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Life Policy Provisions

26 questions

1. Under the incontestability clause required in California life policies, after how many years from the date of issue can an insurer no longer contest the policy except for fraud or non-payment of premium?

a.1 year
b.18 months
c.2 years
d.3 years

California requires every life insurance policy to be incontestable after it has been in force during the lifetime of the insured for 2 years from its date of issue, except for non-payment of premium and certain fraud-related defenses.

Cal. Ins. Code §10113.5

2. What is the free-look period that California requires on a life insurance or annuity policy issued to a senior age 65 or older?

a.10 days
b.30 days
c.20 days
d.15 days

While standard individual life policies must give at least a 10-day free-look, California requires a 30-day free-look period when the policy is issued to an applicant 65 or older.

Cal. Ins. Code §10127.9

3. The entire contract clause in a California life policy means that the policy contract consists of which of the following?

a.The policy only
b.The policy and the agent's sales illustrations
c.The policy and the insurer's underwriting manual
d.The policy together with the attached written application

Under the entire contract provision, the policy and the application attached to it constitute the entire contract between the parties. Verbal statements, sales illustrations, and underwriting manuals are not part of the contract.

Cal. Ins. Code §10113

4. What is the typical grace period required in a California individual life insurance policy for payment of an overdue premium without lapse of coverage?

a.10 days
b.20 days
c.31 days
d.60 days

California life policies must include a grace period of at least one month (typically 31 days). During this period the policy remains in force, and if death occurs, the unpaid premium is deducted from the proceeds.

Cal. Ins. Code §10113

5. After a life insurance policy has lapsed for non-payment, the reinstatement provision generally requires which of the following from the policyowner?

a.Only payment of one current premium
b.Proof of insurability and payment of all back premiums with interest
c.A new application and a higher premium rate
d.Approval from the state insurance commissioner

To reinstate a lapsed life policy within the reinstatement period (typically three to five years), the insured must provide evidence of insurability and pay all overdue premiums plus interest. The original policy is restored rather than a new contract being issued.

Cal. Ins. Code §10113

6. If an insured dies by suicide 18 months after the policy was issued, how is the death claim typically handled under the standard California suicide clause?

a.The insurer refunds premiums paid but does not pay the death benefit
b.The full death benefit is payable as usual
c.Half of the death benefit is payable
d.The claim is denied with no refund

California life policies typically include a two-year suicide exclusion. If the insured dies by suicide within those two years, the insurer is only required to refund premiums paid (less any debt). After the two-year period, suicide is a covered cause of death.

Cal. Ins. Code §10113

7. If an applicant misstates their age on a life insurance application and the error is discovered after death, what action does the misstatement-of-age provision require?

a.The policy is voided and premiums refunded
b.The benefit is adjusted to the amount the paid premium would have purchased at the correct age
c.The insurer denies the claim outright
d.The full face amount is paid regardless of the misstatement

Under the misstatement-of-age (and sex) provision, the policy is not voided. Instead, the death benefit is adjusted to the amount that the actual premium paid would have purchased had the correct age (or sex) been used at issue.

Cal. Ins. Code §10113

8. Under which settlement option does the insurer retain the death benefit and pay only the earnings on it to the beneficiary at regular intervals?

a.Fixed period
b.Fixed amount
c.Interest only
d.Life income

Under the interest-only settlement option, the principal remains with the insurer and the beneficiary receives only the interest credited on those proceeds, typically until a future date or until the beneficiary elects another option.

Cal. Ins. Code §10113

9. A beneficiary wants guaranteed equal payments for the next 20 years, even if she dies before that period ends, with any remaining payments going to her estate. Which settlement option meets this need?

a.Fixed period
b.Interest only
c.Straight life income
d.Life with refund

The fixed-period option pays the proceeds (with interest) in equal installments over a stated number of years. If the payee dies before the period ends, the remaining guaranteed payments continue to the contingent payee or estate.

Cal. Ins. Code §10168

10. Which life-income settlement option provides the largest periodic payment to a single beneficiary, but stops entirely at that beneficiary's death with no refund?

a.Life with period certain
b.Joint and survivor
c.Life with installment refund
d.Straight life (pure life) income

Straight life (pure life) income produces the largest periodic payment because the insurer's obligation ends at the annuitant's death, with no guarantee to any survivor or estate. Options with refund or period certain reduce each payment in exchange for additional guarantees.

Cal. Ins. Code §10168

11. Which nonforfeiture option uses the cash value of a lapsed permanent policy to keep the same face amount in force as term insurance for as long as the cash value will last?

a.Reduced paid-up insurance
b.Extended term insurance
c.Cash surrender
d.Automatic premium loan

Extended term insurance uses the existing cash value as a single premium to purchase term insurance equal to the original face amount, lasting as long as the cash value will buy coverage. In most permanent policies this is the automatic (default) nonforfeiture option.

Cal. Ins. Code §10209

12. An owner of a lapsed whole life policy elects the reduced paid-up nonforfeiture option. What is the result?

a.Original face amount continues, but no further premiums are due
b.Term coverage equal to face amount continues until cash value is exhausted
c.A smaller permanent policy with no future premiums, payable at death or earlier surrender
d.A lump-sum cash payment equal to the cash value

Reduced paid-up uses the cash value as a single premium to purchase a smaller fully paid-up permanent policy. No further premiums are due, coverage lasts for life, and the new face amount is less than the original.

Cal. Ins. Code §10209

13. Policy dividends paid on participating life insurance policies are generally treated for federal income-tax purposes as which of the following?

a.Ordinary taxable income each year
b.Capital gains
c.Taxable wages
d.A non-taxable return of premium, until cumulative dividends exceed the premiums paid

Dividends on participating life policies are considered a return of unused premium and are generally not taxable. They become taxable only to the extent cumulative dividends received exceed total premiums paid into the policy, or when held at interest (the interest itself is taxable).

Cal. Ins. Code §10110

14. Which dividend option uses the dividend to purchase a small amount of additional permanent life insurance with its own cash value, increasing both the death benefit and the cash value?

a.Paid-up additions
b.Reduce premium
c.Cash
d.Accumulate at interest

The paid-up additions (PUA) dividend option uses each dividend as a single premium to buy a small block of additional, fully paid-up permanent insurance. Each PUA carries its own death benefit and cash value, increasing the policy's total values over time.

Cal. Ins. Code §10172

15. An insured names her spouse as primary beneficiary on an irrevocable basis. Several years later she wants to change the beneficiary. What must she do?

a.Simply submit a new beneficiary designation form
b.Obtain the written consent of the irrevocable beneficiary
c.Wait until the policy anniversary date
d.Cancel the policy and apply for a new one

An irrevocable beneficiary has a vested interest in the policy. The owner cannot change the beneficiary, surrender the policy, take a loan against cash value, or assign the policy without the irrevocable beneficiary's written consent.

Cal. Ins. Code §10130

16. An insured and her primary beneficiary die in the same auto accident, and it cannot be determined who died first. Under the Uniform Simultaneous Death Act adopted in California, how are the proceeds typically distributed?

a.Equally between both estates
b.To the primary beneficiary's estate
c.As if the insured survived the beneficiary, so proceeds go to the contingent beneficiary or insured's estate
d.The proceeds escheat to the state

Under the Uniform Simultaneous Death Act, when the insured and the primary beneficiary die in a common disaster and the order of deaths cannot be established, the insured is presumed to have survived the beneficiary. The death benefit is therefore paid to the contingent beneficiary, or to the insured's estate if none.

Cal. Prob. Code §220 (Uniform Simultaneous Death Act)

17. A policyowner names his three adult children equally as primary beneficiaries 'per stirpes.' One child predeceases the insured, leaving two grandchildren. How are the proceeds distributed at the insured's death?

a.Each surviving child receives one-third; the deceased child's share is split between the two grandchildren
b.The two surviving children divide the entire proceeds equally
c.Each surviving child and each grandchild receives one-fourth
d.The estate of the deceased child receives one-third in full

Per stirpes (by branch) distribution sends a deceased beneficiary's share down to that beneficiary's descendants. Each surviving child still receives one-third; the predeceased child's one-third share is divided equally between his or her two children (each grandchild gets one-sixth).

Cal. Ins. Code §10130

18. A spendthrift clause attached to a life insurance settlement is designed primarily to do which of the following?

a.Allow the beneficiary to withdraw the entire balance at any time
b.Protect the proceeds from claims of the beneficiary's creditors and from the beneficiary's own assignment
c.Increase the rate of interest paid by the insurer
d.Require court approval before any payment is released

A spendthrift clause restricts the beneficiary's ability to anticipate, assign, or otherwise transfer future installment payments. It also shields those future payments from most creditors, helping protect a beneficiary who may be financially unsophisticated.

Cal. Ins. Code §10130.5

19. When a life insurance policyowner makes an absolute assignment of the policy, what is the result?

a.Only the death benefit is transferred; ownership stays with the original owner
b.The assignment is voided after one year
c.The insurer assumes ownership for collateral purposes only
d.All ownership rights are permanently transferred to the assignee

An absolute assignment is a full and permanent transfer of all ownership rights in the policy to the assignee. A collateral assignment, by contrast, transfers only enough rights to secure a debt, with remaining benefits reverting to the policyowner once the debt is paid.

Cal. Ins. Code §10130

20. A convertible term policy is converted to a permanent policy in the fourth year of coverage. Which best describes the conversion?

a.The insured must complete a new medical exam to qualify
b.The new permanent policy is issued at the insured's original issue age and original health class only
c.The conversion can occur without evidence of insurability, and the new permanent policy's premium is based on either attained age or original age, per policy terms
d.The conversion is allowed only at the end of the term period

The conversion privilege lets the policyowner exchange a convertible term policy for a permanent policy without showing evidence of insurability, as long as it is exercised within the conversion period defined in the policy. The new permanent policy's premium is set using either the attained-age method or the original-age method, depending on what the policy allows.

Cal. Ins. Code §10209.5

21. Under a typical Accidental Death Benefit (double indemnity) rider, the additional benefit is paid only if the insured's death results from accidental bodily injury and occurs within what time frame after the accident?

a.30 days
b.90 days
c.1 year
d.2 years

Most Accidental Death Benefit (ADB) riders require that the insured's death from an accidental bodily injury occur within 90 days of the accident for the additional 'double indemnity' to be payable. The rider also typically expires at a stated age (often 65 or 70).

Cal. Ins. Code §10271

22. How does the waiver-of-premium rider on a life insurance policy work?

a.If the insured becomes totally disabled (typically for at least 6 months) before a stated age, the insurer waives subsequent premiums and the policy continues in full force
b.The insurer refunds all premiums when the insured turns 65
c.Premiums are skipped automatically each year on the policy anniversary
d.The insurer reduces the death benefit to lower future premiums

Under a waiver-of-premium rider, if the insured becomes totally disabled before a stated age (often 60 or 65) and the disability lasts longer than a defined waiting period (commonly 6 months), the insurer waives further premiums during the disability. Coverage and cash value continue building as if premiums were paid.

Cal. Ins. Code §10271

23. The Guaranteed Insurability rider (GIR) primarily allows the insured to do which of the following?

a.Receive a refund of premiums at the policy's tenth anniversary
b.Convert the policy to an annuity at retirement
c.Borrow additional cash value without interest
d.Buy additional life insurance at specified ages or events without evidence of insurability

A Guaranteed Insurability rider gives the insured option dates (often every three years up to a certain age) and life events (such as marriage or birth of a child) on which additional permanent life insurance can be purchased without new medical underwriting.

Cal. Ins. Code §10271

24. An accelerated benefit rider on a life insurance policy generally allows which of the following?

a.Receipt of all premiums paid as a refund at age 65
b.Doubling of the death benefit at age 70
c.Advance payment of a portion of the death benefit if the insured is diagnosed with a qualifying terminal or chronic illness
d.Free withdrawal of cash value with no impact on the death benefit

An accelerated benefit (living benefit) rider lets the insured receive an advance on part of the policy's death benefit when diagnosed with a qualifying terminal, chronic, or sometimes critical illness as defined in the rider. The remaining death benefit at death is reduced accordingly.

Cal. Ins. Code §10295.1

25. A whole life policyowner takes a policy loan against the cash value. Which of the following best describes the loan?

a.The loan must be repaid in full within 12 months or the policy lapses
b.Any unpaid loan balance plus interest reduces the death benefit paid to beneficiaries
c.The loan is taxable as ordinary income in the year taken
d.The insurer can refuse the loan once cash value reaches a stated maximum

Cash-value policy loans do not have a fixed repayment schedule. If the loan and accrued interest remain unpaid at death, the insurer deducts the outstanding balance from the death benefit. Loans from non-MEC permanent policies are generally not income-taxable while the policy stays in force.

Cal. Ins. Code §10110

26. An insured wants to name his 7-year-old grandson as primary beneficiary of a $500,000 policy. Which arrangement is generally the most appropriate way to ensure the proceeds are managed for the minor?

a.Name the proceeds payable to a trust or under the California Uniform Transfers to Minors Act (UTMA) custodian for the grandson
b.Pay the proceeds directly to the 7-year-old in a lump sum
c.Withhold all proceeds until the grandson turns 35
d.Pay the proceeds to the insurer to manage indefinitely

Minors generally cannot receive life insurance proceeds directly. The most common solutions are to name a trust as beneficiary, or to direct proceeds to a custodian under the California Uniform Transfers to Minors Act (UTMA), which manages the funds until the minor reaches the age specified by law.

Cal. Prob. Code §3900 (UTMA)