Insurance Types and Terms

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Questions and Answers

Which of the following best describes the difference between 'occurrence' and 'claims-made' commercial insurance policies?

  • Claims-made policies are mandated by law, while occurrence policies are optional and chosen by the insurer.
  • Occurrence policies cover claims made during the active policy period, while claims-made policies cover incidents regardless of when the claim is filed.
  • Occurrence policies have higher premiums but offer less comprehensive coverage compared to claims-made policies.
  • Occurrence policies cover incidents that occur during the policy period, regardless of when the claim is filed, while claims-made policies only cover claims made during the active policy period. (correct)

What is the primary goal of the 'capital retention approach' when determining life insurance needs?

  • To calculate expenses and determine the appropriate coverage amount.
  • To provide coverage for a specific term with no cash value accumulation.
  • To replace lost income for dependents in the event of the insured's death.
  • To preserve the initial capital and allow beneficiaries to live off the investment returns. (correct)

Which type of liability holds a party responsible for damages, even without proof of negligence, and offers no defenses or exceptions?

  • No-fault liability
  • Compulsory liability
  • Strict liability
  • Absolute liability (correct)

How do insurance brokers differ from insurance agents?

<p>Brokers secure optimal coverage across different insurers for clients, while agents sell the insurer's products. (D)</p> Signup and view all the answers

Which factor is NOT typically a key consideration when determining homeowners insurance premiums?

<p>The homeowner's employment history (B)</p> Signup and view all the answers

Which of the following best describes the role of a claims adjuster?

<p>Investigating, evaluating, negotiating, and settling insurance claims (B)</p> Signup and view all the answers

Which principle is NOT a part of the Canada Health Act?

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

What is the primary function of a 'surety bond'?

<p>To guarantee fulfillment of contractual obligations and provide financial security (D)</p> Signup and view all the answers

If a primary beneficiary is deceased, who receives the insurance benefits?

<p>The contingent beneficiary (A)</p> Signup and view all the answers

Which type of deductible applies each time an incident occurs?

<p>Per occurrence deductible (D)</p> Signup and view all the answers

Which of the following policies is normally mandated by the law?

<p>Compulsory Coverage (C)</p> Signup and view all the answers

Which type of insurance pays for losses regardless of fault?

<p>No Fault (C)</p> Signup and view all the answers

Which type of insurance coverage is best suited for individuals who need replacement income directly when determining life insurance needs?

<p>Income Approach (A)</p> Signup and view all the answers

Which coverage provides employees and is cost-effective due to pooled risk?

<p>Group Health Insurance (D)</p> Signup and view all the answers

What type of insurance will protect corporate leaders from wrongful acts claims?

<p>Directors &amp; Officers (D&amp;O) (B)</p> Signup and view all the answers

Which type of coverage is for a specific term and has no cash value?

<p>Term Insurance (C)</p> Signup and view all the answers

If the insurance company pays the full claim if loss exceeds a certain amount, what claims policy is being used?

<p>franchise (C)</p> Signup and view all the answers

The Canada Health Act promotes public administration, comprehensiveness, universality, portability, and what other principle?

<p>Accessibility (C)</p> Signup and view all the answers

Which type of travel insurance covers medical emergencies outside home country?

<p>Out of Country Coverage (D)</p> Signup and view all the answers

What is the result of negligence?

<p>failure to exercise reasonable care, resulting in damage or injury to another (C)</p> Signup and view all the answers

Flashcards

Compulsory Coverage

Insurance coverage that is mandated by law, such as basic auto liability insurance.

Optional Coverage

Extra insurance protection chosen by the insured, like collision coverage.

No Fault Insurance

The insurance company pays for losses regardless of who was at fault.

Liability (Auto)

Covers damages and injuries you cause to third parties.

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Strict Liability

Liability without needing to prove negligence, although some defenses may exist.

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Absolute Liability

Liability without defenses or exceptions.

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Negligence

Failing to act with reasonable care, leading to harm or damage to another.

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Term Life Insurance

Coverage for a specific period with no cash value accumulation.

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Permanent Life Insurance

Lifetime coverage that builds cash value over time.

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Capital Retention Approach

This approach aims to maintain wealth for beneficiaries by preserving initial capital and living off the investment returns.

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Income Approach

This approach aims to replace income for dependents, especially when income loss is a concern.

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Expense Approach

Calculate expenses to know what amount of coverage you need.

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Occurrence

Policy covers claims for incidents during the policy period.

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Claims-made

Policy covers claims made during the active policy period.

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Franchise (Insurance)

Pays full claim if loss exceeds a certain amount.

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Claims Payment

Process to document, verify, evaluate, and settle claims.

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Insurance Agents

Represent insurance companies and sell the insurer's product.

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Insurance Brokers

Represent clients and secure optimal coverage across different insurers.

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Malpractice Insurance

Covers professionals from negligence claims.

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Group Health Insurance

Provided by employers, cost-effective due to pooled risk.

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Study Notes

  • Study notes on insurance are below:

Compulsory vs. Optional Coverages

  • Compulsory coverage is mandated by law, exemplified by basic auto liability insurance.
  • Optional coverage provides additional protection, selected by the insured, like collision coverage.

Auto Insurance Terms

  • "No Fault" insurance pays for losses regardless of who is at fault.
  • Auto liability insurance covers damages and injuries to third parties.

Liability Types

  • Strict liability holds parties liable without proof of negligence, though some defenses may exist.
  • Absolute liability imposes liability without defenses or exceptions.

Negligence

  • Negligence is the failure to exercise reasonable care, leading to damage or injury.

Life Insurance Overview

  • Term insurance offers coverage for a specific period and has no cash value.
  • Permanent insurance provides lifetime coverage and accumulates cash value.
  • Key differences between term and permanent insurance include cost, duration, and cash value accumulation.

Determining Insurance Needs

  • The capital retention approach aims to preserve initial capital, using returns for living expenses, ideal for indefinite wealth maintenance for beneficiaries.
  • The income approach replaces income for dependents, suitable for directly replacing lost income.
  • The expense approach calculates expenses to determine the necessary coverage amount.

Commercial Insurance

  • Occurrence policies cover claims for incidents occurring during the policy period, regardless of when the claim is filed.
  • Claims-made policies cover claims only if they are made during the active policy period, even if the incident occurred earlier.
  • Under a franchise policy, the insurer pays the full claim if the loss exceeds a certain amount.
  • Claims payment involves documentation, verification, evaluation, and settlement.

Deductibles

  • A straight deductible is a fixed amount per individual loss.
  • An aggregate deductible limits the total amount the insured pays in a policy period.
  • A per occurrence deductible applies each time an incident occurs.
  • A yearly deductible is a cumulative deductible per policy year.

Government Insurance

  • The Canada Health Act is based on the principles of public administration, comprehensiveness, universality, portability, and accessibility.
  • Workers' compensation covers workplace injuries.
  • Canada Pension Plan (CPP) provides retirement and disability benefits.

Travel Insurance

  • Out of country coverage insures medical emergencies outside of the home country.

Life Insurance Approaches (Revisited)

  • Capital retention approach preserves wealth, allowing beneficiaries to live off investment returns.
  • Income approach replaces lost income for dependents.
  • Expense approach covers anticipated future expenses.

Beneficiaries

  • A contingent beneficiary receives benefits if the primary beneficiary is deceased.
  • A secondary beneficiary is next in line after the primary.
  • An irrevocable beneficiary cannot be changed without their consent.

Claims Adjuster Role

  • Claims adjusters investigate, evaluate, negotiate, and settle insurance claims.

Agents vs. Brokers

  • Agents represent insurance companies and sell their products.
  • Brokers represent clients and secure optimal coverage across different insurers.

Homeowners Insurance

  • Key factors in homeowners insurance include property value, location and environment, type and age of home, claim history, and coverage types (fire, flood, theft).

Specialty Lines

  • Malpractice insurance covers professionals against negligence claims.
  • Directors & Officers (D&O) insurance protects corporate leaders from wrongful acts claims.

Surety Bonds

  • Surety bonds guarantee fulfillment of contractual obligations and provide financial security for principals.

Group Insurance

  • Group health insurance is provided by employers and is cost-effective due to pooled risk.

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