100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached 4.2 TrustPilot
logo-home
Exam (elaborations)

KENTUCKY HEALTH INSURANCE EXAM 2025/2026 GRADED A+

Rating
-
Sold
-
Pages
23
Grade
A+
Uploaded on
09-02-2025
Written in
2024/2025

KENTUCKY HEALTH INSURANCE EXAM 2025/2026 GRADED A+ What is the probationary period? How is it different from the elimination period? - The probationary period is a waiting period. Elimination period is a waiting period that is imposed on the insured from the onset of disability until benefit payments commence (it is a deductible measured in time instead of dollar amount) What is the difference between confining and non-confining disabilty? - A confining disability requires that the affected individual remain indoors, whereas a non-confining disability does not. Describe residual disability - Residual disability is the type of disability income policy that provides benefits for loss of income when a person returns to work after a total disability, but is still not able to work as long or at the same level he/she worked before becoming disabled.

Show more Read less
Institution
KENTUCKY HEALTH INSURANCE
Course
KENTUCKY HEALTH INSURANCE










Whoops! We can’t load your doc right now. Try again or contact support.

Written for

Institution
KENTUCKY HEALTH INSURANCE
Course
KENTUCKY HEALTH INSURANCE

Document information

Uploaded on
February 9, 2025
Number of pages
23
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

Content preview

KENTUCKY INSURANCE EXAM 2025/2026 GRADED A+
Financial risk - strictly with the potential for monetary loss. Insurance deals with financial
risks.

Nonfinancial risk - Nonfinancial risks are all the non-monetary situations that have a
potential for loss. One example of a nonfinancial risk is a blind date.

Static risk - independent of changes to the economy and are more consistent over time.
A static loss may be an unintended change in ownership due to theft, destruction of an
asset or a result of human error.

Dynamic risk - caused by a changing economy, and include changes in product price,
purchasing trends and technology. Dynamic risks typically result in gain and societal
advancement.

Fundamental risk - involve an entire population or group of people, and include risks
that everyone may be susceptible to, such as natural disasters, war or unemployment.
Because fundamental risks are not the fault of individuals, society is held to deal with
them. Most often, the government provides insurance for fundamental risks, such as
national flood insurance.

Particular risk - specific to individuals and are often managed through insurance.

Personal risk - those that jeopardize an individual's greatest asset, their earning power.

What are the four categories of personal risk? - Premature death, sickness/accident,
unemployment and dependent old age.

Property risks - Potential for loss caused by destruction or theft of property. Losses
associated with property risk include property loss and loss of income generated by a
property.

Liability risks - Potential for financial loss caused by injury to other people and damage
or destruction to others' property. The type of insurance doctors and Mac truck drivers
need. Ex: casualty insurance and Errors and Omissions coverage.

Risks due to the failure of others - Potential for financial loss caused by individuals who
agree to perform a service or follow throughout on an agreement and fail to complete
the task.

Loss - The UNINTENTIONAL decrease in values of an asset due to a peril.

Peril - The cause of the loss and the event insured against. In life and health insurance,
perils are premature death, dependency during old age, accident and sickness. In
property and casualty insurance, it's fire, wind, hail, etc.

,Exposure - Condition of being prone to loss due to a hazard or uncertain event.

Exposure unit - Economic value of the life and well being of the insured individual.
These are used as the basis for determine premium rates and usually represented in
units or dollars.

Hazard - Anything that increases the chance of loss occurring from a particular peril.
Conditions such as icy roads, driving while intoxicated, etc.

Physical hazard - Physical characteristic that raises the loss potential for particular peril.
Ex: poorly constructed roofs, uneven sidewalks, etc.

Moral hazard - Predisposition, character, habits and values of a person that increase
the chance of loss occurring. Ex: purposefully incurs loss in order to receive benefits
from the insurer.

Morale hazard - Insured careless attitude, indifference or lack of responsibility, which
increase the chance of loss occurring. Ex: it doesn't matter if I sick, because I have
health insurance, and skipping out on flu shot.

Legal hazard - Application of laws, regulations and legal court rulings that increase the
chance or amount of loss. Ex: a person who files a lawsuit without any real evidence of
infliction or damage suffered from another party.

Elements of insurable risks - - loss must occur by chance or accident
- loss is definite and measurable
- loss must be predictable
- large number of similar units (law of large numbers comes into play here)
- loss exposures must be chosen randomly (doesn't concentrate on gender, age, race,
occupation, etc.)
- loss must be significant, causing economic hardship
- loss must not be catastrophic (ex: war)

Methods of handling risk - Avoidance, retention, sharing, reduction and transfer

Avoidance - Deliberately steering clear of exposure to a risk. Ex: staying off airplane.

Retention - Person chooses not to take proactive steps to transfer, avoid or reduce the
risk. Instead, person deals with the risk when it happens. Ex: self-insurance, covering
things when they happen, when it's a smaller loss.

Sharing - When the insured and the insurance company share the cost of the risk. Ex:
deductibles

, Reduction - Actively finding ways to minimize the loss exposure to a risk. Characterized
by two methods: loss prevention and loss control. Ex: annual wellness exams and
fitness memberships paid by the employer.

Transfer - Essence of insurance. Risk is transferred from one party to another. Insurer
charges a small premium in exchange for providing benefits to the party relieved of the
risk in the event of a covered loss.

Adverse selection - Tendency for poorer than average risks to seek out insurance. Ex:
smokers

Reinsurance - Spreading risk from one insurer to one or more insurers. This is the way
insurers cooperate to prevent bankruptcy. The insurer that accepts the additional risk is
termed the reinsurer.

Ceding company/Primary insurer - The insurer that gives the risk to the reinsurer

Claim - Insured's notification to the insurer that a payment is requested for a covered
loss.

Indemnity - Insurance that compensates the beneficiaries of the policies for their actual
economic losses, up to the limiting amount of the insurance policy. "To make whole."

Beneficiaries - Named individuals or entities designated by the policy owner to receive
the policy proceeds.

Limit of liability - The tots amount the insurer will pay for an insured risk. Health
insurance, it would be considered the lifetime maximum benefit.

Lifetime maximum benefit - The company sets an amount (ex: 1 million) for which the
insurer will pay to a maximum in claims. It can also include things such as: sub limits,
termed inside limits, etc.

Inside limits - Limits placed on certain medical coverages within a policy

Premium - Amount to be charged for a certain amount of insurance coverage. The
amount charged is established by the insurer and is based on the degree of the risk
insured.

Deductible - Amount the insured must pay before the insurer will pay for the claim.

Coinsurance - Cost-sharing mechanism between the insurer and the insured, and
applies only to medical insurance. Typical is 80/20. So the patient pays 20%, and the
company pays 80%.

Get to know the seller

Seller avatar
Reputation scores are based on the amount of documents a seller has sold for a fee and the reviews they have received for those documents. There are three levels: Bronze, Silver and Gold. The better the reputation, the more your can rely on the quality of the sellers work.
BOARDWALK Havard School
View profile
Follow You need to be logged in order to follow users or courses
Sold
176
Member since
1 year
Number of followers
6
Documents
22568
Last sold
3 days ago
BOARDWALK ACADEMY

Ace Your Exams With Top Quality study Notes And Paper✅✅ ALL ACADEMIC MATERIALS AVAILABLE WITH US✅✅ LEAVE A REVIEW SO THAT WE CAN LOOK AND IMPROVE OUR MATERIALS.✅✅ WE ARE ALWAYS ONLINE AND AVAILABLE DONT HESITATE TO CONTACT US FOR SYUDY GUIDES!!✅✅ EVERYTHING IS GRADED A+✅✅ COLOUR YOUR GRADES WITH US , WE ARE HERE TO HELP YOU DONT BE RELACTANT TO REACH US

3.6

32 reviews

5
13
4
6
3
7
2
0
1
6

Recently viewed by you

Why students choose Stuvia

Created by fellow students, verified by reviews

Quality you can trust: written by students who passed their tests and reviewed by others who've used these notes.

Didn't get what you expected? Choose another document

No worries! You can instantly pick a different document that better fits what you're looking for.

Pay as you like, start learning right away

No subscription, no commitments. Pay the way you're used to via credit card and download your PDF document instantly.

Student with book image

“Bought, downloaded, and aced it. It really can be that simple.”

Alisha Student

Frequently asked questions