Missed Questions Flashcards
The most widely-known risk management technique used by individuals is
Select one:
A. Retention, that is, paying for the losses they incur.
B. Risk control.
C. Maintenance.
D. Risk financing by purchasing insurance.
*****D. Risk financing by purchasing insurance.
Argot Stock Insurance Company’s (Argot) net income is $1,000,000 and its average owners’ equity is $18,000,000. Argot’s average policyholders’ surplus is $20,000,000. Using the GAAP formula, which one of the following is Argot’s return on equity?
Select one:
A. 5%
B. 5.56%
C. 18%
D. 20%
*****B. 5.56%
An office building houses a small tax accounting firm with 10 employees. Most clients visit the office in person, and very little travel is required by the accountants. When underwriting commercial general liability coverage for this risk, the primary concern would be
Select one:
A. Operations loss exposures.
B. Completed operations loss exposures.
C. Products loss exposures.
D. Premises loss exposures.
****D. Premises loss exposures.
Jessica has her car insured for liability, collision, and comprehensive coverage with Greatview Insurance. She has decided to purchase a pickup truck as a second vehicle. As she is leaving the dealership with her new pickup, she accidently collides with another vehicle, causing damage to both. Neither she nor the other driver is injured. Jessica returns home and calls her insurer to advise of her new purchase and to report the claim. Her claim is assigned to Lucas. After identifying the policy and entering initial loss information, which one of the following describes how Lucas would most likely proceed?
Select one:
A. He would set a liability reserve for general damages arising from the accident.
B. He would check whether the dealership has insurance to cover damage to Jessica’s new truck.
C. He would confirm that a “newly acquired auto” meets the policy definition of “your covered auto.”
D. He would advise Jessica that there is no coverage because the pickup is not listed on the policy.
*****C. He would confirm that a “newly acquired auto” meets the policy definition of “your covered auto.”
An insured is patronizing a drive-through restaurant when the vehicle scrapes along a barrier, damaging the paint on the side of the vehicle. The adjuster declares the vehicle a constructive total loss. The vehicle’s actual cash value (ACV) before the accident was $2,500, and the cost to repair it is $2,000. The salvage value, or ACV after the loss, is $1,000. Assuming the insured wants to keep the vehicle, how much will the insurer pay ignoring deductibles?
Select one:
A. $1,500
B. $2,000
C. $2,500
D. $3,000
*****A. $1,500
ABC Insurance Company has a 20% quota share treaty with XYZ Reinsurer. One of ABC’s policies has a $1 million limit, a premium of $8,000, and a loss of $50,000. How much of the loss will XYZ Reinsurer pay?
Select one:
A. $0
B. $4,000
C. $10,000
D. $40,000
****C. $10,000
A change in accounting estimate
Select one:
A. May require special disclosure of the change.
B. Generally affects only the latest reporting period.
C. Could possibly require recalculation of prior period results.
D. Requires specific implementation guidance.
****B. Generally affects only the latest reporting period.
Which one of the following is a term used to represent premium that has been earned but not yet billed?
Select one:
A. Earned but not reported
B. Additional reported premium
C. Reinstatement premium
D. Earned premium adjustment
****A. Earned but not reported
An adjustment for risk in the commutation of a reinsurance agreement
Select one:
A. Does not affect the economic value.
B. Equals the economic value.
C. Decreases the economic value.
D. Increases the economic value.
****D. Increases the economic value.
Which one of the following is a reason insurance professionals should conduct pre-loss policy analysis?
Select one:
A. To determine the extent of coverage for a loss
B. To determine whether a policy complies with state requirements
C. To determine the appropriate premium for the policy
D. To ensure that the policy being sold is appropriate for the insured’s loss exposures
****D. To ensure that the policy being sold is appropriate for the insured’s loss exposures
Which one of the following correctly describes how liability policies that include a deductible usually handle the defense of claims?
Select one:
A. The insurer provides a defense only for losses that exceed the deductible amount.
B. The insurer bills the insured for defense costs less than the deductible amount.
C. The insurer pays a stated amount which reduces the limit available under the policy.
D. The insurer pays all defense costs without contribution from the insured.
****D. The insurer pays all defense costs without contribution from the insured.
Joshua is a claim representative who has been assigned an auto liability claim. To determine whether his company’s Personal Auto Policy (PAP) provides coverage for the claim, Joshua should first review the policy’s
Select one:
A. Declarations.
B. Exclusions.
C. Insuring Agreement.
D. Conditions.
*****A. Declarations.
An insured has a Personal Auto Policy (PAP) that includes uninsured motorist (UM) coverage for his own car. The insured is injured while riding on a private tour bus that is hit by an at-fault uninsured motorist. Which one of the following statements is true?
Select one:
A. The insured is not entitled to UM coverage because of the public or livery conveyance exclusion.
B. The insured is entitled to UM coverage under his or her PAP.
C. The insured is entitled to UM coverage from the bus company’s policy but not from his own PAP.
D. The insured is entitled to UM coverage under his PAP under the share-the-expense car pool exception.
*****B. The insured is entitled to UM coverage under his or her PAP.
There are 12 Additional Coverages under Section I of the HO-3 policy. Which one of the following statements is true regarding coverage for trees, shrubs, and other plants?
Select one:
A. The limit is $500 per tree, shrub, or plant, subject to a $1,000 maximum.
B. The additional coverage is dependent on another covered loss for it to apply.
C. The limit is $500 per tree, shrub, or plant with the total amount not to exceed 5% of the Coverage A limit.
D. The deductible stated on the declarations page applies to each tree, shrub, or plant.
**C. The limit is $500 per tree, shrub, or plant with the total amount not to exceed 5% of the Coverage A limit.
Which one of the following statements is the purpose of the No Benefit to Bailee condition of the Commercial Property Conditions Form?
Select one:
A. It reinforces the insurer’s right of subrogation against the bailee.
B. It relieves bailees of liability to bailors for any damage to the property they hold.
C. It allows bailees to limit their liability for others’ property by using contractual provisions.
D. It relieves bailees of liability for damage if the damage is recoverable under insurance carried by the bailor.
****A. It reinforces the insurer’s right of subrogation against the bailee.
Which one of the following statements is true regarding exposures for large commercial risks?
Select one:
A. Large commercial risks present challenges for ratemaking, so typical exposure bases such as payroll or an item’s value may not be useful.
B. Composite rating is used for some large commercial risks when the amount of exposure stays consistent throughout the policy period.
C. In loss-rated composite rating, premium is based on the individual risk’s historical loss experience using standard rating algorithms.
D. With composite rating, each exposure measure is audited throughout the policy term with commensurate adjustments to the premium.
***A. Large commercial risks present challenges for ratemaking, so typical exposure bases such as payroll or an item’s value may not be useful.
Historical premium adjusted for actual or expected distributional changes is referred to as
Select one:
A. Current rate level.
B. Premium trend.
C. Premium on level.
D. Premium development to ultimate.
**B. Premium trend.
Which one of the following is true regarding the term “reserves”?
Select one:
A. No differentiation can be made between “unpaid claim estimate” and “carried reserve.”
B. Incurred but not enough reported (IBNER) is also referred to as pure IBNR.
C. The narrow definition of incurred but not reported claims (IBNR) is the same as “development on known claims.”
D. The carried reserve for unpaid claims is the amount reported in an internal statement of financial condition.
*****D. The carried reserve for unpaid claims is the amount reported in an internal statement of financial condition.
The cost of residual uncertainty can have a significant effect on an individual or organization. Which one of the following statements is correct with respect to residual uncertainty?
Select one:
A. For organizations, the cost of residual uncertainty is limited to the effect that uncertainty has on members of the organization.
B. Individuals and organizations vary greatly as to how much residual uncertainty they are willing to accept, and this benefits society and the economy.
C. The cost of residual uncertainty includes the cost of any insurance policies purchased to cover losses not treated by other risk management techniques.
D. The cost of residual uncertainty can be calculated by subtracting the expected cost of losses or gains from an organization’s cost of risk.
B. Individuals and organizations vary greatly as to how much residual uncertainty they are willing to accept, and this benefits society and the economy.
Which one of the following is most likely to conflict with the post-loss goal of continuity of operations?
Select one:
A. Social responsibility
B. Tolerable uncertainty
C. Economy of operations
D. Survival
C. Economy of operations
Which one of the following planned retention funding measures is the least formal and the least expensive to administer?
Select one:
A. Current expensing of losses
B. Using an unfunded reserve
C. Using a funded reserve
D. Borrowing funds
A. Current expensing of losses
Which one of the following statements is correct with respect to line underwriters?
Select one:
A. Line underwriters focus on risk characteristics and need not be knowledgeable about policy forms and provisions.
B. Line underwriters select and rate new business. They are not generally involved in the proposal or renewal process.
C. Line underwriters formulate underwriting policy and develop underwriting guides.
D. Line underwriters can offer valuable technical assistance to an insured’s risk manager and to the producer responsible for the account.
D. Line underwriters can offer valuable technical assistance to an insured’s risk manager and to the producer responsible for the account.
JSP Insurance Agency (JSP) is an exclusive agency for a large writer of personal insurance products. JSP occupies the end unit of a strip shopping center, and a restaurant occupies the adjoining unit. JSP’s office is separated by adequate clear space from an adjacent strip of stores. The strip mall is classified as ISO construction class 3 and is made of noncombustible materials. JSP’s office is separated from the restaurant by a movable wall to allow the units to be easily resized to meet occupants’ needs. The ISO public protection classification (PPC) for the strip mall is 2. Given this information, which one of the following statements is true regarding the physical hazards presented by JSP from a fire underwriting standpoint?
Select one:
A. The nature of JSP’s business makes it a relatively high-hazard risk from an occupancy standpoint.
B. The noncombustible construction of this property means that this building is fire resistive and much safer than joisted masonry or frame construction.
C. The external loss exposures presented to JSP require no special consideration due to the construction type and the end unit location within the mall.
D. The PPC of 2 indicates that the public fire service should provide at least adequate public protection from fire loss.
D. The PPC of 2 indicates that the public fire service should provide at least adequate public protection from fire loss.
An important consideration in evaluating property loss exposures is their potential severity. Underwriters use several measures to determine the potential severity of a loss and each measure is the sum of separate values for every type of coverage the policy provides. Which one of the following measures of potential loss severity is the easiest to calculate and is the only measure of potential severity on which underwriters tend to agree?
Select one:
A. Maximum foreseeable loss
B. Probable maximum loss
C. Amount subject
D. Policy amount
D. Policy amount
Which one of the following is true regarding business income coverage under the BOP?
Select one:
A. Hurricane Katrina demonstrated that the BOP business income coverage dollar limits were often inadequate.
B. The dollar limit of business income coverage under the BOP is relatively high.
C. Business income coverage under the BOP is identical to that of the separate ISO policy.
D. Business income coverage under the BOP is written on an actual loss sustained basis.
D. Business income coverage under the BOP is written on an actual loss sustained basis.
Which one of the following statements is true concerning claim information users?
Select one:
A. Producers must have policyholder loss information to prepare renewal policies properly.
B. Actuaries, by reviewing claim files, can detect material aspects of an insured’s loss exposures since the policy was first underwritten.
C. Marketing establishes reserves for IBNR losses and projects development of claims for which the reserves may change over the life of the claim.
D. Actuaries evaluate losses that sometimes reveal an undetected loss exposure.
A. Producers must have policyholder loss information to prepare renewal policies properly.
Antonia and Philip have their house insured with Durham Insurance under an HO-3 homeowner’s policy. Philip is the named insured and there is no mortgagee shown on the policy. During a storm, a lightning strike results in a kitchen fire and high winds causes a tree to fall on the roof, leaving a large hole. The homeowners make emergency repairs to protect against further damage and report the loss to the insurer. The claim is assigned to Miguel who identifies the policy and performs an initial review. After discussing the loss with Antonia and Philip, which one of the following will Miguel most likely do?
Select one:
A. Take detailed statements from firefighters and neighbors to establish what the actual cause of loss was
B. Verify whether there is a mortgagee on the property that may need to be included in the loss settlement
C. Determine whether lightning and windstorm are covered causes of loss and whether any exclusions apply
D. Verify that Antonia meets the policy definition of “insured” and is entitled to receive payment for her portion of the loss
C. Determine whether lightning and windstorm are covered causes of loss and whether any exclusions apply
With a property loss, the insured is required to
Select one:
A. Notify the police in case of loss by theft.
B. Give an examination under oath for every loss.
C. Give written notice of the loss.
D. Hire a public adjuster to assist with a claim.
A. Notify the police in case of loss by theft.
Merchandise is subject to significant depreciation due to fashion changes, seasonal selling patterns and technological changes. A retail clothing store experiences a fire in September, when all bathing suits are being sold at 50 percent of the original price. In valuing the inventory at actual cash value,
Select one:
A. The adjuster would take the insured’s original costs, less physical depreciation.
B. The adjuster should take the reduced listed retail price into consideration.
C. The reduced price is irrelevant because claim settlement is based on cost less depreciation.
D. Only the actual cost to manufacture bathing suits of like kind and quality would be considered.
B. The adjuster should take the reduced listed retail price into consideration.
Per risk excess of loss reinsurance covers
Select one:
A. Property insurance and applies separately to each loss occurring to each risk.
B. Workers compensation insurance and applies to the total of all losses occurring from one risk.
C. Liability insurance and applies to each loss occurring from each occurrence.
D. Property insurance and applies to the total of all losses occurring from one risk.
A. Property insurance and applies separately to each loss occurring to each risk.
On what basis are financial statements that adhere to generally accepted accounting principles (GAAP) typically produced?
Select one:
A. A liquidation basis
B. A consolidated basis
C. A deferral-matching basis
D. An asset-liability basis
B. A consolidated basis
Which one of the following is a policy liability that might exist on an insurer’s balance sheet?
Select one:
A. Liability for reinsurance recoverables
B. Liability for policies that have yet to be written
C. Liability for level premium renewable term life insurance
D. Liability for possible renewals of property insurance contracts with no guaranteed pricing
C. Liability for level premium renewable term life insurance
Which one of the following might be a reason for a regulatory accounting system to gross up the reported premiums by the amount of credits for large deductible arrangements?
Select one:
A. To offset the negative impact on reported earned premiums
B. To avoid a negative impact on smaller insureds under a premium assessment system
C. To discourage the use of large deductible plans by insureds in an effort to avoid state premium taxes
D. To avoid the negative impact of falling insurer loss ratios reported to the state
B. To avoid a negative impact on smaller insureds under a premium assessment system
Jeremy is a bailee who insures bailor Sam’s property for Sam’s benefit. Jeremy has an insurable interest in the property, but if Sam’s property becomes damaged or destroyed, Jeremy
Select one:
A. Retains all payable insurance proceeds.
B. Has no right to any insurance proceeds because it is not his property.
C. Splits the proceeds from any insurance settlement with Sam.
D. Pays any awarded insurance proceeds to Sam.
D. Pays any awarded insurance proceeds to Sam.
Jack and Diane Adams own two private passenger vehicles which are insured under a Personal Auto Policy (PAP). The vehicles are insured for liability, medical payments, uninsured motorists, and collision coverage for damage to your vehicle. One vehicle has a $250 deductible and the other has a $1,000 deductible for the collision coverage. They purchased a third vehicle, but forgot to add it to their PAP. Ten days later, Diane was driving the new vehicle when she lost control and struck a tree, causing $4,000 in damage to the new vehicle. Which one of the following best describes how the PAP will apply to this loss?
Select one:
A. The PAP will provide collision coverage for the newly acquired auto, and a $500 deductible will apply.
B. The PAP will provide collision coverage for the newly acquired auto, and a $1,000 deductible will apply.
C. The PAP will provide collision coverage for the newly acquired auto, and a $250 deductible will apply.
D. The PAP will not provide collision coverage because it is beyond the four-day automatic coverage period.
C. The PAP will provide collision coverage for the newly acquired auto, and a $250 deductible will apply.
An example of an uninsured motor vehicle under the Personal Auto Policy (PAP) is
Select one:
A. A vehicle with insurance for bodily injury liability through a policy that has a limit for bodily injury liability that is less than that required by the state where the named insured’s covered auto is principally garaged.
B. A vehicle that is self-insured under state law.
C. An old travel trailer placed on blocks in the woods and used as a hunting lodge.
D. An uninsured dune buggy designed mainly for use on sand while being used on a beach.
A. A vehicle with insurance for bodily injury liability through a policy that has a limit for bodily injury liability that is less than that required by the state where the named insured’s covered auto is principally garaged.
Grace owns two vehicles that are insured under her Personal Auto Policy (PAP). One of the vehicles is covered for both collision and other than collision (OTC). The other is covered only for OTC. The collision deductible is $500, and the OTC deductible is $250. Grace borrowed her neighbor Helen’s vehicle one day to run an errand while both of her vehicles were unavailable. On her way home, she lost control of the vehicle and hit a tree. There were no serious injuries, but the damage to the vehicle was $5,000. Helen’s PAP covers the vehicle for OTC coverage only, subject to a $250 deductible. Which one of the following statements regarding this scenario is true?
Select one:
A. Grace’s PAP insurer will pay $4,750 for this loss.
B. There is no coverage available under either Grace’s PAP or Helen’s PAP.
C. Grace’s PAP insurer will pay $4,500 for this loss.
D. Helen’s PAP insurer will pay $4,750.
C. Grace’s PAP insurer will pay $4,500 for this loss.
The HO-3 policy Coverage D—Loss of Use limit
Select one:
A. Applies in addition to Coverage A, B, and C limits.
B. Is 10% of the Coverage A limit.
C. Applies separately for Additional Living Expenses and Fair Rental Value.
D. Includes a time frame limit of 30 days.
A. Applies in addition to Coverage A, B, and C limits.
Which one of the following is an excluded peril under Section I—Coverages A and B of the HO-3 policy?
Select one:
A. Volcanic eruption
B. Theft of construction materials
C. Aircraft
D. Accidental leak of water from plumbing
B. Theft of construction materials
An occurrence as defined in the HO-3 policy is
Select one:
A. A claim.
B. A loss.
C. An accident.
D. An event.
C. An accident.
All of the following are policy conditions that apply to both Sections I and II of the HO-3 policy, EXCEPT:
Select one:
A. Death
B. Severability of Insurance
C. Nonrenewal
D. Liberalization
B. Severability of Insurance
Which one of the following statements concerning the Scheduled Personal Property Endorsement is true?
Select one:
A. The Section I deductible applies to scheduled items.
B. The Coverage C special limits do not apply to scheduled items.
C. Cameras cannot be scheduled under the endorsement.
D. The endorsement covers fewer causes of loss than does the HO-3 policy.
B. The Coverage C special limits do not apply to scheduled items.
Under which one of the following provisions of the Building and Personal Property Coverage Form (BPP) is the maximum payment $10,000 or five percent of the building limit, whichever is less?
Select one:
A. Outdoor Property coverage extension
B. Increased Cost of Construction additional coverage
C. Pollutant Cleanup and Removal additional coverage
D. Debris Removal additional coverage
B. Increased Cost of Construction additional coverage
Gift Gallery, a small chain of stores selling gift items, has an extremely busy period during the two months before Christmas, requiring it to significantly increase its inventory during this period. To adequately cover its fluctuating inventory values and keep premiums to a minimum, Gift Gallery should purchase a Building and Personal Property Coverage Form (BPP) with
Select one:
A. An Agreed Value coverage extension.
B. The business personal property limit equal to the highest inventory value during the year.
C. The Peak Season Limit of Insurance endorsement.
D. The Functional Personal Property Valuation (Other Than Stock) endorsement.
C. The Peak Season Limit of Insurance endorsement.
An insured purchases coverage for their vehicle a Personal Auto Policy (PAP) which includes uninsured motorist (UM) coverage. The insured is injured when a city-owned transit bus without liability insurance, a bond, or self-insurance causes a collision with the insured’s vehicle. The insured
Select one:
A. Is entitled to UM coverage under the PAP under the share-the-expense car pool exception.
B. Is not entitled to UM coverage because the definition of “uninsured motor vehicle” excludes any vehicle owned by a governmental unit or agency.
C. Is entitled to UM coverage under the terms of the Insuring Agreement.
D. Is not entitled to UM coverage because of the public or livery conveyance exclusion.
B. Is not entitled to UM coverage because the definition of “uninsured motor vehicle” excludes any vehicle owned by a governmental unit or agency.
An insured has a Personal Auto Policy (PAP) that includes uninsured motorist (UM) coverage for his own car. The insured is injured while riding on a private tour bus that is hit by an at-fault uninsured motorist. Which one of the following statements is true?
Select one:
A. The insured is not entitled to UM coverage because of the public or livery conveyance exclusion.
B. The insured is entitled to UM coverage under his or her PAP.
C. The insured is entitled to UM coverage from the bus company’s policy but not from his own PAP.
D. The insured is entitled to UM coverage under his PAP under the share-the-expense car pool exception.
B. The insured is entitled to UM coverage under his or her PAP.
Underwriting guidelines serve which one of the following purposes?
Select one:
A. Allow for the development of insights and experience
B. Provide rates for individual risks
C. Avoid duplication of effort
D. Provide for flexible and unstructured decisions
C. Avoid duplication of effort
what is the combined ratio
loss over earned
plus
und exp over written