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Chapter 3 -- Contract Law and the Insurance Industry
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AB
applicationThe form on which the prospective insured states or declares facts the insurance company requests.
representationA written or an oral statement the applicant makes that is true to the best of his/her knowledge
ConcealmentWhen an applicant for insurance hides a fact from the insurer.
fraudWhen an applicant intentionally misrepresents the facts on an application.
misrepresentationThe facts stated on an application do not accurately reflect the true situation.
WaiverInsurer gives up a right possessed.
estoppelLegal doctrine that prevents the denial of a fact previously admitted through action or conduct.
declaration pageContains the statements the insured made on the application; info about the risk; insured's name, effective date of cveerage, deductible, premium.
insuring agreementContains the insurance company's promise to pay for loss. (Indicates what coverages the contract offers)
conditionsSpell out, in detail,both the insurer's and insured's rights and duties
exclusionsA policy provision that eliminates coverage under certain situations.
definitionsA term that has been given a specific meaning within an insurance policy.
endorsementsA document attached to a policy that modifies the terms and conditions.
bindersTemporary evidence of insurance policy issuance
indemnityThe payment of an amount of money to offset all or part of an insured loss.
aleatory contractThe outcome ofthe contract is affected by chance and that the consideration given up is unequal.