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A concise overview of key concepts and definitions related to property and casualty insurance. It covers essential topics such as risk types, perils, hazards, and the components of an insurance policy, including declarations, insuring agreements, conditions, and exclusions. It also touches on liability types, negligence, and regulatory aspects of the insurance industry. This material is useful for students preparing for insurance exams or professionals seeking a quick reference guide. (400 characters)
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Insurance ✔✔The transfer of risk through a legal contract
Property ✔✔Covers real property and personal property against damage or loss resulting from covered causes of loss called perils
casualty ✔✔covers non-property losses (3rd Party)
Personal lines ✔✔Insurance for families and individuals
Commercial Lines ✔✔Insurance for Business
Risk ✔✔Uncertainty of financial loss
Pure Risk ✔✔Chance of loss only (insurance only covers)
Speculative Risk ✔✔Chance of loss or gain
law of large numbers ✔✔as the number of homogenous loss exposures increases, the more accurate claims can be predicted from the group
Perils ✔✔causes a loss
Named Peril ✔✔lists the perils that are covered
open peril ✔✔cover all perils except those specifically excluded by the policy
hazard ✔✔Are not causes of loss but are things that increase the chance of a peril happening.
Physical Hazard ✔✔something you can physically look at
Moral Hazard ✔✔dishonest tendencies
morale hazard ✔✔attitude of carelessness
Direct Loss ✔✔immediate physical damage to property
indirect loss ✔✔loss that happens after the direct loss but due to the loss of use of the property. Also called consequential
proximate cause ✔✔the first cause in an unbroken chain of events
Absolute Liability ✔✔liability w/o fault
strict liability ✔✔product defect claims
Legal Duty Negligence ✔✔owe an obligation to act or not act
breach of duty negligence ✔✔failure to comply with the duty
actual loss negligence ✔✔another suffers a loss
proximate cause negligence ✔✔the breach of duty is the direct causer of the loss
accident ✔✔event that is sudden and unexpected
occurence ✔✔an event that happens over time
Admitted Carrier ✔✔authorized insurer, issued a certificate of authority to transact business in the state.
nonadmitted carrier ✔✔unauthorized insurer, not regulated to get certificate of authority, can only transact surplus lines insurance
Domestic ✔✔same state
foreign ✔✔another state
alien ✔✔another country
State regulation ✔✔State legislature passes the laws
Commissioner ✔✔Runs Tx Dept of Ins. Appointed by Governor, does not write laws
Texas Property and Casualty Insurance Guaranty Association ✔✔Protects claimants and policy holders in the event of insurer insolvency
Board of Directors ✔✔5 members from insurers, 4 from the public
Assessment ✔✔authorized insurers in the state are required to pay into the fund. The amount they pay is based upon their share of the market in texas
2 common methods of rate regulation ✔✔prior approval & file and use
DP-1 ✔✔basic policy, covers fire, lightning, explosion
Coverage D ✔✔Loss of use; Fair Rental Value, Additional living expenses
Coverage E ✔✔Personal Liability; covers claims for bodily injury to others
Coverage F ✔✔Covers Med Pay to others up to 3 years
Flood Limits ✔✔250,000 structure, 100,000 contents
Fair Access to Insurance Requirements ✔✔Insureds meeting underwriting criteria and declined twice by authorized insurers cannot be declined by the plan.