Insurance and Risk: Chapter 2

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Questions and Answers

Which mechanism is MOST effective for insurers to handle fortuitious losses?

  • Establishing a government reinsurance program to handle catastrophic events.
  • Implementing strict underwriting guidelines that minimize the acceptance of high-risk applicants.
  • Pooling a large number of homogeneous risk exposures to predict average losses. (correct)
  • Investing in high-yield, high-risk financial instruments to offset potential payouts.

What is the MOST critical element for a risk to be considered ideally insurable?

  • The ability to accurately predict the probability and severity of future losses. (correct)
  • The mandatory participation of all members within a defined geographic region.
  • The risk being a speculative venture with a potential for both profit and loss.
  • The potential for extremely large losses that could bankrupt the insurer.

How does insurance differ from gambling regarding the nature of risk?

  • Insurance handles an existing pure risk, while gambling creates a new speculative risk. (correct)
  • Insurance creates a new speculative risk, while gambling handles an existing pure risk.
  • Both insurance and gambling create new speculative risks, but gambling is tax deductible.
  • Both insurance and gambling handle existing pure risks, but insurance is socially productive.

Which of the following strategies would BEST mitigate the problem of adverse selection in health insurance?

<p>Mandating universal coverage to include both high and low-risk individuals. (D)</p> Signup and view all the answers

How do casualty insurance policies MOST broadly differ from property and liability insurance policies?

<p>Casualty insurance covers whatever is not covered by fire, marine, and life insurance. (D)</p> Signup and view all the answers

What is the MOST significant implication of the social cost of insurance?

<p>The reduction in disposable income due to higher premiums, consumption of other goods and services. (D)</p> Signup and view all the answers

In the context of insurance, what does indemnification MOST directly aim to achieve for the insured?

<p>Returning the insured to their financial position prior to the loss, without profit or penalty. (C)</p> Signup and view all the answers

What is the PRIMARY role of state premium taxes within the structure of the social costs of insurance?

<p>To provide revenue for state governments, ultimately increasing the overall expense loading. (B)</p> Signup and view all the answers

How do insurance contracts PRIMARILY address the problem of information asymmetry between insurers and insureds?

<p>By requiring insureds to disclose all relevant information and misrepresentation can void the policy. (B)</p> Signup and view all the answers

Why is the pooling of losses a crucial component of the insurance mechanism?

<p>It enables insurers to predict future losses with greater accuracy. (D)</p> Signup and view all the answers

Which of the following scenarios BEST exemplifies the social benefit of insurance through loss prevention?

<p>An insurance company funding research into safer building materials. (B)</p> Signup and view all the answers

Which scenario represents the MOST accurate example of fraudulent claims as a social cost of insurance?

<p>A policyholder exaggerating the value of damaged property to receive a larger settlement. (A)</p> Signup and view all the answers

How does social security function within the framework of government insurance programs?

<p>It replaces lost earnings due to retirement, disability, or death. (C)</p> Signup and view all the answers

What is the PRIMARY goal of risk reduction efforts undertaken by insurance companies?

<p>To prevent losses, thus improving overall profitability. (A)</p> Signup and view all the answers

What is the MOST significant problem with the expectation of high returns from investments for payouts?

<p>Greater likelihood of company insolvency. (A)</p> Signup and view all the answers

Flashcards

Insurance Definition

Pooling fortuitous losses by transferring risk to insurers, who indemnify for losses and provide pecuniary benefits or services connected with the risk.

Pooling of losses

The spreading of losses incurred by a few over the entire group to reduce risk.

Insurance

Handling existing pure risk

Gambling

A risk that creates a new speculative risk.

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Life Insurance

Pays death benefits to beneficiaries when the insured dies.

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Health Insurance

Covers medical expenses due to sickness or injury.

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Property Insurance

Indemnifies property owners against loss or damage to real or personal property.

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Commercial lines

Insurance coverages for business firms and nonprofit organizations

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Government Insurance Programs

Financial assistance or aid provided by the government.

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Expense Loading

Amount needed to pay all expenses, including commissions, administrative costs, and taxes.

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Fraudulent Claims

Dishonest claims made to an insurance provider.

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Social Benefits of Insurance

Insurance reduces worry, provides investment funds, prevents loss, enhances credit

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Study Notes

  • Chapter 2 is about Insurance and Risk.

Definition of Insurance

  • Insurance involves pooling fortuitous losses.
  • Risk is transferred to insurers who agree to indemnify insureds for losses.
  • Insurers provide pecuniary benefits or render services connected to risk occurrence.

Basic Characteristics of Insurance

  • Pooling involves spreading losses incurred by a few over an entire group.
  • Risk reduction includes medical care, fire departments, security guards, sprinkler systems, and burglar alarms.
  • These attempt to deal with risk by preventing a loss or reducing the chance it will occur.

Example of Pooling

  • Two business owners own identical buildings valued at $50,000
  • There is 10-percent chance each building will be destroyed by a peril in any year.
  • The loss to either building is an independent event.
  • Each owner faces a potential loss of $50,000, with an expected loss of $5,000.
  • The standard deviation is $15,000.

Insurance vs. Gambling

  • Insurance handles an already existing pure risk and is always socially productive.
  • Both parties have a common interest in the prevention of a loss with insurance.
  • Gambling creates a new speculative risk and is not socially productive.
  • The winner's gain comes at the expense of the loser with gambling.

Types of Private Insurance

  • Life insurance pays death benefits to beneficiaries when the insured dies.
  • Health insurance covers medical expenses because of sickness or injury.
  • Property insurance indemnifies property owners against the loss or damage of real or personal property.
  • Liability insurance covers the insured's legal liability arising out of property damage or bodily injury to others.
  • Casualty insurance refers to insurance that is not covered by fire, marine, and life insurance.

Other insurance types

  • Personal lines coverages include real estate and personal property for individuals/families.
  • Protection against legal liability is also a part of personal lines insurance.
  • Commercial lines of insurance include coverages for business firms, nonprofit organizations, and government agencies.

Social Insurance Programs

  • Financed entirely or in large part by contributions from employers, employees or both.
  • Benefits are heavily weighted in favor of low-income groups.
  • Eligibility and benefits are prescribed by statute.
  • Examples include Social Security, Unemployment, and Workers' Compensation.
  • Other government insurance programs are found at both the federal and state level.
  • Examples include Federal flood insurance, and state health insurance pools

Social Benefits of Insurance

  • Indemnification for loss
  • Reduction of worry and fear
  • Source of investment funds
  • Loss prevention
  • Enhancement of credit

Social Costs of Insurance

  • The cost of doing business is a social cost of insurance.
  • An expense loading is the amount needed to pay all expenses, including commissions, general administrative expenses, state premium taxes, acquisition expenses, and an allowance for contingencies and profit.
  • Fraudulent claims and inflated claims are also social costs.
  • Higher premiums to cover additional losses reduce disposable income and consumption of other goods and services.

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