AD Banker Comprehensive Practice Exam

Which action can be taken for nonpayment of premium, according to optional provisions?

1. Deny the claim if premiums are unpaid

2. Require the insured to pay any outstanding premiums before processing

3. Deduct any unpaid premium amounts from the payable claim

4. Notify the insured about the reinstatement policy

The correct answer is: Deduct any unpaid premium amounts from the payable claim

In the context of optional provisions in insurance policies, the ability to deduct any unpaid premium amounts from a payable claim is a common practice. This option allows an insurer to balance the claim payment with any premiums that are owed by the policyholder, effectively ensuring that the insurer does not incur a loss for coverages that the insured did not fully pay for. This provision is significant because it addresses situations where there are outstanding premiums, protecting the insurer's financial interests. By deducting the unpaid premium from the claim payout, the insurer acknowledges the insured's claim while also taking into account the obligation to pay premiums that had not been settled. The other actions listed, while they might seem reasonable, do not reflect standard practices stipulated in optional provisions. Denying a claim outright could be seen as too severe an action, and requiring payment before processing claims could discourage claim submission. Notifying the insured about the reinstatement policy might be relevant, but it does not directly address the mechanism of handling unpaid premiums in the context of a claim. Thus, the approach of deducting unpaid premiums is both practical and aligned with common industry practices.