General Insurance PrinciplesQuestion 299 of 315

On an insurance application, the applicant fails to disclose a serious heart condition that he knows about and that materially affects the risk. The insurer issues a life policy. Which California Insurance Code concept BEST describes this conduct?

a.Warranty — a stated promise that some fact is true and shall remain true during the policy
b.Representation — an oral or written statement of a fact made to induce the insurer to enter the contract; only material misrepresentations give the insurer rescission rights
c.Concealment — neglect to communicate something the applicant knows and ought to communicate; even unintentional concealment of a material fact entitles the insurer to rescind under California Insurance Code §330-§339
d.Adhesion — the applicant adhered to the insurer's pre-printed form

Explanation

California Insurance Code §330 defines CONCEALMENT as 'neglect to communicate that which a party knows, and ought to communicate.' Under §331, 'Concealment, whether intentional or unintentional, entitles the injured party to rescind insurance' — a strict standard reflecting that materially silent applicants undermine the insurer's risk assessment in a contract of utmost good faith. WARRANTY (§440 et seq.) is a stated promise within the contract; breach also permits rescission but warranties are rarer in modern policies. REPRESENTATION (§350-§360) is an inducing statement; only MATERIAL misrepresentations support rescission. ADHESION is a contract-formation doctrine, not a disclosure rule. Option A misses that warranties are explicit contract promises. Option B does not capture failure to speak. Option D is off-topic. The hallmark of concealment is silence about a known, material fact.

Law Reference: California Insurance Code §330-359 (concealment, misrepresentation, warranties)

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