Professional Documents
Culture Documents
Management
2.Job Analysis
3.Job Design
4.Employee Recruitment
5.Employee Selection
6.Socialization/Induction
Chapter-III: Employee Training , Development,
Performance Appraisal, Remuneration & Motivation
1. Peril
Peril:- refers cause of loss. It is a contingency cause a loss.
E.g. fire, windstorm, hail, theft etc.
If house burned by fire, the peril is the fire.
If car is damaged by collision , collision is the peril.
2. Hazard
A Hazard is a condition that may create or increase the
chance of a loss from a given peril.
E.g. A condition for the occurrence of collisions is icy street.
Storing gasoline in a kitchen is another example of a hazard.
It is possible for something to be both a peril and a hazard.
E.g. Sickness:- Peril - Causes Economic Losses
Hazard- Increases chance of Premature death
Cont.----
There are three basic types of hazards:
1. Physical hazard
It is physical property that increase chance of loss from perils.
E.g. Dry forests (for fire), earth faults (for earthquakes).
Such hazards may or may not be within human control.
2. Moral hazard
Moral hazard is increasing the probability of loss that result from
dishonest tendencies of insured person.
A dishonest person may intentionally cause a loss or may
exaggerate the amount of a loss to collect more than the amount
he /she is entitled.
E.G. Causing an accident , submitting fraudulent claim, inflating
the amount of claim and intentionally burning unsold merchandise
that is insured.
Cont----
3. Morale hazard
Morale hazard is carelessness or indifference to a loss because of the
existence of insurance.
People have developed careless attitude toward preventing losses.
E.g. Leaving car keys in unlocked car ,increasing chance of theft.
Leaving a door unlocked that allows a robber to enter.
It is also reflected in the attitude of persons who are not insured.
E.g. The tendency of physicians to provide more expensive care when
costs are covered by insurance. The feeling of courts to make larger
rewards when the loss is covered by insurance- this act so-called as
“deep pocket” syndrome.
Insurers try to eliminate the moral hazard and minimize the
morale hazard by carefully selecting their insured.
E.g. Having contracts require insured to pay the first certain amount
of a loss and others require insured to pay a percentage of each loss.
Classifications of Risk
The major categories of risk are:
1. Financial and Non-financial risks
2. Static and Dynamic risks
3. Fundamental and Particular risks
4. Objective and Subjective risks
5. Pure and Speculative risks
1. Financial and Non-financial risks
Financial Risk: is the out come can be measured in monetary terms.
E.g. Property damage, property theft, loss of profit etc.
2. Non-financial risks: is the out come cannot measured in monetary
terms.
E.g. Selection of career, Choice of marriage partner, Having
children etc.
In business we are concerned with financial risks
Cont----
2. Static and dynamic risks
Dynamic risks are those resulting from changes in the economy.
E.g. Changes in the price level, consumer tastes, income and
output and technology may cause financial loss to the economy.
They are normally benefit society over the long run, since they
are the result of adjustments to misallocation of resources.
They may affect a large number of individuals. They are
generally considered less predictable than static risks.
Static risks are occurred even if there is no changes in the
economy.
Unlike dynamic risks, they are not a source of gain to society.
E.g. risks due to events such as fire, windstorm or death.
Unlike dynamic risks, they are predictable and controlled by
insurance.
Cont----
3. Fundamental and particular risks
A. Fundamental risk is a risk that affects the entire economy or
the entire community and also called as groups risks.
E.g. high inflation, war, drought, earthquakes, floods etc.
They are generally uninsurable risks.
I. Personal Risks
Consist of the possibility of loss of income or assets.
Directly affect an individual
Involves:
Reduction of income
Extra expenses and
Reductions of Financial Asset.
CHAPTER ONE
There are four major personal risks:
1. Risk of premature death
2. Risk of insufficient income during retirement
3. Risk of poor health and
4. Risk of unemployment
4. Risk of Unemployment
1. Retention/ assumption/
It is the most common method of risk handling by the
organization.
The source of the funds is the organization itself.
Retention is passive or unplanned when the risk manager is
not aware that the exposure exists and consequently does
not attempt to handle it.
Some unplanned retention is common & perhaps unavoidable.
Chapter Two: Risk Management
2. Self-insurance
Self-insurance is special form of planned retention
by which part or all of losses are retained by the
firm.
A better name for self-insurance is self-funding, which
expresses are funded and paid by the firm.
Self-insurance implies that adequate financial
arrangement made in advance to provide funds for
losses if they occur.
Chapter Two: Risk Management
3. Noninsurance transfers
Hold-harmless agreements are contract entered into
prior to a loss, in which one party agrees to assume a
second party’s responsibility if a loss occurs.
4. Insurance
Commercial insurance is also used in a risk mgmt.
program
Insurance represents a contractual transfer of risk.
From individuals/firms to insurance company
Insurance is appropriate for loss exposures that have a low
probability of loss but the severity of loss is high.
If the risk manager uses insurance to treat certain loss
exposures, five key areas must be emphasized.
Chapter Two: Risk Management
1. Selection of Insurance Coverage
The risk manager selects the insurance coverage needed.
The need for insurance can be categorized into three
A. Essential Insurance
Includes those coverage required by law or by contract.
B. Desirable or Important Insurance
Protection against financial difficulty but not bankruptcy.
C. Available or Optional Insurance
Coverage of small losses which is inconvenience for firm.
Protect against losses that could be met out of existing assets.
Chapter Two: Risk Management
2. Selection of an Insurer
Risk manager must select an insurer based on the
following important factors:
Financial strength of the insurer
Risk mgmt. services provided by the insurer
The cost and terms of protection
3. Negotiation of Terms
The terms of insurance contract must be negotiated.
The contractual provisions must be clear to both parties.
Risk mgmt. services must be clearly stated in the contract.
Chapter Two: Risk Management
4. Dissemination of infn concerning insurance coverage
The firm’s employees & managers must be informed
about
Insurance coverage
The various records that must be kept
The risk management services
Responsible for reporting a loss must also be informed
5. Periodic Review of the Insurance Program
The insurance program must be periodically reviewed.
This involves an analysis of agent and broker
relationships, coverage needed, cost of insurance,
quality of loss-control, services provided, whether
claims are paid promptly and other factors.
Chapter Two: Risk Management
57
CHAPTER THREE
Multiplication rule for independent events
P (A and B) = P (A∩B) = P (A) x P (B)
Example:1
Throwing 2 dice with red and green color, the probability is:
P (1 on red and 1 on green) = P (1 on red) x P (1 on green)
= 1/6x1/6 =1/36
58
CHAPTER THREE
Multiplication rule for dependent events
The probability of event B, given the occurrence of event A,
is called the dependent probability of B given A.
Example: Suppose that a set of 10 spare parts is known to
contain eight good parts (G) and two defective parts (D). The
probability that the two parts selected both good are:
P (G1 and G2) = P (G1) x P (G2/G1)
= 8/10x 7/9 = 56/90 or 28/45
59
CHAPTER THREE
Probability Distributions
A probability distribution shows, for each possible outcome,
there is probability of its occurrence.
Example:
63
CHAPTER THREE
Two parameters determine the entire distribution: the
number of unit (n) and the probability that a randomly selected
unit will be damaged (p). The formula for binomial
distribution is:
n Pr (1-p) n-r
Probability of r accidents = r! (n-r)!
Where n! = n (n-1) (n-2) --- (2) (1); n! is called n factorial.
For example, a firm that ships 2 finished goods to customers
faces the probability of damage to the goods while in transit
and the probability of loss to a single item is 0.1.
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CHAPTER THREE
The binomial distribution can be used to describe the
distribution of the number of lost. When n = 2 and p = 0.1.
Their probabilities can be calculated directly using the formula:
Probability of 0 accidents = 2 (0.1)0 (0.9)2 = 0.81
(0!) (2)!
Probability of 1 accidents = 2 (0.1)1 (0.9)1 = 0.18
(1!) (1)!
Probability of 2 accidents = 2 (0.1)2 (0.9)0 = 0.01
(2!) (0)!
For the binomial distribution, the expected number of losses is
given by the formula np, and the standard deviation is given by
square root of np (1-P). 65
CHAPTER THREE
2. The Poisson distribution
Like the binomial distribution, the Poisson distribution is a
discrete distribution. Unlike the binomial, the Poisson is a
single parameter distribution.
The formula for the Poisson distribution is:
Probability of r accidents = mr e -m
r!
Where m = expected number or accidents
e = a constant, equal to 2.71828
r! = r(r-1) (r-2) ---- (2) (1), with 0! = 1
The mean m of a Poisson distribution is also its variance.
Consequently, its standard deviation is equal to √m. 66
CHAPTER THREE
Example: Marshall Company owns 10 trucks with probability of
loss (P = 0.1) & Expected No of accidents = m = 0.1 X 10 = 1.0
What is the probability of three or more accidents? The answer is
8.03%, which is calculated in the following table.
81
CHAPTER FIVE
Legal Principles of Insurance Contract
The most important fundamental principles Insurance
Contracts are:
1. Principles of Indemnity
2. Principles of Insurable interest
3. Principles of Subrogation
4. Principles of Utmost good faith
5. Principles of Contribution
6. Doctrine of Proximate cause 82
CHAPTER FIVE
1. Principle of Indemnity
It states that the insurer is liable up to the amount of loss
and not more than the actual amount.
Moral hazard created if the insured allowed to collect
more than the losses.
It increases the premiums to unaffordable prices.
This principle has two fundamental purposes.
1. To prevent the insured from profiting from a loss
2. To reduce moral hazard 83
CHAPTER FIVE
Actual Cash Value
In property insurance, the amount of the indemnity
is based on the actual cash value of the loss at the
time of the loss.
The courts used three methods of determining actual
cash value. These are:
1. Replacement cost less depreciation
2. Fair market value and
84
CHAPTER FIVE
A.The broad evidence rule
Forms of Warranty
Express warranties are those stated in the contract
Implied warranties are not found in the contract but are
assumed by the parties to the contract.
A promissory warranty is a condition, fact or circumstance
which the insured agrees to held during the life of the
contract.
An affirmative warranty is the one that must exist only at
the time the contract is first put into effect.
99
CHAPTER FIVE
5. Principle of Contribution
Insurance companies developed various solutions to prevent
the insured from profiting from multiple insurance policies.
These provisions apply when more than one policy covers the
same loss.
The conditions to satisfy the requirement of contribution are:
All the insurance must relate to the same subject matter
They should cover the same interest of the same insured
They should cover same peril, and
100
All of them should be in force at the time of loss.
CHAPTER FIVE
Types of contribution
A. Pro-rata liability clause
B. Contribution of equal shares, and
C. Primary and excess insurance
A. Pro rata liability clause
If a loss occurs that is covered by more than 1 insurance
policy then each policy pays a portion of the loss that is
proportional to the policy coverage.
Based on their policy coverage proportion, they pay for
101
loss.
CHAPTER FIVE
Example―Pro Rata Liability
You want to insure a building for $1,000,000, but, for
underwriting reasons, the maximum amount that you
can purchase from 3 insurance companies is $600,000;
$300,000, and $100,000, so you purchase the 3 policies
with the maximum limits.
If you suffer a $200,000 loss, then the 1st company will
pay 60% of the loss, the 2nd, 30%, and the 3rd, 10%.
102
CHAPTER FIVE
B. Contribution by Equal Shares
According to contribution by equal shares, each company
pays an equal amount until the loss is covered, or the policy
limit of any policy is reached.
If 1 or more of the policy limits are reached, then the equal
share principle applies to the remaining insurers.
As each policy limit is reached, the remaining insurers make
equal payments with the remaining amount of uncovered
loss until the loss is covered or all policies are maxed out.
103
CHAPTER FIVE
Example―Contribution by Equal Shares
Use the 1st example. If you have a $150,000 loss,
then each company pays $50,000 for a total of
$150,000.
If your loss was $400,000, then each company pays
$100,000, and the 2 with higher coverage pay an
additional $50,000 for a total of $400,000.
If your loss was $800,000, then the low-limit
104
CHAPTER FIVE
C. Primary and Excess Insurance
The primary insurer pays first, & the excess insurer
pays only after the policy limits under the primary
policy are exhausted. Kombolcha Textile Factory has
Birr 500, 000 in liability insurance from X, with a Birr
1 million excess liability policy from insurer Y.
Kombolcha Textile Factory incurs a Birr 750, 000
liability risk, insurer X will pay up to its limit of Birr
105
CHAPTER FIVE
6. Doctrine of Proximate Cause
107
CHAPTER Six: LIFE AND HEALTH INSURANCE
number of years.
The face value of the policy being payable only if
death occurs within a specified period and nothing
being paid if the insured survives.
Term insurance provides a limited number of
years/temporary protections.
115
CHAPTER Six: LIFE AND HEALTH INSURANCE
Term life insurance provides the insured d/t options.
A. Decreasing term life insurance: It provides the
beneficiary with less and lesser continues each year.
If the death occurs in the first policy years, the
beneficiary receives the face amount. If the death occurs in a
succeeding years, the proceeds will be less.
Company illustration of decreasing value term insurance for Mr. X
Age/Sex: 35, male
Year Age Annual premium Death benefit
1 35 100 $ 90,000 $
2 36 100 $ 80,000 $
3 37 100 $ 70,000 $
4 38 100 $ 60,000 $ 116
5 39 100 $ 50,000 $
CHAPTER Six: LIFE AND HEALTH INSURANCE
B. A level term policy: pays the same amount of benefits if
death occurs while the policy is in force.
And also the premium remains the same each year.
Company illustration of level term insurance for Mr, Y.
Age/Sex: 35, male ,smoker
Year Age Annual premium Death benefit
1 35 114 $ 100,000 $
2 36 114 $ 100,000 $
3 37 114 $ 100,000 $
4 38 114 $ 100,000 $
5 39 114 $ 100,000 $
117
CHAPTER Six: LIFE AND HEALTH INSURANCE
Mortality Table
ages.
127
CHAPTER Six: LIFE AND HEALTH INSURANCE
HEALTH INSURANCE
The following are selected to be dealt in this section
1. Medical expense insurance
2. Disability income insurance
1. Medical expense insurance
Provides cost of medical care for sickness and injury.
Used to meet the expanses of physical hospital
nursing, surgical expanse, and related services.
129
CHAPTER Six: LIFE AND HEALTH INSURANCE
Hospital insurance
Pays for medical expenses for insured in a hospital.
Provides two basic benefits.
A daily benefit is paid for room and board charges.
There are three basic approaches.
Indemnity approach: The plan pays the actual
costs of the daily services up to some maximum
limit.
131
CHAPTER Six: LIFE AND HEALTH INSURANCE
133
CHAPTER Seven: Non life insurance
Additional Risks
Motor insurance policies can include Personal
Accident Benefits, (PAB) and Bandits, Shiftas &
Guerillas, (BSG) risks.
BSG Cover
A Comprehensive Motor policy; subject to additional
premium, arising out of direct or indirect actions of
bandits, Shiftas and guerillas, but excluding any third
party liability.
135
CHAPTER Seven: Non life Insurance
138
CHAPTER Seven: Non life insurance
140
CHAPTER Seven: Non life insurance
145
CHAPTER Seven: Non life insurance
6. MONEY POLICY
This policy gives cover for any loss of money.
There are two types protects from money risk: Transit
Risks and Premise Risks.
Transit Risks refer to loss of money while it is in transit
either to the premises or from premises or carrying the
money to other places for making disbursement.
In this case, insurance cover is applicable for a period of
time until the transit activity is accomplished. 146
CHAPTER Seven: Non life insurance
9. MARINE INSURANCE
Marine insurance provide protection for the insured
for loss of or damages to the property arising out of
sea perils.
The various classes of insurance policy that are
issued under marine insurance are: Hull, Cargo and
Freight.
150
CHAPTER Seven: Non life insurance
Meaning of Re-insurance
Reinsurance is the shifting of part or all of the
insurance originally written by one insurer to another.
The insurance company that initially writes the policy
for the insured is called the primary insurer (ceding
company), and the insurance company that accepts
part or all of the insurance from the ceding company is
the reinsurer. 153
CHAPTER eight: Reinsurance
The amount of the insurance that the primary/ceding
insurer retains is called the retention limit (net
retention), and the amount insurance that is ceded
to the reinsurer is known as the cession.
The reinsurer may transfer some of the insurance to
another reinsurer.
The process by which a reinsurer passes risks to
another reinsurer is known as retrocession.
154
CHAPTER eight: Reinsurance
Reasons for Reinsurance
The main purposes of reinsurance are the following:
1. To increases the capacity of the insurer;
2. To stabilize profits
3. To reduce the unearned premium reserve
4. To protect against a catastrophic loss
155
CHAPTER eight: Reinsurance
Types of Re-insurance Agreement
There are two: Facultative and Treaty Reinsurance.
1. Facultative Reinsurance
Facultative Reinsurance is an optional, case-by-case
method that is used when the ceding company
receives an application for insurance that exceeds its
retention limit. If a willing reinsurer can be found, the
primary company and reinsurer can enter into a valid
156
CHAPTER eight: Reinsurance
2. Treaty (Automatic) Reinsurance
Treaty (Automatic Reinsurance) involves a standing
agreement with a particular reinsurer. Treaty
reinsurance means the primary insurer has agreed to
cede insurance to the reinsurer and the reinsurer has
agreed to accept the business. The amount of
insurance sold by the primary insurer that is
transferred and the services provided by both parties
157
CHAPTER eight: Reinsurance
•Types of automatic treaties
(1) Quota share treaty (2) Surplus share treaty
(3) Excess of loss treaty (4) Reinsurance pool
1. Quota Share Treaty: Under a quota-share treaty,
the ceding company and reinsurer agree to share
premiums and losses based on some proportion. The
ceding insurer’s retention limit is stated as a
percentage rather than as a Birr amount. Premiums
158
CHAPTER eight: Reinsurance
Pro-rata reinsurance (quote-share treaty) is the
proportionate sharing of premiums, losses, and
expenses between the primary insurer and the
reinsurer.
For example, the primary insurer may decide to retain
70% of new business and transfer 30% to the
reinsurer, and dividing income, losses, and expenses
by the same proportion.
159
CHAPTER eight: Reinsurance
2. Surplus Share Treaty: Under a surplus-share
treaty, the reinsurer agrees to accept insurance in
excess of the primary insurer’s retention limit, up to
some maximum amount.
For example, suppose that ABC property insurance has a
retention limit of Birr 200,000 (called a line) for a single
policy and those four lines or 800,000 are ceded to XYZ
reinsurer.
Assume that Birr 500,000 property insurance is issued. 160
CHAPTER eight: Reinsurance
Then ABC property insurance takes the first Birr
200,000 of insurance or two-fifths (2/5) and XYZ
reinsurer takes the remaining 300,000 or three-fifths
(3/5).
These fractions then determine the amount of loss paid
by each party.
If a Birr 50,000 loss occurs, ABC property insurance
pays 20,000 (two-fifths) and XYZ reinsurer pays the
remaining Birr 30,000 (three-fifths). 161
CHAPTER eight: Reinsurance
Amount of Policy ABC Property Insurance (line) XYZ Reinsurer
500,000 Br. 200,000 Br. 300,000
Amount of loss
Birr 50,000 20,000(50,000 x 2/5) 30,000(50,000 x 3/5)
164
CHAPTER eight: Reinsurance
4. Reinsurance Pool:
A Reinsurance Pool is an organization of insurers
that underwrites insurance on a joint basis.
Pools are formed because a single insurer alone may
not have the financial capacity to write large
amounts of insurance, but the insurers as a group
can combine their financial resources to obtain the
necessary capacity.
165
CHAPTER eight: Reinsurance
Each pool member agrees to pay a certain
percentage of every loss.
Another arrangement is similar to the excess-of-loss
reinsurance treaty.
Pool members are responsible for their own losses
below a certain amount.
Losses exceeding that amount are shared by all pool
members.
166
Chapter Nine: Insurance in Cooperative
Coop Insurance: Protecting Members and their Assets
What is Cooperative Insurance?
CHAPTER
Cooperative insurance, eight:
also knownReinsurance
as mutual insurance, is a
type of insurance where policyholders come together to
form a cooperative entity.
This entity is owned and operated by its members, who pool
their resources to provide insurance coverage for
themselves and their fellow members.
167
The Benefits of Cooperative Insurance
1. Lower Premiums: One of the primary benefits of cooperative
insurance is that it often offers lower premiums compared to
traditional insurance policies. This is because cooperative insurance
CHAPTER eight: Reinsurance
operates on a not-for-profit basis
2. Tailored Coverage: Cooperative insurance understands the unique
needs and challenges of its members, allowing for more
personalized coverage options. Unlike standard insurance policies
that offer a one-size-fits-all approach, cooperative insurance can be
tailored to suit the specific requirements of its members.
168
The Benefits of Cooperative Insurance
170
Tips for Choosing a Cooperative Insurance Provider
171
Types of Coverage Offered by Cooperative Insurance
173