Chapter 8: Ohio Laws To Insurance Flashcards
Office of Insurance Regulation
To ensure that insurance companies license to do business are financially viable, operate within the laws and regulations of the insurance industry
Unauthorized Entities
Concerns:
- Potential for criminal activity within insurance business
- Adverse economic impact
- Unpaid claims due to dishonesty
Agent Responsibilities
Notice of Replacement
Free look
Buyers guide
Notice of Replacement
If the agent knows that the purchase of this policy will replace an existing policy there are certain rules
Free look
States that for a certain period an applicant may test the policy out and receive a full refund if dissatisfied
Buyers guide
Provides basic information on types of insurance policies and policy summaries
Agent Ethics
Agent needs:
- Insurance companies name and agent license number on first page of contract
- all information must be legible and there must be a copy of application provided to applicant
Group life certificate
Must contain:
- group policy number
- description of insurance protection
- names of the insured, beneficiaries and dependents
- rights and conditions
Cobra/conversion
Federal law that requires employers with 20 or more employees to include a continuation of benefits provision for form employees and their dependents
Provision vs. Rider
Provision adds benefits to or amends the terms of a basic policy
Riders provide insured parties with options as additional coverage or may limit coverage
Defamation
Untrue statements about another person/insurance company
Rating system for Fair Credit Reporting Act
Bronze 60%
Silver 70%
Gold 80%
Platinum 90%