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20 Cards in this Set

  • Front
  • Back

What does COAL stand for?

Elements of a contract. Consideration, Offer, Acceptance, Legal purpose & competent parties

Warranty

Absolutely true statement of what the insurance policy depends.

Representations

Statements believed to be true, not guaranteed

Material misrepresentation

If discovered, would alter the underwriting decision. Intentionally, considered fraud. Material means important

Contract of Adhesion

Prepared by the insurer and accepted by the insured. Offered on a take it or leave it basis

Aleatory

An exchange of unequal amounts/value

Unilateral Contract

Only one part of the party is legally bound

To correct a mistake, the applicant must...

Initial the correct answer

A conditional receipt; the agent can or cannot bind coverage?

They cannot, (can for Life Insurance)

Medical Info Bureau

Source from which the underwriting is gathered, adhering to the Fair Credit Reporting Act.

MIB Medical Info Bureau

Confidential Adverse medical info, owned by insurance companies

Fair Credit Reporting Act

Law that ensures records are confidential, accurate, relevant.

Consumer Reports

Written/oral info regarding a consumer’s credit, character, rep.

Privacy Rule for HIPAA

Protected health info.

Investigative reports are obtained via how? When must an insure notify consumer And how long do they have to respond to a consumer regarding their report?

Friends, co-workers, family & consumer notified in 3 days, responds in 5 days

When replacing a policy, it’s important to...

Not mislead the client or cancel current policy before new policy’s instilled.

When’s the earliest day coverage could start?

Day of the application

True or False: insurable Interest must be present at the time of the application and claim.

False, just at the time of the application.

For more expensive policies, underwriter may require a medical exam. The two options are:

Attending physician statement or paramedical report

When does the free look begin and does the agent have to hand deliver it?

At policy delivery & no