FlashKeepers

Insurance · Licensing exam

Insurance Ethics and Regulations

Ethical standards and regulatory requirements for licensed insurance producers.

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What is good faith in an insurance contract?
An obligation of honesty in fact and fair dealing in conducting the transaction and performing under the agreement.
Define fiduciary duty in insurance.
The legal obligation of an agent to act in the best interest of the client rather than the insurer or themselves.
What is the duty of fair dealing?
The obligation to refrain from doing anything that would deprive the other party of the benefits of their insurance contract.
Define insurable interest.
A legitimate financial or other relationship with a person or property such that the policyholder would suffer direct loss if the insured event occurs.
What is misrepresentation in insurance?
Any false, misleading, or deceptive statement made with the intent or the effect of inducing the insured to purchase a policy.
Define a material fact in insurance.
A fact that would influence an underwriter's decision to issue a policy or the terms and conditions of coverage.
What is rebating in insurance?
Offering the insured anything of value not provided in the policy, such as cash, gifts, or reduced premiums, in exchange for purchasing or renewing insurance.
Define twisting in insurance.
Inducing a policyholder to lapse or surrender a policy to purchase a new one without a legitimate reason, often through misrepresentation.
What is the principle of indemnity?
The concept that insurance can only return an insured to their original financial position before a loss, not profit from the loss.
Define subrogation rights.
The insurer's right to pursue recovery against a third party responsible for the loss after paying a claim to the insured.
What is a waiver in insurance?
The voluntary relinquishment of a known right or requirement, typically when an insurer accepts a late premium payment without penalty.
Define estoppel in insurance.
A legal principle that prevents an insurer from denying coverage when their actions or silence led the insured to believe coverage was in place.
What is replacement in insurance?
Any transaction whereby an existing policy is lapsed or surrendered in favor of purchasing a new policy, requiring specific disclosures and documentation.
What must be disclosed in a replacement transaction?
The producer must provide a written statement identifying the existing policy, the replacement policy, and a comparison of coverages and costs.
Define suitability in insurance sales.
The requirement that a producer recommend coverage appropriate to the customer's needs, financial situation, and circumstances.

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