IA Test 29 Flashcards
Which of the following would NOT be covered under a workers compensation policy for injury?
Answer Choices: Select the Correct Answer
An intoxicated employee injures an innocent bystander because of horseplay.
A person injured in a work related accident.
A person who contracts a disease as a result of his/her job.
A truck driver working for his/her employer.
Question 1 of 100
Your answer: An intoxicated employee injures an innocent bystander because of horseplay. is correct.
EXPLANATION:
An innocent bystander would not be covered since they are not an employee. Also employees are excluded for injury if they are intoxicated while at work.
Question 1 of 100
After an auto collision loss an insurance company may elect to pay the insured’s claim and take possession of the vehicle. This practice is referred to as:
Answer Choices: Select the Correct Answer Salvage. Subrogation. Warranty. Deductible.
Question 2 of 100
Your answer: Salvage. is correct.
EXPLANATION:
Once the insurer has paid a total loss on an auto the salvage belongs to the insurer.
Question 2 of 100
Henry is the first named insured on a $1 million Umbrella policy. His wife, Dorothy, is also an insured. Both Henry and Dorothy were sued for $1 million in separate, unrelated suits by separate third parties. Both insureds lost their suits on the same day. In this possible but rare situation, if the Umbrella policy is applicable and the self-insured retention is not applicable:
Answer Choices: Select the Correct Answer
Henry will receive more protection from the policy than Dorothy because he is the first named insured.
The policy will pay $500,000 toward each award.
The policy will only honor Henry’s claim because he is the first-named insured.
Henry and Dorothy would receive the same amount of coverage, and the policy could ultimately pay a total of the $2 million amount for the two awards, subject to the “aggregate limit”.
Question 3 of 100
Your answer: Henry and Dorothy would receive the same amount of coverage, and the policy could ultimately pay a total of the $2 million amount for the two awards, subject to the “aggregate limit”. is correct.
EXPLANATION:
These are two separate unrelated third-party claims and each would be covered up to the policy limit provided the combined losses do not exceed the “aggregate” limit of the policy.
Question 3 of 100
A Businessowners policy has a $500,000 occurrence limit for liability, and a $1,000,000 aggregate limit. If claims for $600,000 and $400,000 have been filed in two separate incidents, how much coverage remains, if any, for future claims submitted during the policy term?
Answer Choices: Select the Correct Answer $500,000 $0 $100,000 $1,000,000
Question 4 of 100
Your answer: $100,000 is correct.
EXPLANATION:
The most the policy will pay for any one single occurrence is $500,000, therefore that amount would be payable for the first loss. Once paid that amount must be subtracted from the Aggregate Limit (the most available for all claims in the policy year) leaving $500,000 remaining in the aggregate. The second claim is within the occurrence limit and because there is enough left in the aggregate, the entire $400,000 is payable. After subtracting the $400,000 loss from the remaining aggregate, $100,000 is left to pay any and all future claims for the remainder of the policy term.
Question 4 of 100
Which worker would be covered under Longshoreman’s coverage?
Answer Choices: Select the Correct Answer
Injury to a worker loading a ship at the dock.
Injury to a seaman who works on the ship out at sea.
Injury sustained by a designer working for a beach and shoreline restoration firm.
Injury to a truck driver in Long Island, NY.
Question 5 of 100
our answer: Injury to a worker loading a ship at the dock. is correct.
EXPLANATION:
Longshoreman’s coverage applies to workers who load and unload, build and repair ships.
Question 5 of 100
Which of the following is not a duty of an insurer in case of a loss?
Answer Choices: Select the Correct Answer
Conduct a thorough investigation
Establish claim procedures and methods of documentation
Acknowledge receipt of a claim in a timely fashion
Separate the damaged property from the undamaged property and protect the property from further loss
Question 6 of 100
Your answer: Separate the damaged property from the undamaged property and protect the property from further loss is correct.
EXPLANATION:
The insurance company is not required to separate the damaged property from the undamaged property nor to protect the property from further loss. This is the responsibility of the insured.
Question 6 of 100
An insured has fabricated a claim that would appear to be legitimate. What kind of hazard would this act represent?
Answer Choices: Select the Correct Answer Physical hazard Moral hazard Morale hazard It is a peril, not a hazard.
Question 7 of 100
Your answer: Moral hazard is correct.
EXPLANATION:
This is the type of hazard that exposes the morals of the individual because of the fraudulent act.
Question 7 of 100
The coverage extension “Business Personal Property Temporarily in Portable Storage Units” will provide $10,000 of coverage for up to:
Answer Choices: Select the Correct Answer 60 days 120 days 90 days 30 days
Question 8 of 100
Your answer: 90 days is correct.
EXPLANATION:
The extension of coverage is for 90 days, but if the portable unit has been used on a regular basis, the 90 days begins from the time when the unit was first put to use and not when certain property was placed there.
Question 8 of 100
Businessowners policies provide “Preservation of Property” coverage when property is removed from the premises to protect it from a covered cause of loss. The coverage will apply at other locations for up to:
Answer Choices: Select the Correct Answer 60 days 30 days 10 days 20 days
Question 9 of 100
Your answer: 60 days is incorrect. The correct answer is: 30 days.
EXPLANATION:
If an insured moves property from a covered location in order to preserve it from a loss by a covered peril, that property will be covered for ANY direct loss while it is being moved or is temporarily stored at another location for the next 30 days.
Question 9 of 100
Homeowners policies will provide which of the following for personal property located in a self-storage facility?
Answer Choices: Select the Correct Answer Full Coverage C limit $2,500 10% of the Coverage C limit $5,000
Question 10 of 100
Your answer: 10% of the Coverage C limit is correct.
EXPLANATION:
The Homeowners forms will limit coverage for personal property at self-storage facilities up to 10% of the Coverage C limit, or $1,000 whichever is higher.
Question 10 of 100
The insured has an HO-3 homeowner policy. During the night, a water line in the wall to the upstairs bathroom burst and water ruined the walls, floor and furniture. In this situation all of the damages will be covered, EXCEPT:
Answer Choices: Select the Correct Answer
Damage to remove the wall and replace the wall to gain entrance to the pipe that broke.
Damage to the floor.
Damage to the furniture.
Replace the pipe that broke.
Question 11 of 100
Your answer: Replace the pipe that broke. is correct.
EXPLANATION:
The policy will not pay for the part of the pipe that broke. All of the other damages are covered.
Question 11 of 100
The additional coverage under the Commercial Property policy for electronic data provides $2,500 for the cost of replacing and restoring lost information contained on electronic media. Which of the following types of electronic data is NOT included in this additional coverage?
Answer Choices: Select the Correct Answer
Data controlling the building elevator
Data controlling the heating, ventilation, lighting and air conditioning systems
Data controlling the building security system
None of these items are subject to this limit
Question 12 of 100
Your answer: None of these items are subject to this limit is correct.
EXPLANATION:
None of these items are subject to the $2,500 annual aggregate limitation and therefore, covered up to the full cost to restore these items up to the building limit.
Question 12 of 100
Which of the following would NOT be found in the conditions section of a homeowner insurance policy?
Answer Choices: Select the Correct Answer Subrogation rights Duties of the insured Insurance premium Mortgagee clause
Question 13 of 100
Your answer: Insurance premium is correct.
EXPLANATION:
The insurance premium is not shown in the conditions section of the homeowner policy.
Question 13 of 100
During a tornado, Natalie’s house is destroyed when a section of a wall is blown down, knocking over a heater, which sets the house on fire and creates smoke. The proximate cause of this loss is:
Answer Choices: Select the Correct Answer The tornado. The fire. The collapse of the wall. The heater.
Question 14 of 100
Your answer: The tornado. is correct.
EXPLANATION:
The proximate cause of a loss is an unbroken chain of events, that leads to the loss. In this question, the tornado started the chain of events that lead up to the fire and smoke loss.
Question 14 of 100
Which of the following is the provision in a liability policy that allows an insured to report incidents or circumstances that result in claims being filed in the future?
Answer Choices: Select the Correct Answer Defense Within Limits provision. Other Insurance provision. Supplementary Payments provision. Discovery provision.
Question 15 of 100
Your answer: Discovery provision. is correct.
EXPLANATION:
The Discovery provision allows an insured to report incidents or circumstances that may result in a claim being filed in the future. This provision is found mainly in liability policies with “claims-made” coverage triggers.
Question 15 of 100
The commercial inland marine conditions form:
Answer Choices: Select the Correct Answer
Contains the basic policy conditions that apply to many controlled inland marine coverage.
Is used to write standard commercial fire coverage.
Must be used with any commercial inland marine form.
Can stand alone as a complete insurance policy.
Question 16 of 100
Your answer: Contains the basic policy conditions that apply to many controlled inland marine coverage. is correct.
EXPLANATION:
Policy conditions contain the duties of the insured in case of a loss, as well as the appraisal clause, pair and set clause, no benefit to bailee clause etc. They are included in most controlled inland marine policies.
Question 16 of 100
In the event of a loss under a personal auto policy, an insured is required to submit to the insurance company all of the following information, EXCEPT:
Answer Choices: Select the Correct Answer An appraisal of the damaged property. A list of any known witnesses. A notice of claim. Proof of loss statement if requested.
Question 17 of 100
Your answer: An appraisal of the damaged property. is correct.
EXPLANATION:
Obtaining an appraisal of damaged property is not a required duty of the insured. Verification of the damage is the duty of the auto appraiser.
Question 17 of 100
Which of the following would not be considered a “first party” coverage under the personal auto policy?
Answer Choices: Select the Correct Answer Liability Collision Other than collision Uninsured Motorist Coverage
Question 18 of 100
Your answer: Collision is incorrect. The correct answer is: Liability.
EXPLANATION:
Liability is considered to be “third party coverage.” The other coverages pay the insured (the first party) to the policy.
Question 18 of 100
The three parties to a contract bond are:
Answer Choices: Select the Correct Answer Principal, obligee, surety. Obligor, principal, surety. Principal, obligee, employee. Employee, obligor, principal.
Question 19 of 100
Your answer: Principal, obligee, surety. is correct.
EXPLANATION:
The three parties to a contract bond are the principal (contractor), obligee (the protected party) and the surety (the guarantor) who pays the loss to the obligee because the principal failed to perform.
Question 19 of 100
A licensed independent adjuster has received a written or oral request from the California Department of Insurance concerning a claim. How many days does this adjuster have to respond to the inquiry?
Answer Choices: Select the Correct Answer 30 days 15 working days 21 calendar days 10 calendar days
Question 20 of 100
Your answer: 21 calendar days is correct.
EXPLANATION:
This adjuster must respond immediately, but no later than 21 calendar days from the date of the request.
Question 20 of 100
Rudy, a licensed California independent adjuster, has received a letter from a claimant requesting information about a claim. Rudy is required to respond within:
Answer Choices: Select the Correct Answer 30 calendar days. 15 working days. 15 calendar days. 10 days.
Question 21 of 100
Your answer: 15 calendar days. is correct.
EXPLANATION:
Upon receiving any communication from a claimant, regarding a claim, that reasonably suggests that a response is expected, every licensee must immediately, but in no event more than 15 calendar days after receipt of that communication, furnish the claimant with a complete response based on the facts as then known by the licensee.
Question 21 of 100
Which of the following statements BEST describes the reason it was necessary to create a federal flood insurance program in 1968?
Answer Choices: Select the Correct Answer
Because other property policies routinely exclude flood from coverage.
Because people were building their homes closer and closer to large bodies of water than ever before.
Because the United States was experiencing more flooding than ever before.
Because the flood insurance policies that were being issued at the time, did not provide adequate coverage for contents.
Question 22 of 100
Your answer: Because other property policies routinely exclude flood from coverage. is correct.
EXPLANATION:
It was necessary to create a federal flood insurance program because other property policies routinely exclude flood from coverage. Many citizens were losing everything because they could not purchase insurance to cover their home and their belongings in case of flood.
Question 22 of 100
The “coverage territory” of umbrella liability policies is usually:
Answer Choices: Select the Correct Answer
The United States of America, its territories and possessions, Puerto Rico and Canada only.
Anywhere in the world but sometimes with a requirement that suits be brought in the United States or Canada.
The continental United States of America only.
The state in which the insurance company is domiciled.
Question 23 of 100
Your answer: The United States of America, its territories and possessions, Puerto Rico and Canada only. is incorrect. The correct answer is: Anywhere in the world but sometimes with a requirement that suits be brought in the United States or Canada..
EXPLANATION:
The umbrella policy expands the coverage territory of the underlying coverages. The coverage is on a “worldwide” basis.
Question 23 of 100
Bridges and tunnels may be insured under:
Answer Choices: Select the Correct Answer Inland Marine Forms Business floater forms. Transportation forms. Equipment dealer’s forms.
Question 24 of 100
Your answer: Inland Marine Forms is correct.
EXPLANATION:
These are instrumentalities of transportation and can be covered under inland marine forms.
Question 24 of 100
What is the definition of “custom farming”?
Answer Choices: Select the Correct Answer
Sharecropping.
Raising genetically modified crops.
Farming for others.
Placing farm equipment for hire by other farms.
Question 25 of 100
Your answer: Farming for others. is correct.
EXPLANATION:
Custom farming is a “neighborly exchange of services”. A special endorsement is required to cover “custom farming” if the receipts are in excess of $5,000 per year.
Question 25 of 100
Under the Farm insurance liability coverage, which of the following would be covered?
Answer Choices: Select the Correct Answer
Aircraft spraying.
Pollution.
Products Liability for the insured’s farm produce sold.
Injury to a farm employee.
Question 26 of 100
Your answer: Injury to a farm employee. is incorrect. The correct answer is: Products Liability for the insured’s farm produce sold..
EXPLANATION:
Products liability for the insured’s products would be covered. The others are specifically excluded.
Question 26 of 100
Which of the following businesses would be eligible for a Businessowners policy?
Answer Choices: Select the Correct Answer
A dental office.
A contractors business that provides insulation services.
A savings and loan.
A small wig manufacturing business.
Question 27 of 100
Your answer: A dental office. is correct.
EXPLANATION:
A dental office is the only business listed that would be eligible for coverage under a Businessowners policy. Manufacturing businesses are generally not accepted for BOP coverage due to the “Products” liability exposure. The contractor providing insulation services would not be eligible for a Businessowners policy due to the risk involved in performing the service. The savings and loan would not be covered due to the large crime risk.
Question 27 of 100
Which of the following flood zones show a “flood depth” instead of a “base flood elevation” on a FIRM?
Answer Choices: Select the Correct Answer V AO AE VE
Question 28 of 100
Your answer: AO is correct.
EXPLANATION:
The AO zones are subject to only shallow flooding during the base flood, therefore “flood depths” are shown in these zones.
Question 28 of 100
In cases involving the repair of an auto covered under a policy in California, no insurer may:
Answer Choices: Select the Correct Answer
Require that an automobile be repaired at a specific repair shop.
Require a claimant to travel an unreasonable distance to inspect a replacement automobile, to conduct an inspection of the vehicle or to obtain a repair estimate.
Suggest or recommend that an automobile be repaired at a specific repair shop.
All of the responses are correct.
Question 29 of 100
Your answer: All of the responses are correct. is correct.
EXPLANATION:
All of the responses are correct.
Question 29 of 100
The Declarations section of an insurance policy contains:
Answer Choices: Select the Correct Answer
The name and address of the insured and the duration of the policy.
Specifications for the necessary method to submit a proof of loss.
The insurance companies promise to pay in exchange for the premium payment.
A list of conditions and exclusions under the policy.
Question 30 of 100
Your answer: A list of conditions and exclusions under the policy. is incorrect. The correct answer is: The name and address of the insured and the duration of the policy..
EXPLANATION:
Usually the first page of an insurance policy, the Declarations section, also includes other important information including the name of insurer, limits of liability, the policy period, a list of endorsements that have been attached to the policy, deductibles, etc.
Question 30 of 100
Under the basic dwelling form DP-1, which of the following water damages would be covered?
Answer Choices: Select the Correct Answer Leaking swimming pool Flood Water used to put out a fire Sewer backup
Question 31 of 100
Your answer: Water used to put out a fire is correct.
EXPLANATION:
The only water damage covered under the basic dwelling form would be damage caused by water used to extinguish a fire.
Question 31 of 100
As an independent adjuster in California, your investigation of a two-car traffic accident indicates that both drivers are equally at fault. After speaking with the claimant’s adjuster the two of you agree that both drivers are equally to blame. Your subrogation demand would be for:
Answer Choices: Select the Correct Answer
100% of your insured’s damages as your analysis does not affect what is owed by the other party.
75% of your insured’s damages as each side’s 25% totals 50%.
50% of your insured’s damage, because the insured and the other driver were both 50% at fault.
Nothing. Because both drivers were 50% at fault, each insurance company will pay 100% of the claim on their own insured’s damages.
Question 32 of 100
Your answer: 50% of your insured’s damage, because the insured and the other driver were both 50% at fault. is correct.
EXPLANATION:
California is a “comparative negligence” state. In California the person most at fault is deemed to be the primary cause of the accident. If investigation either by law enforcement or the insurance adjuster determines that there was “comparative negligence” on the part of the other driver(s), all damages owed are subject to apportionment.
Question 32 of 100
The insured was working with a subcontractor installing wiring in an office building the insured was remodeling for a customer. The insured accidentally caused a fire when he crossed some wires. Two of the offices were damaged, and the wiring had to be replaced. Which of the damages will the insured’s commercial umbrella liability policy likely cover if it is needed?
Answer Choices: Select the Correct Answer
The damages to the two offices and the wiring
The damages to the two offices only
The damages to the wiring only
The damages to one of the offices only
Question 33 of 100
Your answer: The damages to the two offices only is correct.
EXPLANATION:
The coverage would only apply to the damage to the two offices only. The wiring is not covered. It is part of their work.
Question 33 of 100
The California Special Provisions Homeowners form amends the standard Homeowners forms to allow the insured _______ from the date of the loss to bring a lawsuit against the insurer.
Answer Choices: Select the Correct Answer 18 months. 3 years. 1 year. 2 years.
Question 34 of 100
Your answer: 2 years. is incorrect. The correct answer is: 1 year..
EXPLANATION:
The standardized Homeowners forms allow 2 years from the date of the loss for the insured to bring a lawsuit against the insurance company. However, the California mandatory special provisions form amends this time frame to 1 year.
Question 34 of 100
What is the purpose of CAARP?
Answer Choices: Select the Correct Answer
To provide auto insurance for those unable to obtain it from admitted insurers.
To provide watercraft coverage for sport fishermen.
To provide coverage for retired persons in the state of California.
To provide discounted automobile insurance to students with good grades.
Question 35 of 100
Your answer: To provide auto insurance for those unable to obtain it from admitted insurers. is correct.
EXPLANATION:
CAARP is a residual market for vehicle owners who cannot obtain coverage voluntarily from admitted insurers.
Question 35 of 100
An insured auto dealer has purchased a Garage policy with physical damage coverage against specified causes of loss. Which of the following losses will not be covered by the policy?
Answer Choices: Select the Correct Answer
Flood damage to a covered auto.
Vandalism damage to a covered auto.
Damage resulting from the collision of the truck carrying a covered auto with another vehicle.
Explosion.
Question 36 of 100
Your answer: Flood damage to a covered auto. is incorrect. The correct answer is: Damage resulting from the collision of the truck carrying a covered auto with another vehicle..
EXPLANATION:
A specified cause of loss is named perils coverage and collision is not one of the named perils. Collision is a separate physical damage coverage requiring the upset of the covered vehicle, or its impact with another vehicle or object.
Question 36 of 100
In order for a “full release settlement” to become closed, what MUST occur?
Answer Choices: Select the Correct Answer
The release must contain the proper names of both the first and third party.
The release must contain the date, time and place that the accident occurred.
The release must be properly signed.
The claim check must be cashed by the claimant.
Question 37 of 100
Your answer: The release must be properly signed. is incorrect. The correct answer is: The claim check must be cashed by the claimant..
EXPLANATION:
The claim check for damages must be cashed by the claimant.
Question 37 of 100
In California, it is permissible for a automobile insurer to request photographs of a damaged vehicle in lieu of performing a physical inspection. With first party claims, the insurer must request the photographs from the claimant:
Answer Choices: Select the Correct Answer
Within 7 calendar days after receiving the notice of claim.
Within 6 business days after receiving the notice of claim.
Within 3 business days after receiving the notice of claim.
Within 4 calendar days after receiving the notice of claim.
Question 38 of 100
Your answer: Within 3 business days after receiving the notice of claim. is correct.
EXPLANATION:
The insurer must request the photographs within 3 business days after receiving the claims notice.
Question 38 of 100
The methods of financing workers’ compensation benefits include voluntary private insurance, excess insurance, qualified self-insurance plans, insurance through state funds, and:
Answer Choices: Select the Correct Answer Federal insurance programs. Assumption of the risk. Federal employer assistance programs. Insurance through assigned risk plans.
Question 39 of 100
Your answer: Assumption of the risk. is incorrect. The correct answer is: Insurance through assigned risk plans..
EXPLANATION:
Assigned risk plans are state plans to assist employers with financing workers’ compensation benefits.
Question 39 of 100
What is covered by a SP-23 protection and indemnity policy?
Answer Choices: Select the Correct Answer
All of the responses are correct.
Loss of life, injury and illness
Collision liabilities including defense costs.
Damage to docks, buoys and other structures.
Question 40 of 100
Your answer: All of the responses are correct. is correct.
EXPLANATION:
The protection and indemnity coverage applies to all of the responses.
Question 40 of 100