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 (CAWC) Exam with multiple choice questions and in-depth content. Each question comes with detailed explanations and helpful hints to ensure you are ready for your certification.

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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