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11-44 - Prometric

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2.0 General Insurance 12%<br />

2.1 Concepts<br />

Risk management key terms<br />

Risk<br />

Exposure<br />

Hazard<br />

Peril<br />

Loss<br />

Methods of handling risk<br />

Avoidance<br />

Retention<br />

Sharing<br />

Reduction<br />

Transfer<br />

Elements of insurable risks<br />

Adverse selection<br />

Law of large numbers<br />

Reinsurance<br />

Indemnity/pay on behalf of<br />

2.2 Insurers<br />

Types of insurers<br />

Stock companies<br />

Mutual companies<br />

Fraternal benefit societies<br />

Reciprocals<br />

Lloyd's associations<br />

Risk retention groups<br />

Surplus lines<br />

Authorized/admitted versus<br />

unauthorized/nonadmitted insurers<br />

Domestic, foreign and alien insurers<br />

Financial solvency status (e.g., A.M. Best,<br />

Standard and Poor's, Moody's, NAIC)<br />

Marketing (distribution) systems<br />

2.3 Agents and general rules of agency<br />

Insurer as principal<br />

Agent/insurer relationship<br />

Authority and powers of agents<br />

Express<br />

Implied<br />

Apparent<br />

Responsibilities to the applicant/insured<br />

2.4 Contracts<br />

Elements of a legal contract<br />

Offer and acceptance<br />

Consideration<br />

Competent parties<br />

Legal purpose<br />

Distinct characteristics of an insurance contract<br />

Contract of adhesion<br />

Aleatory contract<br />

Personal contract<br />

Unilateral contract<br />

Conditional contract<br />

Legal interpretations affecting contracts<br />

Ambiguities in a contract of adhesion<br />

Reasonable expectations<br />

Indemnity<br />

Utmost good faith<br />

Representations/misrepresentations<br />

Warranties<br />

Concealment<br />

Fraud<br />

Waiver and estoppel<br />

3.0 Life Insurance Basics 18%<br />

3.1 Insurable interest (39<strong>11</strong>.091, .<strong>11</strong>)<br />

3.2 Personal uses of life insurance<br />

Survivor protection<br />

Estate creation<br />

Cash accumulation<br />

Liquidity<br />

Estate conservation<br />

3.3 Determining amount of personal life<br />

insurance<br />

Human life value approach<br />

Needs approach<br />

Types of information gathered<br />

Determining lump-sum needs<br />

Planning for income needs<br />

3.4 Business uses of life insurance<br />

Buy-sell funding<br />

Key person<br />

Executive bonuses<br />

3.5 Viatical settlements (Chapter 3916)<br />

Nature and purpose<br />

General rules<br />

Viatical settlement broker authority and licensing<br />

(3916.02, .03)<br />

Definitions (3916.01)<br />

Viatical settlement broker (3916.01(N), .02,<br />

.03. .04)<br />

Viatical settlement provider (3916.01(P), .07)<br />

Viatical settlement contract (3916.01(O)(I))<br />

Viator (3916.01(R))<br />

3.6 Classes of life insurance policies<br />

Group versus individual<br />

Ordinary versus industrial (home service)<br />

Permanent versus term<br />

Participating versus nonparticipating<br />

Fixed versus variable life insurance and annuities<br />

3.7 Premiums<br />

Factors in premium determination<br />

Mortality<br />

Interest<br />

Expense<br />

Premium concepts<br />

Net single premium<br />

Gross annual premium<br />

Premium payment mode<br />

3.8 Agent responsibilities<br />

Solicitation, sales presentations, and disclosure<br />

requirements (Rule 3901-6-01, 03)<br />

Advertising<br />

Life and Health Insurance Guaranty Association<br />

(3956.06, .18; Rule 3901-1-52)<br />

2

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