Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/15

Click to flip

15 Cards in this Set

  • Front
  • Back
This is needed when there are coverage issues or policy issues
What is a reservation of rights letter.
Late notice and voluntary payments are examples of this
What are policy issues
The purpose of a reservation of right letter is to do what?
keep the insured informed of issues that affect thier claim and perserve our rights
This is a unilateral, voluntary and intentional relinquishment of our rights.
What is waiver
Courts look at the insurers actions (or lack thereof) and the insured's actions when considering esptoppel. what is the deciding factor
Harm, and whether the insured relied on the insurers actions to his detriment.
What is the main difference between a non-waiver and a reservation of rights letter?
A non-waiver is an ROR which the insured has agreed to...
If it is determined that an ROR should be sent, how soon should it go out?
ASAP
Name something and insured could do that may create estoppel.
invesstigate a claim where coverage issues are known, but not advising the insured.
only reserving some of the rights under the policy
discovering additions facts that affect coverage, but failing to advise the insured.
What two ways should a resvation of rights letter be sent
certified and regular mail.
True or false. Its to make the letter readable, its ok to paraphrase policy language in an ROR
False
The claimant and/or the claimant's attorney should always be copied in on a reservation of rights letter as part of keeping them informed of their claims.
NEVER. False
You should send a copy of the ROR to an agent.
Yes, absolutely.
To prevent bad phone calls, its best just to send the letter to the insured and wait to see if they call you with questions
NO. Always let them know whats coming.
True or False...an initial ROR is ok to send if you don't know all the policy issues as long as you follow up in 45 to 60 days.
True
True or false...Don't bug you manager with ROR letters. They are busy enough
False.