WEBCE Life And Health (281 Questions) With
100% Correct Verified Answers
Representations and Warranties – Representations are statements the applicant makes on an
application that are deemed to be true to the applicant’s best knowledge. Warranties are statements
the insurer makes in the contract.
Underwriting vs. Actuarial Departments – Two related insurance company functions. Through the
process of _, applications are assessed for insurability and to assign premium rates. The
department analyzes data to help estimate future losses and to produce rate tables.
Managerial System vs. General Agency System – Two variations of the career agency system in which
producers represent a single company. One is headed by a company employee called a general
manager (GM), the other by an independent contractor called a general agent (GA).
Fraternal Insurance Company – A non-profit form of insurance provider sponsored by an
organization of people who share a common ethnic, religious, or vocational affiliation.
Peril and Hazard – Two related general insurance terms:
Peril is the immediate cause of a loss (and the event that is insured against).
Hazard is any condition that increases the risk of incurring a loss.
Contract of adhesion – A type of contract in which one party (the offeror) drafts the terms that must
be accepted as-is by the offeree. Insurance policies are this type.
Mutual Insurance Company – A form of insurance company that is owned by policyowners. May
distribute policy dividends (non-taxable) through participating policies.
Independent Agency System – An insurance distribution system in which the manager and
producers are fully independent and not affiliated with any single insurer.
Buyer’s Guide and Policy Summary – Two related disclosure documents that are required by most
states to be presented to life and health insurance applicants at some point during the buying
process.
Risk – A basic insurance term referring to the possibility of incurring a loss.
Law of Large Numbers – A mathematical principle that is the basis for predicting the odds of a loss
occurring in a certain population in any given year.
Social Security (OASDI) – A federal insurance program that provides disability, death, and retirement
benefits to covered workers and their qualifying beneficiaries.
Agents vs. Brokers – Two basic types of insurance producer: an _ represents a single insurer and a sells policies from multiple insurers.
Reinsurance – The process through which insurance companies spread large risks among other
insurers.
Domestic, Foreign, and Alien Insurers – Insurers can be categorized by their state of domicile. There
are three categories, known as , , and . Stock Insurance Company – A form of insurance company that is owned by stockholders who may or may not also be policyowners. May distribute stock dividends (taxable). Admitted Insurer – An insurer that has a certificate of authority in a given state is said to be an______ insurer in that state.
Express, Implied, and Apparent Authority – Express authority—The right to sign an application as
an agent for the insurer.
Implied authority—Using a computer program to identify insurance needs and to recommend
solutions.
Apparent authority—Advising the applicant to not disclose on the application any important health
facts that might reduce his or her insurability.
Indemnity vs. Valued Contract – Two forms of insurance contract. An indemnity contract bases
policy benefits on reimbursement of actual losses. A valued contract bases benefits on a stated
amount without regard for the value of the loss.
Loss – An unplanned reduction in economic value resulting from the occurrence of a covered peril.
Medicare – A federal insurance program that provides medical care benefits to covered workers
(retirees).
Underwriting – The process by which an insurance company assesses an application to determine if
it represents an insurable risk.
Risk Management – The natural process by which people contend with the perils faced daily, of
which there are five common techniques.
The five basic elements of a valid contract – Offer, acceptance, consideration, competent parties, and
legal purpose
Concealment – The willful nondisclosure of material facts on an application for the purpose of
obtaining insurance.
Insurable Risk (5 Criteria) – Loss must be definable and measurable.
The covered peril must be accidental or outside the insured’s control.
The risk must be shared by a large group of similar risks.
The loss must not be catastrophic.
The risk must not be generally excluded from coverage.
Needs Approach – The needs approach to determining life insurance needs is based on a detailed
review of a person’s specific situation. It examines personal and family income, liabilities, and
assets, as well as future financial goals, to calculate the right amount of life insurance.
Bring-Back Rule – In estate planning, this rule requires life insurance policies transferred from the
insured within 3 years before death to be returned to the decedent’s estate for valuation purposes.
Life Insurance “Living Benefits” – Living benefits are made possible by the policy’s cash value, which
is always available to the policyowner through policy loans, withdrawals, and partial surrenders.
The funds may be used for any purpose.
Key Person Life Insurance – If a key employee ends his or her employment, the employer can
continue the policy in force. However, many employers choose to:
sell the policy to the insured for an amount equal to its cash value
surrender the policy or
change insureds if allowed by the insurance company and applicable state law
Annuity – An insurance contract between a person and an insurer to distribute an accumulated sum
of money over a certain period, including the person’s lifetime.
Annuities come in many forms, but they all have two common purposes:
to accumulate money on a tax-deferred basis
to distribute the accumulated money as income in a guaranteed amount for a guaranteed period
(including the annuitant’s life)
Decreasing Term Life Insurance – This form of term life features a death benefit that diminishes over
time and premium that remains level for the term of the policy.
Fully Insured Status (Social Security) – To be considered fully insured, a worker must have 40
quarters of coverage. A fully insured worker is eligible for disability, retirement, and death benefits.
Cross-Purchase Buy-Sell Agreement – A type of buy-sell agreement in which each owner purchases a
life insurance policy on each of the other owners.
ERISA – The Employee Retirement Income Security Act of 1974 (ERISA) protects the rights of
employees covered under an employer-sponsored plan by stipulating minimum participation,
vesting, and funding requirements.