Burnham - APA 92 Practice Exam Flashcards
A moral hazard involves
(A) active inducement of loss.
(B) passive inducement of loss.
(C) active indifference to loss.
(D) passive indifference to loss.
(A) active inducement of loss.
Moral hazards involve active inducement of loss, while morale hazards involve passive indifference to loss. (AI)
The insurance rate is (A) another term for premium. (B) the total cost for all units of insurance under a policy. (C) the price per exposure. (D) the price per unit of insurance.
(D) the price per unit of insurance.
The insurance rate is the price per unit of insurance. (AI)
Before workers’ compensation laws existed, employees could sue employers under common law for damages resulting from on-the-job injuries. Employers could defend against such claims by invoking
(A) assumption of risk.
(B) contributory negligence.
(C) the fellow servant rule.
(D) all of the above.
(D) all of the above.
Employers had three defenses against employee suits: contributory negligence, assumption of risk, and the fellow servant rule. (A2)
Which of the following methods for meeting workers’ compensation obligations is an assigned risk plan?
(A) Workers’ compensation insurance plan.
(B) Self-insurance.
(C) Self-insured group.
(D) Voluntary private insurance.
(A) Workers’ compensation insurance plan.
An assigned risk plan is a state insurance program that insures applicants rejected by private insurers. State funds can also be assigned risk plans. (A2)
All of the following are requirements that must be met for an injured employee to receive workers’ compensation benefits EXCEPT
(A) the injury or disease must be work-related.
(B) the injury or disease must be caused by a covered injury or disease.
(C) there must be a qualified disability.
(D) the employee must notify his employer of the loss.
(C) there must be a qualified disability.
There must be an impairment, not a disability. The two terms do not mean the same thing. An impairment is a purely medical condition, while a disability need not be purely medical. (A2)
The total standard premium equals
(A) the insured’s premium for one state, based on authorized rates, without any additional charges.
(B) the insured’s premium for one state, based on authorized rates, including all additional charges.
(C) the insured’s premium for all states covered under the policy, based on authorized rates, without
any additional charges.
(D) the insured’s premium for all states covered under the policy, based on authorized rates, including all additional charges.
(B) the insured’s premium for one state, based on authorized rates, including all additional charges.
The standard premium equals the insured’s premium for one state, based on authorized rates, including all additional charges. The total standard premium is the total premium for all states covered under the policy. (A3)
Part Two of The Basic Manual for Workers’ Compensation and Employer’s Liability Insurance addresses
(A) rules.
(B) classifications.
(C) rates.
(D) state exceptions.
(B) classifications.
Part One addresses rules, and Part Three addresses loss costs, rates, and state exceptions. (A4)
Which of the following classification reference guides is published by the ISO?
(A) Scopes Manual.
(B) Classification Codes and Statistical Codes Manual (aka Classification Code Book)
(C) Commercial Lines Manual.
(D) Premium Audit Advisory Service Classification Guide.
(C) Commercial Lines Manual.
A) and (B) are published by the NCCI.
(D) is published by the PAAS. (A4
All of the following are workers’ compensation coverage standard exception classifications EXCEPT (A) drafting employees.
(B) drivers.
(C) outside salesmen.
(D) lathe operators.
(D) lathe operators.
The four standard exceptions are clerical office employees; drafting employees; drivers, chauffeurs, and their helpers; and outside salespersons, collectors, and messengers. (A4)
The classification of irrigation or drainage system construction always excludes all of the following
EXCEPT
(A) installation of septic tanks with leaching fields.
(B) sewer construction.
(C) dredging.
(D) pile driving.
(A) installation of septic tanks with leaching fields.
The classification includes installation of septic tanks with leaching fields if no other plumbing operations are involved. (A5)
When classifying construction risks, an insurer
(A) classifies and rates each distinct operation separately.
(B) assigns the best governing classification to all operations.
(C) tries to restrict itself to three to five classifications per risk.
(D) none of the above.
(A) classifies and rates each distinct operation separately.
Each distinct operation (each specific type of work) is separately classified and rated to maintain premium equity among insureds. (AS)
Which of the following extensions to the US Longshore and Harbor Workers Act extends coverage to overseas employees of government contractors?
(A) The Jones Act.
(B) The Defense Base Act.
(C) The Outer Continental Shelf Lands Act.
(D) The Civilian Employees of Nonappropriated Fund Instrumentalities Act.
(B) The Defense Base Act.
(A) is not an extension of the USL+HW Act.
(C) extends coverage to employees conducting operations on the outer continental shelf.
(D) extends coverage to employees of US instrumentalities who are not compensated by funds appropriated by Congress. (A6)
Shipbreaking involves activities that
(A) scrap a vessel.
(B) launch a vessel.
(C) break through ice floes.
(D) steal from a vessel.
(A) scrap a vessel.
Shipbreakers are considered harborworkers under the USL+HW Act. (A6)
All of the following are bases for civil liability EXCEPT (A) contracts. (B) statutes. (C) mores. (D) torts.
(C) mores.
Mores are customs, established practices of societies. (A 7)
When one party voluntarily assumes another’s liability, it causes
(A) premises and operations liability.
(B) vicarious liability.
(C) contractual liability.
(D) completed operations liability.
(C) contractual liability.
(A) is liability that arises out of ownership, maintenance, or use of land or from operations in progress. (B) imposes legal responsibility on one person for the acts of another.
(D) is legal responsibility arising from completed work. (A 7)
Coverage C of the commercial general liability coverage form covers
(A) personal injury liability.
(B) advertising injury liability.
(C) bodily injury liability.
(D) medical payments.
(D) medical payments.
Coverage A covers bodily injury and property damage liability. Coverage B covers personal and advertising injury liability. (A 7)
When an auditor has trouble classifying a business, he may compare it to other businesses with similar operations and hazards. That form of classification is called
(A) classification by terminology.
(B) classification by cross-reference.
(C) classification by analogy.
(D) classification by activity.
(C) classification by analogy.
(A) occurs when the auditor asks the insured to explain correct terminology applying to the operations.
(B) occurs when the auditor classifies the insured’s operation according to the workers’ compensation Basic Manual and uses the Classification Code Book to locate the corresponding general liability code number.
(D) occurs when the auditor evaluates the processes used in the insured’s operations. (A8)
An (a) rated classification means
(A) the rate is incomplete and requires expense and other loadings.
(B) the underwriter must judgment rate that classification himself.
(C) the rate is the result of classification by analogy.
(D) the rate was developed by an apprentice underwriter and should be checked.
(B) the underwriter must judgment rate that classification himself.
For guidance, the ISO issues guide (a) rates to help underwriters rate (a) rated classifications. (A8)
Government subdivisions are rated on the basis of
(A) total operating expenditures.
(B) area.
(C) payroll.
(D) units.
(A) total operating expenditures.
Government subdivisions are rated on the basis of total operating expenditures, which is total expenditures without regard to source of revenue. (A8)
Under the business auto coverage form, which symbol includes hired autos only?
(A) Symbol 8.
(B) Symbol 5.
(C) Symbol 9.
(D) Symbol 19.
(A) Symbol 8.
Symbol 5 includes owned autos subject to ‘no-fault’. Symbol 9 includes nonowned autos only.
Symbol 19 includes mobile equipment subject to compulsory or financial responsibility or other motor
vehicle law only. (A9)
Under the business auto coverage form, collision coverage covers losses from collision and
(A) overturn.
(B) derailment of a conveyance transporting the covered auto.
(C) vandalism.
(D) falling objects.
(A) overturn.
Collision coverage covers losses from collision and overturn. (A9)
The business auto coverage form does not cover mobile equipment except when
(A) towed or carried by an auto.
(B) operated on public roads.
(C) operated off public roads.
(D) operated on the insured’s private property.
(A) towed or carried by an auto.
Although mobile equipment is designed for use off public roads, the BAC only covers it while towed or carried by an auto. (A9)
A heavy truck has a gross vehicle weight of
(A) 10,000 pounds or fewer.
(B) 10,001 to 20,000 pounds.
(C) 20,001 to 45,000 pounds
(D) over 45,000 pounds.
(C) 20,001 to 45,000 pounds
A) is a light truck;
(B) is a medium truck;
(D) is an extra heavy truck. (A9
A vehicle has a sphere of operations of 151 miles from its principal garage. Its radius class is
(A) local.
(B) intermediate.
(C) medium-long distance.
(D) long distance.
(B) intermediate.
A local radius is within 50 miles of principal garaging. An intermediate radius ranges from 51 - 200 miles.
A long distance radius is over 200 miles. (A9)
All of the following are business auto coverage primary classifications of trucks, tractors, and trailers
EXCEPT
(A) radius of use.
(B) weight class.
(C) business use.
(D) age of vehicle.
(D) age of vehicle.
The primary classification is based on weight class, business use, and radius class. (A9)
For rating purposes, an auto dealer’s Class I employee is counted as a full employee if he works an average of
(A) 40 or more hours per week.
(B) 30 or more hours per week.
(C) 20 or more hours per week.
(D) 10 or more hours per week.
(C) 20 or more hours per week.
An employee who works fewer than 20 hours per week is rated as half an employee. (All)
Actual cash value equals
(A) historic cost minus tax depreciation.
(B) historic cost plus tax depreciation.
(C) current replacement cost minus physical depreciation.
(D) current replacement cost plus physical depreciation.
(C) current replacement cost minus physical depreciation.
(A) is net depreciated value. (AI2)
What kind of report does an auditor provide when investigating a crime and fidelity loss? (A) A statistical report. (B) A narrative report. (C) A notarized report. (D) A standard report.
(B) A narrative report.
The auditor writes a narrative report that advises the insurer’s claims department of the auditor’s findings and recommendations. (AI3)
The ideal exposure base has all of the following characteristics EXCEPT
(A) it reflects the size of the exposure.
(B) it responds to inflation.
(C) it is easy to manipulate.
(D) it is acceptable to regulators and society.
(C) it is easy to manipulate.
The ideal exposure base is difficult to manipulate but easily measured. (AI)
In an insurance rate, the expense component and the allowance for profit and contingencies are usually combined into a single element known as the
(A) pure premium.
(B) expense loading.
(C) gross rate.
(D) expected loss percentage.
(B) expense loading.
The other element of the insurance rate is the pure premium, which is the expected loss component.
AI
Which disability classification includes employees who will not recover but who can return to work at a lower capacity?
(A) Temporary total disability.
(B) Permanent total disability.
(C) Temporary partial disability.
(D) Permanent partial disability.
(D) Permanent partial disability.
In such a case, the employer either pays scheduled injuries, where the statute determines the amount to be paid for a number of weeks, or nonscheduled injuries, where the employer pays the temporary partial disability rate for the number of weeks in a lump sum. (A2)
Where on the workers’ compensation and employers’ liability information page is the insured’s name and address listed?
(A) Item 1.
(B) Item 2.
(C) Item 3.
(D) Item 4.
(A) Item 1.
Item 1 lists the insured’s name, address, type of entity, and locations. (A2)
Part 5 of the standard workers’ compensation and employers’ liability insurance policy covers
(A) other states’ insurance.
(B) conditions.
(C) the insured’s duties if injury occurs.
(D) premium.
(D) premium.
A) is covered in Part 3,
(B) in Part 6, and
(C) in Part 4. (A2
A manual rate that is followed by a “D” or “E” includes
(A) a dismemberment loading.
(B) an expense loading.
(C) a disease loading.
(D) an efficiency loading.
(C) a disease loading.
A disease loading is a loading for inherent hazards of that classification. (A3)