Insurance Basics Quiz

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Questions and Answers

Under what condition does a conditional receipt provide coverage?

  • Immediately upon receipt of the first premium.
  • If the applicant meets all underwriting requirements at the time of application. (correct)
  • When the medical exam is waived by the insurer.
  • Only after the insurer formally issues the policy.

Which policy rider ensures the policyholder does not need to pay premiums if they become disabled?

  • Accidental Death Rider
  • Guaranteed Insurability Rider
  • Disability Income Rider
  • Waiver of Premium Rider (correct)

What does the Florida guaranty fund protect policyholders against?

  • Loss of coverage if the insurer becomes insolvent. (correct)
  • Incorrect claims denials by insurers.
  • Penalties for late premium payments.
  • Premium increases due to market conditions.

Which marketing practice is considered misrepresentation?

<p>Exaggerating policy benefits to a prospective client. (D)</p> Signup and view all the answers

Why is an insurance policy considered an aleatory contract?

<p>One party may receive significantly more value than the other. (B)</p> Signup and view all the answers

What must an agent do when replacing an existing policy?

<p>Submit a copy of the replacement notice to the applicant’s existing insurer. (A)</p> Signup and view all the answers

HIPAA ensures:

<p>Insurers maintain privacy of applicants’ medical information. (D)</p> Signup and view all the answers

What is the key difference between twisting and churning?

<p>Twisting persuades policyholders to change insurers, while churning involves internal replacements. (C)</p> Signup and view all the answers

What is the primary purpose of underwriting in insurance?

<p>To determine the eligibility and risk of the applicant. (A)</p> Signup and view all the answers

Insurable interest must exist:

<p>At the time of application and policy issuance. (C)</p> Signup and view all the answers

Which is an example of sliding?

<p>Charging a client for additional coverage without their consent. (B)</p> Signup and view all the answers

What is considered controlled business?

<p>Selling policies only to immediate family members and close associates. (D)</p> Signup and view all the answers

Which of the following is an example of social insurance?

<p>Workers' Compensation Insurance (A)</p> Signup and view all the answers

Which of the following is required to maintain a Florida insurance license?

<p>Completing the required number of continuing education hours. (C)</p> Signup and view all the answers

What is the main purpose of the Fair Credit Reporting Act (FCRA) in insurance?

<p>To regulate the use of consumer credit reports during underwriting. (A)</p> Signup and view all the answers

How does the Medical Information Bureau (MIB) help insurers during underwriting?

<p>It provides applicants' past insurance claims and medical history. (C)</p> Signup and view all the answers

What is a defining feature of an insurance contract as a contract of adhesion?

<p>The insurer writes the terms, and the insured must accept as is. (C)</p> Signup and view all the answers

An insurance contract is unilateral because:

<p>The insurer promises to pay benefits if a covered loss occurs. (B)</p> Signup and view all the answers

Flashcards

Conditional Receipt

A receipt that only provides coverage if the applicant meets all underwriting requirements, and the policy is formally issued by the insurer.

Waiver of Premium Rider

A policy rider that waives premium payments for the insured if they become disabled.

Florida Guaranty Fund

A fund created by the state of Florida to protect policyholders in case their insurer becomes insolvent. It helps ensure they don't lose their coverage.

Misrepresentation

Making false or misleading statements to a prospective client to persuade them to buy a policy, or to switch insurers.

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Aleatory Contract

An insurance contract where one party (the insurer) may pay significantly more than the other (the policyholder), especially in the event of a claim.

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Replacement Policies

When an agent replaces an existing policy with a new one, they must inform the former insurer by submitting a replacement notice. This helps the insurer manage the transition and ensure the client is protected.

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HIPAA Regulations

The Health Insurance Portability and Accountability Act (HIPAA) primarily focuses on protecting the privacy of patients' medical information. It ensures insurers handle this information responsibly.

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Twisting vs. Churning

Twisting focuses on convincing policyholders to switch insurers, while churning involves replacing existing policies within the same insurer.

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Underwriting

The process of evaluating an applicant's risk and eligibility for insurance coverage.

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Insurable Interest

The requirement that the insured have a financial interest in the insured item at the time of policy application and throughout its duration.

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Sliding

The act of charging a client for additional coverage without their knowledge or consent.

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Controlled Business

Selling insurance policies primarily to family members, friends, or business associates.

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Social Insurance

Insurance provided by the government to protect individuals from specific risks, such as unemployment or illness.

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Fair Credit Reporting Act (FCRA)

The FCRA allows insurers to use credit reports to evaluate an applicant's financial responsibility, a factor that is important for underwriting.

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Medical Information Bureau (MIB)

A database that compiles medical information from insurance companies, providing a record of an applicant's past claims and medical history.

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Policy Delivery

The agent must explain the policy's terms, conditions, and exclusions to the insured, ensuring they understand the coverage.

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Adhesion Contracts

An insurance contract is written by the insurer, and the insured must accept the terms as presented. It's not a negotiation.

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Fraud Prevention

The Department of Financial Services in Florida is responsible for investigating suspected insurance fraud.

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Study Notes

Conditional Receipt

  • A conditional receipt provides coverage if the applicant meets all underwriting requirements at the time of application.

Policy Riders

  • A Waiver of Premium Rider ensures the policyholder does not need to pay premiums if they become disabled.

Florida Guaranty Fund

  • The Florida guaranty fund protects policyholders against loss of coverage if the insurer becomes insolvent.

Misrepresentation

  • Exaggerating policy benefits to a prospective client is considered misrepresentation.

Aleatory Contract

  • An insurance policy is considered aleatory because one party (the insured) may receive significantly more value than the other (the insurer) depending on the occurrence of a covered event.

Replacement Policies

  • When replacing an existing policy, the agent must submit a copy of the replacement notice to the existing insurer and cancel the old policy before issuing the new one.

HIPAA Regulations

  • HIPAA ensures insurers maintain the privacy of applicants' medical information.

Twisting vs. Churning

  • Twisting persuades policyholders to change insurers, while churning involves internal policy replacements within the same company (not changing insurers).

Underwriting

  • Underwriting determines an applicant's eligibility and risk.

Insurable Interest

  • Insurable interest must exist throughout the entire policy duration.

Sliding

  • Sliding is charging a client for additional coverage without their consent, or reducing coverage without notifying the insured.

Controlled Business

  • Controlled business involves selling policies through unauthorized insurers or conducting replacement transactions without proper documentation.

Social Insurance

  • Workers' Compensation Insurance is an example of social insurance.

Florida Licensing Requirements

  • Maintaining a Florida insurance license requires completing continuing education hours.

Fair Credit Reporting Act (FCRA)

  • The FCRA regulates the use of consumer credit reports during underwriting.

Medical Information Bureau (MIB)

  • The MIB provides insurers with applicants' past insurance claims and medical history.

Policy Delivery

  • During policy delivery, the agent must explain policy terms, conditions, and exclusions.

Adhesion Contracts

  • An insurance contract is an adhesion contract because the insurer writes the terms, and the insured must accept them as is.

Fraud Prevention

  • The Department of Financial Services investigates insurance fraud in Florida.

Unilateral Contracts

  • An insurance contract is unilateral because the insurer promises to pay benefits if a covered loss occurs, but the insured does not have to make a payment.

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