Which term describes a program where the insured pays a deductible and the insurer covers the remainder for smaller losses?

Prepare for the Certified Authority of Workers Compensation Exam. Utilize flashcards and multiple choice, with detailed hints and explanations. Ace your CAWC Exam!

Multiple Choice

Which term describes a program where the insured pays a deductible and the insurer covers the remainder for smaller losses?

Explanation:
In this arrangement, the insured takes on part of the loss by paying a deductible, while the insurer covers the remaining amount for smaller losses. This is known as a small deductible program. It blends cost control with protection: the insured pays less in premium than a fully insured (guaranteed-cost) plan but still has coverage for losses above the deductible threshold. This differs from a guaranteed-cost plan, where the premium is fixed and there’s typically no deductible sharing. It also isn’t a retrospective rating plan, which adjusts the premium after the policy year based on actual losses, nor is it the assigned risk/residual market, which is a market mechanism for placing high-risk insureds.

In this arrangement, the insured takes on part of the loss by paying a deductible, while the insurer covers the remaining amount for smaller losses. This is known as a small deductible program. It blends cost control with protection: the insured pays less in premium than a fully insured (guaranteed-cost) plan but still has coverage for losses above the deductible threshold.

This differs from a guaranteed-cost plan, where the premium is fixed and there’s typically no deductible sharing. It also isn’t a retrospective rating plan, which adjusts the premium after the policy year based on actual losses, nor is it the assigned risk/residual market, which is a market mechanism for placing high-risk insureds.

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