Key terms in insurance

No Definition 1 Risk: uncertainty, unexpectation (1) the possibility of an unfortunate occurrence (2) uncertainty of loss (3) the possibility of loss (4) unpredictability – the tendency that actual results may differ from predicted results Common factors: - uncertainty referring to the future - different levels of risk +risky – heightened possibility +frequency and severity -> low severity with high frequency high severity with low frequency - resulting in unfavorable outcomes 2 Risk Management: • Avoiding risks • Preventing risks • Minimizing risks • Financing risks 3 Insurance: a risk transfer mechanism by that the insured can transfer the financial consequences of the risk to the insurer, in return for paying a premium. -Indemnity: restore the financial situation before loss happened and peace of mind -Saving and investing=> financial intermediates -loss control => reduction in the economic waste 4 Premium: is the price of ins product, is paid before indemnity is paid 5 The law of a large number: is a technical tool of calculating the premium 6 Reinsurance: is the insurers insure the risk again 7 Coinsurance: is one method of sharing large risks, commonly used in property insurance, rarely used in liability and personal insurance -the sum-insured is shared by several different policies Disadvantage: complex for the insured to make claim 8 Insurable Risks *Fortuitous loss- an insurable event must be entirely fortuitous- 0 < PoL < 1 *Homogenous exposures- have a large number of similar exposures. Why??? - to forecast the expected extent of loss => to calculate required premium *Financial measurement - Loss could be: property, health or death - Insurance does not remove risk. It provides financial compensation for loss=> loss must be measured in term of money *Pure risks, not speculative risks *Public policy - insurable risks must not be contrary to social and moral standards *Not sustainable losses due to disasters (earthquake, nuclear…) - difficult to cover losses in the case of disasters - difficult to forecast PoL and calculate premium 9 Insurable Interest Insured must have an insurable interest to the subject-matter of insurance=> Insured may suffer financial losses if the risk happens 10 Utmost good faith *Insurers:- must give truthful answers asked by the insured - must give a truthful statement- keep clients’ information in secret *Insured:- has a duty to disclose material facts => material facts is the information the insurer requires to be told about Duty of disclosure: for general ins: it exists in the whole of the ins period=> the insured has a duty to disclose any change related o the subject matter of ins - for life ins: the duty of disclosure just exists at the point when the contract is taken out 11 Indemnity: for the purposes of insurance contracts, may be look upon Example/Related terms Peril: in particular- the prime cause If a house burns down, then fire is the peril Hazard: factors influencing the outcome Gas furnaces are a hazard for carbon monoxide poisoning. Speculative risk: where there is the chance of gain such as investing in the stock market, to make a profit; otherwise, a person can avoid most speculative risks simply by avoiding the activity that gives rise to it Pure risk: involve a loss, at best a break-even situation if your car is stolen, that is a direct loss; if you have to rent a car because of the theft, then you have some financial loss—a consequential loss—from renting a car. • Financing risks - Saving or reserving - Borrowing (after loss occurred)=> self insurance - Transferring:+ Insurance - Business insurance *Subject matter of insurance:+ property Ins+ liability Ins+ personal Ins *History of insurance:+ maritime Ins+ non maritime Ins *Technique of insurance:+ non life Ins(general Ins)+life Ins -Social security P = f + d, in which P: ins premium, d: added premium f: pure premium (or indemnity premium) => Depreciation, purposeful acts? => The risk of death? - example: theft, steal - In property ins: owners, borrowers and others (Examples: shoe repairers, watch repairers…) - In life ins: + an unlimited insurable interest in his/her own life + an insurable interest in his/her spouse + a limited insurable interest in his/her children it is possible to insure the life of someone who owns another person money until the loan is repaid Example of material facts: A house insurance: its age, brick or timber built A person A car insurance * Principle: - total amount of indemnity is not excess as exact financial compensation sufficient to place the insured in the same financial position after a loss as he enjoyed immediately before it occurred *How to provide an indemnity:- cash payment- repair -replacement => which method is common? 12 Average clause: Applying in underinsurance (sum insured < value insured) Amount of claim payment = (Sum insured/ Value of property at risk) x Loss 13 Excess clause: is the amount of each and every claim which is not covered by the policy. => the insured does not receive a full indemnity from the insurer. -Excess may be voluntary or compulsory. Voluntary => Reduction in premium associated with the excess. Compulsory => No corresponding reduction in premium. 14 Franchise a rather like an excess, applying for small losses. Difference between an excess and a franchise: Once the franchise has been exceeded, the claim is pay in full. (With an excess, the amount of the excess is deduct from each and every claim) 15 Deductible: The name given to a very large excess. Apply for Large commercial insured => reduction in premium 16 Subrogation: is the right of one person, having indemnified another under a legal obligation to do so, to stand in the place of that other and avail himself of all the rights and remedies of that other, whether already enforced or not. 17 Contribution: is the right of an insurer to call upon others similarly to share the cost of an indemnity payment. The case of dual insurance (there are more than one policy cover a particular loss) 18 Proximate cause: the active, efficient cause that sets in motion a train of event which brings about a result, without the intervention of any force started and working actively from a new and independent source. => Proximate cause refers to dominant cause; there is direct link between the cause and the result. 19 Proposal: the questionnaire of proposed risks -expressing the proposer’s will to reach an insurance contract -supplying info to evaluate the proposed risks. Main content: subject matter and risk description -structure:4 parts: general questions; specific questions related to the proposed risks; commitments; warning 20 Policy: the evidence in writing of an insurance contract Structure logical structure, standard grammar rules, simple words, clear language 21 Cover notes: temporary certification of insurance commitment btw 2 parties. Getting after considering proposal carefully and paying premium The effect: temporary(30 days), all claims belong to insurer’s responsibility 22 Managing ins. Contract: Payment of premium-addition & modifications-Renewals-assignment-handling of insurance claims-dispute-suspension and cancellation 23 Non-life Insurance (General Insurance) Property Insurance Liability Insurance General Personal Insurance 24 Property insurance An individual (a family, an organization) has many types of property that can be damaged, be lost. Variety of property insurance products : Fire insurance-Goods in transit insurance-Air plane insurance-Money insurance-Theft insurance-Glass insurance 25 Liability Insurance: A person (an organization) may be liable to pay damages to someone who suffers any injury or loss that they can prove resulted from the person’s negligence. Negligence: lack of care Various liability insurance products: Motor’s third party liability- + property ins: sum-insured and real value of losses => insurance value and sum-insured + liability: the limit of indemnity + personal insurance (benefit policies):the limit of indemnity A car policy with an excess of $100, i.e: The insured pays the first $100 of any claim for damage to his car. Loss = $700; amount of indemnity = 700 – 100 = $600. Loss = $80 => amount of payment = 0 A car policy with an excess of $100, i.e: The insured pays the first $100 of any claim for damage to his car. Loss = $700; amount of indemnity = 700 – 100 = $600. Loss = $80 => amount of payment = 0 E.g: Franchise: $20; Loss : $80; Payment = $80 Excess: $20; Loss: $80; Payment = $60 E.g: An industrial insured choose a deductible of $100,000. Loss: $300,000 => Amount payment : $200,000 “Fire” Insurance Subject to certain exclusions, most insurers’ fire policies cover: Fire-Lightning-Explosion For insured fire damage to occur: -There must be actual fire or ignition in which. -Something must have been on fire which ought not to have been on fire. -The fire must be accidental or fortuitous in origin. -The insured property must be damaged as a result of fire. Insurers’ liabilities: -Pay to the insured the value of the property at the time at its loss or destruction or the amount of the damage. -At its option, will reinstate or replace such property or any part of it. Motor vehicle Policy PART A: INSURED VEHICLE COVER Cover any loss of, or damage to the vehicles and to its spare parts and accessories while they are on the vehicle. PART B: LIABILITY TO THIRD PARTIES Employer Liability-Product Liability-Public-Liability-Professional liability 26 General Personal Insurance: Insurance of the persons against personal accident, sickness… Many types of personal insurance: Personal accident-insurance-Health insurance-Traveler’s insurance 27 Term life insurance: Time of insurance is a specified number of years (term). Term life insurance only provides a protection. Renewable term insurance: gives the policy owner the option to renew the term insurance at the end of the term, generally without having to submit evidence that he remains insurable. Convertible term insurance: gives the insured or policy owner the right to exchange (convert) the term insurance to a permanent plan of insurance, again, without to provide evidence that the insured is an insurable risk. Level term insurance: Provides a death benefit that remains the same over the term of the policy. Decreasing term insurance: The amount payable decreases over the term of coverage. The death benefit begins at a set amount and then decreases over the term of coverage according to some stated method described in the policy. Mortgage redemption insurance: designed to provide a death benefit that corresponds to the amount owned on home mortgage. Credit life insurance: designed to pay the balance due on a loan if the borrower dies before the loan is paid. Family Income Coverage: provides a stated monthly income amount to the insured’s surviving spouse if the insured dies during the term of the coverage. Benefits continue until the end of the term specified when the coverage was purchased. Increasing term insurance: provides a death benefit that starts at one amount and increases by some specified amount or percentage at stated times over the policy’s term. 28 Whole life insurance Permanent life insurance products offer lifetime coverage, and Permanent life insurance products provide insurance coverage and contain a savings element. Term insurance usually provides only insurance protection. Life rates are based on gender. Death benefits: Fixed level. Cash value: Guaranteed amounts. Premiums: Fixed level. Policy loans: Allowed. Partial withdrawals: Not allowed. Surrender charges: None. Includes Straight life, Limited-payment life, Single-premium life, Investment Aspects 29 Universal life insurance • Cash value is credited each month with interest • The policy is debited each month by a cost of insurance charge Flexible premiums: change the amount of premium periodically. Discontinue premium and resume them at a later date without lapsing the policy. Change the amount of death protection. Death benefits: Level or increasing. Cash value: Guaranteed minimum cash value plus additional interest when rates are higher than guaranteed. Policy loans: Yes, but the interest credited to the account is reduced. -These loans require interest payments paid to the Insurance Company Repayment of the loan principal is not required while payment of the loan interest is required. Payment or non payment against them won’t affect the policyholders’ credit rating. Outstanding loans will be -The insurer provides indemnity against third party claims arising out of death or injury or damage to their property. -Indemnity is often limited at an amount. PART C: OTHER BENEFITS 1. Accidental Death of Permanent Disability 2. Medical Expenses 3. Legal Defense Cost Travel Insurance Normal Cover: Medical, surgical, hospital and emergency dental expenses, either to a particular limit or with no limit. Death or permanent total disablement by accident. Recover of prepaid fare, accommodation expenses, lost deposits. Personal baggage up to a defined limit per insured person. Personal liability, either unlimited or to a defined limit. Premium factors: The period of cover (usually in days) Medical limit required Additional cover +Initially, premiums are generally lower than those for permanent insurance, allowing you to buy higher levels of coverage at a younger age when the need for protection often is greatest. It`s good for covering specific needs that will disappear in time, such as mortgages or car loans. +Premiums increase as you grow older. Coverage may terminate at the end of the term or may become too expensive to continue. Generally, the policy doesn`t offer cash value or paid-up insurance. -Peace-of-mind: no matter when the insured dies , it will guarantee the cost for funeral,… -disciplined saving, tax-free growth( in some countries )=> beneficiaries can --usually receive the proceeds of life insurance -protection from creditors -premium flexibility -adjustable death benefits The premiums are flexible, from a minimum amount specified in the policy, to the maximum amount allowed by the contract The death benefit can be increased (subject to insurability) or decreased at the policy owner`s request. -Transparency to policy holders: Annual report of disclosure statement Population structure: large and young: 85 mill + each 1 mill increase per year,60% population in labor force Increasing education level: 52 millions - are youth, possessed of traditional fondness for learning. High requirement of well-educated employees The saving lifestyle and saving behavior: High rate of saving per earning The changing of attitude into independent funds resources after retired deducted from the death benefit at the death of the insured Partial withdrawals: allowed. Surrender charges: Yes. -Subject to contingent deferred sales charges, may also have additional fees defined by the contract -Taken out premiums first and then gains, so it is possible to take a tax free withdrawal from the values of the policy -The cash values removed by loan are no longer earning the interest, so the cash values won’t grow as expected The changing of earning level: Increasing of middle-earning population level Expected return of 1000$ due to 2010 +The overall Insurance legal framework is not completed yet, and cannot satisfy the demand of insurance services. 30 Variable life insurance -Death benefits: Guaranteed minimum plus increases from investments -Cash value: Minimum not guaranteed, depends on investment performance. -Premiums: Fixed level. Policy loans: Yes. Partial withdrawals: Not allowed. Surrender charges: Yes. -Variable Life Insurance provides permanent protection to insured beneficiary upon your death. -It allows insured to allocate a portion of their premium dollars to a separate account comprised of various investment funds within the insurance company`s portfolio, such as an equity fund, a money market fund, a bond fund, or some combination thereof. -Variable is a form of whole life insurance and because of investment risks it is also considered a securities contract and is regulated by the securities and exchange commission (SEC) and must be sold with a prospectus. 31 Variable Universal life insurance Variable Universal Life (VUL) Insurance is a policy that combines: - the premium and death benefit flexibility of universal life - the investment choices of variable life Flexible investment: Option to invest in their preferred investment portfolio Option to switch between the investment fund options Death benefits: Fixed Cash value: Guaranteed minimum plus excess interest (like universal life). Premiums: Vary according to experience, but no higher than a set maximum. ... - tailieumienphi.vn