Insurance1 Flashcards
Changes in the application
Must be initialed by the applicant
Backdating
Usually no more then 6 months
Required signatures
Insured, Producer/Agent and Applicant (If not the insured)
Producers Report
Completed by the producer/agent
Not attached to policy if issued
Conditional Report
Premium paid with application
Insurance effective
Date application completed and signed
Medical exam if required
Must be a standard or preferred risk
Can be determined after death
Binding receipt
Temporary, not common in life insurance
Underwriting Sources of information
Application –primary source
Medical exam & testing
Attending Physician Statement (APS)
AIDS testing
Applications may not ask about sexual orientation
– Testing not based on geographical location
– Requires insureds written consent
– Cannot be reported to the MIB
■ Medical Information Bureau
– Application cannot be denied solely on MIB information
– Insured must be informed of MIB
– MIB gets its information from insurance companies
■ Consumer reports
– Insured must be informed
■ Investigative reports
– Insured must give consent
Classification of Risks
■ Standard
■ Preferred
■ Substandard
■ Declined
Agent delivery
Usually must get signed delivery report
Statement of good health
Required if no premium with application
if health changed –agent can’t deliver policy
Effective date of coverage
■ Terms of conditional receipt is issued
■ Substandard and pays additional premium—date of policy issue
■ No receipt—policy issue date if premium paid at delivery
Fair Credit Reporting Act
■ Third party information
■ Notice to applicant REQUIRED
■ Consumers have rights and can dispute information in files
■ Penalty: fines (max of $5,000) and/or imprisonment (one year)
STOLI/IOLI
■ Banned in most states.
■ Investors named as beneficiaries.
U.S. Patriot Act
■ Designed to prevent and detect money laundering and financing of terrorism
■ Report suspicious activity
ERISA
■ Protects participants in employee benefit plans
■ Qualified pension plans & group insurance
■ Reporting and disclosure information for plan participants