Which of the following situations describes a representation?
A.
An insurance company guarantees that policy benefits will be paid promptly on receipt of a Proof of Loss
B.
An insurance company guarantees that premiums paid will be refunded within 30 days after the policy ' s effective date if an insured is dissatisfied with the policy
C.
A prospect ' s statement on an application that is held to be substantially true
D.
A prospect ' s statement on an application that is held to be absolutely true
The Answer Is:
C
This question includes an explanation.
Explanation:
A representation is a statement made by an applicant on an insurance application that is believed to be true to the best of the applicant’s knowledge and is required to be substantially true. Choice C correctly states that principle. A representation differs from a warranty. A warranty is a statement or promise that must be literally and absolutely true; choice D describes that stricter standard rather than a representation. Application answers help the insurer evaluate risk during underwriting, so material misrepresentations can affect coverage or the insurer’s decision to issue the policy. However, not every immaterial or innocent inaccuracy has the same legal effect. The significance of a misstatement depends on its materiality and the applicable policy and insurance-law rules. Choices A and B describe potential policy promises or contract features, not statements made by a prospect in the application. For licensing purposes, remember that insurance applications are generally treated as containing representations, not warranties, unless the policy or law provides otherwise. Study Guide References/Topics: Completing the Application, Underwriting, and Delivering the Policy; Representations and Warranties; Underwriting.
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