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Missouri Life and Health Insurance Verified Answers

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Missouri Life and Health Insurance Verified Answers Insurance Transactions - Insurance transaction includes: ️ By mail or other means: - Solicitation - Negotiation - Sale - Advising an individual about coverage Elements of a Legal Contract - Elements include: ️ - Agreement (...

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  • September 1, 2024
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  • 2024/2025
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  • Missouri Life and Health Insurance Verified Answer
  • Missouri Life and Health Insurance Verified Answer
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Missouri Life and Health Insurance Verified Answers


Insurance Transactions

- Insurance transaction includes:

✔️ By mail or other means:

- Solicitation

- Negotiation

- Sale

- Advising an individual about coverage



Elements of a Legal Contract

- Elements include:

✔️ - Agreement (offer and acceptance)

✔️ - Consideration

✔️ - Competent parties

✔️ - Legal purpose

✔️ - Note: Negotiation does NOT need to happen.



Insurance Application Process

- Who makes the offer in an insurance application?

✔️ - Applicant



- When does acceptance take place?

✔️ - When an insurer's underwriter approves the application and issues a policy.



- The binding force in any contract:

✔️ - Consideration (insurer's promise to pay in the event of a loss).

,Types of Contracts

- Contract of adhesion:

✔️ - Prepared by the insurer and accepted or rejected by the insured

✔️ - "Take it or leave it" basis



- Insurance contracts are:

✔️ - Aleatory (exchange of unequal amounts of values).



- Unilateral contract:

✔️ - Only one of the parties is legally bound

✔️ - "One-way contract".



Policy Effective Date and Conditions

- When does an insurance policy go into effect?

✔️ - When the insured receives it.



- Conditional contract:

✔️ - Certain conditions must be met by the policy owner.



Representations and Warranties

- Warranty:

✔️ - An absolutely true statement upon which the validity of the insurance policy depends.



- Representations:

✔️ - Statements believed to be true.



- Misrepresentation:

✔️ - Untrue statements on the applications

, ✔️ - Can void the contract.



- Material misrepresentation:

✔️ - Would alter the underwriting decision of the insurance company.



Application Parts

- Part 1 - General Information includes:

✔️ - Name, age, address, birth date, gender, income, marital status, and occupation.



- Part 2 - Medical Information includes:

✔️ - Medical background, present health

✔️ - Medical visits in recent years

✔️ - Medical status of relatives/causes of deaths.



Role of the Underwriter

- Field underwriter:

✔️ - Solicits the potential insured

✔️ - Analyzes health

✔️ - Gathers information on the client.



- Agent's report:

✔️ - Observations concerning the proposed insured

✔️ - Does not become a part of the entire contract

✔️ - Communicates with the underwriter and provides information about the applicant known by the
agent.



Application Modifications and Completeness

- Required signatures:

, ✔️ - The proposed insured

✔️ - The agent

✔️ - The policy owner (if not the proposed insured).



- Changes in the application:

✔️ - The applicant must initial any change.



- Consequences of incomplete applications:

✔️ - Must return to the applicant for completion.

✔️ - If a policy is issued with questions left unanswered, it will be interpreted as if the insurer waived
its right to have an answer.



Premiums and Receipts

- Premium receipt:

✔️ - Agent must issue it.

✔️ - Determines when coverage becomes effective.



- Conditional receipt:

✔️ - Effective either on the date of application or medical exam.

✔️ - Most common type of receipt

✔️ - Used when an applicant submits a prepaid application.



Replacement and Underwriting

- Replacement:

✔️ - Terminating an existing policy or letting it lapse to obtain a new one.

✔️ - Nothing illegal about replacing life insurance.



- Underwriting:

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