EXAMFX Insurance Premium Calculation and Rating 1 — Questions and Answers
Question 1: In insurance rating, what is the purpose of the 'loss ratio'?
- To measure the ratio of premiums collected to agent commissions paid
- To compare losses incurred to premiums earned, indicating underwriting profitability (Correct answer)
- To determine how much of the premium goes to administrative expenses
- To calculate the insured's deductible as a percentage of coverage
Correct answer: To compare losses incurred to premiums earned, indicating underwriting profitability
The loss ratio is calculated by dividing incurred losses by earned premiums; a ratio below 100% indicates the insurer is collecting more in premiums than it pays in claims.
Question 2: What is the 'combined ratio' in insurance?
- The ratio of reinsurance costs to gross premiums
- The sum of the loss ratio and expense ratio, used to measure overall underwriting profitability (Correct answer)
- The ratio of investment income to total assets
- The combination of the policy limit and the deductible
Correct answer: The sum of the loss ratio and expense ratio, used to measure overall underwriting profitability
The combined ratio adds the loss ratio and expense ratio; a combined ratio under 100% signals an underwriting profit, while over 100% signals an underwriting loss.
Question 3: Which rating method bases an insured's premium primarily on the historical loss experience of the specific insured?
- Manual rating
- Class rating
- Experience rating (Correct answer)
- Judgment rating
Correct answer: Experience rating
Experience rating adjusts premiums based on the insured's own past claims history relative to expected losses for their class, rewarding good loss records with lower premiums.
Question 4: What is a 'rate' in insurance terminology?
- The total annual premium charged to the insured
- The price per unit of insurance exposure used to calculate the premium (Correct answer)
- The percentage of claims paid by the insurer
- The agent's commission as a percentage of the premium
Correct answer: The price per unit of insurance exposure used to calculate the premium
A rate is the cost per unit of insurance coverage (e.g., per $100 of property value or per $1,000 of life insurance), which is multiplied by the number of exposure units to determine the premium.
Question 5: Which of the following best describes 'adverse selection' in insurance?
- The tendency of lower-risk individuals to seek more coverage
- The tendency of higher-risk individuals to seek insurance more than lower-risk individuals (Correct answer)
- An insurer's decision to reject all high-risk applicants
- The process of selecting adverse claims for denial
Correct answer: The tendency of higher-risk individuals to seek insurance more than lower-risk individuals
Adverse selection occurs when people with higher-than-average risk are more likely to purchase insurance, which can distort the risk pool and increase costs for the insurer.
Question 6: What is a 'deductible' in an insurance policy?
- The maximum amount the insurer will pay per occurrence
- The amount the insured must pay out-of-pocket before the insurer begins paying a claim (Correct answer)
- The premium discount for bundling multiple policies
- The penalty for early policy cancellation
Correct answer: The amount the insured must pay out-of-pocket before the insurer begins paying a claim
A deductible is the portion of each covered loss that the insured is responsible for paying before the insurance company's obligation begins.
In insurance rating, what is the purpose of the 'loss ratio'?