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Life and Health License Maine

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Life and Health License Maine

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VLIFE AND HEALTH LICENSE MAINE
COMPLETE SOLUTION 100% VERIFIED
ANSWERS A+ GRADED FREE

Lapse - policy termination due to nonpayment of premium



Premium - amount paid to the insurance company for the insurance policy



"Insurance Transaction" (by email or other means) - Solicitation

Negotiations

Sale

Advising an individual concerning coverage or claims



Elements of legal contract to be legally binding

(4 Essential elements) - 1. Agreement

2. Consideration

3. Competent Parties

4. Legal Purpose



Consideration

(contract) - Is something of value that each party gives to another.



Insured = payment on premium

Insurer = promise to pay in event of loss.



Competent Parties - Must be entering contract in eyes of the law.

-Both parties must be legal age, mentally competent, not under influence of alcohol or drugs.

,Contract of Adhesion - prepared by one party (insurer) and accepted or rejected by the other party.



Aleatory Contract - Means exchange of unequal amounts or values. Premium paid is small in relation to
amount paid by insurer in event of loss.



Unilateral Contract - Only one parties to the contract is legally bound to do anything.

(Insured = no legally binding promises, Insurer promises to pay losses covered by policy)



Conditional Contract - Certain conditions met by policy owner and company in order for the contract to
be executed. (Proof of loss...)



Warranty - Absolutely true statement upon which the validity of insurance policy depends.



Representations - Statements believed to be true to best of one's knowledge.



Misrepresentations & Material Misrepresentations can lead to..... - FRAUD



"Completing application" - 2 basic Parts:



Part 1: general information

Part 2: Medical information



Agent's Report - Provides the agents personal observations concerning the proposed insured.



Changes in Application - Should have applicant initial the change or complete a new application.



Consequences of Incomplete Application - Incomplete then must return it to applicant. If a policy is
issued with questions left, insurer waived it right to have an answer to the question.

, Collecting premium - Whenever agent collects premium, must issue "premium receipt."

"Conditional receipt" is used only when the applicant submits a prepaid application.



Replacement - Terminating policy or letting it lapse, and getting a new one.



Underwriting - Risk selection process. Underwriter responsible for selecting only those risks that are
considered insurable and meet insurer's standards.



Sources of underwriting information - Application

Agent's Report



Investigative Consumer Report (Inspection) - Underwriter can order inspection from investigation firm or
credit agency. (subject to fair credit reporting act)



Fair Credit Reporting Act - est. procedures that consumer-reporting agencies must follow.



Consumer Reports - written / oral information regarding consumers credit, character, reputation, or
habits.



Investigative consumer reports - Similar to Consumer report but use information from friends, neighbors
and associates.



Medical Information Bureau (MIB) - (A nonprofit trade organization) Owned by member insurance
companies, receives medical information from insurance companies and maintains confidential
information.



Medical Examinations - Two kinds:

1. Paramedical report - completed by paramedic or registered nurse.

2. Attending Physician's Statement (APS)

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