CAIB 2 - Chapter 2 - Flashcards

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Questions and Answers

What is the role of brokers in the insurance process?

Brokers act as intermediaries between clients and insurers, handling communication, risk assessment, and submissions.

What is underwriting?

The process of evaluating and selecting risks for insurance.

What is an insurance submission?

The application and supporting documents outlining the risk characteristics to be insured.

What is risk classification?

<p>Categorizing risks into groups based on shared characteristics, influencing premium pricing and coverage.</p> Signup and view all the answers

What is adverse selection?

<p>The tendency of higher-risk individuals to seek insurance more than lower-risk ones.</p> Signup and view all the answers

What is the purpose of building construction classes in insurance?

<p>Building construction, occupancy, and external exposures influencing risk.</p> Signup and view all the answers

What is the role of loss experience data in insurance?

<p>Historical claims data used to assess risks and set premiums.</p> Signup and view all the answers

What are inspection reports used for in the insurance process?

<p>Verification of physical characteristics, requiring applicant cooperation for proper risk assessment.</p> Signup and view all the answers

What is the purpose of survey completion in the insurance process?

<p>Identifying potential loss exposures, coverages, and underwriting information.</p> Signup and view all the answers

What is binding coverage?

<p>Process including inspections and submission of basic risk information to secure temporary coverage.</p> Signup and view all the answers

A hard market is characterized by low premiums and wide availability of insurance.

<p>False (B)</p> Signup and view all the answers

A soft market is characterized by high premiums and limited availability of insurance.

<p>False (B)</p> Signup and view all the answers

What are two common types of protection in insurance?

<p>Property and Casualty (A), Life and Health (C)</p> Signup and view all the answers

What are four functions of underwriters in the insurance process?

<p>The functions of underwriters include reviewing applications, assessing risks, setting premiums, and determining coverage options.</p> Signup and view all the answers

What is moral hazard?

<p>The tendency of insured individuals to take more risks once they are insured, knowing that they are protected from financial losses.</p> Signup and view all the answers

What is the difference between hard and soft markets in insurance?

<p>Hard markets are characterized by high premiums and limited availability of insurance, while soft markets are characterized by lower premiums and wider availability.</p> Signup and view all the answers

Flashcards

Underwriting Process

The process of evaluating and selecting risks for insurance where underwriters use various criteria to decide whether or not to insure a particular risk and at what price.

Insurance Submission

The application and all supporting documents that outline the risk characteristics to be insured. It provides the underwriter with the information needed to assess the risk and make a decision.

Risk Classification

Categorizing risks into groups based on shared characteristics, which influences premium pricing and coverage. Risks with similar characteristics are grouped, allowing insurers to better estimate the likelihood of losses and set appropriate premiums.

Adverse Selection

The tendency of higher-risk individuals to seek insurance more than lower-risk individuals, which skews the insurance pool towards greater risk.

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Physical Hazards

Factors related to the physical characteristics of a property or location that can increase the likelihood of a loss. These include building construction, occupancy, and external exposures.

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Moral Hazard

Ethical behavior issues related to the risk that someone with insurance might behave less cautiously because they know they are covered. This can increase the likelihood of claims.

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Building Construction Classes

The process of determining the type of construction used for a building, which significantly impacts the level of risk. Categorized into classes like Fire Resistive, Non-combustible, etc., it helps underwriters assess the building's resistance to fire and other perils.

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Loss Experience Data

Historical claims data used to assess the risk associated with a particular insurance coverage. This data helps insurers determine the frequency and severity of past losses, which informs their pricing and underwriting decisions.

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Inspection Reports

Verification of the physical characteristics of a property conducted to assess its condition and identify potential loss exposures. It requires applicant cooperation and is a crucial step in the underwriting process.

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Survey Completion

The process of gathering all necessary information about a risk, including coverage details and underwriting information. It helps ensure that the risk is accurately assessed and the appropriate coverage is provided.

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Binding Coverage

The process of obtaining temporary coverage based on initial information received. This allows for a quick response to the applicant's needs, and the final underwriting decision is made after a detailed review.

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Hard Market

An insurance market characterized by high premiums and limited availability of coverage due to a combination of factors, including increased losses, market instability, and risk aversion by insurers.

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Soft Market

An insurance market characterized by lower premiums and wider availability of coverage. It's a favorable environment for buyers with increased competition among insurers.

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Underwriter's Decision

The underwriter's decision regarding a submission, which can be to accept, modify, reject, or defer. The decision is based on an in-depth assessment of the risk, taking into account various factors.

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Premium Pricing

The process of determining the appropriate premium for an insurance policy, taking into account the risk profile, coverage needs, and market conditions. Different pricing methods may be used based on risk assessment and market factors.

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Underwriting Guides

A set of guidelines and resources underwriters follow for making consistent risk selection and underwriting decisions. They help ensure fairness and transparency in the underwriting process.

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Claims Information

Access to historical claims data, which is crucial for underwriters to analyze past losses and adjust premiums accordingly. It helps in measuring risk more accurately and ensures proper pricing for coverage.

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Surplus Lines

Often needed by insurance companies to gain additional coverage that may not be available in the traditional insurance market. They provide specialists in placing difficult-to-insure risks.

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Placement Services

Services provided by brokers to assist in ensuring that all potential coverage needs are addressed and to mitigate errors and omissions liability. These services help brokers provide comprehensive and effective placement for their clients' risks.

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Development and Public Services

The characteristics of a building and its surroundings that contribute to the assessment of the risk. This includes factors like the development of the building, its distance to nearby buildings, and the presence of public services like fire stations.

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Exposure and Experience Rating

Rating methods used by municipalities or insurance companies to classify risks based on their exposure and experience. This involves analyzing factors like proximity to rivers for flood risk or the frequency of claims in certain areas.

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Risk Categorization

The process of grouping similar risks together based on their likelihood of loss. This allows insurers to calculate accurate premiums for each group.

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Staff Inspectors

The use of qualified personnel to conduct physical inspections of properties to assess their condition and identify potential loss exposures. This ensures that the risks are accurately evaluated and proper coverage is provided.

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Internal Advisory Services

Internal services provided by insurance companies to advise on various aspects of the business, including investment returns, underwriting strategies, and market analysis.

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Heavy Competition

A period of intense competition among insurers, leading to lower premiums and relaxed underwriting standards. This can create a favorable environment for buyers, but also increase the potential for risks for insurers.

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Stricter Underwriting Standards

A period of stricter underwriting standards and rising premiums, typically occurring after periods of heavy competition or increased losses. Insurers try to reduce their risk exposure during this time.

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Hazard

A condition or characteristic of a property or its surrounding environment that can contribute to the occurrence of a peril, leading to potential losses. This includes physical factors like building construction and external hazards, as well as moral hazards.

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Geography

Geographical factors that can increase the risk of loss, such as restricted access to the property, which can hinder emergency response or make it difficult to prevent a loss. This can influence the underwriter's decision regarding premium pricing or acceptance of the risk.

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Catastrophes

Events that have the potential to cause widespread and significant losses, challenging for insurers due to their scale and potential impact. These events require special consideration in risk assessment and may prompt insurers to utilize risk mitigation strategies.

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Moral Hazard

The tendency for people with insurance to engage in riskier behaviors or neglect preventative measures, knowing that they are insured. This can increase claim frequency and severity, presenting a challenge for insurers.

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Study Notes

Broker's Role

  • Brokers act as intermediaries between clients and insurers, handling communication, risk assessment, and insurance application.

Underwriting Process

  • Evaluating and selecting risks for insurance.
  • Application and supporting documents outline risk characteristics.
  • Categorizing risks into groups based on shared characteristics.
  • Premium pricing and coverage are influenced by risk characteristics.
  • Higher-risk individuals are more likely to seek insurance.

Risk Classification

  • Categorizing risks according to shared characteristics.
  • This influences premium pricing and coverage.

Adverse Selection

  • Higher-risk individuals are more likely to seek insurance than lower-risk ones.

Physical Hazards

  • Building construction, occupancy, and external exposures influence risk.

Moral Hazard

  • Ethical behavior issues related to insurance claim misuse.

Building Construction Classes

  • Building types (e.g., fire resistive, non-combustible) affect risk assessment.

Loss Experience Data

  • Historical claims data is used to assess risks and set premiums.

Inspection Reports

  • Physical characteristics of the property are verified requiring applicant cooperation.

Survey Completion

  • Process includes inspections and submission of basic risk information to secure temporary coverage.

Binding Coverage

  • Temporary coverage is secured through inspections and submission of basic risk information.

Hard Market

  • High premiums and limited availability in the insurance market.

Soft Market

  • Lower premiums and wider availability in the insurance market.

Underwriter's Decision

  • Decisions regarding acceptance, modification, rejection, or deferral of insurance submissions are made.

Premium Pricing

  • Determining rates based on market conditions and risk.

Underwriting Guides

  • Insurance companies use these guides to ensure consistent risk selection.

Claims Information

  • Access to and use of historical claims data impacts underwriting.

Buildings Over 25 Years Old

  • This factor is considered in underwriting.

Types of Protection

  • Two types of protection are discussed.

Functions of Underwriters

  • Four functions are described.

Adverse Selection Definition

  • Defined within the context of insurance.

Risk Classification Utilization

  • When risk classification tools and methods are used.

Changes in Hard Markets

  • Characteristics of hard markets.

Moral Hazard Explanation

  • Description of moral hazard in the context of insurance.

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