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What is the risk management process?
Identifying and analyzing loss exposures
Examining the feasibility of alternative techniques available for treating those exposures
Selecting the most appropriate combination of those techniques
Implementing the selected techniques
Monitoring results and considering the need for change or improvement
What step in the risk management process is this situation: You are the CFO in Urban University and in charge of the commercial insurance purchased for the university. One day, the principle of the university decides to open the university’s gym to children who lived in the neighborhood for their use after school. What is your response? Will this decision bring more risks to the university?
Step five: Monitoring and improving your risk management program
What is the relationship between insurance and risk management?
Insurance is a risk financing technique
Risk management is broader is the sense that it includes five steps
Risk financing is one component in the second step in the risk management process
What is the rule of thumb used by many risk managers?
Each exposure be treated with at least one risk control technique and at least one risk financing technique
Insurance
The pooling of fortuitous losses by transfer of such risks to insurers, who agree to indemnify insureds, for such losses, to provide other pecuniary benefits on their occurrence, or to render services connected with the risk
What are the basic characteristics of insurance?
Pooling
Payment of fortuitous losses
Risk transfer
Indemnification
Pooling
Spreading losses incurred by the few over the entire group
Fortuitous Loss
A loss that is unforeseen, unexpected, and occur as a result of chance
Risk Transfer
A pure risk is transferred from the insured to the insurer, who typically is in a stronger fianncial position
Indemnification
The insured is restored to his or her approximate financial position prior to the occurrence of the loss
What are the characteristics of an ideally insurable risk?
Large number of exposure units
Accidental and unintentional loss
Determinable and measurable loss
No catastrophic loss
Calculable chance of loss
Economically feasible premium
Why is a large number of exposure units a characteristic of an ideally insurable risk?
To predict average loss based on the law of large numbers
Why is accidental and unintentional loss a characteristic of an ideally insurable risk?
To assure random occurrence of events
Why is determinable and measurable loss a characteristic of an ideally insurable risk?
To determine how much should be paid
Why is no catastrophic loss a characteristic of an ideally insurable risk?
To allow the pooling technique to work
Why is a calculable chance of loss a characteristic of an ideally insurable risk?
To establish a premium that is sufficient to pay all claims and expenses and yields a profit during the policy period
Why is an economically feasible premium a characteristic of an ideally insurable risk?
So people can afford to purchase the policy
What kind of risks can be insured?
Personal, property, and liability
What types of risks are difficult to insure
Market, financial, production, and political
Exposures to catastrophic loss can be managed by using ______
Reinsurance
Reinsurance
Dispersing coverage over a large geographic area, or using financial instruments, such as catastrophe bonds
What is necessary for insurance to be an attractive purchase?
The premiums paid must be substantially less than the face value, or amount, of the policy
Adverse Selection
The tendency of persons with a higher-than-average chance o floss to seek insurance at standard rates
What happens if adverse selection is not controlled by underwriting?
Higher-than-expected loss levels
What can adverse selection be controlled by?
Careful underwriting
Policy provisions
Underwriting
Selection and classification of applicants for insurance
What is an example of an insurance policy provision?
Suicide clause in life insurance
How is insurance and gambling different?
Insurance handles an already existing pure risk, is always socially productive, and both parties have a common interest in the prevention of loss
Gambling creates a new speculative risk, is not socially productive, and the winner’s gain comes at the expense of the loser
Private Insurance
Includes life and health insurance as well as property and liability insurance
Government Insurance
Social insurance programs and other government insurance plans
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 covers what is not covered by fire, marine, and life insurance
What are the two categories that private insurance can be grouped into?
Personal lines and commerical lines
Personal Lines
Coverages that insure the real estate and personal property of individuals and families to provide protection against legal liability
Commercial Lines
Coverages for business firms, non-profit organizations, and government agencies
Social Insurance Programs
Financed entirely or in large part by contributions from employers and/or employees
Benefits are heavily weighted in favor of low-income groups
Eligibility and benefits are prescribed by statute
What are some examples of social insurance programs?
Social security, unemployment, and workers comp.
Other Government Insurance Programs
Found at both the federal and state level
What are some examples of other government insurance programs?
Federal flood insurance and state health insurance pools
Exercise: There are numerous definitions of insurance. Based on the definition stated in the texts below, indicate whether each of the following guarantees is considered insurance.
The manufacturer guarantees a new television against defects for 90 days
The manufacturer guarantees a new set of radial tires against road defects for 50,000 miles
A builder of new homes gives a 10-year guarantee against structural defects in the home
A cosigner of a note agrees to pay the loan balance if the original debtor defaults on the payments
A large group of homeowners agrees to pay for losses to homes that are damaged or destroyed by fire during the year
In 2024, U.S. Insurance industry net premiums written totaled ______
$1.7 trillion
The U.S. Insurance industry employed _______ people in 2024
3 million
In the USA, there are around ____ life and health insurers and more than _____ property and casualty insurers
800; 2,500
P/C insurance consists primarily of what kinds of insurance?
Auto, homeowners, and commercial
What kind of insurers accounted for the majority of the premiums written in 2024? What kind of insurers accounted for the rest?
Property and casualty (53.1%); Life/annuity (46.9%)
Who are the top ten writers of life and health insurance by direct premiums written in 2016?
MetLife Inc.
Prudential Financial Inc.
New York Life Insurance Group
Principal Financial Group Inc.
Mass Mutual Life Insurance Co., Inc.
Americal International Group
Jackson National Life Group
AXA
AEGON
Lincoln National Corp.
Who are the top ten writers of P/C insurance by direct premiums written in 2016?
State Farm Mutual Automobile Insurance
Berkshire Hathaway Inc.
Liberty Mutual
Allstate Corp.
Progressive Corp.
Travelers Companies Inc.
Chubb Ltd.
Nationwide Mutual Group
Farmers Insurance Group of Companies
USAA Insurance Group
Stock Insurer
A corporation owned by stockholders
What is the objective of a stock insurer?
Earn profit for stockholders by increasing the value of stock and paying dividends
What are the characteristics of stockholders with stock insurers?
Elect board of directors
Bear all losses
A stock insurer (can/cannot) issue an assessable policy
Cannot
Mutual Insurer
A corporation owned by the policy owners
What are some examples of a stock insurer?
Allstate, AIG
What do policyholders receive with a mutual insurer?
Dividends or rate reductions
With a mutual insurer, policy owners ____ board of directors who have effective management?
Elect
What are some examples of a mutual insurer?
State Farm, Nationwide
Is Lloyd’s an insurer?
No
Lloyd’s
The world’s leading insurance market that provides services and physical facilities for its members to write specialized lines of insurance
What was Lloyd’s formerly known as?
Lloyd’s of London
What are the important characteristics of Lloyd’s?
Members join together to form underwriting syndicates
New individual members now have limited legal liability
Corporations with limited legal liability and limited liability partnerships can also join Lloyd’s of London
Members must meet stringent financial requirements
Lloyd’s is licensed only in a small number of jurisdictions of in the U.S.
Reciprocal Exchange
An unincorporated organization in which insurance is exchanged among the members (called subscribers)
What happens for members of a reciprocal exchange?
Insurance is exchanged among members
Each member of the reciprocal insures the other members
What is a reciprocal exchange managed by?
Attorney-in-fact
What is an example of a reciprocal exchange?
Erie Insurance
Most reciprocals are relatively ____ and specialize in a ____ number of lines of insurance
Small; limited
Example: Commercial Insurances Inc. is a large stock property and liability insurer that specializes in the writing of commercial lines of insurance. The board of directors has appointed a committee to determine the feasibility of forming a new subsidiary insurer that would sell only personal lines of insurance, primarily homeowners and auto insurance. The new insurance company would have to meet certain management objectives. One member of the board of directors believes the new insurer should be legally organized as a mutual insurer rather than as a stock insurer. Assume you are an insurance consultant who is asked to serve on the committee. To what extent, if any, would each of the following objectives of the board of directors be met by formation of a mutual property and casualty insurer? Treat each objective separately.
Commercial insurance must legally own the new insurer
The new insurer should be able to sell common stock periodically in order to raise capital and expand into new markets
The policies sold should pay dividends to the policyholders
The new insurer should be licensed to do business in all states
Producers
Intermediaries who are licensed as agents and/or brokers and who sell most insurance policies today
Sometimes producers are called ____ agents or brokers
Retail
Wholesalers
Do not deal with the end consumer of insurance
Who is considered a wholesaler?
MGAs and Surplus Lines Brokers
Agent
Legally represents the insurance companies
What does a property and casualty agent have the power to do to the insurer that a life insurance agent normally does not?
Bind the insurer
Binder
Provides temporary insurance until the policy is actually written
What must occur before life insurance becomes effective for the applicant for life insurance?
Applicant must be approved
Broker
Someone who legally represents the insured and solicits applications and attempts to place coverage with an appropriate insurer
Surplus Lines Broker
Licensed to place business with a non-admitted insurer
Surplus Lines
Any type of insurance for which there is no available market within the state, and coverage must be placed with a non-admitted insurer
Managing General Agent (MGA)
A specialized type of “wholesale” producer that, unlike “retail” producers, is vested with underwriting authority from an insurer
Why does MGAs benefit insurers?
They possess expertise that is not al
MGAs are involved with ____ lines of coverage
The functions of MGAs and surplus lines have become _______
Intertwined