Personal Risk Management Overview

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Questions and Answers

What best describes proximate cause in regards to responsibility for injury or loss?

  • Any act that may contribute to the outcome of the loss.
  • The primary action taken by the insured.
  • The initial act that leads to a natural sequence of events resulting in loss. (correct)
  • The last negligent act leading to the injury or loss.

What is a key characteristic of co-insurance in insurance policies?

  • It guarantees full coverage of all losses.
  • It eliminates all deductibles for insured events.
  • It involves shared loss between the insured and insurer after a deductible. (correct)
  • It requires the insured to pay a higher premium.

Which statement accurately defines the concept of insurable interest?

  • A legal representation needed to ensure a policy payout.
  • A requirement that prevents adverse selection in contracts.
  • The financial stake a policyholder has in the insured item or individual. (correct)
  • The benefit received upon successful completion of a life insurance contract.

What is the purpose of co-ordination of benefits (COB) in insurance policies?

<p>To avoid duplicate payments and establish a sequence for coverage application. (C)</p> Signup and view all the answers

In an insurance policy, what do exclusions refer to?

<p>Specific instances or events that are not covered by the policy. (A)</p> Signup and view all the answers

How does adverse selection impact the insurance market?

<p>It results in insurers attracting higher-risk clients than intended. (B)</p> Signup and view all the answers

What do declarations in an insurance policy typically specify?

<p>The who, what, when, and where of the particular policy. (A)</p> Signup and view all the answers

Which of the following best describes the relationship between coinsurance and deductibles?

<p>Coinsurance sharing occurs after the deductible is satisfied. (A)</p> Signup and view all the answers

What is the definition of pure risk?

<p>Chance of loss or no change with no chance of gain (C)</p> Signup and view all the answers

Which term describes the actual cause(s) of a loss?

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

What type of hazard is associated with physical properties like location or chemical composition?

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

Which of the following best describes adverse selection in insurance?

<p>A tendency for people with higher risk to seek insurance more often (C)</p> Signup and view all the answers

What does the term 'insurable interest' refer to?

<p>A financial stake in the subject matter of the insurance policy (D)</p> Signup and view all the answers

How does co-insurance typically function within an indemnity contract?

<p>It requires policyholders to share in the risk of loss (A)</p> Signup and view all the answers

What role do hazards play in risk management?

<p>They can increase the likelihood or severity of a peril arising (B)</p> Signup and view all the answers

Which of the following represents a speculative risk?

<p>Investing in stocks with potential gains or losses (B)</p> Signup and view all the answers

Which risk management strategy involves passing the financial burden to another party?

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

What is a common feature of an indemnity contract?

<p>It compensates the insured for actual losses. (A)</p> Signup and view all the answers

Which factor is essential to establish insurable interest?

<p>A financial loss would occur. (B)</p> Signup and view all the answers

What effect does adverse selection typically have on insurance markets?

<p>It can result in higher premiums for all insureds. (A)</p> Signup and view all the answers

Co-insurance generally requires the insured to share in the expenses after what point?

<p>The deductible limit is reached. (B)</p> Signup and view all the answers

In the context of property risk, what would likely be classified as a critical severity risk?

<p>Premature death from skydiving. (D)</p> Signup and view all the answers

Which of the following best describes the term 'proximate cause' in insurance?

<p>It is the actual event leading to a loss. (A)</p> Signup and view all the answers

In the risk property matrix, which action is taken when the risk is of low severity and low frequency?

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

Flashcards

Speculative Risk

A risk where there's a chance of loss, gain, or no change.

Pure Risk

A risk where the outcome is only loss or no change.

Peril

The actual cause of a loss.

Hazard

Something that increases the chance or severity of a peril.

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Physical Hazard

A hazard resulting from a physical property like location or chemical composition.

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Risk

The possibility of harm, loss, or injury.

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Co-insurance

A concept related to insurance that is not explained in the provided text.

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Deductibles

A concept related to insurance that is not explained in the provided text.

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Risk Control Strategies

Methods to reduce or eliminate the chance of risk events occurring.

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Risk Financing Strategies

Techniques for funding the financial implications of risk events.

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Risk Transfer

Shifting risk to another party (e.g., insurance).

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Risk Retention

Accepting the financial burden of a risk.

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Risk Property Matrix

A tool to assess risks based on frequency and severity.

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Risk Reduction

Actions to minimize risk's impact.

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Severity of Risk

Evaluating the potential harm or loss associated with risk.

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Frequency of Risk

How often a risk is likely to occur.

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Proximate Cause

The initial action that directly leads to a continuous chain of events causing injury or loss.

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Intervening Event

An event after the initial negligent act that ultimately causes the injury or loss.

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Coordination of Benefits (COB)

A provision preventing duplicate insurance payments and specifying the order (primary, secondary) insurance coverage applies when individuals have multiple policies.

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Insurance Policy Declarations

The section of an insurance policy outlining who, what, when, and where the policy applies.

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Insuring Agreements

What the insurance company agrees to do under the policy.

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Policy Exclusions

What the insurance company will not cover under the policy.

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Policy Conditions

The actions required by the policyholder to receive coverage.

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Study Notes

Personal Risk Management

  • Risk is the possibility of harm, injury, loss, damage, or destruction. Risk impacts earnings (death/disability), personal liability (action/inaction), property (fire/theft), and investments.
  • Two basic types of risk:
    • Speculative risk: Involves a chance of loss, gain, or no change.
    • Pure risk: Involves a chance of loss or no change; there is no chance of gain.
  • Risk terminology:
    • Perils: The actual cause(s) of a loss.
    • Hazards: Acts or conditions that increase the likelihood of a peril or the severity of the loss.
  • Three types of hazards:
    • Physical: Results from physical property (location, chemical composition).
    • Moral: Incentive to take additional risk, not fully bearing the consequences of one's actions. This can relate to insurance/finance/government policy.
    • Morale: Complacency and negligence from a perceived lack of risk; altered perception of risk when risk mitigation is in place (examples include automatic car door opener, house keys).
  • Adverse Selection: Those at greater risk are more likely to purchase insurance to cover their risk.
  • Nature of Contract: Valued/non-indemnity contracts determine payment amounts in advance, unaffected by the individual's actual loss. Indemnity contracts base payment amounts on the individual's actual loss.
  • Insurable Interest: If loss or damage to an insured entity would result in actual financial loss. Financial interest, like ownership, and non-ownership cases matter. Relationships like dependency, emotional distress, and legal obligation factor into interest, affecting insurability. Insurable interest is necessary for property and liability insurance, as well as life insurance.
  • Proximate Cause: The initial act that sets off a natural and continuous sequence of events resulting in injury or loss. Responsibility for the injury lies with the last negligent act.
  • Co-insurance: A policy provision where both the insured and insurer share the loss, typically in a fixed proportion after a deductible is met.
  • Co-ordination of Benefits (COB): A policy provision eliminating duplicate payments, providing coverage sequence (primary and secondary), when an individual is insured under multiple contracts.
  • Structure of Insurance Policies:
    • Declarations: Who, what, when, and where of the particular policy.
    • Insuring Agreements: What the insurer agrees to do.
    • Exclusions: What the insurer will not do.
    • Conditions: Acts required for coverage from the policyholder.
    • Endorsements: Amendments to the original policy contract.
  • Types of Pure Risk:
    • Personal Risks: Death/disability of individuals/family members, and unemployment.
    • Property Risks: Theft, damage, destruction of property, and direct/indirect effects.
    • Liability Risks: Damages through the legal system from carelessness/negligence, affecting personal injury, property damage, and punitive damages.
    • Failure of Others to Perform.
  • Key Properties of Personal Risk:
    • Severity: Critical (serious financial consequences, bankruptcy), Material (serious financial consequences, reduction in SOL), and Minor (little financial consequences, minor effect on income/expenses).
    • Frequency: High, Medium, Low (likelihood of occurrence).
    • Risk Property Matrix: A depiction of severity and frequency's combined effect on risk assessment, to help assess risk and manage it appropriately.
  • Risk Management Strategies:
    • Risk Control: Control Exposure to Risk, Control Severity of Loss, Avoidance, Reduction.
    • Risk Financing: Arrange for Funds to Cover Potential Loss, Transfer Financial Burden to Others, Sharing/Transferring, Retention, Safety Procedures, Pooling, Segregation, Diversification, Informal Deductibles, Waiting Periods, Co-Insurance, Exclusions
  • Managing Personal Risk:
    • Steps (or phases) to manage personal risk: Define the Risk Management Objectives; Identify & Evaluate the Risks; Identify Appropriate Risk Management Strategies; Implementation; Review & Update
  • Typical Objectives: Preserve household income during death/disability, Protect assets from theft/destruction, Personal liability from actions/inactions.
  • Identify & Evaluate the Risks: Review financial statements (property at risk, income loss if death/disability). Review lifestyle/family situations (occupation, personal activities, legal liability, professional/volunteer activities, health conditions).
  • Identify Appropriate Risk Management Strategies: Use Risk Matrix (severity/frequency).
  • Implementation: Executing chosen risk management strategies
  • Review & Update: Examining the effectiveness of the risk management process, and factors like job security, dependents, health, hobby/job changes, real assets value, cost of living, or beneficiary changes. Reviewing significant environmental changes.
  • Risk Identification & Insurance Needs of Clients: (examples include Reed Chalmers, Schmendrick the Magician, Brian M., Salvatore Cuchimel, Eustace Wingtip)
  • Essential questions about risk, and how to approach it.

Subheadings

  • These subheadings are for better organization; the sections are related and not distinct topics.

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