RETAKE Chapter 2: Policy Provisions and Contract Laws Flashcards
(15 cards)
Appraisal DEF.
What happens if there is not an agreement made?
A disagreement between the insurer and the insured of VALUE of property loss
will select and umpire; if cannot agree on UMPIRE, American Arbitration (AAA) appoints one
Agreement vs Assignment
offer and acceptance (element of ins.) “starting the contact”
the transfer of a legal right or interest of an ins. policy
“handing it off (with permission)”
Insurance Agreement def. and FIVE contents
establishes the obligations of the INS COMP> to provide the ins. COV. as stated in policy
- contracts
- effectiveness
- renewal dates
- des. of cov.
- perils
Conditions Def. and FOUR Contents
Indicates general rules or procedures agreed under terms of policy
1. Inspections
2. Changes to the policy
3. liberazation clause
4. return of premium
Decleration def. and FIVE contents
Contains the basic underwriting info:
1. name
2. address
3. amount of cov.
4. amount of premuim
5. dec. of Loaction
Considerations
Insured- consideration is PAYMENT OF PREMIIUM & REPRESENTATION
INSURER- consideration is the PROMISE TO PAY LOSSES
Fair Credit Reporting Act
Administrated by federal trade commissions
Proctes consumers from any distributing false of obsolete personal financial info
Sources of Insurabliity? INFO that is used (5)
used before underwritting process
1. Application form
2. Motor Vehicle Records
3. Interviews w/ neighbors, friends
4. Inspection of property
5. Inspection of insurance history
Arbitration
disagreement on how to SETTLE CLAIMS sent to one or more arbitrators
The condition section outlines
duties after a loss (like proof of loss, cooperation, etc.).
A unilateral contract means
only one party (insurer) makes a legally enforceable promise (to pay a claim).
Contracts of adhesion are
“take it or leave it” — the insured must accept the terms as written.
How does an agreement work?
The insured makes the offer (by applying), and the insurer accepts (by issuing the policy).
Insurance contracts are (4)
are personal,
conditional,
unilateral,
adhesive.
When does an applicant make an offer?
The applicant makes the offer when submitting the app — insurer accepts or rejects.