California P&C Insurance Exam, Exam study Guider. 100% mastery. Rated A.
CODE: CIC - ✔✔california insurance code. state legislature writes the code
dept of insurance enforces the code.
1. general rules governing
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California P&C Insurance Exam, Exam study Guider. 100% mastery. Rated A.
CODE: CIC - ✔✔california insurance code. state legislature writes the code
dept of insurance enforces the code.
1. general rules governing insurance
2. lines of insurance
3. the insurance commissioner
4. insurance adjusters
CODE: Insurance Commissioner - ✔✔is elected by the people to serve a 4-year term. up to 2 terms.
CODE: INS AGENT - ✔✔Appointed by and acts on behalf of the insurer. Represents one company, as a captive agent. Receives commission or sales.
CODE: INS BROKER - ✔✔Represents the insured, and acts in the client's best interest. Charges a broker fee.
CODE: SOLICITOR - ✔✔Is not licensed. Serves in a support capacity to the broker or agent. Can not write business.
CODE: LIFE & HEALTH AGENT - ✔✔sells two lines of insurance
CODE: LIFE & DISABILITY ANALYST - ✔✔is a consultant and receives a fee from the insured
CODE: ADMITTED vs. NON-ADMITTED - ✔✔admitted - are approved to transact by state
non-amitted - not approved. sold thru surplus lines broker
CODE: DOMICILE - ✔✔domestic - ca/ca
foreign - ny/ca
alien - mexico/ca
CODE: STOCK INSURER - ✔✔organized to make profit for their stockholders
CODE: MUTUAL INSURER - ✔✔owned by policyowners
CODE: MCCARRAN-FERGUSON ACT - ✔✔gave states the right to regulate insurance
CODE: DIRECT MARKETING - ✔✔selling insurance out of a vending machine
CODE: DEMUTUALIZATION - ✔✔when a mutual insurer changes to a stock insurer
CODE: SUBROGATION - ✔✔third party substitution money rights. the insurer's right to seek recovery from a third party.
the LAW of LARGE NUMBERs - ✔✔the greater the number of insureds, the more accurately we can predict the losses, and set the appropriate premium
CODE: INSOLVENT - ✔✔carrier only able to provide for all its liabilities and for reinsurance of all outstanding risks.
CODE: SOLVENT - ✔✔good financial standing. insurer must possess additional assets equivalent to such aggregate "paid in capital" required by the code after making provision for all such liabilities and for reinsurance
CODE: BINDER - ✔✔a temporary agreement between the insurer and insured.
good for 90 days/max $1,000,000
no binders in LIFE ins
CODE: 770 CIC - ✔✔financing can not be contigent upon which insurance agent is being used.
CODE: UNFAIR TRADE - ✔✔1. mispresentation
2. advertising membership in CIGA
3. unfair claims practices. settlement discouraging advice of attorney
CODE: TORT LAW - ✔✔a type of civil law that deals with wrongful acts, and is used to determine liability.
1. unintentional tort law: texting, other negligence.
2. intentional tort law - personal injury (slander, libel, invasion of privacy)
3. absolute liability - dangerous operations
GENERAL: RISK - ✔✔an uncertainty or change of loss
1. pure - only a chance of a loss or no loss. (car, home)
2. speculative - possibility of loss or gain (lottery, stockmarket)
GENERAL: MANAGE RISK - ✔✔TARR-
transfer - purchase insurance
avoid - zero risk, if no participation
reduce - implement safety techniques
retain - no insurance, self ins
GENERAL: HAZARD - ✔✔anything increasing chance of loss
1. moral hazard - lie on application
2. morale hazard - driving fast or wreckless
3. physical hazard - location of home, ball tires
GENERAL: PERIL - ✔✔actual cause of possible loss (fire, theft, rain, etc)
named peril - specifically named in policy. company covers
open peril - all risk. every peril is included.
GENERAL: CONCURRENT CAUSATION - ✔✔two or more perils act together (concurrently) to cause a loss.
GENERAL: PROPERTY POLICY - ✔✔standard provisions in all property policies (4)
1. mortgagee clause - protects lender's rights of recovery
2. coinsurance clause - 80% of value of home
3. subrogation clause - substitute third party money rights
4. liberalization clause - broadened cov/ no add'l premium
CODE: ALEATORY - ✔✔an agreement by which the exchange of money is unequal.
the outcome depends on uncertain future events.
GENERAL: ADHESION - ✔✔ambiguity. language in the contract is uneasy to be understood by the insured. terms are drawn up by the insurer and the insured simply must adhere.
GENERAL: UNILATERAL - ✔✔the insurer makes an enforceable promise
the insurer must perform
GENERAL: UTMOST GOOD FATH - ✔✔rely upon the representations of the other party without attempt to conceal or deceive
GENERAL: SECTIONS OF A POLICY - ✔✔D.I.C.E.
Declarations
Insuring Agreement
Conditions
Exclusions
GENERAL: INSURING AGREEMENT (CLAUSE) - ✔✔the promise to pay
GENERAL: CONDITIONS - ✔✔rules or rights of the insured and insurer
GENERAL: DECLARATIONS - ✔✔states name and address of insured, property insured, location, description, policy period, coverage, premiums, etc.
GENERAL: INSURANCE SERVICES OFFICE - ✔✔(ISO) develops insurance standard policies or standard form
GENERAL: PREMIUM - ✔✔how much an insured pays to receive the rights and obligations in an insurance policy
GENERAL: SHORT RATE CANCELLATION - ✔✔insured cancels policy
GENERAL: PRO RATE CANCELLATION - ✔✔insurer cancels policy
GENERAL: FLAT CANCELLATION - ✔✔insurer cancels and returns entire premium
25 days to return money direct to client
15 days to return money from agent to client
GENERAL: DAMAGES - ✔✔1. Compensatory Damages
a. special damages- medical bills, time away from wrk
b. general damages - pain & suffering
2. Punitive - fine for punishment
GENERAL: COMPARATIVE NEGLIGENCE - ✔✔used in (CA)
GENERAL: CONTRIBUTORY NEGLIGENCE - ✔✔when an injured party contributed to his/her own injury, the claim will be negated. zero compensation
GENERAL: NEGLIGENCE - ✔✔the failure to do what a reasonable and prudent person would do under normal circumstances
1. duty owned
2. resulting damages
3. breach of duty
AUTO: PERSONAL AUTO POLICY covers - ✔✔1. Liability
2. Medical Payments
3. Uninsured Motorists
4. Physical Damage
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