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AINS 21
Property & Liability Insurance Principles
93
Insurance
Not Applicable
06/01/2013

Additional Insurance Flashcards

 


 

Cards

Term
Loss Exposure
Definition
Any condition or situation that presents a possibility of loss, whether or not an actual loss occurs
Term
Risk Management
Definition
The process of making and implementing decisions that will minimize the adverse effects of accidental losses on an organization
Term
Loss Prevention
Definition
A risk control technique that reduces the requency of a particular loss
Term
Loss Reduction
Definition
A risk control technique that reduces the severity of a particular loss
Term
Exposure Unit
Definition
A fundamental measure of the loss exposure assumed by an insurer
Term
Property-Casualty Insurance
Definition
One of the two main sectors of the insurance industry, encompassing numerous types of insurance, most of which cover the financial consequences of damage to one's own property or legal liability to others
Term
Life-Health Insurance
Definition
One of the two main sectors of the insurance industry, encompassing numerous types of insurance that cover the financial consequences of death, injury or sickness
Term
Utmost good faith
Definition
An obligation to act in complete honesty and to disclose all relevant facts
Term
Contract of adhesion
Definition
Any contract in which one party must either accept the agreement as written by the other party or reject it
Term
Contract of indemnity
Definition
A contract in which the insurer agrees, in the event of a covered loss, to pay an amount directly related to the amount of the loss
Term
Self-contained policy
Definition
A single document that contains all the agreements between the insured and the insurer and that forms a complete insurance policy
Term
Modular policy
Definition
An insurance policy that consists of several different documents, none of which by itself forms a complete policy
Term
Property Insurance
Definition
Any type of insurance that indemnifies an insured who suffers a financial loss because property has been lost, stolen, damaged, or destroyed
Term
Liabilty insurance
Definition
Insurance that covers losses resulting from the insured's liability to others
Term
Homeowners policy
Definition
Policy that covers most of the property and liability loss exposures that arise out of residential property ownership and occupancy, as well as property and liability loss exposures that individuals and families may have while they are away from their residences
Term
Personal liability coverage
Definition
Coverage for damages, plus costs of any defense, related to a claim or suit brought against the insured that resulted from bodily injury or property damage caused by an occurrence covered under the policy
Term
Personal auto policy (PAP)
Definition
An insurance policy that covers an individual or a family against loss exposures arising out of the ownership, maintenance, or use of automobiles
Term
Comprehensive coverage
Definition
Coverage for direct and accidental loss or damage to a covered auto by any peril except collision or overturn or a peril specifically excluded
Term
Personal watercraft policy
Definition
An insurance policy that covers an individual's or a family's loss exposures arising out of the ownership, maintenance, or use of watercraft used principally for recreational or personal transportation purposes
Term
Umbrella liability policy
Definition
A liability policy that provides excess coverage above underlying policies ad may also provide coverage not available in the underlying policies, suject to a self-insured retention
Term
Liability coverage
Definition
Coverage that protects the insured from damages owed because of legal liabilty to another party.  For auto policies, it protects insureds against liablity arising out of the ownership or operation of automobiles
Term
Term life insurance
Definition
Life insurance that provides coverage for a specified period, sch as ten or twenty years, with no cash value
Term
Permanent Life Insurance
Definition
Coverage until death
Term
Long-term care insurance
Definition
Insurance that pays for extended medical care or custodial care received in a nursing home, hospital, or home
Term
Annuity
Definition
A type of life insurance policy or contract that makes periodic payments to the recipient for a fixed period or for life in exchange for a specified premium
Term
Commerial package policy (CPP)
Definition
Policy that covers two or more lines of business by combining ISO's commercial lines coverage parts
Term
Businessowners policy (BOP)
Definition
A package policy that combines most of the property and liability coverages needed by small and medium-sizes businesses
Term
Commercial auto insurance
Definition
Insurance that covers a business or a not-for-profit organization against loss exposures arising out of hte ownership, maintenance, or use of automobiles
Term
Auto physical damage coverage
Definition
Coverage for damage to or theft of a covered auto that can include both collision coverage and other than collision (comprehensive) coverage
Term
Commerical property insurance
Definition
Insurance that covers commercial buildings and their contents against various types of property loss
Term
Ocean marine insurance
Definition
Insurance that covers vessels and their cargoes, including various vessel-related liability exposures
Term
Inland marine insurance
Definition
Insurance that covers many different classes fo property that typically involve an element of transportation
Term
Commercial crime insurance
Definition
Insurance that covers 1) money & securities against numerous perils (not limited to crime perils) & 2) property and other than money and securities against crime perils, such as employee theft, robbery, theft by outsiders and extortion
Term
Commerical general liability (CGL) insurance
Definition
Insurance that covers many of the common liablity loss exposures faced by an organization, including its premises, operations and products
Term
Professional liability insurance
Definition
Insurance that covers persons engaged in various occupations against liability resulting from their rendering or failing to render professional services
Term
Workers compensation insurance
Definition
Insurance that provides coverage for benefits an employer is obligated to pay under workers compensation laws
Term
Private insurer
Definition
A nongovernmental insurance provider
Term
Stock insurer
Definition
An insurer that is owned by its stockholders and fomed as a corporation for the purpose of earning a profit for the stockholders
Term
Mutal insurer
Definition
An insurer that is owned by its policyholders and formed as a corporation for the purpose of providing insurance to them
Term
Reciprocal insurance exchange (interinsurance exchange)
Definition
An insurer owned by its policyholders, formed as an unincorporated association for the purpose of providing insurance coverage to its members (subscribers), and managed by an attorney-in-fact.  Members agree to mutually insure each other and they share profits and losses in the same proportion as the amount of insurance purchased from the exchange by that member
Term
Captive insurer, or captive
Definition
A subsidiary formed to insure the loss exposures of its parent company and the parent's affiliates
Term
Reinsurance
Definition
The transfer of insurance risk from one insurer to another through a contractual agreement under which one insurer (the reinsurer) agrees, in return for a reinsurance premium, to indemnify another insurer (the primary insurer) for some or all of the financial consequences of certain loss exposurers covered by the primary's insurance policies
Term
Underwriting
Definition
The process of selecting insureds, pricing coverage, determining insurance policy terms & conditions, and tehn monitoring the underwriting decisions made
Term
Underwriter
Definition
An insurer employee who evaluates applicants for insurance, selects those that are acceptable to the insurer, prices coverage, and determines policy terms and conditions
Term
Claim
Definition
A demand by a person or business seeking to recover from an insurer for a loss that may be covered by an insurance policy
Term
Risk control
Definition
A conscious act or decision not to act that reduces the frequency and/or severity of losses or makes losses more predictable
Term
Premium audit
Definition
Methodical examination of a policyholder's operations, records, and books of account to determine the actual exposure units and premium for insurance coverages already provided
Term
Solvency
Definition
The ability of an insurer to meet its financial obligations as they become due, even those resulting from insured losses that may be claimed several years in the future
Term
Foreign insurer
Definition
An insurer licensed to operate in a state but incorporated in another state
Term
Domestic insurer
Definition
An insurer doing business in the jurisdiction in which it is incorporated
Term
Alien insurer
Definition
An insurer domicilied in a country other than the US
Term
Admitted insurer
Definition
An insurer to which a state insurance department has granted a license to do business within that state
Term
Nonadmitted insurer
Definition
An insurer not authorized by the state insurance department to do business within that state
Term
Surplus lines laws
Definition
State laws that permit producers with a surplus lines license to write business for an acceptable "nonadmitted insurer when protection from admitted insurers is not available"
Term
Mandatory rate law
Definition
State law under which insurance rates are set by a state agency or rating bureau and all licensed insurers are required to use those rates
Term
Prior-approval law
Definition
An insurance rating law in which the rates and supporting rules must be files with and approved by the state insurance department before they can be used
Term
File-and-use law
Definition
An insurance rating law in which the insurer must files rates and supporting rules with the state insurance department prior to their use, but the rates can then be used immediately without specific approval
Term
Use-and-file law
Definition
An insurance rating law in which the rates must be files with the state insurance department within a specified period after they are put into use
Term
Flex rating law
Definition
An insurance rating law under which prior approval is required on if hte new rates exceed a certain percentage above (and sometimes below) the rates previously filed
Term
Open competition (no-file) law
Definition
An insurance rating law that allows insurers to develop and use rates without having to fiel with or get approval from the state insurance department
Term
Market conduct regulation
Definition
Regulation of the practices of insurers in regard to four areas of operation:  sales practices, underwriting practices, claim practices, and bad-faith actions
Term
Unfair trade practices law
Definition
State law that specifies certain prohibited business practices
Term
Solvency surveillance
Definition
The process, conducted by state insurance regulators, of verifying the solvency of insurers and determining whether their financial condition enables them to meet their financial obligations and to remain in business
Term
National association of insurance commissioners (NAIC)
Definition
An association of insurance commissioners from the 50 US states, the District of Columbia, and the 5 US territories and possessions, whose purpose is to coordinate insurance regulation activities among the various state insurance departments
Term
NAIC Annual statement
Definition
The primary financial statement prepared by insurers and required by every state insurance department
Term
Reserve
Definition
The amount the insurer estimates and sets aside to pay on an existing claim that has not been settled
Term
Insurance regulatory information system (IRIS)
Definition
An information and early warning system established and operated by the NAIC to monitor the financial soundness of insurers
Term
Guaranty fund
Definition
A state-established fund that provides a system for the payment of some of the unpaid claims of insolvent insurers licensed in that state, generally funded by assessments collected from all insurers licensed in the state
Term
Standard market
Definition
Collectively, insurers who voluntarily offer insurance coverages at rates designed for customers with average or better-than-average loss exposures
Term
Surplus lines insurance
Definition
Insurance obtained from nonadmitted insurers when protection is not available from admitted insurers
Term
Surplus lines insurer
Definition
A nonadmitted insurer that is eligible to insure risks that have been exported by a surplus lines licensee in accordance with a surplus lines law
Term
Loss adjustment expense (LAE)
Definition
The expense that an insurer incurs to investigate, defend and settle claims according to the terms specified in the insurance policy
Term
Paid losses
Definition
Losses that have been paid to, or on behalf of, insureds during a given period
Term
Incurred losses
Definition
The losses that have occurred during a specific period, no matter when claims resulting from the losses are paid
Term
Incurred but not reported (IBNR) losses
Definition
Losses that have occurred but have not yet been reported to the insurer
Term
Dividends
Definition
The portion of an organization's profits that is paid to shareholders
Term
Assets
Definition
Types of property, both tangible and intangible, owned by an entity
Term
Admitted assets
Definition
Assets meeting minimum standards of liquidity that an insurer is allowed to report on its balance sheet in accordance with statutory accounting principles
Term
Nonadmitted assets
Definition
Types of property, such as office furniture, and equipment, that regulators do not allow insurers to show as assets on financial statements because these assets cannot readilty be converted to cash at or near their market value
Term
Liabilities
Definition
Financial obligations, or debts, owed by a company to another entity, usually the policyholder in the case of an insurer
Term
Loss reserve
Definition
An estimate of the amount of money the insurer expects to pay in the future for losses that have already ocurred and been reported, but are not yet settled
Term
Unearned premium reserve
Definition
An insurer liability representing the amount of premiums received from policyholders that are not yet earned
Term
Policyholders' surplus
Definition
Under statutory accounting principles (SAP), an insurer's total admitted assets minus its total liabilities
Term
Loss ratio
Definition
A ratio that measures losses and loss adjustment expenses against earned premiums and that reflects the percentage of premiums being consumed by losses
Term
Expense ratio
Definition
An insurer's incurred underwriting expenses for a given period divided by its written permiums for the same period
Term
Combined ratio
Definition
A profitability ratio that indicates whether an insurer has made an underwriting loss or gain
Term
Investment income ratio
Definition
Net investment income divided by earned premiums for a given period
Term
Loss Ratio formula
Definition
Incurred losses/earned premiums
Term
Expense ratio formula
Definition
Incurred Underwriting expenses/written premiums
Term
Combined ratio formula
Definition
Loss Ratio + Expense Ratio
Term
Investment Income Ratio Formula
Definition
Net Investment income/Earned premiums
Term
Overall Operation Ratio Formula
Definition
Combined Ratio-Investment Income Ratio
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