Life Insurance Policy Provisions, Options, And Riders Flashcards
Stipulate the rights and obligations of an insurance contract and are fairly universal from one policy to the next.
Provisions
Modify provisions that already exist and are used to increase or decrease policy benefits and premiums.
Riders
Offer insurers and insureds ways to invest or distribute a sum of money available in a life policy
Options
A person’s essential activities that include bathing, dressing, eating, transferring, toileting, continence
Activities of daily living ( ADLs)
Transfer of rights of policy ownership
Assignment
A beneficiary who has second claim to the policy proceeds after the death of the insured (usually after the death of the primary beneficiary)
Contingent beneficiary
An organization composed insurance commissioners from all 50 states , the District of Columbia and the 4 US territories formed to resolve insurance regulatory issues
National Association of Insurance Commissioners (NAIC )
A beneficiary who has the first claim to the policy proceeds after the death of the insured.
Primary Beneficiary
The face value of the policy; the original amount invested before the earnings
Principal amount
An arrangement in which funds or propwr gu are held by a person or corporation for the benefits of another person (trust beneficiary)
Trust
Involves transferring all rights of ownership to another person or entity. Is permanent and total transfer of all policy rights. New owner does not need to have insurable interest in the insured.
Absolute Assignment
Partial and temporary transfer of rights; usually done to secure a loan or some other transaction and once paid, rights are returned
Collateral Assignment
Entire contract =
Policy + copy of application + any riders or amendments
_________ or Changes in the policy must be endorsed on or attached to the policy in writing over the signature of an executive officer of the insurer
Modifications
Starts when the policyowner receives the policy (policy delivery) and they have 10 days to look over the policy can get a full refund if they are dissatisfied with anything
Free-look period
Protect policyholders from losing insurance coverage if they are late on a premium payment.
Grace periods
Maximum time limit for reinstatement is usually ____ _________ after the policy has lapsed.
3 years
After this timeframe, a policy cannot be contested
2 years after has been in force
A policy that has been surrendered cannot be:
Reinstated
Misstatement of age on the application will result in
Adjustment of premiums or benefits
Exclusions and Restrictions: WASH
W: war or military service ( status clause & results clause)
A: aviation excludes coverage for noncomericial flights or requires an additional premium for coverage
S: suicide not covered within the first 2 years but after the first 2 years it is covered
H: hazardous occupation or hobbies; no dangerous or life threatening jobs or hobbies
Excludes all causes of death while the insured is on active duty in the military
Status Clause
Only excludes the death benefit if the insured if the insured is killed as a result of an act of war ( declared or undeclared).
Results Clause
Insurers must pay first-party claims within 30 days of receipt of proof of loss; after thay an interest will be assessed
Intereg on Life Insurance Proceeds
Benefits designated to a minor will be paid to:
The minor’s guardian, or to the trustee of the minor if the trust is named beneficiary, or paid as directed by a court.
If no beneficiary is named, policy proceeds go to the insured6
Estate
Meaning by the head: evenly distributed benefits among the living named beneficiaries.
Per Capita
Meaning by bloodline; distributed the benefits of a beneficiary who died before the insured to that beneficiary’s heirs.
Per Stirpes
Has first clain to the police proceeds following the death of the insured.
Primary beneficiary