Ch 4: Policy Provisions Flashcards

1
Q

What needs to exist at the time of application for the policy owner?

A

An insurable interest

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2
Q

What is third party ownership

A

When the insurance policy is owned by someone other than the insured person

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3
Q

The title page

A

Policy face - Info page

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4
Q

Insuring clause

A

Major promises of the company (promise to pay)

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5
Q

What is consideration clause?

A

Premium payment

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6
Q

What are exclusions?

A

Exclusions that may appear in insurance policies. Things that are not considered insurable. They may be stated or attached as riders.

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7
Q

What is war exclusion?

A

Death benefit wont be paid under war time or military service conditions.

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8
Q

What is aviation exclusion?

A

No death benefit paid if insured does while flying a plane or acting as a crew member

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9
Q

What is suicide exclusion

A

Excluded from coverage during first two years that a policy is in effect. Company will return premiums paid

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10
Q

One annual premium is more or less expensive than 2 semi annual payments

A

Less expensive

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11
Q

When the insured cancels, what happens to premiums?

A

Company keeps more and returns less. Called short rate cancellation

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12
Q

When an insurer cancels, what happens to premium?

A

Company keeps earned premium and returns unearned. Called pro rats cancellation

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13
Q

What kind of cancellation happens when a company cancels and refunds the entire premium?

A

Flat cancellation, also known as when a contract is rescinded.

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14
Q

What’s included in the entire contact provision?

A

The policy and the attached application (and any added riders)

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15
Q

In life insurance the grace period is how long?

A

60 days

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16
Q

In life insurance, if insured died within the grace period, what happens to the premium?

A

Insurer pays claim but subtracts the missed premium.

17
Q

What needs to happen in order for a reinstatement of life insurance to happen?

A

Apply for reinstatement within three years of lapsing
Provide proof of insurability
Pay all past due premiums and interest
Pay any outstanding loans on the policy

18
Q

What is an incontestability clause?

A

Prevents a company from voiding a policy for misstatements after two years. Keeps a policy from being rescinded after two years.

19
Q

Suicide provision states that if an insured dies after this many years, the insurer will pay the death benefit

20
Q

Viatical settlement and absolute assignment is?

A

The complete transfer by the existing owner of all rights in a life insurance policy to another person. Used for those who are terminally ill.

21
Q

Absolute assignment is also known as

A

Viatical settlement

22
Q

Who is the only party with any rights after the death of the insured?

A

The beneficiary

23
Q

Who has the right to change their beneficiary? And does the beneficiary need an insurable interest?

A

The policy owner, and no the beneficiary does not need an insurable interest

24
Q

When does the contingent (secondary) beneficiary receives the death benefit?

A

Receives the death benefit only is there is no loving primary beneficiary.

25
If there is no living beneficiary when the insured dies, the death benefit is paid to?
Th insured's estate.
26
The class designations that means beneficiaries who are surviving share equal amounts of the death benefits. What does this describe?
Per-capita
27
What is per stirpes?
Means that a deceased beneficiary would have their death benefits pass on to their children
28
What's irrevocable beneficiary?
Means that the policy holder is not allowed to remove them as beneficiary
29
What is uniform simultaneous death act?
When the insured and the primary beneficiary died at the same time, but no evidence to who died first: - they will assume the primary died first and the contingent/secondary gets the death benefits - if primary died second, the benefit will go to the estate - if no secondary beneficiary available, death benefit will go to insured's estate.
30
What's the common disaster provision?
May be contained in a policy to protect the contingent beneficiary. Also known as survivorship provision. - prevents benefits going to primary's estate if the primary outlived the insured for a short time - sets rules on how long the primary needs to live (30 or 90 days) in order to qualify for death benefits going to their estate
31
What is spendthrift clause?
Allows the insurer to make payments to a guardian if the beneficiary is a minor.
32
Who writes the uniform policy provisions?
NAIC
33
What is free look provision?
The right of decision. Right to return the policy for any reason during 10 days, unless you're 60+, you'll get 30 days.