General insurance
retention
1. to reduce expenses and improve cash flow 2. to increase control of claim reserving and claims settlements 3. to fund for losses that cannot be insured
conditional contract
A type of an agreement in which both parties must perform certain duties and follow rules of conduct to make the contract enforceable.
Domestic Insurer
An insurance company that conducts business in the state
Foreign Insurer
An insurance company that is incorporated in another state.
Alien Insurer
An insurance company that is incorporated outside the United States.
conditional
Certain conditions must be met in order for policy to pay-out.
Speculative Risk
Involves the opportunity or either loss or gain . Non- insurble
Llyod's Associations
Organizations that does not issue insurance policies but provides a meeting place for underwriters to conduct buisness
insurance
The transfers of a possibility of a loss (risk) to an insurance company, which in turn spreads the cost of unexpected losses to many others.
aleatory
Unequal exchange of value. One party may obtain a far greater value than the other under the contract.
insurance policy
a contract between a policyowner (and/or insured) and an insurance company which agrees to pay the insured or the beneficiary for loss caused by specific events
Material Misrepresentation
a false statement that changes the outcome of issueing a policy
homogeneous
a large number of units having the same or similar exposure to loss
Agent/Producer
a legal representative of an insurance company; the classification of producer usually includes agents and brokers; agents are the agents of the insurer
Reciprocity
a mutual interchange of rights and privileges
franternal benefit societies
a nonprofit organization formed to sell insurance only to its members
Applicant/Proposed insured
a person applying for insurance
warranty
a statement guaranteed to be true
authority
admitted and/ authorized, authorized by state
Material misrepresentations (if intentional), breach of warranties, concealment, fraud
all can void the contract
principal
an agent represents regarding contractual agreements with third parties
Captive Agent
an insurance agent who represents only one insurance company or group companies
Broker
an insurance producer not appointed by an insurer and is deemed to represent the client
Representations
are statements believed to be true to the best of ones knowledge, but they are not guaranteed to be true
Avoidance
avoiding risk to not have an accident
Apparent (Perceived) Authority
based on the pricipal's actions
personal
between insurer and insurance
authorities agents can hold
express and implied
If material misrepresentations are intentional they are considered
fraud
Ambiguities
in the contract are always resolved in favor of the insured
hazards
increase chance of loss
Physical hazards
individual characteristics that increase the chances of the cause of loss
Adverse Selection
insuring of risks that are more prone to losses than the average risk
Reinsurance
is a contract under which one insurance company (the reinsurer) indemnifies another insurance company for part or all of its liabilities.
exposure
is a unit of measurement used to determine rates charged for insurance coverage
express
is the authority a principal intends to grant to an agent by means of the agents contract. it is written in a contract
implied
its assumed
Indeminity
key principle in all insurance
Fiduciary
money collected with respect to an insurance transaction must be held in a position of trust by the agent or broker
stock
non-participating policies, owned by stockholders
unilateral
one-sided promise
mutual
participating policies, owned by policy owners
Utmost good faith
parties rely on each other for information
non- admitted
prohibited from transacting insurance in the state
Conditions
provisions in the policy that qualify or place limitations on the insurer's promise to perform
loss
reduction of value, destruction or disappearance of property or person in a policy
Automatic (also known as treaty)
reinsurance is a predetermined, blanket arrangement
Agent's Fiduciary
responsibility includes handling insurer funds in a trust capacity
Law of Large Numbers
s states that the larger the number of people with a similar exposure to loss, the more predictable actual losses will be.
morale hazards
state of mind that causes indifference towards loss
adhesion
take it or leave it
Acceptance
takes place when an insurer's underwriter approves the application and issues a policy
moral hazards
tendencies towards increased risk
peril
the cause of a loss
Insurer
the company who issues an insurance policy
casualty
the loss of and or damage to property and resulting liabilities (someone else's property)
property
the loss of physical property or of its income producing abilities (personal)
Premimum
the money paid to the insurance company for the insurance company
Pure risk
the only risk that can be insured. With loss only and no financial gain
Insured
the person covered by the insurance company. The person may or may not be the policy owner
Policyowner
the person entitled to exercise the rights and privileges in the policy
facultative reinsurance
they underwrite each application separately.
transfer
transferring of risk to insurance
Misrepresentation
untrue statements on the application
Waiver
when an insurance company receives an application with missing information and issues the policy anyway
Concealment
withholding of information that will result in an imprecise underwriting decision
reduction
you can reduce your exposure for the risk that are out there