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Kala Life Ins. Chapter 1, Part I, Basic Principles

AB
private insurance companies are also known ascommercial insurers
Commercial insurance are in the business of selling insurance fora profit
an insurance company selling more thanone line of insurance is called aMulti-line insurer
2 main groups of commercial insurance arestock and mutual insurers
stock companies are organized and incorporated understate laws
purpose of stock companies is to make a profit forstockholders
stockholders are also known asshareholders
Kala is a stockholder ofTesla :)
stock insurers are also known asnonparticipating insurers
in stock companies, policyholdersdo not participate in receiving dividends or electing the board of directors (unless they are a stockholder)
in stock companies, stockholders are paidstock dividends
stockholdersin a stock company, the directors and officers are responsible to the
transformation of stock insurer into a mutual insurer is termedmutualization
mutual insurer transforming into a stock insurer is calledde-mutualization
Dividends from a stock insurer are subject totaxation
dividends from a stock insurer are consideredprofit
mutual companies are owned bytheir policyholders
mutual insurers are known asparticipating insurers
policyholders participate inreceiving dividends and electing the board of directors in Mutual Companies
mutual company dividends are paid to thepolicyholders
dividends from a mutual insurer areNOT subject to taxation
dividends from a mutual insurer are considered to be a return ofpremium
Accumulated interest would be taxable if a mutual co. policyowner chooses tolet dividends sit and collect interest
If a mutual co. policyowner chooses to let the dividends sit and collect interest,only the accumulated interest would be taxable
if a company operates as both a particpating and nonparticpating insurer the company is known as amixed insurer
dividends can never be _____ regardless of the type of company offering themguaranteed
in a PURE ASSESSMENT mutual companylosses are shared by group members
no premiuim is payable in advance in apure assessment mutual company
in an ADVANCE PREMIUM ASSESSMENT mutual companypremiums are charged at the beginning of the policy period
in an ADVANCE PREMIUM ASSESSMENT mutual, surplus isreturned to the policyholders are dividends
in an ADVANCE PREMIUM ASSESSMENT companies, if total premiums are not enough to meet lossesadditional assessments are levied against the members
Fraternal benefit societies arespecial types of mutual companies
examples of fraternal benefit socities arenonprofit religious, ethnic or charitable organizations
fraternal benefit societies provide insurancesolely to their members
example of a fraternal societyKnights of Columbus
Fraternal societies must be formed forreasons other than obtaining insurance
mutual companies formed by a group of people in the same industry or profession are calledrisk retention groups
service providers offer benefits to subscribersin return for the payment of a premium
Examples of service providers areHealth Maintenance Organizations (HMO's) and Preferred Provider Organizations (PPO's)
Health Maintenance Organizations are also known asHMO's
Preferred Provider Organizations are also known asPPO's
Unincorporated groups of individual members that provide insurance for other members through indemnity contracts are known asreciprocal insurers
In a reciprocal insurer each member acts as bothinsurer and insured
Members in a reciprocal insurer act as both insurer and insured and are managed byAttorney in Fact
A company transferring risk to another company is theCeding Company
A company assuming risk from another company is called aReinsurer
An insurer established and owned by the parent company is called aCaptive Insurer
A captive insurer is established by the parent company toinsure the parent company's loss exposure
Home Service Insurers are also known asindustrial insurance
industrial insurance is sold byhome service or debit life insurance companies
face amounts for industrial insurance are usually$1,000 to $2,000
industrial insurance usually involved premiums that are paidweekly
Types of government insuranceSocial Security, Medicare, Medicaid, SGLI & VGLI, Tricare
Social Security is also known asOASDI (Old Age Survivor Disability Insurance)
Social security provides income benefits forthe elderly, survivors of those who died young, and disabled people
Health INsurance to care for the elderlyMedicare
Health insurance to AID the poor/financially needyMedicaid
Serviceman's Group Life InsuranceSGLI
Veteran's Group Life InsuranceVGLI
health insurance for members of the military and their familyTri-Care
Those who retain risks and have enough capital to pay claims areSelf-insurers
Self-insurers are NOTa method of transferring risk
Self-insurers establish their ownself-funded plan to cover losses
A plan in which an employer pays insurance benefits from a fund derived from the employer's current revenues is called aself-funded plan
This is NOT an insurance companyLloyd's of London
Lloyd's of London isan association / group of investors
In Lloyd's of London members of the associationform syndicates to underwrite and issue insurance-like coverage
the group of investors in Lloyd's of London share inunusual risk
If an agent works for only one insurer, she is known asa captive agent
If an agent works for herself or for several insurers NON-exclusively, she isan independent agent
With the career agency system, commercial insurersestablish offices in certain locations
The person who hires and trains new producers and supervises a number of other producers is known asa general agent
a general agent working in a career agency systemrecruits and trains new agents
Personal Producing General Agency System is also known asPPGA
All producers under the career agency system arecaptive agents and employees of the insurer
With the PPGA system, agents work for an independent agency selling policiesfrom several insurance companies
In a PPGA, agents are NOTemployees of the insurance company and instead work for the PPGA
Personal Producing General Agents primarilysell insurance (instead of recruiting and training new agents)
Independent Agency System is also known asAmerican Agency System
In the Independent Agency systemindependent agents represent a number of insurance companies under separate contractual agreements
Independent insurance agents have control & ownershipover their clients' accounts
an independent insurance may place clients' business with a different insurer whenpolicies are up for renewal
independent insurance agents earncommissions on the sales they make and overrides on sales made by agents they manage
With this system, branch offices are established in several locationsManagerial System
IN a managerial system the agency is run bya salaried branch manager
In a managerial system, a salaried branch manager is employed bythe insurer
A way to sell insuranceMass Marketing
Methods of direct insurance sales through mass marketingdirect mail, TV, radio ads, newspapers and magazines, over the internet


Dr. Hyla Harvey
Marshall University Joan C. Edwards School of Medicine
Hurricane, WV

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