What does the state life and health insurance Guaranty Association guard against quizlet?

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Terms in this set (2)

Georgia Life and Health Insurance Guaranty Association

-nonprofit, unincorporated association that protects policyowners, insureds, and beneficiaries of life, health, annuities, and supplemental contracts issued by member insurers who become insolvent or are unable to perform their contractual obligations
-has the following functions:
1. assess its members for funds necessary to pay benefits
2. continue coverage for insolvent insurers
3. help the Comish detect and prevent insurer impairment or insolvency

Coverage from the GLHIGA

-w/ respect to any one contract holder covered by an unallocated annuity contract, the Association will be liable for no more than $5M in benefits (regardless of # of contracts)
-for all other covered policies, the liability of the Assoc. for any one life cannot exceed $100,000 (w/ respect to the pmt of cash values) or $300,000 (for all benefits including cash values)
-claims related to workers comp must be paid in full
-insurer still can't say that their policies are guaranteed by the existence of the Insurance Guaranty Association (this is deemed as unfair trade practice)

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Terms in this set (9)

All of the following statements about mutual insurance companies are correct EXCEPT
a. Mutual companies issue policies referred to as participating
b. Policy dividends issued by mutual companies are guaranteed and not taxable
c. Dividends allow policyholders to share in a mutual company's divisible surplus
d. Dividends are a return of unused premiums

b.

When a whole life policy is surrendered for its nonforfeiture value, what is the automatic option?
a. Reduced paid up
b. Extended term
c. Paid up additions
d. Cash surrender value

b.

All of the following are abilities of the New Jersey Life and Health Guaranty Association in the event of insurer insolvency EXCEPT
a. Assumption of payment of insurer's contractual obligations
b. Guardianship of all physical properties, documents, and effects of insurer
c. Issuing moratoriums on payment
d. Imposition of contract liens

b.

An agent who knowingly misrepresents material information for the purpose of inducing an insured to lapsed, forfeit, change or surrender a life insurance policy or annuity has committed an illegal practice known as
a. misrepresentation
b. twisting
c. fraud
d. concealment

b.

An insurance agent visits a potential client and explains various types of policies. The customer displays a lack of interest, so the agent guarantees higher dividends than he knows would be possible. Which term describes what the agent has done?
a. misrepresentation
b. rebating
c. twisting
d. defamation

a.

What does the state Life and Health Insurance Guaranty Association guard against?
a. Insurance fraud
b. Overinsurance
c. Unfair trade practices
d. Insurer insolvency

d.

Under which of the following conditions would life insurance proceeds be taxable by the federal government?
a. If paid to the policyowner
b. If there is a transfer for value
c. If collaterally assigned to a lender
d. If taken as a lump sum

b.

In a variable life insurance policy, all of the following assets are held in the insurance company's general account EXCEPT
a. Mortality reserves
b. Face amount reserves
c. Incidental benefit amounts
d. Cash surrender values

d.

Which of the following best describes a rebate?
a. A producer selling insurance primarily to himself, his family, and his friends
b. A producer returning part of her commission to her client, as an inducement to buy
c. A producer misrepresenting policy provisions or coverages at issue
d. A producer requiring an insured to buy insurance from her as a condition to a loan

b.

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What is the purpose of an insurance Guaranty Association?

When an insurance company fails, a guaranty association is an entity which steps into the shoes of the failed insurer for the purpose of providing certain continued benefits and/or resolution of covered claims. However, not all types of insurance policies or claims are covered by guaranty associations.

What is the purpose of the California life and health Guaranty Association quizlet?

What is the purpose of insurance guaranty associations? To protect policyowners, insureds, and beneficiaries from financial losses caused by insolvent insurers.

What comprises the life and health insurance Guaranty Association?

What is a life and health insurance guaranty association? Life and health insurance guaranty associations were created to protect state residents who are policyholders and beneficiaries of policies issued by a life or health insurance company that has gone out of business.

What is the function of the states guarantee funds?

A state guaranty fund is administered by a U.S. state to protect policyholders in the event that an insurance company defaults on benefit payments or becomes insolvent. The fund only protects beneficiaries of insurance companies that are licensed to sell insurance products in that state.