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Which of the following statements is NOT correct?A.The premiums for an insurance reflect the risk of the group in which the insured belongs and to some extent the personal circumstances of the individual, such as their record of past behaviour.B.A benefit is a payment made by the insurance company to the insured when an adverse event occurs.C.An excess is a part of the claim that the insured will need to pay out of pocket in the case of an adverse event.D.A premium is a regular payment made by the insured to the insurance company to be covered in case of an adverse event described in the insurance policy.E.A claim is a case where the insured will not be covered by the insurance policy if an adverse event occurs because the insured had misrepresented its actual circumstances.

Question

Which of the following statements is NOT correct?A.The premiums for an insurance reflect the risk of the group in which the insured belongs and to some extent the personal circumstances of the individual, such as their record of past behaviour.B.A benefit is a payment made by the insurance company to the insured when an adverse event occurs.C.An excess is a part of the claim that the insured will need to pay out of pocket in the case of an adverse event.D.A premium is a regular payment made by the insured to the insurance company to be covered in case of an adverse event described in the insurance policy.E.A claim is a case where the insured will not be covered by the insurance policy if an adverse event occurs because the insured had misrepresented its actual circumstances.

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Solution

The statement that is NOT correct is E. A claim is a case where the insured will not be covered by the insurance policy if an adverse event occurs because the insured had misrepresented its actual circumstances.

Here's why:

  1. Statement A is correct. The premiums for an insurance policy do reflect the risk of the group in which the insured belongs and to some extent the personal circumstances of the individual, such as their record of past behavior.

  2. Statement B is also correct. A benefit is indeed a payment made by the insurance company to the insured when an adverse event occurs.

  3. Statement C is correct as well. An excess is a part of the claim that the insured will need to pay out of pocket in the case of an adverse event.

  4. Statement D is correct. A premium is a regular payment made by the insured to the insurance company to be covered in case of an adverse event described in the insurance policy.

  5. Statement E is incorrect. A claim is a formal request to an insurance company asking for a payment based on the terms of the insurance policy. Misrepresentation of actual circumstances by the insured could lead to denial of the claim or cancellation of the policy, but it does not define what a claim is.

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