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Agency law

Agency law governs the producer’s relationship to the insurer — and it’s heavily tested because it determines who is bound by what. All STABLE.

When a producer acts as the insurer’s agent, the agent’s authorized acts and knowledge are imputed to the insurer. The legal maxim: the acts of the agent are the acts of the principal (within the scope of authority). So if an agent, acting within authority, makes a promise or learns a fact, the insurer is treated as having done/known it. STABLE

Type What it is Example
Express Authority explicitly granted in the agency contract. “You may bind auto policies up to $X.”
Implied Authority not written but reasonably necessary to carry out express authority. Renting an office, ordering supplies to run the agency.
Apparent Authority the public reasonably believes the agent has, based on the insurer’s conduct. The insurer let the agent use its forms/signage, so a customer reasonably relies.

Apparent authority is the trap: even without actual authority, an insurer can be bound if it created the appearance of authority and a third party reasonably relied. This is tied to waiver and estoppel (see 03 Contract law).

  • An agent legally represents the insurer.
  • A broker legally represents the insured/applicant.

This matters for imputed knowledge: information given to an agent is generally considered given to the insurer; information given to a broker is not (the broker is the customer’s representative). Most states issue one producer license, but the capacity in which you act in a given transaction still controls. See 01 Producer vs agent vs broker. GROUNDED · Fenwick

A producer holds a fiduciary duty — a duty of trust — especially regarding client funds (premiums). Premiums collected belong to the insurer/insured, not the producer. Key rules:

  • No commingling — keep client/premium funds separate from the producer’s own operating funds (use a trust/fiduciary account).
  • Account for and remit funds promptly.

Breaching this (e.g., spending premium money) is conversion and a serious violation. See 12 Ethics & trade practices.

A producer owes duties to:

  • the insurer (loyalty, accounting, acting within authority),
  • the insured/applicant (good faith, suitable recommendations, accurate submission of the application),
  • the public/state (compliance with insurance law).

An MGA holds delegated authority — an expanded form of express authority that includes binding and underwriting. The DRLP is personally liable for the entity’s insurance-law violations (see 01 The DRLP). Agency law is the legal theory under which that delegated authority, and that liability, operate. GROUNDED · Fenwick

03 Contract law

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