Free Life Policy Provisions Options and Riders Study Guide
Illinois Life exam — Life Policy Provisions Options and Riders.
The national guide covers the standard life policy provisions, nonforfeiture, dividend and settlement options, and riders. Illinois puts its rules in several places:
- Required provisions: 215 ILCS 5/224.
- Prohibited provisions: 215 ILCS 5/225.
- Solicitation and buyer's guide: 50 Ill. Adm. Code 930.
- Replacement: 50 Ill. Adm. Code 917.
- Illustrations: 50 Ill. Adm. Code 1406.
- Accelerated benefits: 50 Ill. Adm. Code 1407.
National concepts in brief
- Nonforfeiture options: cash surrender, reduced paid-up and extended term.
- Dividend options: cash, reduce premium, accumulate at interest, and paid-up additions.
- Accelerated death benefit: pays part of the death benefit early when the insured is terminally ill.
Required provisions (215 ILCS 5/224)
| Provision | Illinois rule |
|---|---|
| Grace period | 30 days or one month. The policy stays in force. Interest of up to 6% a year may be charged for the days used |
| Incontestability | After two years in force during the insured's lifetime. Disability and additional accidental death benefits may be excepted |
| Entire contract | The policy plus the application, if a copy is endorsed on or attached to the policy |
| Misstatement of age | The benefit is adjusted to what the premium would have bought at the correct age |
| Participation | Surplus is apportioned annually, starting no later than the end of the third policy year |
| Policy loans | Available after the policy has been in force 3 full years. Term insurance is not included |
| Nonforfeiture table | Loan values and options are shown for at least the first 20 years |
| Reinstatement | Within 3 years of default, with evidence of insurability and payment of arrears plus interest |
| Death claims | Paid on due proof, and no later than 2 months after proof is received |
| Interest on death proceeds | 10% a year from the date of death, unless paid within 31 days of the latest required event |
| Free look | 10 days from delivery, with a refund of all premium, fees and charges |
Prohibited provisions (215 ILCS 5/225)
- Backdating more than 6 months before the application date.
- Limiting the time to sue to less than 3 years after the claim accrues.
- Making the soliciting agent the agent of the insured.
Replacement (50 Ill. Adm. Code 917; 215 ILCS 5/224(2))
What counts as a replacement:
- converting existing coverage to reduced paid-up or extended term;
- borrowing more than 25% of the loan value.
Exempt transactions:
- credit life;
- group life and group annuities;
- transactions with total cash value under $500 and face amounts under $5,000.
Duties:
- Producer: presents the Notice Regarding Replacement no later than when the application is taken.
- Replacing insurer:
- sends the notice to the existing insurer within 3 working days;
- either delays issue 20 days or gives a 20-day unconditional refund right after delivery;
- keeps notices for 3 years.
Churning means replacing a policy using its own values mainly to earn a new commission. It is prohibited.
Solicitation, illustrations and accelerated benefits
Solicitation (50 Ill. Adm. Code 930):
- The Buyer's Guide is given before the initial premium is accepted. For direct response sales, it comes with or before delivery.
- The Policy Summary is given with or before delivery.
- The agent identifies as a life insurance agent and names the insurer.
- Any mention of dividends must say they aren't guaranteed.
- "Financial planner"-type titles can't be used to imply the agent isn't paid by sales.
- Preneed policies can't be owned by a funeral home or producer whose only interest is receiving the proceeds.
Illustrations (50 Ill. Adm. Code 1406):
- Illustrations are labeled "Life Insurance Illustration."
- "Vanishing premium" wording is banned.
- If the policy differs from the illustration, a Revised Illustration is signed by delivery.
- If no illustration was used, the producer certifies that in writing.
Accelerated benefits (50 Ill. Adm. Code 1407):
- Terminal illness means death expected within 24 months.
- Proceeds may be used for anything, and a lump sum must be offered.
- These products may not be marketed as long-term care.
STOLI is illegal (215 ILCS 159/50).
Common exam traps
- Interest on late death claims is 10% in Illinois. It runs from the date of death unless the claim is paid within 31 days.
- The free look is 10 days, but a replacement gets 20 days.
- Policy loans become available after 3 years. The nonforfeiture table must cover at least 20 years.
- A policy may not be backdated more than 6 months.
- The replacing insurer notifies the existing insurer within 3 working days.
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Practice questions are study aids generated for exam preparation and are not actual exam questions. Content is provided for educational purposes and is not legal advice. Verify current statutes, rules, and exam specifications with the Insurance Department and the exam administrator before relying on it.