Chapter 7 Flashcards
THe terms of life insurance policies are spelled out where/how?
In provisions/clauses
What do provisions/clauses describe?
How certain situations will be handled - as well as the rights and obligations of the policyowner and issuer
What is the “free look” or “right to examine” provisions
The free look/right to examine provision gives the policyowner a period of time to return the policy for any reason within 10 days of delivery and receive all premiums paid. THe policy will be null and void
What is the “free-look” period length?
10 days
What is the insuring clause?
The :”insuring clause” or “insuring agreement” sets forth the insurer’s promise to pay benefits upon the insured’s death - includes what the company will pay, death benefit amount, and to whom it will be paid
Who signs the insuring clause?
An authorized officer of the company
Where is the insuring clause usually found?
On the first page of the policy (face amount - promise to pay upon death)
THE owner of a policy has many rights and privileges that can be performed without the consent of a beneficiary - including what?
- Change beneficiary (unless irrevocable)
- Select settlement, conversion, and non-forfeiture options
- Receive or borrow any cash values or dividends that have accumulated
- Assign or Transfer ownership of policy
- Premium Payment Mode
- Receive policy proceeds upon maturity or endowment
- Cancel the policy
What is assignment?
Transfer of owner’s rights, in whole or in part, to another individual or entity
What are the two common types of assignment?
- Collateral Assignment
2. Absolute or Permanent
What is collateral assignment?
Temporary or conditional - does not change ownership of the policy. Most common partial assignment is to pledge all or part of the death benefit as collateral for a loan
What is absolute or permanent assignment?
Assignment of a policy transnfers all rights of ownership to another person or entity. Examples: a parent may transfer policyownership to a daughter when she reaches the age of 18
The entire contract is constituted of what?
The life insurance contract and a copy of the original application (plus any riders or amendments)
May an insurer refer to documents other than the contract and the original application when denying or paying a claim?
No, a provision states “no statement shall void this policy or be used in defense of a claim under it unless contained in the application”
What are endorsements?
Any change made (amendments) - must be signed by an executive officer of the company and cannot be authorized by an agent/producer
Who must sign endorsements (amendments/changes)
Executive officer of company - cannot be authorized by an agent/producer
Can an owner request a change to a policy?
Yes
What is the “consideration” in a life insurance contract?
From Owner: Premium + Representations
From Insurer: Promise to pay face value to beneficiary upon the death of the insured
What is the “payment of premium” provision?
States that premiums are due in advance - that is, before the date on which the next period of coverage begins
Mode of payment is what?
Frequency of payments
Premium payments can either be level, single payment, graded, or flexible
Note
What is the “grace period” of a policy?
Insured does not pay on date when due, the policy will stay in force for a limited time before the coverage actually lapses. This is known as the policy’s “grace period”
How long is the grace period generally?
31 days
If the insured dies during the grace period, what occurs?
They policy will pay the death benefit minus the amount of the past due premium as of the date of death
What is “reinstatement”
The restoration of a lapsed policy as originally purchased
Do permanent life policies permit reinstatement?
Yes - in nearly all cases - the insured will receive the protection of the original policy.
How does reinstatement generally work if the policy has not been surrendered in cash?
- Submit an application within 3 years of lapse
- Pay all past due premiums + interest
- provides satisfactory evidence of insurability (medical examination)
The premium for a reinstated policy will be the same as the original - t/f?
True
Does a reinstated policy generally start a new contestability period (two years)
Yes
Does a reinstated policy generally require a new suicide period?
No (only the new contestability period)
How many years after lapse can you reinstate?
3 years (generally)
Does reinstatement require that the policy was not surrendered in cash?
Yes
What is the “incontestability provision”
Protects the insured - states that after the policy has been in effect for 2 years, the company cannot claim that a statement made in the application was meant to defraud the insurer
What is and how long is the “contestable period”
The first 2 years of a policy are known as the contestable period - during this period, the insured might be required to substantiate statements
If a policy has been reinstated after a lapse, does the contestable period start again?
A new contestability period starts again - but it only applies to information given in the reinstatement application - not the information from when the policy was originally purchased
What is a suicide clause?
The clause states that, whether sane or insane, if an insured commits suicide during the first two years after a life insurance contract has been issued, the company will pay only the premium paid to the insured - not the face amount of the policy
How long are suicide clauses?
2 years (generally)
Is suicide excluded from accidental death benefits?
Yes
Does the incontestability clause pertain to an insured’s misstatement regarding age?
No
With respect to misstatement regarding age, if a deceased insured misrepresents their age, what happens?
The face amount of the policy will be adjusted to an amount the premium would have purchased at the insured’s correct age, at the time of purchase of the policy