Risk and Insurance - Why Insurers Avoid Certain Risks

The idea that insurance companies are 'afraid' of risksuspect that there is some degree of speculation or
is a half-truth. The reality is that insurers avoidillegal wagering.
substandard risks or those that aren't considered5) Lower premiums
insurable. Indeed, there are at least two sides toFor insurance to be affordable, the risks must be
every story. An insurance company exists to providekept at a satisfactory standard. Some risks are just
a service (risk coverage) but remain profitable. It is atoo high for an insurer to accept- even at adjusted
business - not a charity. However, an insurer doesn'tpremiums. If a terminally ill patient seeks $100,000.00
deny accepting risks or have deductibles andin life insurance, imagine what his premium may have
exclusions on a whim. There are several plausibleto be for the insurer to not guarantee an
insurance-specific and business reasons for insurers tounderwriting loss! Aversion from undue risk by
avoid certain risks.insurance companies helps to maintain lower premium
1) Underwriting losseslevels.
Insurance companies would experience significantly6) Profitability
higher underwriting losses if they were not averseOne should not fool oneself. Insurance companies are
from uninsurable risks or high risks. An underwritingin the business to make a profit. Before you view
loss occurs when an insurer pays out more moneythis as confirmation that insurance is a rip-off,
than received on a particular policy. So if you paidconsider that most businesses exist to make a profit.
$4,000.00 for medical coverage and you get a claimHowever, insurance does this by being prudent while
paid for $30,000.00, your policy would be consideredproviding a necessary service for society. Being too
an underwriting loss. The aversion from high risk is toliberal with risks will affect an insurer's profit margins
reduce the likelihood of losses, since these affect thesignificantly.
stability of the company.7) Duty to policy holders as a 'going concern'
2) Anti-selectionDepositors could make a 'run' on financial institutions
The tendency for those with greater risks to seekwith swift, unexpected withdrawals that could leave
insurance coverage as opposed to those facing lessan institution illiquid or insolvent. Too many
risk is broadly referred to as anti-selection. Insurersunderwriting losses can lead to the winding up of an
have to be on the alert for those who may haveinsurer. An insurance company is a long-term business.
ulterior motives that are often undisclosed. Thus, theRisk selection is the key to sustaining this type of
application process is even more rigorous when higherbusiness. Poor risk selection would lead to the winding
coverage levels are involved. Also, anti-selection isup of an insurance company. At that juncture, policy
also a reason for insurance companies employingholders would lose their money or the coverage that
concepts like deductibles, insurance excess andthey paid for.
exclusions to manage the risk.8) Adherence to sound insurance principles and
3) Moral hazardpolicies
Moral hazard refers to the danger of dishonesty withThe apparent risk-averse nature of insurance
an insurance transaction. Insurance companies maycompanies is not ad hoc. Insurers don't randomly
seem unwilling to accept certain risks if it is felt thatreject business. They have policies in place that are
there is some dishonesty or non-disclosure involved.based on the characteristics of insurable risks and risk
It may seem as if the insurance contract states thatassessment methods.
the insurance company does not cover more than itInsurers must discriminate in order for the company
actually covers. However, this is merely to reduceto survive. It is easy to suggest that insurers are
the moral hazard it faces through non-disclosure or'afraid' of risk, but they are there to undertake
misrepresentation.insurable risks. Naturally, insurers have an issue with
4) Preventing speculationsubstandard or risks or those that are too high for a
One insurance principle is that no one must gain frompremium to be affordable or practical. Insurance
insurance. Even with life insurance, there is supposedcompanies are in the business of risk, but they must
to be some degree of parity between the sumbe prudent and selective. It is this discretion (and the
assured and the economic value of the insured.lethargy of the claims process of some insurers) that
Insurance is an instrument of compensation.can unfairly create the notion that insurers are risk
Therefore, insurers may be apt to deny a risk if theyaverse.