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Showing posts from May, 2021

Darnell is applying for auto insurance with his agent. Currently, he only wants to get a minimal amount of coverage to keep his premiums as low as possible, so he decides not to include uninsured motorist coverage on his policy. His agent has him sign a document giving up his right to this coverage. What is this called?

Darnell is applying for auto insurance with his agent. Currently, he only wants to get a minimal amount of coverage to keep his premiums as low as possible, so he decides not to include uninsured motorist coverage on his policy. His agent has him sign a document giving up his right to this coverage. What is this called? Answer: An express waiver

This type of trim is typically placed around windows and doors to give them a finished look.

This type of trim is typically placed around windows and doors to give them a finished look. Answer: Casement

All of the following statements are true of liability insurance, EXCEPT:

All of the following statements are true of liability insurance, EXCEPT: Answer: liability coverage indemnifies the insured

Jim is completely "upside down" financially on his car. He owes the finance company $8,000. If he sells the car, he knows he'll only get about $4,000 for it. But Jim knows that if the car was somehow stolen, his insurance company would pay him somewhere in the neighborhood of $7,000. Jim decides to have a friend steal the car and "make it disappear." Jim then files a claim with his insurance company to report his car stolen. Which best represents Jim's actions?

Jim is completely "upside down" financially on his car. He owes the finance company $8,000. If he sells the car, he knows he'll only get about $4,000 for it. But Jim knows that if the car was somehow stolen, his insurance company would pay him somewhere in the neighborhood of $7,000. Jim decides to have a friend steal the car and "make it disappear." Jim then files a claim with his insurance company to report his car stolen. Which best represents Jim's actions? Answer: Hard Fraud

In a third-party claim, the injured person has a duty to:

In a third-party claim, the injured person has a duty to: Answer: Authorize the insurer to look at her medical records

Paul and his wife have three separate insurance policies covering their home: Policy X with a limit of $100,000, Policy Y with $50,000, and Policy Z with $25,000. These policies are set up to pay covered claims by contribution of equal shares. After a fire causes $125,000 in damage to their home, how much will each policy pay (ignoring any deductibles)?

Paul and his wife have three separate insurance policies covering their home: Policy X with a limit of $100,000, Policy Y with $50,000, and Policy Z with $25,000. These policies are set up to pay covered claims by contribution of equal shares. After a fire causes $125,000 in damage to their home, how much will each policy pay (ignoring any deductibles)? Policy X: 50,000 Policy Y: 50,000 Policy Z: 25,000

The use of which doctrine would result in David receiving no damages for his loss, if he were found 25% responsible for his own loss?

The use of which doctrine would result in David receiving no damages for his loss, if he were found 25% responsible for his own loss? Answer: Contributory negligence

A few weeks ago, Grace's garage was destroyed by an out-of-control motorist named Zach. Fortunately, Zach had sufficient liability insurance to cover the damages, but Zach's insurer is giving Grace the runaround negotiating the claim. Grace finally files a complaint, forcing Zach to:

A few weeks ago, Grace's garage was destroyed by an out-of-control motorist named Zach. Fortunately, Zach had sufficient liability insurance to cover the damages, but Zach's insurer is giving Grace the runaround negotiating the claim. Grace finally files a complaint, forcing Zach to: Answer: submit an answer

Ned's insurer made a business decision that broadened coverage in new standard policies without increasing premiums. Because of this, the insurer was required to automatically apply this new broadened coverage to Ned's existing policy. This requirement is documented in the:

Ned's insurer made a business decision that broadened coverage in new standard policies without increasing premiums. Because of this, the insurer was required to automatically apply this new broadened coverage to Ned's existing policy. This requirement is documented in the: Answer: liberalization clause

Kerry accidentally set his kitchen on fire while frying a turkey for the holidays. The fire results in $32,000 in damage to his home, which is valued at $175,000. However, Kerry only has a $120,000 homeowners policy limit. Assuming Kerry's policy has the 80% coinsurance requirement, approximately how much of the damage will Kerry be responsible for paying?

Kerry accidentally set his kitchen on fire while frying a turkey for the holidays. The fire results in $32,000 in damage to his home, which is valued at $175,000. However, Kerry only has a $120,000 homeowners policy limit. Assuming Kerry's policy has the 80% coinsurance requirement, approximately how much of the damage will Kerry be responsible for paying? (Round all numbers to three decimal places.) Answer: $4,576

An insurance policy's declarations page contains all of the following, EXCEPT:

An insurance policy's declarations page contains all of the following, EXCEPT: Answer: The perils insured against

All of the following are true about the Law of Large Numbers in the insurance industry, except:

All of the following are true about the Law of Large Numbers in the insurance industry, except: Answer: The larger the number of units insured the larger the amount the insurer will have to pay out

What is the main difference between a stock insurance company and a mutual insurance company?

What is the main difference between a stock insurance company and a mutual insurance company? Answer: A stock insurance company is owned by its shareholders, a mutual insurance company is owned by its policy holders

What are the four requirements of a legally binding contract?

What are the four requirements of a legally binding contract? Answer: agreement, consideration, competant parties, legal purpose

While driving one winter day, April is surprised by a deer jumping into the road directly in front of her. She strikes the deer, overcorrects, and slides on the icy road. Her car skids off the road and plows through a barbed-wire fence. What is the proximate cause of the damage to the fence?

While driving one winter day, April is surprised by a deer jumping into the road directly in front of her. She strikes the deer, overcorrects, and slides on the icy road. Her car skids off the road and plows through a barbed-wire fence. What is the proximate cause of the damage to the fence? Answer: The deer strike

Ronald always drives with his windows rolled down because he loves the feeling of the wind in his hair. However, he often forgets to roll his windows up when he gets out of the car. Of course, this behavior makes it easier for thieves to steal his belongings from the car, but Ronald can't help being forgetful. Ronald's behavior would be considered a:

Ronald always drives with his windows rolled down because he loves the feeling of the wind in his hair. However, he often forgets to roll his windows up when he gets out of the car. Of course, this behavior makes it easier for thieves to steal his belongings from the car, but Ronald can't help being forgetful. Ronald's behavior would be considered a: Answer: Morale hazard

Which of the following does NOT constitute one of the four elements of a negligent act?

Which of the following does NOT constitute one of the four elements of a negligent act? Answer: the defendant entered a legal contract with the plantif

Jim has been arrested for drunk driving. In order to be allowed out of jail before his court date, Jim will most likely need:

Jim has been arrested for drunk driving. In order to be allowed out of jail before his court date, Jim will most likely need: Answer: A bail bond Jim will most likely need to post bail to be allowed out of jail before his court date.  Bail is a set amount of money an arrested individual must pay the court to guarantee they will appear for their scheduled hearings and trial dates. By posting bail, Jim can secure his release from jail pending his court appearances. There are several options for posting bail: Cash Bail : Jim or someone on his behalf can pay the total bail amount in cash directly to the court. Once the case is resolved, the bail money is returned minus any fees or fines imposed by the court. Bail Bond : If Jim or his family cannot afford to pay the full bail amount, they may use a bail bond service. A bail bondsman typically charges a non-refundable fee, usually a percentage of the total bail amount, in exchange for posting the full bail amount on Jim's behalf. The bon

As a requirement for getting her New York adjuster license, Alice is required to submit proof of bonding with her application. She purchases a surety bond from PBJ Bonds. In this contract, Alice is considered the:

As a requirement for getting her New York adjuster license, Alice is required to submit proof of bonding with her application. She purchases a surety bond from PBJ Bonds. In this contract, Alice is considered the: Answer: Principal

Hannah is six months pregnant when she switches jobs. Which law ensures that Hannah's "pre-existing condition" will be covered under her new health insurance plan?

Hannah is six months pregnant when she switches jobs. Which law ensures that Hannah's "pre-existing condition" will be covered under her new health insurance plan? Answer: Health Insurance Portability and Accountability Act

How long before the expiration or anniversary date should the insurer notify the insured that it intends to renew the policy?

How long before the expiration or anniversary date should the insurer notify the insured that it intends to renew the policy? Answer: 30 days

Under the Fraud and False Statements Act, what is the maximum prison sentence that can be imposed on an insurance professional who attempts to influence, obstruct, or impede the proper administration of the law while an insurance company is under investigation?

Under the Fraud and False Statements Act, what is the maximum prison sentence that can be imposed on an insurance professional who attempts to influence, obstruct, or impede the proper administration of the law while an insurance company is under investigation? Answer: 10 years

What information does NOT need to be included in the notice given to the insured any time the insurer issues or renews an insurance policy?

What information does NOT need to be included in the notice given to the insured any time the insurer issues or renews an insurance policy? Answer: Information about how to obtain coverage through the SCWHUA

The Director has just received a complaint stating that an adjuster has violated insurance law. Which of the following actions may the Director take?

The Director has just received a complaint stating that an adjuster has violated insurance law. Which of the following actions may the Director take? Answer: Commence an investigation of the adjuster's actions

If a building is completely destroyed by a fire, the Valued Policy Law states that the insurer should pay:

If a building is completely destroyed by a fire, the Valued Policy Law states that the insurer should pay: Answer: The full amount listed in the policy

Every time Maria adjusts an auto claim, she refers the claimant to Bud's Body Shop for repairs. In turn, Bud's Body Shop pays Maria $50 dollars for every vehicle brought to their shop based on Maria's recommendation. By taking this money, Maria is accepting:

Every time Maria adjusts an auto claim, she refers the claimant to Bud's Body Shop for repairs. In turn, Bud's Body Shop pays Maria $50 dollars for every vehicle brought to their shop based on Maria's recommendation. By taking this money, Maria is accepting: Answer: kickbacks

If an insurance professional who has been convicted of fraud wishes to return to work in the insurance industry, in most cases he must:

If an insurance professional who has been convicted of fraud wishes to return to work in the insurance industry, in most cases he must: Answer: apply for a 1033 Waiver and have an offer of employment.

Which of the following is FALSE regarding terrorism insurance coverage under the Terrorism Risk Insurance Act (TRIA)?

Which of the following is FALSE regarding terrorism insurance coverage under the Terrorism Risk Insurance Act (TRIA)? Answer: TRIA coverage is available for both personal and commercial lines of insurance.

Kerry's advertising business employs Meg to clean offices at night, and recently Meg slipped and fell at work, hurting her back. Kerry can be assured that workers' compensation insurance will provide Meg with:

Kerry's advertising business employs Meg to clean offices at night, and recently Meg slipped and fell at work, hurting her back. Kerry can be assured that workers' compensation insurance will provide Meg with: Answer: Medical Payments and lost wages

Who is responsible for paying the premiums on a workers' compensation policy?

Who is responsible for paying the premiums on a workers' compensation policy? Answer: The Employer

Most states require businesses to purchase workers' compensation insurance to cover their employees. Workers' comp in those states is:

Most states require businesses to purchase workers' compensation insurance to cover their employees. Workers' comp in those states is: Answer: Compulsory

African Spice Exporters Inc. brings two shipments of cloves from Zanzibar, Tanzania to the United States each year. When their second shipment of the year is stopped by the Coast Guard off the coast of Florida, 10 pounds of contraband is found hidden among the bins of cloves. All of the ship's cargo is seized and the ship's crew arrested. When African Spice Exporters Inc. files a claim with its insurer for the seized cargo, the claim comes back denied. Why might this claim have been denied?

African Spice Exporters Inc. brings two shipments of cloves from Zanzibar, Tanzania to the United States each year. When their second shipment of the year is stopped by the Coast Guard off the coast of Florida, 10 pounds of contraband is found hidden among the bins of cloves. All of the ship's cargo is seized and the ship's crew arrested. When African Spice Exporters Inc. files a claim with its insurer for the seized cargo, the claim comes back denied. Why might this claim have been denied? Answer: African Spice Exporters Inc. violated the "legality" implied warranty of ocean marine insurance.

Blue Lines Shipping sustains hundreds of thousands of dollars in losses when one of their ships full of cargo catches fire and sinks in the Pacific Ocean. Which of the following situations would NOT be cause for the insurer to refuse to indemnify Blue Lines Shipping for its losses?

Blue Lines Shipping sustains hundreds of thousands of dollars in losses when one of their ships full of cargo catches fire and sinks in the Pacific Ocean. Which of the following situations would NOT be cause for the insurer to refuse to indemnify Blue Lines Shipping for its losses? Answer: A storm knocks out the navigation system, causing an electrical fire.

Which of the following statements about flood insurance is FALSE?

Which of the following statements about flood insurance is FALSE? Answer: Flood insurance rates are determined by private insurers

Lena is moving to Japan for two years in order to take advantage of a promotion at her job. She won't bring her 4-seater propeller plane with her. What kind of aviation insurance should Lena purchase for her plane while it's in storage and she is away?

Lena is moving to Japan for two years in order to take advantage of a promotion at her job. She won't bring her 4-seater propeller plane with her. What kind of aviation insurance should Lena purchase for her plane while it's in storage and she is away? Answer: All risks- Not in motion

Which of the following coverages is typically included in a BOP?

Which of the following coverages is typically included in a BOP? Answer: Coverage for slander and copyright

Which of the following would be covered under Coverage B of a typical Business Owners Policy?

Which of the following would be covered under Coverage B of a typical Business Owners Policy? Answer: Inventory

Which of the following would be covered under Coverage B of the Business Owners Policy?

Which of the following would be covered under Coverage B of the Business Owners Policy? Answer: The copy machine in a restaurant's back office
Mindy filed a claim against XYZ Consulting on March 5, 2016 for an accident that happened on September 15, 2015. XYZ Consulting was previously covered by a claims-made CGL policy, but changed to an occurrence policy in January 2016, when the policy came up for annual renewal. How will XYZ Consulting's insurer respond to Mindy's claim? Answer: The claim will not be covered because the accident did not occur during the current policy period.

Julie owns the local shopping mall. One day, Julie sees Greg walking through the mall and doesn't like the way he looks, so she forces him to leave the premises. Greg then sues Julie for her actions. This is an example of what type of personal injury covered under Julie's Commercial General Liability policy?

Julie owns the local shopping mall. One day, Julie sees Greg walking through the mall and doesn't like the way he looks, so she forces him to leave the premises. Greg then sues Julie for her actions. This is an example of what type of personal injury covered under Julie's Commercial General Liability policy? Answer: Wrongful eviction

On January 27, 2008, Ryan is using an exercise bike purchased from NusquamCycle when the chain breaks, causing him to fall and severely bruise his knee. It seems to heal just fine, but three years later, on January 29, 2011, Ryan's knee gives out while jogging. His doctor informs him that he'll need surgery and that this deterioration was most likely caused by his earlier accident with the exercise bike. Assuming NusquamCycle is no longer in business, which Commercial General Liability policy would cover Ryan's claim filed January 29, 2011?

On January 27, 2008, Ryan is using an exercise bike purchased from NusquamCycle when the chain breaks, causing him to fall and severely bruise his knee. It seems to heal just fine, but three years later, on January 29, 2011, Ryan's knee gives out while jogging. His doctor informs him that he'll need surgery and that this deterioration was most likely caused by his earlier accident with the exercise bike. Assuming NusquamCycle is no longer in business, which Commercial General Liability policy would cover Ryan's claim filed January 29, 2011? Answer: An occurrence policy from Jan 31 2006-Jan 31 2009

Deana has Personal Injury Protection coverage in her PAP. Which of these injuries would NOT be covered by Deana's PIP?

Deana has Personal Injury Protection coverage in her PAP. Which of these injuries would NOT be covered by Deana's PIP? Answer: Tom suffers neck injuries when Deana rear-ends him at a stop sign.

In a personal auto policy, Collision coverage:

In a personal auto policy, Collision coverage: Answer: pays for physical damage to the vehicle caused by a rollover.

Rebecca has Collision coverage in her Personal Auto Policy. After a collision, the adjuster determines that Rebecca's car is totaled. How much is Rebecca likely to receive from her insurer (ignoring the deductible)?

Rebecca has Collision coverage in her Personal Auto Policy. After a collision, the adjuster determines that Rebecca's car is totaled. How much is Rebecca likely to receive from her insurer (ignoring the deductible)? Answer: The actual cash value of her vehicle

Which of the following people would NOT qualify as an "insured" under a BAP?

Which of the following people would NOT qualify as an "insured" under a BAP? Answer: The policyholder's spouse, who is not named on the policy but habitually drives the company's SUV without permission.

In a personal auto policy, the Miscellaneous Vehicle Coverage endorsement:

In a personal auto policy, the Miscellaneous Vehicle Coverage endorsement: Answer: allows coverage to be added for motorcycles and motor homes.

Nancy borrows Drew's car so she can run to the grocery store. While out, she rear-ends an SUV, injuring the driver and one passenger. The passenger suffers $40,000 in injuries, while the driver suffers $60,000. Assuming Drew has a liability policy with limits of 30/60/10, while Nancy carries minimum coverage for South Carolina, how much will Nancy's policy cover?

Nancy borrows Drew's car so she can run to the grocery store. While out, she rear-ends an SUV, injuring the driver and one passenger. The passenger suffers $40,000 in injuries, while the driver suffers $60,000. Assuming Drew has a liability policy with limits of 30/60/10, while Nancy carries minimum coverage for South Carolina, how much will Nancy's policy cover? Answer: $35,000

PAP holders have several duties after a loss. Which of the following is NOT one of them?

PAP holders have several duties after a loss. Which of the following is NOT one of them? Answer: The Policy holder must complete a drivering safety course

Don has a PAP with $500 Collision and Comprehensive deductibles, Liability limits of 25/50/25, and $5,000 in Medical Payments coverage. He is struck by a car while taking a walk in his neighborhood, leaving him with $36,500 in medical costs. The driver of the vehicle has liability coverage of 30/60/25, which pays up to its limit for Don's injuries. How will Don's policy respond to the loss?

Don has a PAP with $500 Collision and Comprehensive deductibles, Liability limits of 25/50/25, and $5,000 in Medical Payments coverage. He is struck by a car while taking a walk in his neighborhood, leaving him with $36,500 in medical costs. The driver of the vehicle has liability coverage of 30/60/25, which pays up to its limit for Don's injuries. How will Don's policy respond to the loss? Answer: Medical Payments will pay $5,000.

Part D of the Personal Auto Policy does NOT cover:

Part D of the Personal Auto Policy does NOT cover: Answer: Freezing

Liability limits in a Personal Auto Policy are applied:

Liability limits in a Personal Auto Policy are applied: Answer: Per Person, and Per Accident

Molly borrows her friend Dom's car to run to the grocery store. On the way home, she rear-ends a van, injuring the driver and 3 other passengers. Each of the passengers suffers $45,000 in injuries, while the driver suffers $40,000. Assuming Dom has a liability policy with limits of 50/100/50, while Molly has 25/50/25 coverage, how much will the primary policy cover?

Molly borrows her friend Dom's car to run to the grocery store. On the way home, she rear-ends a van, injuring the driver and 3 other passengers. Each of the passengers suffers $45,000 in injuries, while the driver suffers $40,000. Assuming Dom has a liability policy with limits of 50/100/50, while Molly has 25/50/25 coverage, how much will the primary policy cover? Answer: 100,000

Which of the following people is NOT occupying a vehicle that would qualify as "your covered auto" on the declarations page of his Personal Auto Policy?

Which of the following people is NOT occupying a vehicle that would qualify as "your covered auto" on the declarations page of his Personal Auto Policy? Answer: Patrick borrows his neighbor's 45,000 pound semi truck to help his neighbor move.

Under a Personal Auto Policy, an insurer will cover Medical Payments for up to ____ from the date of the accident.

Under a Personal Auto Policy, an insurer will cover Medical Payments for up to ____ from the date of the accident. Answer: 3 years

In a Commercial Auto Policy, which coverage symbol indicates that a car is subject to mandatory no-fault insurance?

In a Commercial Auto Policy, which coverage symbol indicates that a car is subject to mandatory no-fault insurance? Answer: 5

Under a garagekeepers policy, which coverage would split a covered loss with the car owner's personal insurance?

Under a garagekeepers policy, which coverage would split a covered loss with the car owner's personal insurance? Answer: Direct Primary

In a Personal Auto Policy, the definition of "Your Covered Auto" can refer to any of the following vehicles, EXCEPT:

In a Personal Auto Policy, the definition of "Your Covered Auto" can refer to any of the following vehicles, EXCEPT: Answer: a trailer that Tim's neighbor let him borrow.

D'Anton spills coffee in his lap while driving, causing him to veer off the road and smash into a lamp post. Which part of his Personal Auto Policy will help him pay for the repairs to the lamp post?

D'Anton spills coffee in his lap while driving, causing him to veer off the road and smash into a lamp post. Which part of his Personal Auto Policy will help him pay for the repairs to the lamp post? Answer: Liability Coverage

Which of the following would most likely be covered under Other Than Collision coverage in a personal auto policy?

Which of the following would most likely be covered under Other Than Collision coverage in a personal auto policy? Answer: Civil Unrest

The limit of liability for Coverage B - Other Structures is typically:

The limit of liability for Coverage B - Other Structures is typically: Answer: 10% of coverage A

Michelle just purchased a homeowners policy for her new single-family home. Although she would have liked the best coverage money can buy, she could not afford the most expensive policy. She compromised with a policy that provides open-peril coverage for her house and detached garage, and named-peril coverage for her personal property. Which homeowners policy did Michelle purchase?

Michelle just purchased a homeowners policy for her new single-family home. Although she would have liked the best coverage money can buy, she could not afford the most expensive policy. She compromised with a policy that provides open-peril coverage for her house and detached garage, and named-peril coverage for her personal property. Which homeowners policy did Michelle purchase? Answer: HO-3

Jake and his neighbor Bill are working to repair Jake's roof. Jake sets up two ladders side-by-side for each of them to use while working on the gutters. While at the top of the ladder, Jake falls into Bill's ladder, sending both of them tumbling to the ground. Whose injuries will be covered by Jake's homeowners policy under Coverage E - Personal Liability?

Jake and his neighbor Bill are working to repair Jake's roof. Jake sets up two ladders side-by-side for each of them to use while working on the gutters. While at the top of the ladder, Jake falls into Bill's ladder, sending both of them tumbling to the ground. Whose injuries will be covered by Jake's homeowners policy under Coverage E - Personal Liability? Answer: Bill's Injuries

Andrew's house is struck by lightning. The power surge fries two of the family's laptop computers, and starts a fire that damages his roof, two living room walls, and a leather sofa. Which of these damages would fall under Coverage C of Andrew's Homeowners 3 policy?

Andrew's house is struck by lightning. The power surge fries two of the family's laptop computers, and starts a fire that damages his roof, two living room walls, and a leather sofa. Which of these damages would fall under Coverage C of Andrew's Homeowners 3 policy? Answer: The Sofa and laptop computers

The Water Backup and Sump Discharge or Overflow endorsement:

The Water Backup and Sump Discharge or Overflow endorsement: Answer: covers water damage if it results from a mechanical breakdown of sump pump equipment.

Clark lost power to his home when a windstorm blew the roof off of his house. As a result, he lost several hundred dollars worth of meat that he was keeping in a freezer in his basement. Which homeowners coverage might indemnify Clark for the loss of his meat?

Clark lost power to his home when a windstorm blew the roof off of his house. As a result, he lost several hundred dollars worth of meat that he was keeping in a freezer in his basement. Which homeowners coverage might indemnify Clark for the loss of his meat? Answer: Personal Property Coverage

Simon just bought his first home-a cheap fixer-upper in a town where average snowfall exceeds 80 inches per year. It may be an old house in a run-down neighborhood, but he still wants to protect his initial investment. What is the cheapest policy option that would protect Simon's financial interest in his home, even in the brutal winters?

Simon just bought his first home-a cheap fixer-upper in a town where average snowfall exceeds 80 inches per year. It may be an old house in a run-down neighborhood, but he still wants to protect his initial investment. What is the cheapest policy option that would protect Simon's financial interest in his home, even in the brutal winters? Answer: HO-2

In a Personal Watercraft policy, Part C would cover:

In a Personal Watercraft policy, Part C would cover: Answer: damage to the covered craft caused by an uninsured operator of another watercraft.

Homeowners policies don't provide coverage for:

Homeowners policies don't provide coverage for: Answer: Flood damage

Which of the following is eligible for coverage under the Personal Property Replacement Cost endorsement in a homeowners policy?

Which of the following is eligible for coverage under the Personal Property Replacement Cost endorsement in a homeowners policy? Answer: Photographers equipment

Jeremy is purchasing a homeowners policy for his house in the country. He is a beer enthusiast and is especially concerned with protecting his home brewing equipment from the black bears commonly seen in the area. Which of the following is the least expensive option that meets Jeremy's special need?

Jeremy is purchasing a homeowners policy for his house in the country. He is a beer enthusiast and is especially concerned with protecting his home brewing equipment from the black bears commonly seen in the area. Which of the following is the least expensive option that meets Jeremy's special need? Answer: Homeowners 5

In order to be considered "fully insured" at 80% or more, Richard must carry at least $240,000 in insurance coverage on his home. What is the value of Richard's home?

In order to be considered "fully insured" at 80% or more, Richard must carry at least $240,000 in insurance coverage on his home. What is the value of Richard's home? Answer: 300,000

In South Carolina, how much notice must an insurer give when cancelling a dwelling policy for non-payment of premiums?

In South Carolina, how much notice must an insurer give when cancelling a dwelling policy for non-payment of premiums? Answer: 10 days

Which of these homeowners policy coverages does NOT usually have a deductible?

Which of these homeowners policy coverages does NOT usually have a deductible? Answer: Fire department Service Charge

In which section of the Standard Fire Policy would you find an explanation of the losses covered under the policy and what the insurer has agreed to provide in exchange for premiums?

In which section of the Standard Fire Policy would you find an explanation of the losses covered under the policy and what the insurer has agreed to provide in exchange for premiums? Answer: Insuring agreement

An unendorsed Dwelling Policy is intended to cover all of the following except:

An unendorsed Dwelling Policy is intended to cover all of the following except: Answer: liability damages

In which section of the Standard Fire Policy would one find the following subsection titled: "Duties of the Insured after an Occurrence"?

In which section of the Standard Fire Policy would one find the following subsection titled: "Duties of the Insured after an Occurrence"? Answer: Conditions

Coverage L in a Personal Liability Supplement provides:

Coverage L in a Personal Liability Supplement provides: Answer: coverage for both bodily injury and property damage to a third party for which the insured is legally liable.

The Standard Fire policy has 4 main parts. They are:

The Standard Fire policy has 4 main parts. They are: Answer: Declarations, Insuring Agreement, Conditions, and Exclusions

The primary purpose of the Insuring Agreement is to specify the ____________ of an insurance policy.

The primary purpose of the Insuring Agreement is to specify the ____________ of an insurance policy. Answer: Coverages

James rents a home to Jill and maintains a DP-3 policy on the dwelling. One day, Jill accidently leaves the oven on all day while she is out, and James' house burns to the ground, along with all the contents. Which items could be covered under Coverage C in James' DP-3?

James rents a home to Jill and maintains a DP-3 policy on the dwelling. One day, Jill accidently leaves the oven on all day while she is out, and James' house burns to the ground, along with all the contents. Which items could be covered under Coverage C in James' DP-3? Answer: James Appliances

After Jerry pulled the fire alarm, the indoor sprinkler system came on and flooded the offices at Elliot Designs, which caused thousands of dollars in damage. Elliot Designs filed a claim with KLM Insurance, who dispatched Chrystal to investigate and process the claim. Who is the principal in this scenario?

After Jerry pulled the fire alarm, the indoor sprinkler system came on and flooded the offices at Elliot Designs, which caused thousands of dollars in damage. Elliot Designs filed a claim with KLM Insurance, who dispatched Chrystal to investigate and process the claim. Who is the principal in this scenario? Answer: KLM Insurance

After a fire destroys Gale's kitchen, she files a claim with her insurer and hires a contractor. The contractor estimates it will take $42,250 to repair the damage, but the adjuster estimates it will only take $38,340. Which of the following is the best option for the adjuster's response to Gale's claim?

After a fire destroys Gale's kitchen, she files a claim with her insurer and hires a contractor. The contractor estimates it will take $42,250 to repair the damage, but the adjuster estimates it will only take $38,340. Which of the following is the best option for the adjuster's response to Gale's claim? Answer: Negotiate a settlement amount with Gail.

Why might a Reservation of Rights letter be sent?

Why might a Reservation of Rights letter be sent? Answer: The Clamant took too long to file the claim

What does a declaratory judgment action seek?

What does a declaratory judgment action seek? Answer: Legal Clarification of policy coverage

Which of the following people are in the process of submitting a formal request to settle the damage?

Which of the following people are in the process of submitting a formal request to settle the damage? Answer: Grace is filing a claim with her insurer for hail damage to her roof.

Whose responsibility is it to maintain an open line of communication during the settlement process?

Whose responsibility is it to maintain an open line of communication during the settlement process? Answer: The Adjuster

Greg works for XYZ Insurance. Part of his daily tasks involve visiting sites, investigating liability, and determining the time and cost of repairs. On occasion, Greg will have to negotiate with claimants as part of his job. Which type of agent is Greg?

Greg works for XYZ Insurance. Part of his daily tasks involve visiting sites, investigating liability, and determining the time and cost of repairs. On occasion, Greg will have to negotiate with claimants as part of his job. Which type of agent is Greg? Answer: Claims Adjuster

When a storm rolled through town a month ago, John's home suffered substantial damage. He filed a claim, but his insurer has offered a settlement much lower than John feels is fair. Each party selects an appraiser, who in turn agree on an umpire, to help settle the claim. If two of the three parties agree, their decision is:

When a storm rolled through town a month ago, John's home suffered substantial damage. He filed a claim, but his insurer has offered a settlement much lower than John feels is fair. Each party selects an appraiser, who in turn agree on an umpire, to help settle the claim. If two of the three parties agree, their decision is: Answer: binding

Which of the following is NOT a way to determine an insurer's liability in a claim?

Which of the following is NOT a way to determine an insurer's liability in a claim? Answer: Check if the current month's premium had been paid at the time of loss.

Which of the following is the easiest and least costly option?

Which of the following is the easiest and least costly option? Answer: Adjuster/clamant negotiation

An adjuster has several tasks to complete during the adjusting process. All of the following are examples of the types of tasks an adjuster may be required to perform, EXCEPT:

An adjuster has several tasks to complete during the adjusting process. All of the following are examples of the types of tasks an adjuster may be required to perform, EXCEPT: Answer: During a meeting with Darlene, Mindy collects various pieces of information and writes an auto policy for Darlene to purchase.

After Cindy crashes into Nancy's mailbox while driving drunk, she gets out of her car, trips over Nancy's sidewalk, falls and breaks her arm. She then sues Nancy for the medical bills related to her broken arm. They are in a state that follows the doctrine of comparative negligence. What is the likely outcome of Cindy's lawsuit against Nancy?

After Cindy crashes into Nancy's mailbox while driving drunk, she gets out of her car, trips over Nancy's sidewalk, falls and breaks her arm. She then sues Nancy for the medical bills related to her broken arm. They are in a state that follows the doctrine of comparative negligence. What is the likely outcome of Cindy's lawsuit against Nancy? Answer: The amount awarded to Cindy will be reduced by the percentage of her own negligence.

Frank purchases a homeowners policy worth $700,000 with a 4% deductible. A few months later, a heavy hailstorm destroys his roof, porch, and windows, causing $50,000 in damages. Frank should expect __________ from the insurance company to pay for the damages.

Frank purchases a homeowners policy worth $700,000 with a 4% deductible. A few months later, a heavy hailstorm destroys his roof, porch, and windows, causing $50,000 in damages. Frank should expect __________ from the insurance company to pay for the damages. Answer: $22,000

Under which circumstances may an insurer cancel a policy during the first 90 days that the policy is in effect?

Under which circumstances may an insurer cancel a policy during the first 90 days that the policy is in effect? Answer: The insurer may cancel for any reason

After a hail storm passed through his neighborhood, Perry had his roof inspected by a local contractor. The contractor gave Perry an estimate of $9,850 to replace his roof, so he filed a claim with his insurer. The adjuster came up with her own estimate of $9,645 to replace Perry's roof. How will the adjuster likely respond to Perry's request?

After a hail storm passed through his neighborhood, Perry had his roof inspected by a local contractor. The contractor gave Perry an estimate of $9,850 to replace his roof, so he filed a claim with his insurer. The adjuster came up with her own estimate of $9,645 to replace Perry's roof. How will the adjuster likely respond to Perry's request? Answer: Accept his request, since the difference between the two amounts is small enough to settle in Perry's favor.

Bill's home was destroyed by a tornado, and Nick is adjusting the claim. Bill's home will cost $235,000 to rebuild. His homeowners policy has a $225,000 limit and a $1,700 deductible. How much would Nick typically calculate the final settlement amount to be?

Bill's home was destroyed by a tornado, and Nick is adjusting the claim. Bill's home will cost $235,000 to rebuild. His homeowners policy has a $225,000 limit and a $1,700 deductible. How much would Nick typically calculate the final settlement amount to be? Answer: $225,000

Which ISO is known as the Condominium form?

Which ISO is known as the Condominium form? Answer: Homeowners 6

Jared is fishing from his 22-foot sailboat when he is caught in a sudden hailstorm. His boat suffers extensive hail damage. When he files a claim against his homeowners policy, he is upset to learn that his claim is denied because:

Jared is fishing from his 22-foot sailboat when he is caught in a sudden hailstorm. His boat suffers extensive hail damage. When he files a claim against his homeowners policy, he is upset to learn that his claim is denied because: Answer: the boat was not fully enclosed inside a building during the hailstorm.

What document do insurance companies give to claimants when they think something in the claim is not covered by the policy, but they are not sure yet?

What document do insurance companies give to claimants when they think something in the claim is not covered by the policy, but they are not sure yet? Answer: Reservation of rights letter

Sarah and a carload of her friends are driving to Vermont for the weekend when she hits a deer, causing $10,000 in damages to her car and $5,000 in medical bills for herself and her passengers. Which insurance coverage will pay for the damages to Sarah's car?

Sarah and a carload of her friends are driving to Vermont for the weekend when she hits a deer, causing $10,000 in damages to her car and $5,000 in medical bills for herself and her passengers. Which insurance coverage will pay for the damages to Sarah's car? Answer: Comprehensive

Sylvia is in the process of building an addition onto her used book store, which is insured under a commercial property policy. About 40 days into the process, her mother takes a bad fall and breaks her hip. Seeing that she needs to move closer to her mom, Sylvia sells the book store. Her Builder's Risk coverage is terminated because:

Sylvia is in the process of building an addition onto her used book store, which is insured under a commercial property policy. About 40 days into the process, her mother takes a bad fall and breaks her hip. Seeing that she needs to move closer to her mom, Sylvia sells the book store. Her Builder's Risk coverage is terminated because: Answer: Sylvia no longer has insurable interest in the building

Which of the following is least likely to be one of the important questions an adjuster must answer before entering into the negotiations process?

Which of the following is least likely to be one of the important questions an adjuster must answer before entering into the negotiations process? Answer: How much is the insured willing to pay

The adjusters preliminary report would most likely not include:

The adjusters preliminary report would most likely not include: Answer: The settlement amount

Appraisal is used to decide:

Appraisal is used to decide: Answer: the settlement amount

Which of the following sequences is most likely in the correct chronological order?

Which of the following sequences is most likely in the correct chronological order? Answer: Acknowledge the claim, then open a line of communication with the claimant.

As Seth is driving along a country road, a deer jumps out in front of him. This causes Seth to veer off the road and crash into Cassie's wood fence and a brick mailbox. As a result of the crash, Seth suffers $3,700 in damage to his sedan and causes $1,800 in damage to Cassie's property. How much of the damage will be covered by Seth's liability insurance?

As Seth is driving along a country road, a deer jumps out in front of him. This causes Seth to veer off the road and crash into Cassie's wood fence and a brick mailbox. As a result of the crash, Seth suffers $3,700 in damage to his sedan and causes $1,800 in damage to Cassie's property. How much of the damage will be covered by Seth's liability insurance? Answer: $1800

Sara's vehicle was stolen and her insurer paid her theft claim for the total value of the car. A week later, the police found Sara's car and returned it to her. Which of the following statements is true?

Sara's vehicle was stolen and her insurer paid her theft claim for the total value of the car. A week later, the police found Sara's car and returned it to her. Which of the following statements is true? Answer: The Recovered Property provision states that Sara must notify the insurer and either return the settlement payment or surrender the vehicle to the insurer.

A power surge sparks a small electrical fire in an office building. The electrical fire triggers the automatic sprinkler system. The water from the sprinklers soaks the carpets and shorts-out all the computers, causing thousands of dollars in damage. The office must close for two months during repairs. The sprinklers soaking the office would be considered:

A power surge sparks a small electrical fire in an office building. The electrical fire triggers the automatic sprinkler system. The water from the sprinklers soaks the carpets and shorts-out all the computers, causing thousands of dollars in damage. The office must close for two months during repairs. The sprinklers soaking the office would be considered: Answer: An occurrence

ABC Consulting has a CGL policy and an Umbrella policy, but the CGL runs from January 1 to December 31 and the Umbrella policy runs from June 1 to May 31. This difference in inception and expiration dates creates confusion when settling claims. This condition is known as:

ABC Consulting has a CGL policy and an Umbrella policy, but the CGL runs from January 1 to December 31 and the Umbrella policy runs from June 1 to May 31. This difference in inception and expiration dates creates confusion when settling claims. This condition is known as: Answer: Nonconcurency

Jackie recently inherited a life-sized marble statue of her great-grandfather. It is an irreplaceable antique, and it is nearly impossible to determine the ACV. Which type of policy would best indemnify Jackie in the event that the statue was ever damaged?

Jackie recently inherited a life-sized marble statue of her great-grandfather. It is an irreplaceable antique, and it is nearly impossible to determine the ACV. Which type of policy would best indemnify Jackie in the event that the statue was ever damaged? Answer: Agreed Value Policy

Sam was tired of the neighbor's trees along the fence line poking through the fence and dropping leaves in his yard, so he reached across the fence with his pole saw and cut down the neighbor's tree. Sam's neighbor was upset and sued him for the damages. Sam is ordered to pay $500 for the tree. Under which category of damage would this fall?

Sam was tired of the neighbor's trees along the fence line poking through the fence and dropping leaves in his yard, so he reached across the fence with his pole saw and cut down the neighbor's tree. Sam's neighbor was upset and sued him for the damages. Sam is ordered to pay $500 for the tree. Under which category of damage would this fall? Answer: Compensory Damage

In an insurance contract, exclusions serve all of the following purposes, except:

In an insurance contract, exclusions serve all of the following purposes, except: Answer: add coverages that need special treatment.

Anytown Pediatrics has been having a hard time finding medical malpractice insurance. The premiums are extraordinarily high, and they get higher every year. Finally, fed up with the cost of insurance, the directors decide to form their own insurance company, which will serve only Anytown Pediatrics. This way, any profits generated by the insurer will come back to Anytown Pediatrics. What kind of insurance company would this be?

Anytown Pediatrics has been having a hard time finding medical malpractice insurance. The premiums are extraordinarily high, and they get higher every year. Finally, fed up with the cost of insurance, the directors decide to form their own insurance company, which will serve only Anytown Pediatrics. This way, any profits generated by the insurer will come back to Anytown Pediatrics. What kind of insurance company would this be? Answer: Captive insurer

An economic device used to protect against the risk of realizing unforeseen and extraordinary financial loss is called:

An economic device used to protect against the risk of realizing unforeseen and extraordinary financial loss is called: Answer: A Peril

Nina's home is located in a high crime neighborhood. One day, she comes home from work to find that her garage door had been spray-painted with graffiti. Nina's insurer would consider the act of vandalism to Nina's garage a:

Nina's home is located in a high crime neighborhood. One day, she comes home from work to find that her garage door had been spray-painted with graffiti. Nina's insurer would consider the act of vandalism to Nina's garage a: Answer: Peril

Which of the following best defines the doctrine of Res Ipsa Loquitur?

Which of the following best defines the doctrine of Res Ipsa Loquitur? Answer: The circumstances of the injury make it obvious that the defendant is negligent; no proof is needed.

A lion at a zoo escaped when a zoo employee failed to follow protocol. The lion injured a zoo patron. In court, the injured patron's lawyer could invoke the doctrine of:

A lion at a zoo escaped when a zoo employee failed to follow protocol. The lion injured a zoo patron. In court, the injured patron's lawyer could invoke the doctrine of: Answer: Res Ipsa Loquitur.

Which of the following best describes a "risk," according to the insurance definition?

Which of the following best describes a "risk," according to the insurance definition? Answer: A potential for financial loss

During a storm, heavy winds cause a tree limb to break and fall onto Paul's house, causing $6,500 in damage. Paul's insurance company now considers his house:

During a storm, heavy winds cause a tree limb to break and fall onto Paul's house, causing $6,500 in damage. Paul's insurance company now considers his house: Answer: A Loss

The Hitchcock Clock Company purchases a fire policy with a 90% coinsurance clause and a coverage limit of $150,000. The replacement cost of the building insured is $200,000. The company suffers a $20,000 fire loss. What will the insurance company pay?

The Hitchcock Clock Company purchases a fire policy with a 90% coinsurance clause and a coverage limit of $150,000. The replacement cost of the building insured is $200,000. The company suffers a $20,000 fire loss. What will the insurance company pay? a. $12,500 b. $16,667 c. $18,750 d. $20,000 Answer: b. $16,667

Which of the following coverages IS included in the Homeowners policy but is NOT included in an unendorsed Dwelling policy?

Which of the following coverages IS included in the Homeowners policy but is NOT included in an unendorsed Dwelling policy? a. Dwelling b. Other structures c. Personal property d. Liability Answer: d. Liability

Malik is successfully sued for negligence. The jury awards the injured party $175,000. The limits under Malik's liability policy provide coverage up to $100,000 per occurrence. In addition, his insurance carrier is charged $17,000 for defending the suit. How much will Malik's carrier pay to the injured party?

Malik is successfully sued for negligence. The jury awards the injured party $175,000. The limits under Malik's liability policy provide coverage up to $100,000 per occurrence. In addition, his insurance carrier is charged $17,000 for defending the suit. How much will Malik's carrier pay to the injured party? a. $100,000 b. $117,000 c. $125,000 d. $175,000 Answer: a. $100,000

If an HO-3 policy has a coverage limit of $100,000 on the dwelling, how much coverage would automatically apply to cover the insured's personal property under Coverage C?

If an HO-3 policy has a coverage limit of $100,000 on the dwelling, how much coverage would automatically apply to cover the insured's personal property under Coverage C? a. $20,000 b. $25,000 c. $50,000 d. $100,000 Answer: c. $50,000

To pay a claim, insurable interest with casualty insurance must exist

To pay a claim, insurable interest with casualty insurance must exist a. At the time the policy is issued b. By the effective date of the policy c. When the policy is being underwritten d. At the time of loss Answer: d. At the time of loss

The Homeowners form that provides open peril coverage on the dwelling and broad coverage on personal property is the

The Homeowners form that provides open peril coverage on the dwelling and broad coverage on personal property is the a. HO-3 b. HO-4 c. HO-2 d. HO-6 Answer: a. HO-3

What type of insurance policy insures against all risks of loss that are not specifically excluded by the policy?

What type of insurance policy insures against all risks of loss that are not specifically excluded by the policy? a. Named peril policy b. Open peril policy c. Specified peril policy d. Binder policy Answer: b. Open peril policy

Employee theft coverage would provide for

Employee theft coverage would provide for a. The loss of money by a company officer b. The loss of securities due to the robbery of a safe c. Damage to the premises caused by a fire started by a burglar d. The loss of use of property taken in a robbery Answer: a. The loss of money by a company officer

Which of the following is closely related to the concept of insurable interest?

Which of the following is closely related to the concept of insurable interest? a. The concept of replacement cost b. Actual cash value c. The principle of indemnity d. Proximate cause Answer: c. The principle of indemnity

Most flood insurance coverage is provided by

Most flood insurance coverage is provided by a. Private insurance companies b. State-run programs c. A federal government program d. Surplus lines insurers Answer: c. A federal government program

If a neighbor accidentally drives his vehicle into the insured's fence, this would

If a neighbor accidentally drives his vehicle into the insured's fence, this would a. Be covered under a basic form-dwelling policy with the extended coverage perils b. Not be covered under any of the dwelling policy forms c. Be covered under the broad form-dwelling policy d. Be covered as part of the extension of coverage under all dwelling coverage forms Answer: c. Be covered under the broad form-dwelling policy

Which of the following types of exposures is NOT eligible to be covered by a business owner's policy?

Which of the following types of exposures is NOT eligible to be covered by a business owner's policy? a. General contractor at a fixed location b. Shoe repair shop c. Parking Lot d. Tailor Answer: c. Parking Lot

An auto repairman forgets to replace the oil drain plug in a customer's engine that results in a loss of oil during the next several days. The loss of oil causes the engine to seize. Which of the following coverages would protect the repairman in this situation?

An auto repairman forgets to replace the oil drain plug in a customer's engine that results in a loss of oil during the next several days. The loss of oil causes the engine to seize. Which of the following coverages would protect the repairman in this situation? a. Owners and contractors protective liability b. Contractual liability c. Completed operations liability d. Owners, landlords, and tenants liability Answer: c. Completed operations liability

In which of the following instances would coverage be triggered under a claims made form

In which of the following instances would coverage be triggered under a claims made form a. When a claim is reported and filed b. When a covered employee is injured on the job c. When bodily injury to others occurs following a retroactive date, if any d. When injury or damage occurs during the policy period Answer: a. When a claim is reported and filed

The Turners are concerned about the burglaries that have been occurring frequently in their apartment complex. They decide it's time to buy renters insurance. This describes which of the following?

The Turners are concerned about the burglaries that have been occurring frequently in their apartment complex. They decide it's time to buy renters insurance. This describes which of the following? a. Personal contract b. All-risk coverage c. Exposure d. Adverse selection Answer: c. Exposure

All of the following statements are correct regarding the duties of an insured following a loss except the insured must

All of the following statements are correct regarding the duties of an insured following a loss except the insured must a. Reimburse the mortgagee for its interest in the damaged property b. Protect the property from further damage c. Separate the damaged from undamaged property d. Provide immediate written notice to the company Answer: a. Reimburse the mortgagee for its interest in the damaged property

The phrase robbery or holdup, as used in burglary and robbery insurance, means the felonious taking of property in which of the following ways

The phrase robbery or holdup, as used in burglary and robbery insurance, means the felonious taking of property in which of the following ways a. By someone using a scheme, trick, or device designed to deprive the owner of the property b. From within an insured premises, safe, or vault, by actual force and violence, leaving visible marks of forced entry c. From insured premises left unguarded and accessible without evidence of forced entry d. By use of or threat of the use of violence with the means to carry it out Answer: d. By use of or threat of the use of violence with the means to carry it out

An employee of an insured is injured on the job. Coverage would be provided under which of the following products?

An employee of an insured is injured on the job. Coverage would be provided under which of the following products? a. CGL b. BOP c. Workers' Compensation d. Fidelity bond Answer: c. Workers' Compensation

Jamie has an automobile policy with limits of $50,000 per person and $100,000 per occurrence. An accident occurs and two people are injured, one with $25,000 in injuries and the other with $75,000 in injuries. If Jaime is found responsible, what is the maximum amount his policy will pay for the injuries?

Jamie has an automobile policy with limits of $50,000 per person and $100,000 per occurrence. An accident occurs and two people are injured, one with $25,000 in injuries and the other with $75,000 in injuries. If Jaime is found responsible, what is the maximum amount his policy will pay for the injuries? a. $50,000 b. $75,000 c. $100,000 d. $0; the injured parties' policy will pay for their injuries Answer: b. $75,000

A coverage form added to the commercial package policy that provides protection against the direct loss to buildings under construction is known as

A coverage form added to the commercial package policy that provides protection against the direct loss to buildings under construction is known as a. Rent insurance b. Legal liability c. Builder's risk coverage d. General contractor's insurance Answer: c. Builder's risk coverage

Internal limitations on property covered under a homeowner's policy include which of the following?

Internal limitations on property covered under a homeowner's policy include which of the following? a. Antiques and fine art b. Money, jewelry, and furs c. Furniture and clothes d. Appliances and equipment Answer: b. Money, jewelry, and furs

An insured purchased new furniture for $6,000. At the time of a fire loss, it had depreciated $2,000. The same furniture will cost $7,000 to replace. What is the actual cash value of the destroyed furniture?

An insured purchased new furniture for $6,000. At the time of a fire loss, it had depreciated $2,000. The same furniture will cost $7,000 to replace. What is the actual cash value of the destroyed furniture? a. $4,000 b. $8000. c. $6000. d. $5000. Answer: d. $5000.

Tony has a liability policy that covers his business. Sometime during the policy period a loss occurs, but Tony does NOT become aware of the loss until several years after his policy expires. Which of the following types of policies would cover the loss?

Tony has a liability policy that covers his business. Sometime during the policy period a loss occurs, but Tony does NOT become aware of the loss until several years after his policy expires. Which of the following types of policies would cover the loss? a. Serial policy b. Occurrence policy c. Claims-made policy d. The loss would not be covered under any type of policy Answer: b. Occurrence policy

The owner of a Laundromat who dry-cleans clothing belonging to others would purchase which of the following

The owner of a Laundromat who dry-cleans clothing belonging to others would purchase which of the following a. Transportation Floater b. Trip transit c. Bailee policy d. Commercial floater Answer: c. Bailee policy

Summer owns a home with a replacement cost of $150,000. For the replacement cost provisions of a homeowners contract to apply, Summer must carry how much minimum coverage?

Summer owns a home with a replacement cost of $150,000. For the replacement cost provisions of a homeowners contract to apply, Summer must carry how much minimum coverage? a. $90,000 b. $105,000 c. $120,000 d. $135,000 Answer: c. $120,000

All of the following statements are correct about risk retention groups EXCEPT:

All of the following statements are correct about risk retention groups EXCEPT: a. It is federally regulated. b. It is state regulated. c. It is available to almost all businesses. d. It is a self insurance program for business groups. Answer: a. It is federally regulated.

What part of an insurance policy personalizes the policy as to whom and what are insured?

What part of an insurance policy personalizes the policy as to whom and what are insured? a. Insuring Agreements b. Conditions c. Exclusions d. Declarations Answer: d. Declarations

Collision insurance covers which of the following?

Collision insurance covers which of the following? a. All damage to an auto struck by the insured, if the insured is legally liable b. Upset of the auto without a deductible applying c. Direct loss to the auto caused by collision with another object d. Collision of the covered vehicle with a large animal Answer: c. Direct loss to the auto caused by collision with another object

All of the following losses are covered by a personal auto policy EXCEPT

All of the following losses are covered by a personal auto policy EXCEPT a. Theft b. Glass breakage c. Liability for damage to the insured's property d. Damage to the property of others Answer: c. Liability for damage to the insured's property

All of the following perils are covered by a basic property insurance policy EXCEPT

All of the following perils are covered by a basic property insurance policy EXCEPT a. Fire b. Internal Explosion c. Lightning d. Falling Objects Answer: d. Falling Objects

Which of the following is NOT considered an insurable peril?

Which of the following is NOT considered an insurable peril? a. Losses that result from gambling b. The loss of revenue caused by the temporary closing of a business following a covered loss c. Loss that results from a fire that starts when lightning strikes a barn d. A woman injured when she falls on the wet floor of local grocery store Answer: a. Losses that result from gambling

The purpose of a binder is to

The purpose of a binder is to a. Guarantee that an insurance policy will be issued provided the insured has made no misrepresentations on the application b. Provide the insurance company with the information about the insured required to decide whether or not to issue the policy c. Eliminate the need for the policy to be countersigned when it is issued d. Provide temporary protection for the insured between the time the application is made and the policy is issued or the binder expires Answer: d. Provide temporary protection for the insured between the time the application is made and the policy is issued or the binder expires

The term burglary as used in burglary and robbery insurance, means the felonious taking of property in which of the following ways

The term burglary as used in burglary and robbery insurance, means the felonious taking of property in which of the following ways a. From within an insured premises, safe, or vault, leaving visible marks of forced entry b. From a custodian, by violence or threats of violence, or from his person or direct custody, if he has been killed or rendered unconscious c. From an armored car or the employee of an armored car d. By the threat of violence to someone inside or outside the insured premises Answer: a. From within an insured premises, safe, or vault, leaving visible marks of forced entry

A condition creating or increasing the chance for loss is known as a

A condition creating or increasing the chance for loss is known as a a. Peril b. Hazard c. Loss d. risk Answer: b. Hazard

Uninsured motorist coverage in an auto policy provides payments for which of the following

Uninsured motorist coverage in an auto policy provides payments for which of the following a. Bodily injury to other parties b. Bodily injury to the insured c. Physical damage to the auto d. Bodily injury to the uninsured driver Answer: b. Bodily injury to the insured

A surety bond pays which of the following parties

A surety bond pays which of the following parties a. Principal b. Contractor performing the work c. Surety d. Obligee Answer: d. Obligee

According to the cancellation condition in the Common Policy Conditions form, if the insurance company is cancelling a Commercial Package policy for nonpayment of premium, the insured must be given at least how many days notice of cancellation?

According to the cancellation condition in the Common Policy Conditions form, if the insurance company is cancelling a Commercial Package policy for nonpayment of premium, the insured must be given at least how many days notice of cancellation? a. 30 b. 60 c. 14 d. 10 Answer: d. 10

Which of the following is responsible for the licensing of insurance agents?

Which of the following is responsible for the licensing of insurance agents? a. American Council of Insurers b. Interstate Commerce Commission c. Individual State Insurance Departments d. Federal Trade Commission Answer: c. Individual State Insurance Departments

Which of the following losses is covered by the inside the premises—robbery or safe burglary of other property crime coverage form

Which of the following losses is covered by the inside the premises—robbery or safe burglary of other property crime coverage form a. Theft from a messenger while at the bank b. Theft by an employee c. Merchandise stolen from a custodian d. Money stolen from an employee Answer: c. Merchandise stolen from a custodian

Mr. James is an employee of the county government who wants protection in case others believe he does not perform his duties adequately. Which bond should Mr. James choose to cover this exposure?

Mr. James is an employee of the county government who wants protection in case others believe he does not perform his duties adequately. Which bond should Mr. James choose to cover this exposure? a. Labor and materials bond b. Public officials bond c. Federal bond d. Fiduciary bond Answer: b. Public officials bond

The renewal fee for a Louisiana producer license is

The renewal fee for a Louisiana producer license is a. $100 b. $5000 c. $50 d. $250 Answer: c. $50

A loss that occurs when an individual breaks into a safe and leaves visible signs of forcible entry best describes

A loss that occurs when an individual breaks into a safe and leaves visible signs of forcible entry best describes a. Burglary b. Robbery c. Mysterious disappearance d. Larceny Answer: a. Burglary

By entering into an insurance contract, a policy holder transfers the right of legal action against a responsible third party to the insurer. This process is known as

By entering into an insurance contract, a policy holder transfers the right of legal action against a responsible third party to the insurer. This process is known as a. Insurable interest b. Coinsurance c. Subrogation d. Abandonment Answer: c. Subrogation

If an insured and insurer disagree as to whether there is coverage under a policy which of the following processes will be utilized

If an insured and insurer disagree as to whether there is coverage under a policy which of the following processes will be utilized a. Appraisal b. Subornation c. Assignment d. Arbitration Answer: d. Arbitration

An individual who owns and lives in a condominium can obtain broad coverage for personal property in the condo under which Homeowners' form?

An individual who owns and lives in a condominium can obtain broad coverage for personal property in the condo under which Homeowners' form? a. HO-6 b. HO-4 c. HO-2 d. HO-3 Answer: a. HO-6

And the insurance policy is prepared by the insurance company with little or no input from the insured. This means that an insurance policy is a/an

And the insurance policy is prepared by the insurance company with little or no input from the insured. This means that an insurance policy is a/an a. Unilateral contract. b. Contract of Adhesion. c. Personal contract. d. Contract of utmost good faith. Answer: b. Contract of Adhesion.

Which one of the following types of benefits is generally not provided by a state's workers compensation law?

Which one of the following types of benefits is generally not provided by a state's workers compensation law? a. Pain and suffering b. Rehabilitation c. Disability d. Medical Answer: a. Pain and suffering

For a contract to be valid, the parties involved must be competent to contract. Each of the following is considered a competent party EXCEPT

For a contract to be valid, the parties involved must be competent to contract. Each of the following is considered a competent party EXCEPT a. A 21 year-old man b. A foreigner c. Someone whose principal aim is to make a profit d. Someone who is not sane Answer: d. Someone who is not sane

A diamond ring that is shoplifted from a jewelry store display is considered the subject of

A diamond ring that is shoplifted from a jewelry store display is considered the subject of a. Mysterious disappearance b. Theft c. Robbery d. Embezzlement Answer: b. Theft

The federal law that says the federal government can only regulate insurance companies to the extent they are not regulated by state law is

The federal law that says the federal government can only regulate insurance companies to the extent they are not regulated by state law is a. The Law Enforcement Act of 1994 b. the McCarran -Ferguson Act. c. Gramm-Leach- Bliley Act d. FCRA Answer: b. the McCarran -Ferguson Act.

The type of insurance company in which the policy holder is considered an owner, with the right to vote and share in the profits, is a

The type of insurance company in which the policy holder is considered an owner, with the right to vote and share in the profits, is a a. Stock company. b. Mutual company. c. Reciprocal Company. d. Lloyd's Association. Answer: b. Mutual company.

Uncertainty concerning financial loss best describes the concept of

Uncertainty concerning financial loss best describes the concept of a. Indemnity b. Insurance c. Risk d. Hazards Answer: c. Risk

Aviation insurance provides an insured with liability protection while an insured is

Aviation insurance provides an insured with liability protection while an insured is a. In the air only b. In the air or on the ground c. On the ground only d. In the air, including takeoff and touchdown Answer: b. In the air or on the ground

A commercial general liability policy provides coverage for

A commercial general liability policy provides coverage for a. Bodily injury to an employee b. Damage to property owned by an insured c. Bodily injury caused by an auto accident d. Liability for slander Answer: d. Liability for slander

All of the following losses would be covered by a personal auto policy EXCEPT

All of the following losses would be covered by a personal auto policy EXCEPT a. A medical payment claim reported 4 years after the accident causing the injury b. Bodily injury to a passenger who owns her own auto policy c. A person injured while alighting from the insured's auto d. Injuries sustained by an insured who is struck by a car while walking across the street Answer: a. A medical payment claim reported 4 years after the accident causing the injury

Premium rates for workers' compensation are based upon

Premium rates for workers' compensation are based upon a. Per $100 of payroll b. Per 100 square feet c. Per $100 of protection d. Per diem assessments Answer: a. Per $100 of payroll

Each of the following is covered under a commercial property policy EXCEPT

Each of the following is covered under a commercial property policy EXCEPT a. Merchandise b. Outdoor curbside signs c. Fixtures d. Furniture Answer: b. Outdoor curbside signs

A farmer's crops being damaged by toxic fumes that have been escaping continuously from a factory is an example of a(n)

A farmer's crops being damaged by toxic fumes that have been escaping continuously from a factory is an example of a(n) a. Occurrence b. Accident c. Secondary cause d. Insurable interest Answer: a. Occurrence

What is the primary difference between a claims-made and occurrence form of a CGL policy

What is the primary difference between a claims-made and occurrence form of a CGL policy a. The claims made form provides coverage only for events that take place during the policy period b. The claims made policy provides coverage for claims first made during the policy period c. The occurrence form provides coverage for claims that occur after the expiration of the policy using a tail d. The occurrence form is issued with an aggregate limit and the claims made form is not Answer: b. The claims made policy provides coverage for claims first made during the policy period

A short term proof of insurance coverage provided to an applicant until a policy can be produced is known as a(n)

A short term proof of insurance coverage provided to an applicant until a policy can be produced is known as a(n) a. Endorsement b. Preliminary contract c. Proposal d. Binder Answer: d. Binder

If a driver loses control of his auto and damages the fence of a neighbor, the damages will be paid for by the driver's

If a driver loses control of his auto and damages the fence of a neighbor, the damages will be paid for by the driver's a. Collision b. Comprehensive c. Uninsured motorist d. Property damage liability Answer: d. Property damage liability

All of the following statements are correct concerning personal liability coverage provided by a homeowners policy EXCEPT

All of the following statements are correct concerning personal liability coverage provided by a homeowners policy EXCEPT a. It is generally a single limit policy b. It covers an insured's legal liability as a result of non business activities c. An insurer will not defend a liability suit that is obviously groundless d. The basic limit of coverage is $Flic Answer: c. An insurer will not defend a liability suit that is obviously groundless

A business is sued because a wall constructed on its property 12 years ago collapsed and injured a child last week. Which of the following statements is NOT CORRECT?

A business is sued because a wall constructed on its property 12 years ago collapsed and injured a child last week. Which of the following statements is NOT CORRECT? a. The current insurance company is obligated to defend the insured b. Coverage is provided under the premises and operations section of the CGL policy c. Coverage is provided under the completed liability section of a CGL policy d. The current insurance company must defend the insured if the case is arbitrated Answer: c. Coverage is provided under the completed liability section of a CGL policy

Which of the following commercial liability policy versions covers injuries sustained during a policy period even if the claim is not actually filed years after the policy has been cancelled?

Which of the following commercial liability policy versions covers injuries sustained during a policy period even if the claim is not actually filed years after the policy has been cancelled? a. Claims made form b. Occurrence form c. Premises form d. Contractual liability form Answer: b. Occurrence form

Which Surety bond guarantees that bills for labor and materials will be paid by the contractor to the subcontractors as they are due?

Which Surety bond guarantees that bills for labor and materials will be paid by the contractor to the subcontractors as they are due? a. Supply bond b. Completion bond c. Payment bond d. Performance bond Answer: c. Payment bond

The insured's home is covered by a DP-3. Two years ago, the insured bought the home for $58,000. Today, its replacement value is $60,000. How much Coverage A does the insured need to qualify for replacement cost coverage?

The insured's home is covered by a DP-3. Two years ago, the insured bought the home for $58,000. Today, its replacement value is $60,000. How much Coverage A does the insured need to qualify for replacement cost coverage? a. $60,000 b. $46,000 c. $58,000 d. $48,000 Answer: d. $48,000

If Scott and Wendy file bankruptcy, which of the following is TRUE regarding their insurance policy

If Scott and Wendy file bankruptcy, which of the following is TRUE regarding their insurance policy a. Scott and Wendy can abandon their property to the insurance company because they no longer have an insurable interest. b. The insurer's responsibilities are not eliminated. c. The mortgage company loses its interest in the property. d. Scott and Wendy's interest in their property is excess over any other creditors. Answer: b. The insurer's responsibilities are not eliminated.

Each of the following may be victims of a robbery of a business's property EXCEPT a

Each of the following may be victims of a robbery of a business's property EXCEPT a a. Custodian b. Messenger c. Night watchman d. Safe or vault Answer: c. Night watchman

Personal business property out in the open is covered under a commercial property policy only while

Personal business property out in the open is covered under a commercial property policy only while a. Located within eyesight of the described premises b. Specifically described on the declarations c. Within 50 feet of the described premises d. Within 100 feet of the described premises Answer: d. Within 100 feet of the described premises

Which of the following insurance principles permits a policy holder to be reimbursed for losses experienced?

Which of the following insurance principles permits a policy holder to be reimbursed for losses experienced? a. Subrogation b. Insurable interest c. Direct loss d. Indemnification Answer: d. Indemnification

Replacement cost less depreciation defines

Replacement cost less depreciation defines a. Actual cash value b. Market value c. Insurable value d. Liberalization amount Answer: a. Actual cash value

All of the following statements are correct concerning an umbrella liability policy EXCEPT it

All of the following statements are correct concerning an umbrella liability policy EXCEPT it a. Provides extra limits of coverage b. Is an indemnity contract on behalf of an insured for a variety of liability losses c. Is the only liability contract an individual or business needs d. Provides coverage for exposures not covered by other policies Answer: c. Is the only liability contract an individual or business needs

Each of the following is a producer's responsibility to the insurer EXCEPT to

Each of the following is a producer's responsibility to the insurer EXCEPT to a. Be loyal to the insurer's interest b. Obey all legal instructions provided by the insurer c. Perform all duties regardless of the degree of care d. Keep the insurer informed of all facts related to its agency relationship Answer: c. Perform all duties regardless of the degree of care

The pair and set clause found in property insurance policies states that in the event of a loss to only part of a pair or set, losses will be settled

The pair and set clause found in property insurance policies states that in the event of a loss to only part of a pair or set, losses will be settled a. As if the entire pair or set had been destroyed b. At the proportionate amount of the stated value c. Either by repairing or replacing the damaged part or by paying the difference between the actual cash value before and after the loss d. Based on the actual cash value of the individual part Answer: c. Either by repairing or replacing the damaged part or by paying the difference between the actual cash value before and after the loss

The law that says the federal government has the right to regulate insurance only to the extent it is not regulated by state law is _________.

The law that says the federal government has the right to regulate insurance only to the extent it is not regulated by state law is _________. a. the McCarran-Ferguson Act. b. the Gramm-Leach-Bliley Act. c. the FCRA. d. the Violent Crime Control and Law Enforcement Act of 1994. Answer: a. the McCarran-Ferguson Act.

A portion of an insurance contract that informs who and what is covered, in addition to when coverage is effective, is known as the

A portion of an insurance contract that informs who and what is covered, in addition to when coverage is effective, is known as the a. Declaration page b. Insuring agreement c. Conditions d. Exclusions Answer: a. Declaration page

John's job provided the main income for his family. He died unexpectedly and had no life insurance. The probable financial consequence for his wife and two children does not include:

John's job provided the main income for his family. He died unexpectedly and had no life insurance. The probable financial consequence for his wife and two children does not include: A) The loss of John's income B) A reduction in the family's standard of living C) Death-related expenses to be paid D) An increase in income and expenses Answer: D

A person buys a homeowner?s insurance policy with a $250 deductible, which means the person will

A person buys a homeowner?s insurance policy with a $250 deductible, which means the person will A) have to pay a quarterly premium of $250. B) have to pay the first $250 which will be deducted from the claim settlement paid by the insurance company. C) only receive payment from the insurance company of $250 for any single article damaged. D) not be responsible for the first $250 of the claimed damages. Answer: B

Sally's health insurance policy requires her to pay the first $500 of medical costs each year before the company will pay any of her medical bills. This policy provision is the:

Sally's health insurance policy requires her to pay the first $500 of medical costs each year before the company will pay any of her medical bills. This policy provision is the: A) Co-insurance clause B) Premium C) Annual deductible D) Major medical benefit Answer: C

If you have a managed health care plan, it means that you:

If you have a managed health care plan, it means that you: A) Usually must first meet with your primary health care physician B) Can go to any doctor at any time C) Will be responsible for $100 of a doctor bill D) Can apply for an 80% reimbursement of the amount paid to the doctor Answer: A

When a self-employed person decides to purchase disability insurance it is generally to

When a self-employed person decides to purchase disability insurance it is generally to A) lessen the possibility of becoming injured. B) protect against the financial effects of not being able to work. C) eliminate the chance of going out of business. D) insure that the cost of injury caused to others will be reimbursed. Answer: B

Ben's truck is crushed by a hit-and-run driver. Scott is hit by an uninsured driver. How will they receive payments?

Ben's truck is crushed by a hit-and-run driver. Scott is hit by an uninsured driver. How will they receive payments? A) State motorist coverage B) Uninsured or no-fault motorist coverage C) Insolvent motorist coverage D) Auto liability coverage Answer: B

When Jessie needs health care, she must first go to her primary care physician who coordinates her care and decides whether Jessie should see a specialist. Jessie pays $10 as the co-pay when she sees her primary care doctor. Jessie has which type of health insurance?

When Jessie needs health care, she must first go to her primary care physician who coordinates her care and decides whether Jessie should see a specialist. Jessie pays $10 as the co-pay when she sees her primary care doctor. Jessie has which type of health insurance? A) Fee-for-service health plan B) Managed care health plan C) Medicaid health plan D) Comprehensive health plan Answer: B

Neil will be traveling by air in Southeast Asia for a six-week vacation. Which step will not provide protection during the trip?

Neil will be traveling by air in Southeast Asia for a six-week vacation. Which step will not provide protection during the trip? A) Buy baggage claim insurance B) Take his passport C) Buy flight insurance D) Buy medical insurance that covers him when he travels internationally Answer: B

Mr. Akon's wife died. The money he received as the beneficiary on her life insurance is called the:

Mr. Akon's wife died. The money he received as the beneficiary on her life insurance is called the: A) Cash value B) Death benefit or face value C) Separate value D) Premium or annuity value Answer: B

Debbie owns a clothing store. She is concerned that a customer who is injured in the store will sue. Which type of insurance should Debbie purchase?

Debbie owns a clothing store. She is concerned that a customer who is injured in the store will sue. Which type of insurance should Debbie purchase? A) Social insurance B) Life insurance C) Surety bonds D) Liability insurance Answer: D

Which statement does NOT accurately describe a characteristic of cash value for whole life insurance?

Which statement does NOT accurately describe a characteristic of cash value for whole life insurance? A) Cash value grows gradually over time B) If the policy is canceled, you may be entitled to some or all of the accrued cash value C) Policy that accumulates cash value is less expensive than a policy that does not accumulate cash value D) When an insured person dies, the beneficiary will receive the death benefit but the insurance company keeps the cash value Answer: C

Richard's auto insurance policy expired on 5/15/2002. Richard was upset with his insurance agent and decided to change insurance companies. At 10:00 a.m. on 5/16/2002, as he drove to a different agent to buy a new policy, he had an accident. Who is liable for damage to his car and his personal injuries?

Richard's auto insurance policy expired on 5/15/2002. Richard was upset with his insurance agent and decided to change insurance companies. At 10:00 a.m. on 5/16/2002, as he drove to a different agent to buy a new policy, he had an accident. Who is liable for damage to his car and his personal injuries? A) The old agent B) The new agent C) Richard D) The old agent is liable for damage to your car and the new agent for personal injuries Answer: C

The only type of life insurance that does not develop a cash value is:

The only type of life insurance that does not develop a cash value is: A) Term life insurance B) Whole life insurance C) Universal life insurance D) Variable universal life insurance Answer: A

Generally, the higher the deductible on an insurance policy, the

Generally, the higher the deductible on an insurance policy, the A) greater the premium. B) lower the premium. C) more frequently the premium has to be paid. D) less frequently the premium has to be paid. Answer: B

Gwen receives a bill from her auto insurance company, and she sends a check to the company to make sure her policy is not canceled. The cost of her policy is called the:

Gwen receives a bill from her auto insurance company, and she sends a check to the company to make sure her policy is not canceled. The cost of her policy is called the: A) Co-insurance clause B) Premium C) Deductible D) Exclusion Answer: B

The purpose of Insurance is NOT to:

The purpose of Insurance is NOT to: A) Diversify an investment portfolio B) Share risk with other policy holders and the insurance company C) Protect assets D) Protect against potential losses Answer: A

Sally took out a $50,000 life insurance policy. The $50,000 amount of coverage is called the:

Sally took out a $50,000 life insurance policy. The $50,000 amount of coverage is called the: A) Cash value B) Premium value C) Death benefit or face value D) Annuity value Answer: C

Insurance is frequently described as a method of "sharing the risk" because the:

Insurance is frequently described as a method of "sharing the risk" because the: A) Risk of loss is shared with the insurance company sales person B) Insured shares the risk of loss with all the other policy holders C) Insured can share the risk by spreading the cost over a number of years D) Risk of loss is shared with the government Answer: B

Which of the following insurance covers vehicles?

Which of the following insurance covers vehicles? A) Mortgage B) Racing C) Automobile D) Life Answer: C

Lucy has no insurance. The situation(s) should she consider insuring against first are:

Lucy has no insurance. The situation(s) should she consider insuring against first are: A) Death so her financial obligations are paid B) Losses resulting from an illness, accident, or disability C) Property losses and auto accidents D) Auto collision, and burglary Answer: B

Why is term life insurance usually the least expensive type of life insurance?

Why is term life insurance usually the least expensive type of life insurance? A) The policy only pays a death benefit B) The policy builds a cash value C) The policy provides coverage for a lifetime D) The policy is available to all consumers Answer: A

You have a $2,000 loss. Your insurance company pays you $1,500 on the claim for the loss. The $500 the insurance did not pay is a result of your policy having a:

You have a $2,000 loss. Your insurance company pays you $1,500 on the claim for the loss. The $500 the insurance did not pay is a result of your policy having a: A) Co-insurance clause B) Deductible C) Hazard clause D) Premium Answer: B

For the past five years, a person has had a $20,000 whole life insurance policy that has a cash value clause. The person decides to surrender the policy. At the time of surrender, the person will receive

For the past five years, a person has had a $20,000 whole life insurance policy that has a cash value clause. The person decides to surrender the policy. At the time of surrender, the person will receive A) one-fifth of the $20,000 face value. B) $20,000 less the premiums paid. C) a calculated amount of money which includes the premiums paid as well as the interest on that money. D) a calculated amount of money that must be converted to a term life insurance policy. Answer: C

A woman has just received a very expensive piece of jewelry. The woman has homeowner's insurance. Which statement would it be most appropriate for her to make to her insurance agent?

A woman has just received a very expensive piece of jewelry. The woman has homeowner's insurance. Which statement would it be most appropriate for her to make to her insurance agent? A) "I think I need a personal property floater." B) "I think I should get speculative risk insurance." C) "I will deduct the cost of the jewelry from my premium." D) "I realize that if this jewelry is stolen it will be considered vicarious liability." Answer: A

A person buys a flat screen, plasma, theater-like television. The person has homeowner?s insurance. Why would it be appropriate to add a personal property floater to that insurance?

A person buys a flat screen, plasma, theater-like television. The person has homeowner?s insurance. Why would it be appropriate to add a personal property floater to that insurance? A) To reduce the premium on the homeowner?s insurance. B) To protect the person who owns the television from liability for damages. C) To show the insurance company a good faith investment has been made. D) To cover the cost of replacement should the television get damaged or stolen. Answer: D

An insurance company receives E's application for an individual health policy. E did not complete all of the medical history questions because she could not remember the exact dates. E signed the policy and submitted it to the insurance company anyway. A few weeks later, E suffers a heart attack and is hospitalized without completing the medical history questions and paying the initial premium. E is not insured. Which of the following clauses details the conditions that E did not meet?

An insurance company receives E's application for an individual health policy. E did not complete all of the medical history questions because she could not remember the exact dates. E signed the policy and submitted it to the insurance company anyway. A few weeks later, E suffers a heart attack and is hospitalized without completing the medical history questions and paying the initial premium. E is not insured. Which of the following clauses details the conditions that E did not meet? Answer: Consideration clause

According to the Time Payment of Claims provision, the insurer must pay Disability Income benefits no less frequently than which of the following options?

According to the Time Payment of Claims provision, the insurer must pay Disability Income benefits no less frequently than which of the following options? Answer: Monthly

An insured pays premiums on an annual basis for an individual health insurance policy. What is the MINIMUM number of days for the Grace Period provision?

An insured pays premiums on an annual basis for an individual health insurance policy. What is the MINIMUM number of days for the Grace Period provision? Answer: 31

Health insurance benefits NOT covered due to an act of war are

Health insurance benefits NOT covered due to an act of war are Answer: excluded by the insurer in the contract provisions

What type of renewability guarantees premium rates and renewability?

What type of renewability guarantees premium rates and renewability? Answer: Guaranteed renewable

Which Accident and Health policy provision addresses preexisting conditions?

Which Accident and Health policy provision addresses preexisting conditions? Answer: Time Limit on Certain Defenses

What is the purpose of the Time of Payment of Claims provision?

What is the purpose of the Time of Payment of Claims provision? Answer: Prevents delayed claim payments made by the insurer

With Accidental Death and Dismemberment policies, what is the purpose of the Grace Period?

With Accidental Death and Dismemberment policies, what is the purpose of the Grace Period? Answer: Gives the policyowner additional time to pay past due premiums

A Disability Income policyowner recently submitted a claim for a chronic neck problem that has now resulted in total disability. The original neck injury occurred before the application was taken 5 years prior. The neck injury was never disclosed to the insurer at the time of application. How will the insurer handle this claim?

A Disability Income policyowner recently submitted a claim for a chronic neck problem that has now resulted in total disability. The original neck injury occurred before the application was taken 5 years prior. The neck injury was never disclosed to the insurer at the time of application. How will the insurer handle this claim? Answer: Claim will be paid and coverage will remain in force

With Optionally Renewable Health policies, the insurer may

With Optionally Renewable Health policies, the insurer may Answer: review the policy annually and determine whether or not to renew it

If an insurance company issues a Disability Income policy that it cannot cancel or for which it cannot increase premiums, the type of renewability that best desribes this policy is called

If an insurance company issues a Disability Income policy that it cannot cancel or for which it cannot increase premiums, the type of renewability that best desribes this policy is called Answer: noncancellable

Which of the following statements BEST describes what the Legal Actions provision of an Accident and Health policy requires?

Which of the following statements BEST describes what the Legal Actions provision of an Accident and Health policy requires? Answer: An insured must wait at least 60 days after Proof of Loss has been submitted before a lawsuit can be filed

T files a claim on his Accident and Health policy after being treated for an illness. The insurance company believes that T misrepresented his actual health on the initial insurance application and is, therefore, disputing the claim's validity. The provision that limits the time period during which the company may dispute a claim's validity is called

T files a claim on his Accident and Health policy after being treated for an illness. The insurance company believes that T misrepresented his actual health on the initial insurance application and is, therefore, disputing the claim's validity. The provision that limits the time period during which the company may dispute a claim's validity is called Answer: Time Limit on Certain Defenses

J, an Accidental Death and Dismemberment (AD&D) policy holder, dies after injuries sustained in an accident. J's age as stated on the application five years ago was found to be understated by ten years. Which of the following actions will the insurance company take?

J, an Accidental Death and Dismemberment (AD&D) policy holder, dies after injuries sustained in an accident. J's age as stated on the application five years ago was found to be understated by ten years. Which of the following actions will the insurance company take? Answer: The insurer will adjust the benefit to what the premiums paid would have purchased at the insured's actual age

What must the policyowner provide to the insurer for validation that a loss has occurred?

What must the policyowner provide to the insurer for validation that a loss has occurred? Answer: Proof of Loss

What is considered to be a characteristic of a Conditionally Renewable Health Insurance policy?

What is considered to be a characteristic of a Conditionally Renewable Health Insurance policy? Answer: Premiums may increase at time of renewal

Which of these statements accurately describes the Waiver of Premium provision in an Accident and Health policy?

Which of these statements accurately describes the Waiver of Premium provision in an Accident and Health policy? Answer: Premiums are waived after the insured has been totally disabled for a specified time period

When an insurance company sends a policy to the insured with an attached application, the element that makes the application part of the contract between the insured and the insurer is called the

When an insurance company sends a policy to the insured with an attached application, the element that makes the application part of the contract between the insured and the insurer is called the Answer: Entire Contract provision

When does a Probationary Period provision become effective in a health insurance contract?

When does a Probationary Period provision become effective in a health insurance contract? Answer: At the policy's inception

Which of the following BEST describes a short-term medical expense policy?

Which of the following BEST describes a short-term medical expense policy? Answer: Nonrenewable

The provision that defines to whom the insurer will pay benefits to is called

The provision that defines to whom the insurer will pay benefits to is called Answer: Payment of Claims

Which of the following statements describes the purpose of the Insuring clause in Health and Accident policies?

Which of the following statements describes the purpose of the Insuring clause in Health and Accident policies? Answer: States the scope and limits of the coverage

What should an insured do if the insurer does not send claims forms within the time period set forth in a health policy's Claims Forms provision?

What should an insured do if the insurer does not send claims forms within the time period set forth in a health policy's Claims Forms provision? Answer: Submit the claim in any form

Which of the following statements regarding Section II coverage under the Homeowners 3 policy is true?

Which of the following statements regarding Section II coverage under the Homeowners 3 policy is true? A) Medical payments to others are covered regardless of whether the insured is legally liable. B) Legal defense costs incurred by the insurer to defend the insured reduce the per-occurrence limit of liability available. C) The insurer is not required to defend the insured against a groundless, false, or fraudulent lawsuit. D) Any amount paid under medical payments coverage reduces the personal liability limit available for the same claim. Answer: A) Medical payments to others are covered regardless of whether the insured is legally liable.

Which of the following statements regarding Section II conditions under the homeowners policy is true?

Which of the following statements regarding Section II conditions under the homeowners policy is true? A) Other insurance is handled on a pro rata basis. B) Under no circumstances may the insured bring a lawsuit against the insurer. C) The liability limit is the same regardless of the number of persons injured in a covered occurrence. D) There is no requirement for the insured to submit written notification of a possible claim to the insurer. Answer: C) The liability limit is the same regardless of the number of persons injured in a covered occurrence.

Which of the following statements regarding the Coverage E limit in the homeowners policy is true?

Which of the following statements regarding the Coverage E limit in the homeowners policy is true? A) It is an aggregate limit, and once the amount paid for one or more claims reaches the limit, no additional coverage is provided. B) The limit applies only if a court orders the insured to pay—there is no coverage for settlements reached out-of-court. C) Any legal defense costs incurred by the insurer are counted against the limit of liability. D) The limit applies on a per-occurrence basis so more than the limit could be paid during the policy period. Answer: D) The limit applies on a per-occurrence basis so more than the limit could be paid during the policy period.

Liability arising out of which of the following is covered under Coverage E of an unendorsed Homeowners 3 policy?

Liability arising out of which of the following is covered under Coverage E of an unendorsed Homeowners 3 policy? A) use of the insured's auto on a public road B) use of the insured's golf cart at a golf course C) use of the insured's motorcycle on a highway D) use of the insured's 40-foot boat with a 200 horsepower engine Answer: B) use of the insured's golf cart at a golf course