Insurance Policies 101
Understanding Policy Structure
Insurance Policy Specifics
Policy Provisions
Key Terms
100

The _________ of insurance is to cover the insured for a loss not to enable the insured to profit.

What is purpose?

100
This is considered to be the heart of every insurance policy?

What is the insurer's promise to pay for covered losses in exchange for a periodic payment?

100

Most property and liability policies are considered to be this?

What are Contracts of Indemnity?

100

This is typically on the first page of an insurance policy.

What is Declarations?

100

Loss for which the insured cannot have control over whether or when a loss will occur.

What is Fortuitous?

200

A loss that is suffered by one insured and does not affect any other insured or group of insured.

What is independent?

200

A type of Coverage Policy that is common to a large number of insureds is what?

What is a Self Contained Policy?

200

A type of contract that is designed as a "take it or leave it" such as an auto insurance policy.

What is Contract of Adhesion?

200

These 3 provisions are the CORE of every insurance policy?

What are

Declarations

Definitions 

Insuring Agreement

200

A Commercial Auto Policy is considered to be this and why.

What is a Modular Policy the customer needs a variety of coverage that may not be common to a large number of insureds. 

300

Loss exposures that are small as well as involve a high probability of loss are considered to be this.

What is uninsurable?

300

These are the 2 types of policy forms.

What are Pre-printed forms and manuscript forms?

300
An insured cannot freely turn over a policy to someone else as the insurer may not want insure that party.

What is Nontransferable?

300

Differences between Property and Liability are found in the Insuring Agreement.  The Provisions of Liability must address these covered activities? 

What are: 

Covered types of injury and damage

Excludes loss exposures

Covered costs

covered time period

Covered Parties and amounts of recovery


300

An insured cannot collect more than the amount of loss.

What is Principal of Indemnity?

400

This type of loss involved numerous exposure units suffering the same type of loss at the same time resulting significant consequences for the insurer. 

What is catastrophic loss?

400

These are the other documents that be contained in a policy. 

What are:

1. Application

2.  Endorsements

3.  Insurer's bylaws

4.  Statutes

400

These make Insurance Policies unique.

What are: Contracts of Indemnity

Utmost good faith

Fortuitous events and exchange of unequal amounts

Contracts of Adhesion

Nontransferable


400

These are the duties that the insured has under the insurance policy?

What are:

paying premiums

reporting losses timely

cooperating with the insurer


400

An auto policy typically has this for both physical damage and one for liability.

What is the Insuring Agreement, which  states the insurer's promises to the insured.

500

These are the 6 traits of Ideally Insurable Loss Exposures.

What are:

Pure Risk

Fortuitous

Definite and Measurable

One of a large number of similar exposure units

Independent and not catastrophic

Affordable

500

A ______   _______ is considered to be owned by it's policyholders.  

What is Mutual Insurer?

500

All the rules of _____ ____ apply to insurance policies although there are special characteristics that distinguish them from other policies.  

What is contract law?

500

These are the 5 specific reasons why insurers use exclusions.

What are: 1. Eliminate coverage for uninsurable loss exposures

2. Discourage the insured from intentionally causing the loss

3. Reduce duplicate coverage

4. Eliminate unnecessary coverage

5. Eliminate coverages that need special treatment.

500
Insureds and insurers are required to be ethical in their dealings.  

What is Utmost Good Faith?

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