IA Test 5 Flashcards
Which of the following is a reason that insurance companies include exclusions in the homeowner forms?
To avoid financial catastrophe for the insured
To properly rate nonstandard risks
To limit coverage of nonfortuitous events
To provide broader protection to more insured’s
Question 1 of 100
Your answer: To properly rate nonstandard risks is incorrect. The correct answer is: To limit coverage of nonfortuitous events.
EXPLANATION:
Insurance companies desire to cover only fortuitous events. These are sudden and unexpected. Insurers also desire to exclude certain catastrophe types of losses such as flood, war and earthquakes.
Question 1 of 100
Farm liability coverages include each of the following, EXCEPT:
Bodily injury and property damage.
Personal injury and advertising injury.
Medical payments to others.
Professional liability.
Question 2 of 100
Your answer: Personal injury and advertising injury. is incorrect. The correct answer is: Professional liability..
EXPLANATION:
Professional liability coverage is provided by other types of policies, but not under farm liability coverage.
Question 2 of 100
What does an insurer do when the insured has possibly waived his or her rights in a liability claim?
Send a “reservation of rights” letter.
Deny the claim.
Pay only a portion of the proven liability claim.
Insist the insured obtain his or her own legal counsel.
Question 3 of 100
Your answer: Send a “reservation of rights” letter. is correct.
EXPLANATION:
There are situations where the insured has waived the right to coverage under a liability policy. Failure to report a claim in a timely fashion could cause the insured to waive coverage. The insurer will normally issue a reservation of rights letter to the insured advising that it will investigate the claim but will not commit to pay the claim.
Question 3 of 100
An independent adjuster may satisfy the security requirement in California by providing:
I. A $2,000 surety bond
II. A $2,000 property bond
III. A $2,000 cash deposit with the state of California
IV. Proof of the sum of $2,000 deposited in a bank authorized to do business in California
I, II, III and IV
I, III and IV only
I and II only
I, II and III only
Question 4 of 100
Your answer: I and II only is incorrect. The correct answer is: I, III and IV only.
EXPLANATION:
An independent adjuster may satisfy the security requirement with a $2,000 surety bond; by depositing with the State of California the sum of $2,000 in cash; providing evidence of deposit of the sum of $2,000 in banks authorized to do business in this state and insured by the Federal Deposit Insurance Corporation; providing investment certificates or share accounts in the amount of $2,000 issued by a savings association doing business in this state and insured by the Federal Deposit Insurance Corporation; or providing evidence of a certificate of funds or share account of the sum of $2,000 in a credit union whose share deposits are guaranteed by the National Credit Union Administration. A property bond is not a method of satisfying the requirement.
Question 4 of 100
Insurance that guarantees or indemnifies owners of real or personal property, or the holders of liens or encumbrances on that property, is classified in California as which of the following types of insurance?
Title insurance.
Surety insurance.
Credit insurance.
Mortgage Guaranty insurance.
Question 5 of 100
Your answer: Title insurance. is correct.
EXPLANATION:
Insurance that guarantees or indemnifies owners of real or personal property, or the holders of liens or encumbrances on that property, is classified in California as Title insurance.
Question 5 of 100
Jim drives Linda’s car. Both Jim and Linda have a personal auto policy. Which of the following statements is CORRECT concerning coverage if Jim causes an accident?
The policy Linda owns is primary and the policy Jim owns is excess.
Only the policy Jim owns will pay for damages.
Only the policy Linda owns will pay for damages.
The policy Jim owns is primary and the policy Linda owns is excess.
Question 6 of 100
Your answer: The policy Jim owns is primary and the policy Linda owns is excess. is incorrect. The correct answer is: The policy Linda owns is primary and the policy Jim owns is excess. .
EXPLANATION:
Insurance follows the car. Therefore, Linda’s policy would pay first and Jim’s policy would be excess. Assume that Linda did not have physical damage coverage but Jim did. If Jim had an at fault accident with Linda’s car, the physical damage to Linda’s car would be paid under Jim’s policy.
Question 6 of 100
Assume a commercial umbrella liability policy is in effect and all conditions are met. Identify the correct statement.
An individual claims the insured made libelous statements that have damaged the individual’s career. This damage would be covered under the policy’s Bodily Injury and Property Damage Liability coverage.
An individual suffered embarrassment after tripping over a brick someone had left in the insured’s walkway. This damage would be covered under the policy’s Personal and Advertising Injury Liability coverage.
A customer’s leg was fractured by a fall in the insured’s warehouse. This damage would be covered under the policy’s Personal and Advertising Injury Liability coverage.
An insured is responsible for damaging a client’s million dollar shipment of products. This damage would be covered under the policy’s Bodily Injury and Property Damage Liability coverage.
Question 7 of 100
Your answer: An individual claims the insured made libelous statements that have damaged the individual’s career. This damage would be covered under the policy’s Bodily Injury and Property Damage Liability coverage. is incorrect. The correct answer is: An insured is responsible for damaging a client’s million dollar shipment of products. This damage would be covered under the policy’s Bodily Injury and Property Damage Liability coverage. .
EXPLANATION:
Only the damage done to the client’s property is covered. Libelous statements are covered by personal injury and not bodily injury and property damage, embarrassment is not covered and the fractured leg is bodily injury and not personal or advertising injury.
Question 7 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:
The tornado.
The fire.
The collapse of the wall.
The heater.
Question 8 of 100
Your answer: The fire. is incorrect. The correct answer is: The tornado. .
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 8 of 100
Which of the following is an example of an “assumption of risk”?
George suffered a broken leg when he was walking into the locker room after playing a game of basketball and he slipped in a pool of liquid soap left by a janitor.
Fred was in a hurry to get to work. He took a shortcut over a bridge marked “condemned,” which collapsed under his weight.
Diana was seriously injured in an auto accident. She learned that the driver has no operator’s license.
Henry was walking to his mailbox when he was hit by a baseball, thrown accidentally in his direction, by the neighbor’s son.
Question 9 of 100
Your answer: George suffered a broken leg when he was walking into the locker room after playing a game of basketball and he slipped in a pool of liquid soap left by a janitor. is incorrect. The correct answer is: Fred was in a hurry to get to work. He took a shortcut over a bridge marked “condemned,” which collapsed under his weight..
EXPLANATION:
When Fred took the shortcut across a condemned bridge, he assumed the risk.
Question 9 of 100
An insured carries a Personal Property Replacement Cost endorsement attached to his Homeowners policy. He has suffered a loss to his personal property. He submits a claim for actual cash value (ACV) at the time of the loss, but notifies the insurer that he intends to make a claim for replacement cost later. The insurer will honor the insured’s request, but only if the cost to repair or replace the property is:
More than $500.
Less than $500.
More than $1,000.
Less than $5,000.
Question 10 of 100
Your answer: Less than $500. is incorrect. The correct answer is: More than $500..
EXPLANATION:
If the cost to repair or replace the property is more than $500, the insurer will pay the actual cash value for the loss, until the actual repair or replacement is made.
Question 10 of 100
Jerusha has her business automobiles covered under a Business Auto policy. She has purchased a new business automobile recently but was not required under her policy provisions to report her newly acquired auto. Based on this information, which BAP symbol is listed on the Declarations page of Jerusha’s policy?
Symbol 1.
Symbol 7.
Symbol 5.
Symbol 3.
Question 11 of 100
Jerusha has her business automobiles covered under a Business Auto policy. She has purchased a new business automobile recently but was not required under her policy provisions to report her newly acquired auto. Based on this information, which BAP symbol is listed on the Declarations page of Jerusha’s policy?
Your answer: Symbol 3. is incorrect. The correct answer is: Symbol 1..
EXPLANATION:
When Symbol 1 is listed on the Declarations page, the insured is not required to report “newly acquired autos” to the insurer. This is because Symbol 1 covers “any auto”.
Question 11 of 100
An HO-5 form provides which of the following coverages for dwellings and their contents?
Broad form perils for buildings and open peril coverage for personal property.
Open peril coverage for buildings and personal property.
Open peril coverage for buildings and broad form coverage for personal property.
Name peril coverage for both buildings and personal property.
Question 12 of 100
An HO-5 form provides which of the following coverages for dwellings and their contents?
Your answer: Open peril coverage for buildings and personal property. is correct.
EXPLANATION:
The HO-5 form is the broadest HO form and provides open peril coverage on both covered buildings and the insured’s personal property.
Question 12 of 100
What does the phrase “free on board destination” mean?
Makes the seller responsible to the buyer until the goods have been delivered as agreed.
An ocean term referring to jettison.
The title to the goods to be shipped is transferred to the buyer at the shipping point.
The term is in reference to a cruise ship agreement for passengers.
Question 13 of 100
Your answer: Makes the seller responsible to the buyer until the goods have been delivered as agreed. is correct.
EXPLANATION:
The term is used in two common phrases, “FOB shipping point” and “FOB destination,” to distinguish when the title of goods passes from the seller to the buyer. Under the terms of “FOB shipping point,” the title of the goods passes to the buyer at the shipping point. Similarly, under the terms of “FOB destination,” the title of the goods passes to the buyer when the goods arrive at their destination. The distinction is important because it determines who pays for the shipping costs of the merchandise - whoever holds the title to the merchandise at the time of its shipping pays for its transportation costs unless otherwise noted (e.g., freight prepaid or freight collect). Also, it is important that if the shipment is damaged while traveling the owner must file the freight claim.
Question 13 of 100
Tea is applying for a new adjuster license in California. What is the fee she will need to submit with her license application?
$47
$56
$72
$29
Question 14 of 100
Your answer: $72 is correct.
EXPLANATION:
The application fee for an original license is: $72. (CIC 14097)
Question 14 of 100
A Commercial Property Policy on a mortgaged property specifies which of the following responsibilities as a duty of the insured?
To provide a sworn proof of loss statement following a loss if requested by the company
To return the policy if it is canceled by the insurance company
To pay the mortgagee in full in the event of a total loss
Hire a public adjuster to appraise damages
Question 15 of 100
Your answer: To pay the mortgagee in full in the event of a total loss is incorrect. The correct answer is: To provide a sworn proof of loss statement following a loss if requested by the company.
EXPLANATION:
The insured is required to provide a proof of loss to the insurer. If the insured refuses to provide a proof of loss, the mortgagee has this option. In case of a loss, the mortgagee can be paid the amount owed, subject to the policy limit.
Question 15 of 100
Before an application for an independent adjuster license is granted, the applicant must meet all of the following requirements, EXCEPT:
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 16 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 16 of 100
Sally Roe’s vehicle is rear-ended by John Doe. Sally and John are good friends. Sally tells John not to worry about the damage. She says she has insurance and will tell her insurance company to pay for the damage. She will waive her subrogation right so that John won’t have to pay anything. Her insurer will:
Honor the waiver.
Not honor the waiver.
Proceed with subrogation against John Doe and will not honor the waiver.
Refuse to pay the claim because of the waiver of subrogation.
Question 17 of 100
Your answer: Not honor the waiver. is incorrect. The correct answer is: Proceed with subrogation against John Doe and will not honor the waiver..
EXPLANATION:
Sally does not have to file a claim. She can pay for the damage herself if she chooses. However, she cannot ask her insurance company to pay for her damage without allowing it the right to subrogate. With insurance, subrogation is the substitution of one party (insurer) for another party (insured) to pursue any rights the insured may have against a third party liable for the loss paid by the insurer. Once the insurer has paid for the insured’s (Sally’s) damage, it has the contractual right to recover not only Sally’s deductible, but also the money it paid for Sally’s repairs from the at-fault party (John). Sally cannot “waive” this contractual right.
Question 17 of 100
The definition of collapse under the Homeowners program includes:
A gradual falling down of the structure.
Damage caused by vermin known to exist by the insured when the structure collapsed.
An abrupt falling down or caving in of the structure or a part of the structure.
A gradual caving in of the structure.
Question 18 of 100
Your answer: An abrupt falling down or caving in of the structure or a part of the structure. is correct.
EXPLANATION:
The definition defines collapse as an “abrupt falling down or caving in of the structure or a part of the structure.”
Question 18 of 100
What is the purpose of an installation floater?
To cover property belonging to a contractor or others that is intended to become a part of a structure
To cover property to be installed at the insured’s location
To cover property that has been installed when the contractor has completed the job and the work has been accepted
To cover the insured’s machinery, tools and other equipment used to install property to become a part of a building
Question 19 of 100
Your answer: To cover property to be installed at the insured’s location is incorrect. The correct answer is: To cover property belonging to a contractor or others that is intended to become a part of a structure.
EXPLANATION:
The policy is used to supplement coverage provided by the commercial property forms. It covers property off an insured’s location and in transit or at the job site awaiting installation or when it has been installed. Coverage ceases when the property has been accepted by the purchaser.
Question 19 of 100
If a dwelling insured under an HO-3 is destroyed by fire, what amount should the insured expect to be paid for their loss?
A depreciated value of the dwelling.
The assessed value of the dwelling.
Up to the policy limits.
The market value of the dwelling.
Question 20 of 100
Your answer: Up to the policy limits. is correct.
EXPLANATION:
An insurance company cannot pay in excess of the policy limits. There are 22 states that have a valued policy law in which the company is required to pay the full limit in case of a total loss. For partial losses the insurance company can only pay up to the limits of the policy. The insured would have to prove their loss for the contents damage.
Question 20 of 100
If a bond is called upon for payment, which party pays out the face amount of the bond?
Principal
Surety
Obligee
Insured
Question 21 of 100
Your answer: Surety is correct.
EXPLANATION: The surety (the insurer) pays out the face amount of the bond to the obligee in the event that the bond is called. In that event, the surety will have “right of recourse” against its own principal.
Question 21 of 100
All of the following are excluded under the Commercial Crime “Inside the Premises - Theft of Money and Securities” insuring agreement, EXCEPT:
Dishonest acts of customers.
Fire.
Vandalism.
Accounting errors.
Question 22 of 100
Your answer: Fire. is incorrect. The correct answer is: Dishonest acts of customers. .
EXPLANATION:
Fire, vandalism, and accounting errors are specifically excluded in this insuring agreement.
Question 22 of 100
Under the CGL policy, all of the following are “insured contracts” as defined by the policy, EXCEPT:
Land and mine surveyor agreements.
Lease of premises agreements.
Railroad sidetrack agreements.
Elevator maintenance agreements.
Question 23 of 100
Your answer: Railroad sidetrack agreements. is incorrect. The correct answer is: Land and mine surveyor agreements..
EXPLANATION:
The CGL policy contains a contractual liability exclusion, which eliminates coverage for risks of others that the insured assumes in any written contract except an “insured contract.” A land and mine surveyor agreement is not an “insured contract.” The other three are covered as “insured contracts.”
Question 23 of 100
Losses caused by all of the following are covered under the National Flood Insurance Program, EXCEPT:
Sewer backup.
Overflow of tidal waters.
Mudflow.
Rapid accumulation or runoff of surface water.
Question 24 of 100
Your answer: Sewer backup. is correct.
EXPLANATION:
Flood insurance covers loss caused by an overflow of surface waters. Water that backs up from a sewer or drain or seeps in through foundations and basement walls is not considered a “flood loss”. Most insurance carriers now offer sewer backup coverage as an endorsement on a Homeowners policy.
Question 24 of 100
The policy territory under the Commercial General Liability policy is found in which section of the policy?
On the Declarations page.
In the Definitions section.
Under the Limits of Insurance.
In the list of perils insured against.
Question 25 of 100
Your answer: On the Declarations page. is incorrect. The correct answer is: In the Definitions section..
EXPLANATION:
The policy territory is found in the Definitions section of the policy.
Question 25 of 100
An insured has her business automobiles covered under a Business Auto policy with Symbol 7 specified on her Declarations page. She has purchased a trailer with a load capacity of 2,500 pounds and hitched it to a covered van. While she is driving the van, the trailer breaks free and crashes into another vehicle, causing bodily injury. Which of the following statements is true regarding this insured’s situation?
Liability coverage is extended under Symbol 7 for a trailer with a load capacity of less than 5,000 pounds, therefore coverage will apply.
Liability coverage is not extended under Symbol 7 for a trailer with a load capacity of more than 2,000 pounds, therefore coverage will not apply.
Liability coverage is excluded for all trailers under the Business Auto Coverage form.
Liability coverage will not apply for the trailer, but coverage for the van will pay the damages awarded under the lawsuit.
Question 26 of 100
Your answer: Liability coverage is extended under Symbol 7 for a trailer with a load capacity of less than 5,000 pounds, therefore coverage will apply. is incorrect. The correct answer is: Liability coverage is not extended under Symbol 7 for a trailer with a load capacity of more than 2,000 pounds, therefore coverage will not apply..
EXPLANATION:
Liability coverage is not extended under Symbol 7 for a trailer with a load capacity of more than 2,000 pounds, therefore coverage will not apply because the load capacity of the trailer in the question is listed at a load capacity of 2,500 pounds.
Question 26 of 100
In the event of an emergency situation, a non-licensed independent adjuster must register with the Commissioner within:
48 hours.
30 days.
7 working days.
15 working days.
Question 27 of 100
Your answer: 15 working days. is correct.
EXPLANATION:
In the event of an emergency situation as declared by the Commissioner, claims arising out of the emergency, catastrophe, disaster, or other similar occurrence may be adjusted by a non-licensed adjuster upon registration with the Commissioner. Registration must occur within 15 working days.
Question 27 of 100
The Commercial Building & Personal Property coverage form includes an Additional Coverage for property removed from the premises because of being endangered by an insured peril. The coverage lasts for:
30 days after the property is first moved.
5 days after the property is first moved.
10 days after the property is first moved.
15 days after the property is first moved.
Question 28 of 100
Your answer: 30 days after the property is first moved. is correct.
EXPLANATION:
Property removed is covered for up to 30 days after being removed to another location. Removed property is covered for any direct physical loss.
Question 28 of 100
Which of the following is the first duty of the insured after suffering a property loss?
Take steps to protect the property from further loss.
Have the damaged property appraised.
Hire an outside claims adjuster.
Increase his coverage.
Question 29 of 100
Your answer: Take steps to protect the property from further loss. is correct.
EXPLANATION:
The insured is required to protect the property from further loss. The insurance company will pay all reasonable costs involved in protecting the property from further loss or damage.
Question 29 of 100
The “when more than one coverage applies” condition in Commercial Crime insurance is designed to:
Specify how a claim would be allocated among the different insurers.
Allow the insured to choose the company that will pay the claim.
Provide for subrogation of a claim.
Avoid overpayment of a claim.
Question 30 of 100
Your answer: Specify how a claim would be allocated among the different insurers. is correct.
EXPLANATION:
The purpose of the clause is to specify how a claim would be allocated among the different insurers.
Question 30 of 100
The insured has suffered roof damage as a result of a tornado. He makes temporary repairs until permanent repairs can be made. He spends $1,500 for this work. How much, if any, will the DP-2 dwelling policy pay?
Nothing
$1,000
$1,500
$500
Question 31 of 100
Your answer: $500 is incorrect. The correct answer is: $1,500.
EXPLANATION:
The policy will pay all of the costs due to the “reasonable repairs” clause in the policy. This pays for the cost to make reasonable repairs in order to protect the property from further loss.
Question 31 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:
Salvage.
Subrogation.
Warranty.
Deductible.
Question 32 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 32 of 100
Under California law, the degree of care owed to a trespasser by a property owner is not which of the following?
To warn of hidden dangers
Ordinary care
To not set traps
Guarantee safe passage on and off the premises
Question 33 of 100
Your answer: Guarantee safe passage on and off the premises is correct.
EXPLANATION:
Guaranteeing safe passage is not required.
Question 33 of 100
Under the California Insurance Frauds Prevention Act (IFPA), facts, circumstances or events which singly, or in combination, support(s) an inference that insurance fraud may be been committed is called:
A suspected fraud occurrence.
A red flag event.
A reasonable belief occurrence.
A willful event.
Question 34 of 100
Your answer: A suspected fraud occurrence. is incorrect. The correct answer is: A red flag event..
EXPLANATION:
Facts, circumstances or events which singly, or in combination, support(s) an inference that insurance fraud may be been committed is called a “red flag” or a “red flag event” in California.
Question 34 of 100
If building coverage is provided under the BOP, the coverage will automatically increase each renewal by what percentage?
25%
The current rate of inflation
8%
15% unless a different percentage limit is shown on the declarations page.
Question 35 of 100
Your answer: 15% unless a different percentage limit is shown on the declarations page. is incorrect. The correct answer is: 8%.
EXPLANATION:
The building limit automatic increase is 8% unless a different percentage amount is shown on the declarations page.
Question 35 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?
30 days
15 working days
21 calendar days
10 calendar days
Question 36 of 100
Your answer: 15 working days is incorrect. The correct answer is: 21 calendar days.
EXPLANATION:
This adjuster must respond immediately, but no later than 21 calendar days from the date of the request.
Question 36 of 100
All of the following statements about HO-8 are correct, EXCEPT:
The policy form is designed for older or historical homes with replacement values that exceed market values.
HO-8 covers the dwelling, other structures, and personal property on a named perils basis.
HO-8 covers the same named perils as the HO-2.
HO-8 is also known as the Modified Coverage Form.
Question 37 of 100
All of the following statements about HO-8 are correct, EXCEPT:
The policy form is designed for older or historical homes with replacement values that exceed market values.
HO-8 covers the dwelling, other structures, and personal property on a named perils basis.
HO-8 covers the same named perils as the HO-2.
HO-8 is also known as the Modified Coverage Form.
Question 37 of 100
The insured, who is a chair manufacturer, produced a new line of lift chairs with electric heat and massage for people who are disabled. After the chairs had been on the market for several months, it was discovered that the control panel had been designed with a glitch in it that could be powerful enough to cause injury. The chairs were withdrawn from the market. The retailer who had purchased the chairs lost a great deal of money because of the recall. Under what circumstances, if any, will the insured’s commercial umbrella liability policy cover those losses?
Under no circumstances.
If it is discovered there was no glitch in the control panels.
If it is discovered why there was a glitch in the control panels.
If the manufacturer voluntarily withdrew the chairs from the market.
Question 38 of 100
Your answer: Under no circumstances. is correct.
EXPLANATION:
Product recall is excluded in the policy for product liability. All recall costs must be absorbed by the insured.
Question 38 of 100
What is a Reporting Form policy?
The form that must be filled out to report a loss of personal property to the insurer
A policy that requires the insured to report the value of the property insured at certain time intervals
The same as a personal articles floater in that it specifically lists each jewelry item
None of the responses are correct
Question 39 of 100
Your answer: The form that must be filled out to report a loss of personal property to the insurer is incorrect. The correct answer is: A policy that requires the insured to report the value of the property insured at certain time intervals.
EXPLANATION:
A “Reporting Form” policy is one in which the policyholder is required to report the values of insured property to the company at certain intervals. A provisional (deposit) premium is charged initially and the final premium is determined by applying the rate to the average of the values reported. The insured is required to insure the property 100% to value. The insured is also required to report 100% of the value of the insured property.
Question 39 of 100
The insured is covered under a HO-5 Policy. What coverage does the insured have for contents coverage?
Broad Form Peril Coverage
Replacement Cost Coverage
Open Peril Coverage
Named Peril Coverage
Question 40 of 100
Your answer: Open Peril Coverage is correct.
EXPLANATION:
The HO-5 Form provides Open Peril Coverage on both structures and contents.
Question 40 of 100