Section 3 Flashcards

1
Q

Declarations page

A

States the who, what,when,where & how much

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2
Q

Insuring agreements

A

States the promise to pay and the perils covered

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3
Q

Conditions

A

States the rules for the policy

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4
Q

Endorsements

A

States the changes to the original policy
Add- on

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5
Q

Exclusions

A

States the items not covered

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6
Q

Named Insured

A

The person, business, or other entity names in the declarations to which the policy is issued

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7
Q

The first-named insured

A

The person listed first on the deck page when there is more than one named insured

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8
Q

Additional insured

A

Another individual or business may be listed as an additional insured by endorsement

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9
Q

Policy territory

A

States that a loss will not be covered unless it occurred within the territory. Typically includes USA, Canada & PR
NOT MEXICO

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10
Q

Deductible

A

The amount that must be paid out of pocket by the policy owner before an insurer pays any expenses.

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11
Q

Purpose of deductible

A

It’s to prevent small insurance claims and overuse of insurance claims

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12
Q

Indemnity

A

To restore the insured to their original pre-loss condition — no better or worse

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13
Q

Other insurance

A

Defines how reimbursement will occur when more than one of multiple policies covers the same loss or claim

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14
Q

Primary Insurance

A

Attaches immediately upon the occurrence or loss

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15
Q

Excess coverage

A

Pays whatever is not paid by the primary policy up to the amount of the loss or excess coverage limit, whichever is less

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16
Q

Pro Rata

A

One method of preventing overpayment of a claim.

17
Q

Pro Rata Method

A

Policy limit of company divided by policy limit of all companies x loss

18
Q

Duties after loss

A

Lists the named insureds responsibilities after a property insurance loss.

19
Q

Included in the duties after loss condition

A

Prompt notice of claim to the insurer or agent
Protect the property from further damage
Complete detailed proof of loss
Make the property available for inspection
Submit to exam under oath
Cooperate with the insurer as required
POLICE REPORT IS NOT A CONDITION

20
Q

Liberalization

A

States that if the insurer broadens coverage under a policy form or endorsement without requiring an additional premium then all existing similar policies or endorsements will be construed to contain the broadened coverage.

21
Q

Subrogation

A

Insurer has the right to sue an at fault party for damages the insurer had to pay to the insured.
Common when at fault party does not have insurance.

22
Q

Insurable interest

A

Legitimate risk of financial loss in the person or thing being insured.

May be present at the time of application and MUST be present at the time of loss

23
Q

Binder

A

A binder is a temporary oral or written statement made by the agent that gives the insured immediate coverage for a specific time.

When no cancellation notice is sent, the expiration date of the binder is 30-90 days

24
Q

FCRA - Fair Credit Reporting Act

A

All insurers and producers must comply
Notice to the applicant within three days after report was requested
Maximum penalty — $5,000 1 year in prison or both

25
Q

TRIPRA- Terrorism Risk Insurance Program Reauthorizarion Act of 2015

A

This federal law defines acts of terrorism and imposes certain obligations on insurers.

26
Q

An act of terrorism must be certified by who?

A

The secretary of the treasury, in consultation with the secretary of Homeland security & the US attorney general

27
Q

Short rated basis

A

When an insured cancels a policy before the expiration date, the insurer is entitled to retain a larger percentage of the unearned premium. There is a surcharge or a penalty for early cancellation, and it is applied on a short rated basis.