Unit 1
Funds held by an insurance producer in a fiduciary capacity
cannot be converted to an individual's or a firm's own use
With regards to insurance, consideration means
directly giving something of value
When there is no coverage available through authorized carrier in the state, the insurance is referred to as
excess and surplus lines
Aleatory
indicates that the values received by each party may be unequal
All of the following are characteristics of an insurable risk EXCEPT
intentional
Which of the following is a promise in exchange for an action?
A unilateral contract
Which of the following statements about Loyd's of London is NOT correct?
It is an insurance carrier that underwrites insurance
Which of the following statements regarding mass marketing insurance is CORRECT?
It is marketed through various forms of print, visual, and aural media.
Which of the following statements regarding a risk retention group is TRUE?
Its sole purpose is to provide liability insurance to its policyholders
Which of the following statements regarding mutual insurers is TRUE?
Mutual Insurers issue participating policies
A corporation or other limited liability association that assumes and spreads the liability exposure for any of its group members is called
a risk retention group
In an insurance contract, only one party is legally bound to perform under the contract. This describes
a unilateral contract
The tendency of higher-risk individuals to get and keep insurance is known as
adverse selection
The premium for transferring a risk should be
affordable
Void Contract
lacks one of the elements specified by law for a valid contract
False information that will void an insurance contract is known as
material misrepresentations
FLoods, heart attacks, theft, and choking are all examples of
perils
All statements made by an applicant in an application for life insurance are considered to be
representations
In order for a contract, including an insurance policy, to be legal it must contain all of the following elements EXCEPT
representations
The premiums insurance producers receive from insureds must be kept
separate from any personal funds
Making appropriate product recommendations based on the needs, objectives, and circumstances of a client is referred to as
suitability considerations
A producer owes a fiduciary responsibility to all of the following EXCEPT
the Commissioner for license fees
In an insurance transaction, an insurance producer who sells insurance policies to the public represents
the insurer
Licensed and appointed agents represent
the insurer
Purchasing insurance is an example of
transferring risk
A contract agreement between a ceding insurer and reinsurer to underwrite certain classes of risks is known as
treaty reinsurance
Express Authority is
what the insurer intends to, and in fact does, give to its agent through means of the agency agreement.
Individuals who own life insurance and are called certificate holders are members of a
fraternal benefit society
Adhesion
indicates that the contract was drafted by one party (the insurer) and must be accepted or rejected by a second party (the applicant).
A captive agent who has an exclusive contract with an insurer may:
not represent another insurer selling an identical policy
A mutual insurance company is an incorporated entity owned by its
policyowners
If an agent or producer diverts funds belonging to an insurer to her own use, she has committed the illegal act of
theft
Which of the following statements regarding the fiduciary duty of a producer is CORRECT?
All premiums received by an insurance producer must be held in trust and cannot be used for personal matters
Which of the following is an insurer?
An insurance company
Self insurance is an example of what kind or risk treatment?
Retention
Which of the following statements regarding insurers is CORRECT?
The primary purpose of an insurance company that is organized as a stock insurer is to earn a profit for its stockholders.
The license an insurer usually needs to sell insurance in a state is called
a certificate of authority
All of the following are distribution systems EXCEPT
claims handling
Unincorporated groups of people that agree to insure each other's losses under a contract are known as
reciprocal insurers
Conditional
refers to the fact the insurer's promise to pay benefits is conditioned on the occurrence of a loss
Unitlateral Contract
refers to the insurer's legal obligations
With life, accident, and health insurance, an insured's oral misrepresentation or false warranty will NOT void a policy unless
there was intent to deceive or it materially affects the insurer's decision to accept the risk
Who are the parties to a life insurance contract?
The applicant and the insuring company
Whom do independent insurance agents represent?
The insured
Which of the following statements regarding stock insurer is NOT true?
The policies are participating policies
Which of the following is NOT a type of insurance agent?
Underwriter
Which characteristic of insurance contracts provides legal protection for insureds when overages are not clearly stated in the policy
Adhesion
Knowingly failing to disclose pertinent, material information on an application is called
Concealment
Which of the following would be considered a moral hazard in underwriting a health insurance risk?
Excessive dieting
Which of the following statements regarding the disposition of fiduciary funds is CORRECT?
Funds collected as premiums are to be kept separate from those used for personal expenses or investments.
Denicia is appointed by an insurance company to transact insurance on its behalf. She collects her clients' premiums and has them sign paperwork. By what authority can she do so?
Implied
Concerning mutual insurers, which of the following statements is CORRECT?
Policyholders may participate in dividends
A false statement of a known fact is called
a misrepresentation
Filing a fraudulent health insurance claim is an example of
a moral hazard
Risk retention group
a mutual insurance company formed to insure people in the same business, occupation, or profession
An insurer that issues participating policies is
a mutual insurer
A life insurance policy is all of the following EXCEPT
a personal contract
An unincorporated group of subscribers who operate through an attorney-in-fact to provide indemnity insurance for each other is called
a reciprocal exchange
In the direct-selling marketing system, insurance can be sold to the public through all of the following methods EXCEPT
agents
A contract in which one part may receive considerably more in value than the other party is
an aleatory contract
A commercial insurer can take all of the following forms EXCEPT
an individual benefit society
Apparent authority
arises from the reasonable assumptions that a 3rd party, such as an insurance prospect, makes on the basis of the actions or statements of the principal. Ex. providing its agent with business cards, sample policies, and rate books.
When important and material facts are hidden by an insured on an application, this is known as
concealment
Since the obligations of the insurance company hinge on certain acts of the policyowner, the beneficiary, or both, the insurance contract is termed
conditional