Chapter 8: An Introduction to Insurance and Risk Management Chapter 8 An Introduction to Insurance...

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Chapter 8: An Introducti on to Insurance and Risk Management Chapter 8 An Introduction to Insurance and Risk Management

Transcript of Chapter 8: An Introduction to Insurance and Risk Management Chapter 8 An Introduction to Insurance...

Page 1: Chapter 8: An Introduction to Insurance and Risk Management Chapter 8 An Introduction to Insurance and Risk Management.

Chapter 8: An Introduction to Insurance and Risk Management

Chapter 8

An Introduction to Insurance and Risk Management

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Chapter 8: An Introduction to Insurance and Risk Management

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What is Risk?

The chance of loss There must be a chance of loss for

risk to exist.

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Risk Defined

Chance/possibility of loss Uncertainty Variation of actual from expected

results

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Understanding Risk

Pure vs. Speculative Dynamic vs. Static Subjective vs. Objective Particular vs. Fundamental Financial vs. Nonfinancial Probability of Loss Law of Large Numbers

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Responses to Pure Risk

Risk avoidance Risk reduction Risk retention or assumption Risk transfer

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Causes of Insured Losses

Perils Hazards

Physical hazard Moral hazard Morale hazard

Adverse Selection

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Insurable Losses

Insurance vs. Gambling Requisites for an Insurable Risk

Large Number of Exposure Units Must Exist

Insured Losses Must Be: Accidental from Insured’s Standpoint Measurable and Determinable

Losses Must Not Pose Catastrophic Risk for Insurer

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Elements of a Valid Contract

Offer and Acceptance Legal Competency of all Parties Legal Consideration Lawful Purpose

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Legal Principles of the Insurance Contract

The Principle of Indemnity Subrogation Clause

The Principle of Insurable Interest The Principle of Utmost Good

Faith Warranty Representation Concealment

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Distinguishing Characteristics of Insurance Contracts

Adhesion (Take it or Leave it) Aleatory (Unequal Money

Exchange) Unilateral (Only One Promise,

Made By Insurer) Conditional (Conditioned on Paying

the Premium)

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The Law of Agency

Agents & Brokers Agency Relationships

Express authority Implied authority Apparent authority

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Important Features of Insurance Contracts

Exclusions Riders and Endorsements Valuation of Insured Losses

Replacement Cost Actual Cash Value (ACV) Agreed-upon Value Deductibles and Copayments

Coinsurance

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Individual Loss Exposures and Insurance Coverages

Perils that Can Reduce and/or Eliminate the Ability to Earn Income Dying too soon Living too long Disability

Perils that Can Destroy or Deplete Existing Assets Damage to property Legal liability for injuries inflicted upon others

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Selecting an Insurance Company

Rating agencies A. M. Best’s Fitch Moody’s Standard and Poor’s Weiss

NAIC Criteria

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Characteristics of Insurance Companies

Type of Ownership Capital Stock Insurance Mutual Insurance

Insurance Underwriting Reinsurance Federal & State Regulation

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The Risk Management Process

Determining the objectives of the risk management program

Identifying the risk exposure Evaluating identified risks as to the

probability of outcome and potential loss

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The Risk Management Process (cont.)

Determining and selecting the best risk management alternative Risk Avoidance Loss Control Risk Retention or Assumption Risk Transfer

Implementing a risk management plan based on selected alternatives

Periodically evaluating and reviewing the risk management program