Pearson VUE Life Insurance Practice Exam

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What is a "contestable claim"?

A claim made after the insurance policy has expired

A claim made within the contestability period that an insurer may investigate or dispute

A "contestable claim" refers to a claim made within a specified period after the policy is issued, allowing the insurer the right to investigate or dispute the claim. This period, typically two years, is established to ensure that the insurer has the opportunity to verify the information provided by the policyholder at the time of application.

During the contestability period, the insurer can review aspects such as the accuracy of the applicant's statements and their risk profile. If fraud or misrepresentation is detected, the insurer has the right to deny the claim based on this investigation. This is a safeguard for insurers against potential losses from claims that arise shortly after a policy is issued, particularly when there might be concerns about the validity of the policy.

The other choices do not accurately capture the definition of "contestable claim." For instance, claims made after a policy has expired do not fall under contestability, as they are simply invalid. A claim related to accidents that the insurer can reject does not specifically pertain to the contestability context. Likewise, a claim that has been prematurely filed does not correspond to the concept of contestability as it pertains to the investigation of the information provided by the policyholder during the application process.

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A claim related to accidents that the insurer can reject

A claim that has been prematurely filed by the policyholder

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