INS21 Chapter 7 PDF
INS21 Chapter 7 PDF
Assignment 7
Risk Management
Assignment 8
Loss Exposures
Assignment 9
Insurance Policies
Direct Your Learning
Risk Management
After learning the content of this assignment, you should be able to: Basic Purpose
and Scope of Risk
Describe the basic purpose and scope of risk management i n terms of the Management
following: Identifying and
• How risk management is practiced by individuals and organizations Analyzing Loss
Exposures
• T h e basic distinction between traditional risk management and enter-
prise-wide risk management Examining the
Feasibility of Risk
Explain how to identify and analyze loss exposures. Management
Techniques
Describe the risk management techniques for risk control and risk
financing. Selecting,
Implementing,
Explain how to select the appropriate risk management techniques,
and Monitoring
implement the selected techniques, and monitor a risk management Risk Management
program. Techniques
Explain how risk management benefits businesses, individuals, families, Benefits of Risk
society, and insurers. Management
Applying the risk management process, recommend appropriate tisk man- Applying the Risk
agement techniques for handling loss exposures of an individual, a family, Management
or a business. Process
Summary
• 7.1
Risk Management
Organizations
In its simplest form, risk management includes any effort to economically
deal w i t h uncertainty of outcomes (risk). For individuals, risk management
is usually an informal series of efforts, not a formalized process. Individual or
personal risk management may be viewed as part of the financial planning
process that encompasses broader matters such as capital accumulation, retire-
ment planning, and estate planning.
7.3
7.4 Property and Liability Insurance Principles
Most risk management programs arc built around the risk management
process. The risk management process is the method of making, implement-
ing, and monitoring decisions that minimize the adverse effects of risk on an
organization. A l t h o u g h the exact steps in an organization's risk management
process may differ from the process discussed in this section, all risk manage-
ment processes are designed to assess, control, and finance risk.
•
first two steps i n the process are identifying loss exposures and analyzing loss
exposures. See the exhibit "Risk Management Process."
Step 6 Step 2
Monitoring results and revising Analyzing loss
the risk management program exposures
Step 5 Step 3
Implementing selected risk Examining feasibility of risk
management techniques management techniques
Step 4
Selecting the
appropriate risk
management
techniques
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Physical Inspection
A tisk manager generally cannot gain a cleat picture of possible loss exposures
by sitting at a desk away from the source of risk. T h e most straightforward
method of identifying loss exposures is to physically inspect all locations,
operations, maintenance routines, safety practices, work processes, and other
7.6 Property and Liability Insurance Principles
Step 1
Identifying loss
exposures
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The risk manager usually discusses the items on the business sutvey with man-
agers, supervisors, and othet employees who are familiar w i t h an organization's
exposures. In some cases, the sutvey can also help familiarize the risk manager
w i t h the organization's operations. Because sutveys may omit an important
exposute, especially if the organization has unique operations not included on
a standard survey form, risk managers cannot depend solely on them. Rather,
risk managers should use the survey as a guide i n developing a comprehensive
pictute of the otganization's opetations and loss exposures.
•
Risk Management 7.7
• • 10. Are any properties located in potential riot or civil disturbance areas?
• 13. Are there any unusual fire or explosion hazards in your business
operation? (Welding, painting, woodworking, steam boilers or
pressurized machinery, and so forth)
• • 19. Do you use any raw stock, inventory, or equipment that requires
substantial lead time to reproduce?
[DA02673]
•
7.8 Property and Liability Insurance Principles
Step 2
Analyzing loss
exposures
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Loss Frequency
Loss frequency indicates the number of losses that occur w i t h i n a specified
period. Examples of frequent losses include employees' abrasions and minor
lacerations at a manufacturing plant, minor accidents involving autos from
an organization's fleet, and spoilage of produce at a supermarket. Other losses,
such as those caused by earthquakes, tornadoes, and hurricanes, occur much
less frequently.
•
Loss Severity
Loss severity is the amount of loss, typically measured monetatily, fot a loss
that has occurred. I t is much easiet to gauge the potential severity of prop-
erty losses than of liability losses. Most property losses have a finite value.
Whether the property is partially or completely destroyed, the severity of the
loss is usually calculable. Conversely, the severity of liability exposutes can be
almost impossible to calculate. For example, if a paint manufacturer sells paint
that produces toxic fumes when applied, the severity of this potential liability
loss is almost unlimited.
As another example, the seventy of the property loss from an airplane crash
may equal several m i l l i o n dollars, but it is still a calculable amount. However,
if a commercial passenger aircraft crashed i n a densely populated metropolitan
area, the potential severity of the liability loss would be difficult, if not impos-
sible, to estimate accurately.
Once loss exposures have been identified and analyzed, the next step i n the
risk management process is to examine all possible techniques for handling
the exposures. These techniques are grouped into two broad categoties—risk
control and risk financing. A n overview of some of the mote common risk
management techniques w i l l help insurance professionals understand options
to control and finance risk. See the exhibit "Step 3: Risk Management
Process."
Step 3
Examining feasibility of risk
management techniques
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7.10 Property and Liability Insurance Principles
Risk Control
Risk control is a risk management technique that attempts to decrease the
frequency and/or severity of losses or make them more predictable. These are
some common risk conttol techniques:
• Avoidance
• Loss prevention
• Loss reduction
• Separation
• Duplication
Avoidance
Avoidance Avoidance eliminates a loss exposure and reduces the chance of loss to zero.
A risk control technique that For example, a manufacturer of sports equipment may decide not to sell
involves ceasing or never football helmets to avoid the possibility of large lawsuits from head injuries.
undertaking an activity Likewise, a family may decide not to purchase a motor boat to avoid the
so that the possibility of a
potential property and liability exposutes that accompany boat ownership.
future loss occurring from
that activity is eliminated. The advantage of avoidance as a risk control technique is that the probability
of loss equals zero—there is no doubt or uncertainty about the loss exposute
because a loss is not possible. Avoidance has the disadvantage of sometimes
being impractical and is often difficult, if not impossible, to accomplish.
For example, suppose Priya is contemplating the purchase of het first automo-
bile, but she is worried about the exposures inherent in automobile ownetship.
She may believe the chance of damage to the car is too great. Further, Priya
may be unwilling to assume the chance of liability imposed by law, or perhaps
she cannot afford automobile insurance.
Loss Prevention
Loss prevention seeks to lower the frequency of losses from a particular loss
exposure. Some common examples of loss prevention ate keeping doors and
windows locked to prevent burglaries, and maintaining a regular program of
vehicle maintenance to prevent accidents caused by faulty equipment.
•
Loss Reduction
Loss reduction seeks to lower the severity of losses from a particular loss
exposure. Some common loss reduction measures include installing a sprin-
kler system, which does not usually prevent fires, but can limit damage
should a fire occur, and installing a restrictive money safe that a store clerk
cannot open.
Many insurers have a risk control department that includes risk manage-
ment professionals who attempt to reduce an insured's frequency and severity
of losses. Insureds often use risk control measures because the insurer has
recommended them. Insurers direct much risk control effort to commercial
insurance accounts. The risk control programs recommended by insurers are
generally based on inspection reports prepared by the insurers' risk control
representatives. A n inspection report is one of the best sources of underwrit-
ing information and it supplements the application.
Separation
Sepatation is a risk control technique that isolates loss exposutes from one
another to minimize the adverse effect of a single loss. Fot example, an organi-
zation may stote inventory in several warehouses for valid business teasons, as
well as fot risk conttol. Another example of separation is using several suppli-
ers for raw matetial purchases, which might also provide competitive pricing.
Duplication
Duplication is a risk control technique that uses backups, spares, or copies of
critical property, information, or capabilities and keeps them i n reserve. For
example, an organization may store copies of key documents or information
at another location and may maintain an inventory of spare parts for critical
equipment. Risk control techniques are rarely used alone and are most often
effective when used in conjunction w i t h risk financing techniques.
7.12 Property and Liability Insurance Principles
Risk Financing
Risk financing is an effective risk management technique that includes steps
to pay for or transfer the cost of losses. The most common risk financing
techniques include retention and transfer (noninsurance risk transfer and
insurance).
Retention
The financial consequences of any loss exposure that has not been avoided or
Retention transferred are retained. Retention involves acceptance of the costs associated
A risk financing technique w i t h all or part of a particular loss exposure. Retention can be intentional or
by which losses are retained unintentional. After thoroughly analyzing the alternatives, a risk manager
by generating funds within may decide that retention is the best way to handle a given exposure, perhaps
the organization to pay for
because insurance is not available or is too expensive. For example, a risk
the losses.
manager may decide that putchasing collision coverage o n a fleet of older
vehicles is not worth the premium and may thus decide to retain the organiza-
tion's exposure by paying for any collision losses from the company's operating
funds.
Retention can be partial or total. Fot example, a $10,000 per building deduct-
ible on a commercial property insurance policy is a partial retention. A n
example of total retention would be a husband and wife choosing not to
purchase flood insurance on their lakeside home because they believe it is too
expensive—they are effectively retaining their entire exposure to flood losses.
Transfer
Businesses often treat loss exposures by noninsurance risk transfer, a risk
financing technique in which one party transfers the potential financial con-
sequences of a particular loss exposure to another party that is not an insurer.
For example, the landlord of a commercial building may wish to transfer the
financial consequences of a liability exposure arising out of activities of a
tenant. The landlord accomplishes this transfer by having the tenant sign a
hold-harmless agreement. T h e agreement can be a separate contract, but it
is usually a provision included i n the lease. I n this case, the hold-hatmless
agreement might state that the tenant agrees to indemnify the landlord for
any damages the landlord becomes legally obligated to pay because of injury
or damage occurring on the premises occupied by the tenant.
Even large businesses face loss exposures that they can handle most eco-
nomically by purchasing insurance. N o viable alternative exists for highly
unpredictable loss exposures that could result in catastrophic financial con-
sequences. Such businesses may use large retention amounts (deductibles or
self-insurance) and purchase insurance policies to provide coverage above
these amounts to protect them against large losses.
Identify the risk management techniques that Dorian has used to manage her
auto loss exposures.
7.14 Property and Liability Insurance Principles
[DA02674]
Feedback: Dorian used these techniques to manage her auto loss exposures:
•
• Increasing the auto deductibles on the Honda is a retention technique.
• T h e safe-driver education program that M a r v i n completed is both a loss
reduction technique and a loss prevention technique because Marvin's
knowledge of safe-driving practices can help prevent accidents (losses)
and his knowledge of how to react i n an accident might help h i m reduce
the amount of damage incurred if he has an accident.
The fourth step i n the risk management process is to select the most appropri-
ate risk management technique(s) based on financial criteria and guidelines.
The fifth step is implementation of the selected techniques. The final step
involves monitoring the results and revising the program as needed. A n
understanding of these steps helps insurance professionals guide customers
through the tisk management process and provides a deeper understanding
of the issues a customer might face in developing and implementing a risk
management program.
f% A
Jm
Step 4
Selecting the appropriate risk
03 management techniques
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For example, a corporation may analyze its financial position and decide that
it does not want any retained loss exposures to affect annual corporate earn-
ings by more than five cents pet share of stock. If the corporation has 100
million shares outstanding, the risk management department can tetain up to
$5 million for all exposures in a fiscal year. The risk management depattment
makes its tetention decisions fot the coming year based o n this strategy of
protecting corporate earnings.
The fitst guideline is do not retain more than you can afford to lose. Setting
an upper limit on the proper retention level is an important guideline. The
amount that a household or an organization can afford to lose depends on
its financial situation. For example, if a family has only $500 i n its savings
account and has little remaining from each paycheck after paying expenses,
it may not be feasible for the family to carry a $1,000 deductible o n either its
homeowners or personal automobile policies. Unless the family has resources
to borrow money to bear the portion of a loss atttibuted to a high deductible,
the family may choose to carry whichever m i n i m u m deductibles the insutet
offets, despite the fact that the family could save premium dollars by choosing
a higher deductible.
•
The second guideline is do not retain large exposures to save a little pre-
mium. A risk manager should not retain a loss exposure w i t h high potential
severity, such as auto liability, to save a small amount of insurance premium.
Depending on market conditions, certain types of liability insurance cover-
age, such as some umbrella policies (designed to cover large liability losses),
can cost telatively little because the potential frequency of large liability losses
is low. However, such coverage can be priced much higher given different
matkct conditions.
The third guideline is do not spend a lot of money for a little protection. Risk
managers should spend insurance dollars where they will do the most good.
If the exposure is almost certain to lead to a loss during the policy period,
the insurer must charge a premium close to the expected cost of the loss plus
a portion of the insurer's overhead, premium taxes, and profit. I t is better to
retain exposures of this type because the household or organization could
absorb the cost of a loss almost as easily as the cost of the insurance. For loss
exposures w i t h high frequency and low severity, retention and risk control
are usually the best alternatives. For example, a family may choose a higher
deductible on auto physical damage coverage and use that savings to buy
umbrella insurance to provide coverage for the infrequent but severe liability
losses exceeding theit homeowners or auto policy liability limits.
The fourth guideline is do not consider insurance a substitute for risk con-
trol. A company's risk manager may evaluate a particular exposure, such as
automobile collisions, and discover that the frequency of accidents has been
increasing i n recent years. If the company has a $1,000 collision deductible
for each accident, the risk manager may consider reducing the company's
total annual retention for auto accidents. However, lowering the deductible
to $500 so that the company retains less of the loss exposure o n each accident
would not solve the real problem, which is the increase i n loss frequency. The
insurance cost increases w i t h the lower deductible, and the loss frequency is
likely to remain high. In this case, the risk manager would be using the pur-
chase of insurance in lieu of risk control.
A better option would be for the company to implement a tisk control pro-
gram to prevent accidents from occurring. This program could include more
careful screening of company drivers, periodically reviewing drivers' motor
vehicle records, training employees in safe driving practices, ensuting vehicle
safety through regular vehicle maintenance, and implementing othet risk
control activities to teduce the frequency of collisions. If the program works
7.18 Property and Liability Insurance Principles
and fewer accidents occur, the company's overall retention from absorbing
deductibles decreases, although the cost of the risk control program must also
be considered. Future insurance premiums may be lower as well, because the
insurer may offer a lower premium for the improved accident record.
W h e n insurance takes the place of risk control, the insuted simply passes the
cost of absorbing additional losses to the insuter. It may be more economical
to spend dollars o n a risk conttol program that will prevent and reduce losses
and lower the long-tetm cost of insurance and the risk management program.
0 Reality Check
Construction Company Reduces Workers Compensation Claims Through Risk
Management Techniques
CF Jordan LP, a construction general contractor, implemented a risk control program
that included construction superintendents' use of a device to report safety concerns
on job sites and increase safety on all of its jobs. After implementation of its risk
management program, CF Jordan reported a direct cost savings of $2.5 million for
workers compensation over a four-year period and an 85 percent drop in severity of its
workers compensation claims. The contractor based its selection of risk management
techniques on a cost/benefit analysis comparing the cost of workers compensation
claims with the cost to administer the safety process.
1
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• W h a t should be done
• W h o should be responsible
• H o w to communicate the risk management information
• How to allocate the costs of the tisk management program
Once these decisions have been made, the risk management program w i l l be
effectively implemented. See the exhibit "Step 5: Risk Management Process."
•
Step 5: Risk Management Process
®
Step 5
Implementing selected risk
management techniques P 9 0
W o
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what kind of system should be installed, and which contractor should install
it. She might also need to check on the local water supply and building per-
mits and decide what is necessary to comply w i t h local ordinances. Because
the store executives w i l l want to minimize customer disruption, Helen must
decide how to accomplish this objective. She must also consult w i t h the
store's insutance agent to make sute that appropriate property and liability
coverages are i n place during and after the installation and that the insurer
gives an insurance credit for the sprinkler system. Helen must take into
account these considerations and many others before deciding exactly how to
implement the risk control technique she has selected.
risk transfers, and insurance, as well as the expenses of the risk manage-
ment department, must be spread appropriately across all departments and
locations.
Step 6
Monitoring results and revising
the risk management program
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The last step in the tisk management process is actually a teturn to the fitst.
To monitot and modify the risk management program, the risk manager must
petiodically identify and analyze new and existing loss exposutes and then
teexamine, select, and implement appropriate tisk management techniques.
Thus, the process of monitoring and modifying the risk management program
begins the tisk management process once again.
•
Risk Management 7.21
Reality Check
Construction Company Uses Electronic Tracking Equipment to Recover Stolen
Property
Zachry Construction earned an award for Innovative Construction Project Planning
Process at an International Risk Management Institute, Inc., conference. Zachry
2
implemented use of a global tracking system as part of its risk management program
and later found that it met that need even more completely than it originally expected.
Mike Monnot, a director for Zachry, commented, "Even though our main purpose was
to increase equipment productivity and streamline our maintenance program.. .we
were pleased to learn first hand about its security features." When an unauthorized
3
move of a thirty-ton crane was noted, Zachry's equipment superintendent was able
to quickly confirm that the crane, a truck, and a trailer were all missing; he used a
tracking device to pinpoint the geographic location of the equipment. He notified police,
who recovered the unit and released it back to Zachry. Zachry noted cost benefits of
using the tracking device in this manner. The company avoided filing an insurance
claim, losing time and paying rental fees to temporarily replace the equipment, and
paying storage and retrieval fees to the police department because the police could
immediately and definitively confirm that the equipment belonged to the construction
firm.
[DA07679]
•
7.22 Property and Liability Insurance Principles
Risk management enables individuals and families to take more chances and
make more aggressive decisions on ventures with the potential for profit,
such as investing in the stock market, changing careers, or starting a part-
time business. Though this may seem inconsistent w i t h the purpose of risk
management, such decisions can have long-term value when made w i t h a full
knowledge of costs and potential benefits.
•
Benefits of Risk Management to Society
By helping themselves through effective risk management, businesses, indi-
viduals, and families also benefit society.
Risk management also results in fewer disruptions i n the economic and social
environment. Organizations and families that practice risk management are
not subject to the big and sudden expense of bearing the cost of a loss.
Gf Reality Check
City Fire Department Benefits From Risk Management
Individuals, households, and all types of organizations, including city fire departments,
benefit from risk management. Kansas City Fire Chief Smokey Dyer acknowledges the
danger of the fire fighting profession, as well as the responsibility of the department
to work diligently to protect its staff. According to Dyer, his department has made
considerable improvements in safety, equipment, and training their professionals.
Dyer cites these benefits that the department has gained through improved risk
management as "an increase in fixed fire protection in buildings, better training
methods, better procedures to follow and a cultural shift to worry more about our own
lives."
Goforth, Alan, "Danger? These People Don't Mind it at Work," Kansas City Star, April 4, 2011, www.kansascity.
com/2011/04/04/2776332/danger-these-people-dont-mind.html (accessed on May 17, 2011). [DA07695]
techniques for handling loss exposures, and thetefore may incut and submit
fewer claims.
•
ous athletic activities. His daughter's saxophone in her bedroom reminded
Tony that the saxophone was not specifically insured and that they did not
have the funds readily available to replace it if it were stolen or damaged. As
Tony viewed their swimming pool full of neighborhood children, he realized
that they needed higher liability limits than theit current homeowners policy
provided.
Aftet physically inspecting theit home and property, Maria called their
insurance agent and obtained a household inventory form that they used to
inventoty theit household contents and other possessions to determine their
property loss exposures. The agent also sent them a survey to complete, which
they used to list potential liability exposures for the family.
Mafia and Tony then analyzed all the loss exposutes they had identified and
attempted to determine which ones could cause the most frequent or most
severe losses.
Because Tony and Maria do not have much disposable income after they pay
their mortgage, car payments, and other household bills each month, they
know that they must rely heavily on insurance to cover theit loss exposures.
A l t h o u g h they cannot afford to retain a large amount of their loss exposure,
they did raise the deductibles on both theit homeownets and personal auto
policies from $250 to $500, thereby reducing their premiums.
replace the saxophone from their personal funds, make their daughter earn
money to replace it, or choose not to buy a new one.
A n ideal time fot Tony and Matia to do another physical inspection and
inventoty would be at the renewal of theit homeownets policy or if either
Tony or Maria changes jobs, receives a large bonus, receives a salary increase,
or purchases any type of high-value property.
•
Evaluate each of these risk management techniques, and explain how each
technique could apply to Tony and Maria's potential flood loss exposure:
• Avoidance
• Loss prevention or loss reduction
• Insurance
• Retention
Insurance—Tony and Maria could buy federal flood insurance and accept the
possibility that their property may flood, knowing that the insurance would
pay most of their loss.
Retention—Choosing to retain the entire flood risk would be a poor risk man-
agement decision, as Tony and Maria could lose the entite value of their home
and personal property. However, Tony and Maria could buy flood insurance
subject to a larger deductible (compared w i t h their deductible for other perils)
to enable them to save money o n the cost of insurance. To improve their risk
management program, Tony and Maria could create a special savings account
and have money deducted from their paychecks until they have sufficient sav-
ings to fund the uninsured portion of theit flood loss exposure.
SUMMARY
Risk management can differ markedly for individuals, small organizations,
and large organizations. A t whatever level it is practiced, risk management
is aimed at dealing economically w i t h tisk, whether through an individual's
informal efforts or through an organizations^ formalized risk management pro-
gram. Traditionally, risk management has been concerned almost exclusively
w i t h pure risk. A new approach, called enterprise-wide risk management, is
concerned w i t h all risks, pure and speculative, that an organization faces.
The risk management process can be used to help organizations and families
deal w i t h loss exposures efficiently and effectively. Physical inspections, loss
exposure surveys, and loss history analyses can be used to identify loss expo-
sutes, the first step in the risk management process. To analyze loss exposures,
the second step in the process, an organization or a family must determine the
7.28 Property and Liability Insurance Principles
probable frequency and severity of the losses and the effect on the activities,
objectives, and finances of the organization or household.
The thitd step in the tisk management process is examining the feasibility of
tisk management techniques. These techniques ate categorized as risk con-
trol and tisk financing. Risk control includes avoidance, loss prevention, loss
teduction, separation, and duplication. Risk financing includes retention and
transfer (both insutance and noninsurance).
The fourth step in the risk management process is to select the most appropri-
ate risk management technique(s) based on financial criteria and guidelines.
The fifth step is implementation of the selected techniques and includes the
decisions to be made and by whom, communication of the information, and
cost allocation of the program. The final step involves monitoring the tesults
and revising the program as needed by testatting the entite process.
ASSIGNMENT NOTES
1. CF Jordan LP, "Integrating Technology to Improve and Measure Risk
Management Initiatives and Track Leading Indicators to Prevent Incidents,
Improve Quality and Overall Employee H e a l t h , " I R M I . c o m , 2007, www.irmi.
com/conferences/crc/awards/handouts/gebha2007winnersubmission.pdf (accessed
May 16, 2011).
2. International Risk Management Institute, Inc., " T h e Zachty Construction
Corporation Risk Management Team Receives Award for Innovative
Consttuction Project Planning Process," I R M I . c o m , Novembet 9, 2005, www.
itmi.com/about/pressteleases/2005/1109a.aspx (accessed May 16, 2011).
3. Qualcomm, "Zachry Construction Wrenches Crane from the Grasp of Thieves,"
Qualcomm Solutions, Decembet 2004, www.qualcomm.com/common/
documents/case_studies/QUALCOMM-Zachry-Testimonial.pdf (accessed May
16, 2011).