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51 Terms

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Insurance

A contract or an individual or entity, receives financial protection or reimbursement against losses from an insurance company

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Insured

The individual or entity who receives financial protection under an insurance contract

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insurer

The insurance company that provides financial protection or reimbursement against losses

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Pure risk

A type of risk where the only possibility is loss or no loss such as death illness, or an accident. This is the category of risk that insurance typically covers.

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Speculative risk

A type of risk that involves the possibility of both gain and loss such as gambling this is generally not insurable

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Hazard

A condition that increases the likelihood or severity of loss

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peril

The specific event that occurs a loss such as a fire flood, heart attack or car crash

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Insurable interest

The principal that the insured must suffer a financial loss if the injured event occurs for an example, you have this in your own life, but not in a strangers

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utmost good faith

A principal requiring that both insurer and the insured act with honesty and disclose of information truthfully in an insurance contract

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Deductible

The amount the insured must pay out-of-pocket for a covered loss

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Term life insurance

Provides life insurance coverage for a specific period (e.x. 10, 20 years.) if the intro dies within the term, the death benefit is paid.

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Permanent life insurance

Provides coverage for the insureds entire lifetime and includes a cash value component

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Disability insurance

Replaces a portion of income if the insurer becomes unable to work due to illness or injury

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Accidental death and dismemberment (AD& D)

An insurance policy that pays a benefit if the insurer dies as a result of an accident or suffer specific serious injuries

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Moral hazard

Dishonesty or fraud risk

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The law of large numbers

The larger the group, the more predictable the losses

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Term life provides what type of protection

Pure death protection

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When must insure interest exist?

Only at policy issuance

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What is whole life insurance?

Permanent coverage with guaranteed cash value

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What does variable life policy invest in?

Separate accounts

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What do dividends represent?

Return of access premium; not taxable

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What is coinsurance?

Shared cost (e.x 80/20)

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What is the elimination Period.

Waiting time before disability benefits begin

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What is the capital sum in AD&D

Paid for dismemberment

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What is a principle sum?

Paid for accidental death

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After how long is a whole policy incontestable

Two years

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What is reinstatement?

Restoring a lapse policy by repaying premiums and approving insurability

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How long is a great period for a life insurance

31 days (typically)

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What is maximum rebating gift allowed in Michigan?

$5

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How long is a temporary license valid?

180 days

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Who issues cease and desist orders

Insurance commissioner

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What is the MI guaranteed association, life, death benefit limit?

300,000

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What does Medicare part A cover?

Hospitalization

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What age are you eligible for Medicare?

65 regardless of Employment

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If employer pays DI premium, are benefits taxable

Yes

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Are life insurance death benefits, taxable

no, they are not tax-free

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Representation

Statement true to applicants knowledge

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Warranty

Guaranteed truth(rarely used)

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Consideration

Premium + application

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Underwriting

Evaluating risk

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Morale hazard

Carelessness risk

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Physical hazard

Health/physical condition

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Risk

Uncertainty of loss

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Adverse selection

High risk people seek insurance

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Indemnity

Restore nonprofit

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Subrogation

insurers right to recover from third-party

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Coinsurance

Shared cost

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Elimination period

Waiting time for DI benefits ( disability income benefits)

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Principal VS capital sum

AD&D: principal= death, capital= loss of limb

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Assignable

Life policies can be assigned(determined)

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Accelerated benefits

Paid early if terminally ill