Insurance Regulations and Practices

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Questions and Answers

If the insured dies during the grace period of an unpaid life insurance policy, the amount payable to the beneficiary is usually the

  • total premium paid plus interest.
  • full face amount.
  • face amount of the policy minus the unpaid premium. (correct)
  • cash surrender value of the policy minus the unpaid premium.

Which of the following statements is correct?

  • an insurance agent's license is valid only for one month.
  • an insurance agent's license will be renewed when the corresponding application and fee are received by the Insurance Commissioner.
  • an insurance agent's license is valid during the lifetime of the agent.
  • an insurance agent's license will be renewed when the Commissioner is satisfied that the information in the application is accurate and all requirements are met. (correct)

The insurance industry is under government regulations because

  • it affects public interest. (correct)
  • it pays high taxes.
  • it is a charitable institution.
  • it is required to account for money spent in company operations.

Persuading a policyowner, directly or indirectly, to surrender or lapse a policy in one company and replacing it with a policy from another company is

<p>twisting (A)</p> Signup and view all the answers

Interest is charged on policy loans

<p>to replace investment income the insurer cannot earn since a loan has been granted. (D)</p> Signup and view all the answers

Rebating is

<p>premium discrimination against policyholders. (C)</p> Signup and view all the answers

An insurance agent's license can be revoked for

<p>any or all of the above. (D)</p> Signup and view all the answers

One example covered under the ethical practices and procedures is

<p>keep all policyholders information confidential. (C)</p> Signup and view all the answers

The term knocking means

<p>making derogatory remarks about competing underwriters or companies. (B)</p> Signup and view all the answers

The following are unethical practices in the solicitation and procurement of insurance except

<p>obtaining or attempting to obtain a license by fraud or misrepresentation. (B)</p> Signup and view all the answers

The misstatement of facts by either of the parties of insurance, whether in writing or orally, preliminary and in reference to making the insurance contract is

<p>misrepresentation (B)</p> Signup and view all the answers

Selling a person more insurance than what is warranted by his sources is called

<p>overloading (C)</p> Signup and view all the answers

An agent is prohibited from doing all of the following except:

<p>make complete comparisons of policies he sells and those offered by competing insurance companies. (D)</p> Signup and view all the answers

Inducing an insured to lapse or forfeit his insurance

<p>is an offense in the great majority of cases. (A)</p> Signup and view all the answers

The suicide clause is in effect for

<p>the first 2 years. (C)</p> Signup and view all the answers

The three non-forfeiture values in a permanent policy are

<p>cash surrender value, paid value, extended term insurance. (A)</p> Signup and view all the answers

What are the basic settlement options?

<p>fixed amount, fixed period, interest, fixed period and for life. (D)</p> Signup and view all the answers

In case of misstatement of age

<p>the amount of insurance is adjusted to the amount which the premium paid at the correct age would have purchased. (D)</p> Signup and view all the answers

Which of the following is a settlement option?

<p>interest on insurance proceeds (B)</p> Signup and view all the answers

Name the provision in a permanent life insurance policy under which, if the premiums are discontinued, full insurance coverage will be maintained for a specified period.

<p>extended term insurance (D)</p> Signup and view all the answers

Which of the following is not derived from the non-forfeiture values?

<p>dividends (D)</p> Signup and view all the answers

Mr. Dela Cruz stated in his application that he was 30 years of age and a policy was issued to him on that basis. When he died twenty years later it was found out that, in fact, he was 34 years of age at the time of his application. In conformity with the Insurance Code, the company

<p>paid the amount of insurance payable to his beneficiary reduced in relation to his actual age at the time the contract was signed. (D)</p> Signup and view all the answers

In the event that the policyowner elects the paid-up insurance option

<p>premiums cease and protection continues for a reduced amount. (A)</p> Signup and view all the answers

If a policyowner commits suicide within one year, what's the company's liability?

<p>the company would be liable for the payment of the premiums paid by the insured only. (C)</p> Signup and view all the answers

Which of the non-forfeiture option gives the largest amount of protection?

<p>extended term insurance (C)</p> Signup and view all the answers

Any policy which has lapsed can be reinstated subject to normal conditions of proof of insurability within

<p>three years (B)</p> Signup and view all the answers

Benefits payable under health insurance policies cover

<p>all of the above (D)</p> Signup and view all the answers

With employer-employee groups, an employee does not fill out a personal application for insurance. Instead he merely fills out

<p>an enrollment card. (A)</p> Signup and view all the answers

In the event an employee leaves the company in which he is a member of its group insurance policy, his group coverage can be changed to an individual policy using the

<p>conversion privilege. (B)</p> Signup and view all the answers

For a contract to be legal and binding

<p>parties to the contract must be legally competent. (D)</p> Signup and view all the answers

The insurance code specifies that a contract does not take effect unless

<p>payment of the first premium is made to the insurer or its authorized agent. (C)</p> Signup and view all the answers

All of the following would be practicable to become beneficiaries except

<p>someone to whom you owe money. (C)</p> Signup and view all the answers

Under the law pertaining to life insurance

<p>any person with insurable interest can be named irrevocable beneficiary. (A)</p> Signup and view all the answers

When the proceeds of a life insurance policy are left with the company to earn interest

<p>income tax is levied on the interest earnings of the proceeds. (A)</p> Signup and view all the answers

A person has insurable interest on the life of

<p>all of the above (D)</p> Signup and view all the answers

Anybody can be designated a beneficiary expect

<p>those expressly prohibited by law to receive donations. (C)</p> Signup and view all the answers

The common practice of most life insurers is that the life insurance goes into force

<p>when the agent gives a binding receipt. (C)</p> Signup and view all the answers

According to insurance law, a common-law spouse cannot be designated a beneficiary

<p>if his/her legal partner is still living and the previous marriage has not been legally dissolved. (B)</p> Signup and view all the answers

Policy reserves are future obligations on the part of

<p>the Insurance Company. (C)</p> Signup and view all the answers

Which one of the following provisions in a permanent life insurance policy may lapse for non-payment of premium?

<p>Automatic Premium Loan (B)</p> Signup and view all the answers

A policyholder may obtain money from the insurance company and still remain insured by

<p>taking a policy loan. (B)</p> Signup and view all the answers

When you bought an insurance policy on your wife's life you were 27 and she was 26, but you stated that you were 26 and she was 27. Five years later your wife died. The insurance company will pay

<p>the face amount adjusted for misstatement of age. (B)</p> Signup and view all the answers

If the policy did not contain the name of a beneficiary, the beneficiary will be

<p>the insured's estate. (A)</p> Signup and view all the answers

If a policyowner whose wife is the irrevocable beneficiary wishes to cash in his policy, he must

<p>have the wife's consent. (D)</p> Signup and view all the answers

If a policy with the accidental death rider becomes paid up

<p>the accidental death rider ceases. (A)</p> Signup and view all the answers

An annuity plan

<p>is a purchase of income. (B)</p> Signup and view all the answers

The person who purchases the annuity plan is called the

<p>annuitant. (A)</p> Signup and view all the answers

All of the following statements regarding a life insurance application are correct except

<p>statements made on the applications are warranties. (C)</p> Signup and view all the answers

Prior to granting a license, the IC requires proof of

<p>all of the above (D)</p> Signup and view all the answers

Flashcards

Death During Grace Period

Face amount of the policy minus the unpaid premium.

Insurance Agent's License Renewal

When the Commissioner is satisfied that the information in the application is accurate and all requirements are met.

Government Regulation of Insurance

It affects public interest.

Commission Sharing

An agent is allowed to share commissions with another licensed agent or agents but with no one else.

Signup and view all the flashcards

Rebating of Premiums

Rebating of premiums by an insurance agent is prohibited.

Signup and view all the flashcards

Twisting

Persuading a policyowner to surrender or lapse a policy and replacing it with another.

Signup and view all the flashcards

Interest on Policy Loans

To replace investment income the insurer cannot earn since a loan has been granted.

Signup and view all the flashcards

Rebating

Premium discrimination against policyholders.

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Revocation of Agent's License

Fraudulent practices, violation of any provision of the Insurance code, misrepresentation in the application for license.

Signup and view all the flashcards

Ethical Practices

Keep all policyholders information confidential.

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Knocking

Making derogatory remarks about competing underwriters or companies.

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Misrepresentation

Misstatement of facts preliminary and in reference to making insurance contract.

Signup and view all the flashcards

Overloading

Selling a person more insurance than what is warranted by his sources.

Signup and view all the flashcards

Agent Ethical Practice

Make complete comparisons of policies he sells and those offered by competing insurance companies.

Signup and view all the flashcards

Inducing an Insured to lapse.

Is an offense in the great majority of cases.

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Suicide Clause

The first 2 years.

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Non-forfeiture Values

Cash surrender value, paid value, extended term insurance.

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Settlement Options

Fixed amount, fixed period, interest, fixed period and for life.

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Misstatement of Age

The amount of insurance is adjusted to the amount which the premium paid at the correct age would have purchased.

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Settlement Option

Interest on insurance proceeds

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Maintained Coverage

Extended term insurance.

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Non-Forfeiture Values

Dividends

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False Age

Paid the amount of insurance payable to his beneficiary reduced in relation to his actual age at the time the contract was signed.

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Paid-Up Insurance Option

Premiums cease and protection continues for a reduced amount.

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Suicide within one year

The company would be liable for the payment of the premiums paid by the insured only.

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Largest Protection Non-Forfeiture Option

Extended term insurance.

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Policy Reinstatement

Two years

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Health Insurance Policies

All of the above

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Employer-employee groups

An enrollment card.

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Employee leaves

Conversion privilege.

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Study Notes

  • If the insured dies during the grace period of an unpaid life insurance policy, the amount payable is usually the face amount of the policy minus the unpaid premium.
  • An insurance agent's license will be renewed when the Commissioner is satisfied that the information in the application is accurate and all requirements are met.
  • The insurance industry is under government regulations because it affects public interest.
  • An agent is allowed to share commissions with another licensed agent or agents but with no one else.
  • Rebating of premiums by an insurance agent is prohibited.
  • Persuading a policyowner to surrender or lapse a policy in one company and replacing it with one from another company is twisting.
  • Interest is charged on policy loans to replace investment income the insurer cannot earn once a loan has been granted.
  • Rebating is premium discrimination against policyholders.
  • An insurance agent's license can be revoked for any or all of the following: fraudulent practices, violation of any provision of the Insurance Code, or misrepresentation in the application for license.
  • One example covered under ethical practices and procedures is to keep all policyholders' information confidential.
  • The term knocking means making derogatory remarks about competing underwriters or companies.
  • Obtaining or attempting to obtain a license by fraud or misrepresentation is not an unethical solicitation practice.
  • Replacing a policy in one company with another policy in another company is twisting.
  • The misstatement of facts by either party to an insurance contract is misrepresentation.
  • Selling a person more insurance than warranted by his sources is called overloading.
  • An agent is prohibited from doing all the following, except making complete comparisons of their policies with competing insurance companies.
  • Inducing an insured to lapse or forfeit their insurance is an offense in the great majority of cases.
  • The suicide clause is in effect for the first 2 years.
  • The three non-forfeiture values in a permanent policy are cash surrender value, paid value, and extended term insurance.
  • The basic settlement options are fixed amount, fixed period, interest, fixed period, and for life.
  • In case of misstatement of age, the amount of insurance is adjusted to the amount the premium paid at the correct age would have purchased.
  • Interest on insurance proceeds is a settlement option.
  • Extended term insurance is the provision in a permanent life insurance policy under which full insurance coverage will be maintained for a specified period if premiums are discontinued.
  • Dividends are not derived from the non-forfeiture values.
  • In conformity with the Insurance Code, the company paid the amount of insurance to his beneficiary reduced in relation to his actual age at the time the contract was signed.
  • In the event that the policyowner elects the paid-up insurance option, premiums cease and protection continues for a reduced amount.
  • If a policyowner commits suicide within one year, the company would be liable for the payment of the premiums paid by the insured only.
  • Extended term insurance gives the largest amount of protection as a non-forfeiture option.
  • Any lapsed policy can be reinstated subject to normal conditions of proof of insurability within three years.
  • Benefits payable under health insurance policies cover accidental death and dismemberment benefits, expense reimbursement benefits, and disability income benefits.
  • With employer-employee groups, an employee only fills out an enrollment card instead of a personal application for insurance.
  • An employee's group coverage can be changed to an individual policy using the conversion privilege, in the event the employee leaves the company.
  • For a contract to be legal and binding, parties to the contract must be legally competent.
  • According to the insurance code, a contract does not take effect unless payment of the first premium is made to the insurer or its authorized agent.
  • Someone who owes you money would be practicable to become beneficiaries.
  • Under the law pertaining to life insurance, any person with insurable interest can be named an irrevocable beneficiary.
  • When the proceeds of a life insurance policy are left with the company to earn interest, income tax is levied on the interest earnings of the proceeds.
  • A person has insurable interest on the life of his child or grandchild, any person upon whom he is wholly or partly dependent on, and any person in whom he has pecuniary interest.
  • Anybody can be designated a beneficiary, except those expressly prohibited by law to receive donations.
  • The common practice of most life insurers is that the life insurance goes into force when the agent gives a binding receipt.
  • According to insurance law, a common-law spouse cannot be designated a beneficiary, if his/her legal partner is still living and the previous marriage has not been legally dissolved.
  • Policy reserves are future obligations on the part of the Insurance Company.
  • Automatic Premium Loan is a provision in a permanent life insurance policy which may lapse for non payment of premium?
  • A policyholder may obtain money from the insurance company and still remain insured by taking a policy loan.
  • The insurance company will pay the face amount adjusted for misstatement of age.
  • If the policy did not contain the name of a beneficiary, the beneficiary will be the insured's estate.
  • If a policyowner whose wife is the irrevocable beneficiary wishes to cash in his policy, he must have the wife's consent.
  • If a policy with the accidental death rider becomes paid up, the accidental death rider ceases.
  • An annuity plan is a purchase of income.
  • The person who purchases the annuity plan is called the annuitant.
  • Statements made on the applications are warranties.
  • Prior to granting a license, the IC requires proof of a clean record of employment, a reasonable educational background, and a prospective agent's character and reputation.
  • The IC has the power to adjudicate insurance claims against insurance companies for any single claim not exceeding 5,000,000.00.
  • For life insurance coverage to be valid, insurable interest must exist only at the inception of the policy.
  • In the case of life insurance, a sale is considered completed if the application is signed and a medical examination has to be made first.
  • An automatic premium loan goes into effect requiring no separate action from the policyowner.
  • The typical grace period provision has none of the above.
  • When a policy is assigned absolutely the assignee acquires all the rights and interests of the original policyholder.
  • If a policyowner does not pay a premium on the due date, the policy will continue in full force for a period of grace.
  • If a loan is taken on a participating policy, dividends are unaffected while there is a loan against the policy.

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