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Questions and Answers
Who is protected under the In-Contestability Clause included under a Life Assurance Policy?
Who is protected under the In-Contestability Clause included under a Life Assurance Policy?
- Insurance Broker
- Insured (correct)
- Insurer
- Insurance Agent
What does the beneficiary receive if the life-insured dies as a result of suicide after three years of the policy issue?
What does the beneficiary receive if the life-insured dies as a result of suicide after three years of the policy issue?
- Full face amount of the policy (correct)
- Premium paid by the life-assured
- (2 × Premium), paid by the life-assured
- Nothing
What does the First Premium Receipt (F.P.R.) signify in a life assurance policy?
What does the First Premium Receipt (F.P.R.) signify in a life assurance policy?
- It confirms the insurer's acceptance of the proposal.
- It is the evidence that the policy contract has begun. (correct)
- The policy has been canceled.
- It indicates a refund of the premium payment.
How will a policy document with complex language leading to ambiguity generally be construed?
How will a policy document with complex language leading to ambiguity generally be construed?
In the case of mis-statement of age, which statement is valid?
In the case of mis-statement of age, which statement is valid?
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Study Notes
In-Contestability Clause
- Protects the Insured, preventing claim rejection after a set period.
- Under Section 45 of the Insurance Act, claims cannot be rejected if the policy has been in force for three years.
Suicide Clause
- If the life assured commits suicide after three years of policy issuance, the beneficiary receives the full amount of the policy.
- This clause establishes a waiting period to ensure the insured's intent is established.
First Premium Receipt (F.P.R.)
- Signifies the initial payment for the policy and indicates that the policy contract has begun.
- Acts as preliminary evidence of the transaction between the insurer and the insured.
Evidence of Contract
- The Policy Document serves as the formal contract between the insurer and the insured.
- This document outlines the terms and conditions of the insurance agreement.
Ambiguity in Policy Language
- If complex language creates ambiguity in a policy document, the construction will generally favor the Insured.
- This rule is to protect policyholders from unclear or misleading terms.
Mis-Statement of Age
- An under-statement of age typically leads to the original policy being re-issued for a reduced amount.
- An over-statement of age generally allows for a refund of premium payments.
- Only one of these scenarios will apply, depending on the specific mis-statement made.
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