Chapter 9 Flashcards

1
Q

principle that states that the insurer agrees to pay no more than the actual amount of the loss; stated differently, the insured should not profit from a loss.

A

principle of indemnity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

the principle of indemnity has two fundamental purposes. the first purpose is to ________

A

prevent the insured from profiting from a loss.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

the second purpose of indemnity is to _____

A

reduce moral hazard.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

in property insurance, the basic method for indemnifying the insured is based on the ___ ____ ____ of the damaged property at the time of loss.

A

actual cash value

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

courts have used a number of methods to determine actual cash value, including the following:
replacement cost less depreciation
fair market value
___ ____ rule

A

broad evidence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

rule of actual cash value that takes into consideration both inflation and depreciation of property values over time.

A

replacement cost less depreciation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

the price a willing buyer would pay a willing seller in a free market.

A

fair market value

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

many states use the ____ ____ rule to determine the actual cash value of a loss.

A

broad evidence.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

means that the determination of actual cash value should include all relevant factors an expert would use to determine the value of the property.

A

broad evidence rule.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
several exceptions to the principle of indemnity, including the following:
valued policy
\_\_\_ \_\_\_\_ laws
\_\_\_\_ \_\_\_\_\_ insurance
life insurance
A

valued policy, replacement cost

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

a policy that pays the face amount of insurance if a total loss occurs.

A

valued policy.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

law that exists in some states that requires payment of the face amount of insurance to the insured if a total loss to real property occurs from a peril specified in the law.

A

valued policy law

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

means there is no deduction for physical depreciation in determining the amount paid for a loss.

A

replacement cost insurance.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

states that the insured must be in a position to lose financially if a covered loss occurs.

A

principle of insurable interest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

insurance contracts must be supported by an insurable interest for the following reasons:
to prevent gambling
to reduce moral hazard
to measure the amount of the insured’s __ ___ ___ ___

A

loss in property insurance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

if an insurable interest were not required, the contract would be a ____ ____ and against the public interest.

A

gambling contract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

in property insurance, the insurable interest must

A

exist at the time of the loss.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

in contrast, in life insurance, the insurable interest requirement must be met only at

A

the inception of the policy, not at the time of death.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

means substitution of the insurer in place of the insured for the purpose of claiming indemnity from a third party for a loss covered by insurance. stated differently, the insurance company is entitled to recover from a negligent third party any loss payments made to the insured

A

subrogation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

subrogation has three purposes; first, it prevents the insured from

A

collecting twice for the same loss.

21
Q

the second purpose of subrogation is used to

A

hold the negligent person responsible for the loss.

22
Q

the third purpose of subrogation helps to

A

hold down insurance rates.

23
Q

insurance is based on the principle of

A

utmost good faith

24
Q

a higher degree of honesty is imposed on both parties to an insurance contract than is imposed on both parties to other contracts.

A

principle of utmost good faith

25
the principle of utmost good faith is supported by three important legal doctrines; representations _____ warranty
concealment
26
statements made by the applicant for insurance to induce the insurer to enter into an insurance contract.
representations
27
a representation that is false is called a
misrepresentation
28
means that if the insurer knew the true facts, the policy would not be issued, or it would be issued on different terms.
material
29
means that the insurer relies on the misrepresentation in issuing the policy at a specified premium.
reliance
30
intentional failure of the applicant for insurance to reveal a material fact to the insurer.
concealment
31
a statement that becomes part of the insurance contract and is guaranteed by the maker to be true in all respects.
warranty
32
``` to be legally enforceable, an insurance contract must meet four basic requirements; offer and acceptance exchange of consideration competent parties ____ ____ ```
legal purpose
33
in most cases, the ___ for insurance makes the offer, and the ____ accepts or rejects the offer.
applicant, insurer
34
a temporary contract for insurance and can be either written or oral. binds the companies until the contract can be made official with the insurance company.
binder
35
receipt that binds coverage for life insurance without references to actual delivery of the policy.
conditional premium receipt
36
___ insurance cannot be binded.
life
37
the value that each party in a contract gives to the other.
exchange of consideration
38
the parties must have legal capacity to enter into a binding contract.
competent parties
39
a contract that is legal and enforceable only if it complies with the law and public policy. a contract entered into for an illegal purpose is not binding.
legal purpose
40
``` some other distinct legal characteristics of insurance contracts include: aleatory contract unilateral contract conditional contract ____ contract contract of _____ ```
personal, adhesion
41
contract where the values exchanged may not be equal but depend on an uncertain event.
aleatory contract
42
contract in which the values exchanged by both parties are theoretically equal.
commutative contract
43
means that only one party makes a legally enforceable promise.
unilateral contract
44
contract that the insurer is obligated to pay a claim depending on whether the insured or the beneficiary has complied with all policy conditions.
conditional contract
45
provisions inserted in the policy that qualify or place limitations on the insurer's promise to perform.
conditions
46
means the contract is between the insured and the insurer.
personal contract
47
means the insured must accept the entire contract, with all of its terms and conditions.
contract of adhesion
48
states that an insured is entitled to coverage under a policy that he or she reasonably expects it to provide, regardless of policy provisions.
principle of reasonable expectations.