SunLEARN - Traditional Life Insurance
SunLEARN - Traditional Life Insurance
SunLEARN - Traditional Life Insurance
A contract
It could be any cause
Life not excepted in the
An applicant/insured
Insurance contract
pays a consideration Policy
called premium
or upon surviving a
specified period of time
An Insurance
company pays a sum
of money in the event
of the insured’s death or otherwise contingent
on the continuance or
cessation of life.
Life Insurance
STOCK MUTUAL
OWNERSHIP Stockholders Policyowners
Major Elected by policy
MANAGEMENT stockholders owners
PROFIT As declared by Based on
SHARING stockholders investment
➢ Life Insurance contain solutions to the problem of protecting human life values
against inevitable economic loss through death, disability and old age.
Basic Services of Life Insurance
Retirement Maturity
Income Benefit
OLD AGE
Guaranteed Cash
Savings Values
DISABILITY
Basic Services of Life Insurance
PREMATURE DEATH
When the breadwinner dies to soon, life insurance can provide the service of family protection
this is a fund provided for by life insurance to the beneficiaries of the insured to take care of their
immediate and future needs. This service is given in the form of Death Benefit.
OLD AGE
When the breadwinner lives too long, life insurance can provide the service of Retirement Income.
This is the sum granted to the insured himself so that he may use said amount at the stage of
retirement or at a stage when he cannot work anymore. This service is provided in the form of
maturity benefits
DISABILITY
When the breadwinner meets disability, life insurance can provide Guaranteed Savings. This is an
amount made available to the insured should he want to make a policy loan, surrender the policy
cash values. This benefit is provided through Cash Values
Basic Life Insurance Terms
Single premium
➢ Only one premium payment is required
Policy fee
➢ A fixed amount added to the premium of a given
policy regardless of policy size
Pop
3. Fathers enters into a life insurance contract on behalf of his child. In this case ,
Quiz! the father is the
A. Insured
B. Beneficiary
C. Insurer
D. Applicant – Owner
5. A fixed amount added to the premium of a given policy regardless of policy size is
known as
A. Policy fee
B. Policy reserves
C. Policy Values
D. Extra Premium
Pop
3. Fathers enters into a life insurance contract on behalf of his child. In this case ,
Quiz! the father is the
A. Insured
B. Beneficiary
C. Insurer
D. Applicant – Owner
5. A fixed amount added to the premium of a given policy regardless of policy size is
known as
A. Policy fee
B. Policy reserves
C. Policy Values
D. Extra Premium
Topics
1. MORTALITY RATE
2. INTERESTS ON INVESTMENTS
3. EXPENSES/LOADING
Mortality Rate
This will show us that actuarial has a projected number of death for each
age group. Each age group will have their corresponding mortality rates
which become the basis of the computation.
Interests on Investment
– Premium income
– Investment income/revenue
Expenses and Loading
Operating Expenses
– rent, salaries, equipment, utilities, agents’
commissions, etc.
Loading
– The factor of expense is computed and built into
the policy owner’s premium rate
Pop 5. The term loading means
Quiz! a)The difference between the gross and net premiums for the purpose of paying the
insurance overhead expenses including commissions and taxes
b)The amount which the company will lend to the policyholder with the policy as a
security
c) The amount payable in the event of the occurrence of a loss which renders him
unfit for insurance
d)None of the above.
Pop 5. The term loading means
Quiz! a)The difference between the gross and net premiums for the purpose of paying the
insurance overhead expenses including commissions and taxes
b)The amount which the company will lend to the policyholder with the policy as a
security
c) The amount payable in the event of the occurrence of a loss which renders him
unfit for insurance
d)None of the above.
Topics
Basic plans
Permanent Term
Ordinary Regular
Protection Period
Policy Effectivity Date Until AGE 99/100 Years Old
Payment of Proceeds
Policy Effectivity Date Death Benefit (Before Age 99 or
100 years old) = Face Amount
Life Insurance Plans
▪ Limited Pay Life insurance is for an individual who owns a whole life
insurance policy but chooses to pay for the total cost of their premiums for
a limited number of years.
Ordinary/Straight Life
A plan which provides insurance coverage for life at a level premium.
Premiums are payable for life.
Limited Pay Life Plan
Protection Period
Policy Effectivity Date Until AGE 99/100 Years Old
Payment of Proceeds
Policy Effectivity Date Death Benefit (Before Age 99 or
100 years old) = Face Amount
Limited-Payment Whole Life Plan
Limited Pay life insurance is for an individual who owns a whole life
insurance policy but chooses to pay for the total cost of their premiums for
a limited number of years. With the limited pay life insurance option,
you pay premiums in the first 10, 15, or 20 years of ownership, but the benefits last
a lifetime.
Protection Period
Policy Effectivity Date 20-Year Endowment Policy
Premium Paying Period
Policy Effectivity Date Maturity Benefit (20th year) =
Face Amount
Payment of Proceeds
Death Benefit (Before the 20th
Policy Effectivity Date
year) = Face Amount
Life Insurance Plans
Term Plans
• Provides a death benefit if the insured dies during a specified period or age,
it does not accumulate cash values.
• Gives maximum protection for moderate means
• Renewable and Convertible features
1. Renewable - the policy owner can renew the policy for another
period of time without submitting evidence of insurability at end of
the term period.
Decreasing Term Provides a policy benefit that decreases in amount over the
term of coverage. The policy benefit begins as a set sum assured and then
decreases over the policy term according to a stated method in the policy. This is
usually used for mortgage redemption.
SUM
YEAR PREMIUM BANK LOAN
ASSURED
Group Insurance
➢ Type of insurance that provides protection for a
group of individuals that was not formed for the
purpose of obtaining insurance, there is only one
master policy which is with the employer
insurance certificates are given to individual
members.
a)20 Yr Endowment
b)Endowment at 65
c) Ordinary Life
d)20 Yr Term
a)20 Yr Endowment
b)Endowment at 65
c) Ordinary Life
d)20 Yr Term
a)Participating Plans
b)Non Participating Plans
c) Term Insurance
d)None of the Above
10. When the proceeds of a life insurance policy are left with the company to earn
interest
11. The convertible feature of a term insurance policy provides that the policy may
be
a)Changed to a permanent insurance policy without evidence of insurability
b)Changed to another life
c) Changed for guaranteed sum
d)Change to permanent insurance with evidence of insurability
Pop 9. Mr. Juan Valdez wants a policy which will entitle him to receive dividends yearly.
Quiz! What will you recommend to Mr. Valdez?
a)Participating Plans
b)Non Participating Plans
c) Term Insurance
d)None of the Above
10. When the proceeds of a life insurance policy are left with the company to earn
interest
11. The convertible feature of a term insurance policy provides that the policy may
be
a)Changed to a permanent insurance policy without evidence of insurability
b)Changed to another life
c) Changed for guaranteed sum
d)Change to permanent insurance with evidence of insurability
Pop 12. In the event an employee leaves the company in which he is a member of its
Quiz! group insurance policy, his group coverage can be changed to an individual
policy using the
PAYORS RIDER
• In the event of the payor-owner’s death or disability, premiums due
will be waived up to policy maturity or up to age 25 of the child
whichever comes first;
• Attached to a juvenile policy.
Exclusions:
➢ Sickness
➢ Poisoning
➢ Suicide
➢ Combat/warlike activities
➢ Committing a Crime
➢ Some Aviation Activities
Riders
Death Benefits:
Basic Policy 1M
ADB 1M
Total Death Benefits 2M
Riders
Death Benefit:
Whole Life 1M
Term Rider 4M
Total Death Benefits 5M
Riders
FAMILY INCOME RIDER
• A modified decreasing term insurance
• Guarantees monthly installments in addition to the
face amount;
• A purchaser of income
A. STANDARD
– mortality is normal
– average life expectancy
B. SUB-STANDARD (RATED)
– higher mortality risk
– shorter than average life expectancy
– due to occupational hazards, illnesses, or unwise habits
C. DECLINED
– unacceptable risk
– due to poor health, extremely hazardous occupations
Anti-Selection
17. Since the purchaser of life insurance is a voluntary choice, the individual
must meet
18. Which of the following factors would have the least effect on the
premium charged for life insurance?
a)Age
b)Occupation
c) Income
d)All of the above
Pop 16. A risk is considered substandard based on any or all of the following
Quiz! criteria
17. Since the purchaser of life insurance is a voluntary choice, the individual
must meet
18. Which of the following factors would have the least effect on the
premium charged for life insurance?
a)Age
b)Occupation
c) Income
d)All of the above
Topics
• Application Form
• Agent’s Confidential Report
• Medical Report
• Attending Physician Statement
• Inspection Report
• Medical Impairment Bureau (MIB)
Sources of Information
1. Application Form
➢ written request for insurance
➢ contains basic information on the proposed insured regarding the factors
in risk selection.
3. Medical Report
➢prepared by the insurer’s appointed medical examiner after conducting a
series of medical examinations on the proposed insured.
Sources of Information
PARTIES TO A CONTRACT
a. Policyowner
• must be at least 18 years old
• must have sound mind/legally competent (Insurable
Interest)
b. Insurance Company
• Registered with the Insurance Commission
Legal Considerations
CONDITIONAL RECEIPT
Once an application is signed and the premium paid, the
insurance applicant’s coverage takes into effect upon
certain conditions.
Conditions:
• Insurance application must have been submitted
to the insurance company
• At least one quarter premium must be paid
• Must have undergone a medical examination
already and result is satisfactory
Legal Considerations
STATEMENTS
a. Warranties
• must be literally true
• Example: color of the car being insured is red with plate
number HAM 108
b. Representations
• Substantially true like the statements in the application
form for life insurance
• Examples: all statements in the life insurance application
form
Pop 19. For a contract to be legal and binding
21. Why is it important that the application is the basis of the policy
a)Because the completed application is the basis of the policy contract and the
company may accept or reject an application based on the information given in
the application
b)For the agent to have the available data of his prospect in connection with future
sales
c) To avoid the necessity of the insurer putting all the relevant details in the contract
d)None of the above
Pop 19. For a contract to be legal and binding
21. Why is it important that the application is the basis of the policy
a)Because the completed application is the basis of the policy contract and the
company may accept or reject an application based on the information given in
the application
b)For the agent to have the available data of his prospect in connection with future
sales
c) To avoid the necessity of the insurer putting all the relevant details in the contract
d)None of the above
Pop
Quiz! 22. Choose the correct statement:
The entire contract between the policyowner and the insurance company include
OWNERSHIP PROVISION
PREMIUM PAYMENT
Policyowner binds the insurance company to its promise – to pay upon
death of the insured, the face amount of the policy as a death benefit to
a named beneficiary – through the payment of premiums.
• Premiums not paid beyond the grace period, will be automatically be paid
by making a loan against the cash value of the policy provided there is
enough cash value to pay for the premium due.
• This option has to be chosen by the policyowner.
• Loans taken against the policy’s cash values are subject to interest to
replace investment income.
Policy Provisions
• Assuming on the 5th policy year her cash value is 45,978.00, she can make a
policy loan and use the money which ever way she pleases.
• She must take note however, that it is still a loan. It can be left unpaid however it
will eat up the cash values of your policy and if unpaid till the death of the
insured, the amount of unpaid loan will be deducted from the death proceeds.
Policy Provisions
ASSIGNMENT OF POLICY
• Collateral Assignment – transfer of some rights usually
the right to receive the proceeds
• Absolute Assignment – transfer of all rights of the policy
Company must be notified in writing through the
submission of the copy of the Deed of Absolute
Assignment.
Example:
This happens when the original policy owner surrenders all his rights over
the policy to the assignee.
What are some rights over a policy?
Policy Provisions
24. If a policyowner does not pay a premium on the due date , the policy will
immediately
a)Lapse
b)Be converted to a paid up policy for a lesser amount
c) Go into automatic premium loan
d)Continue in full force for a period of grace
25. Which one of the following provisions in a permanent life insurance policy may
lapse for non payment of premium
a)Guaranteed insurability
b)Automatic premium loan
c) Settlement options
d)Reinstatement provisions
Pop 23. To calculate the premiums for the other modes of premium payment the
Quiz! annual premium is
24. If a policyowner does not pay a premium on the due date , the policy will
immediately
a)Lapse
b)Be converted to a paid up policy for a lesser amount
c) Go into automatic premium loan
d)Continue in full force for a period of grace
25. Which one of the following provisions in a permanent life insurance policy may
lapse for non payment of premium
a)Guaranteed insurability
b)Automatic premium loan
c) Settlement options
d)Reinstatement provisions
Pop
26. Under the law pertaining to life insurance
Quiz!
a)Only minor children can be named irrevocable beneficiaries
b)Only the wife can be named irrevocable beneficiary
c) On the wife and the children can be named irrevocable beneficiaries
d)Any person with insurable interest can be named irrevocable beneficiaries
Premium based
on declared age Adjusted
X FA = Liability
Premium based On
real age
Policy Provisions
If an insured takes his own life, after the policy has been in
force more than 2 years, the company will pay the full
proceeds, however;
If suicide takes place within the first 2 years that the policy is
in force the company will only refund all the premiums paid
by the policyowner except in cases of suicide due to insanity.
Policy Provisions
Methods of Reinstatement
Insurance Commission
29. If a policy owner does not pay a premium on the due date, the policy
will immediately
a)Lapse
b)Be converted to a paid up policy for a lesser amount
c) Go into automatic premium loan
d)Continue in full force for a period of grace
29. If a policy owner does not pay a premium on the due date, the policy
will immediately
a)Lapse
b)Be converted to a paid up policy for a lesser amount
c) Go into automatic premium loan
d)Continue in full force for a period of grace
➢ Rebating
• offering part of the commission to client
• accepting a smaller premium than the one stipulated in the
policy or;
• offering anything of value to influence the prospect to buy
the policy.
➢ Twisting or Replacement
• is persuading the person to lapse or surrender a policy in
order to purchase a new one
Unethical Practices
➢ Knocking
• making derogatory remarks about a competing policy, agent
or company
➢ Misrepresentation
• is the making of any false or misleading statements in the
selling of life insurance
➢ Overloading
• when an agent sells more than what the client needs and
afford
Pop 34. An agent is prohibited from doing all of the following except;
a)An agent is allowed to share commissions when selling a whole life policy
but not when selling a term policy
b)An agent is allowed to share commissions with another license agent or
agents but with no one else
c) Sharing the commission with any other person is called twisting
d)An agent is not allowed to share commissions with any person
Pop 34. An agent is prohibited from doing all of the following except;
a)An agent is allowed to share commissions when selling a whole life policy
but not when selling a term policy
b)An agent is allowed to share commissions with another license agent or
agents but with no one else
c) Sharing the commission with any other person is called twisting
d)An agent is not allowed to share commissions with any person
Pop 37. Inducing an insured to lapse or forfeit his insurance
Quiz! a)Is not allowed by the conditions of the contract
b)Is always to the advantage of the policyholder
c) Is an offense in the great majority of cases
d)Is a manner left entirely to the discretion of the agent
38. The following are unethical practices in the solicitation and procurement
of insurance except
38. The following are unethical practices in the solicitation and procurement
of insurance except
2.Indicate which of the following is not a function of an application for life insurance
policy
a) No cash value is available to the policy owner during the term of the policy
b) Renewal and conversion privileges are available
c) A benefit will be paid at the end of the period of coverage if the person insured is
then alive
d) Insurance protection will be limited to a specified period
Review Questions
1.In a policy where an irrevocable beneficiary has been designated by the insured,
without the beneficiary’s permission, can
2.Indicate which of the following is not a function of an application for life insurance
policy
a) No cash value is available to the policy owner during the term of the policy
b) Renewal and conversion privileges are available
c) A benefit will be paid at the end of the period of coverage if the person insured is
then alive
d) Insurance protection will be limited to a specified period
Review Questions
4. A father has his present life insurance payable to his estate and because he
has now retired he wants to pass the policy on to his son who will assume the
premium payments. Which of the following will he have to appoint his son to
achieve his desire and protect the son from Estate Tax Liability?
5. Which of the following is the least important reason for requiring that the
insurance agents be licensed?
4. A father has his present life insurance payable to his estate and because he
has now retired he wants to pass the policy on to his son who will assume the
premium payments. Which of the following will he have to appoint his son to
achieve his desire and protect the son from Estate Tax Liability?
5. Which of the following is the least important reason for requiring that the
insurance agents be licensed?
a) Company discovers at any time that the policy owner was actually a minor
at the time of application
b) Insured person intentionally kills himself during the suicide exclusion period
specified in the policy
c) Insured person is killed in military action during the contestability period of
the policy
d) Company discovers during the contestability period that the application
contains a material statement
7. In the event that a policy owner elects the paid-up insurance option
a) The premiums stop and the policy continues for the full face amount until
age 65
b) The insurance continues at a reduced amount and with a reduced premium
c) The policy will automatically terminate
d) The premiums cease and protection continues with a reduced amount of
coverage
Review Questions
6. An insurance company generally has the right to rescind a life insurance
policy if
a) Company discovers at any time that the policy owner was actually a minor
at the time of application
b) Insured person intentionally kills himself during the suicide exclusion period
specified in the policy
c) Insured person is killed in military action during the contestability period of
the policy
d) Company discovers during the contestability period that the application
contains a material statement
7. In the event that a policy owner elects the paid-up insurance option
a) The premiums stop and the policy continues for the full face amount until
age 65
b) The insurance continues at a reduced amount and with a reduced premium
c) The policy will automatically terminate
d) The premiums cease and protection continues with a reduced amount of
coverage
Review Questions
8. The company will allow a policy change from a higher premium to a lower
premium provided the insured
12.The total life coverage of a permanent basic policy can be greatly increased
through the use of
12.The total life coverage of a permanent basic policy can be greatly increased
through the use of
18. Endowment life insurance and term life insurance are similar in that both
plans
18. Endowment life insurance and term life insurance are similar in that both
plans
a) Counselor selling
b) Total needs selling
c) Planned selling
d) Multiple products selling
a) Counselor selling
b) Total needs selling
c) Planned selling
d) Multiple products selling
26. If the applicant for life insurance fails to disclose or misrepresents a material fact,
the contract is
27. In certain situations a company may file interpleader actions with a Court of Law.
This remedy is used to
26. If the applicant for life insurance fails to disclose or misrepresents a material fact,
the contract is
27. In certain situations a company may file interpleader actions with a Court of Law.
This remedy is used to
28. Non-forfeiture provisions are included in a whole life and endowment policies to
assure the policyowner that certain minimum policy benefits shall remain with him
even under certain changed conditions. Non-forfeiture values guarantee to the
policyowner that
28. Non-forfeiture provisions are included in a whole life and endowment policies to
assure the policyowner that certain minimum policy benefits shall remain with him
even under certain changed conditions. Non-forfeiture values guarantee to the
policyowner that
33. If the interest on a policy loan is not paid at the policy anniversary the insurance
company may
34. The basic coverage provided by life insurance policies may be supplemented by
separate provision that provide coverage for additional amounts or of a different
nature. Collectively, these provisions are known as
a) Riders
b) Deposit privileges
c) Dividends
d) Assignment
Review Questions
33. If the interest on a policy loan is not paid at the policy anniversary the insurance
company may
34. The basic coverage provided by life insurance policies may be supplemented by
separate provision that provide coverage for additional amounts or of a different
nature. Collectively, these provisions are known as
a) Riders
b) Deposit privileges
c) Dividends
d) Assignment
Review Questions
a) The cash value of a whole life policy builds up at a slower rate than for a 20
year endowment
b) The cash value in a permanent policy is guaranteed by the company
c) The cash value of an endowment builds up faster than that for a limited
pay life policy of the same duration
d) Because of its very short duration the cash value of a yearly renewable
term policy grows very fast
36. If the interest on a policy loan is not paid at the policy anniversary the
insurance company may
a) The cash value of a whole life policy builds up at a slower rate than for a 20
year endowment
b) The cash value in a permanent policy is guaranteed by the company
c) The cash value of an endowment builds up faster than that for a limited
pay life policy of the same duration
d) Because of its very short duration the cash value of a yearly renewable
term policy grows very fast
36. If the interest on a policy loan is not paid at the policy anniversary the
insurance company may
37. When you bought an insurance policy on your wife’s life, you were 27 and she
was 26, but you stated that you were 26 and she was 27. Five years later your wife
died. The insurer will pay
37. When you bought an insurance policy on your wife’s life, you were 27 and
she was 26, but you stated that you were 26 and she was 27. Five years later
your wife died. The insurer will pay
40. A yearly renewable term life insurance policy generally specifies that
40. A yearly renewable term life insurance policy generally specifies that
42. In a case where the premium has not been paid and the cash value has been
exhausted, the policy can still avail of grace period.
45. A policy is still in force for the full face amount and will remain in force for a
further period of four years and 118 days without the payment of any premiums
if has availed of paid-up insurance option.
Review Questions
DIRECTION:
Under Column A of your answer sheet, write T if the statement is TRUE and F if the
statement is FALSE.
42. In a case where the premium has not been paid and the cash value has been
exhausted, the policy can still avail of grace period. (F)
45. A policy is still in force for the full face amount and will remain in force for a
further period of four years and 118 days without the payment of any premiums
if has availed of paid-up insurance option. (T)
Review Questions
47. A policy that provides guaranteed cash value plus extra annual distributions
and pays the insured after a specified time is known as participating endowment.
48. An endowment at age 65 policy with premium payable for a limited period of
20 years pays the full amount after 20 years.
49. Anti-selection occurs when persons in poor health wish to buy insurance.
50. According to the law of large numbers, events which happen seemingly by
chance will actually be found to follow a predictable pattern if enough such
happenings are observed.
Review Questions
47. A policy that provides guaranteed cash value plus extra annual distributions
and pays the insured after a specified time is known as participating
endowment.(T)
48. An endowment at age 65 policy with premium payable for a limited period of
20 years pays the full amount after 20 years. (T)
49. Anti-selection occurs when persons in poor health wish to buy insurance. (T)
50. According to the law of large numbers, events which happen seemingly by
chance will actually be found to follow a predictable pattern if enough such
happenings are observed. (T)
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