Chapter 12 Flashcards

1
Q

When does coverage begin if a policy has a conditional receipt based upon insurability?

A

Coverage begins on the receipt date provided the application is approved as applied for

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2
Q

What information may be found in Section 1 of a life insurance policy?

A

Name, address, DOB, salary and occupation of the applicant

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3
Q

What are some of the negative results of submitting an incomplete application?

A

It’s unprofessional, creates issuance delays, and may result in business lost to competitors or in lost commissions

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4
Q

Name the receipt that provides coverage “as long as a specific condition has been met or performed”.

A

A conditional receipt

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5
Q

What are representations?

A

Statements made by an applicant when answering questions on the application

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6
Q

The MIB is an inter company _______ bank that stores information collected from previous ____________.

A

Data; applications

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7
Q

What is a morbidity table?

A

A table used to predict the probability of illness or disability

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8
Q

Define the term warranty.

A

A statement made by an applicant that is guaranteed to be absolutely true

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9
Q

Name some items that effect policy premium.

A

Age, gender, health, occupation, hobbies, habits, family health, and travel outside of country

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10
Q

What does the Fair Credit Rating Act allow?

A

It gives a consumer or applicant the right to dispute credit reporting information

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11
Q

When may changes to an application be made?

A

Changes may only be made prior to application submission.

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12
Q

What does the delivery of a policy to an insured constitute?

A

Policy issue and acceptance

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13
Q

Who is a substandard risk?

A

An individual with higher than average risk

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14
Q

An applicants health history is usually found in ________ of a life insurance policy.

A

Section 2

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15
Q

What type of receipt provides coverage only on the date the application is approved?

A

An approval type conditional receipt

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16
Q

What provision begins in the date a policy is delivered to an insured?

A

The free look provision

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17
Q

What is a binding receipt?

A

One that provides immediate or unconditional coverage on the date the premium is received

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18
Q

If a conditional receipt requires the applicant to take a medical exam, when is the earliest date coverage may begin?

A

The date of the exam itself

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19
Q

In order to represent an insurer, an agent must be ________ by that company.

A

Appointed

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20
Q

A __________ application requires no information other than what is provided by the applicant.

A

Nonmedical

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21
Q

What is a declines risk?

A

n application for insurance that has been turned down

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22
Q

Whenever a premium is paid by an applicant, the agent should provide a __________.

A

Receipt

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23
Q

At policy delivery, what should the agent review with the insured?

A

Coverage, coverage effective date, provisions, beneficiaries, premium, exclusions, riders, and ownership rights.

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24
Q

How does the percentage of normal rate method work?

A

By simply increasing the premium by a percentage of the standard rate

25
An approval type conditional receipt, dated 6/15, is approved on 9/1 as applied for. When did coverage become effective?
On 9/1, the date the policy is approved
26
Where would an agent record personal observations regarding the applicant?
In the agent report
27
What is the principal tool used in determining an individuals eligibility for insurance coverage?
The application
28
When should an agent review the possibility of various background checks such as credit, MIB, or HIV?
At time of original application
29
List some approved policy delivery methods.
Certified registered mail, first class mail with signed receipt, and personal delivery
30
For applications submitted without premium, applicants must pay premium and complete a ____________.
Statement Regarding Good Health
31
If requested by an applicant, what credit information must be provided to the applicant?
The information report, the source of information, and how to challenge the information
32
What methods are used to insure a substandard risk?
Higher premium, exclusion rider, lower benefit, and lower benefit time frame
33
What is the primary source of underwriting information?
The original application
34
T/F: Anyone may gain access to MIB information.
F; access is only available to approved company representatives/underwriters
35
Identify the acronym: APS
Attending Physicians statement
36
An insurability type conditional receipt, dated 6/15, is approved as applied for in 9/1. When did coverage begin?
6/15. With conditional type receipt, coverage is effective on date of application if policy is issued as applied for
37
If proven untrue, may information obtained through a credit check be used to deny an application?
Untrue information obtained through a credit check may not be used to deny an application
38
T/F: Women statistically live longer than men; therefore they have lower life insurance premiums.
T
39
When should the agent review and collect signatures on a Notice Regarding Replacement form?
No later than time of application
40
A _______ party contract requires three signatures.
Third
41
What is the rating method that increases premiums by increasing the age classification of the insured?
The step up in age rating method
42
When does coverage begin on a conditional receipt policy?
If the application is approved as applied for, coverage is immediately provided
43
When must the applicant be notified that consumer/credit background checks will be performed?
Within 3 days following a request for information
44
Is signed authorization required from the applicant in order to test for the HIV virus?
Yes
45
What individual has fatter than average risk?
A preferred risk
46
The date listed on a receipt will always be a date that is _______ than the policy issue date.
Earlier
47
T/F: the producer issues the insurance policy.
F; producers solicit appointments, complete applications, collect premiums, and submit applications for approval
48
What is another name for an average or ordinary risk?
Standard risk
49
T/F: an agent may not make changes to a life insurance application.
T; technically, only the applicant may make changes, and only prior to the application being submitted
50
When is a trial application used?
When an application is submitted to the insurers without an initial premium
51
When does the “Notice to the applicant” regarding the Fair Credit Reporting Act need to be given?
At the time of application
52
Which would have a lower premium, a standard or substandard risk?
A standard risk would have a lower premium
53
What is the most common method used to insure a substandard risk?
Charging higher premiums
54
What is the purpose of the MIB?
To compare collected health information in order to avoid adverse selection
55
Who is the field underwriting agent?
The agent who determines which risks are desirable and submits them to the underwriting department for approval
56
Is coverage provided during the grace period?
Yes
57
What tables predict the probability of death?
Mortality tables
58
Who pays for the cost of an applicants medical exams and lab fees?
The insurer underwriting the application
59
What are the primary duties of an underwriter?
Assess risks, approve or deny applications, determine premiums, and protect the insurer against adverse selection