MISC Flashcards

1
Q

Sally’s employer obeyed her kidnapper’s instructions to deliver $250,000 to the kidnapper. The kidnapper then released her without harm. Which coverage of the employer’s kidnap/ransom and extortion policy will reimburse the employer for its $250,000 loss?

A

kidnap/ransom and extortion-direct loss
The “direct loss” insuring agreement pays for the loss of money surrendered as a ransom payment as the result of an actual kidnapping of an insured person. The “expenses incurred” form provides coverage for certain expenses incurred by the insured in connection with an actual or alleged kidnapping.

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2
Q

Which one of the following situations would trigger coverage under a firm’s computer fraud insuring agreement?

A

Shannon hacks into a merchant’s computer and redirects merchandise ordered by the merchant’s customer to be shipped to her house.
The computer fraud insuring agreement covers the loss of “other property” (but not confidential information) caused by the use of a computer by someone who is not an employee to fraudulently transfer covered property from inside the insured’s premises.

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3
Q

What is the primary consideration provided by the policyholder in an insurance contract?

A

The premium payment.

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4
Q

When an insured loss occurs, what steps do the insured and the insurer take to process the claim?

A

When an insured loss occurs, the insured must inform the insurer within 20 days. Once notified of the pending claim, the insurer must give the insured a claim form within 15 days and allow the insured up to 90 days to furnish proof that the loss occurred. After receiving the proof of loss, the insurer must pay the claim within a certain number of days (e.g., 45 or 60 days, depending on the state).

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5
Q

The notice of claim provision of a health insurance policy gives the insured how many days to notify the insurer after a covered loss?

A

20
The notice of claim provision gives the insured 20 days to notify the insurer of a covered loss.

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6
Q

Ned just bought a homeowner’s policy from Main Street Insurance Company. However, he did not disclose that he operated a lawn mower repair business in his garage and that he employed two mechanics. He also did not disclose that one employee was injured three weeks ago. On what grounds might the insurer deny coverage in the event of a claim?

A

Concealment

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7
Q

Allied Motor Transport and Brothers Cartage Company. agree to use each other’s trailers while transporting cargo. While using one of Brothers’ trailers, Alliance has an accident that damages the trailer. What coverage does Alliance need to pay for the damage?

A

Trailer interchange coverage. Trailer interchange coverage is liability coverage that responds when the insured is legally obligated because of a covered loss to a trailer in the insured’s possession. The causes of loss for which coverage may be purchased under this coverage (comprehensive, collision, and specified causes of loss) are the same as those under physical damage coverage.

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8
Q

An intentional injury or damage exclusion is an essential liability exclusion in a personal auto policy (PAP). It excludes coverage for liability in all of the following cases EXCEPT:

A

Elaine strikes a pedestrian while trying to avoid another pedestrian.No liability coverage is provided if the insured intends to cause injury or damage.

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9
Q

Dos Ojos Optical insures its business on a BOP. What policy limit of liability applies to losses submitted under coverage for liability, medical expenses, and fire legal liability?

A

General aggregate
.The general aggregate applies, per policy period, for all losses submitted under all coverages except those submitted under the Products-Completed Operations hazard.

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10
Q

In addition to state workers compensation laws, several federal workers compensation laws protect employees injured on the job. Which of the following is not among these federal laws?

A

Sue and Labor Clause. Exp: The Jones Act, the Outer Continental Shelf Lands Act, and the Federal Employers Liability Act (FELA) are federal workers compensation laws, as is the Longshore and Harbor Workers Compensation Act (LHWCA). The sue and labor clause obligates an insured owner of a boat or ship to preserve damaged property from further loss.

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11
Q

Cindy is a copywriter for Country Gentleman, a men’s fashion magazine. She believes she is a victim of sexual discrimination and has experienced sexual harassment by her supervisor. She files suit against the magazine. What type of liability insurance would Country Gentleman need to cover Cindy’s claims?

A

Employment practices liability (EPL)

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12
Q

Ace Real Estate is considering a businessowners policy for an office building that has eight stories and is less than 100,000 square feet. Its agent will advise Ace that

A

Ace is ineligible because the building is taller than six stories Office buildings are eligible for the businessowners policy if they do not exceed six stories in height or 100,000 total square feet.

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13
Q

Since flood is the only peril covered in a flood insurance policy, how a flood is defined is important in determining whether coverage applies. Which of the following is not considered a flood for purposes of the NFIP standard flood insurance policy?

A

Accidental water damage from a burst plumbing pipe The NFIP standard fire insurance policy defines a flood as a general and temporary condition of partial or complete inundation of two or more acres of normally dry land area, or of two or more properties (at least one of which is the insured property) from these causes, except an accidental leak from a burst plumbing pipe, which is covered under most homeowners and property insurance policies.

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14
Q

Monty, an employee of Happiness Bakery, is sending text messages on his phone while driving the company truck to deliver baked goods. He crashes into the car in front of him, injuring the passenger. The passenger sues Monty and Happiness Bakery. On what grounds could Happiness Bakery be held liable?

A

Vicarious liability
Vicarious liability arises when a person is legally responsible for the acts of another. A common example is when an employer is held liable for damages resulting from the negligence of an employee who was acting in the course and scope of his or her employment.

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15
Q

Homer’s business owns four vehicles, one of which he uses for business and personal pursuits. Homer does not personally own an auto. What endorsement can Homer add to his business’ BAP to provide him with auto liability when using rented or non-owned cars for his own personal use?

A

Drive Other Car Coverage The Driver Other Car Coverage endorsement extends coverage to the person named in the endorsement when driving hired or borrowed cars for personal use.

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16
Q

Which of the following statements BEST describes the personal liability coverage afforded on the ISO homeowners forms?

A

The ISO homeowners forms provide the same liability coverage

17
Q

Even though both surety bonds and insurance are methods of transferring risk, they differ in how they treat that risk. All of the following are correct about their characteristics EXCEPT:

A

Bonds and insurance always involve three parties. Bonds involve a three-party relationship in which one party agrees to indemnify second party for the loss caused by the failure of a third party. Insurance involves a two-party relationship between the insurer and the policyowner, who is usually also the insured. Even if the policyowner is not the insured, the insured is not a third party to the insurance contract.

18
Q

Which entity protects policyowners, insureds, and beneficiaries if an insurer cannot perform its contractual obligations because of impairment or insolvency?

A

Florida Life and Health Guaranty Association, The Florida Life and Health Guaranty Association protects policyowners, insureds, beneficiaries, annuitants, payees, and assignees of life insurance policies, health insurance policies, and annuity contracts if an insurer fails to perform its contractual obligations because it becomes impaired or insolvent.

19
Q

Mrs. Delaney hired a contractor to build a deck on the back of her house. She purchased the necessary lumber and it’s piled in her back yard. Under what coverage part of her homeowners policy is the lumber insured?

A

Coverage A ‘ Dwelling
Materials and supplies located on the residence premises that are to be used in the construction, alteration, or repair of the insured dwelling are insured under Coverage A ‘ Dwelling.

20
Q

Stephanie’s DP-2 Broad Form provides coverage for more perils than a DP-1 Basic Form does. It also provides loss settlement for the dwelling and structures on a different basis. What is the loss valuation method for the dwelling and other structures on Stephanie’s DP-2?

A

Replacement value
Loss settlement for the dwelling and other structures on a DP-2 Broad form is on a replacement value basis.

21
Q

States obtained the principal right to regulate the business of insurance through the

A

McCarran Ferguson ActThe McCarran-Ferguson Act of 1945 gave states jurisdiction over insurance regulation, with limited applicability of certain federal laws. Nevertheless, the federal government has gradually increased its regulation of insurance since the Act.

22
Q

A fire in a commercial building owned by Mort forces him to store office furniture and files away from the office. He finds storage space in a friend’s building and understands his insurance covered the property during the move, but is not sure if it extends to the new location. His agent tells him that

A

Coverage applies for up to 30 days at the new location.There is additional coverage for preservation of property. Coverage to property that must be moved to another location to protect it from damage by a covered cause of loss applies during the move and for up to 30 days at the new location.

23
Q

On a business auto policy, what is Symbol 19 used to indicate?

A

In a state where mobile equipment is subject to compulsory insurance laws when travelling on public roads, Symbol 19 can be used.

24
Q

To qualify as property under the Nationwide Inland Marine Definition, all but which of the following is true?

A

Property must be manufactured goods’.

Exp: The Nationwide Inland Marine Definition recognizes that property qualifying for marine insurance coverage must generally be moveable, in transit, or bear some other relationship to transportation or communication.

25
Q

Mighty Manufacturing Co. is vulnerable to earthquakes and needs high limits on its property insurance. Earthquake is an excluded peril under its commercial property insurance policy, and no insurer will write a high limit earthquake endorsement for Mighty. What might Mighty do in this case?

A

Buy a difference in conditions policy.
Many commercial earthquake policies are written on a difference in conditions (DIC) form that covers the exposures not covered under the underlying commercial property policy. A DIC policy can provide both the earthquake and flood coverages excluded under the commercial property policy.

26
Q

Sevigny Enterprises lost its building to a fire. You are the adjuster determining if the building was insured to value. Which of the following statements BEST describes the loss valuation provision in the BOP with respect to the required limit of insurance?

A

Property must be insured to at least 80 percent of its replacement value. The BOP requires the limit of insurance to equal at least 80 percent of the replacement value of covered property.

27
Q

Monroe Fabricating Co. has equipment breakdown insurance. A boiler explodes and, in addition to damaging property, forces Monroe to make temporary repairs to speed up the permanent repair work. Which coverage in its equipment breakdown policy will cover the costs of making these temporary repairs?

A

Expediting expenses. Expediting expense coverage includes reasonable costs to make temporary repairs and to speed up permanent repairs or replacements.

28
Q

Solomon owns a small health food store for which he has a commercial general liability policy. He knows that the policy is designed for businesses and only covers general liability exposures. Therefore, what types of liability would not be covered by his CGL policy?

A

Auto liability and professional liability. Commercial general liability insurance does not cover auto liability or professional liability.

29
Q

The illegal occupation provision protects the insurer by letting the insurer deny a claim that arises:

A

from an insured’s illegal activity

30
Q

Under the other insurance with other insurer provision, what happens to any premiums the insured paid in excess of those needed for coverage?

A

The insurer returns them.