Life Policy Provisions and Options Flashcards

1
Q

The incontestability clause states that after 2 years the:

A
Insurer will only pay for suicide if the insured was insane at the time

B
Insurer will not refuse to pay a death claim based on misinformation in the original application for insurance

C
Policyowner cannot sue the insurer for misstatements made by the producer in the sale of the policy

D
Insurer will not argue about which beneficiary is primary or contingent

A

B Insurer will not refuse to pay a death claim based on misinformation in the original application for insurance

Incontestability means that the insurance company cannot use the statements in the original application for insurance as a reason to avoid paying a death claim. The policy becomes incontestable after two years in most states.

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2
Q

The insuring agreement in a life insurance policy states the:
A
Insurance company will not pay death claims in the event of suicide or other exclusion named in the policy unless all premiums are paid in advance

B
Policyowner will indemnify the insurance company the policy proceeds if the beneficiary is not named in the application

C
Insurance company is obligated to pay the policy proceeds upon presentation of valid proof of the death of the insured which occurred while the policy is in force

D
Insurance company may refuse to pay a death claim in the event a mistake is found in the original application for insurance at the time of the insured’s death

A

C
Insurance company is obligated to pay the policy proceeds upon presentation of valid proof of the death of the insured which occurred while the policy is in force

The insuring agreement is the basic promise to pay the benefit described in the policy when a claim is proved. In life insurance, a true certified copy of the death certificate is valid proof of death.

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3
Q

Which clause specifies the amount and frequency of premium paid by the owner as something of value provided in exchange for the company’s promise to pay?

A

consideration clause

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4
Q

Which clause is considered the most important and is found on the first page of the policy? This clause identifies the parties to the contract and the conditions it will pay.

A

insuring clause (proof of death) - this is the insurance company’s promise to pay the policy’s death benefit to the named beneficiary.

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5
Q

T/F: the entire contract consists of the policy, riders (endorsements), amendments, and a copy of the application

A

TRUE - any change to the contract will not be effective until approved by a company officer. the producer may not change the policy or waive any of its provisions.

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6
Q

The grace period in a life insurance policy is typically 31 days and provides for the:

A
Payment of the premium to be received after its due date without a penalty or lapse in coverage

B
Policyowner to reinstate the policy before it lapses

C
Payment of the premium to be received after its due date with a maximum 5% penalty

D
Insurance company to delay payment of the death benefit until it can determine the validity of the proof of death

A

A -
Payment of the premium to be received after its due date without a penalty or lapse in coverage

the grace period allows payment of the past due premium without a penalty or lapse in coverage. Any claim arising in the grace period is payable, but any unpaid premium will be deducted from the claim when paid.

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7
Q

What is the primary advantage to the policyowner in the reinstatement of a life insurance policy?

A
All policy loans that were outstanding at the time of lapse are forgiven and full cash value is restored

B
The policyowner continues to enjoy the benefits that were provided in the original policy, including the original premium

C
The insured is not required to prove insurability if under age 40

D
The insurance company cannot start a new period of contestability

A

B
The policyowner continues to enjoy the benefits that were provided in the original policy, including the original premium

Reinstatement restores the policy to its original condition as if it were never lapsed. Even though the policy is reinstated at a later age, the original issue premium is all that the insurer will require.

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8
Q

Which of the following beneficiary designations is a class designation?

A
Bank of Springfield - creditor

B
Any children of this marriage

C
Frank Jones - son

D
Mary Smith - spouse

A

B Any children of this marriage

A class designation is when the beneficiary is not directly identified by name.

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9
Q

Which of the following provisions commence at the time of the delivery of the policy to the insured?

A
Free Look Period

B
Suicide Clause

C
Misstatement of Age or Gender

D
Insuring Clause

A

A free look period

The insured/owner has the right to examine the policy for 10 days (this may vary by state) after receipt of delivery. If returned within that period, a full refund of premium is granted. It is the insurer’s responsibility to prove date of receipt.

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10
Q

If a beneficiary is designated as irrevocable, then all of the following require the irrevocable beneficiary’s approval, except:

A
Reducing the coverage

B
Changing the mode of premium

C
Taking a policy loan

D
Policy assignment

A

B
Changing the mode of premium

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11
Q

A married couple is interested in an annuity settlement option that will guarantee them both an income for as long as they live, an amount which reduces to 2/3 of that initial amount after one of them dies. What should they select?

A
Life Income Period Certain

B
Joint Life Income

C
Life Income Joint and Survivor

D
Dual Life Income

A

C

The Life Income Joint and Survivor Settlement Option pays a periodic benefit until the last surviving recipient dies. However, depending upon which survivor option is chosen (e.g. joint-and-full, joint-and-2/3, joint-and-1/2), the benefit paid following the first death could be different.

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12
Q

Which of the following policies allow for a partial withdrawal or partial surrender?

A
Variable Whole Life

B
Traditional Whole Life

C
Universal Life

D
Current Assumption Life

A

C Universal life

A partial withdrawal of cash value is permitted in a Universal or a Variable Universal Life policy.

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13
Q

A small business owner used her life insurance policy as collateral for a bank loan. The face amount of the whole life policy was $100,000 and the original amount of the loan was $20,000. If the outstanding loan balance at the time the small business owner died was $10,000, how much will the policy’s named beneficiary receive?

A
$100,000

B
$80,000

C
$70,000

D
$90,000

A

D $90,000
The collateral assignee, the bank, will take a priority claim on the policy’s death benefit limited to the amount of the loan outstanding at the time of death, the named beneficiary will receive the balance. In this case $90,000 ($100,000 - $10,000).

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14
Q

Which statement is FALSE regarding Nonforfeiture Options?

A
They protect the policyowner against total loss of benefits if the policy should lapse or be cancelled

B
The 3 nonforfeiture options are Cash Surrender, Reduced Paid-Up, and Extended Term

C
They are used when the insured lives to the endowment date of the policy or at the insured’s death

D
They add flexibility to a cash value policy

A

C
They are used when the insured lives to the endowment date of the policy or at the insured’s death

Distribution options used when the insured lives to the endowment date of the policy or at the insured’s death are Settlement Options, not Nonforfeiture Options.

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15
Q

In a whole life policy, cash value must be made available to borrow against after _____ years.

A
5

B
4

C
2

D
3

A

D 3

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16
Q

if the premiums are not paid on a Traditional Whole Life policy that has been in force for decades with no loan outstanding, what happens?

A
The policy becomes a reduced paid-up policy

B
The policy lapses and is of no value to the policyowner

C
Unless specified otherwise, the cash values buy extended term

D
The insurer mails a check to the policyowner in the amount of the policy’s cash value

A

C Unless specified otherwise, the cash values buy extended term

Upon non-payment of premium due, the extended term option kicks in automatically and is paid for by the cash values of the policy. The policy has nonforfeiture values which are available to the policyowner.

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17
Q

An insured, whose policy is in force, intentionally kills herself 7 months after purchasing the policy. How much will the insurer pay?

A
Refund of premiums paid less the costs of policy issuance

B
Nothing

C
Refund of premiums paid only

D
The face amount of the policy

A

C
Refund of premiums paid only

Suicide within 2 years of policy issue is a common exclusion in life insurance (the time can vary by state). Only premiums paid are refunded.

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18
Q

If a life insurance policy lapses due to nonpayment of premium, then reinstatement requires:

A
The payment of back premiums, plus interest, and proof of insurability

B
The payment of the next annual premium in full and in advance

C
The payment of back premiums only

D
Proof of insurability only

A

A
The payment of back premiums, plus interest, and proof of insurability

To reinstate a lapsed policy, the insured must provide evidence of insurability and all back premiums plus interest must be paid.

19
Q

K needs funds and needs to maintain the life insurance she has at the same time. Which of the following should K do with her traditional whole life policy?

A
Elect the interest only settlement option

B
Make a cash surrender

C
Elect reduced paid-up insurance

D
Take out a policy loan

A

D
Take out a policy loan

20
Q
A
21
Q

The nonforfeiture option that provides the most amount of coverage is:

A
Reduced Paid-Up

B
Extended Term

C
Cash surrender value

D
Automatic Premium Loan

A

B
Extended Term

Extended term provides the most amount of coverage for the least amount of time, whereas reduced paid-up provides the least amount of coverage for the longest period of time.

22
Q

Which of the following death benefit settlement options pays out a benefit that is 100% income tax-free to the recipient?

A
Lump Sum

B
Fixed Period

C
Fixed Amount

D
Life Income Only

A

A Lump Sum

The only settlement option that pays out its benefit 100% income tax-free to the beneficiary is the lump sum option.

23
Q

If the policyowner specifies the time over which all settlement option installments are to be paid, he/she has chosen which Settlement Option?

A
Fixed Period

B
Extended Term

C
Fixed Amount

D
Life with Period Certain

A

A Fixed Period

24
Q

The only way a death benefit can be 100% income tax-free is to be paid out __________.

A
In specified amounts over time

B
In installments over a specified period of time

C
In a lump sum

D
Until the beneficiary dies

A

C
In a lump sum

Only a lump sum payment is without interest, therefore it is not taxable. The others have a component of interest that is taxable as income to the recipient.

25
Q

An insured has a $25,000 annual renewable term life policy, originally purchased on her birthday, April 1st of last year. She forgot to pay the $250 renewal premium, and dies in an accident on April 15. The beneficiary will receive:

A
$24,750

B
$25,000 less the earned premium due

C
Nothing

D
$25,250

A

B $25,000 less the earned premium due

If a death occurs during the grace period, only the earned premium may be deducted from the death benefit. The insurer cannot retain the entire annual premium, but is entitled to 15 days’ premium (about $10.27 in this example). The beneficiary receives the balance of the death benefit.

26
Q

Which of the following correctly describes the effect of the Common Disaster Clause?

A
If the insured and primary beneficiary are killed in an auto accident in which both were in the car at the time of the crash, an autopsy will be required in order to determine which passenger died first

B
If an insured and primary beneficiary both are killed when the bus they are riding in goes over a cliff and if it cannot be determined who died first, the insured or primary beneficiary, the insured will be presumed to have survived the primary beneficiary so the contingent beneficiary will be able to receive the death proceeds

C
If an insured and contingent beneficiary both die in a train wreck, it is presumed that the insured died first in order to protect the primary beneficiary’s right to claim the death benefit

D
If the primary and contingent beneficiary die when the boat they were sailing in sinks, it is presumed that the primary beneficiary outlived the contingent beneficiary for claims paying purposes

A

B

The purpose of the Common Disaster Clause is to establish that, if it cannot be determined whether the insured or the primary beneficiary died first in a common disaster, the insured will be presumed to have survived the primary beneficiary and the proceeds of the policy will be paid to the contingent beneficiary, or if none is named, then to the estate of the insured.

27
Q

Which of the following provisions commence at the time of the delivery of the policy to the insured?

A
Misstatement of Age or Gender

B
Insuring Clause

C
Free Look Period

D
Suicide Clause

A

C Free Look Period

The insured/owner has the right to examine the policy for 10 days (this may vary by state) after receipt of delivery. If returned within that period, a full refund of premium is granted. It is the insurer’s responsibility to prove date of receipt.

28
Q

What will cause the time period of the fixed amount settlement option to be extended?

A
An increase in interest credited

B
Lower mortality

C
A decrease in the insurer’s expenses

D
A stock market rally

A

A - an increase in interest credited

fixed Amount Payments are for a specified dollar amount paid monthly until the benefits along with interest are exhausted. An increase in declared interest will extend the time period in which the benefits are paid.

29
Q

If a life insurance policy lapses due to nonpayment of premium, then reinstatement requires:

A
The payment of back premiums, plus interest, and proof of insurability

B
The payment of back premiums only

C
Proof of insurability only

D
The payment of the next annual premium in full and in advance

A

A
The payment of back premiums, plus interest, and proof of insurability

To reinstate a lapsed policy, the insured must provide evidence of insurability and all back premiums plus interest must be paid.

30
Q

The interest earned on dividends is:

A
Nontaxable

B
Tax-deferred

C
Taxable

D
Tax-deductible

A

C - taxable

The dividends themselves are generally not taxable, but any interest earned on the dividends is taxable.

31
Q

Z is the beneficiary of a life insurance policy. Rather than take a lump sum, Z wanted a lifetime payout. However, Z would feel bad if after he died, residual values were retained by the insurer rather than being paid out. Z should consider which of the following settlement options?

A
Life Only

B
Life with Period Certain

C
Life Refund

D
Joint Life

A

C
Life Refund

With Life Refund, payments are made for the lifetime of the recipient. Upon death, if a recipient has not received an amount equal to the total death benefit, the balance is refunded to the beneficiary, either in a lump sum (cash refund), or in installments (installment refund).

32
Q

Tom owns a life insurance policy and is concerned about both running out of money during his lifetime and at the same time leaving funds behind to the beneficiary. Looking for some time period guarantee, Tom should consider the _________ settlement option.

A
Life Only

B
Life with Refund

C
Life with Period Certain

D
Joint and Survivor Life

A

C
Life with Period Certain

With Life Income Period Certain, payments are guaranteed for the lifetime of the recipient or a specified period of time, whichever is longer. If the recipient dies prior to the end of the period certain, the payments continue to another person until the end of the period certain.

33
Q

Name the 6 dividend options

A

Cash
Premium reduction
accumulate at interest
paid up additions
1 year term
paid up option

34
Q

name the 3 nonforfeiture options

A

reduced paid up
extended term
cash surrender

35
Q

Tom elects the Life Income with 10-year Period Certain settlement option. Tom dies in year 6. The beneficiary receives payments for _______.

A
10 years

B
Life

C
4 years

D
6 years

A

C - 4 years

With Life Income Period Certain, payments are guaranteed for the lifetime of the recipient or a specified period of time, whichever is longer. If the recipient dies prior to the end of the period certain, the payments continue to another beneficiary until the end of the period certain.

36
Q

No assignment of a policy will be binding on the insurer, unless:

A
Sworn affidavits accompany the request

B
It is accompanied by supporting legal documentation

C
It is determined to be a valid by the insurer

D
It is in writing and received at the insurer’s home office

A

D- It is in writing and received at the insurer’s home office

No assignment of the policy will be binding on the insurer unless it is in writing and received at the insurer’s home office. The insurer is not responsible for determining the validity of the assignment.

37
Q

The provision that limits the amount of time an insurer has to challenge a claim and void the contract upon proof of a material misstatement is called the ____________ clause.

A
Incontestability

B
Insuring

C
Consideration

D
Entire Contract

A

A
Incontestability

38
Q

Mona let her permanent policy lapse. She discovered there was $2,498 in cash value remaining in the policy and decided to pay off some of her credit card debt. She exercised which Nonforfeiture Option?

A
Fixed Amount

B
Cash Surrender

C
Reduced Paid-Up

D
Extended Term

A

B
Cash Surrender

39
Q

A Whole Life policyowner elects to use his dividends to pay off the policy sooner than originally planned. Which option allows this to occur?

A
Paid-Up Additions Option

B
Paid-Up Option

C
Premiums Reduction Option

D
Cash Surrender Option

A

B
Paid-Up Option

40
Q

K has a $100,000 traditional whole life policy with $30,000 of cash values and a $10,000 loan outstanding. What is the maximum additional amount she could borrow from the policy at this time?

A
$20,000

B
$30,000

C
$60,000

D
$40,000

A

A
$20,000

She can borrow up to the policy’s cash value. She already has a loan of $10,000, so she could borrow another $20,000 at this time.

41
Q

Jason has a Whole Life insurance policy with a face amount of $100,000, an annual premium of $1,000, and a cash value of $10,000. If he wants to borrow money from the insurer, what is the maximum he can obtain?

A
The sum of the premiums paid up to that point in time

B
$90,000

C
$100,000

D
$10,000

A

D
$10,000

When using a whole life policy for collateral for a loan from the insurer, the maximum amount of that loan is the amount of cash value in the policy.

42
Q

How does an Option A death benefit feature of a Universal Life policy work?

A
It pays out the face amount less the cash values

B
It pays out the policy’s face amount plus the cash values

C
It pays out the policy’s cash values

D
It pays out the policy’s face amount

A

D - It pays out the policy’s face amount

Option A in a Universal Life Insurance policy pays out a level death benefit, while Option B pays out an increasing death benefit, the face amount plus the cash values.

43
Q

M’s policy was issued with an incorrect age. M was actually older than what was listed in the policy. Which of the following will the insurer most likely do if M had died 5 years after policy issue, but prior to this discovery?

A
The insurer would pay out a reduced benefit in proportion to the underpayment of premium

B
The insurer would void the policy because the misstatement is material to policy issuance

C
The insurer would have to pay out the full face amount since the policy is now beyond the contestable period

D
The insurer would bill the beneficiary for the underpayment in premiums

A

A -The insurer would pay out a reduced benefit in proportion to the underpayment of premium

The Misstatement of Age or Gender provision allows the insurer to pay out the benefit that the correct premiums would have purchased. This means that the death benefit could be reduced if the age was understated. In the case that this provision applies, the Incontestability clause does not apply. There is no time limit to discover a misstatement of age or gender, and that discovery will not cancel or void the policy.