LLQP Ethics & Professional Practice · Component 1.6 · 60% of the exam
'Proof of loss' for a disability claim consists of:
- AThe claimant's own statement of inability to work, which the insurer must accept unless it can prove otherwise through its own evidence
- BAny public record of the accident or illness, such as a news report, that confirms the event occurred
- Claim forms with the claimant's statement, the physician's statement on diagnosis and limitations, and income data
- DA letter from the agent confirming that the client is disabled, since the agent knows the client's circumstances
Correct answer: C) Claim forms with the claimant's statement, the physician's statement on diagnosis and limitations, and income data
Proof must satisfy the contract's definition of disability, which is why physician detail matters.
Why the other options are wrong
- AMedical evidence is needed, not the claimant's word.
- BA news report is not medical evidence of disability.
- DThe agent does not certify disability.
Exam tip
DI proof: claimant + physician (+ employer) statements, then ongoing proof.
Common mistake
Submitting a physician's statement that does not address the policy's definition.
What this tests
CISRO competency component 1.6 — Integrate into practice the legal aspects of insurance and annuity contracts — which is weighted at 60% of the Ethics & Professional Practice module. Written against the published curriculum.
More from component 1
- An 'assignee' of a life insurance policy is:
- A corporation as policyowner and beneficiary of a policy on a key employee:
- A 'trustee' named to receive proceeds on behalf of a beneficiary:
- The 'automatic premium loan' (APL) provision:
- A life insurance contract 'matures' when:
- The 'assignment' provision typically states that:
Practice the whole Ethics & Professional Practice module
Timed sets weighted like the exam, and review of every question you miss. Free to start.