RMIN chapter 2

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Questions and Answers

Which of the following best describes the concept of 'determinable' in the context of insurance losses?

  • The loss must be within the insured's control.
  • It is possible to verify whether a loss occurred. (correct)
  • The loss amount can be precisely calculated.
  • The loss is an expected outcome under the policy.

Why is it important for insurance companies that the chance of loss is calculable?

  • To prevent adverse selection of higher-risk clients.
  • To calculate average loss frequency and severity, necessary for setting premiums. (correct)
  • To enable companies to determine the optimal level of reinsurance.
  • To ensure that losses are kept to a minimum for the insured.

Which type of insurance indemnifies property owners against the loss or damage of their real property?

  • Workers' compensation
  • Liability insurance
  • Property insurance (correct)
  • Casualty insurance

Which of the following is the most significant reason why a loss should NOT be catastrophic for an insurer?

<p>It could prevent the pooling technique from working properly. (C)</p> Signup and view all the answers

Which situation most accurately exemplifies adverse selection in insurance?

<p>Individuals with pre-existing conditions seeking insurance at a standard rate. (D)</p> Signup and view all the answers

Which of these is typically included under casualty insurance?

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

Which of the following is categorized under personal lines of property and liability insurance?

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

What differentiates private insurance from government insurance?

<p>Government insurance programs are social programs designed for the general public and private insurance is sold by private entities. (C)</p> Signup and view all the answers

What is a core function of 'underwriting' in an insurance company?

<p>To decide which applicants they should cover and at what rate. (D)</p> Signup and view all the answers

What type of insurance covers a business's legal responsibility for damages to others due to its products?

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

Which characteristic is most commonly associated with government provided social insurance programs?

<p>Benefits are heavily weighted in favor of low-income groups (A)</p> Signup and view all the answers

Why must an insured loss be largely outside of the control of the insured?

<p>To ensure the loss is random, as required by the law of large numbers. (B)</p> Signup and view all the answers

Which best exemplifies asymmetric information in the context of insurance?

<p>A client knowing they have a serious medical condition but not disclosing it when applying for health insurance. (A)</p> Signup and view all the answers

Which of the following is an example of a social insurance program?

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

Which government entity ensures the safety of deposits in banks and credit unions?

<p>Federal Deposit Insurance Corporation (FDIC) (D)</p> Signup and view all the answers

Which of the following is an example of an insurance program typically found at the state level?

<p>Beach and Windstorm Plans (A)</p> Signup and view all the answers

Which of the following best describes the concept of indemnification in insurance?

<p>The insurer aims to restore the insured to their financial position before the loss, but not better than that position. (D)</p> Signup and view all the answers

What does the principle of 'pooling of losses' primarily achieve in the context of insurance?

<p>It diversifies risks across various policyholders to reduce uncertainty and stabilize losses. (A)</p> Signup and view all the answers

What is the main purpose of the 'Law of Large Numbers' in insurance?

<p>To allow insurers to accurately predict average losses and set appropriate premiums. (B)</p> Signup and view all the answers

Which of the following best describes 'fortuitous loss' as it relates to insurance coverage?

<p>A loss that was unexpected or accidental from the perspective of the insured. (C)</p> Signup and view all the answers

Which primary characteristic of insurable risk is violated when a hurricane rapidly approaches your home and then you apply for a homeowner's policy?

<p>The loss must be accidental and unintentional. (B)</p> Signup and view all the answers

Why is it important for an insurance risk to have a large number of exposure units?

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

Which of the following is considered a fundamental step in the risk transfer process within the insurance framework?

<p>The insured pays their premium to the insurer to be covered against a financial loss. (A)</p> Signup and view all the answers

Which criteria for an ideally insurable risk is compromised if there is a possibility of widespread destruction?

<p>Loss should not be catastrophic. (C)</p> Signup and view all the answers

Flashcards

Pooling of Losses

Combining the losses of many individuals to reduce the impact of individual losses.

Fortuitous Loss

An event that is unforeseen, unexpected, and occurs due to chance.

Risk Transfer

Shifting a pure risk from the insured to the insurer, who is better equipped to handle it financially.

Indemnification

Restoring the insured to their approximate financial position before a loss occurred.

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Law of Large Numbers

The principle that as the number of exposures increases, the actual results will get closer to the expected probability.

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Large Number of Exposure Units

A risk that can be insured must have a large number of similar exposure units to allow the insurer to predict average losses.

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Accidental and Unintentional Loss

An insurable risk must be accidental and not intentional, meaning the loss should not be caused by the insured's own actions.

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Determinable and Measurable Loss

An insurable risk must be measurable and have a clear value assigned to it, so the insurer can determine the amount of compensation.

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Large Number of Similar Exposure Units

A large number of similar exposure units are needed to apply the Law of Large Numbers and predict the probability of loss.

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Loss Must Be Accidental and Unintentional

The loss insured against should be something outside of the insured's control. This ensures that the insurer is not covering deliberate or predictable events.

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Loss Must Be Determinable and Measurable

The loss needs to be verifiable. Determining if a loss occurred should be easy but can be hard if there's no documentation or evidence.
The amount of the loss should be quantifiable. Calculating the exact financial impact should be possible, although it can be complex in some cases.

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Loss Should Not Be Catastrophic

A catastrophic loss is a large-scale event that is very costly to insure. Catastrophic events include natural disasters and terrorist attacks. If an insurer experiences a large number of claims from one event, its financial stability can be threatened.

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Chance of Loss Must Be Calculable

Insurers need to be able to statistically predict the frequency and severity of losses. This is essential for setting premiums and managing risk.

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Premium Must Be Economically Feasible

The premium must be affordable to the insured. In some cases, premiums can be very expensive. For example, a very old person seeking life insurance will likely face high premiums.

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Adverse Selection

A situation where individuals with a higher risk of loss seek insurance at the same rates as those with lower risk. It can be tricky to know how much risk each customer presents, leading to losses that outweigh premiums.

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Asymmetric Information

An imbalance of information. One party in a transaction has more information than the other. This often happens in insurance deals, where the insurer doesn't have complete knowledge of the insured's risk profile.

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Liability Insurance

Covers the insured's legal responsibility for damages to others' property or bodily injury.

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Casualty Insurance

Insurance that covers a variety of risks not covered by fire, marine, or life insurance.

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Property Insurance

Covers losses to real estate or personal property.

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Personal Lines

Insurance designed for individuals, covering personal vehicles, homes, and belongings.

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Commercial Lines

Insurance specifically designed for businesses, including commercial vehicles, employee injuries, and general risks.

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Social Insurance Programs

Government-run insurance programs funded by contributions from employers and employees.

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Other Government Insurance Programs

Government-provided insurance programs available at the federal or state level.

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Surety and Fidelity Bonds

Insurance that covers the insured's financial losses due to risks like employee dishonesty, crime, and cyber threats.

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Study Notes

Risk and Insurance

  • Insurance is the pooling of fortuitous losses by transferring risks to insurers, who indemnify insureds for losses, provide other pecuniary benefits, or render services connected with the risk.
  • Insurance is the pooling of accidental losses.
  • Key characteristics of insurance include: pooling of losses, payment of fortuitous losses, risk transfer, and indemnification.

Law of Large Numbers

  • The more exposures, the closer the actual results come to the expected results from an infinite number of exposures.
  • Example: Flipping a coin many times will result in a closer percentage of heads to 50%.

Pooling of Losses

  • Spreading losses incurred by a few individuals across the entire group.
  • This reduces variation, and in turn reduces uncertainty (risk).
  • Standard deviation represents the average distance from the mean.

Payment of Fortuitous Losses

  • Fortuitous losses are unforeseen and unexpected.
  • These losses result from chance.
  • Examples include unexpected golf ball impacts and hurricane-related home damage.

Risk Transfer

  • Shifting pure risk from an insured to an insurer, who typically has a stronger financial position.
  • Examples of pure risks that are transferred to insurers are not provided.

Indemnification

  • Restoring the insured to an approximate financial position prior to the loss.

Characteristics of an Ideally Insurable Risk

  • Large number of exposure units: Enables predicting average loss based on the Law of Large Numbers.
  • Accidental and unintentional loss: Losses are outside the insured's control.
  • Determinable and measurable losses: Losses are easily identifiable and quantified.
  • Non-catastrophic losses: Minimizes the impact of catastrophic events on the insurer.
  • Calculable chance of loss: Insurers can calculate average frequency and severity of losses.
  • Economically feasible premiums: Premiums should be affordable to the insured.

Adverse Selection

  • Individuals with a higher-than-average chance of loss seek insurance at standard rates.
  • This can lead to higher-than-expected loss levels for insurers.
  • Stems from asymmetric information.

Asymmetric Information

  • One party to a transaction has information that the other party does not have.

Underwriting Risks

  • The process of selecting and classifying insurance applicants.
  • This includes considering standards, coverage terms, exclusions, and rates.

Types of Insurance

  • Private Insurance: Life, health, property & casualty.
  • Government Insurance: Social insurance programs.

Types of Private Insurance - Life and Health

  • Life insurance pays death benefits to beneficiaries when the insured dies.
  • Health insurance pays medical expenses due to illness or injury (non-work related).

Types of Private Insurance - Property and Liability

  • Property insurance protects against loss of or damage to property.
  • Liability insurance covers the insured's legal obligations arising from property damage or injury to others.
  • Casualty insurance covers events not covered by fire, marine, or life insurance (e.g., auto, liability, workers' compensation).

Categories of Property & Liability Insurance - Personal Lines

  • Personal auto
  • Homeowners' insurance (package)
  • Personal Articles
  • Personal umbrella liability
  • Flood
  • Earthquake
  • Coastal Windstorm

Categories of Property & Liability Insurance - Commercial Lines

  • Commercial auto
  • Workers' compensation
  • Commercial general liability
  • Premise liability
  • Products liability
  • Commercial umbrella/excess liability
  • Flood
  • Earthquake
  • Coastal Windstorm
  • Inland marine/Ocean marine
  • Surety bonds
  • Fidelity bonds/employee dishonesty
  • Crime
  • Cyber
  • Others

Government Insurance – Social Insurance Programs

  • Financed primarily by employee and/or employer contributions.
  • Benefits heavily favor low-income groups.
  • Eligibility and benefits are dictated by regulations.

Examples of Government Insurance Programs

  1. Old-Age, Survivors and Disability Insurance (Social Security)
  2. Unemployment
  3. Medicare

Other Government Insurance Programs

  • These programs exist at the federal and state levels.
  • Examples include the FDIC, NFIP, FAIR plans, beach and windstorm plans, and USDA farm programs.

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