Life Insurance Key concepts

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98 Terms

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Insurance

Transfer of risks

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Insurable Interest

Blood or business

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Adhesion

Take it or Leave it (think bandaid)

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Aleatory

Unequal (think illegal aliens- they are unequal)

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Unilateral

One-sided (uni means one)

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Conditional

Must meet certain conditions

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Warranty

Absolutely true

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Representation

Believed to be true

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Buyers Guide

Basic info: clients compare cost of policies, provided at time of application

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Policy Summary

Specific info - premiums and surrender values, given prior to or at the time of delivery

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Conditional Receipt

Covered before delivery: effect time of application

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Medical Information Bureau (MIB)

Nonprofit, classifying risks, physicians

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Patriot Act

Anti money laundering; terrorist

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Gramm Leach Bliley Act

Protects non public personal information

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Fair Credit Reporting Act

Regulates consumer credit reporting

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Investigative Consumer Report

Think of police investigation, family, friends, neighbors

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Consumer Reports

Credit, character, habits

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Preferred

Cheapest premium, superior health condition

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Standard

Average client

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Substandard

Highest premium, considered rated

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Declined

Unable to be covered

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Underwriting

Risk selection and risk classification

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Stranger-Originated Life Insurance (STOLI)

No insurable interest

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Beneficiaries

Primary - the one to receive the death benefits; Contingent - if primary predeceases the insured

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Term

Temporary

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Level Term

Level premium and death benefit - most common

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Annually Renewable Term

Premium and Death Benefit renew - without proof insurability - Staircase - cheapest to start

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Decreasing Term

Death Benefit decreases, Premium stays level - used to cover a mortgage and debt

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Increasing Term

Death Benefit increases, Premium stays level - Reacts to Inflation

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Return of Premium

Increasing term - additional db paid to beneficiary equal to premiums paid

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Renewable

Renew coverage at expiration date w/o evidence of Insurability

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Convertible

Convert from term to whole life

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Whole Life

Permanent

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Ordinary Whole Life (Straight Life)

Premium and Death Benefit are level

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Cash Value

Increases - the lowest premium

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Limited Pay

Premium is level for a certain period, Death Benefit stays level, Cash Value increases

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Single-Premium

Premium is paid one time, Death Benefit remains level, Cash Value increases - Immediate Cash Value

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Adjustable Life

Increase or decrease Premium, Death Benefit, or change period of protection - Can't change the Cash Value - Proof of Insurability is required

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Universal Life

Flexible premium, adjustable life, 2 Premium Goals = Target and Minimum

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Death Benefit A

IRS corridor: insurance is barely above cash value, level db

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Death Benefit B

Regular: grows at the same pace, increasing db

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Variable Whole Life

Investments and securities - 2 licenses = state and federal governments, register with FINRA

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Variable Universal

Death Benefit increases, need a securities license, regulated by state and federal governments - based on investments and the stock market

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Interest Sensitive

Sensitive to interest, get more than guaranteed rate

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Indexed Life

S&P 500 and equity - inflation

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Joint Life

Based on 2 lives, Death Benefit received after the first death, cheaper than 2 individual policies

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Survivorship

Based on 2 lives, Death Benefit received after the second death - Cheaper than Joint Life

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Owner (Annuities)

Who buys the annuity

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Annuity

Accumulation of money; account

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Annuitant

Who receives the money; must be a natural person

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Accumulation

Pay in - the account accumulates

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Annuitization/annuity period

Payout date to the annuitant

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Variable Annuities

Investments - securities, payments invested in a separate account, no guaranteed minimum interest rates, registered by FINRA

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Indexed Annuities

S&P 500, guaranteed minimum interest rates, less risky but higher interest rates

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Fixed Annuities

Guaranteed minimum rate of interest, affected by inflation

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Payments (Annuities)

Immediate (within a year) and Deferred (after one year)

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Freelook

10 days after the policy is delivered, refund if premium is returned

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Consideration

Pay the premium, exchange of value between 2 parties

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Assignment

Transfer of rights

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Absolute Assignment

Transfer of all rights, permanent

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Collateral Assignment

Transfer of partial rights, used for a loan, temporary

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Grace Period

30/31 days, unintentional lapse

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Reinstatement

Lapsed and put back into effect with 3 years

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Incontestability

Insurance company can deny death claim inside 2 yrs, can't deny death claim after 2 years

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Exclusions

Risks not covered - think WASH

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Common Disaster Clause

If the insured and primary beneficiary died together it is determined the primary beneficiary died first; paid to insured's estate

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Riders

Added to the policy

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Waiver of Premium

Insured becomes total disabled for more than 6 months - return premiums paid

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Payor Benefit

Juvenile policies, parent or guardian becomes disabled for 6 months or dies, the premium is waved until minor reaches age of 21

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Commissioner of Insurance

Appointed by the Governor for 2yr term, requires 5 yrs experience in administration of business or government or as practicing attorney.

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Hearing Requirement

The hearing must be held in 30 days, unless both parties agree to a later date.

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Cease and Desist Order

Issued if the believed agent is engaged in unfair methods of practice.

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Emergency Cease and Desist

Agent/company has 60 days to request a hearing.

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License Suspension

Request not within 60 days results in automatic suspension on day 61.

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Licensing Requirements

Must be 18, pass the exam within 12 months, provide fingerprints, and pay required fees.

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Agent/Producer License

Life insurance license in home state.

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Non-resident License

Located in Texas but transacts business in another state.

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Counselor License

Requires a fee or commission, examines the policy, and gives recommendations.

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Temporary License

Effective for 180 days, can't be renewed, issued once in a 6 month period, must complete 40 hrs of training.

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License Renewal

Every 2 years; no more than 90 days for renewal application.

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License Revocation

If revoked, cannot obtain a new license for 5 years.

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Continuing Education

Requires 24 hrs, including 3 hrs in ethics; 50% must be in a classroom-like setting.

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Controlled Business

Selling insurance to family members.

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Misrepresentation

Lying to make something sound better than it is.

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False Advertising

Misleading statements in advertisements.

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Defamation

Malicious statements intended to injure another person.

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Rebating

An inducement to buy that is not specified in the policy, must be $25 or less.

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Coercion

Requiring the applicant to purchase insurance from a specific insurer.

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Discrimination

Charging higher premium rates due to insignificant reasons such as race or sexuality.

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Fraud

Intentional misrepresentation.

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Advertisements Responsibility

The responsibility of the insurance company.

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Incontestability Period

2 years.

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Free Look Period

15 days.

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Nonforfeiture Laws

Cash value must be available no later than the 3rd year.

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Replacement Transaction

A new policy or annuity is purchased, and the existing policy is lapsed or surrendered.

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Notice of Claim

15 days from acknowledgment of death benefit; total of 60 days to pay it.

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within how many days of requesting an investigative consumer report must an insurer notify the consumer in writing that the report will be obtained ?

3 days

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in an applicant for a life insurance policy and person to be insured by the policy are two different people, the underwriter would be concerned about