Chapter 4 Self Examination Questions & Study Checklist

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Vancouver Community College *

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FUNDAMENTA

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Finance

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Feb 20, 2024

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pdf

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2

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CHAPTER 4 - THE INSURANCE PROCESS Question 1.1 State the role of the broker in the insurance process. Answer 1.1 Brokers may choose to represent one insurance company, but in most cases, brokers offer consumers a choice of various insurance companies. Their role is to serve as the intermediary between the client and the insurer. Question 1.2 State the primary duty owed by brokers to: Clients and Insurers Answer 1.2 -Clients - The broker's primary duty to clients is to exercise “reasonable skill, care and diligence in their affairs and ensure clients receive the right insurance advice and coverage. - Insurers - The broker’s primary duty to the insurer is to tell the truth about risks they submit and not withhold or conceal important information. Question 2 Brokers do make mistakes, some of which can result in financial loss to their clients. Identify the most common cause of errors and omissions claims. Answer 2. The most common cause of E & O claims is inadequate coverage. Question 3.1 Who are underwriters? Answer 3.1 Underwriters are employees of Insurance Companies. They do not sell insurance directly to consumers, therefore they are not required to be licensed. Question 3.2 State the primary role of underwriters. Answer 3.2 The primary role of the underwriter is to select the risks likely to be most profitable for the insurer. Question 3.3 Identify three sources of information used by underwriters when making a decision regarding the suitability of a risk. Answer 3.3 The Application, The Broker and Loss Experience Data or Inspection reports. Question 4. Explain the following terms and provide at least one example of each a. Physical hazards b. Moral hazards Answer 4. a. Physical hazards- Physical hazards are conditions relating to the premises which may cause a peril to occur. Example Type of building construction or occupancy b. Moral hazards- Moral hazards are observable and, once identified, can often be reduced. Example Financial condition or moral character Question 5.1 When a loss occurs, insureds expect prompt, efficient handling of their claim. Identify the two steps normally taken when a loss occurs. Answer 5.1 Insured reports claim to brokerage and the brokerage reports claim to insurer. Question 5.2 Explain the difference between “company” adjusters and “independent” adjusters Answer 5.2 “Company” adjusters work for an insurance company and handle the bulk of their claim settlements. “Independent” Adjusters are brought in if company adjusters are not available or if the loss adjustment requires a particular expertise.
Study Checklist 1. The Broker, Agent or Direct Writer 1. Role of direct writers, agents and brokers. 2. Primary duty to clients 3. Legal standard to which brokers are held 4. The Errors and Omissions Exposure a. Reasons for inadequate coverage b. Other sources of errors and omissions claims 5. Primary duty to insurer 6. Licensing Requirements 2. The Underwriter 1. Who underwriters are. 2. What underwriters do - risk selection: a. Primary role of the underwriter b. Four sources of underwriting information c. Two kinds of hazards associated with all risks and examples of each d. Four decisions underwriters can make about the risk being presented to the insurer. 3. What underwriters do - rating and rate making a. Types of risks which can be rated by brokers b. Types of risks which are rated by underwriters 3. The Claims Adjuster 1. Attitude of brokerage personnel extremely important 2. Two ways claims are usually adjusted.
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