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Fundamentals of Insurance
Chapter Three (A) - The Role of the Government in the Insurance Industry
27
Insurance
Beginner
06/29/2022

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Cards

Term
Explain the role of the Property & Casualty Insurance Compensation Corporation when an insurer becomes insolvent.
Definition
When an insurance company goes bankrupt, and claims cannot be paid, the Corporation pays all valid claims.
Term
Insurance is fiduciary in nature. Define "fiduciary."
Definition
A fiduciary is one who handles other people's money.
Term
What are the fiduciary obligations of insurers?
Definition
Premiums paid to insurers are not fully earned until expiry of the policy.
Unearned premiums are held in trust to be refunded to the insured in the event that the policy is cancelled prior to its expiry.
Term
What are the fiduciary obligations of brokers?
Definition
Commission is not fully earned until expiry of the policy.
Unearned commissions are held in trust and refunded to the insureds in the event that the policy is cancelled prior to its expiry.
Term
Summarize the provisions of the "removal clause" contained in policies of fire insurance.
Definition
If the property is not located at the insureds premises at the time of loss, there is no coverage.
Excpetion: Coverage is extended when property is moved to another location to reduce/prevent further damage or losses.
Term
Define "subrogation" & indicate how this right is exercised by the insurer.
Definition
Subrogation means to put oneself into another's shoes.
The Insurance Act allows the insurer to put itself in the insured's shoes, giving them the right to recover the amount of the loss from a responsible 3rd party. This action is taken under the insured's name.
Term
How can a term or condition of the insurance contract be waived by an insurance broker? Explain.
Definition
A waiver must be presented in writing and signed by a person authorized for that purpose by the insurer. This is usually an officer of the insurance company.
Term
Your clients received their policy one month ago. It has not yet been paid. Yesterday, they had a loss. What effect does the delivery of the policy have on the obligations of the insurer?
Definition
The claim shall be as binding on the insurer as if the premium has already been paid.
Term
identify three coverages required to be provided on all policies of fire insurance.
Definition
1. Fire.
2. Lightning.
3. Explosion of natural gas, coal or manufactured gas.
Term
Explain & provide an example of Friendly Fire
Definition
A fire that is contained in its proper receptacle, where it is supposed to be.
Example: A fire contained and burning in a wood stove.
Term
Explain & provide an example of Hostile Fire
Definition
A fire that has escaped from its proper receptacle.
Example: Loss of a carpet due to a spark that escaped from a fireplace.
Term
Of Friendly Fire & Hostile Fire, which is insured by a fire policy?
Definition
Hostile Fire
Term
Misrepresentation
Definition
Consists of a misstatement and/or fraudulent omission of a material fact.
Term
Change of Interest
Definition
Policy is automatically continued to protect insureds after an authorized assignment under the Bankruptcy Act or insureds who have possession of insured property as a result of a change of title due to succession, operation of law, or death.
Term
Property of Others
Definition
Not insured unless interest of insured is stated in the contract.
Term
Material Change
Definition
Any change which serves to increase the chance of loss arising after the policy is issued.
Term
Termination
Definition
Requires that the insured be notified with 15 days notice by registered mail or 5 days notice when personally delivered.
Term
Requirements after Loss
Definition
Identifies the documents needed when a claim is filed.
Term
Fraud
Definition
Deliberate attempt to deceive with a view to securing some profit.
Term
Who May Give Notice and Proof
Definition
Any party of interest, or agent of insured to file a claim on behalf of the insured.
Term
Salvage
Definition
Requires that the insureds take all reasonable steps to protect property from further damage.
Term
Entry, Control, Abandonment
Definition
Insurer is not entitled to rights of ownership or control; nor can the insured abandon insured property to it.
Term
Appraisal
Definition
Option available to either the insurer or insured when there is a disagreement as to the value of property insured, saved or amount of loss.
Term
When Loss is Payable
Definition
Required to be made within 60 days after completion of proof of loss, unless the contract provides for a shorter time.
Term
Replacement
Definition
Requires that notice of the insurers intentions be provided within 30 days after receipt of the proof of loss.
Term
Action
Definition
Must be commenced within one year (two yrs in Manitoba & Sasksatchewan) after loss occurs.
Term
Notice
Definition
Written notice to the insurer can be delivered at or sent by registered mail to the chief agency or head office of the insurer in the province.
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