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CLOAC (Elements of a Valid Contract)
Consideration, Legal Purpose, Offer, Acceptance, Competent Parties
Value exchanged between insured and insurer
Consideration
Contract must be lawful
Legal Purpose
Applicant submits an application and premium
Offer
Insurer approves the application or issues a policy
Acceptance
Both parties must be legally capable of entering a contract
Competent Parties
Contract drafted by the insurer and interpreted in favor of the insured if ambiguous
Contract of Adhesion
Premiums paid and benefits received may be unequal
Aleatory Contract
Both parties must honestly disclose material facts
Utmost Good Faith
Only the insurer makes a legally enforceable promise
Unilateral Contract
Coverage applies to the insured's financial interest and cannot usually be transferred
Personal Contract
Coverage depends on policy conditions being met
Conditional Contract
Restoring the insured to the approximate financial position before a loss
Indemnification
Statement believed to be true by the applicant
Representation
False statement on an insurance application
Misrepresentation
False statement that affects underwriting decisions
Material Misrepresentation
Statement guaranteed to be true
Warranty
Failure to disclose a material fact
Concealment
Intentional deception for financial gain
Fraud
Voluntary surrender of a known right
Waiver
Prevents a party from taking back a waiver after another party relied on it
Estoppel