TEXAS CORRELATION OF STANDARDS WITH
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1 Texas 1 TEXAS CORRELATION OF STANDARDS WITH GOODHEART-WILLCOX INSURANCE OPERATIONS 2013 BY KATHY STOKES Insurance Operations (One-Half to One Credit). (a) General requirements. This course is recommended for students in Grades Recommended prerequisite: Principles of Business, Marketing, and Finance. (b) Introduction. Students will describe and abide by laws and regulations in order to manage business operations and transactions in the insurance industry; access, process, maintain, evaluate, and disseminate information to assist in making decisions common to the insurance industry; and monitor, plan, and control day-to-day insurance organization activities to ensure continued business functioning. Students will use career planning concepts, tools, and strategies to explore, obtain, and develop a career in insurance. Students will employ underwriting techniques and strategies to gather, access, and evaluate the risk posed by potential insurance clients. Students will determine client needs and wants and respond through planned, personalized communication to influence purchase decisions and enhance future insurance business opportunities. (c) Knowledge and skills. STANDARDS CORRELATING PAGES Standard (1) The student communicates an appreciation of the insurance industry and its role in society. The student is expected to: describe the nature of the insurance industry, including liability insurance and automobile insurance coverage; 18 33, Insurance, 21, 26, 52 discuss components of homeowners' insurance (C) explain components of flood and earthquake (D) identify components of commercial property 42 (E) explain the nature of commercial liability (F) describe the nature of title (G) define the nature of health insurance and long-term care 67, 69 70, , 92, 229 Practices, 69, 229 (H) compare and contrast the nature of Medicare and 92, , Medicaid; (I) discuss the nature of unemployment 77 79, , , 235
2 (J) identify the nature of worker's compensation (K) describe the nature of disability (L) explain the nature of life (M) summarize the role of life insurance in investment and estate planning; Insurance 97, 100 (N) discuss the manner in which insurance companies generate income; (O) explain the use of state risk pool programs; and 199, , (P) discuss trends in the insurance industry such as hacker insurance and identity theft insurance. Standard (2) The student describes careers in insurance. The student is expected to: explore education, licensing, and certification requirements; and discuss the role and responsibilities of an underwriter, insurance sales representative, actuary, claims personnel, and a loss control specialist , Standard (3) The student defines regulations that ensure compliance adherence to insurance industry regulations. The student is expected to: (C) (D) communicate the ethical and social responsibilities in the field of discuss federal and state regulations governing the insurance industry; explain the significance of the Consolidated Omnibus Budget Reconciliation Act; and discuss Title I of the Health Insurance Portability and Accountability Act , , , , , , , , 235 Standard (4) The student explains legal concepts pertinent to the insurance industry. The student is Texas 2
3 expected to: discuss fundamental legal principles that pertain to insurance such as indemnity, insurable interest, subrogation, and utmost good faith; and , , describe the nature of insurance contracts Standard (5) The student analyzes the risk posed by potential clients in order to make insurance approval and denial decisions. The student is expected to: explain the importance of actuarial science in the 54 56, 131, 186 insurance industry; discuss the nature of credit-based insurance scores; 186, and (C) underwrite an insurance policy. 129, Standard (6) The student uses information technology tools when underwriting an insurance policy. The student is expected to: simulate computer smart systems and applications to assist in the underwriting process; and 184 End-of-Chapter Activities, use the Internet to determine a potential client's risk. 184 End-of-Chapter Activities, Standard (7) The student acquires necessary information and uses investigative techniques to identify and investigate insurance fraud. The student is expected to: conduct a database search to obtain background information on claimants and witnesses; discuss the nature of insurance fraud; (C) investigate suspected insurance fraud; 118 Special Feature Real World Case 264 (D) conduct surveillance work; and (E) identify and research a case study involving possible insurance fraud, including: (i) formulating questions to analyze the issue; Practices, 168 Insurance, 263 (ii) gathering relevant sources; End-of-Chapter Activities (iii) evaluating the validity and reliability of those End-of-Chapter Activities sources; (iv) determining and verbalizing applicable laws and End-of-Chapter Activities regulations; (v) gathering data supporting evidence; and End-of-Chapter Activities (vi) creating a clear and coherent oral and written End-of-Chapter Activities presentation, including the use of correct grammar, spelling, punctuation, and citation of resource Texas 3
4 materials. Standard (8) The student manages agency and company policies to protect the insurance company's financial well-being. The student is expected to notify clients in writing when policy is cancelled using writing conventions appropriate to this purpose; and , , , monitor agency accounts , , , Standard (9) The student gathers, organizes, and synthesizes information to process a claim to fulfill and communicate the company's legal obligation to the client. The student is expected to: discuss the nature of insurance claims; 56 57, 131 End-of-Chapter Activities, 63 66, process an insurance claim; End-of-Chapter Activities, , (C) interview claimant and witnesses; End-of-Chapter Activities, 63 66, (D) inspect property damage; End-of-Chapter Activities, 63 66, (E) compile a claim report; End-of-Chapter Activities, 63 66, (F) negotiate with claimant; and End-of-Chapter Activities, 63 66, (G) settle the insurance claim End-of-Chapter Activities, 63 66, Standard (10) The student evaluates existing client insurance and risk-management needs. The student is expected to: evaluate a client's insurance needs; and 36 39, 97, , recommend coverage upgrades to clients, where appropriate. End-of-Chapter Activities, 45 48, , Standard (11) The student simulates an insurance sale. The student is expected to: identify prospective clients; , Texas 4
5 schedule appointments with prospective clients , (C) interview a client; , (D) determine the client's insurance needs; , (E) prepare sales presentation materials; , (F) present an insurance recommendation to the client; , (G) close the insurance sale; , (H) handle any objections; and , (I) process the insurance documentation , Texas 5
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