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Questions and Answers
What is the maximum claim amount that the Insurance Commission (IC) has the power to adjudicate against an insurance company for a single claim?
What is the maximum claim amount that the Insurance Commission (IC) has the power to adjudicate against an insurance company for a single claim?
- ₱ 500,000.00 (correct)
- ₱ 100,000.00
- ₱ 250,000.00
- ₱ 1,000,000.00
Which statement accurately describes the renewal of an insurance agent's license?
Which statement accurately describes the renewal of an insurance agent's license?
- An insurance agent's license is valid for the agent's lifetime.
- An insurance agent's license will be renewed when the commissioner is satisfied with the accuracy of the application and fulfillment of all requirements. (correct)
- An insurance agent's license is valid for only one month.
- An insurance agent's license will be renewed upon receipt of the application and fee by the Insurance Commissioner.
Why is the insurance industry subject to government regulations?
Why is the insurance industry subject to government regulations?
- Because insurance companies pay high taxes
- Because it is a charitable institution
- Because insurance companies are required to account for money spent in company operations
- Because it affects public interest (correct)
Which statement accurately describes commission sharing for insurance agents?
Which statement accurately describes commission sharing for insurance agents?
Which of the following statements is correct regarding insurance practices?
Which of the following statements is correct regarding insurance practices?
What is the practice of persuading a policy owner to surrender an existing policy and replace it with a new one from another company called?
What is the practice of persuading a policy owner to surrender an existing policy and replace it with a new one from another company called?
Which of the following defines rebating in the context of insurance?
Which of the following defines rebating in the context of insurance?
What does 'Knocking' typically refer to in the insurance industry?
What does 'Knocking' typically refer to in the insurance industry?
An insurance agent is permitted to perform which of the following actions?
An insurance agent is permitted to perform which of the following actions?
Inducing a policyholder to lapse or forfeit their insurance is generally considered:
Inducing a policyholder to lapse or forfeit their insurance is generally considered:
For what period of time is a suicide clause typically in effect after a life insurance policy is issued?
For what period of time is a suicide clause typically in effect after a life insurance policy is issued?
Which of the following correctly lists the three non-forfeiture values available in a permanent life insurance policy?
Which of the following correctly lists the three non-forfeiture values available in a permanent life insurance policy?
If a policyholder elects the paid-up insurance non-forfeiture option, what happens to their life insurance coverage?
If a policyholder elects the paid-up insurance non-forfeiture option, what happens to their life insurance coverage?
Which of the following lists represents the basic settlement options available in life insurance policies?
Which of the following lists represents the basic settlement options available in life insurance policies?
In the event of a misstatement of age on a life insurance application, what action will the insurance company typically take?
In the event of a misstatement of age on a life insurance application, what action will the insurance company typically take?
Which of the following is considered a settlement option for a life insurance policy?
Which of the following is considered a settlement option for a life insurance policy?
According to standard insurance practices, which combination of factors would classify a risk as substandard?
According to standard insurance practices, which combination of factors would classify a risk as substandard?
Which of the following describes a hazardous occupation in the context of insurance risk assessment?
Which of the following describes a hazardous occupation in the context of insurance risk assessment?
In insurance applications, statements made by the applicant are considered to be what?
In insurance applications, statements made by the applicant are considered to be what?
Mr. Roel Reyes was hospitalized three years before applying for insurance. What specific details should he provide in his application?
Mr. Roel Reyes was hospitalized three years before applying for insurance. What specific details should he provide in his application?
Life insurance companies utilize a specific resource for confidential medical details about insurance applicants; what is this resource?
Life insurance companies utilize a specific resource for confidential medical details about insurance applicants; what is this resource?
An agent is completing the Agent’s Confidential Report. What type of information is essential to include in this report?
An agent is completing the Agent’s Confidential Report. What type of information is essential to include in this report?
What is the primary purpose of an annuity plan?
What is the primary purpose of an annuity plan?
In an annuity plan, what is the term used to describe the individual who purchases the plan?
In an annuity plan, what is the term used to describe the individual who purchases the plan?
Under what circumstances can an insurance agent's license be revoked?
Under what circumstances can an insurance agent's license be revoked?
Which action exemplifies ethical practices and procedures for an insurance agent?
Which action exemplifies ethical practices and procedures for an insurance agent?
What does the insurance term 'knocking' refer to?
What does the insurance term 'knocking' refer to?
Which of the following is generally considered an ethical practice in insurance solicitation and procurement?
Which of the following is generally considered an ethical practice in insurance solicitation and procurement?
What does the term 'twisting' refer to in the context of insurance sales?
What does the term 'twisting' refer to in the context of insurance sales?
What is the term for a false or misleading statement made by either party during insurance contract negotiations?
What is the term for a false or misleading statement made by either party during insurance contract negotiations?
What is the term for selling a client more insurance coverage than is appropriate for their needs and financial situation?
What is the term for selling a client more insurance coverage than is appropriate for their needs and financial situation?
Which of the following actions might lead to charges of misrepresentation?
Which of the following actions might lead to charges of misrepresentation?
Which of the following best describes a single premium policy?
Which of the following best describes a single premium policy?
What is the term for a fixed charge added to the premium of an insurance policy, irrespective of the policy's face value?
What is the term for a fixed charge added to the premium of an insurance policy, irrespective of the policy's face value?
What information is essential for an insurance agent to accurately calculate the premium for a specific policy?
What information is essential for an insurance agent to accurately calculate the premium for a specific policy?
How is the premium calculated for modes other than annual payments (e.g., monthly, quarterly) derived from the annual premium?
How is the premium calculated for modes other than annual payments (e.g., monthly, quarterly) derived from the annual premium?
What types of benefits are commonly covered under health insurance policies?
What types of benefits are commonly covered under health insurance policies?
In employer-sponsored group insurance, what document does an employee typically complete instead of a full personal insurance application?
In employer-sponsored group insurance, what document does an employee typically complete instead of a full personal insurance application?
If an employee leaves a company with group insurance coverage, what mechanism allows them to switch their group policy to an individual policy?
If an employee leaves a company with group insurance coverage, what mechanism allows them to switch their group policy to an individual policy?
Which of the following is a requirement for a contract to be legally binding?
Which of the following is a requirement for a contract to be legally binding?
Under what condition does a life insurance policy typically go into effect?
Under what condition does a life insurance policy typically go into effect?
Which parties are directly involved in a life insurance contract?
Which parties are directly involved in a life insurance contract?
Under what circumstance might insurance law prevent a common-law spouse from being designated as a beneficiary?
Under what circumstance might insurance law prevent a common-law spouse from being designated as a beneficiary?
Which of the following provisions in a permanent life insurance policy is most likely to lapse due to non-payment of premiums?
Which of the following provisions in a permanent life insurance policy is most likely to lapse due to non-payment of premiums?
What does the convertible feature of a term insurance policy allow the policyholder to do?
What does the convertible feature of a term insurance policy allow the policyholder to do?
If a life insurance policyholder dies in an accidental car crash within two years of purchasing the policy, how will the insurance company likely respond?
If a life insurance policyholder dies in an accidental car crash within two years of purchasing the policy, how will the insurance company likely respond?
How can a policyholder access funds from their life insurance policy while still maintaining coverage?
How can a policyholder access funds from their life insurance policy while still maintaining coverage?
A man, age 27, purchased a life insurance policy on his wife, age 26, but mistakenly stated their ages as 26 and 27, respectively, on the application. Five years later, his wife passes away. How will the insurance company likely handle the claim?
A man, age 27, purchased a life insurance policy on his wife, age 26, but mistakenly stated their ages as 26 and 27, respectively, on the application. Five years later, his wife passes away. How will the insurance company likely handle the claim?
Flashcards
Single Premium Policy
Single Premium Policy
A life insurance policy that requires only one premium payment for the entire coverage period.
Policy Fee
Policy Fee
A uniform charge added to the premium, irrespective of the policy's face amount.
Premium Calculation Factors
Premium Calculation Factors
Age, choice of plan, and desired face amount are needed to calculate premiums.
Premium Mode Conversion
Premium Mode Conversion
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Health Insurance Benefits
Health Insurance Benefits
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Group Insurance Enrollment
Group Insurance Enrollment
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Conversion Privilege
Conversion Privilege
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Legal Contract Requirement
Legal Contract Requirement
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Substandard Risk
Substandard Risk
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Hazardous Occupation
Hazardous Occupation
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Representations
Representations
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Prior Hospital Confinement
Prior Hospital Confinement
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Medical Information Bureau (MIB)
Medical Information Bureau (MIB)
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Agent's Duty
Agent's Duty
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Annuity Plan
Annuity Plan
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Annuitant
Annuitant
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IC Claim Limit
IC Claim Limit
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Insurance Agent's License Renewal
Insurance Agent's License Renewal
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Regulation of Insurance Industry
Regulation of Insurance Industry
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Commission Sharing Rules
Commission Sharing Rules
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Rebating Prohibition
Rebating Prohibition
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Twisting
Twisting
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Rebating
Rebating
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License Revocation
License Revocation
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Confidentiality
Confidentiality
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Knocking
Knocking
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Unethical Insurance Practices
Unethical Insurance Practices
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Misrepresentation
Misrepresentation
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Overloading
Overloading
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When does life insurance go into force?
When does life insurance go into force?
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Who are the parties in a life insurance contract?
Who are the parties in a life insurance contract?
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When can a common-law spouse be a beneficiary?
When can a common-law spouse be a beneficiary?
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Which provision CANNOT lapse for non-payment?
Which provision CANNOT lapse for non-payment?
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What does 'convertible' mean in term insurance?
What does 'convertible' mean in term insurance?
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Accidental death within two years?
Accidental death within two years?
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How to get money and stay insured?
How to get money and stay insured?
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What if age is misstated?
What if age is misstated?
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Agent Policy Comparisons
Agent Policy Comparisons
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Inducing Policy Lapse
Inducing Policy Lapse
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Suicide Clause Duration
Suicide Clause Duration
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Non-Forfeiture Options
Non-Forfeiture Options
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Paid-Up Insurance Option
Paid-Up Insurance Option
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Basic Settlement Options
Basic Settlement Options
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Misstatement of Age
Misstatement of Age
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Cash Surrender Value
Cash Surrender Value
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Study Notes
- Makati Mock Examination Study Notes
Single Premium Policy
- Requires only one premium payment
- Does not necessarily mean a policy that requires a single premium each year
- Is not only available to single individuals
- Payments can be made in advance
Policy Expenses
- A policy fee is a fixed amount added to the premium, regardless of policy size
Required Information for Agent
- An agent needs to know the applicant's age, the plan being chosen, and the face amount desired to calculate premiums for a given policy
Premium Calculation
- To calculate premiums for other modes of premium payment, the annual premium is multiplied by a conversion factor for the mode of payments desired
Healthcare Coverage
- Benefits payable under health insurance policies cover accidental death and dismemberment, expense reimbursement, and disability income
Enrollment Cards
- For employer-employee groups, employees fill out an enrollment card instead of a personal insurance application
Group Coverage Conversion
- If an employee leaves a company with a group insurance policy, their coverage can be changed to an individual policy using a conversion privilege
Legal Contract Requirements
- To be legal and binding, parties to the contract must be legally competent
Life Insurance Applicant
- When a father enters into a life insurance contract on behalf of his child, the father is the applicant-owner
Valid Life Insurance Coverage
- For life insurance coverage to be valid, insurable interest must exist only at the inception of the policy
How Insurance Code Takes Effect
- According to the insurance code, contracts don't take effect unless the policy is delivered to the insured, assignee, or agent, or to a beneficiary
- Contracts do not take effect unless payment of the first premium is made to the insurer or its authorized agent
- Contracts do not take effect unless there has been no change in the insurability of the life to be insured between the time of application and the time the policy was delivered
Practicable Beneficiaries
- Anyone can be a beneficiary, except for someone who owes you money
Life Insurance Law
- Under the law pertaining to life insurance, any person with insurable interest can be named an irrevocable beneficiary
Life Insurance Proceeds and Interest
- When life insurance policy proceeds are left with the company to earn interest, income tax is levied on the interest earnings of the proceeds
Insurable Interest
- A person has an insurable interest in the life of their child or grandchild
- A person has an insurable interest in anyone who depends on them or from whom they receive support or education
- A person has an insurable interest in any person in whom they have pecuniary interest
Beneficiary Designation Restrictions
- Anyone can be designated a beneficiary except for minors and those expressly prohibited by law from receiving donations
When Life Insurance Takes Force
- The common practice of most life insurers goes into force when the agent gives a binding receipt
Parties Involved in Life Insurance
- The parties involved in a life insurance contract are the insurance company and the insured
Common-Law Spouse Beneficiary
- According to insurance law, a common-law spouse cannot be designated a beneficiary if their legal partner is still living and the previous marriage has not been legally dissolved
Lapse Due to Non-Payment
- An automatic premium loan is a a provision in a permanent life insurance policy that may lapse for non-payment of premium
Convertible Policy
- The convertible feature of a term insurance policy allows it to be changed to a permanent insurance policy without evidence of insurability
Insurance Policy and Accidental Death
- Insurance companies will pay the face amount of the policy in the event of accidental death (not suicide within 2 years of buying the policy)
Remaining Insured
- Retaining insurance coverage is possible, by taking a policy loan
Misstatement of Age
- The insurance company will pay the face amount adjusted for misstatement of age
Dividends and Guarantees
- Dividends are not guaranteed
Grace Period for Life Insurance Policy
- The typical grace period provision obligates the life insurance company to the face amount of the policy minus unpaid premiums
Automatic Premium Loan
- Automatic premium loans go into effect requiring no separate action from the policyowner
Assigning a Policy
- When a policy is assigned absolutely the assignee acquires all the rights and interests of the original policyholder
No Named Beneficiary
- If a policy doesn't contain the name of a beneficiary, the beneficiary will be the insured's estate
Premium Non-Payment
- If a policyowner does not pay a premium on the due date, the policy will continue in full force for a period of grace
Irrevocable Beneficiary
- If a policyowner, whose wife is the irrevocable beneficiary, wishes to cash in his policy, he must have the wife's consent
Incorrect Statement
- Any verbal statement made by the agent to the applicant is generally not considered part of the contract
Loan Dividends
- If a policy is taken on a participating policy, dividends for that policy while there is a loan against the policy will go unaffected
Charged Interest
- Interest is charged on policy loans to replace investment income the insurer cannot earn since a loan has been granted
Insurance Plan
- An insurance plan, which offers both protection and savings is called a Permanent Plan
Moderate Means
- A man with moderate means can have maximum protection through Term Insurance
Mr. Valdez's Recommendations
- Mr. Juan Valdez should purchase a Participating Plan to annually receiving dividends
Longest Protection
- An Ordinary Life insurance policy can give someone the longest protection
Policy Purchase at Age 35
- An individual purchasing a policy at age 35 will receive the face amount in 20 years. This is a 20 Yr. Endowment
20 Pay Life Policy
- Insures protection until the age of 100 while protection is for 20 years.
Participating Plan
- Entitles the policyowner to receive a return of excess premiums through Dividends
Rose Cortez's Policy
- Mrs. Rose Cortez owns a Level Term insurance policy which does not provide for the build up of cash values and whose premiums' remain level
Term Insurance
- Two attractive features of a Term Insurance are Convertibility and Renewability.
Policyowners
- A term insurance allows policyowners to convert it to a permanent insurance within a specified period without evidence of insurability contains Convertibility.
Term Policy
- Only offers Protection
Term and Permanent Plans
- Permanent polices provide both protection and savings while term plans offer protection only
Savings Element
- The saving element of permanent plans allows for the build up of cash values
Term Rider
- A term insurance added to a permanent plan
Waiver of Premium
- An optional rider can be attached to a policy stopping further premium payments in the event of disability
Waiver of Premium Requirement
- Effectivness comes through both disability must be total
Accidental Death Rider
- If a policy with the rider becomes paid up the rider ceases
Disability Benefits
- Disability benefits cease for self-inflicted injuries
Pedro Cruz, Suicide Attempt
- Mr. Pedro Cruz would receive neither disability income nor a waiver of premiums
Term Insurance Rider
- A person desiring greater coverage for the least amount of premium has the option of adding a term insurance rider in their permanent life policy
Payor's Benefit
- Provides a waiver of premium benefit in the event of death or disability of the person paying the premiums
Dividends
- If an insured is disabled and his life insurance policy is being continued in force through the waiver of premium, the dividends of the policy would continue as if the owner is paying the premium
Juvenile Policy
- A policy with a minor as the proposed insured
Rated Policies
- It's where life insurance policies are said to payable
Comprehensive
- Certain standards of health and occupation
Least Effect on Premium
- Income has the least effect on a premium charged
Anti-Selection
- Occurs when persons in poor health wish to buy insurance
Defining Insurance Risk
- Risk means hazard on people's lives
Application Disclosure
- Must include every fact in his knowledge that is material to the insurance
Sources of Insurance
- Insurance companies have various sources these include all of the above
Insurance Risk
- Are classified as standard substandard and declined
Substandard Risk
- Risk is considered substandard based on occupation, moral character, and family health history
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