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Insurance
Transfer of risks
Insurable Interest
Blood or business
Adhesion
Take it or Leave it (think bandaid)
Aleatory
Unequal (think illegal aliens- they are unequal)
Unilateral
One-sided (uni means one)
Conditional
Must meet certain conditions
Warranty
Absolutely true
Representation
Believed to be true
Buyers Guide
Basic info: clients compare cost of policies, provided at time of application
Policy Summary
Specific info - premiums and surrender values, given prior to or at the time of delivery
Conditional Receipt
Covered before delivery: effect time of application
Medical Information Bureau (MIB)
Nonprofit, classifying risks, physicians
Patriot Act
Anti money laundering; terrorist
Gramm Leach Bliley Act
Protects non public personal information
Fair Credit Reporting Act
Regulates consumer credit reporting
Investigative Consumer Report
Think of police investigation, family, friends, neighbors
Consumer Reports
Credit, character, habits
Preferred
Cheapest premium, superior health condition
Standard
Average client
Substandard
Highest premium, considered rated
Declined
Unable to be covered
Underwriting
Risk selection and risk classification
Stranger-Originated Life Insurance (STOLI)
No insurable interest
Beneficiaries
Primary - the one to receive the death benefits; Contingent - if primary predeceases the insured
Term
Temporary
Level Term
Level premium and death benefit - most common
Annually Renewable Term
Premium and Death Benefit renew - without proof insurability - Staircase - cheapest to start
Decreasing Term
Death Benefit decreases, Premium stays level - used to cover a mortgage and debt
Increasing Term
Death Benefit increases, Premium stays level - Reacts to Inflation
Return of Premium
Increasing term - additional db paid to beneficiary equal to premiums paid
Renewable
Renew coverage at expiration date w/o evidence of Insurability
Convertible
Convert from term to whole life
Whole Life
Permanent
Ordinary Whole Life (Straight Life)
Premium and Death Benefit are level
Cash Value
Increases - the lowest premium
Limited Pay
Premium is level for a certain period, Death Benefit stays level, Cash Value increases
Single-Premium
Premium is paid one time, Death Benefit remains level, Cash Value increases - Immediate Cash Value
Adjustable Life
Increase or decrease Premium, Death Benefit, or change period of protection - Can't change the Cash Value - Proof of Insurability is required
Universal Life
Flexible premium, adjustable life, 2 Premium Goals = Target and Minimum
Death Benefit A
IRS corridor: insurance is barely above cash value, level db
Death Benefit B
Regular: grows at the same pace, increasing db
Variable Whole Life
Investments and securities - 2 licenses = state and federal governments, register with FINRA
Variable Universal
Death Benefit increases, need a securities license, regulated by state and federal governments - based on investments and the stock market
Interest Sensitive
Sensitive to interest, get more than guaranteed rate
Indexed Life
S&P 500 and equity - inflation
Joint Life
Based on 2 lives, Death Benefit received after the first death, cheaper than 2 individual policies
Survivorship
Based on 2 lives, Death Benefit received after the second death - Cheaper than Joint Life
Owner (Annuities)
Who buys the annuity
Annuity
Accumulation of money; account
Annuitant
Who receives the money; must be a natural person
Accumulation
Pay in - the account accumulates
Annuitization/annuity period
Payout date to the annuitant
Variable Annuities
Investments - securities, payments invested in a separate account, no guaranteed minimum interest rates, registered by FINRA
Indexed Annuities
S&P 500, guaranteed minimum interest rates, less risky but higher interest rates
Fixed Annuities
Guaranteed minimum rate of interest, affected by inflation
Payments (Annuities)
Immediate (within a year) and Deferred (after one year)
Freelook
10 days after the policy is delivered, refund if premium is returned
Consideration
Pay the premium, exchange of value between 2 parties
Assignment
Transfer of rights
Absolute Assignment
Transfer of all rights, permanent
Collateral Assignment
Transfer of partial rights, used for a loan, temporary
Grace Period
30/31 days, unintentional lapse
Reinstatement
Lapsed and put back into effect with 3 years
Incontestability
Insurance company can deny death claim inside 2 yrs, can't deny death claim after 2 years
Exclusions
Risks not covered - think WASH
Common Disaster Clause
If the insured and primary beneficiary died together it is determined the primary beneficiary died first; paid to insured's estate
Riders
Added to the policy
Waiver of Premium
Insured becomes total disabled for more than 6 months - return premiums paid
Payor Benefit
Juvenile policies, parent or guardian becomes disabled for 6 months or dies, the premium is waved until minor reaches age of 21
Commissioner of Insurance
Appointed by the Governor for 2yr term, requires 5 yrs experience in administration of business or government or as practicing attorney.
Hearing Requirement
The hearing must be held in 30 days, unless both parties agree to a later date.
Cease and Desist Order
Issued if the believed agent is engaged in unfair methods of practice.
Emergency Cease and Desist
Agent/company has 60 days to request a hearing.
License Suspension
Request not within 60 days results in automatic suspension on day 61.
Licensing Requirements
Must be 18, pass the exam within 12 months, provide fingerprints, and pay required fees.
Agent/Producer License
Life insurance license in home state.
Non-resident License
Located in Texas but transacts business in another state.
Counselor License
Requires a fee or commission, examines the policy, and gives recommendations.
Temporary License
Effective for 180 days, can't be renewed, issued once in a 6 month period, must complete 40 hrs of training.
License Renewal
Every 2 years; no more than 90 days for renewal application.
License Revocation
If revoked, cannot obtain a new license for 5 years.
Continuing Education
Requires 24 hrs, including 3 hrs in ethics; 50% must be in a classroom-like setting.
Controlled Business
Selling insurance to family members.
Misrepresentation
Lying to make something sound better than it is.
False Advertising
Misleading statements in advertisements.
Defamation
Malicious statements intended to injure another person.
Rebating
An inducement to buy that is not specified in the policy, must be $25 or less.
Coercion
Requiring the applicant to purchase insurance from a specific insurer.
Discrimination
Charging higher premium rates due to insignificant reasons such as race or sexuality.
Fraud
Intentional misrepresentation.
Advertisements Responsibility
The responsibility of the insurance company.
Incontestability Period
2 years.
Free Look Period
15 days.
Nonforfeiture Laws
Cash value must be available no later than the 3rd year.
Replacement Transaction
A new policy or annuity is purchased, and the existing policy is lapsed or surrendered.
Notice of Claim
15 days from acknowledgment of death benefit; total of 60 days to pay it.
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
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