Chapter 3 Flashcards

Insurance Contracts and the role of government in Insurance

1
Q

someone who handles other people’s money

A

Fidicuary

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2
Q

are both fiduciaries and must ensure that the trust places in them is not abused.

A

Insurers and Brokers

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3
Q

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

A

Consumers

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4
Q

4 levels of insurance regulation

Oversees terms and conditions of the policy.
Created the Insurance Act
Created the Statutory Conditions

A

Fair Practices (Provincial)

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5
Q

4 levels of insurance regulation

Both federal and provincial superintendents monitor the financial strength of insurer

A

Solvency

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6
Q

4 levels of insurance regulation

Authorizes the insurers to do the business in the provinces

A

Insurer Licensing (Provincial)

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7
Q

4 levels of insurance regulation

Oversees broker testing, licensing, and discipline.
Created the Registered Insurance Brokers Act.

A

Broker Licensing

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8
Q

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.

A

OSFI

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9
Q

Property and Casualty Insurance Compensation Corporation

they are to protect policyholders and claimants for company failures

A

PACICC

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10
Q

They regulates insurer operating in Ontario and enforces the provincial Insurance Act and the Compulsory Automobile Insurance

A

FSRA

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11
Q

Financial Services Regulatory Authority of Ontario

A

FSRA

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12
Q

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

A

FSRA

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13
Q

Five Elements of Contracts in General

A

Agreement
Consideration
Legality of the object
Legal capacity of the parties to the contract
Genuine Intention

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14
Q

The offer made, and an unconditional acceptance of the terms that offer.

A

Agreement

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15
Q

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

A

Consideration

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16
Q

refers to whether the object of the contract has a legal basis.

A

Legality of the Object

17
Q

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.

A

Legal Capacity

18
Q

Law says the parties to a contract must be competent and have the legal capacity to enter into a contract.

A

Legally Incompetent Persons

19
Q

They are persons of the law considers incompetent with regard to contracts

A

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.

20
Q

both parties shown intention to enter into a contract

A

Genuine Intention

21
Q

under Genuine Intention parties are in the agreement was not affected by one or more of the following otherwise contract may be voided.

A

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)

22
Q

The three elements of Insurance Contract

A

Insurable Interest
Utmost good faith
Indemnity

23
Q

Individuals and other legal entities have this when they can show they would suffer financially from a loss.

A

Insurable interest

24
Q

Examples of parties who can demonstrate an insurable interest

A

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)

25
Q

Must manage the pool of premiums paid by policyholders so there is sufficient money to pay valid claims

Must pay claims according to the terms of the policy and not try to “get out” of paying valid claims just to save money

A

Utmost Good faith

The requirement of the insurance company

26
Q

They must be truthful when making statements about their risk, details of previous claims, policy cancellations and refusal of Imsurance

must exercise honesty as the the extent of their loss, in the event that their property is lost or damaged.

A

Utmost good Faith

The requrement Insured

27
Q

The complete honesty of the parties to legally enforceable insurance contract

A

Utmost Good Faith

28
Q

Is one which is considered never to have existed

A

Void Contract

29
Q

is one that may be rendered void or unenforceable.

A

Voidable contract

30
Q

is a defined a written or oral agreement giving temporary insurance protection to the insured, pending issue of the policy by the insurance company.

A

Binder

31
Q
A