Vocabulary Flashcards
Aleatory
Unequal exchange
Premiums paid by the applicant is small in relation to the amount the insurance company will pay for the loss
Alien company
Company organized outside of the United States
Indemnity
Security against or Compensation for damage, loss, or injury
Estoppel
The legal process of preventing one party from reclaiming a rate that was already waived
Unilateral contract
One sided contract, only the insurance company is legally bound to do anything (pay claims)
If insurer doesn’t pay premiums then the insurance company has the right to cancel the contract
Consideration
Element of the Contract
Consideration on insurance company- promise to pay in event of loss
Consideration of Insurer- is the payment of premium
A legal contract must have?
Offer and acceptance
Considerations
Legal purposes
Competent parties (meaning they have legal age, mentally capable of terms & not influenced by drugs/alcohol)
Adhesion of Contract
known as “ take it or leave it” agreements.
There is only one author- Insurance Company. And Only prepared by them
There is no negotiations or changes with the applicant.
If ambiguity, then courts will Always side with insurer
Conditional contract
Insurance contracts are conditional because certain conditions must be met by all parties when a loss occurs, otherwise the contract would not be legally enforceable.
Meaning if the policy owner is past due on his payment and the insured dies. The insurance company does not have to pay the death benefit because the condition was not met.
Value contract
Value contract pays a stated amount regardless of the actual loss incurred. They are LIFE INSURANCE
Indemnity contract
HEALTH INSURANCE
it only pays the amount equal to the loss.
And not allowed to make a profit
Concealment
Is withholding of information by the applicant that results in an accurate underwriting decision
& can void the policy
Insurable interest
Is the most important aspect for establishing a legal insurance contract.
Individual must have a valid concern for continuing the well-being of the person insured.
Insurable interest only needs to exist at the time of the application (inception of contract) for life insurance
Policyowners must face the possibility of losing money or something of value when a loss happens
Wavier
Is the act of voluntarily giving Up a legal rights/claim or privilege
Fiduciary responsibility
Agent is in a position of trust and confidence, handles the money of the insurer and insured