Principles of Risk and Insurance Flashcards

1
Q

Risk

A

the possibility of an adverse deviation from a desired outcome that is expected or hoped for.

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2
Q

Peril

A

An event that causes a loss, such as fire, theft, hail

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3
Q

Hazard

A

A condition or situation that either increases or creates the chance that a loss will occur from a given peril. Ex: building a house in a flood plain increases the chance for a loss from flood.

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4
Q

Law of Large Numbers

A

recognition that as the more trials of a certain activity are observed, the greater the reliability in predicting the outcome.

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5
Q

Adverse Selection

A

individuals who are most likely to need insurance benefits are the ones most likely to buy it. Happens when poorer risk individuals are permitted to purchase insurance without paying adequate premiums for the risk assumed.

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6
Q

4 elements that make a risk insurable

A

1) there must be a sufficient number of large and similar (homogeneous) type of events to make the loss reasonably certain to occur.
2) the losses must be definite and measurable
3) the losses must be fortuitous or accidental
4) the losses must not be catastrophic to society

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7
Q

Self-Insurance

A

the concept of insuring oneself or others (such as company employees) without transferring the risk to a third party. Typically, large companies will self-insure by establishing a separate fund for losses and assuming the liability to predict future losses.

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8
Q

5 ways to manage risk

A

1) Retention (risk financing)
2) Transfer (risk financing)
3) Diversification (risk control)
4) Reduction (risk control)
5) Avoidance (risk control)

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9
Q

High Severity of loss and High probability of loss

A

Avoid the risk

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10
Q

Low severity of loss and High probability of loss

A

Reduce the risk

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11
Q

High Severity of loss and low probability of loss

A

Transfer the risk

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12
Q

Low severity of loss and low probability of loss

A

Retain the risk

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13
Q

Principle of Indemnity

A
  • a principle stating that the insured will only be reimbursed for the amount of his or her actual loss and cannot make a profit from the loss.
  • heath insurance policies use this principle in underwriting the assumed risk
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14
Q

Insurable Interest

A
  • the point in time when an insurable risk must exist
  • for P&C insurance an insurable interest must exist both at the time the policy is first written and at the time that the loss is claimed.
  • for life insurance an insurable interest only needs to exist at the time the policy is first underwritten
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15
Q

Subrogation

A

-the insured is required to assign his or her right of recovery against a third party to the insurance company if the company pays for a loss caused by a third party.

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16
Q

A valid insurance contract must have

A

1) offer and acceptance
2) consideration in money or money’s worth
3) a legal purpose
4) a legal form
5) signatories that have proper legal capacity

A contract that does not have all 5 elements willmbe said to be void or unenforceable

17
Q

Insurance Contract Characteristics

A
  • they are contracts of adhesion, meaning that the insured can only accept or reject the contract and cannot modify its terms
  • they are unilateral contracts, meaning that only the insurance company promises to perform and that there is no promise on the part of the insured
  • they are aleatory contracts, meaning that the outcome s affected if impacted by reasonably certainty and the dollars collected to insure this certainty are not equal
  • it is of the utmost good faith, meaning both parties to the contract must disclose all facets truthfully
  • implement the collateral source rule, meaning that damages assessed against a negligent party should not be reduced simply because the injured party has insurance protecting against the specific peril.
18
Q

Waiver

A
  • the intentional giving up of a right
  • if an insurance company finds out about a misrepresentation or concealment and issues the policy anyway, or fails to void the contract when it finds out the true facts, it has waived the right to void the contract.
19
Q

Estoppel

A

if an insurance company or its agent waived a right at one point in time, the company is estopped - prevented - from enforcing its previous right to void the contract.

20
Q

Parol Evidence Rule

A

Once a contract is in writing and signed, notes, comments, agreements, or any other discussions about it that occurred before the contract was signed, are irrelevant.

21
Q

Most Common Risk Exposures

A
  • Death
  • Disability
  • Poor Health
  • Unemployment
  • Outliving One’s Capital
22
Q

3 types of property that should be insured via “property and casualty” insurance

A
  • Real Property
  • Personal property
  • automobiles
23
Q

4 general areas where individuals may be found liable, or responsible, for losses suffered by others

A
  • Negligence
  • Libel
  • Slander
  • Malpractice
24
Q

Negligence

A

causing unintentional loss due to the failure to use reasonable care

25
Q

Libel

A

Writing false information about someone that defames them

26
Q

Slander

A

Verbal or spoken information about someone that defames them

27
Q

Malpractice

A

causing a loss to another through professional negligence