T1 MHA, C1 Definition of ins.: "a financial method that transfers cost of potential losses to an ins. pool (insurer), the pool combines them & transfers the cost (premium) back to the exposed to risk (insureds). Basic Characteristics of Ins.: 1-Pooling of Losses: a)Spreading losses incurred by few over the entire group, then, average loss is substituted for actual loss. b)Grouping of large # of exposures so; we can predict accurately. CH2: Ins. & RISK
T2 MHA, C1 2-Payment of fortuitous losses: unforeseen, unexpected & occurs as result of chance (accidental & occur randomly). 3-Risk Transfer: from the insured to the insurer, (in a stronger financial position). 4-Indemnification: the insured is restored to his financial position prior to the loss (insurer has the right to: repair, replace or pay money). CH2: Ins. & RISK
T3 MHA, C1 Requirement of An Insurable Risk: 1-Large # of Exposure Units: large # of similar units (not necessarily identical) subject to the same peril, why? to predict accurtely. 2-Accidental & Unintentional (fortuitous) Loss: the insured wouldn't intentionally cause a loss otherwise he shouldn't be indemnified, Why? -First, if intentional losses paid, moral hazard & prem. increase, few purchase ins. & insurer can not predict accurately. CH2: Ins. & RISK
T4 MHA, C1 -Second, law of large #s is based on random occurrence & intentional loss is not a random event & makes prediction inaccurate. 3-Determinable and Measurable Loss: means loss should be definite regarding cause, time, place & amount. -Life ins. meets this requirement but, some losses are difficult to determine & measure (ex: dishonest insured deliberately fake sickness or injury to collect benefits). CH2: Ins. & RISK
T5 MHA, C1 -The purpose of this requirement is to enable an insurer to determine if the loss is covered & how much should be paid. 4-No Catastrophic Loss: means large portion of exposures shouldn't incur loss at the same time otherwise, prem. increases to a prohibitive level & ins. is no longer an affordable technique. 5-Calculable Chance of Loss: insurer must be able to calculate frequency & severity of loss accurately to charge a prem. that cover claims, expenses & profit. CH2: Ins. & RISK
T6 MHA, C1 6-Economically Feasible Premium: means chance of loss must be small so that prem. will be attractive (less than amount of ins.). -Most market, financial & political risks are uninsurable by private insurers because: - First, these are speculative risks, so difficult to insure. -Second, the potential of a catastrophic loss is high. -Finally, it is difficult to calculate chance of loss & then the prem. CH2: Ins. & RISK
T7 MHA, C1 Adverse Selection & Ins.: adverse selection is tendency of persons with high-than- average chance of loss to seek ins. at average rates, which result in higher-than- expected loss. -Ex: high-risk drivers seek auto ins. at standard rates. If they succeed, insurer is “adversely selected against.” -Underwriting (process of selecting & classifying applicants for ins.) is used to control adverse selection. CH2: Ins. & RISK
T8 MHA, C1 -Applicants who meet underwriting standards are insured at standard rates otherwise ins. is refused or an extra prem. must be paid. Policy provisions: used to control adverse selection. -Ex: suicide in life ins. & preexisting conditions in health ins. are excluded. CH2: Ins. & RISK
T9 MHA, C1 Ins. & Gambling: 2 differences: First, gambling creates speculative risks, but ins. handles existing pure risks. Second, gambling is unproductive (winner’s gain comes from loser), but, ins. is socially productive (insurd's gain doesn't resemble insurer's loss). CH2: Ins. & RISK
T10 MHA, C1 Ins. & Hedging: 2 differences: First, ins. is the transfer of insurable risks, but hedging is handling uninsurable risks, such as prices fluctuation). Second, ins. can reduce objective risk by applying law of large #s, but, hedging transfer risks but not reducing it & prediction of loss is not based on law of large #s. CH2: Ins. & RISK
T11 MHA, C1 BENEFITS OF INSURANCE TO SOCIETY 1-Indemnification for loss. 2-Less worry & fear. 3-Source of investment funds. 4-Loss prevention. 5-Enhancement of credit. CH2: Ins. & RISK