Life insurance provides a benefit in the form of it policy amount to protect against the loss that arises from premature death. It is based on the insurable interest, or the potential that a direct financial hardship will occur due to the death of the insured. The insured is the individual whose life the death benefit is based on and upon whom we rate the risk.
The variables or factors used to determine life insurance rates are based on the habits of the individual. A risk is the potential for loss or a reduction in value. The loss of life produces a financial hardship for those left behind and can be assigned a value. Loss is the reduction in value that in life insurance can be loss of future earning potential or expenses incurred for funeral, bereavement, readjustment and moving forward.
The extent to which a reduction in value may occur is the loss exposure. This loss exposure is enhanced by perils that are situations, which cause loss, affected by these hazards:
- Physical hazard, which is some physical characteristic in the environment that presents a peril (i.e. a banana peel on the ground in front of where you are walking);
- Moral hazard that is based on an individual characteristic such as dishonesty, theft and fraud; and,
- Morale hazard, which is blatant disregard for the law such as driving under the influence of alcohol or driving over the posted speed limit.
The extent to which a person manages risk influences their rates. For example, smoking can be considered a morale hazard because we know that cigarette smoking is a major contributor to lung cancer. Knowing this and still engaging in the habit means that the person understands the risk but does not care. Since we also know that cigarette smokers die sooner than non-smokers, smokers pay higher insurance premiums for life insurance than do non-smokers.
Another factor that is considered when rating life insurance is the person's health. This is a valid risk factor because we know that people who exercise are healthier than those who do not exercise and people who make healthier eating choices live longer than those who eat junk food. These are those morale and physical hazards that are measured by the insurance company and priced, based on the probability of it occurring. The more likely an event occurs, the higher the cost to insure.
Insurance companies are not in the business of paying claims. This statement may seem profound but it is a rational one. It benefits insurers and society as a whole if people live long healthy lives. This helps lowers insurance costs and make it easier to afford. The insurer looks at the rate of death or mortality potential within a classification, such as all 35 year-old males. This is based on the law of large numbers and risk pooling. In order for an insurable risk to be ideal, it must be measurable, produce a financial loss, which is indemnity, be accidental in nature (which is why suicide is excluded), and based on a large group. Lower probabilities occur in larger population groups, such as those ages 25 to 45 and higher probabilities in smaller older populations, age 65 to 85.
Variable Life Insurance Rates
Home insurance uses individual underwriting standards to assess risk. Risk is the potential for a reduction in value that may occur. When a number of these occurrences happen for a particular insured, the insurance company either raises the rate or drops coverage. It is the hope of the insurance company to not have to pay claims and employ assessment factors to understand better the likelihood that a homeowner is exposed to loss and rates it accordingly.
Certain factors beyond the individual homeowners claim experience include zip code ratings, type of home owned, whether any commercial activity takes place in the home, and the home's overall value in comparison to similar homes within the area. These factors give the insurer the information needed to calculate the probability off loss and adjust rates accordingly.
Hazards are factors that can lead to a loss. There are three hazards, physical or tangible hazard, moral which is character and morale or indifference. For example homeowner A who buys home insurance for a home that is rented out to tenants will pay a higher rate than homeowner B buying home insurance on a similar home in which she resides. That is because homeowner A has a higher morale and physical hazard present in the home than homeowner B does. The tenants are not the owner and may not hold the same regard for the home as the homeowner does. This could lead to physical damage, deterioration or even theft.
A census or zip code assessment looks at the instances of crime and vandalism that occurs in a given area. Homeowners purchasing home insurance in high crime areas face higher premiums than homeowners who live in outlying suburbs. There is some controversy over this type of practice and was the basis of a group action lawsuit in Milwaukee in the late 1980s against American Family Insurance Company. The results of the suit led to changes in the underwriting practices in certain minority communities in the City of Milwaukee.
The likelihood that a loss occurs and the probability associated with it results in the rating factor. The rating factor may be set based on community experience or standards and may be reduced over time where individual claims experience results in better a rating.
All insurance provides an indemnity benefit to reimburse an individual for the value of their loss. An insured who believes that the purpose of insurance is to profit or get more than the fair market value of their property do not have the appropriate understanding of what insurance is for. Insurance is not for making a person rich but rather to keep them from becoming poor. To provide piece of mind risk ratings reflect experience, probability and the presence of other measurable variables that can be statistically tested.
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