Introduction to risk management and insurance

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1. Verfasser: Dorfman, Mark S. (VerfasserIn)
Format: Buch
Sprache:English
Veröffentlicht: Upper Saddle River, NJ Prentice Hall 2002
Ausgabe:7. ed.
Schriftenreihe:Prentice Hall finance series
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Datensatz im Suchindex

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adam_text Brief Contents Preface xvii Chapter 1 Fundamentals and Terminology 1 Chapter 2 Defining the Insurable Event 18 Chapter 3 Risk Management 43 Chapter 4 Financial Services Companies 66 Chapter 5 Insurance Occupation 86 Chapter 6 The Insurance Market: The Economic Problem 115 Chapter 7 Insurance Regulations 133 Chapter 8 Insurance Contracts 157 Chapter 9 Basic Property and Liability Insurance Contracts 179 Chapter 10 Homeowners Insurance 195 Chapter 11 The Personal Auto Policy 222 Chapter 12 Professional Financial Planning 239 Chapter 13 Life Insurance Policies 259 Chapter 14 Annuities 282 Chapter 15 Medical Expense and Disability Insurance 294 Chapter 16 Standard Life Insurance Contract Provisions and Options 314 Chapter 17 Advanced Topics in Risk Management 329 Chapter 18 Commercial Property Insurance 355 Chapter 19 General Liability Insurance 375 Chapter 20 Special Liability Insurance 387 Chapter 21 Bonding, Crime Insurance, and Reinsurance 408 Chapter 22 Employee Benefits 422 Chapter 23 Social Security 447 Chapter 24 Unemployment and Workers Compensation Insurance 464 Glossary 479 Appendix A: Homeowner s Insurance Policy 495 Appendix B: Personal Auto Policy 539 Appendix C: Sample Whole Life Insurance Policy and Application 553 Appendix D: Answers to Objective Questions 569 Index 577 Contents Preface Chapteri FUNDAMENTALS AND TERMINOLOGY 1 Chapter Objectives 1 Introduction 2 Insurance Defined 2 • Financial Definition 2 • Legal Definition 4 • Loss, Chance of Loss, Peril, Hazard, and Proximate Cause 4 • Loss 4 • Chance of Loss 5 • Peril And Hazard 5 • Proximate Cause 6 • Risk 6 • Risk Management 8 • The Mathematical Basis for Insurance 8 • A Mathematical Example of an Insurance System s Operations 9 • Building Blocks of an Insurance Premium 10 • Four Basic Components 10 • Cash Flow Underwriting 10 • Costs 12 • Benefits 12 • Arson: Who Really Pays for Insured Losses 13 • Summary 15 • Review Terms 15 • Review 16 • Objective Questions 16 • Discussion Questions 16 • Research Assignment 17 ChaPter2 DEFINING THE INSURABLE EVENT 18 Chapter Objectives 18 Introduction 18 Ideally Insurable Loss Exposures 2 • A Large Group of Similar Units Exposed to the Same Peril(s) 20 • Losses Must Be Accidental and Beyond the Insureds Control 20 • Losses Must Be Definite, Measurable, and of Sufficient Severity to Cause Economic Hardship 21 • The Impact of Recent Catastrophic Losses 23 • When Only the People Most Exposed to a Particular Loss Want Coverage, This Loss is Not an Insurable Event 25 • Gambling Losses are Not Insurable Events 27 • Some Speculative Risks Might Be Insurable Events 27 • Risk Classification and Insurable Events 28 • Subsidization 28 • Adverse Selection 29 • Principles of Risk Classification 30 • Branches of Insurance 31 • Liability Insurance 33 • Legal Background 34 • Negligence 34 • Negligence Lawsuits 35 • Establishing Negligence and Damages 35 • Defenses in a Negligence Suit 37 • The Relationship Between Negligence and Legal Liability Insurance 38 • Questions of Fact 38 • Legal Judgments 39 • Ethics, Liability Insurance, and the Insurable Event 39 • Summary 40 • Review Terms 41 • Review 41 • Objective Questions 42 • Discussion Questions 42 • Research Assignment 42 Chapter 3 RISK MANAGEMENT 43 Chapter Objectives 43 Introduction 43 The Risk Management Function 44 • Risk Management Staff 44 • RIMS 44 • Statement of Objectives and Principles 45 • The Risk Management Process 46 • Step One: Identification and Measurement of Exposures 46 • Direct Property Losses 47 • Loss of Income 49 • Liability Losses 49 • Loss of Key Personnel 50 • Estimation of Maximum Loss 51 • Emergency Planning—Disaster Recovery 51 • Step Two: Loss Control and Risk Financing 52 • Loss Control 52 • Risk Financing 54 • Step Three: Regular Review of the Risk Management Program 59 • Summary 60 • Case Studies 63 • Texas Bank Tornado 63 • Risk Management at a Television Station 64 • Appendix: Personal Risk Management 64 Chapter4 FINANCIAL SERVICES COMPANIES 66 Chapter Objectives 66 Introduction 66 Two Different Types of Insurance Companies 68 • Stock Insurance Companies 68 • Mutual Insurance Companies 68 • Demutualization 70 • Lloyd s of London 71 • Lloyd s of London is an Insurance Market 72 • Other Legal Forms of Insurance Companies 72 • Fraternal Insurers 73 • Savings Bank Life Insurance 73 • Blue Cross and Blue Shield 73 • Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs) 74 • Industrial Organization 76 • Insurance Industry 77 • Summary 78 • Review Terms 79 • Review 79 • Objective Questions 79 • Discussion Questions 80 • Research Assignment 80 • Appendix: Insurance and Private Enterprise: The Potential for Eastern Europe 80 Chapter5 INSURANCE OCCUPATIONS 86 Chapter Objectives 86 Introduction 86 Insurance Marketing and Distribution 88 • Insurance Agents and Brokers 89 • Agency Law 89 • Insurance Broker 91 • Licensing Requirements 92 • Property and Liability Insurance Agents and Brokers 92 • Life Insurance Agents and Brokers 93 • An Insurance Agent s Duties 95 • Loss Adjuster 96 • Employees, Independent Adjustment Bureaus, and Public Adjusters 97 • Adjusters are Agents 98 • Underwriter 99 • Adverse Selection 100 • Property Insurance Underwriting 101 • Life Insurance Underwriting 101 • Underwriting and Privacy 102 • Actuary 103 • Attorney 103 • Finance 104 • Other Occupations 104 • Summary 105 • Review Terms 105 • Review 106 • Objective Questions 106 • Discussion Questions 106 • Research Assignments 107 • Appendix: Legal Issues Involving Insurance Agents and Brokers 107 • Appendix: The Ethical Choice 108 • Suggestions For Further Study 114 Chapter6 THE INSURANCE MARKET: THE ECONOMIC PROBLEM 115 Chapter Objectives 115 Introduction 115 Economic Theory 116 • Supply and Demand 116 • Historical Problems 118 • The Insurance Consumer 120 • The Consumer s Choice: Company, Agent or Broker, Policy, Amount, and Price 121 • Consumer Protection: The Role of the Courts , the Law, and the Insurance Commissioner 126 • The Courts 126 • The Law 127 • The Insurance Commissioner 127 • Summary 128 • Review Terms 128 • Review 128 • Objective Questions 129 • Discussion Questions 129 • Research Assignment 129 • Appendix: Further Consideration of Supply and Demand 130 Chapter7 INSURANCE REGULATION 133 Chapter Objectives 133 Introduction 133 Insurance Regulation 134 The Reasons For Insurance Regulations 134 • Solvency 135 • Unequal Knowledge and Bargaining Power 135 • Prices 136 • Promotion of Social Skills 137 • The History of Insurance Regulation 137 • Armstrong and Merritt Investigations 138 • South Eastern Underwriters Association (SEUA) 138 • The McCarran Ferguson Act 138 * Gramm Leach Bliley Act of 1999 (GLB) 139 • State or Federal Regulation? 141 • State Insurance Regulation 141 • The National Association of Insurance Commissioners (NAIC) 142 • Repeal of the McCarran Ferguson Act: Both Sides of the Argument 142 • Regulated Activities 144 • Legal Reserves and Surplus 144 • Regular Audits and Solvency Testing 147 • Guaranty Funds 149 • Rate Regulations 150 • Investment Activities 150 • Policy Form Approval and Expense Limitations 151 • Qualifications or Licenses for Companies, Agents, Brokers, Loss Adjusters, and Company Officers 151 • Consumer Complaints 153 • Taxation 153 • Summary 153 • Review Terms 154 • Review 154 • Objective Questions 155 • Discussion Questions 155 • Research Assignment 155 • Appendix: The McCarran Ferguson Act (P.L. 15) Chapter 12 PROFESSIONAL FINANCIAL PLANNING 239 Chapter Objectives 239 Introduction 239 The Professional Financial Planning Process 240 • The Early Adult Years 241 • The Needs Based Purchase of Life Insurance 242 • Life Insurance Planning: A Case Study 243 • Insurance for Wives, Children, and College Students 244 • The Middle Years 247 • The Later Years 248 • Wills 248 • Federal Estate Tax 249 • Liquidating Retirement Savings 251 • Business Uses of Life Insurance 251 • Funding Business Continuation Agreements with Life Insurance 252 • The Taxation of Life Insurance 253 • Death Proceeds 253 • Living Benefits: Dividends, Savings, and Accelerated Death Benefits 254 • Summary 255 • Review Terms 255 • Review 255 • Objective Questions 256 • Discussion Questions 256 • Research Assignment 257 Chapter 13 LIFE INSURANCE POLICIES 259 Chapter Objectives 259 Introduction 259 Three Ways Life Insurance is Distributed 260 • Group Life Insurance 260 • Industrial Life Insurance 261* Individual Life Insurance 262 • Term Insurance 263 • Types of Term Life Insurance 263 • Uses of Term Life Insurance 265 • Whole Life Insurance 266 • Cash Values 267 • Types of Whole Life Policies 268 • The Uses of Whole Life Insurance 269 • Reasons for Saving with Life Insurance 269 • A Whole Life Ledger Sheet 270 • Buy Term and Invest the Difference 271 • Universal Life Insurance 272 • Universal Life Insurance Policies 273 • Universal Life Insurance Death Benefits 273 • Uses of Universal Life Insurance 273 • Ledger Sheet for Universal Life Insurance 275 • Variable Life Insurance, Variable Universal Life Insurance 276 • Summary 277 • Review Terms 278 • Review 278 • Objective Questions 279 • Discussion Questions 279 • Research Assignment 280 • Appendix: Endowment Life Insurance 280 Chapter 14 ANNUITIES 282 Chapter Objectives 282 Introduction 282 Classification of Annuities 283 • Beginning of Benefits 284 • Promises Purchased 286 • Number of Annuitants 288 • Determination of Annuity Benefits 288 • Types of Benefits 289 • Taxation of Annuities 290 • Withdrawal Before Liquidation 290 • Withdrawals in Liquidation 290 • Summary 291 • Review Terms 291 • Review 291 • Objective Questions 292 • Discussion Questions 292 • Research Assignment 293 Chapter 15 MEDICAL EXPENSE AND DISABILITY INSURANCE 294 Chapter Objectives 294 Introduction 294 Background Information 295 • Increasing Health Care Costs 296 • Medical Inflation 296 • Cost Containment 298 • Common Contract Provisions 299 • Entire Contract 299 • Grace Period 299 • Reinstatement 299 • Incontestable Clause 299 • Claims 300 • Physical Exam and Autopsy 300 • Legal Action 300 • Change of Beneficiary 300 • Optional Contract Provisions 300 • Definitions and Exclusions 301 • Five Kinds of Health Insurance Coverage 302 • Basic Medical Expense Insurance 302 • Major Medical Insurance 303 • Disability Income Insurance 304 • Medicare Supplement Insurance 305 • Long Term Care Insurance 306 • Demographics 306 • The Financial Problem 307 • Long Term Care Policy Development 307 • The Continuing Debate 308 • Health Insurance Providers 309 • Patients Bill of Rights 310 • Summary 311 • Review Terms 311 • Review 311 • Objective Questions 312 • Discussion Questions 312 • Research Assignment 313 Chapter 16 STANDARD LIFE INSURANCE CONTRACT PROVISIONS AND OPTIONS 314 Chapter Objectives 314 Introduction 314 Insured, Owner, and Beneficiary 315 • Beneficiary Designation 315 • General Life Insurance Policy Provisions 316 • Grace Period 316 • The Reinstatement Provision 317 • The Incontestable Clause 317 • The Entire Contract Provision 318 • The Misstatement of Age Provision 318 • Annual Apportionment of Divisible Surplus 318 * The Suicide Clause and Other Restrictive Clauses 320 • Four Options Providing the Insured with Choices 321 • Dividend Options 321 • Nonforfeiture Options 321 * Policyholder Loans 322 • Settlement Options 323 • Available Riders and Options 324 • The Guaranteed Insurability Option 325 • The Waiver of Premium Option 325 • The Double Indemnity Option 325 • Summary 326 • Review Terms 327 • Review 327 • Objective Questions 328 • Discussion Questions 328 • Research Assignment 328 Chapter 17 ADVANCED TOPICS IN RISK MANAGEMENT 329 Chapter Objectives 329 Introduction 329 Financial Risk Management 329 • The Vocabulary of Financial Risk Management 330 • Two Examples of Financial Risk Management 331 • Convergence 331 • Financial Intermediation 332 • Catastrophe Risk Transfer 333 • Risk Management Information Systems (RMISs) 335 • Loss Data 335 • Other Information 336 • Deductibles and Policy Limits 337 • Financial and Other Considerations 338 • British Petroleum: A Case Study 340 • International Risk Management 341 • Identification and Measurement of Exposures 342 • Development and Implementation of Plans 343 • Regular Review and Evaluation 343 • Foreign Insurance 344 • Europe 344 • Japan 347 • Summary 348 • Review Terms 348 • Review 349 • Objective Questions 349 • Discussion Questions 350 • Research Assignment 350 • Case Study: Blue Star Airlines 351 Chapter 18 COMMERCIAL PROPERTY INSURANCE 355 Chapter Objectives 355 Introduction 355 Commercial Insurance 356 • Commercial and Personal Property Insurance 356 • Property and Marine (Transportation) Insurance 356 • Commercial Package Policy 356 • The Insurance Services Office (ISO) 357 • Building and Personal Property Form 357 • Property Covered 358 • Property Excluded from Coverage 358 • Perils Covered 358 • Fire Insurance History 359 • Definition of Fire 360 • Reporting Forms 361 • Business Income Coverage 361 • Additional Forms 362 • Property Insurance Rating 362 • Transportation Insurance 364 • Ocean Marine Insurance 364 • Inland Marine Insurance 366 • Aviation Insurance 369 • Automobile Property Insurance 370 • Business Automobile Insurance 371 • Summary 372 • Review Terms 373 • Review 373 • Objective Questions 374 • Discussion Questions 374 • Research Assignment 374 Chapter 19 GENERAL LIABILITY INSURANCE 375 Chapter Objectives 375 Introduction 375 Social Host Liquor Liability Insurance 375 • Social Host Liquor Liability: An Example 375 • The Facts 376 • Categories of Liability Insurance 376 • Business General Liability Insurance 376 • Commercial General Liability Insurance Form 378 • Business Liability Umbrella Policies 379 • Automobile Liability Insurance 380 • Summary 384 • Review Terms 384 • Review 384 • Objective Questions 385 • Discussion Questions 385 • Case Study 385 • Research Assignment 386 Chapters INSURANCE CONTRACTS 157 Chapter Objectives 157 Introduction 157 Contract Terminology 158 • Binder 159 • Conditional Receipt 159 • Elements of a Valid Contract 160 • Consideration 160 • Capacity 160 • Legal Purpose 161 • Distinguishing Characteristics of Insurance Contracts 161 • Principle of Indemnity 161 • Actual Cash Value 164 • Subrogation 164 • Contract of Adhesion 166 • The Personal Feature 169 • Utmost Good Faith ( Latin: Uberrimae Fidei) 170 • The Entire Contract and Incontestability Clauses 172 • The Aleatory Feature 173 • Discharge of Insurance Contracts 173 • Summary 174 • Review Terms 174 • Review 175 • Objective Questions 175 • Research Assignment 176 • Appendix: Cases for Discussion 176 Chapter9 BASIC PROPERTY AND LIABILITY INSURANCE CONTRACTS 179 Chapter Objectives 179 Introduction 179 Standard Policies 181 • Basic Parts of an Insurance Policy 181 • Insuring Agreement 182 • Deductibles 183 • Definitions 183 • Exclusions 184 • Endorsements 185 • Conditions 186 • Fraud 186 • Suspension of Coverage 187 • Cancellation 187 • Other Insurance 188 • Duties After a Loss 188 • Appraisal 190 • Salvage 191 • Claims Payment 191 • Conclusion 191 • Summary 192 • Review Terms 192 • Review 192 • Objective Questions 193 • Case Study 193 • Research Assignment 194 Chapterio HOMEOWNERS INSURANCE 195 Chapter Objectives 195 Introduction 195 A General Description of the HO Insurance Policies 196 • Policy Layout 197 • Definitions 200 • Section 1—Property Coverages 200 • Section 1—Perils Insured Against in the Broad Form, HO 2 204 • Specified Perils 205 • HO 2 Section 1—Exclusions 207 • Section 1—Conditions 208 • Loss Settlement 209 • Replacement Cost and Coinsurance 209 • Reasons for the Coinsurance Requirement 211 • Mortgage Clause 212 • Section 2—Liability Coverages 213 • Section 2— Exclusions 214 • Claims Not Covered Arising from Bodily Injury or Property Damage 215 • Sections 1 and 2—Conditions 217 • Endorsements 217 • Reduction of Insurance Resulting from Previous Losses 217 • Summary 218 • Review Terms 219 • Review 219 • Objective Questions 220 • Research Assignment 221 • Appendix: Buying Homeowners Insurance 221 Chapter 11 THE PERSONAL AUTO POLICY 222 Chapter Objectives 222 Introduction 222 The Tort Liability System and Automobile Insurance: A Review Case 223 • The Personal Auto Policy Layout 224 • Definitions 214 • Part A—Liability 226 • Limit of Liability 226 • Insureds 227 • Exclusions 228 • Part B—Medical Payments 229 • Part C—Uninsured Motorist Coverage 230 • Purpose 230 • Coverage Under the PAP 230 • Contact or No Contact Rules 231 • The State s Response to Uninsured Motorists 232 • Uninsured Motorists 232 • Part D—Damage to Your Auto 232 • Loss Settlement 233 • Part E—Duties After an Accident or Loss 234 • Part F—General Provisions 235 • Summary 236 • Review Terms 237 • Review 235 • Objective Questions 238 • Research Assignment 238 Chapter20 SPECIAL LIABILITY INSURANCE 387 Chapter Objectives 387 Introduction 387 Claims Made and Occurrence Policies 388 • Claims Made Policies 388 • Occurrence Based Policies 389 • Environmental Impairment Liability 389 • Insurance History 390 • Risk Management Strategy 392 • Insurance Principles and EIL Coverage 392 • Products Liability Insurance 393 • Risk Management Strategy 394 • The Controversy 394 • Professional Liability Insurance 395 • What Is a Professional? 395 • Coverage Clause 396 • Claims Settlement 396 • Types of Professional Liability Coverage 396 • Employment Practices Liability 398 • Americans With Disabilities Act (ADA) 399 • Nuclear Liability Insurance 400 • Summary 402 • Review Terms 403 • Review 403 • Objective Questions 404 • Discussion Questions 404 • Research Assignment 405 • Case Studies 405 ChaPter2i BONDING, CRIME INSURANCE, AND REINSURANCE 408 Chapter Objectives 408 Introduction 408 Surety Bonding 409 • Introductory Terminology 409 • The Reasons for Surety Bonding 410 • The Difference Between Suretyship and Insurance 410 • Underwriting Bonds 411 • Types of Bonds 411 • Crime Insurance 412 • Reinsurance 413 • Introductory Terminology 413 • Reinsurance Arrangements 414 • Reinsurance Coverage 415 • Reasons For Reinsurance 417 • Reinsurance and Risk Management 418 • Providers of Reinsurance 418 • Concluding Comments 418 • Summary 419 • Review Terms 419 • Review 419 • Objective Questions 420 • Discussion Questions 420 • Research Assignment 421 Chapter22 EMPLOYEE BENEFITS 422 Chapter Objectives 422 Introduction 422 The Goals of the Government, Employer, and Employee 424 • The Government 424 • The Employer 425 • The Employee 425 • Insured Employee Benefits 426 • Qualification Rules 426 • General Features 427 • Group Life Insurance 428 • Group Disability Income Insurance 429 • Long Term Disability 430 • Group Health Insurance 430 • Health Insurance Contracts 430 • General Provisions of Group Health Insurance Contracts 433 • Three Federal Regulations 433 • Insured Pension Plans 434 • Introduction 434 • Requirements for Qualified Plans 435 • Federal Regulation of Pension Plans 436 • The Role of Insurance in Pension Plans 437 • Profit Sharing, 401 (k), Keogh, and Cafeteria Plans 438 • 403(b) Plans or Tax Deferred Annuities (TDAs) 439 • Keogh Plans 439 • Cafeteria Plans 439 • Individual Retirement Account (IRA) 439 • Eligibility for Deductible Contributions 440 • Investment Alternatives 441 • Rollovers 441 • Taxation 441 • Roth IRA 441 • Summary 442 • Review Terms 443 • Review 443 • Objective Questions 444 • Discussion Questions 444 • Research Assignment 445 • Appendix: Tax Deferral 445 • The Advantages of Tax Deferral 445 Chapter 23 SOCIAL SECURITY 447 Chapter Objectives 447 Introduction 447 Social Insurance Background 448 • The History and Philosophy of the American Social Security System 449 • Social Security is not a Public Assistance Program 450 • Social Security and Private Insurance are Different 450 • Social Security is an Insurance System 451 • The Operation of the Social Security Program 451 • The Program is Compulsory for Almost Every Worker 451 • A Tax on Wages is the Main Source of Funds 452 • Benefits are Not Fully Funded 452 • Insured Status and Eligibility for Benefits 453 • Quarters of Coverage 453 • Calculation of Benefits 453 • Categories of Benefits 454 • Retirement Benefits 454 • Survivor Benefits 455 • Disability Benefits 456 • Medicare (Health Insurance for the Aged and Disabled) 457 • Some Current Issues Facing the Social Security System 459 • Will Social Security Be There for Young and Middle Aged Americans? 459 • The Social Security Surplus and the Federal Deficit 461 * Other Criticism 461 • Summary 461 • Review Terms 462 • Review 462 • Objective Questions 463 • Discussion Questions 463 • Research Assignment 463 Chapter24 UNEMPLOYMENT AND WORKERS COMPENSATION INSURANCE 464 Chapter Objectives 464 Introduction 464 Unemployment Insurance 465 • Some Background Information 465 • Operations of the Unemployment Insurance Program 467 • Is Unemployment Insurance Really Insurance? 467 • General Provisions of State Programs 468 • Summary—Unemployment Insurance 469 • Workers Compensation 469 • The Problem 470 • The Solution 470 • The Purposes of Workers Compensation Laws 472 • Operations of Workers Compensation Systems 473 • Current Concerns about Workers Compensation 474 * Summary—Workers Compensation 475 • Review Terms 476 • Review 477 • Objective Questions 477 • Discussion Questions 478 • Research Assignment 478 Glossary 479 Appendix A: Homeowner s Insurance Policy 495 Appendix B: Personal Auto Policy 539 Appendix C: Sample Whole Life Insurance Policy and Application 553 Appendix D: Answers to Objective Questions 569 Index 571
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Introduction to risk management and insurance
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title Introduction to risk management and insurance
title_auth Introduction to risk management and insurance
title_exact_search Introduction to risk management and insurance
title_full Introduction to risk management and insurance Mark S. Dorfman
title_fullStr Introduction to risk management and insurance Mark S. Dorfman
title_full_unstemmed Introduction to risk management and insurance Mark S. Dorfman
title_short Introduction to risk management and insurance
title_sort introduction to risk management and insurance
topic Risikomanagement swd
Versicherung swd
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Risk (Insurance)
Risk management
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Risk (Insurance)
Risk management
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