Life & Health 1 (Chapters 1, 2, 3, & 4) Flashcards
Which statement most accurately describes a unilateral contract?
(A) Both parties to the contract are bound to the terms.
(B) Both parties adhere to the contract.
(C) Both parties exchange goods of equal value.
(D) Only one party is legally bound to the contract.
(D) Only one party is legally bound to the contract.
Insurance contracts are unilateral contracts. Only the insurance company has legal obligations. The insured/owner is not legally bound to pay the premiums. Of course, if the insured does not pay the premiums, the company will cancel for non-payment.
The opposite of a unilateral contract is a:
(A) collateral contract
(B) multi-lateral contract
(C) bilateral contract
(D) omni-lateral contract
(C) bilateral contract
Tendencies for attitude and state of mind which cause indifference to loss are a:
(A) moral hazard
(B) morale hazard
(C) physical hazard
(D) dukes of hazard
(B) morale hazard
Morale is a state of mind. Good attitudes vs. bad attitudes.
Which statement concerning a life insurance contract is true?
(A) It is a personal contract and can be given away.
(B) It is not a personal contract and can be given away.
(C) It is a personal contract and can not be given away.
(D) It is not a personal contract and can not be given away.
(B) It is not a personal contract and can be given away.
An example of a personal contract would be a fire policy. The risk would change every time the policy was assigned or given away. The new owner may be a smoker, which would increase the chance of loss to the company. But life insurance is on a particular person. Even if ownership change, the risk, or the person being insured, will not increase.
Agents hired by a P.P.G.A. are considered to be employees of the:
(A) P.P.G.A
(B) Company
(C) Both
(D) Neither
(A) P.P.G.A
They work for the PPGA
The policyowner/insured of a $100,000 life insurance policy died of a heart attack four months after taking out the policy. The company then learned that the insured had been treated for a heart condition nine months prior to being insured, but the fact had been omitted from the application. Which course of action would the company likely follow?
- The company had to pay the death benefit because the discrepancy was not uncovered prior to the insured’s death.
- The company had to pay the death benefit because the contract is incontestable after the payment of the initial premium.
- The company will not have to pay the death benefit, but will return the premiums.
(A) 1 only
(B) 2 only
(C) 3 only
(D) 1 & 2
(C) 3 only
A material fact is grounds for voiding the policy within the first two years. A material fact is a fact which, had the company known, it could have altered the underwriting decision to issue or not to have issued the policy.
Another name for a home service company is:
(A) industrial
(B) debit
(C) door to door
(D) neighborhood
(B) debit
Home service, or debit companies, offer industrial insurance, for which the premiums are collected at the home of the insured on a weekly basis for small face amounts, usually $1000 - $3000.
Rooster died as the result of an automobile accident. His alcohol level was well above the state’s limit for impairment. The accident was considered:
(A) a physical hazard
(B) a moral hazard
(C) a peril
(D) all of the above
(C) a peril
The peril is the event that causes the loss. Hazards make them more likely to happen. Driving drunk was a moral hazard. It increases the chance of the accident happening.
Which of the following describes the idea that the insurance contract is created by the insurer and the client can “take it or leave it”?
(A) Adhesion
(B) Unilateral
(C) Aleatory
(D) Commutative
(A) Adhesion
Contracts of adhesion are created by one party, the insurer, and are not the result of negotiation between the parties.
In terms of social & economic benefits, insurance is:
(A) a more important social benefit
(B) a more important economic benefit
(C) equally important economic and social benefit
(D) has no social or economic benefit
(C) equally important economic and social benefit
An insurance contract is:
(A) not a personal contract
(B) a conditional contract
(C) a contract of adhesion
(D) all of the above
(D) all of the above
It is conditional because of two things. (1) The risk insured against may or may not happen and (2) the insurance company’s obligation to pay is conditioned upon the payment of the premium by the insured. The insured is under no legal obligation to pay. He might pay or he might not. Insurance is not a personal contract because the owner of the policy does not increase the risk to the company. It is the insured that brings the risk. Ex. A parent (the owner) owning a policy on a child (the insured). The child brings the risk, not the parent.
Which of the following gave the federal government power to regulate insurance?
(A) Paul vs. Virginia
(B) U.S. vs. Southeastern Underwriters Association (SEUA)
(C) The McCarran-Ferguson Act
(D) The Financial Services Modernization Act
(B) U.S. vs. Southeastern Underwriters Association (SEUA)
This power was given to the federal government in 1944 but the next year congress passes the The McCarran-Ferguson Act which gave regulation back to the states.
A _______ contract may be set aside.
(A) void
(B) voidable
(C) misrepresented
(D) bad
(B) voidable
Void means without legal effect.
To be characterized as a fraternal benefit society, the organization must :
- be non-profit.
- have ritualistic work within a lodge system.
- elected officers.
- operate on a pure assessment system.
(A) 1, 2, & 3
(B) 2, 3, & 4
(C) 1, 3, & 4
(D) all of the above
(A) 1, 2, & 3
A producer owes a fiduciary responsibility to:
(A) the company
(B) the client
(C) the company and the client
(D) the client and the beneficiary
(C) the company and the client
What is NOT used to determine a company’s ratings?
(A) A.M. Best
(B) Moody’s
(C) Lloyd’s of London
(D) S&P
(C) Lloyd’s of London
A.M. Best, Moody’s & S & P all rate insurance companies as to their financial soundness. Lloyd’s of London is not an insurer, nor is it a rater. Rather, it gathers and disseminate underwriting information and helps associates settle claims and disputes.
While New Mexico Life Insurance Company is operating in the state of Florida, it would be considered by the state of Florida to be a/an:
(A) A Foreign Company
(B) A Domestic Company
(C) An Alien Company
(D) A nonadmitted company
(A) A Foreign Company
Had it been Mexico Life it would have been an Alien company.
Which of the following statements would mean that the values of the contract are unequal?
(A) unilateral
(B) adhesion
(C) aleatory
(D) bilateral
(C) aleatory
An aleatory contract is unequal. The value that the insurance company will pay out if the event happens exceeds that which the policyowner pays in. Ex. A $100.000 policy will eventually pay $100,000 but the premiums will never,ever reach that amount, no matter how long the insured pays. Aleatory also means there is an element of chance involved. If death did not occur no benefit would be paid out. Ex. A term policy expired.
Which is true about the net payment cost comparison index and the surrender cost comparison index?
(A) They are found at the end of the policy
(B) They are found in the policy summary
(C) They are found in the entire contract
(D) They must be presented at policy delivery
(B) They are found in the policy summary
The policy summary must be given at the time the first premium is collected.
Sonny submitted an application, with the first month’s required premium, to the insurance company for $100,000. The company issued the policy as applied for. Which statement is true?
(A) The company made the offer and Sonny accepted.
(B) Sonny made the offer and the company accepted.
(C) The agent soliciting the application made the offer on behalf of the company.
(D) It depends.
(B) Sonny made the offer and the company accepted.
When the applicant submits the application with the appropriate premium, an offer has been made. The company will either accept, reject, or counter offer with a higher premium or fewer benefits. If no premium was submitted at the time of application then the company would make the offer and the applicant would accept it at the time he/she paid the premium.
A company transfers a risk,t he company assuming the risk is:
(A) The ceding company
(B) Risk Retention
(C) Risk transference
(D) The re-insurer
(D) The re-insurer
The company assuming the risk is called the “re-insurer” The company tranferring the risk is called the ceding company.
Which Act gives the Chief Financial Officer the right to suspend licenses, assign fines, and prosecute insurance companies?
(A) The McCarran-Ferguson Act
(B) Advertising Code
(C) The Florida Legislature
(D) The Unfair Trade Practices Act
(D) The Unfair Trade Practices Act
The McCarran-Ferguson Act gave regulation back to the states in 1945 but the Unfair Trade Practices Act gives the state it’s power to issue cease and desist orders, etc.
The principle that the large amount of exposures that are combined into a group, the more certainty there is to the amount of loss incurred in any given period is known as:
(A) loss sharing
(B) the law of large numbers
(C) pooling of risks
(D) mortality tables
(B) the law of large numbers
The larger the group, the more accurate the prediction. This, in fact, gives us the mortality (life) & mobidity (health) tables.
All statements on an application are considered to be:
(A) warranties
(B) representations
(C) material facts
(D) all of the above
(B) representations
Statements are considered to representations. A representation is a statement that is made to the best of one’s belief. A warranty is a statement of fact. Guaranteed to be true.
For the benefit of a lower premium, Tommy stated on his insurance application that he was five years younger than his actual age. The policy was issued as applied for and 15 months later Tommy died in an automobile accident. Which course of action would the insurance company take?
(A) The claim would be denied
(B) The full benefit would be paid
(C) The higher premium would be subtracted from the benefit
(D) A reduced benefit would be paid
(D) A reduced benefit would be paid
The company would pay an adjusted benefit. Age is not a material fact. It would not have altered the company’s decision to issue the policy. However, the premium would have been higher. So, the death benefit in this case would be reduced. Had all this been discovered before he died the premium would have been adjusted.
A producer represents the:
(A) buyer
(B) company
(C) buyer and the company
(D) agent
(B) company
An agent represents the company. The agent and the company are the same . What the agent does the company does. Liability of the agent will generally mean liability to the insurance company. Bringing a lawsuit against the agent generally means bringing a lawsuit against the company. A broker represents the consumer in a sales transaction. Florida does not recognize a broker in this state.
Which of the following statements are true?
(A) Stock companies sell only non-participating policies
(B) Mutual (participating) companies sell only non-participating policies
(C) Stock companies sell both participating and non-participating policies
(D) Mutual (participating) companies sell both participating and non-participating policies
(C) Stock companies sell both participating and non-participating policies
A/an ________ is the voluntary giving up of a legal right:
(A) Estoppel
(B) Waiver
(C) Aleatory
(D) Warranty
(B) Waiver
If you waive your right, you may later be stopped from getting that right back.
An agent’s license will terminate if he or she allows how many years to pass without an appointment?
(A) 2 years
(B) 4 years
(C) 5 years
(D) 6 years
(B) 4 years
You will lose it if four years pass without being appointed.
Agency law refers to the relationship between which two parties?
(A) the career agent and the general agent
(B) the career agent and the personal producing general agent
(C) the captive agent and the general agent
(D) the agent and the company
(D) the agent and the company
Agency law governs the principle that the agent is identical with the company.
A stock insurance company has stockholders and policyholders. The directors & officers are responsible to which of the following?
(A) The policyholders
(B) The stockholders
(C) Stockholders & policyholders
(D) Board of directors
(B) The stockholders
A stock company is organized for the purpose of making a profit. Stockholders own the company. Insurance is simply the product they are selling. It is basically the same as a shoe company selling shoes. A mutual company has no stockholders, the policyholders own the company.
All of the following are unique elements of an insurance contract except?
(A) Insurable interest
(B) Valued, Indemnity
(C) Adhesion
(D) Consideration
(D) Consideration
An insurable interest must exist when:
(A) A life insurance policy is issued
(B) Death proceeds become payable
(C) Policy ownership is transferred
(D) Cash values are borrowed
(A) A life insurance policy is issued
Insurable interest exists when one person would suffer a financial loss in the event of the death of another. It needs to be present only at the time of inception.
Which of the following is Not a unique character of a life insurance contract?
(A) Aleatory
(B) Adhesion
(C) Conditional
(D) Estoppel
(D) Estoppel
All of the following statements about life insurance and the risk it covers are true EXCEPT:
(A) Life insurance is a mechanism
(B) As the number of separate risks of the same type increases, the amount of loss within a given group becomes more certain.
(C) The probability of an individual insured’s death increases each year until it becomes a certainty
(D) Life insurance is like a mutual fund in that a certain sum of money must be set aside each year to meet the contractual obligations of the insured.
(D) Life insurance is like a mutual fund in that a certain sum of money must be set aside each year to meet the contractual obligations of the insured.
Which of the following statements is/are true?
(A) Twisting is internal replacement
(B) Churning is external replacement
(C) Twisting is replacement with misrepresentation
(D) Twisting and churning are dance numbers
(C) Twisting is replacement with misrepresentation
Twisting is external, churning is internal. Both require misrepresentaion or omission of facts. Replacement is not illegal or unethical as long as it is the best interrest of the insured.
An applicant for a health policy has a heart condition of which he is unaware and therefore he answers “no” to the question pertaining to heart problems. His answer is considered to be a:
(A) Warranty
(B) Concealment
(C) Fraudulent answer
(D) Representation
(D) Representation
A representation is a statement believed to be true. A warranty is a guaranteed fact.
The Florida Guarantee Association:
(A) Protects the insured if the insurer becomes insolvent
(B) Protects the insurer if the insurer becomes insolvent
(C) Protects the agent if the insurer becomes insolvent
(D) Protects the insurer if the insured becomes insolvent
(A) Protects the insured if the insurer becomes insolvent
This state association is funded by insurance companies through assesments. It protects the insured if the company goes belly-up.
If 100 men, age 25, desired to provide their beneficiary with $10,000, how much would each have to pay if we knew three were going to die?
(A) $30
(B) $300
(C) $3,000
(D) $309
(B) $300
The mortality tables told us three would die. That would create a $30,000 pool to be divided by the 100 men. $30,000 divided by the 100 equals $300.
The Financial Services Modernization Act:
(A) Repealed the Glass-Steegal Act
(B) Prohibits banks from selling more than $50,000 of total life insurance on any one life
(C) Prohibits banks from selling life insurance
(D) Prohibits insurance companies from engaging in banking
(A) Repealed the Glass-Steegal Act
This Act broke the “glass” which prohibited banks from selling insurance .
Which of the following gives the state their ability to fine, issue cease and desist orders and impose penalties?
(A) unfair trade practices act
(B) unfair claim settlement practices act
(C) the Code of Ethics of the FAIFA
(D) the McCarran-Ferguson Act
(A) unfair trade practices act
The McCarran-Ferguson Act gave regulation back to the states. The code of ethics is a code of ethics, it does not punish.
An applicant has been denied insurance coverage because of information contained in a consumer report. According to the Fair Credit Reporting Act, all of the following statements are true about this situation EXCEPT:
(A) The applicant has the right to obtain a copy of the consumer report directly from the insurance company that used the report.
(B) The applicant has the right to obtain disclosure of the substance of the information in the consumer report from the reporting agency.
(C) The applicant has the right to obtain the names of all people contacted within the past 6 months.
(D) Applicants must be notified within 3 days that a report has been requested.
(A) The applicant has the right to obtain a copy of the consumer report directly from the insurance company that used the report.