Life and Health General Insurance Concepts Flashcards
5 cards from real Life and Health California Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 5 Life and Health General Insurance Concepts flashcards as text
Medical payments under a homeowners policy are available for expenses resulting from an injury to which of the following?
Answer: A residence employee
Medical payments coverage under a homeowners policy is designed to pay for medical expenses for injuries sustained by guests or others on the insured's property, regardless of fault. This coverage specifically extends to residence employees, such as housekeepers or gardeners, who may be injured while working at the insured location. It does not cover the named insured or regular residents of the household, as they are typically covered by their own health insurance.
Some property insurance policies provide for payment of the full policy limit in the event of a total loss by a covered peril, regardless of the actual value of the property. These policies are known as which of the following?
Answer: Valued or agreed amount policies
Some property insurance policies are known as 'valued' or 'agreed amount' policies. These policies specify that in the event of a total loss by a covered peril, the insurer will pay a predetermined, agreed-upon amount, which is the full policy limit, regardless of the actual cash value or market value of the property at the time of loss. This type of policy is often used for unique items like antiques, fine art, or collectibles where establishing an exact value after a loss can be difficult.
When an uninterrupted chain of events resulting from a negligent act causes a loss, that act is considered to be which of the following?
Answer: The proximate cause of loss
In legal terms, when an uninterrupted chain of events resulting from a negligent act directly causes a loss, that act is considered the proximate cause of loss. This means the negligent act was the primary and continuous cause, without which the loss would not have occurred. Establishing proximate cause is crucial in determining liability in insurance claims and legal proceedings.
For how many days does the coverage apply at another location for property removed to protect it from a flood under the National Flood Insurance Program?
Answer: 45 days
Under the National Flood Insurance Program (NFIP), if insured property is removed from the insured location to protect it from an imminent flood, coverage for that property applies at the new location. This coverage for property removed to safety is valid for a period of 45 days from the date of removal. This provision helps policyholders mitigate potential flood damage without losing their insurance protection.
In legal terms, when one party's actions result in giving up a known right, what has the party created?
Answer: Waiver
In legal terms, a waiver occurs when one party's actions or statements result in the voluntary relinquishment of a known legal right. For example, if an insurer, knowing a policy condition was breached, still proceeds with a claim, they may be deemed to have waived their right to deny coverage based on that breach. A waiver can be express or implied and prevents the party from later asserting that right.