Insurance Regulations and FS Analysis

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205 Questions

What is the main issue that can arise due to information asymmetry in insurance transactions?

Adverse selection

Which situation best describes moral hazard in insurance?

Excessive risk-taking or reckless behavior by one party after the transaction.

What is a common solution to the problem of adverse selection in insurance?

Medical examination

In an insurance context, what does RBC2 stand for?

Risk Based Capital 2

Which ratio is calculated by adding underwriting expenses and claims expenses then dividing by net earned premiums?

Combined Operating Ratio

What does an insured individual engaging in reckless driving behavior after purchasing vehicle insurance represent?

Moral hazard

What is the minimum capital requirement for insurance companies in 2022 according to the text?

P1,300,000,000

What type of companies fall under the regulation of the Insurance Commission (IC) as per the text?

Reinsurance Companies

What is the RBC Ratio Requirement according to the text?

RBC2 Ratio ≤ 50% of T1 Capital

What is the Paid-up capital required for 'New Business' as mentioned in the text?

At least P1,000,000,000

Which organization's requirement is at least P500,000,000 for its minimum capital according to the text?

Health maintenance organizations

What is the main difference between Capital Ratio and RBC2 Ratio?

Capital Ratio focuses on net earned premium, while RBC2 Ratio focuses on gross written premium.

How is the Expense Ratio calculated in insurance financial statement analysis?

By dividing the underwriting expenses by the net earned premium.

What does a Loss Ratio of 102.63% indicate in insurance financial analysis?

Inadequate underwriting practices leading to a loss exceeding premiums earned.

What does a Combined Operating Ratio of 139.47% suggest about an insurance company's performance?

Significant financial losses due to high operating and claims expenses.

How does Insurance Margin differ from Expense Ratio, Loss Ratio, and Combined Operating Ratio in insurance financial analysis?

Insurance Margin represents the company's profit margin after deducting various expenses.

Which ratio is most crucial for assessing an insurance company’s underwriting effectiveness?

Loss Ratio

What does the Expense Ratio measure in insurance financial statement analysis?

The ratio of underwriting expenses to net earned premiums

In insurance financial analysis, what does a Loss Ratio of 36.84% indicate?

High expenses compared to net earned premiums

What aspect of an insurance company's performance does the Combined Operating Ratio primarily assess?

Expense management efficiency

If an insurance company has an Insurance Margin of 102.63%, what does this suggest about its financial situation?

Losses being incurred on its underwriting activities

When calculating the Loss Ratio in insurance financial statement analysis, what is considered a key component?

Net earned premiums

How does the Expense Ratio differ from the Combined Operating Ratio in insurance financial analysis?

Expense Ratio focuses on expense efficiency, while Combined Operating Ratio assesses overall profitability.

What is a common outcome of information asymmetry in insurance transactions?

Adverse Selection

Which situation best exemplifies moral hazard in insurance?

An individual driving recklessly after purchasing vehicle insurance

What is a common solution to moral hazard in insurance?

Increased premium for certain actions

How is the Expense Ratio typically calculated in insurance financial statement analysis?

Underwriting Expenses divided by Net Earned Premiums

What does an underwriting effectiveness ratio focus on in insurance financial analysis?

Operational Efficiency

Which ratio combines underwriting expenses and claims expenses then divides them by net earned premiums?

Combined Operating Ratio

What falls under the regulation of the Insurance Commission (IC) according to the text?

Insurance and Reinsurance companies

What is the minimum Paid-up capital required for 'Microinsurance' as per the text?

At least P500,000,000

What does a Risk-based capital (RBC) Ratio of 130% suggest about an insurance company's financial standing?

The company has an adequate capital buffer

What is the new minimum Paid-up capital requirement for 'New Business' as mentioned in the text?

P900,000,000

What is the purpose of the Risk-based capital (RBC) Requirement in insurance regulation?

To ensure that insurance companies have adequate capital to cover risks

What is the purpose of the Combined Operating Ratio in insurance financial analysis?

Assess the profitability of underwriting operations

In insurance financial statement analysis, what does a Loss Ratio of 102.63% indicate?

Excessive claims expenses compared to net earned premiums

How is the Expense Ratio calculated in insurance financial statement analysis?

By dividing underwriting expenses by net earned premiums

What does an Insurance Margin of 139.47% suggest about an insurance company's performance?

High underwriting profitability

Which situation best exemplifies moral hazard in insurance?

Policyholder intentionally causing damage to claim insurance money

What aspect of an insurance company's performance does the Loss Ratio primarily assess?

Claims management effectiveness

What is the primary difference between adverse selection and moral hazard in insurance?

Adverse selection occurs before a transaction due to information asymmetry, while moral hazard occurs after a transaction when one party takes excessive risk.

How can insurance companies address adverse selection in insurance transactions?

By conducting medical examinations and gathering additional information.

What is the purpose of a deductible clause in insurance policies?

To reduce the financial burden on insurance companies by making policyholders share a portion of the risk.

In insurance financial statement analysis, what does the Combined Operating Ratio assess?

Underwriting expenses and claims expenses relative to net earned premiums.

What is the main consequence of information asymmetry in insurance transactions?

Adverse selection, leading to undesirable results for both parties involved.

How does a Loss Ratio differ from an Expense Ratio in insurance financial statement analysis?

Loss Ratio measures claims expenses relative to net earned premiums, while Expense Ratio assesses overall expenses compared to premiums.

What is the purpose of the Risk-based capital (RBC) Requirement in insurance regulation?

To assess an insurance company's financial stability based on its risk exposure

What does a Loss Ratio of 55% suggest about an insurance company in financial analysis?

The company is profitable and paying out reasonable claims

What aspect of an insurance company's performance does the Insurance Margin primarily reflect?

Underwriting profitability

In the context of insurance regulation, what does a Capital RBC2 Ratio below 100% indicate?

The insurance company is at a high risk of insolvency

How does the minimum capital requirement for Microinsurance companies differ from that of New Business as per the text?

New Business requires a higher capital amount than Microinsurance companies

In insurance transactions, adverse selection occurs after the transaction has taken place.

False

The Deductible clause is a common solution to moral hazard in insurance.

True

The Expense Ratio in insurance financial analysis includes underwriting expenses and claims expenses divided by net earned premiums.

True

RBC2 stands for Risk-Based Capital 2 in insurance financial statement analysis.

False

Insurance Margin reflects the underwriting effectiveness of an insurance company in financial analysis.

False

A Loss Ratio of 55% indicates that an insurance company is operating at a loss in financial analysis.

False

The RBC2 Ratio is a simpler version of the Capital Ratio in insurance financial statement analysis.

False

The Net Earned Premium (NEP) is calculated by deducting Reinsurance Expense from the Gross Written Premium (GWP).

True

An Expense Ratio of 139.47% in insurance financial analysis indicates high efficiency in managing expenses.

False

A Loss Ratio of 102.63% suggests that claims expenses exceed the net earned premium in insurance financial analysis.

True

A Combined Operating Ratio of 36.84% in insurance financial analysis indicates high profitability for the insurance company.

False

The Insurance Margin is calculated by combining the Expense Ratio and the Loss Ratio.

False

The Insurance Commission (IC) falls under the Department of Finance (DOF).

True

The minimum capital requirement for insurance companies in 2022 is P1,200,000,000.

False

Microinsurance companies are required to have a minimum paid-up capital of at least P600,000,000.

False

The RBC2 Ratio Requirement is that the RBC2 Ratio should be less than 100%.

False

Local Corporations or Foreign branches do not fall under the regulation of the Insurance Commission (IC).

False

An individual who drives carelessly after purchasing vehicle insurance is an example of moral hazard in insurance transactions.

True

Adverse selection occurs when undesirable results arise due to asymmetric information after the transaction has taken place.

False

The Risk-based capital (RBC) Ratio indicates the financial standing of an insurance company, with a higher ratio suggesting a stronger financial position.

True

Insurance Margin is calculated by combining Underwriting Expenses and Claims Expenses and dividing them by Net Earned Premium.

False

The Net Earned Premium is calculated by deducting Reinsurance Expense from the Gross written premium.

False

The Deductible Clause is a common solution to addressing adverse selection in insurance transactions.

False

A Loss Ratio of 102.63% in insurance financial statement analysis indicates high profitability for the insurance company.

False

Expense Ratio measures the efficiency of managing expenses in insurance financial statement analysis.

True

In insurance financial statement analysis, a Combined Operating Ratio of 139.47% suggests efficient management of underwriting and claims expenses.

False

The Insurance Margin is calculated by dividing the Underwriting Expense and Claim Expense by the Net Earned Premium.

True

An Expense Ratio of 36.84% in insurance financial statement analysis indicates high efficiency in managing expenses.

True

The Capital Ratio is less complex than the RBC2 Ratio in insurance financial statement analysis.

True

The Risk-Based Capital (RBC) Requirement is optional for insurance companies to comply with.

False

The Insurance Commission (IC) regulates only Health maintenance organizations and Mutual Benefit Associations.

False

The minimum Paid-up capital required for 'New Business' is P900,000,000 according to the text.

False

The RBC2 Ratio Requirement states that T2 Capital should be less than 50% of T1 Capital.

False

Microinsurance companies are required to have a minimum paid-up capital of at least P400,000,000.

False

The premium of an insurance policy is determined based on the insured's creditworthiness.

True

Policy limit is the minimum amount that an insurer will pay under a policy for a covered loss.

False

Higher policy limits often come with lower premiums in insurance policies.

False

The three critical components of most insurance policies are deductible, premium, and coverage limit.

False

Insurance companies regulate Health Maintenance Organizations and Insurance Margin Associations.

False

In insurance financial analysis, a Combined Operating Ratio below 100% suggests high efficiency in managing underwriting and claims expenses.

True

Health insurance policies with lower deductibles tend to have lower annual premiums compared to policies with higher deductibles.

False

Home insurance is not required by mortgage companies when financing a residential real estate transaction.

False

Auto insurance is unnecessary when purchasing or leasing a car.

False

Deductibles are always applied per policy, not per claim, in insurance policies.

False

A policyholder is not required to pay any deductible out of pocket before the insurer pays a claim.

False

High deductible policies are typically less expensive due to the increased number of small claims resulting from the lower out-of-pocket expense.

False

Insurance is a contract where an individual pays an insurance company for financial reimbursement in case of losses.

False

Insurance policies are not used to hedge against the risk of financial losses.

False

The deductible, policy limit, and premium are not core components of most insurance policies.

False

The main role of insurance is to help people financially protect themselves against expected events.

False

Most people do not have any kind of insurance for their car, house, or life.

False

Life, health, homeowners, commercial building, and auto are not the most common forms of insurance.

False

Life insurance guarantees payment to named beneficiaries when the insured dies in exchange for the premiums paid by the policyholder during their lifetime.

True

Endowment plans with educational benefits payable are one of the features offered by insurance companies in addition to life insurance.

True

Whole Life Insurance Plans provide cash benefits starting at the end of the 5th policy year and every 3 years afterward until the age of 90.

False

Insurance plans for women offer cash benefits equal to the face amount upon diagnosis of any covered female-specific critical illnesses and surgeries.

True

Hospital income plans provide coverage for 5 years and offer a 25% return of premium if the insured outlives the coverage period.

False

Insurance companies only offer life insurance plans and no other types of insurance.

False

An insurance plan with cash benefits allows the policyholder to enjoy the face amount when the policy matures, even if they are deceased.

False

The younger you are when you get insurance, the higher the premium will be.

False

Travel insurance only covers losses associated with domestic travel, not international travel.

False

Insurance policies usually consist of the premium, policy limit, and co-payment.

False

Single pay front-end load insurance plans provide protection until age 88.

True

It is advisable to religiously pay insurance premiums to avoid any lapse that may impact the benefits of the insurance plan.

True

Insurance policies are primarily used to protect against losses that may result from damage to a third party.

False

Life insurance is not considered one of the most common forms of insurance.

False

The Deductible, policy limit, and premium are core components of most insurance policies.

True

Health insurance is not mentioned as one of the most common forms of insurance.

False

The key role of insurance is to help people financially protect themselves against predictable events such as routine medical check-ups.

False

Insurance companies do not pool clients' risks to make payments more affordable for the insured.

False

Endowment plans with educational benefits payable are not typically offered by insurance companies in addition to life insurance.

False

Travel insurance covers losses associated with both domestic and international travel.

False

Single pay front-end load insurance plans provide protection until age 70.

False

Insurance companies require borrowers to have insurance coverage for the full or fair value of a property to finance a residential real estate transaction.

True

Health insurance policies with higher deductibles result in more small claims due to lower annual premiums.

False

Auto insurance is not necessary to protect a car investment when buying or leasing a vehicle.

False

The three critical components of most insurance policies are premium, policy limit, and deductible.

True

Insurance companies determine premiums based on the insured individual's credit score only.

False

Policy limit refers to the minimum amount that an insurer will pay under a policy for a covered loss.

False

Higher policy limits often come with lower premiums in insurance policies.

False

Whole Life Insurance Plans provide cash benefits starting at the end of the 5th policy year and every 3 years afterward until the age of 90.

False

Health insurance policies with lower deductibles tend to have lower annual premiums compared to policies with higher deductibles.

False

An endowment plan with educational benefits payable is not a type of insurance offered by insurance companies.

False

A Whole Life Insurance Plan provides cash benefits starting at the end of the 5th policy year.

False

Insurance plans for women do not provide cash benefits upon diagnosis of any covered female-specific critical illnesses and surgeries.

False

Hospital income plans provide coverage for 15 years and offer a 25% return of premium if the insured outlives the coverage period.

False

Life insurance policies guarantee that the insurer pays a sum of money to named beneficiaries when the insured dies in exchange for the premiums paid by the policyholder during their lifetime.

True

Insurance companies do not offer any type of insurance plan other than life insurance.

False

An insurance policy with back-end load typically requires the policyholder to pay a fee upon purchasing the policy.

False

Travel insurance is primarily designed to protect against financial losses associated with traveling abroad.

False

The premium for an insurance policy tends to be lower if the policy is purchased at a younger age.

True

Insurance policies with cash benefits allow the policyholder to receive the face amount only after their death.

False

Paying insurance premiums regularly is crucial to avoid any default that may impact the benefits of the insurance plan.

True

The older you are when you get an insurance policy, the lower the premium tends to be.

False

What is the main purpose of insurance as described in the text?

To protect against financial losses from covered events

In insurance, what does the policyholder receive from the insurance company?

Loss compensation and financial protection

What is the primary reason insurance companies pool clients' risks according to the text?

To make payments more affordable for the insured

What are the core components of most insurance policies?

Deductible, policy limit, and premium

What does a Loss Ratio primarily assess in insurance financial analysis?

Claims expenses compared to net earned premium

Which type of insurance is NOT mentioned as one of the most common forms of insurance in the text?

Commercial building insurance

What is the main role of insurance according to the text?

To provide protection against unpredictable events

Which factor primarily influences the premium of an insurance policy as mentioned in the text?

Creditworthiness of the insured or business

What does the policy limit define in an insurance policy?

The maximum amount the insurer will pay for a covered loss

What is typically true about insurance plans with higher policy limits according to the text?

They carry higher premiums

Which statement accurately describes the calculation of premium in insurance policies?

It varies with the insurance company's operating expenses

How does understanding the components of an insurance policy help in selecting the best policy?

By allowing for a better match of policy features with individual needs

What does the face value of a general life insurance policy represent?

The maximum amount the beneficiary will receive upon death of the insured

How does a high deductible impact the cost of an insurance policy?

Reduces the premium but increases out-of-pocket expenses

What type of insurance policy is recommended for individuals with chronic health issues?

Policies with lower deductibles for better access to medical care

Why do mortgage companies typically require home insurance from borrowers?

To protect against damage or theft of the property

What is a crucial consideration when purchasing or leasing a car?

Protecting the investment through auto insurance

Which type of insurance is primarily designed to protect against financial losses associated with traveling abroad?

Travel Insurance

What does a Whole Life Insurance Plan provide starting at the end of the 6th policy year and every 2 years afterwards until the age of 100?

Cash benefit equal to the face amount

What is the main feature of an Insurance plan for women mentioned in the text?

Cash benefit equal to the face amount upon diagnosis of female-specific critical illnesses

What is the primary coverage period provided by a Hospital income plan as mentioned in the text?

10 years with a 50% return of premium

Which type of insurance plan offers cash benefit equal to a percentage of the Face Amount starting at a specific policy year until age 100?

Whole Life Insurance Plan

In addition to life insurance, which insurance plan promises cash benefit upon diagnosis of female-specific critical illnesses and surgeries?

Insurance plan for women

When does a Whole Life Insurance Plan start providing cash benefit equal to a percentage of the Face Amount?

At the end of the 6th policy year and every 2 years afterwards until age 100

Which component is NOT mentioned as part of most insurance policies according to the text?

Co-pay

What is a recommended strategy regarding the age at which insurance should be obtained?

Get insurance at a younger age for lower premiums

What is advised regarding the payment of insurance premiums based on the text?

Religiously pay premiums to avoid policy default

Which insurance plan allows the policyholder to enjoy the face amount when it matures, even if they are alive?

Endowment Plan

What is a key benefit of a single pay back-end load investment-linked insurance plan according to the text?

Lower initial fee upon purchase

What distinguishes travel insurance from other types of insurance?

It provides protection against travel-related losses and costs

What is the policy limit in an insurance policy?

The maximum amount the insurance company will pay for a covered loss

How is an insurance policy's premium determined?

By the insured's risk profile and creditworthiness

What role does the deductible play in an insurance policy?

It is the amount the insured has to pay before the insurer covers a claim

Why do higher policy limits usually come with higher premiums?

To compensate for the increased potential payout by the insurer

What does an insurance company consider when determining an individual's premium?

Their risk profile and creditworthiness

Which component of an insurance policy determines how much an insurer will pay under that policy for a covered loss?

Policy limit

What does a life insurance policy guarantee according to the text?

Payment to named beneficiaries upon the insured's death

What type of insurance plan provides cash benefits equal to a percentage of the Face Amount starting at the end of the 6th policy year and every 2 years afterwards until the age of 100?

Whole Life Insurance Plan

Which insurance plan provides cash benefits equal to the face amount upon diagnosis of any covered female-specific critical illnesses and surgeries?

Insurance plan for women with critical illnesses coverage

What is the primary feature of an Endowment plan with educational benefits payable?

Payment for education expenses at specific intervals

In insurance policies, what does a Hospital income plan offer after the coverage period?

Return of premium if the insured outlives coverage period

What distinguishes a Whole Life Insurance Plan from other insurance plans mentioned in the text?

Cash benefit starting at the end of the 6th policy year

What is the primary purpose of insurance according to the text?

To help people financially protect themselves against life's uncertainties

Which components make up most insurance policies according to the text?

Deductible, premium, and policy limit

How do insurance companies make payments more affordable for the insured?

By pooling clients' risks

What do insurance policies hedge against according to the text?

The risk of financial losses and property damage

Which factor primarily helps in making insurance payments more affordable for the insured?

Pooling clients' risks

What is the core purpose of an insurance contract according to the text?

To provide financial protection and reimbursement against losses

What term is used to describe the maximum amount an insurer will pay to a beneficiary upon the death of the insured?

Face value

In insurance, why are policies with very high deductibles typically less expensive?

They result in fewer small claims

What type of insurance is recommended for individuals with chronic health issues according to the text?

Health insurance

Which insurance policy component must be satisfied by the policyholder before the insurer pays a claim?

Deductible

What is the primary purpose of health insurance policies with lower deductibles according to the text?

Access to medical care

Which type of insurance is typically mandated by mortgage companies for property owners?

Home Insurance

Which type of insurance plan provides protection until age 88 with a single pay and front-end load?

Whole life insurance

What is the primary reason provided in the text for getting insurance at a younger age?

To receive lower premiums

In insurance, what are the core components mentioned to make up most insurance policies according to the text?

Deductible, policy limit, premium

Why is it advisable in the text to religiously pay the insurance premiums?

To maintain the benefits of the insurance plan

What is recommended in the text to be included in an insurance plan for you to enjoy the face amount when it matures while you are still alive?

Cash benefits

What is emphasized in the text regarding the travel insurance policy?

"It covers costs associated with traveling"

Study Notes

  • Information asymmetry in insurance transactions can lead to adverse selection and moral hazard.
  • Adverse selection occurs when one party has more information before the transaction, like a person with cancer buying life insurance.
  • Solutions to adverse selection include medical examinations and gathering other relevant information.
  • Moral hazard happens when one party takes excessive risks after the transaction, like driving recklessly after buying vehicle insurance.
  • Solutions to moral hazard include implementing a deductible clause and increasing premiums for certain actions.
  • Common ratios used in financial statement analysis for insurance companies include expense ratio, loss ratio, combined operating ratio, and insurance margin.
  • Insurance regulations set by the Insurance Commission under the Department of Finance dictate minimum capital requirements, with new businesses needing at least P1,000,000,000 in paid-up capital.

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