During the risk assessment of a proposed insured, an underwriting department identifies two distinct factors: a progressive medical condition (Type 2 diabetes) that causes mortality risk to increase as the insured ages, and active participation in a hazardous avocation (cave diving) where the mortality risk remains constant regardless of age. According to actuarial principles, which of the following describes how the insurer will most likely classify and rate this application?
- Classify the applicant as a substandard risk, applying a tabular rating to address the medical condition and a flat extra premium for the hazardous avocation.Cevap
- BClassify the applicant as a substandard risk, applying a flat extra premium to address the medical condition and a tabular rating for the hazardous avocation.
- CIssue the policy with a standard risk classification, but apply a unified tabular rating surcharge to simultaneously cover the combined risk of both factors.
- DDecline the application entirely, because combining a progressive physical hazard with a dangerous avocation transforms the exposure into an uninsurable speculative risk.
Cevap
The insurer will classify the applicant as a substandard risk, using a tabular rating to account for the medical condition and a flat extra premium for the avocation.
The applicant represents a substandard risk due to the combination of hazards. Medical conditions that progressively worsen with age are actuarially addressed using a tabular rating, which increases the base premium by a percentage to match the compounding risk. Conversely, hazardous avocations that present a constant, non-aging danger are addressed using a flat extra premium (a set dollar amount added per thousand dollars of coverage). Insurers combine these methods to precisely match the premium to the specific types of risk presented by the applicant.
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Substandard Risk Rating Methodologies