Grupowa umowa ubezpieczenia na życie a ocena ryzyka ubezpieczeniowego – problemy praktyczne
Group life insurance contract vs. insurance risk assessment – practical problems

Summary/Abstract: Insurance risk assessment is an extremely important issue connected with operation of insurance un- dertakings. Practical doubts arise as to the risk assessment used when group life insurance contracts are concluded, in particular in the context of liability exclusions used by insurance undertakings. The manner in which the risk is assessed is decided by the insurer. Due to the specific nature of the group insurance contract, risk assessment conducted by the insurer needs to cover a given group as a whole, and the risk is not assessed individually. Risk assessment is conducted on the basis of certain as- sumptions when a group of people which is to join the insurance (insured persons) is still unknown. It is not affected by information provided to the insurer by those who join the insurance (e.g. related to their health). If such assumptions had not been made, the insurer would not be able to calculate the premium amount. The liability exclusions included in the general terms and conditions of insurance reflect the risk assessment carried out by the insurer. Furthermore, liability exclusions aim at protect- ing interests of the insurer (liability limitations) and those who join the insurance (e.g. limited extent to which the premium amount can be increased).

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