Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
57 Cards in this Set
- Front
- Back
- 3rd side (hint)
Commercial Insurance |
The business of selling insurance for a profit commercial insurance offer many lines of insurance so it's also called multiline insurance |
One of the types of insurance companies |
|
Stock company insurance |
Are organized Incorporated and the state laws making a profit for it's shareholders stock Insurance of Home non-participated Insurance because policy holders do not participate in receiving dividends and is paid to the shareholders |
Dividends from a stock Insurance substitute taxation because they are considered profit |
|
Mutual companies |
Are on by their policy holders Mutual Insurance are known as participating insurers because policy hold this participate in receiving dividends and electing the board of directors |
Dividends or not subject to taxation The Only Exception is the policy on the chooses the dividends it and collect interest and this is called accumulated interest would be taxable |
|
Mixed insures |
If a company operates both a participating in our position waiting insure dividends can never be guaranteed regardless of type of insurance offering them |
Strong assessment Mutual companies are classified by the way they charge premium |
|
A pure assessment Mutual company |
Operates based on Lost sharing by group members no premium is payable in advance instead each member is success as an individual portion of loss that occur |
Kind of assessment with your company |
|
And expense premium assessment Mutual |
George's a premium at the beginning of the policy if the original premium succeed the operating expense in losses the Surplus is returned to the policyholder as dividends |
However if total premiums are not enough to meet losses additional assessments or living against the members normally the amount of assessment and maybe that it is limited either by state law or simply as a provision in the insurance by laws |
|
Fraternal benefit Society |
Or a special type of mutual company non-profit religious ethnic or charitable organizations that provide insurance so to their members |
Fraternal must be formed for reasons other than obtaining insurance and examples of fraternal Society is Knights of Columbus |
|
Risk retention groups |
Call Mutual companies formed by a group of people in the same industry of the fish |
Examples would be pharmacies dentist and engineers |
|
Service providers |
Also benefits to subscribers in return for payment of a premium please services are packaged into various plans and those who purchase are known as subscribers |
Example HMO and PPO |
|
Reciprocal insurers |
Or any Incorporated groups of individual members that provide for other members through indemnity contracts |
Each member access insurer and insured or managed by attorney in fact |
|
Reassures |
Make arrangements with other insurance companies to transfer a portion of various to the reinsurance |
The company transferring the risk is called the seating company and the company assuming the risk is the reinsurer |
|
Reinsurance agreement |
The insurance company that transfers is lost exposure to another insurer |
|
|
Captain venture |
And insure established and owned by parent company to ensure the parent companies lost exposure |
|
|
Home Service insurance |
Also individual insurance is so by Home Services are debit life insurance companies face amounts of small usually $1,000 and 2,000 |
Premiums are paid weekly |
|
Government insurance |
Federal and state government that provides social insurance programs to protect against Universe by redistrative income to help people cannot afford the cost of Insurance Plus themselves |
These programs have four reaching effects and millions of people depend on them |
|
Type of government insurance include |
Social Security Medicare Medicaid s t l i n g l i and Tricare |
|
|
Social Security old age survivors disability insurance |
Provide income for the elderly retirement Survivor of those two died young their children and those qualifying for federal disability |
OASDI |
|
Medicare |
Health insurance coverage for the elderly |
Health care for the elderly |
|
Sgli and bgli Veterans Group Insurance |
Group life insurance for active and retired members of the military |
Veterans |
|
Tricare |
Health insurance for members of the military and their families |
For veterans and family |
|
Self-insurance |
Retained risk and must have large numbers of similar risk in enough Capital to pay claims self-insurance are not a method of transferring risk rather self-insurance established their own self fund plan to cover potential losses |
|
|
A self-funded plan |
A plan and wishing employee pays insurance benefits for a fun derived from the employer's current revenues |
|
|
Lloyd of London |
Members of the association form syndicates to underwrite and Ensure black coverage this is a group of investors who share in unusual risk |
It's not an insurance company |
|
How insurance is so |
Distribution Systems career agency systems personal producing General agency systems independent agency systems managerial systems Mass marketing |
|
|
Distribution Systems |
The ways Insurance products are marketed and sold to the public ensure can be purchased through license insurance producers who are either agents or Brokers or through a number of other ways |
Agents for either captive/careeragents or independent agents captive agents work for only one insurer independent agents work for themselves for for several insurance non-exclusively |
|
Career agency systems |
With the career agency system Commercial Insurance established offices in certain locations career agents are recruited to work at these locations |
A general Asian highs and trains new producers and supervise a number of other producers all producers under the career agency system are captive agents and employees of the insurer |
|
Personal producing General agency systems |
With the personal producing agency ppga system agents work for an independent agency selling policies from several insurance companies |
Unlike the career agency personal ppga's primary cell insurance instead of recruiting or training new agents as in the career agency systems |
|
Independent agency systems American agency system |
Independent agents represent a number of insurance companies under separate contractor agreements |
They also work for themselves are under other insurance agents Independent Insurance Agents have control and ownership over the client's accounts this means they may Place clients business with a different insurer when policies are up for renewal independent insurance agencies earn commission on the sales they make an overrides on sales made by agents they manage |
|
Managerial system |
Within the managerial system branches office or established in several locations instead of a general agent running the agency a salary Branch manner is employed by the insurer |
The branch manager supervisor agents working out of the branch office the insurer pays the branch manager salary and pays him a bonus based on the amount of and type of insurance so and number of new agents hired |
|
Mass marketing |
Direct selling or direct mail is a mass marketing method where agents are not used instead policies on marketed and sold through television and radio advertisements print sources found in newspapers and magazines by mail and vending machines in over the internet |
|
|
Industry oversights and regulations |
The insurance industry is primary regulated on a state by state basis with minimum federal oversights the primary purpose of this regulation is promote public welfare and provide consumer protection and ensure Fair Trade Practices contracts and prices |
He historical events that has shaped the current regulations include 1869 Paul versus Virginia 1905 the Armstrong investigation act 1944 United States versus Southeastern Underwriters Association 1945 mccurin Ferguson Act 1970 Fair Credit acting 1999 Grand Leach and several more |
|
1869 Paul versus Virginia |
The US Supreme Court ruled that the insurance company crossing state lines are not interstate commerce |
|
|
1905 the Armstrong investigation act gave the authority |
To the states to regulate insurance |
|
|
1944 United States versus Seth Southeastern Underwriters Association |
Rule that insurance transaction across the state line for Interstate Commerce and are subject to a Federal Regulation |
Thus many federal laws were conflicting with existing state laws however the decision did not affect the power of states to regulate insurance |
|
1945 McLaren Ferguson Act |
States that while the federal government has authority to regulate the insurance industry it would not exercise it right if the insurance industry was regulated effectively and adequately on the state level |
Under the McCarran Ferguson act the minimum penalty of a producer who has obtained personal information about a client without having a legitimate reason to do so is a fine of $10,000 |
|
1970 Fair Credit Reporting Act |
Provides individual privacy protection and fair and accurate credit reporting insurance companies are required to notify applicants if a credit check will be made on them |
End of the fair Credit Reporting Act the maximum penalty of a producer who has obtained consumer information reports on the false pretenses is a fine of 5,000 |
|
1999 gram lease body act also called the Financial Service modernization Act |
This love repeals the glass beagle Act this allows Banks retail Brokers and insurance companies to enter each other's line of business |
|
|
2001 USA Patriot Act |
Unity and strengthening America by providing appropriate to required to intercept and obstruct terrorism |
As it relates to insurance industry is designed to detect and deter terrorists and their funding by imposing anti-money laundering requirements on brokerage firms and financial institutions |
|
2003 National Do Not Call Registry |
Insurance calls are not exempt from the no not call registry |
|
|
2010 patient protection affordable at ppac off the shorten to the Affordable Care Act ACA |
Represent one of the significant regulatory overhauls and expansion of coverage in the united US history |
Initial PP aca and ACA |
|
NAIC is the National Association of insurance commissioners |
Is an organization composed of insurance Commissioners from all 50 states the District of Columbia and four US territories they are responsible for recommending appropriate laws and regulations |
They are responsible for the creation of the advertising code and the unfair trade practice act and Medicare supplement minimum standard model act the NAC has four broad objectives |
|
The NAIC has four broad objectives |
Number one to encourage uniformity in State insurance laws and regulations number two to assist in the administration of those laws and regulations by promoting efficiency number three to protect the interest of policy owners and consumers and number four to preserve the state regulation of insurance businesses |
|
|
Advertising code |
The code specified certain words and phrases that are considered misleading and are not to be used in advertising of any kind |
|
|
Unfair trade Practice Act |
Is Chief Financial Officer the power to investigate insurance companies and producers to impose penalties in addition to that the ACT gives offices the authority to seek a court injunction to restrain insurance for using any method believed to be unfair |
|
|
N a i f a National Association of Insurance and financial advisors and n a h u National Association of Health Underwriters |
Members of this organization are life and health agents dedicated to supporting the industry and advancing the quality of service provided by Insurance professionals |
These organizations created a code of ethnic detailing that expectation of agents and their duties and toward clients |
|
To sell insurance each state requires high levels of professionalism and ethics |
Some of these standards and ethics are selling to needs suitability of recommended products full and accurate disclosure documentation Client Services buyer's guide and policy summary |
|
|
Selling to the needs |
Ages must first determine this consumer needs then determine which policy if it's their needs best |
|
|
Suitability of recommended products |
And ethical agent must be able to access the correlation between a recommended product and the consumer needs |
|
|
Full and accurate disclosure |
And ethical agent must inform consumers of the benefits and limitations of recommended products |
Recommendations must be accurate complete and clear |
|
Documentation |
And ethical agent must document each class meeting and transaction |
|
|
Client Services |
And it can go agent should know that a sale does not Mark the end of a relationship but rather the beginning of the relationship |
Therefore routine cause of recommended |
|
Buyers guide |
Each state requires ages to deliver a buyer's guide to Consumers that explain various types of life insurance products and other information on the recommended policy |
Such as premium dividends and benefit amounts |
|
Policy summer |
Helps consumers evaluate the suitability of the recommended product |
|
|
Reserves |
Or an accounting measure of an insurance future obligation to its policy others they are classified as liabilities on the insurance companies accounting statements since they must be settled at a future date |
Reserves are set aside by an insurance company and designated for the payment of future claims |
|
Liquidity |
And ensures ability to make unpredictable payouts to policy owners |
|
|
Guaranteed Association |
Or established by all states to support insurance and protect consumers in case and ensure becomes insulting they like health and healthy guaranteed Association provide a safety net for all members Life Health and annuities insured in a particular state |
Guarantee Association protects insured in the event of an insurance insolvency or inability to play claims upon up to a certain time |
|
Independent rating services |
Credit rating agency that rate upgrade the financial strength and stability of the insurance based on claims reserves and company profits |
The national league recognized statistical rating organizations that rate insurance or am best and Moody's standard and pores and b**** ratings each rating service has its own rating system but most use an a2f letter grading s c h e m e |