C14: Download
C14 - Chapter 11
Terms | Definitions |
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provincial - speed limits federal - criminal code regarding impaired driving | |
OAP - Ontario Auto Policy QPF - Quebec Policy Form | |
second party - provides the insurance third party - anyone else involved in a motor vehicle accident | |
C14 - Chapter 2
Terms | Definitions |
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C14 - Chapter 3
Terms | Definitions |
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Ontario/NB - fault determination rules | |
C14 - Chapter 4
Terms | Definitions |
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1. applicant's name and postal address 2. policy period 3. described automobile(s) 4. driver information 5. previous accidents and insurance claims 6. convictions 7. rating information 8. insurance coverages applied for 9. remarks 10. method of payment 11. declaration of applicant 12. report of broker/agent | |
loss or damage coverage and family protection is optional. | |
C14 - Chapter 5
Terms | Definitions |
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C14 - Chapter 6
Terms | Definitions |
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2. if person does not own vehicle, will collect from insurer of occupied vehicle 3. if auto had no insurance, recovery from the insurer of any vehicle in the accident 4. if all options used, will collect from the Ontario Motor Vehicle Accident Claims Fund | |
2. non-earner benefit 3. caregiver benefit 4. medical, rehab, attendant care benefits 5. payment of other expenses 6. death and funeral benefits 7. optional benefits | |
1. do not qualify for an IRB 2. ceases to receive a caregiver benefit 3. were enrolled on a full-time basis in elementary, secondary or post-secondary education less than one year before accident. | |
- insured person was the pimary caregiver for the person in need of care | |
C14 - Chapter 7
Terms | Definitions |
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You advertise your automobile in the local paper and sell it to the first person that responds to the ad. The buyer gives you a cheque and you hand over the car keys. The cheque comes back NSF; you cannot find the buyer, so you report the vehicle stolen. Will you recover the money owed to you under the Comprehensive subsection of your policy? Explain. | |
C14 - Chapter 8
Terms | Definitions |
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unidentified automobile - the owner or driver cannot be determined | |
C14 - Chapter 9
Terms | Definitions |
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-where the owner's limit of liability under Liability is insufficient to pay a judgment or settlement | |
- auto must not have weight of more than 4,500 kg. - named insured is an individual or if insured by two people. named insureds are spouses of each other - neither you or spouse is in business of selling, repairing, maintaining, storing, servicing or parking autos. - auto is not being used to carry paying passengers or make commercial deliveries at time of loss - other vehicle cannot be one owned by anyone living in your dwelling or regularly uses, cannot be owned, hired or leased by your employer | |
C14 - Chapter 10
Terms | Definitions |
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- for any illicit or prohibited trade or transportation | |
- verify auto claim (all available particulars of accident) - must forward writs, claims immediately to insurer | |
- submit proof of loss form within 90 days - no repairs without permission - examination of insured under oath | |
- give 15 days notice after the insurer gives written notice by mail or - 5 days if personally delivered by insurer - refund premium on pro rata basis |
C14 - Chapter 11
Terms | Definitions |
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broad form - additional premium is charged. protection for lienholder in breach of condition by insured. | |
- an insured peril cased the damage. | |
C14 - Chapter 12
Terms | Definitions |
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section 22 - states the penalties that may be levied against a member for misconduct. | |
- prescribe grounds for which an insurer cannot decline to issue, terminate, or refuse to renew a contract of auto insurance. | |
- give the broker 45 days notice in writing of insurer's intention or proposal. | |
C14 - Chapter 13
Terms | Definitions |
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ii. if the risk is accepted, the terms of the policy iii. premium for the policy. | |
niche writers - selected classes of expertise | |
- "senior underwriter only" acceptance list - limit table (max liability limits which can be accepted) - classification guide - other instructional material | |
agreements or restrictions - limitation of amount or value endorsements | |
C14 - Chapter 14
Terms | Definitions |
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-commercial vehicles (trucks and delivery autos), -public automobiles (buses and taxicabs), -recreational automobiles (motorcycles, atvs, snowmobiles) -garage risks (road hazard and dealership risks) - non-owned automobiles | |
ii) expense loading - added to pure premium for overhead. | |
policy year uses data from claims that occur in the duration of a policy. a weakness is that it does not use the most up to date information to discern current loss cost trends. accident year captures data from claims in the given year regardless of policy years. gives the most recent indicator of what future losses will be. | |
ii) outstanding losses - provision for reported, not yet paid, claims iii) incurred but not reported losses (IBNR) - liability for future payments on losses that have occurred but yet reported to insurer. | |
- prior approval - companies file their proposed rates and wait for approval. - file and use - companies file proposed rates and use them but face enquiries by the board - file and use following a "deemer" period - file proposed files and law allows period of time during which board can challenge - prior setting of rates by the board with variations from "benchmark". | |
C14 - Chapter 15
Terms | Definitions |
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- equitable sharing of the residual market by all insurers. | |
automobile business in the jurisdictions where the Association operates. The underwriting and claims functions are provided by a limited number of designated members, called servicing carriers. | |
C14 - Chapter 16
Terms | Definitions |
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i) the bureau de revision - victim completes an application for review and submits to SAAQ within 60 days of decision. ii) an appeal before the commission des affaires sociales - an appeal may be filed within 90 days of the date the bereau de revision rendered its decision. commision's decision is final. | |
- death benefits - compensation for non-pecuniary damage - reimbursement of certain expenses and rehab. | |
• Full-time employees • Temporary or part-time employees • Persons unemployed but able to work • Persons under age 16 • Students aged 16 or over attending a secondary or post-secondary educational institution on a full-time basis, and students who have employment earnings • Persons aged 64 or over • Persons unable to hold any employment | |
of the deceased victim, up to a prescribed limit. | |
i) establish a mechanism to enable every automobile owner to find an authorized insurer with whom he or she may purchase liability insurance. ii) To oversee collision repair appraisal iii) To establish and publish a standardized accident report form. iv) To establish and administer a direct compensation agreement. | |
C14 - Chapter 17
Terms | Definitions |
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purchased from the government insurer or from private insurers. | |
when the Automobile Accident Insurance Act was introduced in 1946. | |
licence plate is purchased. | |
Sask - Auto Fund Manitoba - Autopac | |
Sask - third party liability, personal injury, comprehensive Manitoba - third party liability, personal injury, all perils | |
Sask - if they had tort option of personal injury benefits, then they could sue for damages Manitoba - can sue person outside of province or vehicles not covered under Autopac e.g. snowmobile | |
licence plate is purchased. | |
cover additional perils and exposures may be purchased from Autoplan or from private insurers. | |
Do you have any course notes for C111 Advanced Loss adjusting? Thanks
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