ALC-AG-ver10-17-2011

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    Agent's Licensing Course 1

    Agents Licensing Course

    Version 10/17/11

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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

    Which will it be?Version 10/17/11

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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)

    P8,000Version 10/17/11

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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

    Version 10/17/11 Agent's Licensing Course 26

    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

    Version 10/17/11 Agent's Licensing Course 27

    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

    Version 10/17/11 Agent's Licensing Course 28

    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 :

    Version 10/17/11

    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

    Version 10/17/11

    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

    Version 10/17/11

    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 :

    Version 10/17/11

    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)

    Version 10/17/11

    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.

    Version 10/17/11

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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).

    Version 10/17/11

    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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    Agent's Licensing Course 84Version 10/17/11

    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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    Agent's Licensing Course 90Version 10/17/11

    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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    Agent's Licensing Course 92Version 10/17/11

    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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    Agent's Licensing Course 93Version 10/17/11

    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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    Agent's Licensing Course 94Version 10/17/11

    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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    Agent's Licensing Course 95Version 10/17/11

    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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    Agent's Licensing Course 96Version 10/17/11

    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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    Agent's Licensing Course 97Version 10/17/11

    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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    Agent's Licensing Course 98Version 10/17/11

    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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    Agent's Licensing Course 99Version 10/17/11

    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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    Agent's Licensing Course 100Version 10/17/11

    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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    Agent's Licensing Course 101Version 10/17/11

    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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    Agent's Licensing Course 102Version 10/17/11

    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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    Agent's Licensing Course 103Version 10/17/11

    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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    Agent's Licensing Course 107Version 10/17/11

    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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    Agent's Licensing Course 120Version 10/17/11

    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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    Agent's Licensing Course 121Version 10/17/11

    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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    Agent's Licensing Course 122Version 10/17/11

    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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    Agent's Licensing Course 127Version 10/17/11

    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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    Agent's Licensing Course 129Version 10/17/11

    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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    Agent's Licensing Course 130Version 10/17/11

    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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    Agent's Licensing Course 131Version 10/17/11

    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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    Agent's Licensing Course 132Version 10/17/11

    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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    Agent's Licensing Course 133Version 10/17/11

    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