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Household Insurance. 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.

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Distinguish between

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
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
The basis for insurance is sharing the risk.

Large number

of

small premiums

Insurance

pool/fund

Ins. co. expenses

Ins. co. profit

Compensation


Distinguish between1

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
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 terms1
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 terms2
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 terms3
Insurance Terms

  • Compensation:

  • Is the money you get when you make a claim.


Principles of insurance
Principles of insurance

  • Insurable Interest

  • Utmost Good Faith

  • Indemnity

  • Contribution

  • Subrogation


Insurable interest
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
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
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
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
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
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
Formula

  • SUM INSURED x CLAIM = COMPENSATION

  • ACTUAL VALUE


Example 1
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
Solution 1

  • 200,000 x 10,000 = 8,000

  • 250,000


Documents used in insurance
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



  • Claim Form

  • Form you fill out when a loss occurrs and you want compensation


People in insurance
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
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
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.


Terms relating to premium calculation

Terms relating to premium calculation


Premium
Premium

  • The cost of insurance

  • Money you pay to be insured

  • The higher the risk the higher the premium


Risk effect
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


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  • Extra premium for higher risk

  • Eg: A smoker will have a higher premium for life assurance than a non smoker


Discount
Discount

  • Money taken off premium for a lower risk

  • Eg: In house insurance you get a discount for having an alarm


No claims bonus
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
Renewal Date

  • The date you must have your premium paid by.

  • Eg : 1/10/08


Days of grace
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
Medical Insurance

  • In case you get sick or need an operation

  • Eg: VHI

  • Voluntary Health Insurance


Personal accident
Personal Accident

  • Covers people who are injured due to an accident.

  • Lump sum payment for loss of finger, sight, hearing etc.


Salary protection
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
Pension Plan

  • Provides you with lump sum and income for your retirement.


Holiday insurance
Holiday Insurance

  • Provides you with health care if you get sick on holidays.


Risk effects for personal insurance
Risk Effects for Personal Insurance

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  • Older, smoker, risky job

  • Discount

  • Younger, non-smoker,

    low risk job


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