Texas Limited Lines Study Guide

Insurance

The transfer of risk.

Indemnity

To restore the insurance to the same financial condition as before the loss.

Risk

Unknown outcome or uncertainty of loss.

Pure risk

Only chance of loss, no chance of gain. (Ex. car or house.)

Speculative risk

Chance of loss or gain. (Ex. gambling or stock market.)

Direct loss

Direct damage to the item itself.

Indirect loss

An expense or loss of use, results from a direct loss.

Peril

The cause of loss (Ex. Fire, theft, lighting.)

Hazard

Anything that increases the risk.

Physical hazard

Something that is visible and that can increase the possibility of a loss. (Ex. Bad tires.)

Moral hazard

Morals or habits of an insured that may increase the chance of loss. (Ex. Dishonest tendencies, bad credit.)

Morale

The insured's indifference to a loss.

Accident

A sudden and unexpected event.

Occurence

Happens over time.

Limits of Liability

The maximum amount that an insurance company agrees to pay for a single accident or injury.

30/60/25

Minimum limits of liability on an auto policy.

Deductable

A stated amount that the insured is responsible for paying in the event of a loss.

Expressed authority

The authority given to an agent through the agency agreement. (In writing)

Implied authority

Authority that is not given to an agent in writing, but which is understood.

Insuring agreement

States what coverages are provided. It is the heart of the policy.

Extensions

Other coverages provided by the policy, at no extra cost.

Conditions

States the obligation of the parties.

Proof of loss

Is a sworn statement of the facts by the insured.

Subrogation

The right to recover against a third-party.

Appraisal

Settlement method used when insurer and insured can not agree on the value of loss.

Arbitration

Settlement method used when your insurance company does not want to pay your claim.

Assignment of Policy

states that an insurance policy can not be assigned without written permission from the insurance company.

Exclusions

States which losses and perils are not covered.

Endorsements

Used to make changes to a policy. ( Adds, subtracts, or modifies coverages.)

Fair Credit Reporting Act

Protects consumers and ensures accurate credit reporting.

Texas Commissioner of Insurance

Appointed by Governor for 2 years. Enforces and oversees Insurance laws.

Surplus Lines

Insurance for high risk.

Domestic

Domiciled in the same state.

Foreign

Domiciled in a different state.

Alien

Domiciled in a different country.

Stock Company

Type of insurance that is owned by stockholders.

Mutual Company

Type of insurance company that is owned by policyholders.

Transact insurance

You must have have an insurance license to.

Captive agent

Sell for only one insurance company.

Independent agent

Sells for several insurance companies.

Temporary license

A person may obtain a " " before obtaining a permanent license.

Limited lines

A person that holds a " " may sell growing crops.

Misrepresentation

When an agent makes false claims to a customer to make a sale.

Defamation

Making false statements about the financial condition of any insurance company.

Controlled business

Refers to insurance policies written for the agent, agent's family, or their own interests.

Rebating

Offering money or something of value to get a customer to purchase insurance.

Discrimination

An insurance company may not charge more to persons of the same risk group based on race, ethnicity, etc.

Concealment

Failure to disclose a material fact.

Fraud

Intentionally deceiving an insurance company.

Fiduciary

Is a person that holds a position of financial trust with another.