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30 Cards in this Set

  • Front
  • Back
stock insurance company
a publicly owned, private org that is incorporated under state laws for the purpose of making a profit for its stockholders.
mutual insurance company
org'd and incorp'd under state laws, no stockholders. Policyholders are the owners. they have the right to vote for board members. by issuing participating policies that pay policy dividends, mutual insurers return excess premiums paid to policy owners. policy dividends are not taxable.
reinsurance
an arrangement by which an insurance company transfers a portion of a risk it has assumed to another insurer. The company transferring the risk is called the ceding company. The company assuming the risk in the reinsurer.
self-insurers
establishes its own reserves to cover potential losses. a form of risk retention that is often used by large companies for funding workers' compensation and pension plans. Will often look to an insurance company to provide insurance above a certain maximum level of loss, but will bear the amount of loss below that amount.
solicitors
act for agents by seeking prospects, receiving applications, or collecting premiums, but usually do not have the authority to bind coverage.
consultant
an independent adviser specializing in the design, implementation, and administration of insurance sharing plans. Usually licensed.
Special agents
do not actually solicit insurance business, work as field representative, helping a company's central office and the agency's force in their territory.
individuals who sell variable contracts must:
be licensed by the NASD/FINRA which requires passing series six or seven exams.
human life value approach
focuses on an individual's future stream of income. (how much will the insured make?)
needs approach
focuses on the needs of survivors, including funeral expenses, final illness, continuing family income needs, children education, and spousal retirement income. (how much the survivor needs)
what other sources of funds must be considered when calculating life insurance needs?
social security income, medicare and medicaid, group retirement plans, savings and investments, other income (i.e. rental property), and annuities and other insurance.
what is the best source of underwriting information?
the application
agents represent the ___________ and brokers represent the ___________.
insurer, buyer.
When and why must an application's occupation be listed?
When discussing disability income insurance because some occupations present a higher risk of loss.
third party contract
when the owner and the proposed insured are different. This would require three signatures.
Why is the agent's signature required?
The insurer needs the agent to witness that the proposed insured is actually still alive.
what happens if the insurance company misses an omission on the application and issues the policy anyway?
possible waiver of content: they'd have to cover the loss anyway.
warranty
a statement that is guaranteed to be true
representation
a statement that is believed to be true to the best of your knowledge
Is information on a life app considered a warranty or a representation?
A representation
a receipt is proof that:
coverage under the contract will go into effect following the completion of a medical examination if one is required.
conditional receipt
under teh terms of conditional receipt, coverage becomes effective as of the date of the receipt if the application is approved for the plan of insurance applied for, the coverage applied for, and the premium rate applied for. This receipt is normally provided to an application when the initial premium is paid at the time of application.
When does conditional receipt not apply?
failed medical exam or first premium not paid or premium offered after underwriting is more than premium that was initially paid, or died before medical exam.
Agent is required to deliver to the applicant_____________ and ___________ before _____________.
a life insurance buyer's guide and a Policy Summary, by the time of policy delivery.
can AIDS/HIV be an exclusion to claims payment?
No.
MIB
Medical Information Bureau is an intercompany data bank that allows member insurance companies to check applicants against the Bureau's record of medical impairments that were uncovered during the underwriting of life or health applications previously submitted (to any member company) by a prospective insured.
can AIDS/HIV be an exclusion to claims payment?
No.
MIB
Medical Information Bureau is an intercompany data bank that allows member insurance companies to check applicants against the Bureau's record of medical impairments that were uncovered during the underwriting of life or health applications previously submitted (to any member company) by a prospective insured.
when do you need to obtain a statement of continuing good health?
when policy is delivered and initial premiums is just then being paid.
producer responsibilities as field underwriter are:
suitability of the insurance being applied for, complete the application with th eapplicant, agent's report, obtainall proper signatures, explain the sources of insurability info, disclosures, and delivery of policy.