AND ANSWERS 2025/2026
✔✔Risk Retention Group - ✔✔This is a group-owned liability insurer that assumes and
spreads product liability and other forms of commercial liability risks among its members
✔✔Sales Department - ✔✔This department acquires clients through one-on-one
meetings in which consumers complete applications.
✔✔Self-Insurer - ✔✔This is a company that establishes a self-funded plan to cover
potential losses rather than transferring the risk to an insurance company.
✔✔Service Representatives - ✔✔These are customer service employees. Service
representatives are not required to obtain a license because they neither sell nor solicit
coverage, and they don't bind coverage.
✔✔Solicitors - ✔✔These are the individuals who solicit and schedule sales meetings
between consumers and the producers for whom they work. Some states separately
license these individuals.
✔✔Stock Insurance Company - ✔✔This is an insurance company that's owned and
controlled by a group of stockholders (or shareholders) whose investment in the
company provides the safety margin necessary in the issuance of guaranteed, fixed
premium, nonparticipating policies
✔✔Surplus Lines Insurance - ✔✔This is non-traditional insurance that's only available
from a surplus lines insurer. This type of insurance provides coverage for substandard
or unusual risks and is not available through private or commercial carriers.
✔✔Unauthorized Insurer - ✔✔This is a non-admitted insurer.
✔✔Underwriting Department - ✔✔This is the department within an insurance company
that's responsible for reviewing applications, approving or declining applications, and
assigning risk classifications.
✔✔Adhesion - ✔✔A contract of adhesion is one that has been prepared by one party
(the insurance company) with no negotiation between the applicant and insurer. The
applicant adheres to the contract terms on a "take it or leave it" basis when accepted.
(See Rule Regarding Ambiguities)
✔✔Agent - ✔✔This is the person who represents the insurer during an insurance
transaction and has been authorized to act on the insurance company's behalf. Agents
have a fiduciary responsibility to both parties—the insurer and the policy owner.
,✔✔Aleatory - ✔✔This is a legal arrangement in which there's the potential for an
unequal exchange of value or consideration between both parties. The insured may
never file a claim in an insurance contract, or a claim may be filed after only one or two
premiums.
✔✔Ambiguities - ✔✔This refers to terms or conditions that are not clearly defined in an
insurance contract. (See Adhesion)
✔✔Apparent Authority - ✔✔This is the appearance of the insurer providing the agent
authority to perform unspecified tasks based on the agent-insurer relationship. This
perception of authority must stem from the insurer's actions, even if the perception is
unintended and the perception is in error.
✔✔Broker - ✔✔This is a licensed producer who represents himself and the insured (i.e.,
the client or customer) during an insurance transaction. However, a broker is different
from an agent. A broker doesn't hold an appointment with the insurer in question, and a
broker cannot bind coverage on behalf of the insurer.
✔✔Competent Party - ✔✔This is a person who's able to understand the contract to
which two parties are agreeing. All parties must be of legal competence, which means
that they must be of legal age, mentally capable of understanding the contract terms,
and not under the influence of drugs or alcohol.
✔✔Concealment - ✔✔This is the failure of an applicant to disclose a known material
fact when applying for insurance.
✔✔Conditional - ✔✔This is an agreement that remains in force if certain conditions are
met. The insurer's promise to pay benefits is dependent on the occurrence of an event
that's covered by the contract.
✔✔Consideration - ✔✔This is the legal description of the items of value that each party
to the contract provides to the other. In the case of an insurance policy, the applicant
provides material information and the premium. In return, the insurance company
agrees to pay the cost of claims that are covered by the policy.
✔✔Consideration Clause - ✔✔This clause is part of an insurance contract and sets forth
the initial and renewal premiums and frequency of future payments.
✔✔Doctrine of Reasonable Expectations - ✔✔This doctrine states that an insurance
contract will be interpreted to mean what a reasonable individual would think it means,
even if the insurer must pay additional benefits that are not intended by the contract.
✔✔Estoppel - ✔✔This is the legal impediment to one party's ability to deny the
consequences of its own actions or deeds if such actions or deeds result in another
party acting in a specific manner or if certain conclusions are drawn.
, ✔✔Express Authority - ✔✔This is the explicit authority that's granted to the agent by the
insurer, as written in the agency contract
✔✔Fiduciary - ✔✔A fiduciary is a person to whom property or power is entrusted for the
benefit of another person. A producer is a fiduciary that's in a position of trust regarding
the funds of its clients and the insurer. It's the responsibility of an insurance producer to
account for all of the premiums collected and to provide sound financial advice to
clients.
✔✔Fraud - ✔✔An individual commits fraud when he engages in intentional deceit to
gain a benefit. Fraud includes having deliberate knowledge of false statements that are
made or intended as well as the act of a person making such statements herself.
✔✔Implied Authority - ✔✔This is an authority that's not explicitly granted to the agent in
the contract of agency, but which common sense dictates the agent has. This authority
enables the agent to carry out routine responsibilities
✔✔Indemnity Contract - ✔✔This type of contract attempts to return the insured to his
original financial position.
✔✔Insurable Interest - ✔✔This is the financial, economic, and emotional impact that's
experienced by a person who suffers a covered loss. A person has an insurable interest
if she has more to gain by not experiencing the loss.
✔✔Insurance Policy - ✔✔This is a written contract in which one party promises to
indemnify another against a loss that arises from an unknown event.
✔✔Legal Purpose - ✔✔This means that an insurance contract must be legal in nature
and not in opposition to public policy.
✔✔Material Misrepresentation - ✔✔This is a false statement being made by an
applicant that influences either an insurer's decision to accept the risk, or the
classification and pricing of a risk that's accepted by the insurer.
✔✔Misrepresentation - ✔✔This is a statement being made as a legal representation
that's factually incorrect, either totally or in part.
✔✔Parole Evidence Rule - ✔✔This rule states that, when the parties agree in writing, all
previous verbal statements come together. A written contract cannot be changed or
modified by parole (oral) evidence.
✔✔Policy Rider or Endorsement - ✔✔This is an amendment which is added to an
insurance contract that overrides terms in the original policy. Riders may add or remove
coverages, change deductibles, or revise any other policy feature. In general, a policy