Why might an insurer deny coverage based on moral hazard?

Prepare for the IBABC Fundamentals of Insurance Exam with our detailed quizzes. Utilize flashcards and multiple-choice questions with hints and explanations to ace your exam!

An insurer might deny coverage based on moral hazard because moral hazard reflects a situation where an individual's behavior changes in a way that increases the likelihood of a loss after obtaining insurance. This could include making choices that are riskier or less responsible due to the perceived safety net of insurance coverage. For example, if an insured individual engages in activities or takes actions that they would have otherwise avoided if they were not insured, such as reckless driving or neglecting maintenance, the insurer may conclude that the behavior compromises the integrity of the insurance contract.

In this context, moral hazard emphasizes the relationship between the insured's actions and the increased risk of loss. The insurer has a valid concern that if individuals feel protected from the consequences of their riskier decisions, they may engage in behavior that could lead to more frequent or severe claims, necessitating a denial of coverage based on these heightened risks.

The other choices illustrate different aspects of insurance claims or scenarios but do not address the specific ethical and behavioral implications of moral hazard. Factors such as filing excessive claims, claims that are outside of policy parameters, or lack of awareness about policy limitations involve procedural or technical reasons rather than the fundamental ethical concerns inherent in the concept of moral hazard.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy