Insurance Applications: Representations
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Questions and Answers

What is the definition of a representation in an insurance application?

  • Oral or written statements that are true to the best of the applicant's knowledge and belief (correct)
  • A guaranteed fact made by the insurer
  • A promise made by the applicant
  • A statement made after the policy is issued
  • When can a representation be changed or amended?

  • Never
  • Prior to the policy issue (correct)
  • Only after the policy is issued
  • Anytime during the policy term
  • What is a misrepresentation that does not affect underwriting?

  • A material misrepresentation
  • A misrepresentation that is not material (correct)
  • Any false statement
  • A fraudulent misrepresentation
  • What could be grounds for voiding an insurance contract upon discovery?

    <p>Material misrepresentation</p> Signup and view all the answers

    What defines concealment in an insurance application context?

    <p>Failure to voluntarily disclose material facts</p> Signup and view all the answers

    What represents intentional deception in an insurance application?

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

    Who can rescind or cancel a contract if fraud is determined?

    <p>Both parties</p> Signup and view all the answers

    What is a warranty in the context of insurance applications?

    <p>A statement guaranteed to be true made by the insurer or its representative</p> Signup and view all the answers

    Study Notes

    Statements on Insurance Applications

    • Representations
      • Oral or written statements made by an applicant when completing an application for insurance
      • Must be true to the best of one's knowledge and belief
      • Made prior to policy issuance and can be changed or amended prior to policy issue, but not afterward
      • Materiality of the statement depends on whether it influences policy issue
      • Not considered warranties

    Misrepresentation

    - A false statement that does not affect underwriting
    - Is not material and will not affect policy issue
    - Examples: mailing address error
    

    Material Misrepresentation

    - A false statement or concealment important to policy issuance
    - Typically includes: health statements, driving record, drug/alcohol abuse, hazardous activities
    - Severity determined by materiality
    - Considered false when facts fail to correspond with assertions or stipulations
    - Can be grounds for voiding the contract upon discovery
    

    Concealment

    - Failure to voluntarily disclose material facts relevant to underwriting
    - Failure to communicate that which a party knows and ought to communicate
    - Regardless of intent, may be grounds for rescission by either party
    

    Fraud

    - Intentional deception
    - Often associated with filing a false claim
    - If determined to be fraudulent, either party may rescind or cancel the contract
    

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    Description

    Understand the importance of representations in insurance applications, including oral and written statements made by applicants. Learn about materiality, amendments, and policy issuance.

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