Chapter 3 Flashcards

1
Q

the insurance company agrees to pay the face amount, in exchange for the premium

A

life insurance

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2
Q

the insurance company agrees to pay a percentage of the insureds medical bills or benefit in exchange for the premium

A

health insurance

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3
Q

the four elements of an insurance contract

A

consideration, legal purpose, offer and acceptance, and competent parties

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4
Q

something of value that each interested party gives to each other. the insured provides this with payment of premium

A

Consideration

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5
Q

the insurance contract has insurable interest and the insured has provided written consent

A

legal purpose

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6
Q

the applicant has to submit the application and initial premium to be insured

A

offer and acceptance

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7
Q

must be legal age, mentally capable of understanding the terms and not drinking or doing drugs

A

Competent parties

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8
Q

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

A

Contract of adhesion

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9
Q

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

A

aleatory contract

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10
Q

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.

A

unilateral contract

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11
Q

contract between the insurance company and the insured person, not transferable to another person without the insurers consent.

A

personal contract

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12
Q

certain conditions must be met by all parties in the contract

A

conditional contract

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13
Q

restore the insured to the same financial condition that existed prior to the loss. you cannot benefit from this.

A

principle of indemnity

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14
Q

statements made by applicant to be true becomes part of the contract. if found to be untrue, the contract can be revoked.

A

warranties

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15
Q

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.

A

representations

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16
Q

withholding of info or facts by the applicant

A

concealment

17
Q

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

A

insurable interest

18
Q

the insured is entitled to coverage under a policy that a sensible and product person would expect to provide.

A

reasonable expectations

19
Q

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.

A

STOLI
Stranger-originated life insurance

20
Q

where one person is authorized to represent another person or company is established through this. the insurance company will always be the principal.

A

law of agency

21
Q

a person who acts for another person or entity and has the power to bind the principal to contracts

A

authorized agent

22
Q

the explicit authority granted to the agent by the insurer as written on the agency contract

A

express authority

23
Q

the unwritten authority of a producer to perform incidental acts necessary to fulfill the purpose of the agency agreement

A

implied authority

24
Q

deals with the relationship between the insurer, the agent, and the customer.

A

apparent authority

25
Q

handling of money of the insured and insurer. someone in the position of trust and confidence.

A

fiduciary responsibility

26
Q

the intentional misrepresentation or concealment of material fact made by one party in order to cheat another party out of something that has economic value. an insurer may void an insurance policy if a misrepresentation on the application is proven to be material

A

fraud

27
Q

is voluntarily giving up the known right

A

waiver

28
Q

the legal process of preventing one party from reclaiming a right that was waived

A

estoppel

29
Q

rule that prevents parties in a contract from changing the meaning of a written contract by oral or written evidence made prior to the formation of the contract, but not part of the contract.

A

parol evidence rule

30
Q

the right for an insurer to pursue a third party that caused an insurance loss to the insured

A

subrogation

31
Q

an agreement that does not have legal effect, therefore is not a contract. not enforceable by either party.

A

void contract

32
Q

is a valid, binding contract which can be avoided at the request of a party with the right to reject.

A

voidable contract

33
Q

the voluntary act of terminating an insurance contract.

A

cancellation

34
Q

a written form attached to an insurance policy that alters the policy’s coverage, terms, or conditions.

A

endorsement

35
Q

an agent that can represent more then one insurance company under separate contractual agreements.

A

brokers

36
Q

where producers can be sued for mistakes of putting a policy into effect.

A

professional liability insurance