Deck 46: Insurance Law
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Deck 46: Insurance Law
1
The expected loss arising from an event is the probability of the event multiplied times the magnitude of the loss.
True
2
The insured transfers the risk of loss to the insurer for a price known as a co-pay.
False
3
Personal insurance represents policies related to life, health, accident but not disability insurance.
False
4
Property insurance covers things like homeowners, renters, automobile, and boat insurance.
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5
Insurance contracts require that the insured demonstrate they have a potential insurable interest.
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6
An insurable interest is an interest by the insured in the value of what is being insured that arises from a financial or legal relationship.
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7
The goal of the indemnity principle is to reimburse the insured for the losses sustained plus compensatory and punitive damages to third parties.
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8
Actuaries are individuals trained in mathematics who use statistical models to calculate the probabilities and loss exposure of particular risks.
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9
Insurance is largely governed by state laws and regulations.
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10
An important aspect of insurance regulation is the imposition on insurers of a duty of good faith toward the insured.
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11
The expected loss arising from an event is the probability of the event __________ the magnitude of the loss.
A) added to
B) multiplied times
C) divided by
D) None of the choices are correct
A) added to
B) multiplied times
C) divided by
D) None of the choices are correct
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12
The insured transfers the risk of loss to the insurer for a price known as a/an __________.
A) allocation
B) co-pay
C) premium
D) All of the choices are correct
A) allocation
B) co-pay
C) premium
D) All of the choices are correct
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13
Insurance is a contractual relationship in which the insured transfers a specified risk to a third-party insurer that aggregates similar __________ into a common pool.
A) redactions
B) disclosures
C) materials
D) risks
A) redactions
B) disclosures
C) materials
D) risks
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14
Insurers reduce the chance of a moral hazard by including a __________ on a policy and refusing to insure intentional torts and criminal activity.
A) deductible
B) obligation
C) co-pay
D) None of the choices are correct
A) deductible
B) obligation
C) co-pay
D) None of the choices are correct
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15
When an insured party engages in riskier behavior because he relies on insurance to cover his liability or loss, this is known as a __________.
A) moral hazard
B) potential liability
C) management practice
D) All of the choices are correct
A) moral hazard
B) potential liability
C) management practice
D) All of the choices are correct
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16
Personal insurance represents policies related to:
A) life insurance
B) health insurance
C) disability insurance
D) All of the choices are correct
A) life insurance
B) health insurance
C) disability insurance
D) All of the choices are correct
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17
What may liability insurance not cover?
A) negligent acts of others
B) total amount of loss
C) bodily injury
D) property damage
A) negligent acts of others
B) total amount of loss
C) bodily injury
D) property damage
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18
Businesses often purchase an insurance policy known as a __________ policy.
A) county
B) corporate liability
C) state
D) commercial general liability
A) county
B) corporate liability
C) state
D) commercial general liability
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19
What may commercial general liability insurance policies not cover?
A) copyright infringement
B) false advertising
C) intangible property
D) wrongful eviction
A) copyright infringement
B) false advertising
C) intangible property
D) wrongful eviction
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20
Professional malpractice insurance __________ the insured for up to the specified policy limit for negligent acts performed by professional employees that injure clients.
A) denies
B) disclaims
C) indemnifies
D) repudiates
A) denies
B) disclaims
C) indemnifies
D) repudiates
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21
Errors and omissions (E&O) liability insurance indemnifies the directors and executive officers of a corporation if they breach any of their __________ duties.
A) corporate
B) mens rea
C) voir dire
D) fiduciary
A) corporate
B) mens rea
C) voir dire
D) fiduciary
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22
Insurance contracts require that the insured demonstrate they have an insurable interest.
A) insurer
B) insured
C) corporation
D) None of the choices are correct
A) insurer
B) insured
C) corporation
D) None of the choices are correct
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23
An insurable interest is an interest by the insured in the value of what is being insured that arises from a/an __________ or legal relationship.
A) administrative
B) financial
C) personal
D) adversarial
A) administrative
B) financial
C) personal
D) adversarial
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24
The requirement that an insured demonstrate an insurable interest has two policy justifications: to prevent parties from engaging in pure speculative gambling with respect to others' assets or liabilities and to reduce __________.
A) expatriate issues
B) bad judgment
C) personal liability
D) moral hazard
A) expatriate issues
B) bad judgment
C) personal liability
D) moral hazard
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25
An insurer has both a __________ and a duty to defend any lawsuit alleging claims against the insured that might trigger liability under the policy.
A) non-contractual right
B) moral right
C) contractual right
D) None of the choices are correct
A) non-contractual right
B) moral right
C) contractual right
D) None of the choices are correct
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26
Legal defense is an important aspect of liability insurance because the costs of defending a lawsuit can be __________.
A) pricey
B) expensive
C) substantial
D) All of the choices are correct
A) pricey
B) expensive
C) substantial
D) All of the choices are correct
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27
Once a loss is paid to the insured, __________ gives the insurer the right to pursue a legal claim against the party who caused the loss to the insured.
A) negotiation
B) subrogation
C) abrogation
D) novation
A) negotiation
B) subrogation
C) abrogation
D) novation
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28
Insurance companies will insure liability that arises from many behaviors except:
A) property damages by another
B) criminal acts
C) mental illness
D) None of the choices are correct
A) property damages by another
B) criminal acts
C) mental illness
D) None of the choices are correct
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29
The hit motion picture, The Big Short, told the remarkable story of how a few savvy investors were able to profit from the __________ collapse.
A) legal industry's
B) stock market's
C) homeowner's insurance
D) housing market's
A) legal industry's
B) stock market's
C) homeowner's insurance
D) housing market's
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30
Subrogation may exist as a contract term in the insurance policy and may allow the insurance company the right to collect from the insured if a claim is paid and the insured obtained payment from the __________ who caused the loss.
A) prosecution
B) third party
C) criminal claim
D) None of the choices are correct
A) prosecution
B) third party
C) criminal claim
D) None of the choices are correct
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31
The court in Administrative Committee of the Wal-Mart Stores, Inc. Associates' Health and Welfare Plan v. James A. Shank et al., 500 F.3d 834 (8th Cir. 2007):
A) reversed the trial court upon its review of the subrogation clause in Wal-Mart's employee health care policy
B) affirmed the trial court upon its review of the subrogation clause in Wal-Mart's employee health care policy
C) remanded the trial court upon its review of the subrogation clause in Wal-Mart's employee health care policy
D) None of the choices are correct
A) reversed the trial court upon its review of the subrogation clause in Wal-Mart's employee health care policy
B) affirmed the trial court upon its review of the subrogation clause in Wal-Mart's employee health care policy
C) remanded the trial court upon its review of the subrogation clause in Wal-Mart's employee health care policy
D) None of the choices are correct
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32
The goal of the indemnity principle is to reimburse the insured for the losses sustained _________.
A) and punitive damages
B) plus compensatory damages
C) and no more
D) None of the choices are correct
A) and punitive damages
B) plus compensatory damages
C) and no more
D) None of the choices are correct
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33
__________ are individuals trained in mathematics who use statistical models to calculate the probabilities and loss exposure of particular risks.
A) Actuaries
B) Lawyers
C) Stewards
D) Head hunters
A) Actuaries
B) Lawyers
C) Stewards
D) Head hunters
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34
The amount an insured will receive is controlled by the principle of __________.
A) bribery
B) subrogation
C) insurance
D) indemnity
A) bribery
B) subrogation
C) insurance
D) indemnity
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35
Insurers often have access to __________ data that allow them to determine the probability of an event occurring.
A) trade secret
B) historical
C) investment
D) current
A) trade secret
B) historical
C) investment
D) current
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36
LAE stands for __________ and represents additional costs associated with the claims, such as legal defense costs.
A) loss adjustment experience
B) loss adjustment expense
C) loss adjourment expense
D) lost adjustment expense
A) loss adjustment experience
B) loss adjustment expense
C) loss adjourment expense
D) lost adjustment expense
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37
The insured may take several steps as part of a __________ program to minimize the probabilities of a loss or the loss amount should the event occur.
A) risk loss
B) Ponzi scheme
C) racketeering
D) risk management
A) risk loss
B) Ponzi scheme
C) racketeering
D) risk management
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38
The high costs and frequency of litigation will be priced into insurance __________.
A) operations
B) allocations
C) fraud
D) premiums
A) operations
B) allocations
C) fraud
D) premiums
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39
Insurance is largely governed by __________ laws and regulations.
A) state
B) federal
C) county
D) criminal
A) state
B) federal
C) county
D) criminal
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40
Congress decided to largely relinquish regulatory control to the states when it passed the __________ Act.
A) McCarran-Farley Act
B) McDonald-Farley Act
C) McCarran-Ferguson Act
D) McCarrol-Ferguson Act
A) McCarran-Farley Act
B) McDonald-Farley Act
C) McCarran-Ferguson Act
D) McCarrol-Ferguson Act
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41
An important aspect of insurance regulation is the imposition on insurers of a duty of __________ toward the insured.
A) care
B) good faith
C) impartiality
D) financial care
A) care
B) good faith
C) impartiality
D) financial care
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42
An insurer engages in bad faith if it fails to handle a claim in a fair manner, fails to __________ the insured against loss, or cancels insurance policies without just cause.
A) surrender
B) alleviate
C) indemnify
D) None of the choices are correct
A) surrender
B) alleviate
C) indemnify
D) None of the choices are correct
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43
Insurance __________ assist in state insurance regulation to prevent unfair insurer practices.
A) commissioners
B) delegates
C) issuers
D) gurus
A) commissioners
B) delegates
C) issuers
D) gurus
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44
In some cases, insurance regulators require that insurers contribute toward a __________, which provides coverage for those who may not be able to obtain insurance through the regular insurance markets.
A) petitionary market plan
B) reparatory market plan
C) restitutionary market plan
D) residual market plan
A) petitionary market plan
B) reparatory market plan
C) restitutionary market plan
D) residual market plan
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45
In Cotton States Mutual Insurance Co. v. Brightman, 580 S.E. 2d 519 (2003), the Georgia Supreme Court:
A) reversed the trial court and appellate court and found that Cotton States was liable to the insured for the excess jury award judgment.
B) reprimanded the trial court and appellate court and found that Cotton States was liable to the insured for the excess jury award judgment.
C) affirmed the trial court and appellate court and found that Cotton States was liable to the insured for the excess jury award judgment.
D) None of the choices are correct.
A) reversed the trial court and appellate court and found that Cotton States was liable to the insured for the excess jury award judgment.
B) reprimanded the trial court and appellate court and found that Cotton States was liable to the insured for the excess jury award judgment.
C) affirmed the trial court and appellate court and found that Cotton States was liable to the insured for the excess jury award judgment.
D) None of the choices are correct.
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46
Describe what insurance is, the parties involved, and the nature of what insurance covers.
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47
List and explain the three main types of risks insurance may protect.
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48
Explain the notion of subrogation and how that impacts insurer's and the insured.
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49
Explain the formula for insurance pricing and how the premiums are achieved.
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50
List and explain what the state insurance commissioners do to assist in state insurance regulation.
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