Named PerilP&C producer exam prep

Conceptin The insurance contract

Drill7 items

What an aleatory contract is, and its four look-alikes

An aleatory contract is one where the values exchanged are unequal and depend on chance: the insured pays a known premium, and the insurer pays nothing or far more, depending on whether a covered loss happens. It is one of five contract traits, with adhesion, unilateral, conditional and personal, all true of every policy.

Chance decides the exchange

Most contracts are commutative: a buyer pays $30,000 for a car worth about $30,000, and each side knows what it gets. Insurance is built differently. A landlord can pay premium on a building for fifteen years and never collect, or collect the full limit in the policy's second month. Neither outcome breaks the contract; the uncertainty is what was bought.

The word says nothing about who drafted the policy, who made an enforceable promise, what the insured must do to collect, or whether the policy can be handed to someone else. Those are the other four traits on the insurance contract page. Since all five apply to every policy, the useful question is always which trait a given fact demonstrates.

Chance keeps insurance clear of a wager only when the insured stands to lose something real if the event happens. That requirement is insurable interest.

Two principles that sit nearby

Utmost good faith and indemnity are principles, and neither is a trait of the contract's form. Utmost good faith governs honesty on both sides: representations, warranties and concealment. Indemnity is the goal of restoring a loss without profit. When a stem describes who is owed honest disclosure or how much a payment restores, those principles fit; when it describes the shape of the deal itself, one of the five traits does.

When several true statements about insurance compete, set aside any that describe a duty or a promise, then any about drafting or transfer, and keep the one that turns on chance.

Aleatory and its four look-alikes

Aleatory
Unequal values, decided by chance. Stem clue: a premium set against a payment that may be zero or many times larger.
Adhesion
The insurer drafts the policy and the insured accepts it as written, so ambiguities are read in the insured's favor. Stem clue: wording nobody negotiated.
Unilateral
Only the insurer makes a legally enforceable promise. Stem clue: the insured's side of the deal cannot be enforced against them.
Conditional
The insurer pays only if the insured meets the policy conditions, such as the duties after a loss. Stem clue: a duty that was skipped.
Personal
The contract follows the person, so assigning it needs the insurer's consent. Stem clue: someone tries to pass the policy along.

Reading the clue, ruling out the rest

Which trait a stem fact points to, and the option that can take the point instead
Fact in the stemTraitTempting pickWhy it fails
Premiums paid for 12 years, no claim ever filedAleatoryUnilateralNobody broke a promise; the exchange came out unequal
Insured refuses an examination under oath after a lossConditionalAleatoryA duty decided the outcome; chance played no part
Insured had no say in a single clauseAdhesionUnilateralUnilateral is about promises, not drafting
Owner hands the boat policy to his brotherPersonalConditionalNo duty was missed; consent to assign was

Aleatory describes the exchange. The other four describe who wrote the policy, who promised, what must be done, and who may hold it.

Which trait is the stem pointing at?

0 of 7 answered · 0 right

Match each described fact to the one trait that explains it; the definitions above are all you need.

Notes on each optionCommit to an answer first. The notes under the item then open on every option: what rules it in or out, and the one word that splits the runner-up from the key.

  1. Item 01

    Paul may stop paying premiums at any time without being sued for breach, but his insurer must pay covered losses while the policy is in force. This is because an insurance contract is:

    1. AAdhesion is about the insurer drafting the terms, not about who can be held to a promise.
    2. BConditional refers to the duties the insured must meet to collect, not the absence of an enforceable promise by the insured.
    3. CCorrect: a unilateral contract has an enforceable promise by only one party: the insurer must pay, but the insured cannot be sued for stopping premiums.
    4. DAleatory refers to the unequal exchange of values that depends on chance, not to which party is bound.
  2. Item 02

    An insurer may deny a claim if the insured fails to give prompt notice of the loss or to protect the property from further damage. This reflects that an insurance contract is:

    1. AAleatory describes the unequal, chance-dependent exchange of values, not the insured's duties.
    2. BCorrect: a conditional contract requires the insured to meet conditions, such as prompt notice and protecting property, before the insurer must pay.
    3. CUnilateral means only the insurer makes an enforceable promise; it does not explain why the insurer can refuse to pay.
    4. DAdhesion means the insurer drafts the terms and ambiguities go against it, which does not explain denying the claim.
  3. Item 03

    Juan sells his home and wants to transfer his homeowners policy to the buyer. The buyer may take over the policy only with the insurer's written consent because an insurance contract is:

    1. ACorrect: insurance is a personal contract that insures the person, not the property, so it can be assigned only with the insurer's written consent.
    2. BConditional concerns the insured's duties to collect, not transfer of the policy.
    3. CUnilateral concerns the one-sided promise, not assignment.
    4. DAleatory concerns the unequal exchange of values, not who may take over the policy.
  4. Item 04

    __________ refers to the legal concept that applies to insurance agreements, indicating that the insured must agree to the whole contract along with all its terms and stipulations.

    1. AConditional means the insurer pays only if the insured meets certain conditions, not that the terms are take-it-or-leave-it.
    2. BCorrect: a contract of adhesion is drafted by the insurer and must be accepted as a whole by the insured, with no bargaining over terms.
    3. CAleatory means the values exchanged can be very unequal and depend on chance.
    4. DUnilateral means only one party makes a legally enforceable promise.
  5. Item 05

    A court rules that an ambiguous exclusion in a liability policy must be read the way an ordinary policyholder would understand it. This outcome follows mainly from the fact that an insurance policy is a contract of:

    1. ACorrect: because the insurer alone drafts the policy and the insured must take it as written, it is a contract of adhesion, and ambiguities are read against the insurer.
    2. BIndemnity is about restoring the insured without profit, not about how wording is interpreted.
    3. CUtmost good faith is the duty of honesty both parties owe, not the rule for reading ambiguous wording.
    4. DAn aleatory contract has an unequal, chance-dependent exchange, which says nothing about interpreting wording.
  6. Item 06

    An insurance policy is called an aleatory contract because:

    1. AThis describes a unilateral contract: only the insurer's promise is enforceable, which says nothing about unequal values.
    2. BCorrect: aleatory means the exchange is unequal and whether the insurer pays depends on a chance event.
    3. CThis describes a conditional contract: payment hinges on the insured meeting duties such as prompt notice.
    4. DThis describes a contract of adhesion, which is why courts read ambiguities in the insured's favor.
  7. Item 07

    Which of the following BEST illustrates that an insurance policy is an aleatory contract?

    1. ACorrect: a small premium producing a large payment because of a chance event is the unequal exchange that defines an aleatory contract.
    2. BThis shows a conditional contract: the insurer may refuse to pay when the insured fails a policy condition such as prompt notice.
    3. CThis shows a contract of adhesion: the insurer drafted the wording, so ambiguities are resolved against it.
    4. DThis shows a unilateral contract: the insured makes no enforceable promise to keep paying premiums.

Five traits, kept apart

Our app carries more practice on contract characteristics, from adhesion to personal; the iPad version mirrors the iPhone one.