What is meant by ‘material fact’ in insurance underwriting?

Prepare for the CII Insurance Broking Fundamentals with flashcards and multiple choice questions. Access hints and explanations for each question. Ace your exam!

A ‘material fact’ in insurance underwriting refers to any information that could influence the insurer’s decision to provide coverage, set the terms of the policy, or determine the premium. When applying for insurance, applicants are required to disclose all material facts that may affect the insurer's assessment of risk. This obligation ensures that the insurer has a clear understanding of the risk being underwritten, which is crucial for accurately evaluating the application.

For example, if a prospective policyholder has a pre-existing medical condition or has had multiple claims in the past, this information is a material fact that could affect the insurer’s willingness to offer coverage or the premium charged. Failure to disclose material facts can lead to the denial of claims or cancellation of the policy later.

The other options do not appropriately define a material fact. Irrelevant information is not considered when assessing risk. While not all details are automatically disclosed, material facts specifically relate to what impacts the insurer’s decisions. Lastly, information that only becomes relevant after a claim typically does not fall under the definition of material facts during the underwriting process, as the focus is on the applicant's risk profile at the time of application.

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