CAIB 1 - Chapter 8
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Questions and Answers

What is the maximum aggregate amount payable by the insurer to the insured in CDN dollars?

1,000,000

What are the two main categories of travel insurance coverage?

  • Emergency Medical and Emergency Hospital Plans
  • Repatriation and Burial/Cremation Plans
  • Provincial and Private Medical Plans (correct)
  • Trip Cancellation and Trip Interruption Plans (correct)
  • Travel insurance covers expenses incurred due to substance abuse treatment.

    False

    What are the primary conditions that must be met for a dependent child to be insured under a travel insurance policy?

    <p>The child must be under 26 years old, unmarried, and receiving financial support from the insured applicant, and they are in full-time attendance at a Canadian accredited institute.</p> Signup and view all the answers

    What are the basic requirements for an insured applicant to be covered by travel insurance?

    <p>They have to be a Canadian, residing in the province they are applying for the policy and be under 65 years old.</p> Signup and view all the answers

    Under the travel insurance policy, the coverage is limited to emergency medical treatment expenses in the province or territory of residence only.

    <p>False</p> Signup and view all the answers

    What type of insurance protects brokers from financial loss due to negligence, errors, or omissions?

    <p>Errors and Omissions (E&amp;O) Insurance</p> Signup and view all the answers

    What is the maximum amount that a travel insurance policy will cover for the return of a vehicle to the insured's home?

    <p>1,000</p> Signup and view all the answers

    What term designates the date when the insurance coverage ceases for a single trip?

    <p>Trip Termination Date</p> Signup and view all the answers

    Travel insurance companies usually cover the cost of returning an insured child under 19 years of age to their home if their accompanying parent is hospitalized.

    <p>True</p> Signup and view all the answers

    Under travel insurance, how long will coverage automatically extend for a trip that is delayed beyond the scheduled return date?

    <p>Up to 72 hours</p> Signup and view all the answers

    What is the maximum amount that a travel insurance policy will cover for medical expenses that occur after the trip termination date, if the insured is still confined to a hospital and prevented from returning to their residence?

    <p>72 hours</p> Signup and view all the answers

    Travel insurance policies may cover expenses related to pre-existing medical conditions.

    <p>False</p> Signup and view all the answers

    If a travel insurance claim is filed, what must the insured provide as evidence of trip duration?

    <p>A travel ticket with an official stamp from a customs office.</p> Signup and view all the answers

    Travel insurance coverage is automatically extended to include family members of the insured applicant.

    <p>False</p> Signup and view all the answers

    What is the common practice for travel insurance companies to coordinate payment for emergency treatment expenses?

    <p>They usually coordinate payment directly with the medical service provider.</p> Signup and view all the answers

    Travel insurance companies are responsible for ensuring the availability, quality, or results of medical treatment received by the insured.

    <p>False</p> Signup and view all the answers

    Study Notes

    Insurance Training & Education

    • The company's name is ensure TRAINING & EDUCATION
    • CAB1 General Insurance is a topic being taught
    • An attendance poll is asking if the students can hear and see the slides

    Important Course Terms

    • Students should take a few minutes to write down important terms that have been covered so far in the chat window
    • The Forgetting Curve is important to remember during learning
    • Reviewing information is useful to maintain knowledge
    • Ebbinghaus, a review, and note-taking are helpful learning strategies.

    Insurance Graphic Organizer

    • CAIB1 Chapter 7 is the topic in focus.

    Example Exam Question

    • Students are asked why errors and omissions insurance is necessary.
    • Students must advise a client considering not purchasing E&O insurance on the implications.
    • Students need to understand how E&O insurance affects clients and brokerages.
    • The slides contain the needed information to answer the question.

    Need for Errors/Omissions Insurance

    • Most brokers cannot handle large claims.
    • E&O insurance covers legal liability for financial losses due to negligence.
    • Broker associations may furnish coverage under a national program.
    • All brokers working for a firm are usually covered.
    • Common to other malpractice-related coverages (doctors, surgeons, etc.)

    Coverages (Errors/Omissions)

    • Coverage pays for legal liabilities from negligent acts, mistakes, etc.
    • Claims are based on a policy period.
    • Common costs include defense costs (often included).

    Exclusions (Errors/Omissions)

    • Dishonest/fraudulent/malicious actions are excluded.
    • Failure to collect/pay premiums fall outside coverage.

    Deductibles (Errors/Omissions)

    • Prevents/controls E&O losses through higher deductibles.
    • Sets level of financial responsibility for management.
    • Brokers consider this in budgeting concerns.

    Travel Insurance (Chapter 8)

    • Provincial and Private Medical plans are covered in this chapter.
    • The need for travel insurance is examined.
    • Canada's Provincial/Territorial health plans only pay a predetermined amount.
    • Expenses such as ambulance, family visitation, and repatriation are often not covered.
    • Travel policies vary regarding terms, age, and health conditions.
    • Covers trips of varying duration from two weeks to 180 days.
    • Multiple trips within a time period may be covered.
    • Different coverage terms for different policies.

    Major Sections of the Policy

    • The company agrees to insure named applicants and dependents.
    • Policy covers injuries and illnesses outside of the province/territory during the policy period.
    • Expenses due to injuries or sickness within the policy are also covered to a certain degree.
    • Insured must reside in Canada.
    • Different policy details for coverage and limitations.

    Definitions (Insurance)

    • Legal definitions for spouse, dependent children, extended family, accident, and illness are explained.
    • Important for claims and coverage details.
    • Separate definition of "sickness" — contrasts with pre-existing conditions.
    • Definitions of "province/territory of residence", "hospital", "supervised condition," and related terms are included.

    Policy Coverage and Limitations(Insurance Chapter 8)

    • Max aggregate payout (CDN 1,000,000).
    • Limitations vary.
    • Coverage for emergency hospital expenses.
    • Expenses during hospitalization.
    • Emergency medical insurance coverage details.
    • Payments for emergency prescription medications.
    • Details on emergency air transportation.
    • Trip disruption expenses are discussed.
    • Policies often cover situations such as canceled trips that are non-refundable.
    • Some policies cover expenses when return home for sickness is delayed.
    • Policy details for repatriation benefits.
    • Coordination of benefits details and claims for one person travelling with others.
    • Details on subrogation agreements.

    How to File a Claim

    • Getting original receipts/documents needed for claims.
    • Forms required for claims.
    • Customs office documentation required.
    • Contacting the insurer directly if there are problems getting the required medical treatment.

    Additional Exclusions/Limitations

    • Pregnancy, miscarriage, childbirth, or related issues within three weeks, war, suicide, or self-harm, covered or not.
    • Mental or emotional disorders, professional sports participation, hazardous activity participation are excluded.
    • Details on how medical expenses are handled in relation to pre-existing conditions.
    • Experimental treatments and medical instances are included.

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    Related Documents

    CAIB 1 Chapter 8 Slides PDF

    Description

    This quiz focuses on key concepts from CAB1 General Insurance, including important course terms and the implications of errors and omissions insurance. Students will be assessed on their understanding of the Forgetting Curve and effective review strategies, as well as specific content from CAIB1 Chapter 7.

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