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Industry Policy Provisions and Starting Your Journey
Industry Policy Provisions and Starting Your Journey
This module will cover discussions about the legal aspects of life insurance, and general policy
provisions to the insurance industry. You will also discover your Sun Life journey.
Lesson 1 of 34
Introduction
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Lesson 2 of 34
Learning Objectives
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Lesson 3 of 34
Topic Overview
In order for you to be able to successfully market Sun Life products and your services to potential clients as an
advisor, you need to have a deeper awareness of how life insurance works as a contract. In this topic, we will discuss
the legal aspects that revolves around a life insurance policy.
A life insurance policy is a legal contract between the two parties of the contract, the policyowner and the life
insurance company. Since the company is bound by all the promises in the policy if the contract is in force, it is
important to know what type of contract a life insurance policy is.
By the end of this topic, you should be able to:
Define the eligibility and qualification of a
policy owner and insurance company
Define insurable interest
Determine how insurable interest is established
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Lesson 4 of 34
We mentioned earlier that a life insurance policy is a contract of our promise of protection to our client. As there are
many types of legal contracts, here are the types of contracts that may help you understand what an insurance policy
is.
Valued Contract
–
A policy specifies the amount of benefit that will be payable when a covered loss occurs,
regardless of the actual amount of the loss that was incurred.
Informal Contract
–
A policy is enforceable because the parties to the contract met requirements concerning
the substance of agreement.
Unilateral Contract
–
In a life insurance policy, only one of the parties to the contract, in this case the insurer,
has a legally enforceable obligation.
Aleatory Contract
–
In a life insurance policy, one party provides something in value to another party in
exchange for a conditional promise. A conditional promise is a promise to perform a
stated act if a specified, uncertain event occurs, then the promise must be performed; if
the event does not occur, the promise will not be performed. Also under an Aleatory
contract, if the specified event occurs, one party may then receive something of greater
value than that party gave.
Contract of Adhesion
–
In a life insurance policy, one party, in this case, the insurer, prepares the contract which the other party, in this case,
the client, may accept or reject as a whole, without any bargaining between the parties to the agreement.
To know more about the different types of contract, please download this file.
One party must make an offer and another party must accept that offer in order to form a
legal contract. For example, if the company issues the policy at standard rates, this is
considered an offer and, to form a contract, the applicant accepts it by paying the
required premium.
O F F E R A N D A C C E P TA N C E CONDITIONAL CONTRACT AND RECE...
In most cases, when an advisor receives the premium payment from the client, he/she
issues a conditional receipt to acknowledge the payment. With this, the applicant and the
company have formed a conditional contract. This contract is contingent upon the
conditions that existed at the time the application was signed or when any later medical
exam was completed. When a qualified applicant pays the premium, the risk is taken
from the person, and assumed by the company.
The conditional receipt can provide insurance coverage earlier than the policy delivery
date if certain requirements are met. But if the requirements are not met or the
application is declined, the company may terminate the initial coverage.
The client and the company have agreed and entered into a contract upon payment of the
first premium, but since an actual contract is yet to be drafted/made available, the
company gives a conditional (or temporary) contract.
Complete the content above before moving on.
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Lesson 5 of 34
Legal Capacity
A Life Insurance company has the legal capacity to enter into a life insurance contract if it:
A policyowner has the legal capacity to enter into a life insurance contract if he/she is:
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Lesson 6 of 34
Insurable Interests
Insurable Interest
Insurable Interest exists when a policyowner has reasonable chance of suffering financial
loss if the person who is insured dies.
It should also exist between the insured and the named beneficiaries.
According to the Insurance Code, here are some relationships where insurable interest may exist. Every person has
an insurable interest in the life and health:
Of any person on whom he depends wholly or in part for education or support, or in whom he has a
pecuniary interest
Of any person under a legal obligation to him for the payment of money, or respecting property or
services, of which death or illness might delay or prevent the performance
Of any person upon whose life any estate or interest vested in him depends
LET'S REVIEW
Lesson 7 of 34
Let's Review
Specifies the amount of benefit that will be payable when a covered loss
occurs, regardless of the actual amount that was incurred.
Contract of Indemnity
Informal Contract
Valued Contract
Unilateral Contract
SUBMIT
Only one of the parties (insurer) to the contract has legally enforceable
promises.
Bilateral Contract
Valued Contract
Contract of Indemnity
Unilateral Contract
SUBMIT
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Lesson 8 of 34
Topic Summary
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Lesson 9 of 34
Topic Overview
You will learn all about the provisions in the contract. This topic will inform you about necessary information
regarding your client's policy, while he is alive and the policy is active, when he wants to quit paying premiums or
when he passes away.
What you will learn are terms that are general to the insurance industry.
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Lesson 10 of 34
C O NT I NU E
While the insured is alive and the policy is active, the policyowner can exercise his rights to the policy. The
following are the provisions in his contract:
Entire Contract Clause
This provision states that policyowners have valuable rights under their
insurance contracts. In this provision, policyowners have the right to
assign, transfer, or have their policies amended. They can also change
their beneficiaries and exercise every option and privilege provided in
their contracts or allowed by company practice.
They also have full right to cash values and dividends, if any, under their
policies. They may also transfer these rights to others if they so desire.
Premium Payment
After the contract becomes binding with the payment of the first premium,
the payment of the subsequent premiums is entirely dependent on the will
of the insured. Therefore, as long as the policyowner keeps on paying the
premiums, the company is bound to carry out its part of the contract,
whatever the future may be.
Grace Period
The Grace Period Provision occurs when the policyowner neglects to pay
premiums on the due date of the policy. This provision protects the policy
from lapsing.
Policy Loan
Cash Values are the guaranteed amount received in case the plan is
terminated prior to the death of the insured or the maturity of the policy.
These are the savings element of policies. Policies generally, acquire cash
values after the payment of three consecutive annual premiums.
If the loan is unpaid at the time of death of the insured, loan balances and
any interest due are deducted from the proceeds of the policy at the time of
claim settlement. If it is not paid at policy anniversary, the company may
increase the present loan by the interest.
Assignment
In this scenario, the policy is said to be assigned. There are two types of
assignment, Absolute and Collateral. One can transfer or assign all the
rights of the policy to another, called Absolute Assignment. This also
exempts the assignee from Estate Tax. For example, a company who
insured its Key Man, may assign the policy to him after he retires, making
him the new policyowner.
Dividends
Dividends are paid on participating policies. At the end of the year, the
company issuing participating policies looks over the year's operations.
The company can return a part of the policyowner's premium in the form
of dividends. Therefore, the value or amount of dividends are NOT
GUARANTEED.
Dividend Options
When the insured stops paying, they may opt for either Non-Forfeiture Options or Reinstatement.
Non-Forfeiture Options
Non-Forfeiture Options are options a policyowner has when they want to stop paying for
their premiums on whole life and endowment policies. Companies may also elect an
automatic non-forfeiture option upon the application.
Reduced Paid-Up
In the Automatic Premium Loan option, the company lends to the insured
such an amount from the cash value to pay for overdue premiums. This
can be done as long as there is sufficient cash value to keep the policy
active. The policy will also remain in force for only such period. After the
cash value has been exhausted, the policy will lapse unless premium
payments are resumed and loans are paid.
Reinstatement
Reinstatement is a provision that may revive or save a policy even when it has already lapsed. Unless certain
conditions apply, the policyowner has the right to reinstate the lapsed policy and bring its value up-to-date. However,
this provision does not apply to policies that have been surrendered already for their equivalent cash value.
The policyowner has three years from the date the policy lapsed to reinstate the policy.
After three years of lapsation, the policyowner cannot revive his policy anymore. In some companies, reinstatement
can be done even when the policy has lapsed for five years.
The policyowner must also furnish evidence of insurability which is satisfactory to the insurance company.
Flip each card to know the two options of reinstatement.
Statement of Age
Contestability
Manner of Death
Beneficiary
Settlement
Statement of Age
The age of the insured is very important to determine the correct premium
rate for life insurance. If there has been a misunderstanding about the
applicant's age, the company would be acting on wrong information in
setting the premium rate for the policy. Thus, whenever the company
learns, after the policy has been issued, that the wrong age was used to
establish the premium, an adjustment must be made either in the amount
of insurance protection proceeds the policyowner may receive upon death.
Contestability
Through this clause, the company is given two years to rescind or contest
the validity of the life insurance contract by reason of concealment or
misrepresentation upon death of the insured. The incontestable period will
not begin until the policy has been in force for two years during the
lifetime of the insured.
The company has the right to question the statements in any application
and the incontestable clause sets that limit to the length of time that the
company holds that right. After a period of two years of the policy being
in force and the company did not raise any objection during that period,
there can be no objections about the payment of proceeds at the insured's
death.
Manner of Death
For the protection of the company and its policyowners, a suicide clause is
necessary to discourage financially desperate people from purchasing
policies with suicide already in mind.
If an insured takes his own life within two years of the policy being in
force, the company will pay the beneficiary a refund of all the premiums
paid by the policyowner. However, if the suicide takes place after two
years, the company will pay the full proceeds as if the reason for death
was of natural cause.
Beneficiary
Settlement options are ways wherein the company can hold in trust the
proceeds of the policy. The company guarantees the absolute safety of
funds and keeps them profitably invested so that they will earn a fair rate
of interest.
Types of Beneficiary
A secondary or contingent
beneficiary is a person nominated
by the policyowner to receive the
proceeds of the policy in case of
death of the primary beneficiary.
Policyowners can name more than one beneficiary in any category and specify how much of death
proceeds each one will receive. If there is no named beneficiary in the policy, the proceeds will go
to the insured's estate A person's estate is the sum of all the properties of an individual. This
includes cars, savings accounts, house and lots, businesses, land and the like.
A policyowner may also state a beneficiary's revocabilty. This means they have the right whether or not they want to
retain or change their beneficiaries.
Revocable
Policyowners can regain full control of their policy if the irrevocable beneficiary gives his
written consent and if the policyowner outlives the irrevocable beneficiary.
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Lesson 12 of 34
Settlement Options
Previously, claims were paid out in lump sum. However, some beneficiaries made unwise investments or
mismanaged the money and the proceeds were quickly used up.
Fixed Period Option | Fixed Income Option
In this option, the company pays the beneficiary equal amounts at regular intervals over a specified period of years.
Both the principal amount and interest earnings are paid out.
The amount of each installment is determined by the length of desired period of income.
If this option is selected, the policy proceeds are used to pay out a specified amount of income as long as the
proceeds last. It pays out both the principal proceeds and earnings from interest.
Life Income Option
Under this option, the beneficiary receives a guaranteed regular income, not for a specified period of years, not as
long as the proceeds last but for the primary beneficiary's entire lifetime, no matter how long he lives.
Let's Review
Redating Provision
SUBMIT
Pays the beneficiary equal amounts at regular intervals over a specified
period of years.
Lump Sum
Interest Option
SUBMIT
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Lesson 14 of 34
Topic Summary
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Lesson 15 of 34
Topic Overview
Before we dive into more details, let us first define and find out what annuity is.
What is Annuity?
An annuity is not really a life insurance policy. It is merely a purchase of income. Annuities answer the needs of
people who would want a steady flow of income during their later years. Individuals who purchase annuities are
called annuitants.
An annuity is a scientific liquidation of both capital and interest with income payments so calculated that the annuity
income is not depleted before the person receiving it dies.
So how are annuities different from life insurance contracts?
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Lesson 16 of 34
Types of Annuities
The two types of annuities are Fixed Annuities and Variable Annuities. Click Continue to know more.
C O NT I NU E
Fixed Annuities
Fixed Annuities are contracts where the insurance company makes fixed payments to the annuitant for the term
of the contract, usually until the annuitant dies. The company guarantees both earnings and the principal.
Variable annuities
Variable annuities cannot guarantee an interest yield from investments because its results are usually geared
mostly to a portfolio of common stocks.
Deferred
–
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Lesson 17 of 34
Annuity Settlement
Annuities have different settlement arrangements, especially when the annuitant passes away after annuity income
has already been provided. They are as follows:
Life Annuity
If annuitant dies, the beneficiary will receive cash payment equal to annuity fund
If annuitant dies, the beneficiary will receive the same monthly income
If either dies, the same income continues to the survivor for life
if annuitant dies within a specified period, such as 10 or 20 years, payments will continue until
the end of the period.
LET'S REVIEW
Lesson 18 of 34
Let's Review
Life Annuity
SUBMIT
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Lesson 19 of 34
Topic Summary
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Lesson 20 of 34
Topic Overview
In this topic, you will learn ethical selling in the life insurance industry. We will also cover the common unethical
practices which will help you understand the need to observe proper ethics.
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Lesson 21 of 34
Unethical Practices
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Lesson 22 of 34
Let's Review
These are the common unethical practices that will help you understand the
need to observe proper ethics. Select all that apply.
Twisting
Knocking
Overloading
Rebating
Misrepresentation
Selling
Authorizing
SUBMIT
This practice refers to when a person makes derogatory remarks about competing
policies, advisors or companies.
Twisting
Overloading
Knocking
Rebating
Misinterpretation
SUBMIT
This practice refers to when an advisor offers part of their commission to their client, or
accepting a smaller premium than the one stipulated in the policy.
Twisting
Overloading
Knocking
Rebating
Misinterpretation
SUBMIT
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Lesson 23 of 34
Topic Summary
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Lesson 24 of 34
Topic Overview
This topic discusses the steps in preparing and taking either of the prescribed examinations to become a Licensed
Financial Advisor.
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Lesson 25 of 34
After you successfully complete the Sun Life Insurance Concepts Course, you will then select between the two
licensing exam options - the IC Licensing Exam or IIAP-Validating Final Exam.
Let us begin with the requirements and procedure of the IC Licensing Exam.
Option 1: Insurance Commission Licensing Exam
If you opt to take the IC Licensing Exam, these are the steps to follow.
Payment should be coursed through any of Sun Life's Client Centers and the following
must be indicated:
Remarks: IC-Exam (56225) Trad and VUL or Trad only or VUL only
For IC-ACE:
2x2” ID Picture in business attire, with white background and name plate.
Please note that Thursday is the weekly cut-off. Requirements received on a Friday will
be processed on the following Monday or the next immediate business day. Send
Request two weeks prior the exam date.
Step 4
Licensing Exam Associates will forward the following details to the recruit's indicated
email in the information sheet:
Recruit should bring all the necessary documents to the Insurance Commission:
OPTION 1: If slots are available, the Insurance Commission can schedule a same-day
retake and payment amounting to PhP 1,010.00 should be paid directly to the Insurance
Commission.
OPTION 2: Retake on a different schedule must be coursed through SL, following the
same IC-ACE procedure:
Payment of examination fee in the amount of PhP 1,010.00 in any Sun Life Client
Center.
Note that as per Insurance Commission, once the recruit has been confirmed for a
IC-ACE exam date, cancellation nor rescheduling will not be possible, exam fees will
be forfeited.
1. Check email from Agency Recruitment & Licensing (Licensing Associates) on Special
Exams Schedule.
2. Recruits must complete Insurance Concepts Training for Trad and VUL
3. Pay the exam fee amounting to Php 1,010.00 (per exam) to any of our Sun Life Client
Centers.
Remarks: IC Special Exam Fee (56225) Trad and VUL or Trad Only or VUL
Only
5. An email confirmation will be sent to the Manager and recruit for a successful registration
Ballpen
Exam results will be forwarded to recruit’s respective branch and it should be included in the
ACM file together with other requirements
Note that as per Insurance Commission, once the recruit has been confirmed for a specific
special exam date, cancellation nor rescheduling will not be possible, exam fees will be
forfeited.
*** Insurance Concepts Training (Trad and VUL) is a prerequisite to Insurance Commission
Licensure Exam***
Contact Persons Details: Download for reference
Contact Persons.pdf
134.4 KB
Exam Schedule
IC Manila Office: Exams conducted Tuesday to Friday starting at 8:30am. An Applicant who comes after 10:30
am shall not be allowed to take the examination on that day.
An applicant shall not be allowed to retake the exam within the same day.
Cebu and Davao IC Offices: Exams in the said venues shall be conducted every Wednesday. The requirements
shall be submitted to the district office at least five (5) days before the examination. Exam fees shall be paid at the IC
Manila Office.
After the Exam: Wait for your result. The results of the exam come out immediately. You can wait for the results
on the same day you took the exam. The test proctor will return one copy of the Application for Insurance Agent's
Examination form with the result stamped ("PASS" or "FAIL")
If you Pass, you have to submit the Application with results to Sun Life's Licensing Section so that you can be coded
as a Sun Life advisor.
If you Fail, you need to retake you will not be allowed to retake the exam on the same day. Ask your test proctor for
the next examination date.
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Lesson 26 of 34
The second licensing exam option is the IIAP Validating Final Exam (VFE).
Let us take a look at the requirements and procedure of the IIAP Validating Final Exam.
Option 2: The IIAP Validating Final Exam
If you opt to take the IIAP Validating Final Exam, these are the steps to follow. Click Start to begin.
Step 1
Secure Form 0930 (Form 0788 for Regular VFEs) from Sun Life Sales Training and Development.
Step 4
Completely Fill out Form 0930 Don’t forget to attach your 1x1 photo (2 copies), and bring Photocopy of
Valid ID.
Step 5
Proceed to IIAP 26th Floor, Ayala-FGU Center 6811 Ayala Avenue, Makati to take exam.
Summary
The government administers these exams to have adequate control over the conduct of advisors, to
maintain high professional and ethical standards and to protect the public.
Walk-in VFE Makati Office Office: Every Saturday mornings administered by IIAP 26th
Floor, Ayala-FGU Center 6811 Ayala Avenue, Makati. Schedule is on a first come, first
served basis. An Applicant who comes after 8:00 am shall not be allowed to take the
examination on that day. An applicant shall not be allowed to retake the exam within the
same day.
proctors.
Mindanao – Butuan City, Dipolog City, Ozamis City, Zamboanga City, (Later:
Cagayan De Oro, General Santos, Davao)
Next: Additional Information
Take a look at additional details that will help you further.
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Lesson 27 of 34
Additional Information
And to help guide you on your journey, take a look at the Insurance Commission map once again.
Next: Let's Review
Let's see what you have learned.
LET'S REVIEW
Lesson 28 of 34
Let's Review
Below are the steps to take if you opt in choosing the IC Licensing Exam.
Match them according to step number.
Email COMPLETE
requirements (Trad and/or
Step 2
VUL) to Licensing Exams
Associates concerned
SUBMIT
Step 3 in taking the IIAP Validating Final Exam is Securing Form 0930
(Form 0788 for Regular VFEs) from Sun Life Sales Training and
Development.
True
False
SUBMIT
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Lesson 29 of 34
Topic Summary
Next: Glossary
GLOSSARY
Lesson 30 of 34
Glossary
Here are some terms and definitions you learned from this module.
Insurable Interest
–
It should also exist between the insured and the named beneficiaries.
Premium Payment
–
Premium is a sum of money given by the insured policyowner as a consideration for the
promise by the insurer's promise to indemnify or replace the loss.
Fixed Annuities
–
Are contracts where the insurance company makes fixed payments to the annuitant for
the term of the contract, usually until the annuitant dies. The company guarantees both
earnings and the principal.
Variable annuities
–
Cannot guarantee an interest yield from investments because its results are usually
geared mostly to a portfolio of common stocks.
Twisting
–
Persuading the person to lapse or surrender a policy in order to purchase a new one. Also
called Replacement.
Knocking
–
Making derogatory remarks about competing policies, advisors or companies.
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Lesson 31 of 34
Knowledge Check
Question
01/06
Insurance Policy
Insurable Interest
Insurance Capacity
Insurable Delivery
Question
02/06
This option gives the policyowner the right to exchange the policy for its equivalent cash value.
Reduced Paid-Up
Question
03/06
___________________ are contracts where the insurance company makes fixed payments to the
annuitant for the term of the contract, usually until the annuitant dies. The company guarantees both
earnings and the principal.
Fixed Annuities
Variable Annuities
Bi Annual Annuities
Yearly Annuities
Question
04/06
True
False
Question
05/06
This type of unethical practice is done when an advisor persuades a client into surrendering an
existing policy to purchase a new one.
Twisting
Knocking
Overloading
Rebating
Misinterpretation
Question
06/06
This is considered an unethical practice when an advisor provides misstatement of material facts for
insurance.
Twisting
Knocking
Overloading
Rebating
Misinterpretation
Lesson 32 of 34
Summary
A Life Insurance company has the legal capacity to enter into a life insurance contract if it:
Policy Provisions
Necessary information regarding your client's policy, while he is alive and the policy is active,
when he wants to quit paying premiums or when he passes away.
Annuity
An annuity is not really a life insurance policy. It is merely a purchase of income. Annuities
answer the needs of people who would want a steady flow of income during their later years.
Individuals who purchase annuities are called annuitants.
An annuity is a scientific liquidation of both capital and interest with income payments so
calculated that the annuity income is not depleted before the person receiving it dies.
Ethics
The insurance industry relies greatly on public trust. That is why insurance companies promote
and uphold high standards of professional selling. As a member of the field force, we are
committed to fair dealing, honesty, integrity and compliance with applicable laws in the conduct
of your business.
Achievement Badge
You are about to complete the module.
CONGRATULATIONS
Lesson 33 of 34
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Lesson 34 of 34
Downloadable Resources
Industry_Policy_Provisions_and_Starting_your_Journey.pdf
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