Chapter 3 Flashcards
the insurance company agrees to pay the face amount, in exchange for the premium
life insurance
the insurance company agrees to pay a percentage of the insureds medical bills or benefit in exchange for the premium
health insurance
the four elements of an insurance contract
consideration, legal purpose, offer and acceptance, and competent parties
something of value that each interested party gives to each other. the insured provides this with payment of premium
Consideration
the insurance contract has insurable interest and the insured has provided written consent
legal purpose
the applicant has to submit the application and initial premium to be insured
offer and acceptance
must be legal age, mentally capable of understanding the terms and not drinking or doing drugs
Competent parties
an insurance contract that has been prepared by the insurance company with no negotiation. the only author is the insurance company. Always favors the insured over the insurer
Contract of adhesion
There is an unequal exchange. the premiums paid by the applicant is small compared to what the insurance will pay out in event of a loss
aleatory contract
the insurance company is legally bond. the insured does not promise to make premium payments, but if they are not paid, the insurer can cancel the contract.
unilateral contract
contract between the insurance company and the insured person, not transferable to another person without the insurers consent.
personal contract
certain conditions must be met by all parties in the contract
conditional contract
restore the insured to the same financial condition that existed prior to the loss. you cannot benefit from this.
principle of indemnity
statements made by applicant to be true becomes part of the contract. if found to be untrue, the contract can be revoked.
warranties
statements made by the applicant believed to be true but are not part of the contract. only needs to be true only to the extent that they are material and related to the risk.
representations
withholding of info or facts by the applicant
concealment
requires that the person have a valid concern for the continuation of the life or well-being of the persons insured. only needs to exist at the time of the application
insurable interest
the insured is entitled to coverage under a policy that a sensible and product person would expect to provide.
reasonable expectations
when a life insurance policy is purchased in agreement that a 3rd party agent/broker or investor will purchase the person policy and receive the proceeds as a profit if the person dies.
STOLI
Stranger-originated life insurance
where one person is authorized to represent another person or company is established through this. the insurance company will always be the principal.
law of agency
a person who acts for another person or entity and has the power to bind the principal to contracts
authorized agent
the explicit authority granted to the agent by the insurer as written on the agency contract
express authority
the unwritten authority of a producer to perform incidental acts necessary to fulfill the purpose of the agency agreement
implied authority
deals with the relationship between the insurer, the agent, and the customer.
apparent authority