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Agent's Licensing Course 1
Agents Licensing Course
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Agent's Licensing Course 2
What is the ALC?
3-day program covering insuranceconcepts, designed to equip participants withthe knowledge to become a successful FinancialAdvisor
Attendance is IMPORTANT to get a trainingcertification
You need to PASS the licensing examinationgiven by the Insurance Commission or IIAP
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Agent's Licensing Course 3
Exam Requirements
Application for examination Insurance Commission (IC) Insurance Institute for Asia and Pacific (IIAP)
Certification of Training (for IC) Certification of Good Moral Character (for IC) 3pcs. (for IC)/2pcs. (for ATS) 1x1 picture (w/ whitebackground, corporate attire) Exam Fee P500
Schedule:Insurance Commission, UN AvenueTuesday to Friday 8:00-9:00 am, 9:00-10:00 am
IIAP, 26th Flr. Ayala FGU Bldg.Saturday 8:00-9:00 am, 9:00-10:00 am
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Agent's Licensing Course 4
Foundations of Life Insurance
Module 1 :
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Sources of Income
Man at WorkMoney at Work
Donations/Charity
What is INCOME?Income is the recurrent flow of cash in exchange forservice rendered or goods manufactured.
Agent's Licensing Course 5Version 10/17/11
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Lifes risks
Agent's Licensing Course 6
Man at Work
Die toosoon
Bedisabled
Live toolong
HUMAN ECONOMIC VALUE- Measured by what man has been able toaccumulate (assets) and what he can reasonablyexpect in the future (future earnings).
- Economic value of man to his Family
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Purpose of Life Insurance
Agent's Licensing Course 7
Die toosoon
Bedisabled
Live toolong
Insures the continuance of INCOMEdespite LIFE RISKS
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Agent's Licensing Course 8
Life insurance
Is a device by which a largenumber of people protect
themselves againsteconomic losses due toDEATH, DISABILITY
& OLD AGE.Version 10/17/11
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Agent's Licensing Course 9
Risk sharing
It is shared by a group of people,Cooperative Risk Sharing.
Economic loss is spread over a large numberof people.* Everybody is willing to accept a small loss inpreparation for a greater loss.
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Agent's Licensing Course 10
Types of risks
SPECULATIVE RISK PURE RISKA risk with possibility of gain(i.e. gambling and business)
A risk with no possibility of gain(i.e. death, disability and old age)
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Agent's Licensing Course 11
Clean- up FundA fund to liquidate burial
expenses, outstanding personal loans
and last illness expenses.
Life Income for the widow Education Fund Retirement Fund Emergency Fund Planned Insurance Estate
How life insurance works
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Agent's Licensing Course 12
How life insurance works
Insurance contributes to the welfare of thecountry by: Accumulating capital for
investment and commerce Partially relieving the community
of the care of dependents Encouraging provisions for the
future
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1Agent's Licensing Course 13
Tools in insurance
1. Principle of Large NumbersA theory of probability that states that the
more times a particular event is observed,
the more likely it is that the observed
results will approximate the trueprobability that the event will occur.
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Agent's Licensing Course 14
Tools in insurance
ge Males emales ge Males emales65
66
67
68
69
14.248
15.761
17.467
19.373
21.486
8.241
9.114
10.012
10.931
11.916
70
71
72
73
74
23.810
26.353
29.120
32.123
35.398
13.027
14.326
15.872
17.717
19.883
2. Mortality tableCharts that display the incidence of death, by age, among
a given group of people
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Agent's Licensing Course 15
Tools in insurance
3. Life expectancyNumber of years that persons will live on the average
as shown by the mortality table.
(Females have longer life expectancy than males)
5565
75LIFE LINE
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Agent's Licensing Course 16
Tools in insurance
4. Law of ProbabilityHelps us estimate or predict the chances that a person
will still be alive after a given number of years.
Life is a game
of CHANCE
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Agent's Licensing Course 17
Life insurance terms
INSUREDPerson whose life is
covered by insurance
BENEFICIARYPerson who will receive the faceamount when the insured dies
FACE AMOUNTMoney which the insurancecompany will provide when the
insured dies
PREMIUMPayment or one of a
series of payments madeby the insured to makethe policy inforce and to
keep it inforce
POLICYWritten contract between the
insured and the insurancecompany
INSURER
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Agent's Licensing Course 18
Definition of premium
P8,000
The consideration given by the insured inexchange for the promise of the insurer topay a stipulated amount in the event of a
claim or upon maturity of thelife insurance contract.
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Agent's Licensing Course 19
Definition of actuary
1
The person who makes the necessaryassumptions and calculations with
respect to the principal elements in alife insurance premium.
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Agent's Licensing Course 20
How premiums are determined
a. Ageb. Type of Planc. Ridersd. Amount of Coverage (we allow change in coverage as
long as proof of insurability is sufficed)e. Sexf. Policy Fee (Fixed amount added to premiums regardless
of policy size)
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Agent's Licensing Course 21
How premiums are determined
1. MortalityRelative incidence of death among a given people.
2. InterestEarnings from invested premiums
3. Safety Margin RequirementMoney set aside by the insurance company to meet
adverse claims
4. Operating Expenses/LoadingOverhead expenses
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Agent's Licensing Course 22
How premiums are determined
Mortality
Interest andsafety margin
Net premiumLoading orOperatingcost
Gross Premium is equal to+
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Agent's Licensing Course 23
Types of premiums
Age
Premium
Level premium
Single PremiumOnly one premium is required
Natural PremiumPremium that increases with age
Level PremiumPremium that is level throughout the paying period
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Agent's Licensing Course 24
Types of premiums
Graduated PremiumPremium that increases every year until 5 th year then remains on that level throughout
the duration of the premium paying period
Modified PremiumPremium that increases only on the 5th year of the policy then remains on that level
throughout the duration of the premium paying period
2,5002,700
3,0003,200
3,500
3,200
3,500
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Agent's Licensing Course 25
Types of premiums
Fractional PremiumProportionate share of the annual premium (i.e. semi-annual, quarterly)
AnnualPremium X ConversionFactor = Modal PremiumDesired
Formula:
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Premium receipt
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Binding Premium ReceiptA type of initial premium receipt that makes insurance coverage effective
immediately but only until the insurance company either rejects the
application or approve it and issues a policy
Initial Premium
Conditional Premium ReceiptEffectivity
Conditional Premium ReceiptTerminates
Policy Approval & Issuance
Binding Premium Receipt
Terminates
Policy Approval & IssuanceInitial Premium
Binding Premium Receipt
Effectivity
Conditional Premium ReceiptA type of premium receipt given when the applicant pays the initial
premium and under which the life insurance will become effective before a
policy is issued only if the proposed insured is found to be insurable
Binds the insurer unconditionally to pay the benefits of the plan If the applicant will die before issuing the policy, the insurer will pay the benefit whether or not the policy would have been issued
If the applicant will die before issuing the policy, the insurer will pay the benefit only if the policy would have been issued
Pays Death
Benefit
(no questions asked)
Pays Death
Benefit
(with conditions)
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Reserves
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The sum of money which will enablethe company to pay all of its policy
claims or maturity.
RESERVESclaims claims
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Types of reserves
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Legal ReserveA fund set up by insurance company, as required by law to the
claims that may arise.
Policy ReserveThe proportionate share of the policy to the legal reserve
Contingency ReserveA fund set up by the insurance company from the surplus to meet
unexpected and unfavorable claims that may arise
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Agent's Licensing Course 29
Basic Plans
Module 2 :
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P li i d t li
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Policies accdg. to line
INDIVIDUALIssued to individual
applicants
GROUPSeveral individuals
are insured under one
master policy
INDUSTRIALPremiums are
payable
daily, weekly or
monthly
UNIVERSAL LIFECoverage can vary depending
upon the amount of premium
and investment performance
of the insurance company
(stocks, bonds, etc.)
Agent's Licensing Course 30Version 10/17/11
P li i d t t f l
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Policies accdg. to type of plan
Agent's Licensing Course 31
Cost
Cost
PERMANENTOffers protection & savings (cash values &
dividends)
a. Whole life planb. Limited-pay whole life planc. Endowment plan
TEMPORARYOffers purely protection (Term Plan), Maximum
coverage at the least amount of initial
premiums
a. Renewableb. Convertiblec. Renewable & Convertible
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P t l
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Permanent plan
Agent's Licensing Course 32
a. Ordinary/ Straight PayPayment is up to age 100.
Premium Paying Period
Protection Period
Age 100PED
Permanent policy that covers an individual up to age 100. Ithas low level of savings and matures at age 100.
A. Whole life plan
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P t l
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Permanent plan
Agent's Licensing Course 33
b. Limited PayPayment is for a limited period only.
Ex. 5pay, 10pay, life paid-up at 65
Premium Paying Period
Protection Period
Age 100PED Limited Period
A. Whole life plan
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Permanent plan
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Permanent plan
Agent's Licensing Course 34
c. Universal LifeA variation of whole-life policy where premiums and benefits are flexible
due to the performance of its investment fund (real estate or stock
fund).
Premium Paying Period
Protection Period
Age 100PED Limited Period
A. Whole life plan
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Permanent plan
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Permanent plan
Agent's Licensing Course 35
Permanent policy that cover a person and mature after a
specified period. It is actually a level term and a pure
endowment.
a. Age- basedEndowment that matures at a stated age.
Ex. Endowment @ age 65
Premium Paying Period
Protection Period
Age 100PED Age 65
B. Endowment plan
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Permanent plan
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Permanent plan
Agent's Licensing Course 36
b. Term- basedEndowment that matures at a specified period.
Ex. 20yr endowment, 15yr endowment
Premium Paying Period
Protection Period
Age 100PED 20th yr
B. Endowment plan
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Temporary plan
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Temporary plan
Agent's Licensing Course 37
a. Level TermFace amount and premiums remain constant.
Premium Paying Period
Protection Period
Specified PeriodPED
Term plan
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Temporary plan
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Temporary plan
Agent's Licensing Course 38
Term planb. Decreasing TermFace amount decreases by a stipulated amount over a period of time.
This plan is usually used for mortgage redemption & loans.
Sum Assured
Premium Paying Period
Protection Period
Specified Period
500K 400K 300K 200K 100K
PED
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Temporary plan
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Temporary plan
Agent's Licensing Course 39
Features of Term Plana. RenewabilityTerm policies may be renewed for the same number of years before the
term ends, even without evidence of insurability.
Premium Paying Period
Protection Period
5 yr Term 5 yr Term
Premium Paying Period
Protection Period
Premium Paying Period
Protection Period
5 yr TermPED
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Temporary plan
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Temporary plan
Agent's Licensing Course 40
Features of Term Planb. ConvertibilityTerm policies may be converted to a permanent policy before the
term ends, even without evidence of insurability.
Premium Paying Period
Protection Period
Premium Paying Period
Protection Period
Specified Period Age 100PED
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Policies accdg to surplus distribution
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Policies accdg. to surplus distribution
Agent's Licensing Course 41
ParticipatingA type of policy wherein the policyholder receive policy
dividends.
Non-ParticipatingA type of policy wherein the policyholder does not receive
policy dividends.
DIVIDENDS are divisible surplus earnings of thecompany, which are distributed equally to the
insured
Cost
Cost
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Dividend options
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Dividend options
Agent's Licensing Course 42
1. Cash paymentGet the dividends as they fall due or when it becomes payable
2. Premium reductionDividends are used to pay future premiums
3. Accumulate at interestLeave the interest with the company to earn a specified rate of interest
4. Buy paid-up additionDividends are used to buy additional small paid-up coverages of the
same plan
5. Buy a renewable term insuranceDividends are used to buy a yearly renewable term equal to the premium
paid or cash value
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Agent's Licensing Course 43
Supplementary ContractsRIDERS
Module 3 :
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What are riders?
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What are riders?
They are supplementary contracts that provides
additional benefits for a minimal cost. They need a basic
plan to be attached to, thats why theyre called riders.
They are term insurance because they are applicable onlyfor a limited period. They may be inforced only until age
60 of the insured.
Agent's Licensing Course 44Version 10/17/11
Riders
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Riders
Agent's Licensing Course 45Version 10/17/11
A. Waiver of Premium due to DisabilityStops further premium payments in the event of:
A. Total Disability &
B. Permanent Disability (waiting period)
Premium Paying Period
Protection Period
Age 100PED
Future Premiums waived up to age 60
Riders
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Riders
Agent's Licensing Course 46Version 10/17/11
B. Payors Benefit/ Clause
Premium Paying Period
Protection Period
Age 100PED
Future Premiums waived up to age 60Or until the child turns 21 which ever comes first
Stops further premium payments in the event of Payors:
(Ex. Juvenile Policies)
A. Death or
B. Total & Permanent Disability
Riders
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Riders
Agent's Licensing Course 47Version 10/17/11
Provides additional benefit if cause of death was due to
accident. (Ex. Automobile Accidents)
Basic Policy + ADB = Total Death BenefitP100,000 + P100,000 = P200,000
Illustration:
C. Accidental Death Benefit/ Double Indemnity
CONDITIONS: Death must occur within 90 days from the time of accident
Death must occur before termination of the rider at age 60 Death is solely and directly due to accident, independent of other causes
Riders
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Riders
Agent's Licensing Course 48Version 10/17/11
It is basically a term plan attached to a permanent plan (Ex. 5 yr
Term : P500K)
Provides greater coverage for the least amount of premiums
Common type is the Family Income Rider, which is a decreasing
term.
D. Term rider
Basic Policy + Term Rider = Total Death BenefitP100,000 + P500,000 = P600,000
Illustration:
Riders
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Riders
Agent's Licensing Course 49Version 10/17/11
It allows purchase of additional policies without evidence of
insurability
E. Guaranteed insurability rider
Rider limitations
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Rider limitations
Agent's Licensing Course 50Version 10/17/11
They expire at a specified period. They cease when cash values are used as premiums. They do not accumulate cash values. They can only be purchased before a stated age. They do not take effect if specified conditions are not
met.Note: Dividends are unaffected if riders take effect.
(Ex: Even if premiums are waived by WPD/ PB)
How do I recommend products?
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p
Agent's Licensing Course 51Version 10/17/11
Advisors are expected to make aTOTAL NEEDS SELLING
which is to determine a prospectscomplete financial need preparatory to
offering a product
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Risk Selection
Module 4 :
Agent's Licensing Course 52Version 10/17/11
Risk selection
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What is Underwriting? It is the process of Risk Appraisal.
- Risk in Insurance is Hazards on
peoples lives.
It is done to prevent Anti- Selection.Anti-selectionThe tendency of persons with health
impairments or hazardous occupations to apply
for life insurance
Agent's Licensing Course 53Version 10/17/11
Underwriting factors
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g
Agent's Licensing Course 54Version 10/17/11
P physicalO occupationalF financialM moralA avocation and hazardous pursuitsR residence and travel
Physical
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y
Agent's Licensing Course 55Version 10/17/11
Age Built Physical Condition Personal Medical History Family History
Occupational
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p
Agent's Licensing Course 56Version 10/17/11
Classification of occupation: Accident Hazard Unhealthy working conditions Social class hazard
Source of income to pay for premiums. Some occupations may cause injury, disability and even
death (ex. Black Jack dealer, Barter Trader) Premiums may be adjusted to include occupational
rating.
Financial
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Agent's Licensing Course 57Version 10/17/11
Can client pay for hispremiums?
Advisors must ask for all sources of income: Part-time job Harvest from land Rentals Others
Moral
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Agent's Licensing Course 58Version 10/17/11
Infidelity of the spouse Chain smoker Alcoholic Drug addict Gambler
Any immoral conduct involves extra mortality
Avocation/hobby
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Agent's Licensing Course 59Version 10/17/11
Mountain climbing Scuba diving Parachuting Sky diving Car racing, motorcycle racing
Hazardous avocations or hobbies post extra risk onthe persons life and would necessitate payment ofextra premium
Residence and travel
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Agent's Licensing Course 60Version 10/17/11
Living condition, peace andorder situation may increaselifes risks
Sources of information
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Agent's Licensing Course 61Version 10/17/11
Where can we get information on prospects age, healthcondition, occupation, avocation, etc.?
1. Agent2. Application Form3. Medical Examiner4. Attending Physician5. Inspection Report6. Financial Report7. Medical Information Bureau
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Sources of information
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Agent's Licensing Course 63Version 10/17/11
MEDICAL EXAMINER Physical examination conducted to establish health
condition and history.ATTENDING PHYSICIAN Confirmation from a doctor that applicant has fully
recovered from a previous illness. It should always befurnished if available. Date of Illness Doctors Name and hospital Diagnosis and
treatment, Duration of Illness, Date of relapse or recurrence (ifany)
Sources of information
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Agent's Licensing Course 64Version 10/17/11
INSPECTION REPORT Third party person/company hired to gather additional
information about the prospect.
FINANCIAL REPORT Documents supporting the clients capability to pay and
sustain payment of premiums i.e. Income TaxReturn, Annual Statement
Sources of information
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Agent's Licensing Course 65Version 10/17/11
MEDICAL INFORMATION BUREAU Source of confidential medical information on
applicants for insurance
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What are liens?
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Agent's Licensing Course 67Version 10/17/11
It is a limitation in coverage because of higher riskexposure of the insurer. Juvenile Lien
Pertains to insured children below 6 years old Pregnancy LienPertains to pregnant women applying for insurance Aviation Lien
Civilian or members of AFP engaged in flying may be subject to extrarating or lien
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Agent's Licensing Course 68
Legal Aspects
Module 5 :
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What is a life insurance contract?
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Agent's Licensing Course 69
A contract whereby a party, for a considerationagrees to pay another a certain sum of money in the
event of the latters death from any cause notexcepted in the contract, or upon surviving a
specified period of time or otherwise contingent of
the continuance or cessation of life.( Sec. 179 PD 612)
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What is a life insurance contract?
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Agent's Licensing Course 70
Who are parties to a contract?1. INSURER
A corporation who holds a certificate of authority from the InsuranceCommission to issue insurance policiesa. FOREIGN incorporated under foreign laws and whose
respective home office is located outside of the Philippines
b. DOMESTIC incorporated under Philippine laws and whoserespective home office is located within the Philippines
Types:1. Stock derive capitalization from sale of stocks. The owners are
stockholders.
2. Mutual Owned by policyowners. The dividends that are realized by thecompany go to the policyowners.
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What is a life insurance contract?
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Agent's Licensing Course 71
Who are parties to a contract?2. INSURED/OWNER
Legally qualified to enter into a contract 18 years old andabove, with sound mind
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Who can represent the insurer?
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Agent's Licensing Course 72
INSURANCE AGENTAny person who for compensation, solicits or obtains an insurance onbehalf of any insurance company
INSURANCE BROKERAny person who aids in soliciting or negotiating the making of anyinsurance contract or in placing risk on behalf of an insured otherthan himself.
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Characteristics of a life insurancecontract?
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Agent's Licensing Course 74
A LIFE INSURANCE contract is a. Unilateral Contract
Only one party (the insurer) makes a legally enforceable promise. Aleatory Contract
Values exchanged(premiums Vs. Benefits) are not necessarily equal.The insured may receive more than what he has given. Contract of Adhesion
The terms and conditions of the contract are drafted only by one party(the insurer).
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Characteristics of a life insurancecontract?
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Agent's Licensing Course 75Version 10/17/11
A LIFE INSURANCE contract is a. Conditional Contract
The insurers obligations and promises describe in the contract aresubject to certain conditions (i.e. exclusions, liens).
Contract of Utmost Good FaithEach party must depend on the utmost good faith of the otherconcerning the risk to be transferred.
Valued ContractAn agreement to pay a given amount on the occurrence of a statedcontingency or survival after a specified period. No indemnity isattempted because nobody can place a monetary value on life.
Elements of a contract
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Agent's Licensing Course 76Version 10/17/11
ObligationThe insurer is obliged to pay the proceeds if all conditions in thecontract have been met by the insured.
ConsiderationThe sum of money given by the insured as a consideration for theinsurers promise to pay in the event of a contingency or after aspecified period.
Elements of a contract
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Agent's Licensing Course 77Version 10/17/11
ContingenciesThe contingencies in a life insurance contract are DEATH, OLD AGEand DISABILITY.
Legal PurposeLife insurance as a contract affect public interest. Therefore, theobject or legal purpose of the contract must be in accordance withthe provisions of the law.
Elements of a contract
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Agent's Licensing Course 78Version 10/17/11
Mutual ConsentBoth parties agreed to enter into a contract, accepting each othersrights, limitations and obligations as specified in the policy.
Insurable InterestIs the relationship that exist where one suffers (financially) in thedestruction of the other, or continually gains from the existence ofthe other.
Who may receive the benefits of acontract?
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Agent's Licensing Course 79Version 10/17/11
The beneficiary (ies) named in the contract.Anyone who has insurable interest on the life of another can be a beneficiary.
It exists when one is reasonably dependent on the other during the inception
of the policy.
Everyone has insurable interest in his own life By virtue of blood or marriage Where there is economic loss upon the death of the
insured A finance company on the life of the borrower
Any person with pecuniary interest has insurable interest.
Who are not qualified to be namedbeneficiary?
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Agent's Licensing Course 80Version 10/17/11
Under Article 739 ( Article 2012 civil Code ) of the New Civil Code provides
that the following persons are prohibited from receiving any donations andthus cannot be named as beneficiaries.
Those made between persons who were guilty ofadultery or concubinage at the time of thedonation; (i.e.common-law wife)
Those made between persons found guilty of thesame criminal offense; (i.e. public enemies)
Those made to a public officer or his wife,descendants or ascendants by reason of hisoffice.
Beneficiary
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Agent's Licensing Course 81Version 10/17/11
According to priority: PRIMARY
Has priority over the death proceeds of the policy SECONDARY/CONTINGENT
The beneficiary who will receive the death proceeds if theprimary beneficiary (ies) predeceases the insured and no otherprimary beneficiary is named
ESTATEBecomes the beneficiary if there are no persons named asbeneficiaries or if there are no more living primary norcontingent beneficiaries
Beneficiary
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Agent's Licensing Course 82Version 10/17/11
According to right: REVOCABLE
A beneficiary whose right in the policy are subject to theinsureds reserved right to change or add more beneficiaries orto do anything else with the policy even without the beneficiarysconsent.
IRREVOCABLEA beneficiary who has VESTED right to the proceeds of the policyand therefore, the policyowner cannot exercise his rights over thepolicy without the WRITTEN CONSENT of his beneficiary.
Taxes in insurance
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Agent's Licensing Course 83Version 10/17/11
ESTATE TAXTax levied on the transfer ofownership from the deceasedproperty owner to his heirs.The death proceeds beingsubject to ESTATE TAXdepends on the BENEFICIARYdesignation.
Taxes in insurance
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ESTATE TAXWhen the beneficiaries receive the deathproceeds, it is deemed that there was atransfer of ownership for they do notpossess the rights over the policy
Revocable
IrrevocableThey possess the rights over the policy. So it isdeemed that they own the death proceeds andthus when they receive the proceeds there is notransfer of ownership.
Taxes in insurance
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Agent's Licensing Course 85Version 10/17/11
Are all insurable proceeds TAXABLE?It is not subject to income tax, because it is notconsidered as INCOME. But if the proceeds are leftto earn interest, the interest earnings will be deemedas income and therefore taxable.
DEATH PROCEEDS
MATURITY PROCEEDSAny amount in excess of the TOTAL PREMIUMS paid areconsidered income and therefore taxable.
:
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Policy Provisions
Module 6 :
Agent's Licensing Course 86Version 10/17/11
Policy Provisions
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Agent's Licensing Course 87Version 10/17/11
Entire Contract ProvisionMade up of the APPLICATIONFORM, ENDORSEMENT and thePOLICY
Policy Provisions
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Agent's Licensing Course 88Version 10/17/11
EFFECTIVITY OF POLICYWHILE THE INSURED LIVES
The life insurance contract becomes effective only upon:
Approval and delivery of the policy During the lifetime and good health of the
insured Upon payment of the first premium in
advance
Policy Provisions
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Agent's Licensing Course 89Version 10/17/11
GRACE PERIODWHILE THE INSURED LIVES
The company allows a period of at least 30 days from thedue date for the payment of each premium. During thistime, the insurance will continue to be in force. If deathoccurs during the grace period, the company shall be liablefor full amount, less the premium due for the period.
Policy Provisions
WHILE THE INSURED LIVES
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AUTOMATIC PREMIUM LOANProvides that at the end of the graceperiod and the premium due has notbeen paid, an amount equal to thepremium due will be deducted fromthe cash values, to pay the premiumdue.
Policy Provisions
WHILE THE INSURED LIVES
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Agent's Licensing Course 91Version 10/17/11
POLICY LOANA provision that states that at anytime after a cash value isavailable and the policy is in force other than as ExtendedTerm Insurance, the policyowner may obtain a loan for anamount not exceeding the cash value.
Interest is incurred this is to replace investment income There is no definite payment for the loan itself. This should only be resorted to in dire emergency.
Policy Provisions
WHILE THE INSURED LIVES
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ASSIGNMENTIt is defined as the giving of the right to expect to a thirdparty other than the named beneficiary through a dulynotarized Deed of Assignment. Partial or Collateral
Transfer of some right over the policy for a limited period.Ex. Payments of Bank Loans
Absolute or Complete AssignmentThe assignee acquires all the rights and interests of the original policyowner.Ex. Retiring Key Executive, Change of Payor (Estate Conservation)
Policy Provisions
WHEN THE INSURED DIES
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MISSTATEMENT OF AGEIf the age of the insurance has been misstated, theamount of insurance will be adjusted to the amount whichthe premium would have purchased at the correct age,applicable risk class and applicable premium rates as ofthe policy date.Example:Client pays premiums at P45K where in fact it should be P50K at his correct age. Insurance amountis at P500,000. What is the total adjusted DB?FA to be paid = P500,000 (P45,000) = P450,000 (Total DB payable)
50,000
Policy Provisions
WHEN THE INSURED DIES
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INCONTESTABILITY CLAUSEProvides that the policy and any claims can be contested bythe insurance company on the grounds of materialmisrepresentation or material concealment within 2 yearsfrom the date the policy was issued or reinstated.
Policy Provisions
WHEN THE INSURED DIES
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SUICIDE CLAUSEProvides that if the insured commitssuicide within 2 years from the date thepolicy was issued or reinstated thecompanys liability is limited to a returnof premiums paid.
Policy Provisions
WHEN THE INSURED DIES
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SETTLEMENT OPTIONS LUMPSUM total cash proceeds are given INTEREST OPTION proceeds are left with the company for a specified time. The
interest is paid to the beneficiary
FIXED PERIOD OPTION the proceeds plus interest earned shall be paid ininstallments for a specified number of years
FIXED AMOUNT OPTION installments of equal amounts are paid to thebeneficiary, until the proceeds and interest are exhausted
LIFE INCOME proceeds and interest are paid to the beneficiary while he or she livesNote:
Theres no option available for payments to be received when a child reaches independency orupon request.
Policy Provisions
WHEN THE INSURED DIES
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BENEFICIARYInsurable interest must exist in designating beneficiaries atthe time of application.According to priority: Primary Secondary/ Contingent Estate
According to right: Revocable Irrevocable
Policy Provisions
WHEN THE INSURED QUITS
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LAPSATIONIt happens because. of non-payment of premium loan + interest exceeded the cash value policyholder doesnt value the insurance policy
Policy Provisions
WHEN THE INSURED QUITS
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The truth about lapsed policiesa. Agents loses all future commissions on renewal premiums
b. Deprive agents of substandard bonus opportunities
c. Many lapsed policies can cause an agents license to be cancelled
d. The agent loses a valuable source of prospects
e. A lapsed policy seldom buys again from his former agentf. It is a broken promise to a family
g. A total financial loss to a policyowner
h. To lapse a policy is to deny your dependents food, clothing and shelter
i. When a policy lapses the ex-policyowner loses the right to pay for todays
insurance at yesterdays price
j. Policyowner expects their agents to remind them of their due date.
Policy Provisions
WHEN THE INSURED QUITS
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NON-FORFEITURE OPTIONA provision that provides the policyholder with options tochoose from in the event of premium default, provided thatthere are cash values and/or dividends in the policy. Thisoption will be implemented at the end of the grace period.
Policy Provisions
WHEN THE INSURED QUITS
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NON-FORFEITURE OPTION Cash Surrender
Policyowner surrenders his policy for the cash value
Reduced Paid-up InsuranceCompany takes the cash value in order to buy a paid up policy but a lowered FA
Extended Term InsuranceCompany takes the cash value in order to buy a term insurance with the same FA and
receives pure endowment (if any). This is usually the default option.
Note: Pure endowment are any cash values in excess.
Policy Provisions
WHEN THE INSURED QUITS
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REINSTATEMENTProvides for a revival of a lapsed policy, if the policy hasnot lapsed for more than 3 years, subject to the followingconditions: The policy has not been surrendered for cash or converted toExtended Term Insurance which has expired. Satisfactory proof of insurability of the insured is given to the
company. Payment of all overdue premiums and outstanding indebtedness with
interest in advance equal to 12 compounded annually.
Policy Provisions
WHEN THE INSURED QUITS
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TYPES OF REINSTATEMENTBACK PREMIUM METHODA method wherein all accrued premiums plus overdue interest and current
premium will be paid thereby maintaining the original policy effectivity date.
REDATING METHODA method wherein the policy effectivity date is adjusted to a later date. Thus the
insured no longer needs to pay unpaid premiums but will instead pay the
difference in premium due to the changed in policy effectivity date and the
current adjusted premium.
Module 7 :
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Annuities
Agent's Licensing Course 104Version 10/17/11
What is Annuity?
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AnnuitiesIt is a purchase of Income. The person who buys an annuityis an Annuitant.
Premiums may be paid in lump sum/ singlepayment or installment i.e. annually, semi-annually, quarterly or monthly
Agent's Licensing Course 105Version 10/17/11
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What is Annuity?
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When do annuities commence? IMMEDIATE ANNUITY
Payments start at stated period such as one month, three months, six months or one yearafter the purchase.
IMMEDIATE DEFERRED ANNUITYPayments start at the end of a specified number of years or until the annuitant attains aspecified age or a predetermined date.
Module 8 :
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Health Insurance
Agent's Licensing Course 108Version 10/17/11
What is Health Insurance?
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Agent's Licensing Course 109Version 10/17/11
Provides.. Disability income benefits Accidental death and dismemberment benefit Expense reimbursement benefit
Module 9 :
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Industrial Insurance
Agent's Licensing Course 110Version 10/17/11
What is Industrial Insurance?
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Agent's Licensing Course 111Version 10/17/11
The face amounts are very small Sold by agents who go to the policyholders home
to collect premiums, usually on a weekly or monthlybasis
All industrial life policies have a built in accidentaldeath benefit (granted at no extra cost)
Module 10 :
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Group Insurance
Agent's Licensing Course 112Version 10/17/11
What is Group Insurance?
A group of people covered by life
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Agent's Licensing Course 113Version 10/17/11
insurance under one MASTERCONTRACT issued by the INSURER tothe EMPLOYER
The EMPLOYEES are given a certificateof coverage
It may be non-contributory EMPLOYERS shoulder 100 ofthe premiums or contributory EMPLOYER and EMPLOYEEshares in the premium (usually 70 by the employer, 30 bythe employee)
What is Group Insurance?
Provides..
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Agent's Licensing Course 114Version 10/17/11
GROUP LIFE INSURANCE GROUP YEARLY RENEWABLE TERM INSURANCE (GYRT)
It is the most common type of group insurance in Philippines and has the least
initial cash outlay, but premiums tend to increase every time policy is renewed.
GROUP MEDICAL INSURANCE GROUP PERMANENT INSURANCE GROUP CREDITORS LIFE mortgage insurance) GROUP RETIREMENT
What is Group Insurance?
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Agent's Licensing Course 115Version 10/17/11
Characteristics of Group Policies: It covers death of employees regardless of cause except for suicide
during the 1 yr or 2 yrs.
Enrollment cards are used instead of application forms.
Every member of the group should be working for a minimum of
30 hours per week.
Certificate of Insurance are issued to the individual members and
1 Master Policy to the representative of the group (employer).
Most group policies are on a yearly renewable basis.
What is Group Insurance?
What happens to the Group Insurance if the person is
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Agent's Licensing Course 116Version 10/17/11
out of the Group?It can be converted to an individual policy without evidence of
insurability before a specified period expires through *ConversionPrivilege.
Note:
Group Deposit Administration Policy is a group insurance issued as retirement benefits foremployees but does not have any life coverage. In this way, employers are only maximizing
the investment expertise of Insurance companies.
*Conversion Privilege allows the employee to convert to an individual policy with 31 days
from date or resignation/retirement without proof of insurability
Module 11 :
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Investments inLife Insurance
Agent's Licensing Course 117Version 10/17/11
Sources of income
PREMIUMS INVESTMENTS
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Agent's Licensing Course 118Version 10/17/11
Bonds, Mortgage loans, Stocks, RealEstate
Sources of income
What are BONDS?
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Agent's Licensing Course 119Version 10/17/11
Represent a promise on the part ofits ISSUER to repay the borrowed sumof money (the principal) to the
BONDHOLDER (the investor) at astated time in the future
(the maturitydate) and to pay interest to the
bondholder at a specified rate
(interest).
Sources of income
What are MORTGAGE LOANS?
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Is a legal instrument under which the
property pledged can be claimed by the
lender if the borrower cannot repay the
loan on the due date.
Note:Loanable value is 70 of market value
Sources of income
What are STOCKS?
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Certificate of ownership of a company
Common stockholder Has voting rights
Share in the profits
Share in the distribution of assets upon liquidation
Preferred stockholder No voting rights
First priority in dividends & distribution of assets upon liquidation
Sources of income
What are REAL ESTATE?
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Buys or builds properties
Acquires real estate through
foreclosure of properties or
mortgage
Module 12 :
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Code of Ethics/ IC Rules
Agent's Licensing Course 123Version 10/17/11
Capitalization requirements
Capitalization requirement
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Agent's Licensing Course 124Version 10/17/11
P100M, P75MPaid-up and P25M for surplus
Reserve requirement Company loan
Must not exceed 70% of market value of such
real estate
Margin of solvencyMust not be less than P500,000
When is the public interest served?
Supervision of Insurance Industry by the Insurance
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Agent's Licensing Course 125Version 10/17/11
p y y
Commission
If an agent develops a large number of satisfied
clients
If a company insists upon its agents working to high
standards of performance and integrity
When is the clients interest served?
Observes the golden rule in conducting a sale.
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Agent's Licensing Course 126Version 10/17/11
g g
Does not recommend a plan because it has the
highest commission rate
Does a complete Needs Analysis before offering a
plan
Maintains a Fiduciary Relationship such as with aBroker and a Potential Investor
When is the agents license issued?
It will only be issued if applicant has all of the ff:
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Clean record of employment Reasonable educational background
Prospective character and reputation
Passed the licensing examinations
will be renewed if information in the application for renewal
are complete and all requirements are met, and will be
revoked for fraudulent practices, violation of the insurance
code, misrepresentation in the application for license, and
influencing a client to misstate true health.
An agent is committing a criminaloffense:
Upon issuance of receipt and subsequent failure to remit
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Agent's Licensing Course 128Version 10/17/11
such premium collection to the company. Issuance of a receipt for a premium that was not in fact
collected.
Issuance of an ante-dated receipt for a late payment.
Delivery of a policy and collection of an initial premium
with the knowledge that the applicant is no longer in
good health.
An agent is doing an unethicalpractice:
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Rebating/ Premium DiscriminationGiving of commissions (partial or full) to clients is in violation of thelaw. Agent can only share their commission to another agent.
TwistingInducing a client to lapse, forfeit, surrender a policy for the
replacement of a new policy from another company. It is an offense in
the great majority of cases.
An agent is doing an unethicalpractice:
Knocking
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Making derogatory remarks against competitors.
OverloadingSelling more insurance than what is warranted by a clients resources.
AlterationAltering an application without the written approval of the applicant
An agent is doing an unethicalpractice:
Misrepresentation
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Giving false or misleading statements about theproduct, company, services, and himself (credentials).
Material concealmentConsidered to be material if the insurance company would have altered
its risk appraisal decision had the truth been known
Facts that agents should know
Orphan Policyowners are good source of prospects and newsales.
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Quality Business are policies which are persistent anddemonstrate good mortality experience.
Conservation of Life Insurance Policy is dependent on thequality of agents prospecting habits, the use of effective needsselling, agents service oriented attitude and pressure selling.
Record Keeping is essential for agents who sell all life and healthinsurance.
Facts that agents should know
Repeat Business
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is one of the best source of qualityprospects
is a good agents reward for
conscientious service to his clients
is a recognized characteristic of a
good agent is more persistent than quality business
generally develops larger sales and hence, larger
commissions
requires less selling effort and registers better closing ratios
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Agent's Licensing Course 134
Agents Licensing Course
Version 10/17/11