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138 Cards in this Set

  • Front
  • Back

Who’s name is required to be shown on the contract

The insurer and Insured

When is Insurance Bound on a risk

The broker has committed the insurer to provide insurance on the risk

agency agreements are between:

the insurer and broker

What does the insured not have to do with removal coverage

Seek permission before removing the property

When subrogation not allowed

when it is against a loss payee on the policy

A claim would be paid under effect of delivery when

a policy was cancelled by non-payment suffers a claim 7 days after registered letter received

Coverage would be declined under misrepresentation when:

the fire suppression system in a kitchen is not properly hooked up rendering it useless when a burglary to the premises occurs

example of material change

a record store having local bands play in store every friday night to help promote the band

what is not a common exclusion under property and perils excluded

Sporting Equipment

What is the limit for Debris removal under habitations insurance

5% above the amount of insurance

What is not included in Additional Living Expenses

the increased cost of food

What is not covered under Windstorm and Hail

Shingles on rooftop

What does glass protection not provide coverage for

glass lamp falling from a shelf

What is covered under the comprehensive form

Smoke Damage

what would condo loss assessment not cover

Inadequate insurance by the condo corporation

What would the limit of building insurance include

Value of perimeter fencing

what does a tenant need to cover renovations

Tenants Improvements and Betterment’s

What is the purpose of the co-insurance clause

to punish the insured for not purchasing adequate insurance

Civil law is also referred to as:

Private law

Type of watercraft not covered for bodily injury or personal damage when

Outboard motor of no more than 20hp

when will homeowners liability cover a money making venture

the rental of 3 parking lot spaces to neighbours

what type of insurance should a person who sells mail order toasters out of his home have

Products Liability

does PIPP extend coverage to all Manitobans Injured in automobile accidents anywhere in Canada

No

All perils would not cover this

Insureds personal tools stolen from the vehicle

Who do Brokerages work for

They are self employed

Is an insurance broker a party to the contract

No

what is a factor taken i to consideration in the indemnity agreement

The purchase price

describe criminal law

Deals with the wrongs against society

describe civil law

deals with settling disputes between individuals

What is common law also considered

english law

statute law is also what

written law

Describe Duty Owed

people have the right not to be harmed and must refrain from causing harm

Misrepresentation

Misstatement and or fraudulent omission of a fact

Property of others

Not insured unless interest of insured is stated in contract

Change in Interest

Policy continued to protect new insured where the change of title due to succession, operation of law or death

Material change

any change which serves to increase the chance of loss arising after the policy is issued

Termination

Insurer must provide 15 days notice by registered mail or 5 days hand delivered

Requirements After Loss

notice required to be provided forthwith to insurer in writing

Fraud

deliberate attempt to deceive with a view of securing some profit

Who May Give Notice

any party of interest or agent of insured is entitled to make representations on behalf of insured

Salvage

Insurers required to take all reasonable steps to protect insured property from further damage

Entry, Control, and Abandonment

insurer not entitled to rights for ownership or control nor can insured abandon property to it

Appraisal

Options available to either the insured or insurer where disagreement as to the value of property insured, saved of amount of loss

When Loss Payable

within 60 days after completion of proof of loss, unless the contract provides for a shorter period

Replacement

Notice required to be given by insurer 30 days after receipt of proof of loss

Action

Must be commenced with 1 year (2 in MB) after loss occurs

Notice

Insurer may contact insured by letter personally delivered to him or by registered mail addresses to him at his latest post office address

Fire or Lightning Covers:

Damage to electrical devices

Explosion covers:

Explosion of boilers and excludes only water hammer

Smoke coverage is only provided when:fallin

a loss arises out of the sudden, unusual and faulty operation of certain types of appliances or units

Falling Object coverage applies when:

an object can be proven to have hit the exterior of the building first

Impact by Aircraft or land vehicle excludes:

loss caused by insured or loss to animal

Riot coverage

No exclusions

Vandalism or Malicious Acts

No coverage for loss or damage caused by theft or attempted theft

Waterscape, Rupture, Freezing

Excludes loss caused by freezing occurring during usual heating season where inhabitants have been absent for more than a specified number of days

Windstorm or Hail

covers certain watercraft to a limit of $1000 and then only if a loss while such property is inside a fully enclosed building

Glass Breakage

Excludes loss caused while building under construction or vacant even if permission is given by insurer

Transportation

Excludes coverage for property in a vacation or home trailer which you own

Theft including damage caused by attempted theft

no coverage when property is lost from an unlocked vehicle away from the premises

Property in Transit

Coverage is provided for insured property being transported in vehicles

Glass Insurance

This coverage only has 3 exclusions, Fire, war and nuclear energy hazards

valuable papers and records

provides coverage for all costs of reproducing lost or damaged documents

Burglary

when property is taken from within premises and there are visible signs of forced entry or exit

Robbery

when actual or threatened force is used to take insured property

Theft

Broadest crime coverage available

Boiler and Machinery

coverage for explosion of pressure vessels

Builders Risk

Covers buildings in the course of construction

Installation floater

provides protection for property in transit to the job site, while awaiting installation and during installation

Earnings form

Coverage Commences at the time of loss and ceases when the properties rebuilt

Profits Form

Commences at the time of loss and ceases when i come is restored to the level it would have been had the loss not occurred

Extra Expense

insured all necessary additional expenses incurred by insureds in continuing normal business operations

Duty of Occupiers to Invitees

Occupier has to make premises safe for use, they are owed the highest duty of care

Strict Liability Liab

a person who is guilty until proven innocent is bound by strict liability

Intentional Torts

Liability Policies do not pay

Unintentional Torts

Liability Policies were designed to insure these

Negligence

Legal equivalent of carelessness

Foreseeable

if a person could have expected the results of his actions, this element of negligence is satisfied

Bodily Injury

Sickness, Disease, Death

Property damage

all resulting use of property

Third Party

One who is not a party to the agreement or to a transaction but still has rights therein

Legal Liability

only the courts have to power to determine this

occurrence

this includes accidents but also includes continuous exposure to substantially general harmful conditions

compensatory damages

designed to compensate the injured party

punitive damages

designed to punish the responsible party

Plaintiff

The wronged party

Personal Liability

Coverage designed to insure the legal Liability of insureds in their role as private citizens

Non-Owned Watercraft

coverage is provided for these, no restrictions to size and type

Products Liability

business liability policies provide this coverage for loss resulting from products the business sold

personal injury

injury other than bodily (libel, slander)

Age

when this has been misstated, the benefits or premium will be adjusted

group insurance plans

2 types of disability income coverage are available on this type of policy

90% of accidents occur where?

away from work

the longer the elimination period...

the lower the premium

Salvage

Keeping the insured vehicle safe from further damage after loss

Highway Traffic Act

outlines and regulates rules regarding vehicle registration and licensing of motor vehicles

Territory

the factor for insurance rating that determines premiums by where you live and drive your vehicle

All Perils

the broadest form of physical damage coverage available

private insurance plans

AB, ONT, and Atlantic Provinces

registered owner

someone who has exclusive use of the car

owned watercraft

coverage is provided with size and type limitations

CLEAR

Canadian Loss Experience Automobile Rating System

No-Fault insurance provinces

SK, QC, MB, BC

Custom Duties

The insurer must pay the duty on all repairs made to the vehicle while out of Canada

New/Leased vehicle protection

policy provides up to 100% replacement cost

Insurance Act

Provincial legislation regulates the licensing of brokers

step Licensing

Various levels of license have been established

counter signing

required when a sales person is not a resident in the province where the property is located

Rebating

this practice is illegal in most provinces

Integrity

if convicted of a criminal offense, this element of a brokers contract is missing

Unconscionable

when a fee, which is charged over and above the premium, cannot be justified, it is to be unconscionable

business

any continuous or regular pursuit undertaken for financial gain including a trade, profession or occupation

Risk

the chance of financial loss to which the object of insurance may be exposed

The Principle of Indemnity

Doesn’t allow for the insured to profit from their loss, they get no more and no less for their claim

when will insurance not pay for claims

when the claim happened with the assistance of the insured

can the insured choose a cash settlement over replacement, repair or rebuild?

No

Avoidance of Risk

The least practical way to deal with risk

speculative risk examples

Business ventures and gambling

What kind of risk is insurable

Pure Risk

5 functions of insurance

Spread of Risk


Credit


Employment


Eliminates Worry


Loss Reduction and Prevention

Direct Writing

Employees only sell the insurers products

Independent Brokerage

May represent many insurers

completed operations liability

business liability policies provide this coverage for loss resulting from work the business has done for the customer

Agency

small business who represents one insurer

5 Elements of a Contract

agreement


consideration


legality of object


genuine intention


capacity to contract

Provincial Government monitors:

financial stability of insurers to ensure they don’t become insolvent

4 fire exclusions

application of heat


lightning damage to appliances and devices


electrical currents


contamination of radioactive material

Who transacts a majority of business in Canada

Private insurers

what does personal property insure

dwelling building, detached private structures, and personal property

8 policy attributes

No standard policy


identify and define property insured and location


insure direct damage


conditions and warranties


exclusions


deductible clause


how many claims are paid


standard mortgage clause

Statutory Condition

found in property policies, accident and sickness, and auto insurance. established in statute and are legally binding on all parties to contract

Factors of depreciation

condition of the item, obsolescence, resale value and normal life expectancy

Replacement cost claims are subject to:

shall be effected by the insured with due diligence and dispatch


shall be on the same site or adjacent site


settlement of replacement cost basis shall be made when replacement has actually been effected

professionals dis

2 categories: those administering health care and those who give advice and counselling

disability

physical or mental inability to work

would your work as a sales clerk be covered under liability coverage?

No

sickness

the leading cause of disabilities

workers compensation plan

provincial legislation requires employers to participate

incontestable

statements made on the application are incontestable after 2 years