Chapter 3 Flashcards
Insurance Contracts and the role of government in Insurance (31 cards)
someone who handles other people’s money
Fidicuary
are both fiduciaries and must ensure that the trust places in them is not abused.
Insurers and Brokers
expect the premium they pay will be forwarded by the broker to the insurance company. In addition, they expect that insurers will retain a portion of all premiums collected to pay, or that they will provide refund if policy is cancelled mid-term
Consumers
4 levels of insurance regulation
Oversees terms and conditions of the policy.
Created the Insurance Act
Created the Statutory Conditions
Fair Practices (Provincial)
4 levels of insurance regulation
Both federal and provincial superintendents monitor the financial strength of insurer
Solvency
4 levels of insurance regulation
Authorizes the insurers to do the business in the provinces
Insurer Licensing (Provincial)
4 levels of insurance regulation
Oversees broker testing, licensing, and discipline.
Created the Registered Insurance Brokers Act.
Broker Licensing
Office of the Superintendent of Financial Institutions
supervises Canadian insurance companies incorporated under the Insurance Companies Act as well as foreign insurers who are licensed to sell insurance products in Canada.
main role is to review an monitor all federally licensed insurers to determine their financial soundness.
OSFI
Property and Casualty Insurance Compensation Corporation
they are to protect policyholders and claimants for company failures
PACICC
They regulates insurer operating in Ontario and enforces the provincial Insurance Act and the Compulsory Automobile Insurance
FSRA
Financial Services Regulatory Authority of Ontario
FSRA
They are responsible for
Licensing of both and life and general insurance and agents
Monitor insurer solvency
Ensuring fair marketing practices
Approving automobile insurance coverage and rates
FSRA
Five Elements of Contracts in General
Agreement
Consideration
Legality of the object
Legal capacity of the parties to the contract
Genuine Intention
The offer made, and an unconditional acceptance of the terms that offer.
Agreement
Is evidence the two parties intend to be bound by the contract
in insurance contract, the consideration given is the payment of the policy premium
Consideration
refers to whether the object of the contract has a legal basis.
Legality of the Object
following are the legal entities who can enter into contracts
And individual is a legal person who can enter into contracts, sue, or be sued.
Business registered, as sole proprietorship, partnerships, or corporations are also legal entities and have the same right to contract as individuals
If an unincorporated business uses a trade name for marketing purposes, the contract must be issued in the name of the individual(s) who own the business and not the trade name.
Legal Capacity
Law says the parties to a contract must be competent and have the legal capacity to enter into a contract.
Legally Incompetent Persons
They are persons of the law considers incompetent with regard to contracts
Persons who are mentally incapable
Persons who are under the influence (drugs and alcohol at the time a contract is entered into)
Minor: In Ontario, a minor is defined as being under the age of 18.
both parties shown intention to enter into a contract
Genuine Intention
under Genuine Intention parties are in the agreement was not affected by one or more of the following otherwise contract may be voided.
Fraud (trickery)
Duress (use or threat of force or illegal imprisonment)
Concealment ( misrepresentation of pertinent facts)
Mistake (a legal document signed in error or by mistake)
The three elements of Insurance Contract
Insurable Interest
Utmost good faith
Indemnity
Individuals and other legal entities have this when they can show they would suffer financially from a loss.
Insurable interest
Examples of parties who can demonstrate an insurable interest
Owners of property
Mortgage holder (mortgagees)
Bailees to whom property is entrusted for repair, service, or safekeeping (ex. dry cleaners, computer repair shops, garages, storage facilities)
Any person or entity who may be legally liable to a third party for injury or damage (ex. since people are responsible for their negligent actions, they have an insurable interest in a liability insurance policy)