specified/named perils
insurance contracts that individually cover specified perils. if loss is caused by a peril that’s not listed, then the loss is not covered
special/open peril
don’t specify all causes, but list the perils they exclude
accident
sudden event that occurs at a specific place and time. example: individual needs a knee replacement because of a car accident that happened at a specific place and time
occurence
any event that causes a loss such as accidents, injuries, or illnesses. example: individual needs a knee replacement because of years of intense physical activity
physical hazards
physical conditions that made a loss more likely. example: poor health or ice on roads
moral hazards
make a loss more likely to occur because of the dishonest character of the insured. involves dishonesty or intentional acts
morale hazards
arise from a state of mind that is indifferent to whatever loss may occur because they are insured and is unintentional. example: homeowner rarely changing smoke detector batteries because they are insured
speculative risks
presents chance for both a loss or a gain, like gambling. not insurable
pure risk
change of loss only. the insurable type of risk
types of risk
substandard: higher risk, higher premiums
standard: average
preferred: lower risk, lower premiums
risk-handling methods
STARR: sharing, transfer, avoidance, reduction, retention
risk sharing
spreads risk among multiple parties. example: reciprocal insurance
risk transfer
transfers risk from one party to another via legal contract. example: buying insurance
risk avoidance
eliminating an activity that exposes to loss. example: stopping skydiving
risk reduction
deliberate actions to reduce likelihood of loss. example: safety systems
risk retention
maintaining personal preserves to cover the cost of loss. example: self-insurance and no insurance
expense factor/loading charge
derived from operating expenses or funds that the insurer pays out
gross (annual) premium
premium that’s charged by an insurer which is comprised of the mortality, interest, and expenses
premium mode
how often the policy owner pays the premiums
modified premium funding
an initial premiums that’s lower during an introductory period
what is a viatical settlement
allows a person with a chronic or terminal illness to sell their existing life insurance policy to a third party for a percentage of the face value
chronically ill
someone who needs considerable supervision or cannot perform at least two activities of daily living
terminally ill
person is not expected to survive for more than 24 months
section 1035 exchange
enables a life policy to be replaced with another life policy and results in the postponement of the tax consequence