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CA L&H Chap 2
Contract Law
Question | Answer |
---|---|
What is the Law of Contracts? | Law that shaped the formal structure of insurance and influenced its content |
How many elements in a legal contract? | Four. Agreement, Consideration, Competent Parties, Legal Purpose |
What are special characteristics of Insurance Contracts? | Adhesion, Aleatory, Conditional, Unilateral, Personal |
Contract of Adhesion | Insured has no input regarding its provisions. "Take it or Leave it" |
Conditional Contract | Insured must pay the premium and provide proof of loss for insurer to cover a claim |
Aleatory Contract | Parties to the agreement are involved in unequal exchange of amounts or values |
Unilateral Contract | Only one of the parties to the agreement must do anything according to the law. |
Personal Contract | Between Insurers and individuals |
Insurance Policy | The written instrument that sets forth a contract of insurance (Cal. Ins. Code Section 380) |
Concealment | Legal term for intentionally withholding information of a material fact that is crucial in the decision-making process |
What information is not required to be communicated in a contract? | Known information, info: that should be known, waived by the other party, not material to the risk and excluded by a warranty, excepted from insurance and info based on personal judgment |
Warranty | A statement guaranteed to be true and becomes a part of the contract |
Representations | Statements believed to be true to the best of one's knowledge (not guaranteed to be true) |
Misrepresentations | Untrue statements on an insurance application |
Materiality | All parties to a contract are entitled to all necessary information to decide on the nature or quality of the contract |
Rescission | Intentional or unintentional concealment entitles an injured party to rescind a contract. |
Rider(s) | Written modifications attached to a policy that provide benefits not included in the original policy |
Lapse | Terminating an insurance policy due to the insured's failure to pay the premium |
Grace Period | Time after the premium due date that the policy owner has to pay the premium before the policy lapses |
Reinstatement | Provision that allows policy owners to reinstate a lapsed policy |
Premium(s) | The amount of money an insurance company charges for providing the coverage described in the policy |
Earned Premium | The premium portion that applies to the part of the policy that has expired |
Unearned Premium | Premium portion the insurance company has not yet "earned" because the policy term still has time before it expires |