CAA Associate Actuary (China) study materials
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Fictional policy calculation

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Fictional policy calculation

A fictional policy exercise specifies a covered property loss of800currency units. The supplied wording says to subtract a100deductible first and then apply a1000payment limit. There are no other restrictions, co-insurance terms, recoveries or aggregation effects in this simplified case. A learner subtracts the deductible twice because the event affects two nearby rooms. Another proposes ignoring it because the claimant paid the premium on time. The task is to apply the contract actually supplied, identify which facts justify the result and distinguish the model from real policy interpretation. No national insurance law, mandatory benefit, claims deadline or legal dispute remedy is stated. An actual event would require the full wording, endorsements, evidence and authorized claims process.

1. What payment follows from this supplied model?

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800−100=700, below the1000limit, so payment is700under these stated assumptions. No second deductible is introduced.

2. What cannot be inferred from this result?

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It does not establish how another policy, country, occurrence definition or aggregation rule works. Real coverage depends on its actual wording and applicable law.