Policy Provisions, Riders, Options Flashcards
a persons essential activities that include bathing, dressing, eating, transferring, toileting, continence
Activities of daily living (ADL)
transfer of rights of policy ownership
assignment
something of value that each party gives to the other
consideration
reimbursement in the event of a loss
Indemnity
payment of entire benefit in one sum
lump sum
organization composed of insurance commissioners from all states and jurisdictions formed to resolve insurance regulatory issues
NAIC
The face value of the policy : original amount invested before the earnings
Principal
What constitutes an Entire Contract?
Policy, application, and any riders or amendments
Sets forth the basic agreement between the insurer and the insured
insuring clause
Allows the policy owner 10 days from the receipt to look over the policy and if disatisfied for any reason, return for a full refund
free look
When does the free look period begin?
when the policy owner receives the policy / policy delivery
transferring all rights of ownership to another person
absolute assignment
involves a transfer of partial rights to another person
collateral assignment
has first claim to the policy proceeds following the death of the insured
primary beneficiary
has second claim in the event that the primary beneficiary dies before the insured
contingent beneficiary
policy owner can make beneficiary changes without the consent or knowledge of beneficiary
revocable
policy owner cannot make beneficiary changes without the written consent of the beneficiary
irrevocable
assumes the primary beneficiary dies first in a disaster
Uniform Simultaneous Death Law under Common Disaster Clause
manner or frequency that the policy owner pays the policy premium
premium mode
If the insured dies during a time which the premium has been paid, the insurer must ….
refund any unearned premium
period of time after the premium due date that the policy owner has to pay the premium before the policy lapses
grace period (30-31) days
provision that allows a lapsed policy to be put back in force
reinstatement
Maximum time limit for reinstatement
3 years
A policy cannot be reinstated if it was …
surrendered
prevents an insurer from denying a claim due to statements in the application after the policy has been in force for 2 years
incontestability
states that the policy owner is entitled to borrow an amount equal to the available cash value
policy loan
policy loan option is found only in what policies?
Policies that contain cash value
The insurers must provide the policyowner with how much notice before the lapse of a policy?
30 days written notice
How long can an insurer defer requests for other loans?
up to 6 months
types of risks that the policy will not cover
exclusions
excludes all causes of death while insured is on active duty in the military
status clause
only excludes the death benefit if the insured is killed as a result of an act of war
results clause
within how many years inside a policy will the insurance agency only give back premiums and not pay death benefit for suicide ?
2 years
written modifications attached to a policy that provide benefits not found in the original policy
policy riders
rider waves the premium for the policy if the insured becomes totally disabled
waiver of premium
Most insurers impose a —– waiting period from the time of diability until the first premium is waived. If still disabled, they will then be …
6 month, refunded
rider pays all monthly deductions while the insured is disabled, after a 6 month waiting period
waiver of monthly deductions
Waiver of monthly deductions rider is usually found in what policies ?
universal life and variable universal life
rider is primarily used with juvenile policies - if the payor gets disabled, they will waive the premiums until the minor turns 21
payor benefit
provides coverage for one or more family members other than the insured
other insured rider
allows the spouse to be added to coverage for a specific amount of time
spouse term rider
allows children of the insured to be added to coverage for a limited amount of time
childrens term rider
incorporates the spouse term rider along with the childrens term rider in one benefit
family term rider
insuring someone who is not part of the insureds family (like with employees)
nonfamily insureds
pays some multiple of the face amount if death is the result of an accident as defined by the policy
accidental death rider
face amount
principle
pays the principal for accidental death
accidental death and dismemberment rider
percentage of amount
capital sum