Professional Documents
Culture Documents
Chapter #$%ecti&es
' Indicate the si(e o) the insurance industry ' *escri$e ho+ the insurance $usiness is di&ided $et+een the pri&ate and pu$,ic sectors ' -.p,ain +hy persona, insurance has a ,arger premium &o,ume than property insurance ' Identi)y and e.p,ain the di))erences $et+een stock companies, mutua, companies, /,oyd0s associations, and reciproca, insurers ' Indicate +hich types o) insurance ha&e the ,argest &o,ume ' -.p,ain ho+ insurance guaranty )unds operate ' *escri$e ho+ insurance is distri$uted )rom insurers to consumers and ,ist the di))erences $et+een types o) agents and $rokers in insurance ' *escri$ed the g,o$a, nature o) risk management and the insurance industry
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' The categories are not mutua,,y e.c,usi&e and they o&er,ap ' 2igure 22!8 depicts the ma%or c,assi)ications o) insurance and +hat they ha&e in common +ith each other
4ersona, Co&erages
' Those re,ated direct,y to the indi&idua, ' The risk they co&er is the possi$i,ity that some peri, may interrupt the indi&idua,0s income, such as
3 *eath, accidents and sickness, unemp,oyment, and o,d age 3 Insurance is +ritten on each
' 4ri&ate insurers are acti&e in pro&iding insurance )or death, accidents and sickness, and o,d age ' 7o&ernmenta, units are acti&e in a,, categories
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4roperty Co&erages
' *irected against peri,s that may destroy property ' 4roperty insurance is distinguished )rom persona, insurance
3 4ersona, insurance co&ers peri,s that may pre&ent one )rom earning money +ith +hich to ac<uire property in the )uture 3 "hereas property insurance co&ers property that is a,ready ac<uired
' 4roperty insurance as used here inc,udes )ire, marine, ,ia$i,ity, casua,ty, and surety insurance
' Sometimes re)erred to as genera, insurance, property ,ia$i,ity insurance, or property and casua,ty insurance
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' 4u$,ic insurance inc,udes a,, types o) co&erage +ritten $y go&ernment $odies or operated $y pri&ate agencies under go&ernment super&ision
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Stock Companies
' @ corporation organi(ed as a pro)it!making &enture in the )ie,d o) insurance ' 2or companies organi(ed in the Dnited States
3 @ minimum amount o) capita, and surp,us is prescri$ed $y state ,a+ to ser&e as a )und )or the payment o) ,osses and )or the protection o) po,icyho,ders0 )unds paid in ad&ance as premiums
' #rgani(ed +ith authority to conduct certain types o) insurance $usiness ' Some pay di&idends to po,icyho,ders on certain types o) insurance ' Ce&er issue +hat is ca,,ed an assessi$,e po,icy
3 The insured can not assess an additiona, premium i) the company0s ,oss e.perience is e.cessi&e
Mutua, Companies
' #rgani(ed under the insurance code o) each state as a nonpro)it corporation o+ned $y the po,icyho,ders ' Has no stockho,ders ' Co pro)its are made
3 Eecause any e.cess income is returned to the po,icyho,der!o+ners as di&idends
' #r is used to reduce premiums, or retained to )inance )uture gro+th
' The company is managed $y a $oard o) directors e,ected $y po,icyho,ders ' Many types o) mutua, organi(ations e.ist and operate under di))erent ,a+s and +ith di))erent types o) $usinesses
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C,ass Mutua,s
' #perate in on,y a particu,ar c,ass o) insurance
3 Such as )arm and property, ,um$er mi,,s, )actories, or hard+are risks
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2raterna, Carriers
' *esigned as a nonpro)it corporation, society, or &o,untary association, +ithout capita, stock, organi(ed and carried on so,e,y )or the $ene)it o) its mem$ers and their $ene)iciaries ' Ha&e a ,odge system +ith a ritua,istic )orm o) operation and a representati&e )orm o) go&ernment that pro&ides )or the payment o) $ene)its in accordance +ith de)inite pro&isions in the ,a+ ' @s charita$,e, $ene&o,ent associations, they usua,,y are e.empt )rom ta.ation ' Some o) the ,argest mutua, insurers ha&e con&erted to stock )irms inc,uding
3 Metropo,itan, 4rudentia,, and Fohn Hancock
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Reciproca,s
' Sometimes ca,,ed an interinsurance e.change ' /ike a mutua, in that $oth are )ormed )or the purpose o) making the insurance contract a&ai,a$,e to po,icyho,ders at cost ' Easic di))erences e.ist $et+een the ,ega, contro, and capita, re<uirements o) reciproca,s and mutua,s
3 In a reciproca,, the o+ner!po,icyho,ders appoint an indi&idua, or a corporation kno+n as an attorney!in!)act to operate that company, as opposed to the $oard o) directors 3 @ mutua, is incorporated +ith a stated amount o) capita, and surp,us
' "hereas a reciproca, is unincorporated +ith no capita, as such
/,oyd0s @ssociations
' @n organi(ation o) indi&idua,s %oined together to under+rite risks on a cooperati&e $asis ' -ach mem$er assumes risks persona,,y and does not $ind the organi(ation )or these o$,igations ' -ach in&estor is indi&idua,,y ,ia$,e )or ,osses on the risks assumed to the )u,,est e.tent o) persona, assets
3 Dn,ess the ,ia$i,ity is intentiona,,y ,imited
/ondon /,oyd0s
' /,oyd0s started in 8;>> in /ondon as an in)orma, group o) merchants taking marine risks ' Their operations are no+ +or,d+ide
3 #perate e.tensi&e,y in the Dnited States ,arge,y in the surp,us ,ine market
' Consist o) risks that domestic insurers ha&e re%ected )or one reason or another
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Inso,&ency o) Insurers
' Insurance institutions are not $acked $y a )edera, agency in the same +ay $ank deposits are protected ' The danger o) ,oss )rom inso,&ent property! ,ia$i,ity insurers has $een recogni(ed $y the esta$,ishment in a,, states o) guaranty )unds
3 These )unds must reim$urse the po,icyho,ders )or any ,osses caused $y $ankrupt insurers
' Su$%ect to stated deducti$,es and ma.imum ,oss ,imits that &ary )rom state to state ' The )unds are supported $y assessments against other insurers operating in the same state
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Inso,&ency o) Insurers
' ?arious reasons e.ist )or property!,ia$i,ity inso,&encies inc,uding
3 Inade<uate pricing
' Dsua,,y disco&ered +hen ,oss reser&es are insu))icient to pay c,aims
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-mp,oyment in Insurance
' The insurance industry emp,oyed appro.imate,y 2,222,000 persons in 2002 ' Most o) the %o$s are sa,aried positions ' 2e+er than 8 1 are in marketing or distri$ution
3 This contradicts the )re<uent,y!he,d opinion that most %o$s in insurance are in sa,es
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#+nership o) Insurance
' *ata )rom the Insurance In)ormation Institute re&ea,s that the property!,ia$i,ity insurance industry has $een a$,e to reach most DBSB citi(ens +ho o+n homes or autos ' Rough,y A5 percent o) homeo+ners indicated that they had purchased property or ,ia$i,ity insurance on their homes and possessions ' Some type o) ,i)e insurance is o+ned $y appro.imate,y =5 percent o) @mericans
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' /i)e insurance is a,so so,d $y direct contact +ith the consumers in ad&ertising, mai, order, or the internet
3 The insurer maintains a one!on!one re,ationship +ith the insured
' Independent intermediaries usua,,y are not in&o,&ed
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7roup Insurance
' /i)e insurers o))er many o) their products on a group $asis
3 Dnder contracts co&ering groups o) persons rather than indi&idua,s
' Customers )rom group co&erage are genera,,y $usiness )irms ' 4ersons emp,oyed to se,, and ser&ice $usinesses usua,,y recei&e a sa,ary and $onus
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Indi&idua, @gents
' 4o,icies so,d to indi&idua,s are usua,,y hand,ed $y persons kno+n as agents, under+riters, or )inancia, p,anners ' The agent or under+riter contacts the u,timate consumer and reports direct,y to the insurer or intermediary +ho in turn reports to the insurer ' The authority o) the under+riter or agent is ,imited
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Indi&idua, @gents
' @ genera, agent in ,i)e insurance is an indi&idua, emp,oyed to hire, train, and super&ise agents at ,o+er ,e&e,s
3 Sometimes co,,ects premiums and remits them to the insurer0s home o))ice 3 Cot an independent intermediary in the sense that a typica, +ho,esa,er is
' 7enera, agent does not e.ercise )ina, contro, o&er the issuance terms o) the contract
3 The company norma,,y is not $ound $y the genera, agent in putting a contract in )orce
' The genera, agent e.ercises no contro, o&er the amount o) premium, has no in&estment in in&entory, does not o+n any $usiness +ritten, and has no ,ega, right to e.ercise any contro, o&er po,icyho,ders once he or she ,ea&es the emp,oyment o) the company
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' Changes in DBSB demographics ha&e contri$uted to the shi)ting o) $usiness &o,ume a+ay )rom indi&idua, ,i)e insurance
3 @s the o&era,, popu,ation aged, peop,e $ecame more interested in )inancia, products that +ere accumu,ation centered
' Rather than protection and accumu,ation ' These changes ha&e meant that ,i)e insurers increasing,y )ind themse,&es competing +ith $anks and mutua, )und companies )or consumers0 in&estment do,,ars 18
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' The independent agent is an autonomous, ,oca, intermediary in the property insurance $usiness
3 @s the Iretai,er,J the independent agent dea,s +ith the )ina, consumer o) insurance 3 The independent agent usua,,y represents 80 to 10 or more separate insurers and has authority to $ind these insurers on most o) the contracts +ritten
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' I) the customer asks a $roker to o$tain insurance, the $roker must contact +ith the insurer $e)ore co&erage is $inding ' @gents may $ind co&erage immediate,y
3 Eecause they are the ,ega, representati&es o) the insurer 3 Many $rokers a,so ho,d agency contracts
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' Ta$,e 22!1 sho+s that +hi,e direct +riters ha&e taken a signi)icant portion o) the persona, ,ines market
3 Insurers using independent agents ha&e maintained their dominance in commercia, insurance ,ines
' @,though the &o,ume o) $usiness undertaken $y ,oca, independent agents is usua,,y re,ati&e,y sma,, this is not the case )or nationa, $rokers
3 Ta$,e 22!9 sho+s the name and si(e o) the )i&e ,argest $rokers
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' It seems un,ike,y that the independent agency system +i,, $e rep,aced $y direct +riting un,ess the property insurance $usiness $ecomes much more concentrated than it is no+ ' "hi,e direct +riters continue to gain market share in the property!,ia$i,ity )ie,d, the ,i)e insurance industry is going in the opposite direction
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*irect Response
' Some insurance is so,d +ithout agents or other intermediaries through the direct response techni<ue
3 Customers are )ound through ad&ertising on te,e&ision, radio, ne+spapers, maga(ines, direct mai,, etcB 3 This is the area +here the internet appears to ha&e the greatest potentia, 3 Co sa,es agents are emp,oyed 3 The po,icies tend to $e )air,y standardi(ed and more specia,i(ed and ,ess cost,y
' -.amp,es inc,ude accident insurance, hospita, indemnity, term ,i)e, automo$i,e, homeo+ners, and short!term disa$i,ity income contracts 98
Mass Merchandising
' @ method o) distri$uting property!,ia$i,ity insurance direct,y to consumers through emp,oyer payro,, deduction ' 4remiums are usua,,y cheaper $ecause o) &arious economies in mass merchandising ' -mp,oyers do not norma,,y contri$ute to the premium on $eha,) o) emp,oyees ' They ha&e not $ecome e.treme,y popu,ar
3 Independent agents ha&e genera,,y opposed the adoption o) such p,ans
' Eecause many agents depend on indi&idua,,y issued persona,!,ines $usiness )or their ,i&e,ihood
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' 2irms and organi(ations that do $usiness internationa,,y )ace di))erences in their ,oss e.posure and in the risk!hand,ing methods they use ' 7,o$a,i(ation and di))erences in )uture gro+th potentia, ha&e ,ed many insurers to ree&a,uate the )ocus o) their $usiness and to consider e.pansion o&erseas
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' Many o) these e.posures can $e a,tered in $oth )re<uency and se&erity $y di))erences in &arious parts o) the +or,d
3 Most o) the deaths )rom natura, disasters are in de&e,oping countries
' "hi,e most o) the property damage resu,ting )rom natura, disasters occurs in industria, nations
3 2ire ,oss potentia, is much greater in countries +ith poor in)rastructure and ,o+er!<ua,ity $ui,ding standards
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' The ina$i,ity to assess risk accurate,y due to an a$sence o) in)ormation in some underde&e,oped countries can $e one o) the $iggest cha,,enges that a risk manager o) a g,o$a, )irm )aces
3 @dditiona,,y, the ,ack o) a +e,,!de&e,oped insurance industry can ,ead to an a$sence o) high <ua,ity risk management ser&ices such as
' C,aims hand,ing, ,oss assessment, ,oss contro, 9;
' The attitude to+ard risk management can a,so di))er ' Customary ,imits o) co&erage can &ary signi)icant,y ' Some re,igious $e,ie)s discourage arrangements in&o,&ing the payment o) interest and o)ten ,imit the purchase o) insurance ' Signi)icant re,iance upon go&ernment socia, insurance programs reduces the demand )or pri&ate ,i)e and hea,th insurance and annuity products in a num$er o) countries 9=
3 Has the disad&antage in that the approach tends to ,ead to a &ery ine))icient program structure i) the )irm does $usiness in a num$er o) countries
' @,so, co&erage ,imits and terms o)ten di))er signi)icant,y across countries and can ,ead to to important gaps in protection
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' Mu,tinationa, )irms are $ecoming increasing,y sophisticated regarding risk management practices
3 They demand the a$i,ity to com$ine and integrate their risk management programs on a g,o$a, $asis 3 They increasing,y demand high <ua,ity risk management ser&ices +here&er they do $usiness
' Such as c,aims management and ,oss contro, 58
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