Study 7 - Implementing the Policy Flashcards
What are the common elements of all insurance policies?
- Declarations page
- Insuring agreements (coverage)
- Exclusions
- Conditions
- Warranties
- Limits and deductibles
- Endorsements
- Signature clause
What are the 5 elements of a contract?
Agreement Consideration Capacity to contract Genuine intention Legality of object
What are the three principles of all insurance contracts?
Insurable interest
Indemnity
Utmost good faith
What are the terms of binding authority?
- Classes of risks and limits brokerage can bind
- Risks that brokerages cannot bind
- The reporting requirements
What is included on the declarations page?
Parties to the contract Effective and expiry dates Amount of the premium The amount insured Other interested parties
What are some potential issues with a declarations page?
- Incorrect spelling of name(s) or address(es)
- Incorrect spelling of loss payee info
- Incorrect total premium
- Incorrect limits of insurance
What are some potential issues with insuring agreements?
- Wordings different from presented in quote?
- Has all property been included?
What are the three typical types of valuations for insurance policies?
- Actual cash value
- Replacement value
- Agreed or appraised amount
What are some potential issues with warranties?
- What conditions/warranties require action or duties by the insured to maintain coverage?
- Do coinsurance clauses correspond to the amounts of insurance required to avoid under-insurance penalties?
What are some potential issues with limits & deductibles?
- Are the limits of coverage different than those requested?
- Are deductibles at a reasonable level based on values of the item insured?
- Are deductibles too high for insured to afford?
- Is the insurer able to write the entire line?
What three options may an insurer use if they cannot insure 100% of the risk?
- May ask broker to approach other companies to participate on subscription basis
- May contact reinsurance companies
- May arrange excess insurance
Who typically has their signature on the signature clause?
The CEO and then countersigned by an agent/employee
Define chattel
Any property other than freehold land and leasehold interests in land
What are the exceptions to when assignment is allowed?
Bankruptcy
Operation of Law
Death of the named insured
Succession
What is the difference between a canceled policy and a voided policy?
Difference between cancelled and voided policies
• To cancel a policy under the policy’s termination conditions, the insurer must send a standard letter for a pro rata cancellation.
• When a policy has been cancelled, claims that occurred before cancellation must be dealt with.
• The insurer can also declare that misrepresentations or non-disclosures made the policy void from the beginning.
• To declare a policy voided, the insurer returns the entire premium to the insured.
• A voided policy means the coverage never existed and no claims can be processed or payments made.