Professional Documents
Culture Documents
Chapter_01
Chapter_01
LOMA 280
280
Principles
of
Insurance:
Life,
Health,
and
Annuities
LESSON
LESSON 11
Risk Management
Risk management involves identifying and assessing
the risks we face.
Four risk management techniques that people and
businesses can use to eliminate or reduce their
exposure to financial risk are:
© 2005 LOMA All Rights Reserved Press “Esc” to return to main menu LESSON TWO 3
Lesson 2
Insurance
Insurer
Policy Benefit
Insurance Policy
Premium
Types Of Risks
Individual Group
© 2005 LOMA All Rights Reserved Press “Esc” to return to main menu LESSON TWO 4
Lesson 2
© 2005 LOMA All Rights Reserved Press “Esc” to return to main menu LESSON TWO 5
Lesson 2
© 2005 LOMA All Rights Reserved Press “Esc” to return to main menu LESSON TWO 6
Lesson 2
© 2005 LOMA All Rights Reserved Press “Esc” to return to main menu LESSON TWO 7
Lesson 2
© 2005 LOMA All Rights Reserved Press “Esc” to return to main menu LESSON TWO 8
Lesson 2
© 2005 LOMA All Rights Reserved Press “Esc” to return to main menu LESSON TWO 9
Lesson 2
© 2005 LOMA All Rights Reserved Press “Esc” to return to main menu LESSON TWO 10
Lesson 2
© 2005 LOMA All Rights Reserved Press “Esc” to return to main menu LESSON TWO 11
Lesson 2
Cedes/purchases
Direct Writer/ Reinsurer/Assuming
Ceding Company Company
© 2005 LOMA All Rights Reserved Press “Esc” to return to main menu LESSON TWO 12
Lesson 2
Insurance Underwriting
Insurance is sold on a case-by-case basis and insurers determine
whether each proposed risk is an insurable risk.
Not all individuals of the same sex and age have an equal
likelihood of suffering a loss.
Further, those individuals who believe they have a greater-than
average likelihood of loss tend to seek insurance protection to a
greater extent than do those who believe they have an average or
less-than-average likelihood of loss. This tendency is called
antiselection, adverse selection, or selection against the insurer.
© 2005 LOMA All Rights Reserved Press “Esc” to return to main menu LESSON TWO 13
Lesson 2
1. Identifying 2. Classifying
the risks and the degree
that a of risk
proposed that a
insured proposed
presents insured
represents
© 2005 LOMA All Rights Reserved Press “Esc” to return to main menu LESSON TWO 14
Lesson 2
© 2005 LOMA All Rights Reserved Press “Esc” to return to main menu LESSON TWO 15
Lesson 2
© 2005 LOMA All Rights Reserved Press “Esc” to return to main menu LESSON TWO 16
Lesson 2
© 2005 LOMA All Rights Reserved Press “Esc” to return to main menu LESSON TWO 17
Lesson 2
© 2005 LOMA All Rights Reserved Press “Esc” to return to main menu LESSON TWO 18
Lesson 2
Insurable Interest
Laws in the United States and many countries require
that, when an insurance policy is issued, the
policyowner must have an insurable interest in the risk
that is insured—the policyowner must be likely to suffer
a genuine loss or detriment should the event insured
against occur.
For life insurance, the presence of an insurable interest
usually can be found by applying the following rule:
An insurable interest exists when the policyowner
is likely to benefit if the insured continues to live
and is likely to suffer some loss or detriment if the
insured dies.
© 2005 LOMA All Rights Reserved Press “Esc” to return to main menu LESSON TWO 20
Lesson 2
Insurable Interest
Underwriters screen every life insurance application to make
sure that the insurable interest requirement imposed by law in the
applicable jurisdiction will be met when the policy is issued.
Insurers also make sure that applications meet the company’s
underwriting guidelines, which frequently include insurable
interest requirements that go beyond the requirements imposed
by law.
If the insurer determines that the proposed policyowner does not
meet insurable interest requirements, then the insurer will not
issue the policy.
Even if the insurable interest requirement imposed by the
applicable jurisdiction is met, an insurer can refuse to issue the
policy if its own, more stringent insurable interest requirements
are not met.
© 2005 LOMA All Rights Reserved Press “Esc” to return to main menu LESSON TWO 21
Lesson 2
Insurable Interest
Insurable interest requirement…
when a person purchases life insurance on her own life
All persons are considered to have an insurable interest in their
own lives.
A person is always considered to have more to gain by living
than by dying.
Therefore, an insurable interest between the policyowner and
the insured is presumed when a person seeks to purchase
insurance on her own life.
Insurable interest laws do not require that the named
beneficiary have an insurable interest in the policyowner-
insured’s life.
However, most insurance company’s underwriting guidelines
require that the beneficiary also must have an insurable interest
in the life of the insured when a policy is issued.
© 2005 LOMA All Rights Reserved Press “Esc” to return to main menu LESSON TWO 22
Lesson 2
Insurable Interest
Insurable interest requirement…
when a person purchases life insurance on another person’s life
(third-party policy)
Laws in many countries and in most states in the United States
require only that the policyowner have an insurable interest in
the insured’s life when the policy is issued.
However, most insurance company underwriting guidelines and
the laws in some states require both the policyowner and the
beneficiary of a third-party policy to have an insurable interest
in the insured’s life when the policy is issued.
The insurable interest requirement must be met before a life
insurance policy will be issued. After the policy is in force, the
presence or absence of insurable interest is no longer relevant.
Therefore, a beneficiary need not provide evidence of insurable
interest to receive the benefits of a life insurance policy.
© 2005 LOMA All Rights Reserved Press “Esc” to return to main menu LESSON TWO 23
Lesson 2
Insurable Interest
Certain family relationships are assumed by law to create an
insurable interest between an insured and a policyowner or
beneficiary. In these family relationships, even if the policyowner or
beneficiary has no financial interest in the insured’s life, the bonds of
love and affection alone are sufficient to create an insurable interest.
According to laws in most jurisdictions, the insured’s
spouse mother grandparent sister
child father grandchild brother
are deemed to have an insurable interest in the life of the insured.
An insurable interest is not presumed when the policyowner or
beneficiary is more distantly related to the insured than these
relatives or when the parties are not related by blood or marriage.
In these cases, a financial interest in the continued life of the insured
must be demonstrated to satisfy the insurable interest requirement.
© 2005 LOMA All Rights Reserved Press “Esc” to return to main menu LESSON TWO 24
Lesson 2
End of Lesson 1
© 2005 LOMA All Rights Reserved Press “Esc” to return to main menu LESSON TWO 25