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NC Health Insurance Exam Pearson Vue Latest Graded A+

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NC Health Insurance Exam Pearson Vue Latest Graded A+ Pure Risk chance of loss or no loss but not gain insurable Speculative Risk there is possibility of loss but of gain no insurablility exposure unit subject to loss peril cause of loss life insurance death Health i...

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  • April 27, 2024
  • 16
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
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NC Health Insurance Exam Pearson Vue
Latest Graded A+
Pure Risk
chance of loss or no loss but not gain insurable


Speculative Risk
there is possibility of loss but of gain no insurablility


exposure unit
subject to loss


peril
cause of loss


life insurance
death


Health insurance
accident and sickness


hazard
increases the likelihood or severity of loss


Three types of hazard
physical, moral, morale


physical hazard
arise from the inherent characteristic of the exposure unit


Moral Hazard
lifestyle of the insured person


Morale hazard
arise more from an outlook on life


risk avoidance
eliminating all risk altogether


risk retention
manage risk Deduction


self-insurance
instead of buying health insurance and saving $ in the bank

,Pure risk that are not insurable
Flood, War, Catastrophic losses


Intentional losses
not insurable


Adverse selection
bad for insurance


insurance actuary
a specially trained mathematician who calculates premiums


underwriter
checks out the medical history of the proposed insured and other factors to eliminate adverse
selection against the insurance company, issue policy premium restrictions


Days for applicant to requests an explanantion
90 days


Days insurance company must furnish an explanation
21 days


A dispute must begin within in
30 days


Law of Large numbers
the larger the number the easier it is to predict losses


how much $ must a insurance company have in reserve at all times
4 million


Reinsurance agreements
enable an insurance company the ceding company to transfer risk to the reinsurer (seller)


Capital Stock companies are owned by
stock holders and most common


Main purpose of the stock company
make a profit for its investors


Mutual companies are owned by
policy holders

, Assessment insurers
charge additional premiums at the end of the specified time period


Fraternal benefit societies are similar to
mutual companies


who is only eligible to buy insurance policies from a Fraternal?
its members


Fraternal agents can only sell which policies
life, health and annuity policies


self insurers
only insure themselves


Reciprocal exchanges
all its members to to insure each other


who manages a reciprocal?
attorney-in-fact


who often steps in to cover risks too large or too catastrophic for private insurers?
government insurers


Social Security
a federal program funded by employers, employees and the selfemployed


What agency does not fund social security?
FEderal Government


Insurers must be in a state to sell insurance
Authorized


What does Insurer get to sell in the insurance in a certain state?
Certificate of Authority


What are insurers classified as in their own state?
Domestic


What are insurers classified as in another state?
Foreign

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