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The transfer of the risk of loss from an individual or business to an insurance company. |
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The chance of a loss occuring. |
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What are the two types of risk? |
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- A situation that can only result in a loss or no change.
- There is NO financial gain.
- This is the only type of risk that an insurance company will cover.
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- A situation that could involve either a financial gain or loss.
- This type of risk is not insured.
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A unit of measurement used to determine rates charged for insurance coverage. |
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A large number of units (or people) having the same or similar exposure to loss. |
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A reduction, decrease, or disappearance of the value property or the person being insured in a policy caused by a named peril. |
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Condition or action that increases the probability of loss. |
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What are the four ways of handling risk? |
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- Avoidance
- Sharing
- Retention
- Reduction
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What is the method of dealing with risk for a group of individual people or businesses with the same or similiar exposure to loss to share the losses that occur within the group? |
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What is a formal risk-sharing arrangement called? |
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A reciprocal insurance exchange. |
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Which method of handling risk is used when the exposure to risk is eliminated? |
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What are the three purposes of risk retention? |
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- To reduce expenses and improve cash flow.
- To increase control of claim reserving and claim settlements.
- To fund for losses that cannot be insured.
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Name the type of method for handling risk when the insured handles the planned assumption of risk by utilizing deductibles, co-payments or self-insurance. |
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What is the method of handling risk when the insured trys to lessen the possibility or severity? |
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What are the five elements of insurable risk? |
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- Must be due to chance or outside the insured's control
- Must be definite and measurable
- Must be statistically predictable
- Must not be catastrophic
- Must be randomly selected and have a large loss exposure
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What is the difference between an accident and an occurrence? |
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Occurrence differs from an accident because it includes losses caused by a continuous or repeated exposure to condition resulting in injury to persons or damage to property that is neither intended or expected. An accident is a single event. |
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Covers losses to belongings, possessions, and assets in which the insured has a financial interest. |
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A property insurance contract between the insured and the insurer is also known as a... |
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A single property insurance policy that provides coverage for
- A multiple of classes of property at one location
- One or more classes of property at multiple locations
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A property insurance policy that covers a specific kind or unit of property for a specific amount of insurance. |
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What is another name for casualty insurance? |
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What is another name for liability insurance? |
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What does casualty insurance cover? |
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It covers the expenses for the damages received by a third party for bodily injury, property damage, personal injury, or advertising injury. |
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Who receives the payment in a casualty claim? |
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The third party. Never the policyholder. |
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Insurer's limit for payment as stated in the insurance policy. |
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The maximum limit of coverage available under a liability policy during a policy year, regardless of the number of claims or the number of accidents that occur. |
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Separately stated limits of liability for different coverage. |
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Explain 25/50/25 split limit. |
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$25K for injury of a single person
$50K for bodily injury to two or more people
$25K for damage of property to others |
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Single dollar limit of liability applied to the total of damages for bodily injury and property damage resulting from one accident or occurrence. |
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Maximum amount available for payment of bodily injury to a single person in an accident |
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Individual whose name appears first on the policy's declaration page. |
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What is unique about the first named insured in a commercial policy? |
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- Has control over the policy.
- Is the only one who can cancel the policy or request changes to the policy.
- Is the one who is responsible for paying the premium and reporting losses.
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Individuals or businesses that are not named as insured on the declaration page, but are protected by the policy in regard to a specific interest. Usually added to the policy by endorsement. |
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Individual(s) whose name appears on the policy's declaration page. |
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Two types of property losses |
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- Direct loss
- Indirect loss
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Direct, physical damage to buildings or personal property. |
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Losses that occur due to the result of a direct loss. |
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What is another term used for consequential losses? |
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Indirect losses
Example of a indirect or consequential loss: Extra living expense because an insured's home is being repaired or loss of profits for a business if the business has to close for repairs. |
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An act or event that is the immediate or actual cause of a loss.
Example: Building catchs on fire. Firemen use water to put out flames causing water damage to the walls and floor coverings. Although water damage is not an insured peril, the damage is paid for because fire was the proximate cause of loss. |
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A latent defect or fault in the property that leads to the destruction of the property.
Example: Fruit destroyed by a fire would be covered, but spoilage would not because fruit will rot over a period of time. |
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The transfer of a legal right or interest in an insurance policy. In property and casualty insurance, assignments are valid only with prior written consent of the insurer. |
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Insurance company owned by the stockholders who provide the capital necessary to establish and operate the insurance company and the stockholders share in the profits and losses. Officers are elected by the stockholders. |
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Insurance company owned by the policyholders. |
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Nonparticipating policies |
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A type of policy that does not pay dividends to the policyholder; however, taxable dividends are paid to the stockholders. |
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Policyholder is entitled to dividends which are usually the return of excess premiums and are nontaxable. |
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What type of policies does a stock company provide? |
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Nonparticipating policies |
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What type of policies does a mutual company provide? |
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A risk retention group that is a liability insurance company owned by its members. The members are exposed to similiar liability risks by being in the same business or industry, such as mal-practice insurance for doctors. |
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What is the difference between private insurers and government insurers? |
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- Government insurers are funded by taxes and serve national and state social purposes. Example of government insurance: Medicare, Social Security, National Flood, and Federal Crop.
- Private insurers are funded by premium from the policyholder and their investments.
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Insurance company that is incorporated in the state
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An insurance company that is incorporated in another state. |
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An insurance company incorporated outside the United States. |
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A document that authorizes a company to start conducting business and specifies the kinds of insurance a company can transact. |
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Admitted Insurer (aka Authorized insurer) |
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An insurance company that has qualified and has received a Certificate of Authority from the Department of Insurance to transact insurance in a state. |
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Nonadmitted Insurer (aka Nonauthorized Insurer) |
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An insurance company that has not applied (or has applied and been denied) a Certificate of Authority and may not transact insurance. |
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What is the purpose of reinsurance? |
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To protect insurers from catastrophic losses. |
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The insurance company that purchases insurance on itself from another insurer. |
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