Associate Commercial Insurance Underwriter (ACIU) flashcards
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- Underwriting decision framework
- A sequence moving from exposure identification to hazard and loss assessment, coverage design, pricing, terms, and documentation. It ensures each decision is supported by recorded evidence rather than intuition.
- Combined ratio
- The sum of the loss ratio and expense ratio. A result above 100 percent means underwriting operations produced a loss before any investment income is counted.
- Expected loss cost
- Frequency multiplied by average severity. It converts loss history into a comparable expected cost so accounts of different sizes and exposure bases can be ranked.
- Binding authority
- The maximum premium, limit, or hazard level an underwriter may commit without referral. Risks beyond it must be escalated with full documentation to someone holding higher authority.
- Protective safeguards endorsement
- An endorsement that makes specified protections, such as alarms or sprinklers, a condition of coverage. Failure to maintain them can reduce or bar recovery for a loss.
- Referral trigger
- A characteristic requiring escalation, such as high-hazard occupancy, catastrophe concentration, poor loss history, or unverified safeguards. Referral rules keep decisions inside stated appetite.
- Renewal underwriting inputs
- Loss ratio trend, exposure changes in payroll or values, control improvements, market conditions, and whether prior subjectivities were satisfied. Together they determine whether terms are renewed, modified, or declined.
- Current ratio
- Current assets divided by current liabilities. A low result signals liquidity strain that limits an insured's ability to absorb deductibles and fund post-loss recovery.
- Quick ratio
- Current assets excluding inventory, divided by current liabilities. It is a stricter liquidity test than the current ratio because inventory may be difficult to convert to cash.
- Loss ratio by year
- Incurred losses plus loss adjustment expense divided by earned premium for a single year. Yearly comparison reveals deterioration that a multi-year average can conceal.
- Credibility
- The statistical weight given to an insured's own loss experience versus class experience. Small accounts have low credibility, so their losses are blended with broader data.
- COPE factors
- Construction, Occupancy, Protection, and Exposure. These four building and site characteristics drive fire and catastrophe loss potential in commercial property underwriting.
- Exposure base by line
- The unit premium is applied to: sales or payroll for liability, replacement values for property, fleet count for auto, and classified payroll for workers compensation.
- Class code verification
- Confirming the assigned classification matches actual operations using payroll or sales breakdowns. Misclassification misprices the account and creates audit and premium-dispute exposure.
- Business income exposure
- The earnings an insured would lose during restoration, measured by gross earnings or gross profit over a chosen period of indemnity, plus extra expense and contingent dependencies.
- Portfolio concentration
- The share of premium or limit tied to one class, territory, or catastrophe zone. High concentration raises aggregate volatility even when individual accounts look acceptable.
- Appetite statement
- A written definition of target, acceptable, and prohibited classes and characteristics. It aligns producer incentives, referral rules, and underwriter authority with intended portfolio composition.
- Hit ratio
- Quotes bound divided by quotes issued. An unusually high ratio can indicate underpricing, while an unusually low ratio can indicate poor distribution fit or uncompetitive terms.
- Probable maximum loss
- A modeled loss estimate at a selected return period, such as one-in-100 or one-in-250 years. It measures how much catastrophe capacity a single account consumes.
- Treaty capacity
- The limit reinsurers automatically accept under an agreement, above the insurer's retention. It sets the largest risk the carrier can write without facultative support.
- Market cycle management
- Adjusting strategy to soft or hard conditions. In soft markets protect deductibles and sublimits rather than price alone; in hard markets remediate poor-performing segments first.
- Segmentation
- Grouping accounts by hazard quality and loss experience so rate and terms reflect actual risk rather than a single level applied across an entire class.
- Replacement cost
- The cost to repair or replace property with new materials of like kind and quality, without deduction for depreciation. It typically exceeds actual cash value.
- Actual cash value
- Replacement cost minus depreciation. The valuation basis determines how much the insured recovers and therefore how much of the loss is effectively retained.
- Coinsurance payment formula
- Limit carried divided by limit required, multiplied by the loss, capped at the policy limit. Limit required equals the coinsurance percentage times value at risk.
- Agreed value option
- An option that suspends the coinsurance penalty when the insured submits a verified statement of values. It does not increase the policy limit.
- Special causes of loss form
- An open-perils form covering all risks of direct physical loss except those excluded. The insurer bears the burden of proving an exclusion applies.
- Ordinance or law exclusion
- Bars the added cost of rebuilding to current code, such as upgraded wiring or accessibility. Separate ordinance or law coverage is needed to fund that difference.
- Blanket insurance
- A single limit applying across multiple scheduled locations. It suits accounts whose values shift between sites during the year, avoiding a shortfall at any one location.
- Occurrence trigger
- Coverage under an occurrence form is activated by injury or damage happening during the policy period, regardless of when the claim is later reported.
- General aggregate limit
- The most the policy pays for all covered losses in a policy period other than products-completed operations. Each occurrence payment reduces the remaining aggregate.
- Additional insured endorsement
- An endorsement granting insured status to a party such as a landlord or client. Its scope varies, and the endorsement form, not a certificate, controls the rights granted.
- Claims-made trigger
- Coverage is activated when the claim is made during the policy period, provided the wrongful act occurred after the retroactive date. The extended reporting period preserves rights after expiry.
- Umbrella versus excess
- An umbrella can drop down over a self-insured retention or a gap in underlying coverage. Excess coverage follows the underlying terms and does not broaden them.
- Utmost good faith
- The mutual duty requiring applicants to disclose material facts and underwriters to avoid accepting risks built on misrepresentation or encouraged concealment.
- Unfair discrimination
- Pricing or denying coverage based on characteristics unsupported by actuarial data, such as protected traits or territory alone. Legitimate risk-based differentiation is permitted.
- Confidentiality duty
- Insured financial data, loss history, and claims information may be shared only for legitimate underwriting, reinsurance, or regulatory purposes, not casual or commercial disclosure.
- Ethical decision test
- Four checks before acting: is it legal, does it treat the customer fairly, would it withstand public and regulatory scrutiny, and does it match stated appetite.
- Conflict of interest
- Any arrangement, including compensation or ownership, that could bias an underwriting or recommendation decision. It must be disclosed and managed rather than ignored.
- Documentation as ethical control
- Recording exposure basis, rationale for rate deviations, and referral approvals at the time of decision. Contemporaneous records prevent after-the-fact justification of questionable choices.