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Chapter 5 Principle of insurance. Dr. A. PHILIP AROKIADOSS Assistant Professor Department of Statistics St. Joseph’s College (Autonomous) Tiruchirappalli-620 002. Household Insurance. Insurance Protection against a loss you hope will not happen. Eg. car accident. Assurance
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Chapter 5Principle of insurance Dr. A. PHILIP AROKIADOSS Assistant Professor Department of Statistics St. Joseph’s College (Autonomous) Tiruchirappalli-620 002.
Insurance Protection against a loss you hope will not happen. Eg. car accident. Assurance Protection against a loss you know will happen. Eg. death. Distinguish between
Two reasons for adequate insurance • You must cover all possible risks. • Eg. In household insurance: fire, theft, flood and accidental damage. • You must insure enough to cover full amount of loss. • Eg. If your house is worth €200,00 you must insure it for that value.
The basis for insurance is sharing the risk. Large number of small premiums Insurance pool/fund Ins. co. expenses Ins. co. profit Compensation
Insurable risk Things that can be insured. Eg. Houshold insurance; fire theft, damage. Personal accident for a farmer. Non-insurable risk Things that cannot be insured against. Eg. Damage to car used in crash testing. Personal accident for a bungee jumper. Distinguish between
Insurance Terms • Exclusion Clause: • Situations that cannot be insured. • Eg. • Household insurance: • A house situated near a river that is known to flood every year.
Insurance Terms • Policy Excess/Excess Clause: • The insured person may have to pay the first €100 of the compensation themselves. • This is to reduce the number of small claims being made. • To make people more careful.
Insurance Terms • Proximate Cause: • What is the exact cause of the loss. • Eg. was it fire or theft or flood? • ie. what actually happened? • This helps the insurer decide if compensation is due.
Insurance Terms • Compensation: • Is the money you get when you make a claim.
Principles of insurance • Insurable Interest • Utmost Good Faith • Indemnity • Contribution • Subrogation
Insurable Interest • In order to insure something you must benefit from its existence & suffer from its loss. • Eg. You can insure your own house but you cannot insure your neighbours’s house.
Utmost Good Faith • You must tell all relevant information when filling out an application for insurance. • Eg. If you have an illness you must tell the ins. co. as they may want to charge a higher premium or not insure you at all.
Indemnity • You cannot make a profit from insurance. • There is no point in insuring your house for more than it is worth as the ins. co. will only compensate you for the actual value of the house.
Contribution • If a risk is insured with two insurance companies each will pay half of the compensation. • Eg: A ring insured with two ins. co.’s. for €1,000 • Both will give ?? • €500 each.
Subrogation • Passes the legal right of the insured over to the insurer to claim from a third party who caused the loss. • Eg. Whirlpool oven causes house to go on fire. Ins. co. pays compensation to insured and then seeks their own compensation from whirlpool.
Average Clause • Related to underinsurance and partial loss. • If you only insure an item for a fraction of the value, you only get the same fraction compensation.
Formula • SUM INSURED x CLAIM = COMPENSATION • ACTUAL VALUE
EXAMPLE 1. • Mary insured her house for €200,000. • The market value is €250,000. • A fire causes €10,000 worth of damage. • How much compensation will she receive???
Solution 1 • 200,000 x 10,000 = 8,000 • 250,000
Documents used in insurance • Proposal Form • Application form for insurance
Policy • Contract of insurance • Gives full details of cover • Must be filled away safely
Cover Note • Temporary policy • Used in car insurance, while you are waiting for insuracne disc
Certificate of Insurance • Proof of insurance
Claim Form • Form you fill out when a loss occurrs and you want compensation
People in insurance • Broker • Gives advice on insurance • Sells insurance on behalf of lots of companies. • Eg:
Agent • Sell insurance for only one co. Eg: FBD, Quinn Direct……..
Actuary • Calculates insurance premiums
Loss Adjuster • Calculates the value of the loss • Works for the insurance co.
Loss Assessor • Calculates the value of the loss • Represents the insured
Steps involved in taking out insurance • Decide what risks you want covered. (ask a broker) • Fill out proposal form. (ugf) • Pay your premium. • File your policy in a safe place.
Steps involved in making a claim. • Contact guards & ins. co. • Obtain estimates of lost/stolen items. • Fill out claim form. (ugf) • Talk to assessor and agree on compenstaion.
Premium • The cost of insurance • Money you pay to be insured • The higher the risk the higher the premium
Risk Effect • Things that cause premiums to be high or low • Eg: In car insurance • No car accidents = lower premium • Under 25 male = higher premium
Loading • Extra premium for higher risk • Eg: A smoker will have a higher premium for life assurance than a non smoker
Discount • Money taken off premium for a lower risk • Eg: In house insurance you get a discount for having an alarm
No Claims Bonus • In car insurance you get a discount if you do not claim for any accidents the previous year • It encourages people not to claim for small amounts
Renewal Date • The date you must have your premium paid by. • Eg : 1/10/08
Days of Grace • You may be given a few extra days to pay your premium • Not allowed in motor insurance
PRSI • Pay Related Social Insurance. • Statutory Deduction from you salary. • You will receive an income if you are out of work due to illness, disabiity, maternity leave…
Medical Insurance • In case you get sick or need an operation • Eg: VHI • Voluntary Health Insurance
Personal Accident • Covers people who are injured due to an accident. • Lump sum payment for loss of finger, sight, hearing etc.
Salary Protection • Provides an income in case you can’t work due to illness. • Will provide you with a higher income than PRSI only.
Pension Plan • Provides you with lump sum and income for your retirement.
Holiday Insurance • Provides you with health care if you get sick on holidays.
Risk Effects for Personal Insurance • Loading • Older, smoker, risky job • Discount • Younger, non-smoker, low risk job