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Section II Key Terms and Concepts
Indiana Property & Casualty Pre-License Exam
61
Insurance
Professional
01/10/2015

Additional Insurance Flashcards

 


 

Cards

Term
Insurance
Definition
The transfer of the risk of loss from an individual or business to an insurance company.
Term
Risk
Definition
The chance of a loss occuring.
Term
What are the two types of risk?
Definition
  1. Pure
  2. Speculative
Term
Pure Risk
Definition
  1. A situation that can only result in a loss or no change.
  2. There is NO financial gain.
  3. This is the only type of risk that an insurance company will cover.

 

Term
Speculative Risk
Definition
  1. A situation that could involve either a financial gain or loss.
  2. This type of risk is not insured.
Term
What is exposure?
Definition
A unit of measurement used to determine rates charged for insurance coverage.
Term
What is homogeneous?
Definition
A large number of units (or people) having the same or similar exposure to loss.
Term
Peril
Definition
The cause of loss.
Term
Loss
Definition
A reduction, decrease, or disappearance of the value property or the person being insured in a policy caused by a named peril.
Term
Hazard
Definition
Condition or action that increases the probability of loss.
Term
What are the four ways of handling risk?
Definition
  1. Avoidance
  2. Sharing
  3. Retention
  4. Reduction
Term

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?

Definition
Sharing
Term
What is a formal risk-sharing arrangement called?
Definition
A reciprocal insurance exchange.
Term
Which method of handling risk is used when the exposure to risk is eliminated?
Definition
Avoidance
Term
What are the three purposes of risk retention?
Definition
  1. To reduce expenses and improve cash flow.
  2. To increase control of claim reserving and claim settlements.
  3. To fund for losses that cannot be insured.

 

Term
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.
Definition
Risk retention
Term
What is the method of handling risk when the insured trys to lessen the possibility or severity?
Definition
Reduction
Term
What are the five elements of insurable risk?
Definition
  1. Must be due to chance or outside the insured's control
  2. Must be definite and measurable
  3. Must be statistically predictable
  4. Must not be catastrophic
  5. Must be randomly selected and have a large loss exposure
Term
What is the difference between an accident and an occurrence?
Definition
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.
Term
Property insurance
Definition
Covers losses to belongings, possessions, and assets in which the insured has a financial interest.
Term
A property insurance contract between the insured and the insurer is also known as a...
Definition
Two-party contract
Term
Blanket insurance
Definition

A single property insurance policy that provides coverage for

  1. A multiple of classes of property at one location
  2. One or more classes of property at multiple locations
Term
Specific insurance
Definition
A property insurance policy that covers a specific kind or unit of property for a specific amount of insurance.
Term
What is another name for casualty insurance?
Definition
Liability insurance
Term
What is another name for liability insurance?
Definition
Casualty insurance
Term
What does casualty insurance cover?
Definition
It covers the expenses for the damages received by a third party for bodily injury, property damage, personal injury, or advertising injury.
Term
Who receives the payment in a casualty claim?
Definition
The third party.  Never the policyholder.
Term
Limit of liability
Definition
Insurer's limit for payment as stated in the insurance policy.
Term
Aggregate
Definition
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.
Term
Split limits
Definition
Separately stated limits of liability for different coverage.
Term
Explain 25/50/25 split limit.
Definition

$25K for injury of a single person

$50K for bodily injury to two or more people

$25K for damage of property to others

Term
Combined single limit
Definition
Single dollar limit of liability applied to the total of damages for bodily injury and property damage resulting from one accident or occurrence.
Term
Per person
Definition
Maximum amount available for payment of bodily injury to a single person in an accident
Term
First named insured
Definition
Individual whose name appears first on the policy's declaration page.
Term
What is unique about the first named insured in a commercial policy?
Definition
  1. Has control over the policy.
  2. Is the only one who can cancel the policy or request changes to the policy.
  3. Is the one who is responsible for paying the premium and reporting losses.
Term
Additional insureds
Definition
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.
Term
Named insured
Definition
Individual(s) whose name appears on the policy's declaration page.
Term
Two types of property losses
Definition
  1. Direct loss
  2. Indirect loss
Term
What is direct loss?
Definition
Direct, physical damage to buildings or personal property.
Term
What is Indirect loss?
Definition
Losses that occur due to the result of a direct loss.
Term
What is another term used for consequential losses?
Definition

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.

Term
Proximate cause of loss
Definition

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.

Term
Inherent vice
Definition

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.

Term
Assignment
Definition
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.
Term
Stock insurance company
Definition
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.
Term
Mutual insurance company
Definition
Insurance company owned by the policyholders.
Term
Nonparticipating policies
Definition
A type of policy that does not pay dividends to the policyholder; however, taxable dividends are paid to the stockholders.
Term
Participating policies
Definition
Policyholder is entitled to dividends which are usually the return of excess premiums and are nontaxable.
Term
What type of policies does a stock company provide?
Definition
Nonparticipating policies
Term
What type of policies does a mutual company provide?
Definition
Participating policies.
Term
What is a RRG?
Definition
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.
Term
What is the difference between private insurers and government insurers?
Definition
  1. 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.
  2. Private insurers are funded by premium from the policyholder and their investments.
Term
Domestic insurer
Definition

Insurance company that is incorporated in the state

 

Term
Foreign insurer
Definition
An insurance company that is incorporated in another state.
Term
Alien insurer
Definition
An insurance company incorporated outside the United States.
Term
Certificate of Authority
Definition
A document that authorizes a company to start conducting business and specifies the kinds of insurance a company can transact.
Term
Admitted Insurer (aka Authorized insurer)
Definition
An insurance company that has qualified and has received a Certificate of Authority from the Department of Insurance to transact insurance in a state.
Term
Nonadmitted Insurer (aka Nonauthorized Insurer)
Definition
An insurance company that has not applied (or has applied and been denied) a Certificate of Authority and may not transact insurance.
Term
What is the purpose of reinsurance?
Definition
To protect insurers from catastrophic losses.
Term
Ceding insurer
Definition
The insurance company that purchases insurance on itself from another insurer.
Term
Assuming insurer
Definition
Reinsurance company
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