

Types of Reinsurance:

  • Is Aggregat excess of loss purchased for the main purpose of improving large line capacity?
Term
yes
Definition

Types of Reinsurance:

  • Does Aggregat excess of loss provide catastrophe protection?
Term
no
Definition

Types of Reinsurance:

  • Does Aggregat excess of loss provide surplus relief?
Term
Aggregate excess of loss
Definition

Types of Reinsurance:

  • Main purpose: to stabilize loss experience
Term
surplus share
Definition

______ ______ treaty:

 a pro rata reinsurance agreement in which the reinsurer assumes pro rata responsibility for only that portion of a loss exposure's liability that exceeds a stipulated dollar amount?

Term
book
Definition
An aggregate excess treaty is writen on an entire ______ of business?
Term
yes
Definition
Is an aggregae excess treaty a really expensive type of coverage?
Term
underwriting
Definition
Aggreagate excess or a stop loss treaty transfers _________ risk?
Term
retention
Definition

Types of Reinsurance:

  • An aggreage excess or stop loss treaty has usually very high ________ levels?
Term
Per occurrence
Definition

____________ _____________ excess of loss treaty:

A reinsurance agreemnt that indemnifies teh primary insurer when teh losses for an occurrence exceed teh primary insurer's retention?

Term
Catastrophe
Definition

_________ excess of loss treaty:

  • A reinsurance agreement that helps the primary insurer manage a large accumulation of losses from a single event, such as a hurricane or an earthquake?
Term
Aggregate
Definition

____________ excess of loss treaty:

A reinsurance agreement under which the reinsurer begnins to pay when all of the primary insurer's losses for some stated period of time exceed teh retention stated in teh treaty?

Term
Pro rata
Definition

________ ______ Facultative reinsurance:

A reinsurance agreement for individual loss exposures in which the reinsurer shares a pro rata portion of the losses and premiums of the ceding company?

Term
Excess of Loss
Definition

___________ ___ _________ Facultative reinsurance:

A reinsurance agreement for individual loss exposures in which the primary insurer pays all losses up to its agreed retention and teh reinsurer pay slosses in excess of the retention up to teh reinsurance limit?

Term
surplus
Definition

Facultative Reinsurance

_________ share is adminstratively more costly?

Term
surplus
Definition

Faculatative Reinsurance:

Pro rata facultative- usually use _____ share?

Term
risk; policy
Definition

Facultative Reinsurance:

Excess of loss facultative:

Ususally on a per _______ or per ________ excess?

Term
risk
Definition

Reinsurance Underwriting:

Facultative focuses on ________?

Term
  • Character
  • Capacity
  • Capital
Definition

Reinsurance Underwriting:

  • Treaty focuses on the 3 C's?
Term
66.67
Definition

Insurance Marketing:

Broker vs. Direct: What % of the market uses the broker marketing channel?

Term
Adhesion
Definition

Contract of ___________?

  • Any ambigiuties go in favor of the insured
  • insurance company has much know knowledge than the public
Term
no
Definition
Are reinsurance contracts contracts of adhesion?
Term
yes
Definition
Does the reinsurer have to follow the decisions made by teh primary insurer?
Term
yes
Definition
Does the reinsurer have the right to look through primary insurer's files whenever they like?
Term
claim settlement
Definition
Ultimate net loss includes ___________ __________ expenses?
Term
claim settlement
Definition
The reinsurer pays a portion of the ________ _______ expenses, then it takes a part in teh settlement process?
Term
less
Definition
Reinsurance companies are more/less regulated than primary insurance companies?
Term
no
Definition

Primary insurer:

Is having reinsurance a subsititute for keeping adequate surplus on hand?

Term
inflation
Definition
___________ has a much greater impact on reinsurance than on regular insurance?
Term
large line capacity
Definition
Surplus share treaties are superior to quota share treaties in providing ______ ________ ________ because under a surplus hare treaty, the primary insurer can obtain multiple lines of reinsurance coverage up to the treaty limit.
Term
loss experience
Definition
Quota share treaties are not effective in stabilizing _________ _________ because they don't affect the primary insurer's loss ratio?
Term
premium
Definition
From the primary insurer's viewpoint, the principal advantage of per risk or per policy excess of loss treaties compared to pro rata treaties is that less ________ is shared with the reinsurer?
Term
ceding
Definition
Excess of loss treaties are generally not as effective as pro rata treaties in providing surplus relief because __________ commissions are normally not paid by the reinsurer to the primary insurer
Term
large line
Definition
Per risk or per policy excess of loss treaties are effective in providing ______ ________ capacity because they absorb the large losses that limit the primary insurer's ability to insure large exposures
Term
surplus
Definition
Per occurrence excess of loss treaties do not provide ________ relief, because the reinsurer usually does not pay a ceding commission?
Term
loss
Definition
Aggregate excess of loss treaties are the most effective of all types of reinsurance for stabilizing the primary insurer's ______ experience because these treaties eliminate fluctuations in aggregate loss amounts
Term
catastrophe
Definition
Per occurrence excess of loss treaties protect against an accumulation of losses resulting from a single event and are therefore the most effective type of reinsurance treaty for _________ protection
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