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Sistema Universitario Ana G. Méndez School for Professional Studies
Florida Campuses Universidad del Este, Universidad Metropolitana, Un iversidad del Turabo
FINA 670-FINA 720
RISK AND INSURANCE RIESGO Y SEGUROS
© Sistema Universitario Ana G. Méndez, 2007 Derechos Reservados.
© Ana G. Méndez University System, 2007. All rights reserved
FINA 670-FINA 720 RISK AND INSURANCE 2
Prep. 06-10-08 J. Ángel Banchs, MBA
TABLA DE CONTENIDO/TABLE OF CONTENTS
Página/Page
Prontuario ........................................ .................................................................... 3
Study Guide ....................................... .................................................................. 9
Workshop One ...................................... ............................................................ 14
Taller Dos ........................................ .................................................................. 22
Workshop Three .................................... ............................................................ 29
Taller Cuatro ..................................... ................................................................. 34
Workshop Five/Taller Cinco ........................ ..................................................... 38
Anejo A/Appendix A ................................ ......................................................... 41
Anejo B/Appendix B ................................ ......................................................... 42
Anejo C/Appendix C ................................ ......................................................... 43
Anejo D/Appendix D ................................ ......................................................... 44
Anejo E/Appendix E ................................ .......................................................... 45
Anejo F/Appendix F ................................ .......................................................... 46
Anejo G/Appendix G ................................ ......................................................... 47
Anejo H/Appendix H ................................ ......................................................... 48
Anejo I/Appendix I ................................ ............................................................. 49
Anejo J/Appendix J ................................ ........................................................... 50
FINA 670-FINA 720 RISK AND INSURANCE 3
Prep. 06-10-08 J. Ángel Banchs, MBA
PRONTUARIO
Título del Curso: FINA 670-FINA 720
Codificación: Riesgo y Seguro
Duración: Cinco semanas
Prerrequisito:
Descripción:
Este curso presenta los principios de administración del riesgo desde su nuevo
concepto de administración del riego empresarial (Enterprise risk). El curso
ayudara al estudiante a identificar y analizar todos los tipos de riesgo y a utilizar
los seguros y otras herramientas financieras para la administración de los
mismos. El estudiante podrá apreciar que los riesgos pueden ser administrados
si son identificados antes de que estos causen perdidas y que los seguros son
un elemento muy importante – pero no el único – en este proceso. Antes de
entrar de lleno en los conceptos de seguros, se discutirá las fuentes de perdidas
potenciales para los negocios y las personas en su relación con el proceso
general de administración de riesgos y los diversos instrumentos de
administración de riesgos incluyendo el control de perdidas, retención del riesgo
y la transferencia del riesgo.
Texto
Trieschmann, J. S., Hoyt, R. and Sommer, D. (2004). Risk Management and
Insurance (12th ed.). Mason: Thomson South-Western.
Para accesar los recursos de estudio del texto pued en visitar:
http://websites.swlearning.com
http://trieschmann.swlearning.com
Evaluación: Puntos Peso
Trabajo de investigación (en grupo) 100 puntos 17%
Preguntas antes del taller (Individual) 100 puntos 17%
Asignaciones de problemas y casos (en grupo) 150 puntos 25%
Asistencia y participación en clase 125 puntos 21%
Portafolio 100 puntos 17%
FINA 670-FINA 720 RISK AND INSURANCE 4
Prep. 06-10-08 J. Ángel Banchs, MBA
Presentación oral de artículo o noticia (Individual) 25 puntos 4%
Total 600 puntos 100%
Descripción de la evaluación
Escala:
A: 100-90
B: 80-89
C: 70-79
D: 60-69
F: 59 o menos
Otros: Ninguno
Descripción de las normas del curso
1. Este curso sigue el programa “Discipline-Based Dual Language
Immersion Model ®” del Sistema Universitario Ana G. Méndez, el mismo
esta diseñado para promover el desarrollo de cada estudiante como un
profesional bilingüe. Cada taller será facilitado en inglés y español,
utilizando el modelo 50/50. Esto significa que cada taller deberá ser
conducido enteramente en el lenguaje especificado. Los lenguajes serán
alternados en cada taller para asegurar que el curso se ofrece 50% en
inglés y 50% en español. Para mantener un balance, el módulo debe
especificar que se utilizarán ambos idiomas en el quinto taller, dividiendo
el tiempo y las actividades equitativamente entre ambos idiomas. Si un
estudiante tiene dificultad en hacer una pregunta en el idioma
especificado, bien puede escoger el idioma de preferencia para hacer la
pregunta. Sin embargo, el facilitador deberá contestar la misma en el
idioma designado para ese taller. Esto deberá ser una excepción a las
reglas pues es importante que los estudiantes utilicen el idioma
designado. Esto no aplica a los cursos de lenguaje que deben ser
desarrollados en el idioma propio todo en inglés o todo en español según
aplique.
FINA 670-FINA 720 RISK AND INSURANCE 5
Prep. 06-10-08 J. Ángel Banchs, MBA
2. El curso es conducido en formato acelerado, eso requiere que los
estudiantes se preparen antes de cada taller de acuerdo al módulo. Cada
taller requiere un promedio de diez (10) horas de preparación y en
ocasiones requiere más.
3. La asistencia a todos los talleres es obligatoria. El estudiante que se
ausente al taller deberá presentar una excusa razonable al facilitador. El
facilitador evaluará si la ausencia es justificada y decidirá como el
estudiante repondrá el trabajo perdido, de ser necesario. El facilitador
decidirá uno de los siguientes: permitirle al estudiante reponer el trabajo o
asignarle trabajo adicional en adición al trabajo a ser repuesto.
Toda tarea a ser completada antes del taller deberá ser entregada en la
fecha asignada. El facilitador ajustará la nota de las tareas repuestas.
4. Si un estudiante se ausenta a más de un taller el facilitador tendrá las
siguientes opciones:
a. Si es a dos talleres, el facilitador reducirá una nota por debajo
basado en la nota existente.
b. Si el estudiante se ausenta a tres talleres, el facilitador reducirá la
nota a dos por debajo de la nota existente.
5. La asistencia y participación en clase de actividades y presentaciones
orales es extremadamente importante pues no se pueden reponer. Si el
estudiante provee una excusa válida y verificable, el facilitador
determinará una actividad equivalente a evaluar que sustituya la misma.
Esta actividad deberá incluir el mismo contenido y componentes del
lenguaje como la presentación oral o actividad a ser repuesta.
6. En actividades de grupo el grupo será evaluado por su trabajo final. Sin
embargo, cada miembro de grupo deberá participar y cooperar para lograr
un trabajo de excelencia, pero recibirán una calificación individual.
7. Se espera que todo trabajo escrito sea de la autoría de cada estudiante y
no plagiado. Se debe entender que todo trabajo sometido esta citado
apropiadamente o parafraseado y citado dando atención al autor. Todo
estudiante debe ser el autor de su propio trabajo. Todo trabajo que sea
FINA 670-FINA 720 RISK AND INSURANCE 6
Prep. 06-10-08 J. Ángel Banchs, MBA
plagiado, copiado o presente trazos de otro será calificado con cero (vea
la política de honestidad académica).
8. Si el facilitador hace cambios al módulo o guía de estudio, deberá
discutirlos y entregar copia a los estudiantes por escrito al principio del
primer taller.
9. El facilitador establecerá los medios para contactar a los estudiantes
proveyendo su correo electrónico, teléfonos, y el horario disponibles.
10. EL uso de celulares esta prohibido durante las sesiones de clase; de
haber una necesidad, deberá permanecer en vibración o en silencio.
11. La visita de niños y familiares no registrados en el curso no está permitida
en el salón de clases.
12. Todo estudiante esta sujeto a las políticas y normas de conducta y
comportamiento que rigen al SUAGM y el curso.
Nota: Si por alguna razón no puede acceder las dire cciones electrónicas
ofrecidas en el módulo, no se limite a ellas. Exis ten otros motores de
búsqueda y sitios Web que podrá utilizar para la bú squeda de la
información deseada. Entre ellas están:
• www.google.com
• www.altavista.com
• www.ask.com
• www.excite.com
• www.pregunta.com
• www.findarticles.com
• www.telemundo.yahoo.com
• www.bibliotecavirtualut.suagm.edu
• www.eric.ed.gov/
• www.flelibrary.org/
El/la facilitador(a) puede realizar cambios a las d irecciones electrónicas y/o
añadir algunas de ser necesario.
FINA 670-FINA 720 RISK AND INSURANCE 7
Prep. 06-10-08 J. Ángel Banchs, MBA
Filosofía y Metodología Educativa
Este curso está basado en la teoría educativa del Constructivismo.
Constructivismo es una filosofía de aprendizaje fundamentada en la premisa, de
que, reflexionando a través de nuestras experiencias, podemos construir nuestro
propio conocimiento sobre el mundo en el que vivimos.
Cada uno de nosotros genera nuestras propias “reglas “y “métodos
mentales” que utilizamos para darle sentido a nuestras experiencias. Aprender,
por lo tanto, es simplemente el proceso de ajustar nuestros modelos mentales
para poder acomodar nuevas experiencias. Como facilitadores, nuestro enfoque
es el mantener una conexión entre los hechos y fomentar un nuevo
entendimiento en los estudiantes. También, intentamos adaptar nuestras
estrategias de enseñanza a las respuestas de nuestros estudiantes y motivar a
los mismos a analizar, interpretar y predecir información.
Existen varios principios para el constructivismo, entre los cuales están:
1. El aprendizaje es una búsqueda de significados. Por lo tanto, el aprendizaje
debe comenzar con situaciones en las cuales los estudiantes estén buscando
activamente construir un significado.
2. Significado requiere comprender todas las partes. Y, las partes deben
entenderse en el contexto del todo. Por lo tanto, el proceso de aprendizaje
se enfoca en los conceptos primarios, no en hechos aislados.
3. Para enseñar bien, debemos entender los modelos mentales que los
estudiantes utilizan para percibir el mundo y las presunciones que ellos
hacen para apoyar dichos modelos.
4. El propósito del aprendizaje, es para un individuo, el construir su propio
significado, no sólo memorizar las contestaciones “correctas” y repetir el
significado de otra persona. Como la educación es intrínsicamente
interdisciplinaria, la única forma válida para asegurar el aprendizaje es hacer
del avalúo parte esencial de dicho proceso, asegurando que el mismo
FINA 670-FINA 720 RISK AND INSURANCE 8
Prep. 06-10-08 J. Ángel Banchs, MBA
provea a los estudiantes con la información sobre la calidad de su
aprendizaje.
5. La evaluación debe servir como una herramienta de auto-análisis.
6. Proveer herramientas y ambientes que ayuden a los estudiantes a interpretar
las múltiples perspectivas que existen en el mundo.
7. El aprendizaje debe ser controlado internamente y analizado por el
estudiante.
FINA 670-FINA 720 RISK AND INSURANCE 9
Prep. 06-10-08 J. Ángel Banchs, MBA
STUDY GUIDE
Course Title: Risks and Insurance
Code: FINA 670-FINA 720
Time Length: Five weeks
Prerequisite:
Description:
This course presents the principles of risk administration from its new concept of
administration of enterprise risk integration -Enterprise risk. The course assists
the student with the identification and analysis of all types of risk and in the use
of insurances and other financial tools in the administration of such. The student
will be able to comprehend that risks can be administered if they are identified
before these cause lost, and that the insurances are a very important element in
risks management process - but not the only one. Before entering completely into
the concepts of insurance, the course discusses the sources of loss potential for
businesses and the people themselves and associates them to the general
process of risks administration and the diverse instruments used by risks
management, including loss control, risk retention and the transfer of risk.
Text
Trieschmann, J. S., Hoyt, R. and Sommer, D. (2004). Risk Management and
Insurance (12th ed.). Mason: Thomson South-Western.
For Students Resources and Study Aids visit:
http://websites.swlearning.com
http://trieschmann.swlearning.com
Evaluation: Puntos Peso
Research Study Project (Teamwork) 100 points 17%
Module Workshop Questions (Individual) 100 points 17%
Problems and Cases (Teamwork) 150 points 25%
Attendance and Class Participation 125 points 21%
Portfolio 100 points 17%
Oral Presentation of Article or News (Individual) 25 points 4%
Total 600 points 100%
FINA 670-FINA 720 RISK AND INSURANCE 10
Prep. 06-10-08 J. Ángel Banchs, MBA
Evaluation’s description:
Scale
A: 100-90
B: 80-89
C: 70-79
D: 60-69
F: 59 OR less
Other: NONE
Description of course policies
1. This course follows the Sistema Universitario Ana G. Méndez Discipline-
Based Dual Language Immersion Model® designed to promote each
student’s development as a Dual Language Professional. Workshops will be
facilitated in English and Spanish, strictly using the 50/50 model. This means
that each workshop will be conducted entirely in the language specified. The
language used in the workshops will alternate to insure that 50% of the
course will be conducted in English and 50% in Spanish. To maintain this
balance, the course module may specify that both languages will be used
during the fifth workshop, dividing that workshop’s time and activities between
the two languages. If students have difficulty with asking a question in the
target language in which the activity is being conducted, students may choose
to use their preferred language for that particular question. However, the
facilitator must answer in the language assigned for that particular day. This
should only be an exception as it is important for students to use the assigned
language. The 50/50 model does not apply to language courses where the
delivery of instruction must be conducted in the language taught (Spanish or
English only).
2. The course is conducted in an accelerated format and requires that students
prepare in advance for each workshop according to the course module. Each
workshop requires an average ten hours of preparation but could require
more.
FINA 670-FINA 720 RISK AND INSURANCE 11
Prep. 06-10-08 J. Ángel Banchs, MBA
3. Attendance at all class sessions is mandatory. A student that is absent to a
workshop must present the facilitator a reasonable excuse. The facilitator will
evaluate if the absence is justified and decide how the student will make up
the missing work, if applicable. The facilitator will decide on the following:
allow the student to make up the work, or allow the student to make up the
work and assign extra work to compensate for the missing class time.
Assignments required prior to the workshop must be completed and turned in
on the assigned date. The facilitator may decide to adjust the grade given for
late assignments and make-up work.
4. If a student is absent to more than one workshop the facilitator will have the
following options:
a. If a student misses two workshops, the facilitator may lower one grade
based on the students existing grade.
b. If the student misses three workshops, the facilitator may lower two
grades based on the students existing grade.
5. Student attendance and participation in oral presentations and special class
activities are extremely important as it is not possible to assure that they can
be made up. If the student provides a valid and verifiable excuse, the
facilitator may determine a substitute evaluation activity if he/she understands
that an equivalent activity is possible. This activity must include the same
content and language components as the oral presentation or special activity
that was missed.
6. In cooperative activities the group will be assessed for their final work.
However, each member will have to collaborate to assure the success of the
group and the assessment will be done collectively as well as individually.
7. It is expected that all written work will be solely that of the student and should
not be plagiarized. That is, the student must be the author of all work
submitted. All quoted or paraphrased material must be properly cited, with
credit given to its author or publisher. It should be noted that plagiarized
writings are easily detectable and students should not risk losing credit for
material that is clearly not their own (see Academic Honesty Policy).
FINA 670-FINA 720 RISK AND INSURANCE 12
Prep. 06-10-08 J. Ángel Banchs, MBA
8. If the Facilitator makes changes to the study guide, such changes should be
discussed with and given to students in writing at the beginning of the first
workshop.
9. The facilitator will establish a means of contacting students by providing an
email address, phone number, hours to be contacted and days.
10. The use of cellular phones is prohibited during sessions; if there is a need to
have one, it must be on vibrate or silent mode during class session.
11. Children or family members that are not registered in the course are not
allowed to the classrooms.
12. All students are subject to the policies regarding behavior in the university
community established by the institution and in this course.
Note: If for any reason you cannot access the URL’s presented in the
module, do not stop your investigation. There are many search engines
and other links you can use to search for informati on. These are some
examples:
• www.google.com
• www.altavista.com
• www.ask.com
• www.excite.com
• www.pregunta.com
• www.findarticles.com
• www.telemundo.yahoo.com
• www.bibliotecavirtualut.suagm.edu
• www.eric.ed.gov/
• www.flelibrary.org/
The facilitator may make changes or add additional web resources if
deemed necessary.
FINA 670-FINA 720 RISK AND INSURANCE 13
Prep. 06-10-08 J. Ángel Banchs, MBA
Teaching Philosophy and Methodology
This course is grounded in the learning theory of Constructivism.
Constructivism is a philosophy of learning founded on the premise that, by
reflecting on our experiences, we construct our own understanding of the world in
which we live.
Each of us generates our own “rules” and “mental models,” which we use to
make sense of our experiences. Learning, therefore, is simply the process of
adjusting our mental models to accommodate new experiences. As teachers,
our focus is on making connections between facts and fostering new
understanding in students. We will also attempt to tailor our teaching strategies
to student responses and encourage students to analyze, interpret and predict
information.
There are several guiding principles of constructivism:
1. Learning is a search for meaning. Therefore, learning must start with the
issues around which students are actively trying to construct meaning.
2. Meaning requires understanding wholes as well as parts. And parts must be
understood in the context of wholes. Therefore, the learning process focuses
on primary concepts, not isolated facts.
3. In order to teach well, we must understand the mental models that students
use to perceive the world and the assumptions they make to support those
models.
4. The purpose of learning is for an individual to construct his or her own
meaning, not just memorize the "right" answers and regurgitate someone
else's meaning. Since education is inherently interdisciplinary, the only
valuable way to measure learning is to make the assessment part of the
learning process, ensuring it provides students with information on the quality
of their learning.
5. Evaluation should serve as a self-analysis tool.
6. Provide tools and environments that help learners interpret the multiple
perspectives of the world.
7. Learning should be internally controlled and mediated by the learner.
FINA 670-FINA 720 RISK AND INSURANCE 14
Prep. 06-10-08 J. Ángel Banchs, MBA
Workshop One
Specific Objectives
1. State the four major exclusions of the Personal Automobile Policy.
2. Explain how no-fault auto insurance operates and how it may reduce auto
insurance costs.
3. Explain the trade-of among benefit levels, the right to sue, and automobile
insurance costs.
4. Explain the basic coverage in a homeowners’ policy and the limits of
liability for each.
5. Describe how additional living expense losses are determined and how
the loss settlement clause in the homeowner’s policy operates.
6. Explain the doctrine of concurrent causation and its role in property
insurance policies.
7. Identify the perils insured in homeowner’s policies.
8. Explain the coverage in the comprehensive personal liability (CPL) section
of the homeowner’s policy and identify its major exclusions.
9. Determine the appropriate insurance coverage for a personal risk
management program.
Language Objectives
Students will be able to:
1. Use cooperative learning strategies to analyze and discuss a topic.
2. Use the reading process effectively.
3. Write a self reflection using appropriate vocabulary, grammar, and style
after class.
Electronic Links (URLs):
Obtain premium quotation for auto insurance
http://www.insweb.com
Find auto theft prevention measures
http://www.iii.org
Vehicles safety ratings
http://www.iihs.org/
FINA 670-FINA 720 RISK AND INSURANCE 15
Prep. 06-10-08 J. Ángel Banchs, MBA
Stolen vehicles recovery system
http://www.insure.com/articles/carinsurance/?REF=48237&
http://www.lojack.com/
Major automobile issues by state
http://www.insure.com/states/index.html
Home Insurance Forum
http://insure.findalocalagent.com/home.cfm?template=form_home_multi&Source
=Nsurho
Facts and figures on property insurance topics
http://www.nypiua.com
FEMA
http://fema.gov/
Resources available to homeowners following disasters
http://www.disasterhelp.gov
Assignments before Workshop One
1. Find information and articles related to the workshop subjects: Risk
Management for Auto Owners and Risk Management for Homeowners.
2. Answer the following questions:
(VALUE: 50 points)
a. Under automobile rating methods, what factors reduce a person’s rates
and what factors contribute to rate increases?
b. Discuss the basic reason for the exclusion in the PAP of injury to
employees of the insured.
c. How can no-fault insurance reduce automobile insurance rates?
d. What are the advantages of a verbal threshold rather than a dollar
threshold under no-fault insurance?
e. Does the H0-2 form differ from the H0-3 and H0-6?
f. How should individuals create their own risk management plans?
g. What endorsements to the homeowners’ policy often needed to provide
the proper coverage?
FINA 670-FINA 720 RISK AND INSURANCE 16
Prep. 06-10-08 J. Ángel Banchs, MBA
h. Explain why individuals need to purchase a personal umbrella policy and
how such a policy operates.
i. What advantages and disadvantages are there for average homeowner
under the homeowners’ program that covers multiple-peril risks?
j. Under what circumstances should an insured raise deductible on a
homeowners’ policy?
3. Watch the following video: http://www.youtube.com/watch?v=pSj3FLO3IXA
What do you think about this situation? What do you think about car
insurance? Is it necessary? Write a one page essay about this topic. If the
video does not work, look for information about car insurance and make a
three pages summary (see Appendix F).
4. Visit three websites of car insurers (Allstate, Geico, Statefarm, Progressive,
Esurance, etc). Make a quote for your auto on each site and print them.
5. Visit three home insurers. Make a quote for your home on each site and print
them. Bring all quotes to the class.
Activities
1. The facilitator introduces himself/herself to the group and leads the
presentation of each of the students, developing rapport within the group and
establishing the foundation for an effective critical thinking discussion
environment.
2. The facilitator introduces the course general objectives and reviews the
module with the students emphasizing the course requirements and the
student’s performance evaluation rubrics and criteria. The instructor
establishes the rules of communication and the delivery of individual and
teamwork assignments.
3. The facilitator discusses the research study project that will have a 100
points value . Students will be organized in teams of three students. Each
team will submit a request for topic authorization to the facilitator that will
include: (1) the research title, (2) a research statement describing the issue or
problem to be investigated and its relevance to risks management and
insurance, and (3) five preliminary references to be used in the research
FINA 670-FINA 720 RISK AND INSURANCE 17
Prep. 06-10-08 J. Ángel Banchs, MBA
process. Each request for topic authorization must be emailed to the facilitator
on or before Workshop Two. The facilitator will return the request with an
approval or with recommendations for modification or change of the topic.
Each team will insure that their research topic is approved or on before
Workshop Two. Failure to submit an appropriate research topic on time will
be subject to a point penalty per day of delay. Fifty percent of the research
project evaluation will be credited to the written part of the presentation and
the other 50% will be credited the individual oral presentation and defense of
the study made by each team member. In other words, the grade of the
written part will be the same for each member of the team but the oral part will
be an individual grade for each student based on each team member
presentation of his/her part and participation in answering the questions from
the audience.
4. Students will discuss the assigned questions.
5. Students will meet in groups to discuss and compare their quotes. Each
group will select the best quote and will share them with the rest of the class.
6. The facilitator will talk about the criteria to consider when selecting auto and
home insurance.
7. The facilitator schedules the student’s individual presentations of current
news or articles related to the insurance industry (one per student) throughout
the next three workshops. The facilitator will assign or authorize proposed
news to be presented by the students.
8. The facilitator transitions to the workshop learning objectives and activities
and lead the students to summarize the assigned chapters and reading
materials. The facilitator assist the students’ discussion of the Workshop
questions clarifying doubts, reinforcing concepts and leading them to
associate the material to current situations and examples. The facilitator will
entice debate by challenging student’s ideas.
9. The students will form in equal size teams (minimum 3 per group) to work
problems and study cases to be turned-in in Workshop 2. The chosen
problems and cases will have a value of 50 point . The facilitator will handle
FINA 670-FINA 720 RISK AND INSURANCE 18
Prep. 06-10-08 J. Ángel Banchs, MBA
the problems and cases for teams to work. The facilitator may choose within
of the following cases and problems.
(1) Because Y’s car is broken down, Y borrows his son’s car to run an
errand. The son, who lives with Y in the same household, does not have his
car insured. If Y had an accident, would his PAP cover him? Explain why or
why not.
(2) G’s daughter gives permission for a neighbor to borrow her fathers’
car, thinking it will be all right because the neighbor is a good friend of her
family. Under the terms of the PAP, will the neighbor be covered while driving
G’s car? Why or why not?
(3) S pulls a large house trailer behind his vehicle each year on a winter
vacation that lasts four months.
a. Assuming limits of $10,000 property damage, what coverage is
granted to S under the PAP if the trailer sideswipes another car,
causing a $1,000 loss to the trailer and a $2,000 loss to the other car?
b. Would your answer be different if the trailer had been a small
two-wheel camping trailer with sleeping accommodations for two? Why
or why not?
(4) Josephine has a $100 deductible for collision on her car, whereas
Ellen caches a $200 deductible. If Josephine borrows Ellen’s car and has
a collision in which $200 damage is done, which policy must respond and
in what amount? Why?
(5) The case of Farm Bureau Mutual Automobile Insurance Company v
Boecher (48 N.E. 2d 895), the insured was involved in an accident while
driving a car made available to employees by his employer, an auto
dealer. The insured, which had never driven this particular vehicle before,
applied for coverage under his private automobile policy and was denied
protection on the grounds that the policy excluded coverage on non-
owned cars. With reference to the provisions of the PAR discuss the
correctness or incorrectness of the position taken by the insurer.
FINA 670-FINA 720 RISK AND INSURANCE 19
Prep. 06-10-08 J. Ángel Banchs, MBA
(6) A person owns a residence and insures it for $135,000 on an H0-3
policy. Show the extent to which the following losses would be covered,
and give your reasons in each case:
a. Smoke damage from a fireplace necessitates a $250 repainting
job in the living room.
b. A valuable wooden table worth $1,000 is accidentally damaged
by heat when it is placed too near a hot air register
c. A grass fire threatens B’s house. For safety, B removes all the
contents and places them in three warehouses, as follows: warehouse
X, $7,000 worth; warehouse Y, $4,000; and ware- house Z, $4,000.
Water damages the goods at warehouse Z and causes a $2,000 loss
two days after the goods had been stored there. Also, $500 worth of
goods is stolen from warehouse Y.
d. A neighbor’s house burns. Firefighters’ trucks gouge deep holes
in B’s yard.
e. Three teenage boys “halve it in” for B and cause $250 worth of
damage to the house by spraying painting on it.
(7) Ms. Ventura owns an $180,000 house insured under an H0-3 policy
with a face value of $170,000. From the following data, determine how
much she could recover under the H0-3 policy for additional living
expenses and rental value after a fire: She rents an apartment for $450 a
month, which includes utilities; her normal utilities bill is $100 a month. It
now costs her $300 a month for food; her normal cost is $200 a month.
Cleaning and transportation costs are $150 a month where normally she
would pay $50 a month for these. Restoration takes five months.
(8) Mr. Vera’s 12-year-old son intentionally throws several rocks through
the local middle school’s windows and causes $ l,000 worth of damage.
How will Mr. Vera’s CPL respond? If his son were 15 years olds would
your answer be different?
FINA 670-FINA 720 RISK AND INSURANCE 20
Prep. 06-10-08 J. Ángel Banchs, MBA
(9) C, on a business trip, rents an outboard motorboat for some pleasure
fishing. Due to careless handling, the boat runs into a swimmer, causing
severe injuries. Will the CPL pay the claim? Why or why not?
(10) Which of the following claims, if any, would be defended under the
CPL (give your reasons in each case)
a. A child riding a bicycle amuck and injured a pedestrian. The
child’s parents were sued.
b. A child, Connie, struck another child, Bob, and threw him down
embankments breaking his leg. The court found Connie’s parents liable
because of their knowledge of her vicious propensities.
c. Two hunters, firing at the same time at a quail, injured a third
hunter, who obtained a $10,000 judgment from each.
d. The insured was sued when a guest tripped on steep stairs
leading to the beach from an oceanfront cabin that the insured maintained
as a second residence.
e. The insured’s dog bit a “trespasser” who turned out to be the
meter reader.
f. The insured’s dog, an attack-trained Rottweiler, killed a smaller
dog in a fight.
(11) Mr. Marquez leases a building from Ms. Valdez, and he causes a
$10,000 fire loss. Ms. Valdez tells him not to worry, because she has
homeowners’ insurance and the insurance company will pay the loss.
Should Mr. Marquez worry?
(12) In California, a series of losses has occurred due to the slow
movement of earth that becomes loosened when water used for lawns
seeps down and causes the shale to slip. When a large crack in the
foundation of his house appeared, Underman submitted a claim. The
insurer paid the loss and immediately cancelled the policy. A month later,
Underman’s house fell into the bay when the en- tire cliff gave way.
Underpin made a claim for loss, but the insurer rejected the claim, arguing
FINA 670-FINA 720 RISK AND INSURANCE 21
Prep. 06-10-08 J. Ángel Banchs, MBA
that the loss occurred after the policy was can- celled. Discuss the rights
of the parties.
(13) Tom, a married college student, visited his mother-in-law’s house. A
fire in the house destroyed his personal belongings. He filed a claim under
his mother’s homeowners’ policy. At the time of the loss, Tom was going
to college and was entirely supported by his mother, whose address ~vas
on all his legal documents. Tom had never held a job. Under what
circumstances can he collect under his mother’s homeowners’ policy?
10. The facilitator will request the students’ to verbally summarize their
learning from Workshop One.
Assessment:
Student’s Reflexive Diary –Appendix B
FINA 670-FINA 720 RISK AND INSURANCE 22
Prep. 06-10-08 J. Ángel Banchs, MBA
Taller Dos
Objetivos Específicos
1. Describir las características principales de la póliza de vida a término
(Term Life), póliza de vida completa (Whole Life), póliza de vida universal
(Universal Life), póliza de vida variable (Variable Life) y establecer la
aplicación apropiada para cada una de ellas.
2. Explicar la responsabilidad contributiva federal aplicable a el pago de
prima de seguros de vida, beneficios de fallecimiento y los pagos del
efectivo acumulado (cash value) en las pólizas de vida.
3. Explicar las características principales de la organización de servicios de
salud (Health Maintenance Organizations or HMOs) y como se diferencia
de los planes de servicio (Point of Service Plan or POS) y organizaciones
de proveedores preferidos (Preferred Provider Organizations or PPOs).
4. Distinguir entre los tipos básicos de pólizas de seguros de salud y
explicar las tres formas para proveer cobertura para gastos médicos
mayores (major medical insurance).
5. Identificar los factores a considerar en la contratación de pólizas de
servicio de salud a largo plazo e ingreso por incapacidad (long-term care
and disability insurance).
6. Explicar los elementos básicos de una anualidad.
7. Identificar situaciones en las cuales es recomendable utiliza anualidades
como herramienta para mitigar el riesgo financiero personal.
8. Explicar las tres formas para pagar contratos de anualidad.
9. Identificar y explicar los factores a considerar para determinar la cantidad
de beneficios a pagarse en una anualidad individual y conjunta (Joint and
Survivor annuity).
Objetivos del Lenguaje
1. Proponer verbalmente soluciones a problemas relacionados con el tema
discutido utilizando una variedad de vocabulario, incluyendo una jerga
técnica de una manera apropiada.
FINA 670-FINA 720 RISK AND INSURANCE 23
Prep. 06-10-08 J. Ángel Banchs, MBA
2. El estudiante resumirá las ideas principales utilizando el uso correcto de
la gramática, deletreo y puntuación correctamente en español.
3. El estudiante buscará información, la leerá y la discutirá en clase.
Enlaces Electrónicos
Consiga la descripción de las pólizas de vida más comunes y asuntos
relacionados
http://www.prudential.com/insurance
Determine la cobertura de seguro de vida que usted necesita
http://www.insure.com/articles/interactivetools/lifeneedsestimator/calculate.jsp
Seleccione la cobertura de seguro de vida y el asegurador que mas le conviene
http://www.insure.com
Revise los criterios de análisis (underwriting) utilizados por algunas
aseguradoras de vida por clasificaciones
http://www.3dquotes.com/guide.html
Obtenga legislación reciente asociada a seguros de salud
http://www.nahu.org/consumer/healthcare/index.cfm
Compare beneficios y precios para sus necesidades de seguro de salud en
diferentes pólizas disponibles
http://www.ehelthinsurance.com
Obtenga los cambios recientes en las pólizas de Medicare y Medicaid
http://www.cms.hhs.gov/default.asp
Información sobre planes de retiro individual y corporativo
http://www.retirement-planning.com
Información sobre anualidades
http://www.annuityfyi.com/
http://www.annuitysite.com
Asignaciones antes del Taller Dos
1. Buscar información y artículos relacionados a los temas a discutirse en el
taller: Seguro de perdida de vida (Loss of Life), seguro de pérdida de
salud (Loss of Health), Planes de Retiro y Anualidades (Retirement
Planning and Annuities).
FINA 670-FINA 720 RISK AND INSURANCE 24
Prep. 06-10-08 J. Ángel Banchs, MBA
2. Contestar las siguientes preguntas para entregar en el Taller 2 (Valor de
50 puntos )
a. Describa las características principales de un seguro de vida a termino
(term life), seguro de vida completo (whole life) y el seguro de vida
universal (universal life).
b. Defina los siguientes términos utilizado en las pólizas de seguros de
vida:
a. Renovable (Renewable Term Insurance)
b. Convertible (Convertible Term Insurance)
c. Nivelado (Level term contract)
c. Diferencie entre las dos versiones de póliza de vida universal.
d. Explique los siguientes términos:
a. Beneficiario Revocable
b. Beneficiario Irrevocable
c. Beneficiario Contingente
d. Cláusula de Desastre Común (Common Dissaster Clause)
e. Describa las siguientes opciones de pago de beneficios de seguros de
vida:
a. Suma total (Lump-Sum)
b. Periodo fijo (Fixed-period)
c. Cantidad fija (Fixed-amount)
d. Intereses (Interest option)
e. Ingreso de por vida (Life income option)
f. Explique la aplicación de contribuciones federales a las primas de
seguro de vida y a los beneficios que se reciben.
g. Mencione las características que describen a los: HMO-grupo, HMO-
staff model, HMO-practica individual. Como se diferencian los HMOs
de los PPOs.
FINA 670-FINA 720 RISK AND INSURANCE 25
Prep. 06-10-08 J. Ángel Banchs, MBA
h. ¿Que tipo de gastos son generalmente cubiertos bajo la forma
comprensiva de una póliza de cubierta medica mayor (major medical
policy)?.
i. Distinga entre las definiciones de incapacidad: “ocupación propia”
(own occupation) y “cualquier ocupación para la cual este
razonablemente capacitado”.
j. Mencione las características principales de cada una de las siguientes
anualidades:
a. Solo pago (Singe-premium)
b. Prima flexible ( Flexible-premium)
c. Anualidad cierta (Annuity certain)
d. De por vida (Straight life)
e. Conjunto y sobreviviente (Joint and Survivor)
f. Ajustada al mercado (Market-value adjusted)
g. Variable
3. Los estudiantes asignados prepararan presentaciones orales de
noticias o artículos de actualidad relacionada con la industria del
seguro.
4. Trabajar con problemas y casos asignados en el Taller Uno para
trabajo en grupo.
5. Solicitud de aprobación del tema del proyecto de investigación.
Actividades
1. El facilitador resumirá los temas cubiertos en el taller anterior y hace la
transición hacia los objetivos de aprendizaje y actividades a realizarse
en el taller de hoy.
2. El facilitador recogerá las los trabajos asignados – preguntas
individuales del módulo para el taller 2 y los problemas y casos de
grupo asignados en el taller 1 para entrega en el taller 2.
3. El facilitador confirmará los temas de investigación aprobados para el
proyecto de estudio. Los grupos que no hayan logrado la aprobación
FINA 670-FINA 720 RISK AND INSURANCE 26
Prep. 06-10-08 J. Ángel Banchs, MBA
de sus temas para este día comenzarán a perder un punto diario hasta
que logren la aprobación.
4. El facilitador explicará el trabajo a ser completado para el Taller 3.
5. Los estudiantes asignados harán sus presentaciones orales de las
noticias o temas actuales relacionados a la industria del seguro. La
presentación tendrá un valor de 25 puntos .
6. El facilitador dirige a los estudiantes en el resumen del material y
lecturas asignadas para el taller, así como en la discusión de las
preguntas asignadas.
7. El facilitador entrega los casos y problemas a ser trabajados en equipo
y a ser entregados – en grupos- en el taller próximo (Taller 3). Estos
casos y problemas tendrán un valor de 50 puntos . El facilitador
podrá escoger entre los siguientes casos y problemas para su
asignación.
(1) Un hombre de 30 anos de edad que a sabiendas de conocer que sufre
un defecto congénitos del corazón, llena una solicitud de seguro de vida
declarando que es una mujer de 27 anos en perfecta condición de salud.
¿Como usted piensa que la compañía de seguros tratara una reclamación
de beneficios de muerte tres anos después si el contrato incluye una
cláusula de incontestabilidad (inconstability clause) de dos años y de
errores en edad y sexo?
(2) La Sra. Brown muere con una póliza de seguro de vida a favor de su
esposo como beneficiario principal. ¿Cual de las opciones de pago usted
recomienda para Sr. Brown quien es un inversionista exitoso? ¿Como
cambiaria su contestación si el Sr. Brown sufriera de Alzheimer?
(3) John Smith tiene una póliza de seguro de salud con un deducible de
$1,000 por año calendario y 80% de co aseguro con un tope de $5,000.
Determine la cantidad que la compañía aseguradora pagaría, asumiendo
que todos los cargos están cubiertos y que estos son razonables y
normales-:
FINA 670-FINA 720 RISK AND INSURANCE 27
Prep. 06-10-08 J. Ángel Banchs, MBA
a. 1ro de enero: se fracturo un brazo, incurriendo en $750.00 de
gastos médicos.
b. 17 de abril: Dolor de pecho requiere servicios de cardiólogo a un
costo de $375.00
c. 1ro de junio: Hospitalización por dolor de pecho costo $2,750.00
d. 30 de julio: Hospitalización por ataque al corazón costo $3,100.
e. 2 de noviembre: Dos semanas de hospitalización y operación de
corazón abierto costo $42,500.
(4) Bajo la situación anterior, cuanto pago la aseguradora por cada una de
las incidencias si la póliza hubiese tenido un deducible de $250.00 por
causa, un 80% de co aseguro y un tope de $5,000 a ser asumido por el
asegurado.
(5) Elizabeth es abogado, soltera, con un ingreso anual de $200,000.
Actualmente no tiene póliza de seguro medico pero esta considerando
tomar alguna cubierta. ¿Qué riesgos usted considera que ella podría
retener? ¿Qué riesgos usted considera que ella debería transferir a una
compañía de seguros de salud? Discuta su razonamiento.
(6) Carl se ha comunicado con varios agentes de seguro solicitando
cotizaciones para una póliza de incapacidad total a largo plazo, pero no
ha logrado obtener una cotización que el pueda pagar. Carl ha limitado su
búsqueda a pólizas con periodo de pago de por vida, definiendo la
incapacidad como “own occupation”, un periodo de eliminación de 30 días
y un beneficio parejo (level) equivalente al 75% de las ganancias
anteriores mas ajuste por el costo de vida. Discuta por lo menos cuatro
maneras para ajustar los requerimientos de Carl para que el costo del
seguro sea mas bajo.
(7) Para cada una de las siguientes situaciones sugiera el tipo de
anualidad que pudiera ser apropiada a la situación:
a. Donna, una viuda de 50 años sin niños, esta considerando
comprar una anualidad para proveer para su retiro. Ella trabaja
como un corredor de inversiones por lo cual sus ingresos por
FINA 670-FINA 720 RISK AND INSURANCE 28
Prep. 06-10-08 J. Ángel Banchs, MBA
comisiones tienen gran variación. Ella planifica retirarse en 15 años
y actualmente cuenta con muy pocos ahorros.
b. George, un maestro de escuela casado de 55 años de edad con
tres hijos mayores de edad, esta considerando comprar una
anualidad con $200,000 que heredo de su padre recientemente. El
interesa usar el dinero para solventar su retiro que ocurrirá en 5
años. La esposa de George no trabaja fuera del hogar.
c. Mary, una mujer soltera de 59.5 años de edad sin niños, recibió
$300,000 de la distribución del plan de distribución de ganancias
de su compañía. Ella interesa usar una porción de los fondos para
comprar una anualidad para solventar sus viajes de placer durante
los próximos 10 años. Ella planifica tomar vacaciones anuales de
30 días para lo cual necesita $10,000 al año.
6. Los estudiantes se organizarán en equipos (mínimo de 3 por equipo
procurando tener el mismo número de personas en cada grupo). Los grupos
procederán a discutir y a presentar los problemas y casos de estudio
asignados en el taller anterior. El facilitador promoverá el pensamiento crítico
y creativo de los estudiantes al mismo tiempo que relaciona los temas a
situaciones actuales y experiencias en la industria.
7. Los estudiantes verbalizarán el resumen de lo aprendido en el taller a
instancias del facilitador.
8. El facilitador devolverá a sus estudiantes las preguntas evaluadas del
módulo para el primer taller.
Avalúo
Diario Reflexivo del Estudiante – Anejo B
FINA 670-FINA 720 RISK AND INSURANCE 29
Prep. 06-10-08 J. Ángel Banchs, MBA
Workshop Three
Specific Objectives
1. Explain the overall approach used to provide Social Security survivor and
disability insurance.
2. Describe the factors in determining Social Security retirement benefits and
explain the implication of the Social Security retirement test for retirees.
3. Distinguish between thrift plan and 401 (K) plans and explain the tax
advantages associated with each of them.
4. Describe the special purpose for which SIMPLE, Keogh, and 403 (b) plans
were designed.
5. Explain the basic pension qualification rules regarding eligibility, retirement
ages, form of payment, maximum benefits, maximum contributions and
vesting.
6. Explain the differences between the goals of financial planning and estate
planning.
7. Describe the nature of death taxes and explain the basic approach for
computing federal estate taxes.
8. List the basic elements of a trust and explain how trusts can be used in
estate planning.
9. Explain the important factors in selecting an insurer, an insurance policy,
and appropriate ways to compare the cost of different policies.
Language Objectives
1. Read, analyze and write a description of how to use different web sites in
the classroom using correct punctuation, syntax, work choice and
grammatical structures.
2. Express themselves using correct use of grammar, syntax and verb
usage.
3. Fluently express ideas in English orally and in writing.
Electronic Links (URLs)
Social Security Web Site
http://www.ssa.gov
FINA 670-FINA 720 RISK AND INSURANCE 30
Prep. 06-10-08 J. Ángel Banchs, MBA
Find benefits under COBRA
http://www.insure.com/health/cobra.html
Web page for employers
http://www.benefitmall.com
Find your Social Security benefit pay when you retire
http://www.ssa.gov/OACT/anypia/anypia.html
Estimate Federal Estate Taxes for routine situations
http://personal.fidelity.com/planning/estate/index_calc.shtml
Calculate how much you need to save to become a millionaire by certain age
http://www.choosetosave.org/calculators/
Life Insurance Needs Analyzer
http://www.insweb.com/learningcenter/default.htm
Find the underwriting criteria for life insurance policies
http://www.3dquotes.com/guide.html
Estimate the amount of individual savings needed to supplement the amount
expected from social security and the employer’s plans at retirement.
http://help.quicken.com/support/retirement/planner/help/helpindex.shtml
Insurance needs analyzer
http://www.insweb.com/
Assignments before Workshop Three
1. Read chapters and articles related to the workshop subjects: Employee
Benefits: Life and Health, Retirement Plans; Financial and Estate Planning.
2. Answer the following questions for turn-in in Workshop 3. (VALUE: 50
points)
a. Differentiate between a traditional defined benefit pension plan, a defined
contribution pension plan, and a cash balance plan. Explain the concept of
a qualified retirement plan and discuss the significance of this concept for
employees and employers.
b. What is permitted disparity? What is vesting? Is awareness of these terms
important for employees?
FINA 670-FINA 720 RISK AND INSURANCE 31
Prep. 06-10-08 J. Ángel Banchs, MBA
c. What is the maximum amount that an unmarried individual may contribute
annually to an IRA? Under what general conditions is this amount
deductible from taxable income?
d. What is the difference between a thrift plan and a 401(k) plan? Which is
more favorable for employees? Why?
e. What types of employers are eligible to establish Section 403(b) plans?
f. What is a Keogh plan? Who is eligible to establish such a plan?
g. What factors do you think are important in deciding whether to establish a
traditional versus a Roth IRA? Why?
h. What are four specific objectives of estate planning?
i. Describe the features and purpose of a credit shelter trust.
j. What is the surrender cost index, and how is it computed?
3. Scheduled students will prepare their oral presentations of current news or
articles related to the insurance industry (Value: 25 points ).
4. Create a concept map about life insurance. Bring it to class.
5. You should be working with your portfolio.
Activities
1. The facilitator starts the class with a short review.
2. The facilitator explains the work to be completed before workshop four.
3. Scheduled students will make their oral presentations of current news and
situations associated with the insurance industry. Each presentation will have
a 25 points value .
4. The facilitator summarizes previous class learning and guides the group
transition to the workshop learning objectives and activities.
5. The facilitator leads the students in summarizing the assigned materials and
in the discussion of the answers to the Workshop Three Questions.
6. Students will meet in groups of three to share their concept maps. The group
will select a map and will verbally present it to the class.
7. The facilitator handles the cases and problems to be worked in teams for
return in Workshop 4. These cases and problems will have a 50 points
value . The facilitator may choose within of the following cases and problems.
FINA 670-FINA 720 RISK AND INSURANCE 32
Prep. 06-10-08 J. Ángel Banchs, MBA
(1) [f a friend was considering participation in a contributory death benefit
program and asked your advice about whether you felt participation was
advisable, what factors would you urge your friend to consider?
(2) Jim and Peg Carmichael are married and have two young children.
Jim’s employer provides a contributory health expense plan for both Jim
and his dependents. Peg is currently looking for a new job. One firm that
has offered her a job has noncontributory group health plan for
employees, but dependents are added on a contributory basis. If Peg
accepts this job offer, which employer plan(s) should the Carmichaels
select for cover- age of their fancily? What are the relevant factors they
should consider in making this decision? Explain.
(3) Compute the estate tax liability in each of the following situations for a
death in 2004. Assume that each estate includes no debt, incurs $6,000 in
funeral and burial expenses, and has $4,000 in estate administration
expenses.
a. Barbara Jolly dies with an estate of $2,010,000 that she leaves
entirely to her favorite son-in-law.
b. John Weber dies with an estate of $2,010,000. He gives $600,000
to his grandmother and the remainder to his wife.
c. Holly Hirsch dies with an estate composed entirely of cash in the
amount of exactly $1,500,001 that she bequeaths to her three
children equally.
(4) What is the surrender cost index, and how is it computed?
(5) Under current law it is generally permissible to convey property to a
trust with the same person serving as donor, trustee, and beneficiary, as
long as a legitimate and Iegal purpose for the creation of the trust exists.
Suppose Allen conveys all of his property to a trust that contains the
following terms:
a. AlIen is the sole beneficiary of the trust until his death, at which time
the trust is to eliminate and pay all benefits to his wife.
FINA 670-FINA 720 RISK AND INSURANCE 33
Prep. 06-10-08 J. Ángel Banchs, MBA
b. Allen is the trustee of the trust unless he becomes disabled, at which
time his wife becomes trustee.
c. Allen retains complete power to amend or revoke the trust at any time.
d. Identify and briefly discuss two legitimate proposes of the trust. Do you
believe that the assets held in this trust should be subject to estate
tax? Why? Do you feel that these assets should be safe from
legitimate claims of creditors? Why?
(6) How might Tim and/or Gwen use a testamentary trust to avoid the
possibility of problems associated with transferring real or business
property to a minor? Discuss some of the terms that aright be included in
tills trust.
(7) Tombs’ financial planner, whom you know to be very competent, has
recommended the purchase of at least $50,000 in life insurance after
performing a very involved analysis to determine how much insurance Joe
needs. If you are Joe’s insurance agent and he approaches you to
purchase a $50,000 policy, what factors would you consider before
recommending a specific life insurance policy? Why?
7. The students will form in their teams (minimum 3 per group in equal size
groups) to discuss the assigned problems and cases. The facilitator will entice
critical thinking by challenging student’s ideas and relating the material to
current events and past experiences.
8. Students’ will verbally summarize their learning throughout the workshop –
at the request of the facilitator.
9. The facilitator returns the students graded assignments for Workshops 1
and 2.
Assessment
Student’s Reflexive Diary –Appendix B
FINA 670-FINA 720 RISK AND INSURANCE 34
Prep. 06-10-08 J. Ángel Banchs, MBA
Taller Cuatro
Objetivos Específicos
1. Describir las semejanzas y diferencias entre las asociaciones los
aseguradores comerciales, la tradicional “cruz azul” y las nuevas
organizaciones “Blues” con fines de lucro.
2. Distinguir entre las formas básicas de seguros de salud y describa tres de las
formas de seguro médico más importantes.
3. Mencionar tres características que diferencian a los seguros grupales de los
seguros individuales y describa las características de un grupo que sería
deseable desde una perspectiva de análisis y estructuración (underwriting)
de un seguro grupal.
4. Distinguir entre los diversos tipos de seguro de vida grupal utilizados en los
planes de seguro de muerte prematura.
5. Describir la naturaleza global de la administración de riesgos y la industria de
seguros.
6. Demostrar como se calcula y se ajusta las primas de seguro.
Objetivos del Lenguaje
1. El estudiante resumirá las ideas principales usando adecuadamente la
gramática y la ortografía después de leer una amplia variedad de recursos
impresos.
2. El estudiante utilizará estrategias efectivas para llevar a cabo discusiones
formales e informales incluyendo actividades de reflexión y análisis,
respetando los diversos puntos de vista.
3. El estudiante escribirá un resumen de un artículo usando gramática,
vocabulario y estilo adecuados después de analizar e interpretar la
información.
Enlaces Electrónicos
Compare los beneficios con las cuotas mensuales de seguro
http://www.healthinsurance.com
Obtenga los cambios en los programas de Medicare y Medicaid
http://cms.hhs.gov/
FINA 670-FINA 720 RISK AND INSURANCE 35
Prep. 06-10-08 J. Ángel Banchs, MBA
Calcule la prima de una póliza
http://www.Insure.com
Criterios para estructurar y evaluar pólizas de vida
http://www.3dquotes.coin/guide.html
Portal de patronos para comparar pólizas
http://www.benefitmall.com
Listado de aseguradores más importantes
http://www.balryklein.conn/andselectone
Obtenga la clasificación de Fortaleza financiera de loas aseguradores
http://www.moodys.com-insurance/
Obtenga información sobre productos de aseguramiento
http://www.iso.com
Asignaciones antes del Taller Cuatro
1. Busque información y artículos relacionados a los temas a discutirse en el
taller.
2. Conteste las siguientes preguntas para entregar en el Taller 4 (Valor de 50
puntos ).
a. Identifique y describa brevemente los diversos tipos de
proveedores de seguros de salud.
b. Mencione las características que distinguen a las siguientes
prácticas como se diferencian de los planes POS:
(a) Grupo (Group practice) HMO
(b) Grupo de trabajadores (staff model) HMO
(c) HMO individual (individual HMOs)
c. Enumere ejemplos de concesiones que un auspiciador de un PPO
puede hacer a un proveedor de servicios de salud a cambio de una
reducción en honorarios. ¿Que puntos importantes deben
considerarse antes de comprar una póliza de seguro medico de
largo plazo?
d. Mencione y describa brevemente las cuatro ventajas contributivas
que se atribuyen a los beneficios de empleados.
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Prep. 06-10-08 J. Ángel Banchs, MBA
e. Defina cada uno de los siguientes tipos de planes de beneficios de
ingreso por incapacidad:
(a) Plan de ausencia por enfermedad (sick leave plan)
(b) Planes de continuidad salarial (Salary continuation plans)
(c) Planes de incapacidad de corto plazo (Short-term
disability income plans)
(d) Planes de incapacidad a largo plazo (Long-term disability
income plans)
f. Diferencie entre los conceptos de distribución directa y distribución
indirecta en la industria de los seguros. De ejemplos de cada uno.
g. Explique el método de distribución de respuesta directa. Cual usted
cree que es la mayor limitación de este método desde el punto de
vista del asegurador.
h. Distinga entre los conceptos de tasa y prima de seguro.
i. Distinga entre grado (rating) de experiencia y el grado (rating)
retrospectivo. Discuta cual de ellos aplica mejor a las empresas
pequeñas.
j. Explique lo que se entiende por conflicto entre análisis-
restructuración (underwriting) y la producción en la industria de
seguros.
3. Problemas y casos asignados en el Taller 3 a ser presentados por equipos
de trabajo en el Taller 4 (Valor 25 puntos ). Utilice PowerPoint para presentar
los resultados de los mismos.
4. Prepare un análisis por escrito de artículos o temas asignados por equipos
de trabajo o individualmente (según sea la complejidad) a ser presentados en
el Taller 4 (Valor 25 puntos ).
Actividades
1. El facilitador repasará los objetivos de aprendizaje del Taller anterior hace la
transición hacia los objetivos de aprendizaje y actividades a realizarse en el
taller de hoy.
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Prep. 06-10-08 J. Ángel Banchs, MBA
2. El facilitador recogerá las los trabajos asignados - preguntas, problemas,
casos para estudio y el examen del taller anterior.
3. El facilitador explicará el trabajo a ser completado para el Taller 5.
4. Los estudiantes se organizarán en equipos (mínimo de 3 por equipo
procurando tener el mismo número de personas en cada grupo). Los grupos
procederán a discutir y a presentar los problemas y casos de estudio
asignados. El facilitador promoverá la discusión activa de las opiniones entre
los estudiantes utilizando el método Socrático y el cuestionamiento de las
opiniones vertidas.
5. Los equipos o estudiantes individuales (según sea la complejidad) harán sus
presentaciones orales de artículos o temas asignados.
6. El facilitador entregará el tercer examen parcial para ser entregado en el
Taller 5.
7. Los estudiantes verbalizarán el resumen de lo aprendido en el taller a
instancias del facilitador.
8. El facilitador aclarará las dudas relacionadas con las asignaciones del
próximo taller.
Avalúo
Diario Reflexivo del Estudiante – Anejo B
FINA 670-FINA 720 RISK AND INSURANCE 38
Prep. 06-10-08 J. Ángel Banchs, MBA
Workshop Five/Taller Cinco
NOTA: Este taller es bilingüe. Tanto,
el Facilitador como los estudiantes,
deberán utilizar el idioma asignado
para cada tarea y actividad.
NOTE: This is a bilingual workshop.
Both the facilitator and student
should use the language assigned
for each homework and activity.
Specific Objectives
1. Explain why insurance needs to be regulated.
2. Identify what aspects of insurance are regulated.
3. State the pros and cons of state versus federal regulation
Language Objectives
1. Summarize the main ideas using correct grammar and spelling in English
after reading a selection.
2. Use cooperative learning strategies to analyze and discuss a topic.
3. Develop ideas to solve problems in an effective way.
4. Write a reflective journal using appropriate vocabulary, grammar, and style.
Electronic Links (URLs):
National Insurance Commissioner
http://www.naic.org/
Your State Insurance Commissioner
http://wwvnnaic.org/state_contacts/sid_websites.htm
American Insurance Association (AIA)
http://www.aiacc.org
Assignments before Workshop Five
1. Search for information, articles and material related to the workshop’s topics.
2. Answer the following questions in English:
a. Does the experience to date with state insurer guaranty funds
suggest that these funds are needed? Discuss.
b. Differentiate between a retaliatory law and a reciprocal law.
c. What is the main purpose of tort reform Legislation?
FINA 670-FINA 720 RISK AND INSURANCE 39
Prep. 06-10-08 J. Ángel Banchs, MBA
d. What criteria are usually specified in state laws regarding insurance
rates?
3. Prepare the oral and written presentation of a research project on a subject
authorized by the facilitator - by teams (English or Spanish).
4. Prepare assigned problems and cases for turn-in in workshop 5 (Spanish).
5. Give the final touches to your portfolio.
Activities
1. The facilitator summarizes previous class and helps the group transition to
the workshop learning objectives and activities (in English).
2. The facilitator picks up the homework assigned – questions, problems study
cases, research project and test.
3. The students will form in their teams (minimum 3 per group in equal size
groups) to do the problems assigned and to present the assigned study
cases). The facilitator will promote debate by challenging student’s ideas.
4. Presentation of research project by teams.
5. A questions and answers section will follow each presentation.
6. The facilitator will discuss additional material.
7. Students’ will verbally summary of their learning throughout the course – at
the request of the facilitator.
8. Students will have a few minutes to finish their portfolio.
9. Closing activity: to be determined by the facilitator.
Assessment
Student’s Course Evaluations – Class Representative
Student’s Reflexive Diaries
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Prep. 06-10-08 J. Ángel Banchs, MBA
Anejos/Appendixes
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Prep. 06-10-08 J. Ángel Banchs, MBA
Anejo A/Appendix A
Rubric for Homework Evaluations
Name: ____________________________ Date: ________________________
Workshop: _________________
Criteria Assigned Points
Points Obtained
Punctuality : delivery of works on the assigned date 10
Organization : must follow a coherent format 10
Development: Easy flow and consistency of ideas,
well transitioned, allowing easy, fast reading and
understanding
15
Content : covers all concepts and subjects required or
announced
20
Redaction : without grammatical and syntaxes errors 15
Critical thinking : presents analysis and synthesis in
support of the author postulates, theories, and
conclusions
20
Management of information : proper notation and
quotes of used sources.
10
Total points 100
Remarks : __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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Prep. 06-10-08 J. Ángel Banchs, MBA
Anejo B/Appendix B
Reflexive Diary Name: _____________________________ Date: _________________
Class: _________________________________
Instructions : Provide brief answers to the following questions and return your
form to your facilitator after completion:
1. What is the most important thing you learned today?
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
______________________________
2. What question remained unanswered during the class?
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
______________________________
3. In what situation would you be able to apply the concepts learned
today?
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
______________________________
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Prep. 06-10-08 J. Ángel Banchs, MBA
Anejo C/Appendix C
MATRIZ VALORATIVA EVALUACIÓN DE PARTICIPACIÓN EN CL ASE
NOMBRE: _________________________ FECHA:___________________
0-No Cumplió 1-Deficiente 2-Regular 3-Bueno 4- Muy Bueno 5 -Excelente N/A-No Aplica
CRITERIOS 0 1 2 3 4 5 N/A
1. Participa activamente de todas las actividades de la clase.
2. Demuestra iniciativa y creatividad en las actividades de clase.
3. Demuestra interés en las discusiones presentadas en la clase.
4. Viene preparado/a a clase. 5. Contribuye a la clase con material e
información adicional.
6. Demuestra atención y apertura a los puntos y argumentos de sus compañeros.
7. Respeta las preguntas y planteamientos de sus compañeros.
LENGUAJE 8. Contribuye frecuentemente a las
discusiones en clase utilizando el idioma del taller.
9. Contesta preguntas del facilitador y sus compañeros utilizando el idioma del taller.
10. Formula preguntas pertinentes al tema de la clase utilizando el idioma del taller.
Comentarios :
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Firma Facilitador:_________________________________
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Prep. 06-10-08 J. Ángel Banchs, MBA
Anejo D/Appendix D
Rubric for the Evaluation of Oral Presentations Student Name: __________________________ Date:___________________
Criteria Value Points Total Score
Content
The speaker provides a variety of types of content appropriate for the task, such as generalizations, details, examples and various forms of evidence.
10
The speaker takes into account the specific knowledge and experience of the listener
10
The speaker uses arguments which are adapted to the values and motivations of the specific listener.
10
The speaker uses delivery to emphasize and enhance the meaning of the message.
10
The speaker delivers the message in a lively, enthusiastic fashion.
10
The volume varies to add emphasis and interest.
10
Pronunciation and enunciation are very clear. The speaker exhibits very few disfluencies, such as "ahs," "uhms," or "you knows."
10
Language
Student pronounces words in a clear and correct manner so as to make language understood to others
10
Correct use of grammar and verb conjugation
10
Use of correct use of vocabulary words to express message
10
Total Points 100 (70% of content and 30% of language)
Student’s Total Score:
________
Student’s Signature: _________________ Facilitator’s Signature: ___________
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Prep. 06-10-08 J. Ángel Banchs, MBA
Anejo E/Appendix E RUBRIC TO EVALUATE WRITTEN WORK
Student Name: ______________________ Date: _______________
Criteria Value Points Student Score
Content
The paper is clear, focused and interesting. Identifies purpose, objectives and principal ideas included in the paper
10
Presentation of ideas is organized, coherent and can be easily followed
10
The paper properly explains content.
10
The presentation of ideas and arguments are based in sources presented, consulted or discussed in class.
10
The paper demonstrates substance, logic and originality.
10
The author presents his point of view in a clear, convincing and well based manner.
10
Contains well-constructed sentences and paragraphs that facilitate lecture and comprehension.
10
Language Demonstrate a command of standard English (vocabulary used, syntax and flow of ideas).
10
Uses grammar appropriately and correctly.
10
Manages and uses verbs appropriately and correctly.
10
Total Points 100 (70% content and 30% language)
Student’s total Score: _______
Student’s Signature: _______________ Facilitator’s Signature:_____________
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Prep. 06-10-08 J. Ángel Banchs, MBA
Anejo F/Appendix F
Essay Rubric
Student Name: ______________________ Date: _______________
Criteria Value Points Student Score
Content
Introductory statement is clear and well stated
10
Major or relevant details are exposed in essay
10
Present a thesis, supporting it in a persuasive and sophisticated way, providing precise and relevant examples.
10
Sentences are cohesive and ideas flow as the essay is read
10
Establish a writer's relationship with the subject, providing a clear perspective on the subject matter and engaging the audience's attention.
10
Draw conclusions that reflect the relationships or significant outcomes of the discussion.
10
Demonstrate a comprehensive grasp of significant ideas, using them appropriately to reach a higher level of understanding in an organized manner.
10
Language Demonstrate a command of standard English (vocabulary used, syntax and flow of ideas)
10
Uses grammar appropriately and correctly
10
Manages and uses verbs appropriately and correctly
10
Total Points 100 (70% content and 30% language)
Student’s total Score: _______
Student’s Signature: __________________________
Facilitator’s Signature: _________________________
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Prep. 06-10-08 J. Ángel Banchs, MBA
Anejo G/Appendix G
Checklist for Portfolio Assessment
Has the student set academic goals?
Does the portfolio include enough entries in each area to make
valid judgments?
Does the portfolio include evidence of complex learning in realistic
setting?
Does the portfolio provide evidence of various types of student
learning?
Does the portfolio include students’ self-evaluations and
reflections on what was learned?
Does the portfolio enable one to determine learning progress and
current level of learning?
Does the portfolio provide clear evidence of learning to users of
the portfolio?
Does the portfolio provide for student participation and
responsibility?
Does the portfolio present entries in a well-organized and useful
manner?
Does the portfolio include assessments based on clearly stated
criteria of successful performance?
Does the portfolio provide for greater interaction between
instruction and assessment?
Adapted from: Gronlund, N. E. (2003). Assessment of student achievement. 7th ed. Boston:
Pearson Education, Inc.
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Prep. 06-10-08 J. Ángel Banchs, MBA
Anejo H/Appendix H
Portfolio Assessment Feedback Template Strengths Weaknesses Improvement Ideas Facilitator’s comments
Student’s response and comments
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Prep. 06-10-08 J. Ángel Banchs, MBA
Anejo I/Appendix I
Use and Return of Portfolio
Sistema Universitario Ana G. Méndez Universidad del Este, Universidad Metropolitana, Un iversidad del Turabo
I, ____________________________________, grant permission to the office of
Assessment and Placement of the Ana G. Méndez University System, to keep in
their records a copy of my portfolio. I understand that the portfolio is going to be
used for accreditation or educational purposes only, and that is not going to be
disclosed without my consent.
By signing this document I authorize the office of Assessment and Placement to
keep a copy of my portfolio for six months and return it to me at the end of this
period of time.
_______________________________ ___________
Student’s Name (print) Date
_______________________________ ___________
Student’s Signature Date
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Prep. 06-10-08 J. Ángel Banchs, MBA
Anejo J/Appendix J
Use and Discard of Portfolio
Sistema Universitario Ana G. Méndez Universidad del Este, Universidad Metropolitana, Un iversidad del Turabo
I, ____________________________________, grant permission to the office of
Assessment and Placement of the Ana G. Méndez University System to keep in
their records a copy of my portfolio. I understand that the portfolio is going to be
used for accreditation or educational purposes only, and that is not going to be
disclosed without my consent.
By signing this document I authorize the Office of Placement and Assessment to
keep a copy of my portfolio for six months and discard it at the end of this period
of time.
.
_______________________________ ___________
Student’s Name (print) Date
_______________________________ ___________
Student’s Signature Date