Revised Chp 3

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    1

    Nature & Functions of Insurance

    In its simplest aspect, insurance has two

    fundamental characteristics:

    1. Transferof risk from the individual to the group.

    2. Sharingof losses on some equitable basis.

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    Operation of Insurance Illustrated

    1. 1,000 dwellings valued at $100,000 each.

    2. Each owner faces risk of a $100,000 loss.

    3. Owners agree to share losses that occur.

    4. Ifone house burns (total loss) each owner pays

    ($100 x 1,000 = $100,000).

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    3

    Insurance Defined: Individual

    Perspective

    Insurance is an economic device whereby the

    individual substitutes a small certain cost (the

    premium) for a large uncertain financial loss (the

    contingency insured against) which would exist if

    it were not for the insurance.

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    Probability Theory and Law of

    Large Numbers

    Probability theory is the body of knowledge

    concerned with measuring the likelihood that

    something will happen and making predictions

    based on this likelihood.

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    Determining the Probability of an

    Event 1. A prioriestimates determined from the underlying

    conditions:

    the probability of flipping a head is .5

    the probability of drawing the Ace of Spades is 1/52

    2. A prioriestimates not significant for us except inillustratingLaw of Large Numbers.

    3. The type probability useful for Risk Management isreferred to as a posteriori probability

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    Illustration of a Sampling of Losses

    Experienced by an Insurance Company

    Year Houses that Burn

    1 7

    2 11

    3 10

    4 9

    5 13

    Total 50

    Average 10

    Sample Size I

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    Illustration of Sampling of Losses

    Year Houses that Burn

    1 16

    2 4

    3 10

    4 12

    5 8

    Total 50

    Average 10

    Sample Size II

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    Standard Deviation

    Year Average ActualLosses Losses Differences

    1 10 7 3 9

    2 10 11 1 1

    3 10 10 0 04 10 9 1 1

    5 10 13 3 9

    20

    Variance = 4, Standard Deviation = 2

    Sample Size I Deviation

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    Standard Deviation

    Year Average ActualLosses Losses Differences

    1 10 16 6 36

    2 10 4 6 36

    3 10 10 0 0

    4 10 12 2 4

    5 10 8 2 4

    80

    Variance = 16, Standard Deviation = 4

    Sample Size II Deviation

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    Dual Application of Law of Large

    Numbers

    1. To estimate the underlying probability

    accurately, insurer must have a large sample of

    experience.

    2. Once the estimate of probability has been

    made, it must be applied to a large number of

    exposure units to permit the underlyingprobability to work itself out.

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    Elements of an Insurable Risk

    1. Large numbers of exposure units

    2. Definite and measurable loss

    3. The loss must be fortuitous

    4. The loss must not be catastrophic

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    Additional Attributes of an Insurable Risk

    Randomness- It is hoped that the risk will

    approximate the general conditions found in

    society in general. However, in real lifeAdverse

    Selection complicatesthe entire situation

    Economic FeasibilityThe cost of the

    insurance must not be excessively high in

    relation to the cost of the loss

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    Classification of Private

    Insurance 1. Life Insurance

    2. Accident and health Insurance

    3. Property and liability insurance

    fire

    marine

    casualty fidelity and surety bonds

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    Social Insurance Definition

    1. Coverage is compulsory

    2. Eligibility derived from contributions:

    no requirement to demonstrate need

    3. Method of determining benefits prescribed by law

    4. Benefits not directly related to contributions

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    Social Insurance Programs in the

    U.S. 1. Old-Age, Survivors and Disability Insurance

    2. Railroad Retirement, Disability and Unemployment

    Insurance

    3. Unemployment Insurance

    4. Medicare

    5. State Compulsory Temporary Disability

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    Federal Public Guarantee

    Programs

    1. Federal Deposit Insurance Corporation

    2. National Credit Union Administration

    3. Securities Investor Protection Corporation

    4. Pension Benefit Guarantee Corporation