Chap 8 -_underwriting
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Transcript of Chap 8 -_underwriting
L E A R N I N G O U T C O M E S :
1 . D I S T I N G U I S H C L E A R L Y T H E V A R I O U S P R I N C I P L E S I N I N S U R A N C E R E L A T E D A R E A
UNDERWRITING1
P5125/underwriting/Haniza
What is underwriting?
A process of assessing and selecting risks, and determining the premium, terms and conditions
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P5125/underwriting/Haniza
What is the purpose of underwriting?
To guard against anti-selection
- an applicant who has a very high probability of loss, submits a proposal for insurance
To charge a premium that is commensurate with the risk transferred
- higher premium charged to those with higher probability of loss
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P5125/underwriting/Haniza
Common features of underwriting
Identify & evaluate risk
• Physical & moral hazards
• Physical hazards associated with the subject matter of insurance
• Eg. Motor insurance – type of vehicle; fire insurance – type of construction
• Moral hazards –carelessness, unreasonableness, fraud
Select risk
• Accept or reject a risk
• Proposal of risk is not rejected unless it posses a considerably bad physical or moral hazards associated with it
Determine premium, terms
& conditions
• Premium is the price for insurance
• The rate charged must reflect the degree of hazard and total units of coverage required reflect the value of risk transferred
• Risk with normal hazard be charged normal rates
• Terms & conditions imposed dependants on the hazrads
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P5125/underwriting/Haniza
Risk with abnormal hazards
These risks are acceptable subject to the following underwriting measures :
i. Risk improvement
ii. Warranties
iii. Exclusions
iv. Restricted cover
v. Excess
vi. Franchise
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Risk improvement
It requires the proposer to undertake certain improvements on the risk before risk is acceptable to the underwriter
Install fire alarm, automatic sprinkler water
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Warranties
Is imposed to control hazard
To ensure no additional hazards introduced during the policy period; and
Insurer’s recommendations are carried out
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Exclusions
Inserting a clause to exclude the insurer’s liability from certain losses
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Restricted cover
Offer a narrower insurance coverage than originally proposed by the insured
Eg proposer proposed for a comprehensive motor policy, instead offered for third party policy
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Excess
The insured is required to bear a specified amount of every losses
Eg. losses of less than RM400, cannot be claimed
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Franchise
Insured is entitled to make a claim if loss exceeds a specified amount
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Confirmation of acceptance
Terms and conditions accepted by the proposer, the insurer will confirm acceptance of risk proposed
Cover note will be issued as a temporary evidence until the policy is issued
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Re-insurance & Co-insurance
Re-insurance
- The insurer reinsures (cedes) the part of the risk which is in excess of his retention, to the reinsurer
Co-insurance
- Two or more insurers share the original risk and each of them is directly responsible for that proportion of risk
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P5125/underwriting/Haniza
Premium rating
Individual Rates
• Rate charged on each risk separately without referring to a manual or formula
Class rates• A large number of
risks to be insured under a class of insurance is classified into various classes
• To establish a premium rate known as class rate
Merit rates• A combination of class
and individual rates• Underwriter
determines the class rate and adjust depending on the merits
• Merits is determined through the evaluation of physical factors
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Gross premium rate
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Is made up of :
i. Pure premium rate
- Premium rate calculated based on the expected claims cost
i. Expenses and commissions margins
ii. Contingency margins
iii. Profit margins
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Minimunpremium
• To cover administrative expenses incurred in issuing a general insurance policy
Minimum sum insured
• To cover administrative expenses incurred in issuing a life insurance policy
Refund of premium
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Premium is refundable for failure of consideration or through a provision in the policy
Failure of consideration arises when the liability which the insurer assumed has not attached or commenced
Total failure of consideration exists under the following situations :
i. A vessel is insured for 12 months from a date and becomes a total loss before that date
ii. A cargo policy has been issued but the contract of sale is cancelled and no shipment takes place
Short Period Premium Rates
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Is charged when insurance is effected for less than 12 months