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Kala Life Ins. Chapter 3, Part II

AB
If age was mistatedinsurer can adjust the benefits
Misstatement of Age provisioncoverage will be adjusted to adjust the insured's true age if misstatement of age is dicsovered
Suicide provisionsafeguards the insurer from an insurer considering suicide
Suicide provision lasts this many years2
Suicide is not considered a/anaccident
Contestable period is this many years2
Suicide will not be covered if it occurs duringthe incontestable period
when a misrepresntation on a life ins. policy is discoveredvoid the policy if discovered during the conestable period and it's proven to be materialthe Contestable
The Icontestable period startsafter the contestable period ends
an insured can void a policy during the contestable period ifmisrepresentations found to be material
Entire contract provision 1cant change the terms of the contract with the policyowner by referring to documents not found within the policy itself
Entire contract provision 2the producer does not have the authority to change the policy or waive any of its provisions
Entire contract provision 3application is part of the contract
Entire contract provision 4says that the ins. company must attach a copy of the application to the policy
Exclusioninsurer refuses to cover certain risks
Exclusions specifyconditions, times and circumstances under which the insured is not covered
Common exclusions includeintoxicants/narcotics, war, aviation, felony, suicide
if an insured has a claim made during an exclusionthe insurance co. will not pay the claim but insured can keep the policy
pilots of small aircrafts arenot covered
commercial airline pilots arecovered
exclusions for war coverlosses during active duty
excusions for war don't applya soldier is not in active duty
Guaranteed Insurability Optionperson has the option to purchase additional insurance later in life
insured's attained age is used to decide on preiums inGuaranteed Insurability Option
evidence of insurabilitythis does NOT have to be provided if you have a Guaranteed Insurability Option and apply for addiitonal insurance
Guaranteed Insurability Options allows the insured tobuy addiitonal coverage at a later date
Future Increase Option is also called aGuaranteed Insurability Option
with a guaranteed insurability optionthe insured would need to get the same kind of coverage in the future
Guaranteed Insurability Options offer more insurance when?at specified future dates
Payor provisioninsurance premiums don't need to be paid if the payor dies or becomes disabled
Payor clause on juvenile life policy allowspreviums to be waived is payor becomes disabled
Another name for payor clausepayor provision
payor provision does notprovide additional money to the juvenile
Reinstatement provisioncoverage may be restored if the ins. co. accepts payment after due
puts the policy back in force after a lapse in paymentReinstatment provisions
The insured needs to provide the ins. co. during a reinstatement provisonpay all past due premiums & have a statement of good health/proof of insurability
# of days company has to approve or deny a reinstatement appication45 days
if ins. company doesn't notify the insured of decision on a reinstatment applicaiont within 45 daysthe policy is reinstated
waiver of premium keeps coverage in force wihtout paymentsafter an insured has become totally disabled as defined in the policy
preimiums can be waived under waiver of premium if the disaibility isas defined in the policy
after the insured becomes totally disabled after a period of timeWaiver of premium provision allows for
if insured has premiums waived due to disabilityinsured can still receive dividends
Waiver of premium only affectsthe premiums, not coverage or dividends
Waiver of Premium does not require thisdetermination of Social Security Disability
20 pay life accumulates cash value faster thanStraight Life
Automatic Policy Loanpolicy has adequate cash value to pay the premium
Automatic Policy Loan is also calledAutomatic Premium Loan
Cannot have an automatic policy loanDecreasing Term
Term life insurance has nocash value
Cash valueWhole Life poliicies have
Face Amount plus Cash Value Policy pays at deathFace amount plus cash value
Nonforfeiture options:cash surrender, reduced paid up, extended term
NOT a Nonforfeiture optionlife income
with cash surrendertake the cash and run
reduced paid upkeep policy for the rest of your life and never make another payment
extended termkeep face value for an extended period of time and never make a payment
nonforfeiture opitonsend the current policy
continues to build-up cash valuereduced paid-up
Policy loan provisionallows for interest to be charged on the loan
an insured can borrowup to the value of the cash value
Paid Up Additional Insuranceprovides an incresaing death benefit
how much insurance can be obtained with dividends used for paid up additional insurance can be affected byinsured's attained age
autopsy can be percause of death is unknown, when foul play was a contributing factor, without consent
autopsy cannot be performedif prohibited by law
consent for autopsy is obtainedat the time the contract is signed
return of premium riderthe ins. company pays out the death benefit plus all the premiums
accelerated death benefitsare paid if the patient has a terminal illness


Dr. Hyla Harvey
Marshall University Joan C. Edwards School of Medicine
Hurricane, WV

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