1E Flashcards

1
Q

Insurance Application

A

is the applicant’s offer. whiteout is never acceptable.

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2
Q

Representations

A

a statement of fact

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3
Q

Warranty

A

guarantee of information

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4
Q

Material Fact

A

information that would alter decision to issue insurance

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5
Q

Binding Authority

A

authority given to a producer which provides temporary coverage. may be oral or written. 90 day max

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6
Q

Sources of Insurability

A
inspection services
investigative consumer reports
government agencies
credit reports (can't be used as sole reason to determine insurability)
insurance support organizations
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7
Q

Fair Credit Reporting Act of 1970 (FCRA)

A

protects consumers relative to collection and disclosure of personal info

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8
Q

Judgment Rating

A

oldest and least used form of rating - used with antiques and fine art

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9
Q

Manual Rate

A

most common method. look it up in a manual (ie personal residence)

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10
Q

Merit Rate

A

a manual rate modifier (ie good student modifier)

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11
Q

Experience Rate

A

a discount or surcharge based on experience

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12
Q

Retro Rate

A

initial deposit premium then a premium audit at the end of the term will determine any adjustments. aka “look back” (common on Worker’s Comp Insurance)

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13
Q

Policy Structure

A
  1. Declarations
  2. Insuring Agreements
  3. Condition
  4. Exclusions
  5. Definitions
  6. Additional & Supplementary Coverages
  7. Endorsements
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14
Q

Declarations

A

personalize the policy to the insured, identifies the insured, lists coverage and premium, policy period

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15
Q

Insuring Agreements

A

states what is covered, the losses for which the insured will be indemnified, type of property covered and perils against which it is insured

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16
Q

Conditions

A

conditions that apply to both the insured and the insurer

17
Q

Exclusions

A

describes the losses for which the insured is not covered

18
Q

Definitions

A

clarifies meaning of certain terms in the policy

19
Q

Additional Coverages

A

additional coverages included w/o additional premium (ie. cleanup following a covered cause of loss)

20
Q

Supplementary Coverages

A

gen associated w liability insurance include issues such as providing a defense in lawsuits, paying or bail bonds and costs the insurer incurs in investigation and settlement of a claim

21
Q

Endorsement

A

modifies the policy in some way. might be added to broaden coverage (w an associated increase in premiu) or may be adde to limit or restrict coverage (w a decrease in premium). Not effective unless accepted by insurer and signed by an exec officer

22
Q

Certificate of Insurance

A

proof of insurance

23
Q

Insurable Interest

A

insured must face a risk of financial loss if property is damaged or stolen. used to prevent gambling and reduce moral hazards

24
Q

In P&C Insurance, insurable interest must be demonstrated when?

A

at the time of loss

25
Q

Cancellation by insured

A

at any time by providing prior written notification to insurer

26
Q

Cancellation by insurer

A

can cancel only for specific reasons (30 days notice; non payment of premium is 10 days)

27
Q

Proportionate (Pro-Rata) Share Refund

A

if INSURER initiates cancellation, insurer is required to refund 100% of the unearned premium

28
Q

Short Rate

A

if INSURED initiates, the insurer is required to refund unearned premium but allowed to charge a small transaction fee

29
Q

Flat Rate

A

either initiates a cancellation coincident with the effective date

30
Q

Fire Insurance Policy

A

refers to a policy that provides coverage in relationship to property losses. can be named or open peril

31
Q

Homeowner Policy Cancellation (Oregon requirements)

A

insurer may cancel a policy in force for > 60 days only bc of :

a. non payment of premium
b. fraud
c. violation of terms
d. substantial increase in risk of loss
e. director determination

Notificaton 10 days written if non payment of premium or fraud and 30 days for everything else

Policy < 60 days can cancel for any reason

32
Q

Commercial Liability Cancellation

A

a. non payment of premium
b. fraud
c. substantial increase in risk of loss
d. failure to comply with loss control recommendations
e. breach of contractual duties, conditions or warranties
f. director determination
g. loss or decrease in reinsurance
h. other reason approved by director.

cancellation effective after 10 working days