chapter 1 Basic Principals of Life Insurance Flashcards

1
Q

Life Insurance is based on

A

Actuarial or mathematical principles

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2
Q

Health insurance is based on

A

Scientific Principles

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3
Q

2 basic reason for insurance

A
  1. protection against financial loss

2. restores insured back to some condition as before the loss

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4
Q

Pooling of Risks

A

primary principal of insurance

large numbers contribute to cover losses of a few

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5
Q

Law of large numbers

A

Larger the number of individual risks combined in a group the more certainty their is in predicting the degree or amount of loss that will be incurred.

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6
Q

Morbidity

A

sickness

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7
Q

Mortality

A

death

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8
Q

Speculative Risk

A
  1. involves possibility of loss or gain

2. not insurable because their is possibility of gain

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9
Q

Pure Risk

A
  • possibility of loss only, unexpected and outside of control
  • insurable
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10
Q

Peril

A

The cause of a risk

ex. fire

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11
Q

Hazard

A

Source of the danger, factor behind the peril

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12
Q

4 ways to deter insurance risk levels

A
  1. risk avoidance
  2. risk reduction
  3. risk retention
  4. risk transference
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13
Q

Risk Avoidance

A

Evade risk entirely

ex. if you dont drive you cant wreck

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14
Q

Risk Reduction

A

Chances of loss are lessened

ex. buy car with alarm, lessens chance of theft

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15
Q

Risk Retention

A

being aware of risks and taking precautions for financial protection.

ex. deductible on car insurance

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16
Q

Risk Transference

A

shifting risk responsibility to another in form of insurance contract.

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17
Q

Adverse Selection

A

Selection against the company. Tendency for those individuals who present less favorable insurance risk to seek or continue insurance to a greater extent than other risks.

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18
Q

3 types of hazards

A

Physical- cancer etc
moral- bad habits, smoking etc
morale- mental, road rage etc

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19
Q

2 main classifications of insurance providers

A
  1. Private insurers

2. Gov’t insurers

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20
Q

Stock insurance companies

A

owned by stockholders in the company

if they offer participating and non participating policies it is referred to as a mixed plan.

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21
Q

Mutual Insurers

A

owned by the policyholders

provide insurance to its owners at lowest possible cost

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22
Q

Lloyds of London

A

Underwrites insurance, not an insurance company

23
Q

Fraternal Benefit Societies

A

must be non profit
have a lodge system
offer insurance to ITS members only

24
Q

Service Providers

A

Contract for and sell medical and hospital care services.

participants known as subscribers

HMO’s- stress preventative healthcare and screenings

25
Q

2 main classifications of Agents

A
  1. Captive Agents

2. Independent Agents

26
Q

Captive Agents

A

work for only 1 insurer and sell only their products

27
Q

Independent Agents

A

represent several insurers and sell multiple products

28
Q

3 types of Agency Systems

A
  1. Career agency system
  2. Personal producing general agency system
  3. Independent agency system
29
Q

McCarran Ferguson Act

A

Determined that insurance regulated by state law was “in the publics best interest”

exempted insurance industry from federal anti-trust legislation

30
Q

The Fair Credit Reporting Act

A

consumers have a right to be informed when their credit is checked

31
Q

Domestic Insurer

A

practicing in state it is incorporated in

32
Q

Foreign Insurer

A

licensed and practicing in a state other than the one in which it is incorporated

33
Q

Alien Insurer

A

Licensed and practicing in another country other than US and is practicing in the US

34
Q

Standards and ethical behavior of those licensed to conduct insurance business

A
  1. Selling to needs

2. Suitability or recommended products

35
Q

Agent Records

A

Subject to scrutiny at any time by Commissioner of insurance regulation.

36
Q

Twisting

A

External policy replacement.

getting client to drop coverage to get similar coverage with another company

37
Q

Churning

A

Internal policy replacement

38
Q

TRUE of FALSE

Agent bears the burden of proving policy replacement is in the clients best interest

A

True

39
Q

Career Agency System

A

represented by agencies committed to the ongoing recruitment and development of career agents

40
Q

Financial Services Modernization Act

A

1999 Act eliminating restriction on financial institutions, insurance companies, commercial banks, and retail brokerages from entering each others line of business

41
Q

HMO

A

Health Maintenance Organization

42
Q

Home Service Insurer

A

small policies, paid weekly, collected at policy owners home

43
Q

NAHU

A

National Association of Healthcare Underwriters

44
Q

NAIC

A

National Association of Insurance Commissioners

45
Q

PPO

A

Preferred Provider Organization

46
Q

PPGA

A

Personal Producing General Agency System

47
Q

Rebating

A

Returning part or all of commission or anything of value to get the client to go with you.

48
Q

Reciprocal Insurer

A

policy holders insure the risk of other policy holders

49
Q

Reinsurance

A

acceptance by one or more additional insurers

50
Q

Risk Retention Groups

A

mutual insurer that provides coverage to people of came groups.

51
Q

Self Insurance

A

financed entirely through the means of the policy holder

52
Q

State Guaranty Associations

A

established by states to support insurers.

53
Q

U.S. vs Southeastern Underwriters Association

A

1944, stated insurance is a form of interstate commerce and should be regulated by federal gov’t