Kelompok 6 - Komunikasi Bisnis - UTS
Kelompok 6 - Komunikasi Bisnis - UTS
                GROUP 6
       BUSINESS COMMUNICATION
    There is no single definition of Insurance and Risk. Insurance and Risk can be defined
from the viewpoint of several disciplines, including law, economics, history, actuarial
science, risk theory, and sociology. Insurance is the pooling of fortuitous losses by transfer
of such risks to insurers, who agree to indemnify insured s for such losses, to provide other
pecuniary benefits on their occurrence, or to render services connected with the risk.
    Based on this concept, Risk is defined herę as uncertainty concerning the occurrence of
a loss. For example, The risk of being killed in an auto accident is present because
uncertainty is present. The risk of lung cancer for smokers is present because uncertainty is
present. The risk of flunking a college course is present because uncertainty is present.
Although risk is defined as uncertainty in this text, employees in the insurance industry often
use the term risk to identify the property or life being insured. Thus, in the insurance industry,
it is com- mon to hear statements such as "That driver is a poor risk" or “That building is an
unacceptable risk." Finally, when risk is defined as uncertainty.
 Purpose
  Explain The Definition Of Insurance
  Explain The Basic Characteristics of Insurance.
  Describe The Requirements of An Insurable Risk From The Viewpoint of A Private
    Insurer.
  Describe The Major Types of Insurance.
  Explain The Social Benefits and Social Costs of Insurance.
  Describe Adverse Selection and Insurance, Insurance and Gambling Compared,
    Insurance and Hedging Compared                                                                   Comment [TM1]: Direct Strategy
                                      CHAPTER II
                                      DISCUSSION
   a. Pooling of Losses
             Pooling or the sharing of losses is the heart of insurance. Pooling is the
       spreading of losses incurred by the few over the entire group , so that in the process,   Comment [TM3]: (,) Fragment (
                                                                                                 Effective Sentense )
       the average loss is substituted for actual loss. In addition, pooling involves the        Comment [TM4]: Also/Besides (
                                                                                                 Emphasis )
       grouping of a large number of exposure units so that the law of large numbers can
       operate to provide a substantially accurate prediction of future losses. Ideally, there   Comment [TM5]: Rejecting
                                                                                                 Redundancies
       should be a large number of similar, but not necessarily identical, exposure units that   Comment [TM6]: Rejecting
                                                                                                 Redundancies
       are subject to the same perils. Thus, pooling implies :
                                                                                                 Comment [ A7]: Compound sentence
       (1) The Sharing Of Losses By The Entire Group, And                                        (Effectif Sentence)
                                                                                                 Comment [TM8]: Rejecting
       (2) Prediction Of Future Losses With Some Accuracy Based On The Law Of Large              Redundancies
Numbers.
   c. Risk Transfer
             Risk transfer is another essential element of insurance. With the exception of        Comment [TM11]: Except For (
                                                                                                   Elimination Flabby Expressions )
       self-insurance, a true insurance plan always involves risk transfer. Risk transfer
       means that a pure risk is transferred from the insured to the insurer, who typically is     Comment [TM12]: Rejecting
                                                                                                   Redundancies
       in a stronger financial position to pay the loss than the insured. From the viewpoint
       of the individual, pure risks that are typically transferred to insurers include the risk   Comment [TM13]: Rejecting
                                                                                                   Redundancies
       of premature death, poor health, disability, destruction and theft of pro perty, and
       personal liability lawsuits.
   d. Indemnification
             A final characteristic of insurance is indemnification for losses .                   Comment [TM14]: Purging Empty
                                                                                                   Word ( Revising )
       Indemnification means that the insured is restored to his or her approximate
       financial position prior to the occurrence of the loss. Thus, if your home burns in a       Comment [TM15]: Before (Emphasis )
       fire, a homeowner's policy will indemnify you or restore you to your previous
       position. If you are sued because of the negligent operation of an automobile, your         Comment [TM16]: (.) Run-on (
                                                                                                   Effevtive Sentences )
       auto liability insurance policy will pay those sums that you are legally obligated to       Comment [TM17]: Rejecting
                                                                                                   Redundancies
       pay. Similarly, if you become seriously disabled, a disability-income insurance
                                                                                                   Comment [TM18]: Rejecting
       policy will restore at least part of the lost wages.                                        Redundancies
              The purpose of this requirement is to enable the insurer to predict loss based
     on the law of large numbers. Loss data can be compiled over time, and losses for the        Comment [TM25]: Passive Voice
                                                                                                 Comment [ A26]: Compound sentence
     group as a whole can be predicted with some accuracy. The loss costs can then be            (Effectif Sentence)
     spread over all insureds in the underwriting class.                                         Comment [TM27]: Passive Voice
                                                                                                 Comment [TM28]: Passive Voice
      loss.
              The requirement of an accidental and unintentional lo ss is necessary for two
      reasons :
              1. If intentional losses were paid, moral hazard would be substantially            Comment [TM30]: Passive Voice
                  premiums could result in relatively fewer persons purchasing the               Comment [TM32]: Rejecting
                                                                                                 Redundancies
                  insurance, and the insurer might not have a sufficient number of exposure
                  units to predict future losses.
              2. The loss should be accidental because the law of large numbers is based on
                  the random occurrence of events. A deliberately caused loss is not a
                  random event because the insured knows when the loss will occur. Thus,
                  the prediction of future experience may be highly inaccurate if a large
                  number of intentional or nonrandom losses occur.                               Comment [ A33]: Tabulation
                                                                                                 (Developing Emphasis)
c. Determinable and Measurable Loss
            A third requirement is that the loss should be both determinable and
   measurable. This means the loss should be definite as to cause, time, place, and
   amount. Life insurance is most cases meets this requirement easily. The cause and            Comment [TM34]: Rejecting
                                                                                                Redundanciesg
   time of death can be readily determined in most cases, and if the person is insured,         Comment [TM35]: Rejecting
                                                                                                Redundancies
   the face amount of the life insurance policy is the amount paid.
d. No Catastrophic Loss
            The fourth requirement is that ideally, the loss should not be catastrophic.        Comment [TM36]: Rejecting
                                                                                                Redundancies
   This means that a large proportion of exposure units should not incur losses at the
   same time. As we stated earlier, pooling is the essence of insurance. If most or all of
   the exposure units in a certain class simultaneously incur a loss, then the pooling          Comment [TM37]: Rejecting
                                                                                                Redundancies
   technique breaks down and becomes unworkable. Premiums must be increased to
   prohibitive levels, and the insurance technique is no longer a viable arrangement by
   which losses of the few are spread over the entire group.                                    Comment [TM38]: Passive Voice
            Insurers ideally wish to avoid all catastrophic losses. In reality, however, this   Comment [TM39]: Rejecting
                                                                                                Redundancies
   is impossible, because catastrophic losses periodically result from floods, hurricanes,      Comment [ A40]: Support Sentense (
                                                                                                Effective Paragraph )
   tornadoes, earthquakes, forest fires, and other natural disasters. Catastrophic losses
   can also result from acts of terrorism.
            Several approaches are available for meeting the problem of a catastrophic
   loss :
      1. Reinsurance can be used by which insurance companies are indemnified by
            reinsurers for catastrophic losses. Reinsurance is an arrangement by which
            the primary insurer that initially writes the insurance transfers another
            insurer (called the reinsurer) part or all of the potential losses associated
            with such insurance. The reinsurer is then responsible for the payment of its
            share of the loss.
      2. Insurers can avoid the concentration of risk by dispersing their coverage over
            a large geographical area. The concentration of loss exposed in a
            geographical area exposed to frequent floods, earthquakes, hurricanes, or
            other natural disasters can result in periodic catastrophic losses. If the loss
            exposures are geographically dispersed, the possibility of a catastrophic loss
            is reduced.
          3. financial instruments are now available for dealing with catastrophic losses.
               These instruments include catastrophe bonds, which are designed to pay for a
               catastrophic loss.                                                                  Comment [ A41]: Tabulation
                                                                                                   (Developing Emphasis)
a. Private Insurance
          Life insurance pays death benefits to designated beneficiaries when the
   insured dies. The benefits pay for funeral expenses, uninsured medical bills, estate      Comment [TM47]: (.) Fragment
   taxes, and other expenses. The death proceeds can also provide periodic income
   payments to the deceased's beneficiary. In addition, life insurers sell group and         Comment [TM48]: Also/Besides
   individual retirement plans that pay retirement benefits. Life and health insurers also
   sell individual and group health insurance plans that cover medical expenses because
   of sickness or injury. Finally, both life and health insurers sell disability income
   plans that pay income benefits during a period of disability.
          Property and liability insurance is also called property and casualty insurance.
   Casualty insurance is a broad field of insurance that covers whatever is not
   covered by fire, marine, and life insurance; casualty lines include auto, liability
   burglary and theft, workers' compensation, and health insurance.
          Identifies the major property and casualty coverages sold today. The various
   coverages can be grouped into two major categories. Personal lines and commercial
   lines. This division, however, is not completely precise and accurate because of the      Comment [ A49]: Support Sentense (
                                                                                             Effective Paragraph )
   overlap of certain coverages. For example, although inland marine insurance is a          Comment [TM50]: Compound
                                                                                             Sentenses
   commercial line, it also covers certain personal property, such as expensive jewelry
                                                                                             Comment [ A51]: Complex sentence
   and furs.                                                                                 (Effectif Sentence)
   1) Personal Lines. Personal lines refer to coverages that insure the real estate and
       personal property of individuals and families or provide pr otection against
       legal liability Major personal lines include the following:                           Comment [TM52]: (.) Fragment
b. Government Insurance
        Numerous government insurance programs are in operation at the present
  time. Government insurance can be divided into social insurance programs and other      Comment [TM56]: At Present
                                                                                          (Elimination Flabby Expressions )
  government insurance programs.                                                          Comment [ A57]: Compound sentence
                                                                                          (Effectif Sentence)
   1) Social insurance Social insurance programs are government insurance
      programs with certain characteristics that distinguish them from other
      government insurance plans. These programs are financed entirely or in large
      part by mandatory contributions from employers, employees, or both, and not
      primarily by the general revenues of the government. The contributions are
      usually earmarked for special trust funds; the benefits, in turn, are paid from     Comment [TM58]: Rejecting
                                                                                          Redudancies
      these funds. Covered workers and employers are required by law to pay               Comment [TM59]: Support Sentense (
                                                                                          Effective Paragraph )
      contributions and participate in the programs. Finally, eligibility requirements
                                                                                          Comment [TM60]: Compound
      and benefit rights are usually prescribed exactly by statute, leaving little room   Sentenses
           the majority of states have special health insurance pools that make health           Comment [TM64]: Compound
                                                                                                 Sentense
           insurance available to sons who are uninsurable or substandard in health.
      they are less likely to apply for public assistance or welfare benefits or to seek
      financial assistance from relatives and friends. .
      true both before and after a loss. For example, if family heads have adequate
      amounts of life insurance, they are less likely to worry about the financial security of
      their dependents in the event of premature death; persons insured for long -term
disability do not have to worry about the lo ss of earnings if a serious illness or
accident occurs; and property owners who are insured enjoy greater peace of mind        Comment [TM68]: (,) Fragment
                                                                                        Comment [TM69]: Passise Voice
because they know they are covered if a loss occurs. Worry and fear are also reduced
                                                                                        Comment [TM70]: Passise Voice
after a loss occurs because the insureds know that they have insurance that will pay    Comment [TM71]: (,) Fragment
for the loss.
d. Loss Prevention
      Insurance companies are actively involved in numerous loss-prevention             Comment [TM75]: Rejecting
                                                                                        Redudancies
programs and also employ a variety of loss-prevention personnel, including aim are      Comment [TM76]: Many ( Emphasis )
engineers and specialists in fire occupational safety and health, and products Comment [TM77]: (,) Fragment
liability. Some important loss -prevention activities that property and casualty
insurers strongly support include the following :                                       Comment [TM78]: Rejecting
                                                                                        Redudancies
    Highway safety and reduction of automobile deaths
    Fire prevention
    Reduction of work-related injuries and disease
    Prevention of auto thefts
    Prevention and detection of arson losses
    Prevention of defective products that could injure the user
    Prevention of boiler explosions
    Educational programs on loss prevention                                            Comment [TM79]: Tabulation
                                                                                        (DEVELOPING EMPHASIS)
            The loss-prevention activities reduce both direct and indirect, or consequential,
         losses. Society benefits, because both types of losses are reduced.
     e. Enhancement of Credit
              A final benefit is that insurance enhances a person's credit . Insurance makes
      a borrower a better credit risk because it guarantees the value of the
      borrower's collateral or gives greater assurance that the loan will be repaid. For
      example, when a house is purchased, the lending institution normally requires             Comment [TM80]: Passive Voice
                                                                                                Comment [TM81]: Rejecting
      property insurance on the house before the mortgage loan is granted. Property             Redudancies
      insurance protects the lender's financial interest if the property is damaged or          Comment [TM82]: Passive Voice
      destroyed. Similarly, a business firm seeking a temporary loan for Christmas or           Comment [TM83]: Rejecting
                                                                                                Redudancies
      seasonal business may be required to ensure its inventories before the loan is made.      Comment [TM84]: Passive Voice
If a new car is purchased and financed by a bank or other lending institution, Comment [TM85]: Passive Voice
      physical damage insurance on the car may be required before the loan is made. Thus,
      insurance can enhance a person's credit.
b. Fraudulent Claims
         A second cost of insurance comes from the submission of fraudulent claims.
Examples of fraudulent claims include the following:
       Auto accidents are faked or staged to collect benefits.
       Dishonest claimants fake slip-and-fall accidents.
       Phony burglaries, thefts, or acts of vandalism are reported to insurers
       False health insurance claims are submitted to collect benefits.
       Dishonest policy owners take out life insurance policies on insureds who are
        later reported as having died.                                                       Comment [TM93]: Tabulation
                                                                                             (DEVELOPING EMPHASIS)
c. Inflated Claims
         Another cost of insurance relates to the submission of inflated or "padded"
 claims. Although the loss is not intentionally caused by t he insured, the dollar           Comment [ A95]: Complex sentence
                                                                                             (Effectif Sentence)
 amount of the claim may exceed the actual financial loss. Examples of inflated
 claims include the following:
        Attorneys for plaintiffs sue for high-liability judgments that exceed the true
         economic loss of the victim.
        Insureds inflate the amount of damage in auto collision claims so that the
         insurance payments will cover the collision deductible.
        Disabled persons often malinger to collect disability -income benefits for a
         longer
             Insureds exaggerate the amount and value of property stolen from a home or
              business. duration.                                                                Comment [TM96]: Tabulation
                                                                                                 (DEVELOPING EMPHASIS)
   to the process of selecting and classifying applicants for insurance, Applicants who
   meet the underwriting standards are insured at standard or preferred rates . If the           Comment [TM100]: Passive Voice
   underwriting standards are not met, the insurance is denied or an extra premium must          Comment [TM101]: Rejecting
                                                                                                 Redudancies
   be paid.                                                                                      Comment [TM102]: Passive Voice
        Policy provisions are also used to control adverse selection. Examples are the
   suicide clause in life insurance and the preexisting conditions clause in health
   insurance. These policy provisions are discussed in greater detail later in the text when     Comment [TM103]: Passive Voice
       Insurance is often erroneously confused with gambling. There are two important            Comment [TM105]: Rejecting
                                                                                                 Redundancies (REVISING)
   differences between them :
      An insurance contract, however, is not the same thing as hedging. Although both           Comment [ A110]: Support Sentense (
                                                                                                Effective Paragraph )
  techniques are similar in that risk is transferred by a contract, and no new risk is          Comment [ A111]: Complex sentence
                                                                                                (Effectif Sentence)
  created, there are some important differences between them. First, an insurance
                                                                                                Comment [TM112]: Passive Voice
  transaction involves the transfer of insurable risks, because the requirements o f an         Comment [TM113]: Passive Voice
  insurable risk generally can be met. However, hedging is a technique for handling risks       Comment [TM114]: Passive Voice
                                                                                                Comment [ A115]: Support Sentense (
  that are typically uninsurable, such as protection against a decline in the price of          Effective Paragraph )
      A second difference between insurance and hedging is that insurance can reduce
  the objective risk of an insurer by application of the law of large numbers . As the
  number of exposure units increases, the insurer's prediction of future losses improves,
  because the relative variation of actual loss from expected loss will decline. Thus, many
  insurance transactions reduce objective risk. In contrast, hedging typically involves         Comment [TM117]: Rejecting
                                                                                                Redundancies (REVISING)
  only risk transfer, not risk reduction. The risk of adverse price fluctuations is
  transferred to speculators who believe they can make a profit because of superior             Comment [TM118]: Passive Voice
knowledge of market conditions. The risk is transferred, not reduced, and prediction of Comment [TM119]: Passive Voice
       There is no single definition of insurance. Pooling means that the losses of the few are
spread over the group, and the average loss is substituted for actual loss. Fortuitous losses are
unforeseen and unexpected and occur as a result of chance. Risk transfer involves the tr ansfer
of a pure risk to an insurer. Indemnification means that the victim of a loss is restored in
whole or in part by payment, repair, or replacement by the insurer. The law of large numbers
permits an insurer to estimate future losses with some accuracy. Adverse selection is the
tendency of persons with a higher-than-average chance of loss to seek insurance at average
rates, which, if not controlled by underwriting, results in higher-than-expected loss levels.
       Insurance is not the same as gambling. Gambling creates a new speculative risk,
whereas insurance deals with an existing pure risk. Insurance is always socially productive         Comment [TM120]: Rejecting
                                                                                                    Redudancies
because both the insured and insurer benefit if the loss does not expense of occurring.
Insurance is not the same as hedging. Insurance involves the transfer of pure risk, whereas
hedging involves the transfer of a speculative risk. Also, insurance may reduce objective risk
because of the law of large numbers. Insurance can be classified into private and government
insurance. Private insurance consists of life and health insurance and property and liability
insurance.
REFERENCES
E. Redja George, Priciples Of Risk Management and Insurance, 13 th Edition. New York,
         NY, HarperCollins 1992.
Wiening, Eric A. Foundations of Risk Management and Insurance, 1st ed. Malvern, PA:
         American Institute for Chartered Property Casualty Underwriters/Insurance Institute
         of America, 2002.