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CA L&H Chap 1
Basic Insurance Concepts and Principles
Term | Definition |
---|---|
Insurance | Transfer of loss or risk from a business entity or a person to a provider, which then spreads the costs of unexpected losses to many people. |
Insurance | A contract in which one individual undertakes to indemnify another. |
Speculative and Pure | The two types of risk (the uncertainty or likelihood that a loss occurs) |
Speculative Risk | Involves the chance for gain and is not insurable |
Pure Risk | Only involves the chance of loss with no chance for financial gain |
Perils | The insured against causes of loss that insurance providers will cover. |
Hazards | Circumstances or settings that increate the likelihood of an insured loss |
Law of Large Numbers | The actual losses will be more predictable among a larger group of people having similar loss exposure. Forms the basis for the statistical prediction of loss which insurers use to calculate insurance rates. |
Loss Exposure | Unit of measure used in calculating insurance coverage rates. Any situation that presents the possibility of a loss. |
Factors considered in calculating rates | Age, sex, occupation, medical history |
Adverse Selection | Insuring risks more prone to losses than the average risk |
Indemnity | Often referred to as reimbursement. Insureds or beneficiaries are allowed to collect to the extent of financial loss. Cannot gain financially from a loss. |
Utmost Good Faith | Principle that implies there will be no concealment, misrepresentation, or fraud between the parties. |