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CPCU 530 Chapter 8
Agency Law: Insurance Applications
| Term | Definition |
|---|---|
| Insurance producer | any of several kinds of insurance personnel who place insurance business with insurers and who represent either insurers or insureds, or both |
| Insurance agent | a legal representative of one or more insurers for which the representative has a contractual agreement to sell insurance |
| General agent | an agent that transacts all of a principal's business of a particular kind or in a particular place |
| Special agent | a person or an entity that is employed to act for the principal in a specific transaction or only for a particular purpose or class of work |
| Soliciting agent | an insurance producer whose authority is limited by contract with an insurer to soliciting applications for insurance and performing other acts directly incident to those activities |
| Broker | an independent producer who represents insurance customers |
| Two types of producer authority | actual authority and apparent authority |
| Powers of general agent | broad powers within underwriting guidelines; solicits applications for insurance; receives premiums; issues and renews policies; appoints subagents; adjusts losses in some cases |
| Powers of special agent | authority restricted by express agreement w/insurer; induces 3rd parties to apply for ins; forwards applications to insurer; delivers policies to insured; inspecting property, quoting rates, collecting premium, assisting w/changes in coverage |
| Powers of soliciting agent | narrow authority derived directly from the agency contract; solicits applications for insurance; forwards applications to the insurer |
| Actual authority | the principal (insurer) intentionally confers upon the producer or allows the producer to believe he/she possesses |
| Express authority | states the producer's powers and authority and specifies any restrictions on that authority |
| Apparent authority | a third party's assumptions regarding an agent's authority |
| Broker's duties | to procure insurance for the insurance customer-principal; select the insurer to provide the desired coverage; to arrange payment of premiums; to cancel & receive unearned premiums on a policy broker has obtained; obtain a new policy upon cancellation |
| Circumstances a court might not bind an insurer by a producer's knowledge | when no actual agency relationship exists between the producer and the insurer; and when the agent has supplied false information |
| Two most common legal issues regarding oral and temporary insurance contracts | a producer's lack of authority to form the contract; a producer's failure to designate which insurer was to be bound by the oral or temporary contract |
| Safest way to avoid possible adverse consequences of apparent authority is for the insurer to take these actions: | notify all third parties known to have dealt with the producer; repossess from the producer any evidence of the agency relationship, such as application forms and insurer stationery |
| Five duties producers owe their customers | duty to follow instructions; duty to procure insurance; duty to maintain coverage; duty to place insurance with a solvent insurer; duty to advise |
| Five defenses available to the producer | the producer assumed no duty to the customer; the producer did not breach a duty to the customer; the insurance customer was partly at fault; the insurance customer failed to read the policy; insurance was not available to the customer |
| Producer has four duties to the insurer | duty to disclose risks; duty to follow instructions; duties of loyalty and accounting; duty to transmit information properly |