IM Imp Question Ans
IM Imp Question Ans
A1) insurance is categorized as a pure risk because it deals with situations where there is a chance of
loss but no opportunity for gain. Pure risk involves the possibility of either a loss or no loss, with no
chance of financial gain.On the other hand, speculative risk involves situations where there is a
chance of either loss or gain. Investments in the stock market, for example, are speculative risks
because there is potential for both profit and loss. Unlike insurance, where the primary purpose is
risk mitigation, speculative risks are taken with the expectation of achieving a financial
gain.Additionally, speculative risks often involve individuals making decisions that could increase
their risk profile, making it challenging for insurance companies to create fair and equitable
premiums.In summary, insurance is categorized as a pure risk because it addresses situations where
there is a possibility of loss without any expectation of financial gain. This distinguishes it from
speculative risks, where the outcome could result in either a loss or a gain.
Enterprise Risks
1. Operational Risk: This encompasses the potential for losses arising from
failures in internal processes, systems, or controls. Examples include human
error, technical glitches, fraud, or supply chain disruptions.
2. Strategic Risk: This refers to the possibility of losses due to flawed business
strategies, poor decision-making, or inability to adapt to changing market
conditions. Examples include entering new markets without adequate
research, failing to innovate, or being overly reliant on a single product or
customer segment.
3. Financial Risk: This involves the potential for losses arising from financial
market volatility, credit risk, or currency fluctuations. Examples include interest
rate fluctuations, economic downturns, or sovereign debt defaults.
A3) Individual
Operational
Equipment failure, human error, product recalls
risk
A term insurance policy is a type of life insurance that provides coverage for
a specified term or period. It is a pure protection plan, offering a death
benefit to the beneficiaries if the insured passes away during the policy
term. Here are the key features of a term insurance policy:
The impact of premature death on a family's financial position can be significant and
multifaceted:
1. Loss of Income:
One of the primary financial consequences of premature death is the
immediate loss of the deceased individual's income. This can create a
financial strain, especially if the deceased was a primary breadwinner
supporting the family.
2. Disruption of Financial Plans:
Premature death can disrupt long-term financial plans and goals. Plans
such as saving for education, buying a home, or funding retirement
may be severely affected if the person responsible for contributing to
these goals passes away unexpectedly
Debt Obligations:
If the deceased had outstanding debts, such as a mortgage, car loans, or
credit card balances, the responsibility for repaying these debts may fall on
the surviving family members. This can add financial stress during an already
challenging time.
Emotional and Psychological Impact:
Beyond the financial aspects, premature death has a profound emotional and
psychological impact on the family. Grieving family members may find it
difficult to focus on financial matters, making it essential to have a plan in
place to address immediate financial needs.
A4)
No, Prime Minister Narendra Modi cannot be insured by another person. This is
because insurance is a contract between two parties, the policyholder (the person
who is being insured) and the insurer (the company that provides the insurance).
The policyholder must have an insurable interest in the insured person in order to
take out a policy on them.
An insurable interest is a legal right or expectation that the policyholder will benefit
financially from the continued life of the insured person. For example, a parent has
an insurable interest in their child because they would suffer a financial loss if the
child died.
In the case of Prime Minister Narendra Modi, the only person who has an insurable
interest in him is the Indian government. This is because the government would
suffer a financial loss if the Prime Minister died. As a result, only the Indian
government can take out an insurance policy on Prime Minister Modi.
There are a few reasons why this is the case. First, it would be unfair to allow other
people to insure the Prime Minister because they would not suffer a financial loss if
he died. Second, it would be difficult to assess the financial risk of insuring the Prime
Minister because he is a very important person. Finally, it would be inappropriate for
the Prime Minister to allow himself to be insured by another person because it would
create a conflict of interest.
UNIT- 3
For the head and only earning member of a family consisting of two elders,
three adults, and three children, life insurance can provide several benefits:
Money-Back Policy:
Periodic payouts during the policy term.
Maturity benefits include the return of a portion of the sum
assured.
Offers liquidity at regular intervals.
Endowment Policy:
Matures after a specified term or upon the death of the
insured.
Combines life insurance with savings.
Pays a lump sum at maturity or death.
Unit-Linked Insurance Policy (ULIP):
Combines life insurance with investment in equity or debt
funds.
Offers flexibility to switch between funds.
Returns linked to market performance.
A1) No, the car owner cannot collect from both the negligent motorist and her own
insurance company. This is because the principle of indemnity in insurance states
that an insured party should not be able to profit from an insured event. In other
words, the insurance company should not pay out more money than the insured
party has lost.
In this case, the cost of repairing the car is Rs 85,000. If the car owner collected Rs
85,000 from the negligent motorist and then collected another Rs 85,000 from her
insurance company, she would be in a better financial position than she was before
the accident. This would be a violation of the principle of indemnity.
Therefore, the car owner can only collect from one of the two parties: either the
negligent motorist or her insurance company. If she chooses to collect from her
insurance company, then the insurance company will have the right to subrogate
against the negligent motorist.
b. Subrogation supports the principle of indemnity by ensuring that the insurance
company is not paying out more money than the insured party has lost. By
subrogating against the negligent motorist, the insurance company is able to recoup
the money that it paid out to the insured party. This helps to keep insurance
premiums down for everyone.
In addition, subrogation also deters negligence. If negligent parties know that they
could end up being sued by an insurance company, they may be more likely to take
steps to avoid accidents. This can help to make the roads safer for everyone.
Utmost Good Faith: If Ujjain can demonstrate that he honestly disclosed all
relevant information to the agent, he may argue that the insurance company
failed in its duty of utmost good faith by not considering the disclosed
medical reports.
Misrepresentation and Fraud: If Ujjain can prove that the agent intentionally
omitted the medical reports, he may argue misrepresentation or fraud,
asserting that the insurance contract was entered into under false pretenses.
Materiality: Ujjain may argue that his chronic lung ailment and breathing
problems, though disclosed, were not material to the insurer's decision to
issue the policy. If the insurer cannot prove that the nondisclosure was
material, Ujjain may have a stronger case.
A4) Fire Accident Claim Procedure in a Bottling Company:
Definition: Marine insurance provides coverage for risks associated with the
transportation of goods by sea or other waterways. It covers various perils,
including damage to the cargo, loss of cargo, and liability arising from marine
activities.
Risks Covered:
Perils of the Sea: Damage caused by natural elements such as storms,
waves, and sinking.
Fire: Damage due to fire onboard or in the vessel.
Collision: Damage caused by collisions with other vessels or objects.
Piracy and Theft: Losses resulting from piracy, theft, or hijacking.
General Average: Shared losses for the common good, often resulting
from deliberate actions to save the ship and cargo.
Utmost Good Faith: Both the insured and insurer must act in good faith,
providing complete and accurate information during the underwriting
process.
Insurable Interest: The insured must have a legitimate interest in the subject
matter of insurance, ensuring a financial stake in the protection of the insured
property or person.
Indemnity: The insurer agrees to compensate the insured for the actual
financial loss suffered, avoiding overcompensation.
Contribution: When multiple insurance policies cover the same loss, each
policy contributes proportionally to the settlement, preventing the insured
from receiving more than the actual loss.
Subrogation: The insurer has the right to step into the insured's shoes and
pursue recovery from third parties responsible for the loss, supporting the
principle of indemnity.
UNIT-5
Reinsurance:
Need: Reinsurance is the process by which insurance
companies transfer a portion of their risk to other insurers
(reinsurers). The primary need for reinsurance is to protect
insurers against the financial impact of large or catastrophic
losses that exceed their capacity to bear.
Purpose: Reinsurance helps insurers diversify and distribute
risk, ensuring that they can fulfill their obligations to
policyholders even in the face of severe and unexpected events.
Coinsurance:
Difference: Coinsurance is a provision within an insurance
policy where the insured and the insurer share the covered
losses in a specified proportion. It is not the same as
reinsurance, which involves one insurer transferring risk to
another entity.
Purpose: Coinsurance encourages policyholders to maintain
coverage levels in line with the value of the insured property or
risk. It also aligns the financial interests of the insured and
insurer.
3. Role of an Underwriter:
Function:
The underwriter evaluates risks and decides whether to accept,
modify, or decline insurance applications. This process is crucial
in determining the terms, conditions, and premium rates of
insurance policies.
Importance:
The underwriting function is vital for the following reasons:
Risk Selection: Underwriters assess risks to ensure they
align with the insurer's risk appetite and underwriting
guidelines.
Pricing: Underwriters determine appropriate premium
rates based on the perceived risk.
Profitability: Effective underwriting contributes to the
insurer's overall profitability by avoiding adverse
selection and excessive claims payouts.
Risk Management: Underwriters play a key role in
managing the insurer's risk exposure and maintaining a
balanced and diversified portfolio.
a. Pure Premium:
Definition: Pure premium represents the portion of the premium
specifically allocated to covering expected losses and related
expenses, excluding any loading for profit or administrative costs.
Calculation: Pure premium is calculated by dividing the expected
losses by the exposure units (e.g., the number of insured units or the
total value of insured property).
b. Loading:
c. Gross Rate:
d. Gross Premium:
1. Risk Management:
Purpose: Reinsurance allows insurance companies to manage
and diversify their risk exposure.
Explanation: By transferring a portion of their risk to
reinsurers, insurance companies reduce the financial impact of
large or catastrophic losses. This risk-sharing mechanism
enhances the overall stability of the insurance industry.
2. Capital Optimization:
Purpose: Reinsurance helps optimize the use of capital within
insurance companies.
Explanation: Insurance companies can free up capital by
offloading a portion of their risk to reinsurers. This capital can
be redirected for business expansion, investment opportunities,
and regulatory compliance.
3. Capacity Enhancement:
Purpose: Reinsurance provides additional capacity for insurers
to underwrite more policies or accept risks that might
otherwise exceed their capacity.
Explanation: This capacity expansion supports business
growth, allowing insurance companies to take on larger and
more diverse risks while maintaining financial stability.
4. Stability and Solvency:
Purpose: Reinsurance contributes to the stability and solvency
of insurance companies.
Explanation: In the event of unexpected and severe losses,
reinsurers share the financial burden with primary insurers,
ensuring that insurers can meet their financial obligations to
policyholders and remain solvent.
5. Risk Expertise:
Purpose: Reinsurance provides access to specialized risk
expertise and knowledge.
Explanation: Reinsurers often have specialized teams and
resources dedicated to assessing and managing specific types
of risks. Primary insurers can leverage this expertise to enhance
their own risk assessment capabilities.
The two functions are closely related, as marketing relies on underwriting to provide
information about the risk of insuring different types of customers. This information is
then used by marketing to develop targeted marketing campaigns and to set
premiums.
Relationship between Underwriting and Actuarial:
Underwriting and actuarial are also two important functions within an insurance
company. Underwriting is responsible for assessing the risk of insuring potential
customers, while actuarial is responsible for analyzing data and developing pricing
models.
The two functions are closely related, as underwriting relies on actuarial data to
assess the risk of insuring different types of customers. This data is then used by
underwriting to make decisions about whether or not to accept insurance
applications.
Claims and marketing are two important functions within an insurance company.
Claims is responsible for processing and settling claims, while marketing is
responsible for generating leads and selling insurance policies.
The two functions are connected, as marketing relies on claims data to provide
information about the customer experience. This information is then used by
marketing to develop marketing campaigns and to set premiums.