Podcast
Questions and Answers
Under what circumstances can the insurer conduct audits of the insured's books and records?
Under what circumstances can the insurer conduct audits of the insured's books and records?
- Whenever there is a claim.
- Only with the insured's consent.
- At any time without prior notice.
- During the policy period and up to three years after its end. (correct)
How are changes to the terms of the policy formalized?
How are changes to the terms of the policy formalized?
- By written endorsement from the insurer. (correct)
- Automatically upon request from the insured.
- Through verbal agreement confirmed by email.
- Annually, in conjunction with policy renewal.
What provisions are made for the refund of premium upon cancellation by the insurer?
What provisions are made for the refund of premium upon cancellation by the insurer?
- Pro rata refund. (correct)
- Full refund regardless of the cancellation reason.
- No refund is provided.
- Less than pro rata, depending on the timing of cancellation.
In what scenario can the insurer cancel the policy without prior notice?
In what scenario can the insurer cancel the policy without prior notice?
What does the policy state about the transfer of rights upon the death of the insured?
What does the policy state about the transfer of rights upon the death of the insured?
What is required from the insured in the event of a potential claim?
What is required from the insured in the event of a potential claim?
When can the insurer refuse a claim?
When can the insurer refuse a claim?
What is specified about premium refunds when the insured cancels the policy?
What is specified about premium refunds when the insured cancels the policy?
What specific actions are insureds required to take in the event of loss or damage?
What specific actions are insureds required to take in the event of loss or damage?
Under what conditions does the policy allow for amendments?
Under what conditions does the policy allow for amendments?
How does the policy address the insurer's right to cancel for reasons other than nonpayment?
How does the policy address the insurer's right to cancel for reasons other than nonpayment?
What are the obligations of the first Named Insured concerning policy premiums?
What are the obligations of the first Named Insured concerning policy premiums?
What is required for a policy change to be valid?
What is required for a policy change to be valid?
How does the policy treat the insurer's audits of the insured's financial records?
How does the policy treat the insurer's audits of the insured's financial records?
What does the policy specify about the cancellation process initiated by the insurer for nonpayment of premium?
What does the policy specify about the cancellation process initiated by the insurer for nonpayment of premium?
How are changes to the insurance policy formalized according to the document?
How are changes to the insurance policy formalized according to the document?
What is the refund policy when the insurer cancels the policy?
What is the refund policy when the insurer cancels the policy?
What are the conditions specified for the insurer to conduct audits on the insured's books and records?
What are the conditions specified for the insurer to conduct audits on the insured's books and records?
In the event of the insured's death, how are the rights and duties under the policy transferred?
In the event of the insured's death, how are the rights and duties under the policy transferred?
What is required for policy changes to be effective?
What is required for policy changes to be effective?
What specific actions must the insured undertake in the event of a potential claim?
What specific actions must the insured undertake in the event of a potential claim?
How is the insurer's right to cancel the policy structured for reasons other than nonpayment?
How is the insurer's right to cancel the policy structured for reasons other than nonpayment?
Under what circumstances can the insurer audit the insured's financial records?
Under what circumstances can the insurer audit the insured's financial records?
What conditions apply to the transfer of rights under the policy upon the insured's death?
What conditions apply to the transfer of rights under the policy upon the insured's death?
How are premium refunds handled when the insured cancels the policy?
How are premium refunds handled when the insured cancels the policy?
What protocol must be followed for the insurer to amend or waive any terms of the policy?
What protocol must be followed for the insurer to amend or waive any terms of the policy?
How does the policy handle the transfer of duties after the insured's death?
How does the policy handle the transfer of duties after the insured's death?
What is specified about the policy's approach to handling claims?
What is specified about the policy's approach to handling claims?
When can the insurer terminate the policy without prior notice?
When can the insurer terminate the policy without prior notice?
What must be provided to expedite claim processing?
What must be provided to expedite claim processing?
What are the specified protocols for initiating a change in the policy?
What are the specified protocols for initiating a change in the policy?
How are audits of the insured's records conducted according to the policy?
How are audits of the insured's records conducted according to the policy?
What is the cancellation policy for the insurer if the reason is other than nonpayment?
What is the cancellation policy for the insurer if the reason is other than nonpayment?
Under what conditions does the insurer require audits to be conducted?
Under what conditions does the insurer require audits to be conducted?
What actions are insureds required to take in the event of an incident that may lead to a claim?
What actions are insureds required to take in the event of an incident that may lead to a claim?
How does the policy handle changes made by the insured?
How does the policy handle changes made by the insured?
What is the protocol for handling premium refunds when the policy is cancelled by the insurer for nonpayment?
What is the protocol for handling premium refunds when the policy is cancelled by the insurer for nonpayment?
Flashcards
Insurer Inspections
Insurer Inspections
The insurer has the right, but not the obligation, to inspect the insured's property and operations.
Policy Amendments
Policy Amendments
Policy changes require a written endorsement issued by the insurer to be valid.
Insurer Cancellation Refund
Insurer Cancellation Refund
If the insurer cancels the policy, a pro rata refund of the unearned premium is provided to the insured.
Cancellation for Nonpayment
Cancellation for Nonpayment
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Transfer Upon Death
Transfer Upon Death
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Insurer's Audit Period
Insurer's Audit Period
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Claim Notification
Claim Notification
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Nonpayment Cancellation Notice
Nonpayment Cancellation Notice
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Claim Refusal
Claim Refusal
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Insured Cancellation Refund
Insured Cancellation Refund
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Insured's Duty After Loss
Insured's Duty After Loss
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Valid Amendments
Valid Amendments
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Cancellation Notice (Other)
Cancellation Notice (Other)
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Premium Payment Responsibility
Premium Payment Responsibility
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Formalizing Policy Changes
Formalizing Policy Changes
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Insurer Audit Timing
Insurer Audit Timing
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Cancellation Notice for Nonpayment
Cancellation Notice for Nonpayment
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Formalizing Policy Changes
Formalizing Policy Changes
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Insurer Cancellation Refund
Insurer Cancellation Refund
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Audit Timeframe
Audit Timeframe
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Transfer of Rights
Transfer of Rights
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Endorsement Required
Endorsement Required
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Reporting Incidents
Reporting Incidents
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Cancellation Notice Period
Cancellation Notice Period
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Insurer's Audit Timeframe
Insurer's Audit Timeframe
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Transfer Of Rights
Transfer Of Rights
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Premium Refund Policy
Premium Refund Policy
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Amend Protocol
Amend Protocol
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Transfer Of Duties
Transfer Of Duties
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Insurer Defend
Insurer Defend
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Termination Reason
Termination Reason
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Expedite claims
Expedite claims
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Initiating Change
Initiating Change
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Audits Records
Audits Records
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Termination Day Notice
Termination Day Notice
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Policy Period Time
Policy Period Time
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Required Actions
Required Actions
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Formally Endorsed
Formally Endorsed
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Refund protocol
Refund protocol
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Study Notes
Insurer Inspections
- The insurer is allowed to inspect the insured's premises.
- Inspections do not create an obligation for the insurer.
- Inspections ensure standards and compliances are being met.
Policy Amendments
- Changes to the policy require a written endorsement from the insurer to be formalized.
- Verbal agreements or requests are not sufficient for policy changes.
- Changes made by the insured must be formally endorsed by the insurer.
Policy Cancellation & Refunds
- If the insurer cancels the policy, a pro rata refund is provided.
- If the insured cancels the policy, a less than pro rata refund is provided.
Policy Cancellation Notice
- In the event of non-payment, the policy can be cancelled by the insurer.
- A minimum of 10 days' notice is required for cancellations due to nonpayment.
- If the reason for cancellation is anything other than non-payment the insurer requires 30 days' notice.
Transfer of rights upon death
- In the event of the insured's death, the legal representative now holds rights to the policy.
Audits
- The insurer is allowed to audit the insured's books and records.
- Audits can happen during the policy period.
- Audits can take place up to three years after the policy ends.
Claims
- The insured needs to notify the insurer of potential claims as soon as is reasonable.
- The insurer has a right and duty to defend and settle claims.
- To expedite processing a claim number, insured name, and details of the loss are required.
- The insurer may refuse a claim if it involves an excluded peril.
- The Insured must contact the insurer immediately and provide all relevant details for a claim.
First Named Insured
- The first named insured is responsible for the payment of all premiums.
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