IA Test 2 Flashcards
Before an application for an independent adjuster license is granted, the applicant must meet all of the following requirements, EXCEPT:
Answer Choices: Select the Correct Answer
The applicant must be at least 21 years of age.
The applicant must have at least two years of experience in insurance claims adjusting.
The applicant must not have committed acts constituting grounds for denial of a license.
Payment of the application fee.
Question 1 of 100
Your answer: The applicant must be at least 21 years of age. is correct.
EXPLANATION:
The applicant must be at least 18 years of age.
Question 1 of 100
In computing Business Interruption Losses which of the following is the most important?
Answer Choices: Select the Correct Answer Accounts receivables Accounts Payable Journals and Ledgers Profit and Loss Statement
Question 2 of 100
Your answer: Profit and Loss Statement is correct.
EXPLANATION:
The profit and loss statements are the must important documents to reconstruct a loss of income loss.
Question 2 of 100
The insured’s business is covered under a jewelers block policy. The owner’s wife decides to wear an expensive piece of jewelry to a party that is for sale by the business. In case of a loss, what will the insurer do?
Answer Choices: Select the Correct Answer
Deny the claim because of an exclusion
Pay the claim
Pay 50% of the claim
Require evidence that she was modeling the jewelry
Question 3 of 100
The correct answer is: Deny the claim because of an exclusion.
EXPLANATION:
One of the exclusions in the form is to exclude coverage while stock is being worn by the insured, an employee or a family member of either.
Question 3 of 100
Under the DP-2 broad form, which of the following losses would not be covered?
Answer Choices: Select the Correct Answer
Damage to the dwelling that is suddenly caused by wild animals.
A picture window is blown out during a tornado.
Vandalism damage caused by a prankster to a dwelling that has been vacant for 14 days.
A roof caves in due to the weight of ice and snow.
Question 4 of 100
Under the DP-2 broad form, which of the following losses would not be covered?
Your answer: Damage to the dwelling that is suddenly caused by wild animals. is correct.
EXPLANATION:
The broad form is a named peril form and does not list damage caused by wild animals as a covered peril.
Question 4 of 100
The Earthquake Endorsement will provide coverage to the dwelling and/or personal property with the deductible stated as:
Answer Choices: Select the Correct Answer
$1,000
5% of the limit that applies to all Section I coverages.
$500
$2,500
Question 5 of 100
Your answer: 5% of the limit that applies to all Section I coverages. is correct.
EXPLANATION:
The Earthquake Endorsement has a base deductible is 5% of the limit that applies to all Section I coverages, but never less than $500.
Question 5 of 100
Which of the following may cancel a Commercial Package Policy?
Answer Choices: Select the Correct Answer
The first named insured
Any named insured
The agent of record
None of the responses listed are correct
Question 6 of 100
Your answer: The first named insured is correct.
EXPLANATION:
The first named insured as well as the insurer may cancel a Commercial Package Policy.
Question 6 of 100
Betty Jones claims that the bicycle manufactured last year by Daryl Lanier’s firm was the cause of her daughter’s accident. Which of the following coverages would have provided protection for Mr. Lanier?
Answer Choices: Select the Correct Answer
Commercial General Liability
Owners and Contractors Protective Liability
Workers Compensation
Contractual Liability
Question 7 of 100
Your answer: Contractual Liability is incorrect. The correct answer is: Commercial General Liability.
EXPLANATION:
Commercial General Liability policies include products liability coverage. The other policies mentioned cannot include this coverage.
Question 7 of 100
Under the standard ISO Farm insurance Special Cause of Loss form, coverage for vandalism or breakage of glass is excluded if the premises has been vacant for _____ days or more.
Answer Choices: Select the Correct Answer 45 15 60 30
Question 8 of 100
Your answer: 60 is correct.
EXPLANATION:
Under the standard ISO Farm insurance policy, if a property has been vacant for 60 or more days prior to the loss, certain perils become excluded. These exclusions include vandalism and glass breakage. Other perils such as fire and water damage could have limited coverage if the vacancy clause of the policy is violated.
Question 8 of 100
The limit of liability for “business personal property” will be automatically increased by ______ to provide for seasonal variation under a standard ISO Businessowners policy.
Answer Choices: Select the Correct Answer
25%
The current rate of inflation
8%
15% unless a different percentage amount is shown on the Declarations page.
Question 9 of 100
The correct answer is: 25%.
EXPLANATION:
The business personal property will increase by 25% to provide coverage for seasonal variations in stock but only if the insured had insured the property for at least 100% of its monthly average over the last 12 months.
Question 9 of 100
If an adjusting firm intends to add a new branch office, what action must be taken?
Answer Choices: Select the Correct Answer
Report the new location to the Commissioner immediately
Report the new location within 30 days
Must first obtain a branch office certificate
No action needs to be taken
Question 10 of 100
The correct answer is: Must first obtain a branch office certificate.
EXPLANATION:
Adjusters cannot conduct business from any location other than that shown on the records of the Commissioner as his or her place of business unless he or she has received a branch location certificate for that location. A licensee must notify the Commissioner in writing within 10 days after the closing or changing the location of a branch office.
Question 10 of 100
Amelia has suffered a covered collision loss to her vehicle. The insurer requires that her vehicle be repaired at a repair shop of the insurer’s choice. The insurer:
Answer Choices: Select the Correct Answer
Is guilty of an unfair claims practice act.
Can make this request.
Waives the deductible, if any, in this case.
Can usually get the work done for less and can help to reduce insurance costs.
Question 11 of 100
Your answer: Is guilty of an unfair claims practice act. is correct.
EXPLANATION:
The insurer can recommend a repair shop, but cannot require that a particular shop be used.
Question 11 of 100
Which of the following is the definition of “person” according to the California Adjuster Act?
Answer Choices: Select the Correct Answer
Any individual, firm, company, association, organization, partnership, limited liability company, and corporation.
The individual under whose direction, control, charge, or management of the business of a licensee is operated.
A person licensed under the insurance laws of the state of California.
An attorney who is an active member of the State Bar of California.
Question 12 of 100
Your answer: Any individual, firm, company, association, organization, partnership, limited liability company, and corporation. is correct.
EXPLANATION:
According to the California Insurance Code, a “person” is defined as: “Any individual, firm, company, association, organization, partnership, limited liability company, and corporation.”
Question 12 of 100
Robert boards his dog at a kennel while he is on vacation. While at the kennel, the dog bites a meter reader. How would Robert’s HO-3 policy respond to the meter reader’s request for repayment of his emergency room costs?
Answer Choices: Select the Correct Answer
The insurer will pay for necessary emergency room expenses under the Medical Payments to Others provision.
The insurer will pay for the emergency room fees only if Robert is found negligent in leaving his dog at the kennel.
The insurer will not pay for the loss because the injuries occurred away from the insured location.
The insurer will not pay for the loss because it arose out of the kennel owner’s failure to render professional services.
Question 13 of 100
The correct answer is: The insurer will pay for necessary emergency room expenses under the Medical Payments to Others provision..
EXPLANATION:
The policy stipulates that “Medical Payments to Others” applies if caused by an animal owned or in the care of the insured either on or off the insured’s premises. This could also develop into a liability claim if the insured is brought into a law suit.
Which of the following statements about “additional coverages” in most property insurance policies is true?
Answer Choices: Select the Correct Answer
They are automatically included only when the loss is less than a deductible.
They are optional on the part of the insured.
They are included at no extra cost.
They are included for a minimum premium.
Question 14 of 100
Your answer: They are included at no extra cost. is correct.
EXPLANATION:
An example of an “additional coverage” would be debris removal, which is automatically included in most property forms.
Question 14 of 100
Trevor purchases a condemned house in a run-down neighborhood that is scheduled for demolition by the city. He paid $10,000 for the house and wants to protect his financial investment by purchasing insurance. Which of the following statements is true?
Answer Choices: Select the Correct Answer
The property is not insurable because it is not definable.
The property is not insurable because the loss is expected.
The property is not insurable because it does not have a quantifiable value.
The property is not insurable because the loss would not be substantial.
Question 15 of 100
Your answer: The property is not insurable because the loss is expected. is correct.
EXPLANATION:
A property scheduled to be demolished is an expected loss and losses must be uncertain or not expected in order to be insurable.
Question 15 of 100
Under Coverage E - Scheduled Farm Property, how is the property covered?
Answer Choices: Select the Correct Answer
For the limit shown in the policy declarations
Unlimited
Blanket coverage
Replacement cost basis
Question 16 of 100
he correct answer is: For the limit shown in the policy declarations.
EXPLANATION:
The property is covered for the limit shown on the declarations page of the policy for the property specifically scheduled.
Question 16 of 100
Which of the following would NOT be covered by a flood insurance policy?
Answer Choices: Select the Correct Answer
Overflow of water from a pond on the insured property
Mudslides from recent heavy rain.
Collapse of land along the shore of a body of water
Inundation and overflow of surface waters
Question 17 of 100
The correct answer is: Mudslides from recent heavy rain..
EXPLANATION:
Damage caused by mudflow is covered under the policy. Mudslides are not.
Question 17 of 100
Submit
When a claimant is represented by an attorney, which of the following is prohibited by the adjuster?
Answer Choices: Select the Correct Answer
Negotiate with a claimant’s attorney
Make a claim check payable to the claimant
Contact the claimant without the consent of the attorney
Have an attorney prepare a release
Question 18 of 100
Your answer: Contact the claimant without the consent of the attorney is correct.
EXPLANATION:
Once a claimant has hired an attorney, the adjuster may not contact the claimant directly without the consent of the attorney.
Question 18 of 100
Which of the following watercraft would be covered under the liability section (Section II) of the HO form?
Answer Choices: Select the Correct Answer
Watercraft with a 40 horsepower outboard motor
A 28 foot sailboat
A kayak
Watercraft with a 100 horsepower inboard motor
Question 19 of 100
The correct answer is: A kayak.
EXPLANATION:
A kayak would be covered with no endorsement or additional premium under Section II of a homeowner policy.
Question 19 of 100
Motels insured under an ISO Businessowners may not exceed how many stories?
Answer Choices: Select the Correct Answer 3 stories 4 stories 5 stories No limit
Question 20 of 100
Your answer: 3 stories is correct.
EXPLANATION:
Motels not exceeding three stories may be insured. There is no floor area restriction. Motels closed for more than 30 days are not eligible.
Question 20 of 100
In the case of a first-party automobile physical damage claim in California, the auto insurance company must exercise its right to inspect the damaged vehicle:
Answer Choices: Select the Correct Answer
Within 48 hours of receiving the claims notice.
Anytime within 30 days of receiving the claims notice.
Within 7 business days after receiving the notice of claim.
Within 6 business days after receiving the notice of claim.
Question 21 of 100
The correct answer is: Within 6 business days after receiving the notice of claim..
EXPLANATION:
The California Fair Claims Settlement Practices Regulations state that if an insurer chooses to exercise its right to inspect the damaged vehicle on a first-party claim, it must do so within 6 business days of receiving the claims notice.
Question 21 of 100
All of the following would be considered “property damage”, EXCEPT:
Answer Choices: Select the Correct Answer
Mobile equipment damaged by the insured.
A pedestrian injured by the insured and off work one week.
Damage to a public sidewalk caused by the insured.
Loss of the use of a public sidewalk which has been damaged by the insured.
Question 22 of 100
The correct answer is: A pedestrian injured by the insured and off work one week..
EXPLANATION:
The injury to the pedestrian is considered to be bodily injury. All of the other choices are considered to be property damage.
Question 22 of 100
Which of the following would meet the definition of “twenty-four hour” coverage?
Answer Choices: Select the Correct Answer
Joint issuance of a workers compensation policy and a disability insurance policy
Joint issuance of a workers compensation policy and a life insurance policy
Joint issuance of a life insurance policy and a disability insurance policy
Issuance of a workers compensation policy
Question 23 of 100
The correct answer is: Joint issuance of a workers compensation policy and a disability insurance policy.
EXPLANATION:
Twenty-four hour coverage is the joint issuance of a workers compensation policy with a disability insurance policy, health care service plan contract, or other medical insurance coverage for non-occupational injuries and illnesses. This product does not include a life insurance policy.
Question 23 of 100
Basic benefits available under a typical workers compensation policy include which of the following?
I. Medical expenses.
II. Loss of income.
III. Rehabilitation.
IV. Pain and suffering.
Answer Choices: Select the Correct Answer I, II, and III only. I and II only. I, III, and IV only. I, II, III and IV.
Question 24 of 100
The correct answer is: I, II, and III only. .
EXPLANATION:
Workers compensation indemnifies an injured or ill worker for direct expenses resulting from the cause with rehabilitation provided to encourage a worker to return to productivity. It does not pay for intangible losses such as paid and suffering.
Question 24 of 100
In lieu of suspending or revoking a license, the Commissioner may impose of civil penalty of:
Answer Choices: Select the Correct Answer $500. $2,500. $1,000. $5,000.
Question 25 of 100
Your answer: $5,000. is incorrect. The correct answer is: $500..
EXPLANATION:
The Commissioner, in lieu of suspending or revoking a license, may impose a civil penalty not to exceed $500 upon a licensee.
Question 25 of 100
In a liability situation, “proximate cause” includes what important feature?
Answer Choices: Select the Correct Answer
An unbroken chain of events must lead to the bodily injury or property damage.
The cause of the loss must be proven as negligent.
The indirect cause of loss must be proven before the proximate cause can be proven.
An intervening cause of loss must have broken the chain of events for the proximate cause of the loss to be proven.
Question 26 of 100
Your answer: An unbroken chain of events must lead to the bodily injury or property damage. is correct.
EXPLANATION:
There must be an unbroken link or chain of events between the occurrence and the bodily injury or property damage.
Question 26 of 100
Which party has the right to request information about a claim at any time?
Answer Choices: Select the Correct Answer The California Department of Insurance The plaintiff’s attorney Law enforcement The agent
Question 27 of 100
The correct answer is: The California Department of Insurance .
EXPLANATION:
Only the California Department of Insurance (CDI) has the absolute right to request and be provided any claim information at any time. A plaintiff’s attorney may subpoena such information, but it may be considered private information. Law enforcement would also need a subpoena for claim information.
Question 27 of 100
Which of the following is the meaning of a “time element” loss?
Answer Choices: Select the Correct Answer
Incurred losses such as loss of rents
Amount of time allowed resolving a claim
Specific time and date that the loss occurred
Policy effective date versus date of loss
Question 28 of 100
The correct answer is: Incurred losses such as loss of rents.
EXPLANATION:
Time element losses provide coverage for loss of income (e.g. loss of rental income or loss of income from a business) where there is an element of time to restore the premise to its original condition before the loss.
Question 28 of 100
Garagekeepers specified causes of loss coverage would apply to each of the following, EXCEPT:
Answer Choices: Select the Correct Answer Fire. Vandalism. Theft. Windstorm.
Question 29 of 100
Your answer: Theft. is incorrect. The correct answer is: Windstorm..
EXPLANATION:
Specified causes of loss are named peril coverage for physical damage and are not nearly as broad as comprehensive coverage. Windstorm happens to not be one of the named perils.
Question 29 of 100
Which of the following is covered under Coverage A of the HO-2?
Answer Choices: Select the Correct Answer
Paint to be used on the building
Riding lawnmower used to service the premises
A detached fence
Grave marker
Question 30 of 100
Your answer: Paint to be used on the building is correct.
EXPLANATION:
The paint used for the building would be covered under the building limit under Coverages A and B (other structures). The mower is personal property covered under Coverage C. A detached fence is considered to be a separate structure and is covered under Coverage B. Grave markers have a separate limit in the policy for $5,000.
Question 30 of 100
Which of the following perils would NOT be covered by a Commercial Property policy with a Causes of Loss - Special Form attached to the Building and Personal Property Coverage form?
Answer Choices: Select the Correct Answer
Carolyn’s Fine Gifts must shut down for a month to repair flood damage.
When a riot breaks out in the town square, Bonnie’s Boutique is looted and vandalized in the commotion.
A tornado whips through town, leveling a warehouse belonging to Johnson’s Industries.
Allen’s Appliances loses an entire warehouse in a fire caused by a lightning strike at a nearby power plant.
Question 31 of 100
Your answer: Carolyn’s Fine Gifts must shut down for a month to repair flood damage. is correct.
EXPLANATION:
The loss of income due to the shut down of Carolyn’s Fine Gifts would not be covered by the Special Cause of Loss form. The cause of the loss and the resulting shut down is FLOOD, which is an excluded peril.
Question 31 of 100
A dry cleaner wants to insure the pressure boilers used in the business. They also would like to cover some equipment and accessories that can be used in the boilers but have not yet been installed. Which of the following, if any, can be used to cover this exposure?
Answer Choices: Select the Correct Answer Expediting Expense Coverage Extra Expense Coverage Ordinance and Law Coverage Spare Parts and Equipment Coverage
Question 32 of 100
Your answer: Spare Parts and Equipment Coverage is correct.
EXPLANATION:
The Spare Parts and Equipment Endorsement can be used to schedule the value of this extra equipment and accessories.
Question 32 of 100
Which of the following is true about “open peril” coverage?
Answer Choices: Select the Correct Answer
It provides coverage for all perils, unless that peril is specifically excluded.
It provides coverage for scheduled risks.
It provides coverage for the named perils.
It does not exclude any perils from coverage.
Question 33 of 100
Your answer: It provides coverage for all perils, unless that peril is specifically excluded. is correct.
EXPLANATION:
On a “named peril” cause of loss form, the covered perils are named or specified. If the peril is not listed, then coverage does not apply. Conversely, on an “open peril” cause of loss form, ALL perils are covered unless the peril(s) is/are specifically excluded. “Open peril” cause of loss forms contain more exclusions than named peril forms for obvious reasons.
Question 33 of 100
What costs are paid under an Umbrella policy?
Answer Choices: Select the Correct Answer
The policy limit and any defense costs minus any applicable retained limit (deductible).
The policy limit that includes the defense costs.
The policy limit minus any retained limit (deductible).
Only the required underlying limits and the defense costs.
Question 34 of 100
Your answer: The policy limit and any defense costs minus any applicable retained limit (deductible). is correct.
EXPLANATION:
The Umbrella policy, like most liability policies, pays up to the limit of liability for covered claims. In addition, it pays defense costs incurred by the company in the defense of the insured. When the underlying coverage does not cover a claim and the Umbrella policy DOES cover the claim there is usually a retained limit, otherwise known as a deductible, that the insured must pay.
Question 34 of 100
Under a Flood insurance RCBAP (residential condominium building association policy) will settle claims on what basis?
Answer Choices: Select the Correct Answer Functional Replacement Cost Replacement Cost Actual Cash Value Market Value
Question 35 of 100
The correct answer is: Replacement Cost.
EXPLANATION:
The RCBAP settles losses on a replacement cost basis.
Question 35 of 100
An employer has been accused of negligently causing an employee to be injured on the job because of failure to repair a safety device on a machine.. What coverage would apply to any legal action brought against the employer by the injured employee?
Answer Choices: Select the Correct Answer Employer's liability. Workers compensation coverage. Personal liability coverage. Commercial umbrella coverage.
Question 36 of 100
The correct answer is: Employer’s liability. .
EXPLANATION:
Usually workers compensation coverage is the exclusive and only right for recovery. In cases of intentional injury caused by the employer, a civil suit can be made against the employer. The employer would have to rely on “employer’s liability” coverage for defense coverage as well as a judgment against the employer. This is Part II of the workers compensation coverage.
Question 36 of 100
In a commercial crime coverage form with the computer fraud coverage, which of the following would be covered?
Answer Choices: Select the Correct Answer
Fraudulent instructions to a financial institution to pay money from a customer’s transfer account
Computer virus
Employee dishonesty
Theft of the computer
Question 37 of 100
The correct answer is: Fraudulent instructions to a financial institution to pay money from a customer’s transfer account.
EXPLANATION:
Computer fraud coverage covers loss or damage to money, securities and other property due to the use of a computer to fraudulently transfer that property from inside the premises or banking premises to a place or person (other than a messenger) outside the premises.
Question 37 of 100
The chief deputy of the county auditor steals $2.5 million from the county and gambles it away. What bond if any would the county need to have in place in order to try and recoup this loss?
Answer Choices: Select the Correct Answer Employee dishonesty Blanket Public Official Bond Fiduciary bond Extortion-Commercial entities
Question 38 of 100
Your answer: Employee dishonesty is incorrect. The correct answer is: Blanket Public Official Bond.
EXPLANATION:
The county as the Obligee, would need to make claim to the surety issuing the Public Official Bond on behalf of the auditor, the principal.
Question 38 of 100
Commercial glass coverage will not pay for damages caused by:
Answer Choices: Select the Correct Answer Vehicles Vandalism or malicious mischief Riot War
Question 39 of 100
Your answer: War is correct.
EXPLANATION:
Damage as a result of war is excluded.
Question 39 of 100
Coverage for goods in transit is usually provided by which of the following types of insurance?
Answer Choices: Select the Correct Answer Inland Marine Casualty Surety Automobile
Question 40 of 100
Your answer: Inland Marine is correct.
EXPLANATION:
There are various types of transit coverage provided by inland marine insurance. None of the other forms mentioned would provide physical damage to cargo.
Question 40 of 100