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In which market are Certificates of Insurance issued to insured individuals?

A. Group
B. Industrial
C. Individual
D. Franchise

User Lmars
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1 Answer

4 votes

Final answer:

Certificates of Insurance are issued in the individual market, providing proof of an active insurance policy and detailing the coverage. Actuarially fair premiums should reflect personal risk, but if an insurer charges a uniform premium to a diverse group without considering individual risk factors like family cancer histories, it may incur financial losses due to mispriced risk.

Step-by-step explanation:

Certificates of Insurance are typically issued in the individual market to insured individuals. This documentation is proof that an insurance policy is in effect and outlines the coverage terms and limits. These certificates serve as verification of insurance for various situations like personal auto, homeowner's, or health insurance.

When pertaining to life insurance and the concept of actuarially fair premiums, a policy sold individually would have a premium based on personal risk factors, such as family cancer histories. If such information is unavailable and the insurer charges an actuarially fair premium to the entire group, they could face financial loss, as the premium might not accurately reflect the higher risk associated with those with a family history of cancer.

This is because an actuarially fair premium is one that is theoretically set so that the present value of the expected future claims equals the present value of the premiums. If an insurer cannot distinguish between different risk levels within a group, the premium will not represent the true risk and could either be too high for those at lower risk or too low for those at higher risk, potentially resulting in a loss for the insurance company.