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Version 10/17/11
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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/ white background, corporate attire) Exam Fee P500
Schedule: Insurance Commission, UN Avenue Tuesday 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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Module 1 :
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Sources of Income
What is INCOME? Income is the recurrent flow of cash in exchange for service rendered or goods manufactured.
Donations/Charity
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Lifes risks
HUMAN ECONOMIC VALUE
Man at Work
- Measured by what man has been able to accumulate (assets) and what he can reasonably expect in the future (future earnings). - Economic value of man to his Family
Be disabled
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Life insurance
Is a device by which a large number of people protect themselves against economic losses due to
Risk sharing
It is shared by a group of people, Cooperative Risk Sharing. Economic loss is spread over a large number of people.
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Types of risks
SPECULATIVE RISK
A risk with possibility of gain (i.e. gambling and business)
PURE RISK
A risk with no possibility of gain (i.e. death, disability and old age)
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Retirement Fund
Emergency Fund Planned Insurance Estate
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Tools in insurance
1. Principle of Large Numbers
A 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 true probability that the event will occur.
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Tools in insurance
2. Mortality table
Charts that display the incidence of death, by age, among a given group of people
Age 65 66 67 68 69 Males 14.248 15.761 17.467 19.373 21.486 Females 8.241 9.114 10.012 10.931 11.916 Age 70 71 72 73 74 Males 23.810 26.353 29.120 32.123 35.398 Females 13.027 14.326 15.872 17.717 19.883
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Tools in insurance
3. Life expectancy
Number of years that persons will live on the average as shown by the mortality table. (Females have longer life expectancy than males)
LIFE LINE
55 65
75
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Tools in insurance
4. Law of Probability
Helps us estimate or predict the chances that a person will still be alive after a given number of years.
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INSURER
POLICY
Written contract between the insured and the insurance company
PREMIUM
Payment or one of a series of payments made by the insured to make the policy inforce and to keep it inforce
FACE AMOUNT
Money which the insurance company will provide when the insured dies
BENEFICIARY
Person who will receive the face amount when the insured dies
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Definition of premium
The consideration given by the insured in exchange for the promise of the insurer to pay a stipulated amount in the event of a claim or upon maturity of the life insurance contract.
P8,000
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Definition of actuary
The person who makes the necessary assumptions and calculations with respect to the principal elements in a life insurance premium.
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P8,000
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Net premium
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Types of premiums
Single Premium
Premium Only one premium is required
Natural Premium
Premium that increases with age
Level premium
Level Premium
Premium that is level throughout the paying period
Age
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Types of premiums
Graduated Premium
Premium that increases every year until 5th year then remains on that level throughout the duration of the premium paying period
3,000 3,200
3,500
2,500
2,700
Modified Premium
Premium that increases only on the 5th year of the policy then remains on that level throughout the duration of the premium paying period
3,500 3,200
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Types of premiums
Fractional Premium
Proportionate share of the annual premium (i.e. semi-annual, quarterly)
Formula:
Annual Premium
Conversion Factor
= Modal Premium
Desired
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Premium receipt
Binding Premium Receipt
A 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
Binding Premium Receipt Effectivity Initial Premium
Pays Death Benefit (no questions asked)
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
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Reserves
The sum of money which will enable the company to pay all of its policy claims or maturity.
claims
RESERVES
claims
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Types of reserves
Legal Reserve
A fund set up by insurance company, as required by law to the claims that may arise.
Policy Reserve
The proportionate share of the policy to the legal reserve
Contingency Reserve
A fund set up by the insurance company from the surplus to meet unexpected and unfavorable claims that may arise
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Module 2 :
Basic Plans
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INDUSTRIAL
Premiums are payable daily, weekly or monthly
GROUP
Several individuals are insured under one master policy
UNIVERSAL LIFE
Coverage can vary depending upon the amount of premium and investment performance of the insurance company (stocks, bonds, etc.)
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Cost Cost
TEMPORARY
Offers purely protection (Term Plan), Maximum coverage at the least amount of initial premiums
a. Renewable b. Convertible c. Renewable & Convertible
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Permanent plan
A. Whole life plan
Permanent policy that covers an individual up to age 100. It has low level of savings and matures at age 100.
a. Ordinary/ Straight Pay
Payment is up to age 100.
Protection Period Premium Paying Period
PED
Age 100
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Permanent plan
A. Whole life plan
b. Limited Pay
Payment is for a limited period only. Ex. 5pay, 10pay, life paid-up at 65
Protection Period
Premium Paying Period
PED
Limited Period
Age 100
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Permanent plan
A. Whole life plan
c. Universal Life
A variation of whole-life policy where premiums and benefits are flexible due to the performance of its investment fund (real estate or stock fund).
PED
Limited Period
Age 100
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Permanent plan
B. Endowment plan
Permanent policy that cover a person and mature after a specified period. It is actually a level term and a pure endowment. a. Age- based
Endowment that matures at a stated age. Ex. Endowment @ age 65
Protection Period Premium Paying Period
PED
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Age 65
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Age 100
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Permanent plan
B. Endowment plan
b. Term- based
Endowment that matures at a specified period. Ex. 20yr endowment, 15yr endowment
Protection Period Premium Paying Period
PED
20th yr
Age 100
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Temporary plan
Term plan
a. Level Term
Face amount and premiums remain constant.
PED
Specified Period
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Temporary plan
Term plan
b. Decreasing Term
Face amount decreases by a stipulated amount over a period of time. This plan is usually used for mortgage redemption & loans.
Sum Assured 500K 400K 300K Protection Period Premium Paying Period 200K 100K
PED
Specified Period
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Temporary plan
Features of Term Plan
a. Renewability
Term policies may be renewed for the same number of years before the term ends, even without evidence of insurability.
Protection Period
Premium Paying Period
Protection Period
Premium Paying Period
Protection Period
Premium Paying Period
PED
5 yr Term
5 yr Term
5 yr Term
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Temporary plan
Features of Term Plan
b. Convertibility
Term policies may be converted to a permanent policy before the term ends, even without evidence of insurability.
Protection Period
Premium Paying Period
Protection Period
Premium Paying Period
PED
Specified Period
Age 100
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Participating
A type of policy wherein the policyholder receive policy dividends.
Non-Participating
A type of policy wherein the policyholder does not receive policy dividends.
Cost
DIVIDENDS are divisible surplus earnings of the company, which are distributed equally to the insured
Cost
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Dividend options
1.
2.
Cash payment
Get the dividends as they fall due or when it becomes payable
Premium reduction
Dividends are used to pay future premiums
3.
4. 5.
Accumulate at interest
Leave the interest with the company to earn a specified rate of interest
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Riders
A. Waiver of Premium due to Disability
Stops further premium payments in the event of:
Age 100
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Riders
B. Payors Benefit/ Clause
Stops further premium payments in the event of Payors: (Ex. Juvenile Policies) A. Death or B. Total & Permanent Disability
Protection Period Premium Paying Period
PED
Age 100
Future Premiums waived up to age 60 Or until the child turns 21 which ever comes first
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Riders
C. Accidental Death Benefit/ Double Indemnity
Provides additional benefit if cause of death was due to accident. (Ex. Automobile Accidents) Illustration: Basic Policy + ADB = Total Death Benefit
P100,000
P100,000
P200,000
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
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Riders
D. Term rider
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.
Illustration:
Basic Policy P100,000 + + Term Rider = P500,000 = Total Death Benefit
P600,000
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Riders
E. Guaranteed insurability rider
It allows purchase of additional policies without evidence of insurability
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Rider limitations
They expire at a specified period.
They cease when cash values are used as premiums.
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Advisors are expected to make a TOTAL NEEDS SELLING which is to determine a prospects complete financial need preparatory to offering a product
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Module 4 :
Risk Selection
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Risk selection
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-selection The tendency of persons with health impairments or hazardous occupations to apply for life insurance
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Underwriting factors
P O F M A R
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occupational financial moral avocation and hazardous pursuits
Physical
Age Built Physical Condition Personal Medical History Family History
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Occupational
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.
Classification of occupation: Accident Hazard Unhealthy working conditions Social class hazard
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Financial
Advisors must ask for all sources of income:
Part-time job Harvest from land Rentals Others Can client pay for his premiums?
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Moral
Any immoral conduct involves extra mortality
Infidelity of the spouse Chain smoker Alcoholic Drug addict Gambler
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Avocation/hobby
Hazardous avocations or hobbies post extra risk on the persons life and would necessitate payment of extra premium
Mountain climbing Scuba diving Parachuting Sky diving Car racing, motorcycle racing
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Sources of information
Where can we get information on prospects age, health condition, occupation, avocation, etc.?
1. 2. 3. 4. 5. 6. 7. Agent Application Form Medical Examiner Attending Physician Inspection Report Financial Report Medical Information Bureau
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Sources of information
AGENT
Observations of the advisor of the prospect Information known about the prospect Confidential report of the advisor
APPLICATION FORM
It is the basis of the policy. It contains all information material to the application for insurance. All statements in the application form are mere representations and not warranties
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Sources of information
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 be furnished if available.
Date of Illness, Doctors Name and hospital, Diagnosis and treatment, Duration of Illness, Date of relapse or recurrence (if any)
Agent's Licensing Course 63
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Sources of information
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 Tax Return, Annual Statement
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Sources of information
MEDICAL INFORMATION BUREAU
Source of confidential medical information on applicants for insurance
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Classification of risks
Rated
(i.e. Extra rating of P5.00 per 1000 of coverage)
Declined Postponed
(i.e. 7 months pregnant, undergoing therapy)
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Juvenile Lien
Pertains to insured children below 6 years old
Pregnancy Lien
Pertains to pregnant women applying for insurance
Aviation Lien
Civilian or members of AFP engaged in flying may be subject to extra rating or lien
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Module 5 :
Legal Aspects
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DOMESTIC incorporated under Philippine laws and whose respective home office is located within the Philippines Types:
1. Stock derive capitalization from sale of stocks. The owners are stockholders. Mutual Owned by policyowners. The dividends that are realized by the company go to the policyowners.
Agent's Licensing Course 70
2.
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INSURANCE BROKER
Any person who aids in soliciting or negotiating the making of any insurance contract or in placing risk on behalf of an insured other than himself.
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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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Conditional Contract
The insurers obligations and promises describe in the contract are subject to certain conditions (i.e. exclusions, liens).
Valued Contract
An agreement to pay a given amount on the occurrence of a stated contingency or survival after a specified period. No indemnity is attempted because nobody can place a monetary value on life.
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Elements of a contract
Obligation
The insurer is obliged to pay the proceeds if all conditions in the contract have been met by the insured.
Consideration
The sum of money given by the insured as a consideration for the insurers promise to pay in the event of a contingency or after a specified period.
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Elements of a contract
Contingencies
The contingencies in a life insurance contract are DEATH, OLD AGE and DISABILITY.
Legal Purpose
Life insurance as a contract affect public interest. Therefore, the object or legal purpose of the contract must be in accordance with the provisions of the law.
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Elements of a contract
Mutual Consent
Both parties agreed to enter into a contract, accepting each others rights, limitations and obligations as specified in the policy.
Insurable Interest
Is the relationship that exist where one suffers (financially) in the destruction of the other, or continually gains from the existence of the other.
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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.
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Those made between persons who were guilty of adultery or concubinage at the time of the donation; (i.e.common-law wife) Those made between persons found guilty of the same criminal offense; (i.e. public enemies) Those made to a public officer or his wife, descendants or ascendants by reason of his office.
Agent's Licensing Course 80
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Beneficiary
According to priority:
PRIMARY
Has priority over the death proceeds of the policy
SECONDARY/CONTINGENT
The beneficiary who will receive the death proceeds if the primary beneficiary (ies) predeceases the insured and no other primary beneficiary is named
ESTATE
Becomes the beneficiary if there are no persons named as beneficiaries or if there are no more living primary nor contingent beneficiaries
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Beneficiary
According to right:
REVOCABLE
A beneficiary whose right in the policy are subject to the insureds reserved right to change, or add more beneficiaries or to do anything else with the policy even without the beneficiarys consent.
IRREVOCABLE
A beneficiary who has VESTED right to the proceeds of the policy and therefore, the policyowner cannot exercise his rights over the policy without the WRITTEN CONSENT of his beneficiary.
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Taxes in insurance
ESTATE TAX
Tax levied on the transfer of ownership from the deceased property owner to his heirs. The death proceeds being subject to ESTATE TAX depends on the BENEFICIARY designation.
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Taxes in insurance
ESTATE TAX Revocable
When the beneficiaries receive the death proceeds, it is deemed that there was a transfer of ownership for they do not possess the rights over the policy
Irrevocable
They possess the rights over the policy. So it is deemed that they own the death proceeds and thus when they receive the proceeds there is no transfer of ownership.
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Taxes in insurance
Are all insurable proceeds TAXABLE? DEATH PROCEEDS
It is not subject to income tax, because it is not considered as INCOME. But if the proceeds are left to earn interest, the interest earnings will be deemed as income and therefore taxable.
MATURITY PROCEEDS
Any amount in excess of the TOTAL PREMIUMS paid are considered income and therefore taxable.
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Module 6 :
Policy Provisions
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Policy Provisions
Entire Contract Provision
Made up of the APPLICATION FORM, ENDORSEMENT and the POLICY
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Policy Provisions
WHILE THE INSURED LIVES
EFFECTIVITY OF POLICY
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
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Policy Provisions
WHILE THE INSURED LIVES
GRACE PERIOD
The company allows a period of at least 30 days from the due date for the payment of each premium. During this time, the insurance will continue to be in force. If death occurs during the grace period, the company shall be liable for full amount, less the premium due for the period.
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Policy Provisions
WHILE THE INSURED LIVES
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Policy Provisions
WHILE THE INSURED LIVES
POLICY LOAN
A provision that states that at anytime after a cash value is available and the policy is in force other than as Extended Term Insurance, the policyowner may obtain a loan for an amount 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.
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Policy Provisions
WHILE THE INSURED LIVES
ASSIGNMENT
It is defined as the giving of the right to expect to a third party other than the named beneficiary through a duly notarized Deed of Assignment.
Partial or Collateral
Transfer of some right over the policy for a limited period. Ex. Payments of Bank Loans
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Policy Provisions
WHEN THE INSURED DIES
MISSTATEMENT OF AGE
If the age of the insurance has been misstated, the amount of insurance will be adjusted to the amount which the premium would have purchased at the correct age, applicable risk class and applicable premium rates as of the policy date.
Example:
Client pays premiums at P45K where in fact it should be P50K at his correct age. Insurance amount is at P500,000. What is the total adjusted DB?
Policy Provisions
WHEN THE INSURED DIES
INCONTESTABILITY CLAUSE
Provides that the policy and any claims can be contested by the insurance company on the grounds of material misrepresentation or material concealment within 2 years from the date the policy was issued or reinstated.
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Policy Provisions
WHEN THE INSURED DIES
SUICIDE CLAUSE
Provides that if the insured commits suicide within 2 years from the date the policy was issued or reinstated the companys liability is limited to a return of premiums paid.
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Policy Provisions
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
the proceeds plus interest earned shall be paid in installments for a specified number of years
installments of equal amounts are paid to the beneficiary, until the proceeds and interest are exhausted
LIFE INCOME proceeds and interest are paid to the beneficiary while he or she lives
Note: Theres no option available for payments to be received when a child reaches independency or upon request.
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Policy Provisions
WHEN THE INSURED DIES
BENEFICIARY
Insurable interest must exist in designating beneficiaries at the time of application.
According to priority: Primary According to right:
Revocable
Irrevocable
Secondary/ Contingent
Estate
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Policy Provisions
WHEN THE INSURED QUITS
LAPSATION
It happens because.
of non-payment of premium
loan + interest exceeded the cash value policyholder doesnt value the insurance policy
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Policy Provisions
WHEN THE INSURED QUITS
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Policy Provisions
WHEN THE INSURED QUITS
NON-FORFEITURE OPTION
A provision that provides the policyholder with options to choose from in the event of premium default, provided that there are cash values and/or dividends in the policy. This option will be implemented at the end of the grace period.
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Policy Provisions
WHEN THE INSURED QUITS
NON-FORFEITURE OPTION
Cash Surrender
Policyowner surrenders his policy for the cash value
Policy Provisions
WHEN THE INSURED QUITS
REINSTATEMENT
Provides for a revival of a lapsed policy, if the policy has not lapsed for more than 3 years, subject to the following conditions:
The policy has not been surrendered for cash or converted to Extended 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.
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Policy Provisions
WHEN THE INSURED QUITS
TYPES OF REINSTATEMENT
BACK PREMIUM METHOD
A method wherein all accrued premiums plus overdue interest and current premium will be paid thereby maintaining the original policy effectivity date.
REDATING METHOD
A 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.
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Module 7 :
Annuities
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What is Annuity?
Annuities
It is a purchase of Income. The person who buys an annuity is an Annuitant. Premiums may be paid in lump sum/ single payment or installment i.e. annually, semiannually, quarterly or monthly
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What is Annuity?
How are annuities received?
STRAIGHT LIFE
Provides an income for life and upon his death liability of the company ceases
LIMITED INSTALLMENT
Provides payment for a definite period as specified in the contract
REFUND LIFE
Provides life income to the annuitant with a guaranteed amount of payment equal to the total payments made
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What is Annuity?
When do annuities commence?
IMMEDIATE ANNUITY
Payments start at stated period such as one month, three months, six months or one year after the purchase.
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Module 8 :
Health Insurance
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Module 9 :
Industrial Insurance
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Module 10 :
Group Insurance
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It may be non-contributory EMPLOYERS shoulder 100% of the premiums or contributory EMPLOYER and EMPLOYEE shares in the premium (usually 70% by the employer, 30% by the employee)
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GROUP MEDICAL INSURANCE GROUP PERMANENT INSURANCE GROUP CREDITORS LIFE (mortgage insurance) GROUP RETIREMENT
Agent's Licensing Course 114
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Note: Group Deposit Administration Policy is a group insurance issued as retirement benefits for employees but does not have any life coverage. In this way, employers are only maximizing the investment expertise of Insurance companies.
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Sources of income
PREMIUMS
INVESTMENTS
Bonds, Mortgage loans, Stocks, Real Estate
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Sources of income
What are BONDS?
Represent a promise on the part of its ISSUER to repay the borrowed sum of money (the principal) to the BONDHOLDER (the investor) at a stated time in the future (the maturity date) and to pay interest to the bondholder at a specified rate (interest).
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Sources of income
What are MORTGAGE LOANS?
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
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Sources of income
What are STOCKS?
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
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Sources of income
What are REAL ESTATE?
Buys or builds properties Acquires real estate through foreclosure of properties or mortgage
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Module 12 :
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Capitalization requirements
Capitalization requirement P100M, P75MPaid-up and P25M for surplus
Reserve requirement Company loan Must not exceed 70% of market value of such real estate Margin of solvency Must not be less than P500,000
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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.
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Twisting
Inducing 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.
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Overloading
Selling more insurance than what is warranted by a clients resources.
Alteration
Altering an application without the written approval of the applicant
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Material concealment
Considered to be material if the insurance company would have altered its risk appraisal decision had the truth been known
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Record Keeping is essential for agents who sell all life and health
insurance.
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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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