Insurance Flashcards
FAIR Plan Violation
1 - 2k
2 - 5k
Unfair Method of Competition Violation
1 - 5k
2 - 10k
Pretext interview
Attempts to gain information by pretending to be someone else
1 - Misrepresentation
2 - Falsely representing a person
Physical damage covered by PAD
Events of total loss, adjust made for physical damage
Persona Liability Endoresement
Coverage does apply to expenses occurred by residence employee but not named insured, regular residents of the named tenants
Covers:
First aid
Medical payments
Defense costs
Watchperson
Watch insured property while inside the property
Custodian
Watch property on the premises as a result of duty - inside or out
Principal / Obligor
Contractor
Obligee
Customer
Surety / Guarantor
Insruance company issue bond
Compensatory damages
Reimburse injured party for actual loss sustained
P&C 2 or 3 party contract
Property - two party contract
Casualty - three party contract
P&C Excluded losses
Catastrophic
Predictable
Covered elsewhere
Producing agent - what does the public think authority is
Apparent
Garagekeepers covers what
Covers damage to vehicles in the insureds care for service, storage, parking
Collapse - how to get coverage
Additional
DP2 characteristics
Named perils
Dwelling - Replacement costs
Contents - Actual cash value
DP 2 Covers
Damage by burglars
Falling objects
Weight of ice, sleet, snow
Accidental discharge of water
tear, cracking, bulging
Freezing
Artificial electricity
DP 1 Characteristics
Named
All on actual cash value
DP1 Covers
Basic - Fire, lightning, internal explosion
EC
External explosion
Smoke
Vehicles
Riot
Windstorm / hail
Volcanic Eruption
BOP for building and business personal property characteristic
Replacement cost
Auto Medical Payment covers
You and your resident relatives as occupents in any vehicle & as pedestrians injured by auto
Yacht
Greater than 26 feet with cooking and living quarters
Contractual Liability Definition
Enters into contract such as sharing property
BOP General Aggregate and Products completed operations are what
2x the occurrence limit
Fire Department Charges
Commercial - $1k
Home - $500
NEVER A DEDUCTIBLE
Workers Comp Primary or Secondary
ALWAYS PRIMARY
Conditional Loss
Provide proof of loss and respond in certain timeframe
PAP Family Member
Related by blood, marriage or adoption including foster children
Utmost good faith definition
Both parties want it to work
Reasonable expectations
It should work as expected
BOP Does not cover what
No cars, bars, banks or manufactures
PAP defense cost limit
NO DEFENSE COST LIMIT
Operations Liability
You are on someone else’s property during work and make a mistake
FCRA Requires how much notice
3 days and investigates customer reports
BOP Coinsurance
No coinsurance requirement
80% = Replacement cost
Less than 80% = Actual cash value
FOB Destination
Seller is responsible for property being transported until it has been delivered
POB Point of Shipping
Buyer interests begin at the start of the shipment and they will be responsible for loss or damage to cargo
Persona floater recieve what perils
Open Perils
Unfair trade practice in NJ how many days before hearing
10 days
Preservation of proerpty covered under
Again open perils for 30 days
Business coverage form - what perils
Open Perils
Service Carrier under PAIP
Accept PAIP Assignments from another issuer
Advisory Organization
Assist insures in making their own rule
Valuation of loss under building and property form
Method of evaluating losses, valuation and treats valuation of unsual property as stock that has been sold
Valuation of loss under building and property form
Commercial Building Risk Coverage Form Liability
No Liability in included
Part F 2 or more policies covering same auto
Max limit is equal to the limit of the policy with higher limits of liability
Workers comp assigned risk plan
Coverage for employees who are unable to purchase coverage in the volunteer market
Strict Liability Definition
Applies to products and their manufacturing
Held liable if product caused injury
Watercraft Liability
Watercraft, their trailers, furnishing, equipment, engines motes are subject to 1.5k limits
Per occurrence Limit
The most a policy will pay for a loss arising out of any one accident
Watercraft Liability Endorsement on Homeowners Policy Covers and not Cover
Covers - damage to others not done by them
Not Cover - Rented, Employee use, Insured, USed for racing
Personal and advertising injury liability in CGL Covers
False Arrest
Malicious prosecution
Copy right infringement
Bailee and Bailor
Bailor = Owner of item
Bailee = Servicer
BOP if coverage for 100% for 12 months auto increased by
25%
Commercial medical payment
Does not auto apply to BAP - Added by endorsement
Libralization
Provides change which favor the policy owner become effective immediately.
Changes that affect the policy owner negatively don’t become effective until the policy is renewed.
Subrogation
Subrogate = To go in place of another
States the insured must transfer to the insurance company its right of recovery against any party causing a loss after it accepts payment from the insurer for a loss.
Allows insurer to recover from the party that caused a loss any amount paid.
Prevents insured from collecting twice on the same loss
Helps the insurer control expenses and premiums
Holds the responsible third party accountable for the loss
Commercial and Personal Lines Rankings
Commercial Lines = First Named Insured
Personal Lines = Named Insured
Blanket Insurance
May be written on all property of a single type,
All property at one location
Multiple types of property at multiple locations
Nonconcurrent
Multiple companies should be sued to insure one property.
The peril power should match.
Where do you find the terms and phrases in an insurance contract
Definitions
Agreed Value
Insurer and the insured specify specific values of items before policy is issued
Impossible to replace (arts antiques)
Agreed Value
Insurer and the insured specify specific values of items before policy is issued
Impossible to replace (arts antiques)
Valued Policy
Provides payment of the full poliyc amount on the declarations page in the events of a total loss without ACV or depreciation
General Damages
Noneconomic damages, humiliation
Expressed
Written contract
Unilateral Contract
Contract says the insurer pays only after a loss.
Doctrine of reasonable expectations
Resolve any ambiguity in policy wording in favor of the insured
b/c the insurer has legal advice and writes the policy language, any ambiguity which means uncertainty in the contract will benefit the insured
Consideration
One element of a legal contract
Payment of premium by the insured in return for the promise to pay covered claims
Both parties to the contract must be present for contract to be valid.
Aleatory
Unequal exchange of value
Contract of Adhesion
Insurance company wrote it, they must stick to it
Unilateral Contracts
One Promiser = Unilateral
One Auther = Adhesion
Residual Market
When the private market does not ordinarily furnish the coverage, the residual market then steps in to provide that unavailable coverage. Example - Flood insurance
US Territorial Possession
Guam, Puerto Rico, US Virgin Island and the Norhtern Mariana Islands.
Surplus Line Transcation
When you need insurance that is unavailable in your state, you may go Through SURPLUS LINES PRODUCRS to purchase insurance from a non-admitted company.