Prac Quiz 1-5 (34?) Flashcards

1
Q

Martin’s Music Shoppe submitted a claim to the insurance company that provides insurance on its building. If the insurance company denies the claim, what is the peril that caused the loss?

A

Flood

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2
Q

The building that Perla owns and in which she operates a designer millinery shop was damaged by smoke from a fire in the building. Large quantities of veils, feathers, and silk flowers used to makes the hats were destroyed by the ash and odor from the smoke. Will smoke peril coverage cover the damage to the millinery materials?

A

No, smoke that accompanies a fire is covered under the fire cause of loss.
Explanation: Smoke that accompanies a fire would be covered under the fire cause of loss. Smoke that occurs in the absence of a fire is covered by the smoke peril. However, smoke from agricultural smudging (where smoke is used to prevent frost or insect damage to growing plants) or industrial operations is specifically excluded.

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3
Q

Genevieve’s Glamorous Garments was burglarized on August 1 last year. Although Genevieve prepared an inventory of the items stolen from her store, she did not realize a sapphire ring was also missing until a year later. The inception date of her policy was January 1 last year. She filed the initial claim on September 1 last year and a claim for the ring on August 15 this year. The claim for the ring will not be paid if she had

A

Discovery-based coverage.

Exp Discovery-based coverage applies to loss that is discovered during the policy period or within 60 days after the policy period ends (within one year for employee benefit plans), regardless of whether the loss occurs during the policy period. In this case, there is no coverage in the discovery basis policy because the claim was not filed within 60 days after the policy expired.

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4
Q

Sam is a seaman who is injured on a freighter when high winds and turbulent seas almost sink the ship. What federal workers compensation law might apply to pay for medical expenses incurred by Sam?

A

Jones Act. The Jones Act provides seamen with a remedy for an injury sustained on the job without having to overcome employer defenses of assumption of risk or fellow servant liability. An employee’s contributory negligence will not bar recovery, but it will reduce it.

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5
Q

The Gramm-Leach-Bliley Act, the Federal Trade Commission Act, and the Health Insurance Portability and Accountability Act were enacted to

A

protect the privacy of consumers’ information

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6
Q

Tim doesn’t need glass breakage coverage for a motorized, self-propelled camper he uses in his business because the windows are made of plastic. What type of coverage might be more appropriate for him?

A

Specified causes of loss coverage

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7
Q

Which covered auto symbol is used to designate owned autos on the business auto policy?

A

Symbol 2
Symbol 2 on the BAP covers all autos owned at the beginning of the policy period plus any owned autos acquired during that period. If symbol 2 is used for liability coverage, any nonowned trailer attached to an owned power unit is also a covered auto. This symbol often is used to designate medical payments, UM, UIM, and physical damage collision coverages.

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8
Q

Tuholski Real Estate submitted a vandalism claim under its BOP. If the insurer reduced its claim payment by 15 percent because the insured building was vacant at the time of loss, which of the following perils caused the loss?

A

Fire. If the building is vacant for more than 60 days at the time of loss, the BOP excludes coverage for the perils of vandalism, theft and attempted theft, building glass breakage, and sprinkler leakage. Recovery for losses caused by all other perils is reduced by 15 percent if the building is vacant at the time of loss.

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9
Q

Jane has an older car that is insured, although the policy does not cover physical damage. She buys a new car and wants to include collision and other than collision coverages on the new car. To have her insurer add these coverages, she must notify the insurer within

A

4 days
Proper notification to add collision and other than collision coverage to a personal auto policy is four days.

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10
Q

Which of the following perils insured against is not included on a DP-2 Broad Form?

A

Theft The peril of theft is not included on any of the dwelling forms; it can only be purchased by endorsement.

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11
Q

Milo’s Tavern has a commercial general liability policy. Alvin becomes intoxicated at the tavern before leaving in his car. He collides with a van carrying several passengers. The insured persons sue Alvin under his personal auto policy and sue Milo’s Tavern for failing to monitor Alvin’s drinking. Which statement is correct with respect to the claims against Milo’s Tavern?

A

The tavern needs liquor liability insurance to cover the claims.Persons who are injured by intoxicated bar patrons may bring a dram shop claim against the establishments that served the alcohol. The CGL policy has a liquor liability exclusion for establishments that sell, manufacture, or distribute liquor. These establishments must buy liquor liability insurance to be covered for such claims.

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12
Q

Which of the following coverages or provisions is not included in a businessowners policy?
Property
Liability
Umbrella coverage
IncorrectCommon policy conditions

A

Umbrella coverage
Umbrella liability coverage is a separate policy and not included in a businessowners policy.

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13
Q

The Morgans rent a dwelling and buy standard flood insurance on their personal property. They improve the home by installing new cabinets and flooring in the kitchen. Their personal property coverage limit is $50,000. How much coverage would they have if the improvements they made were damaged by a covered peril?

A

$5,000
If the insured is a tenant, improvements to the building made or acquired at the insured’s expense are covered by their personal property coverage. However, this coverage is subject to a limit of 10 percent of the personal property coverage limit.

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14
Q

Ted, the insurance representative for Malone Company, does not understand the difference between insurance written on a stated amount basis or on an agreed value basis. How would you explain the difference to Ted?

A

With stated amount, Ted will recover no more than the stated amount, and may recover less if actual cash value is less. With agreed value, Ted recovers the listed value.
With stated amount, an item’s value is listed in the policy. If the item is stolen or destroyed, the insured will not get that amount if the item’s actual cash value is less than the stated amount. With agreed value, the insurer and the insured agree on the value of the item when the policy is written. If a loss occurs, the insurer agrees to pay that amount.

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15
Q

Amy insures her insurance agency on a BOP. The agency is incorporated and, in addition to Amy, four people work at the agency: Pam, Kristy, Bob, and Scott. Which of the following persons is not an ‘insured’ on the BOP?

A

Carl, Amy’s husband. When the named insured on a BOP is an organization other than an individual or a partnership, the named insured’s spouse is not an insured unless he or she is employee of the insured.

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16
Q

How many declarations pages are contained in a commercial general liability policy?

A

The two declarations pages contained in a CGL policy consist of the common policy declarations and the CGL declarations.

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17
Q

Bridget purchased a liability policy to protect her against catastrophic liability claims for which she might be legally responsible. What type of policy did she buy?

A

Personal umbrella liability. An umbrella liability policy provides high limits of liability coverage to protect an insured against a catastrophic liability loss.

18
Q

You are reviewing the eligibility guidelines for your insurer’s Business Owners Policy (BOP). Which of the following businesses is not eligible for coverage on the BOP?

A

A manufacturer leasing 10,000 square feet of spaces
Most manufacturing concerns are not eligible for coverage on the BOP.

19
Q

Which of the following is not covered equipment in an Equipment Breakdown policy?

A

Any type of equipment used to run the insured’s business operation
Covered equipment on an Equipment Breakdown policy includes equipment built to operate under internal pressure or vacuum, electrical or mechanical equipment used to generate, transmit, or use energy, and communication and computer equipment. Certain equipment owned by a utility and solely by the insured premises may also be covered.

20
Q

In most states, medical payments coverage is

A

Optional. Medical payments coverage is optional in most states, and may be offered in addition to, or replaced by, personal injury protection (PIP) coverage in states with no-fault laws.

21
Q

What is the difference between a mortgage clause and a loss payable clause in a property insurance policy covering real property?

A

A loss payable clause usually is not as broad as the mortgage clause and does not give the loss payee any rights other than a right to share in a claim settlement.

22
Q

Alice is an insurance agent who telephones her underwriter and asks to discuss a particular piece of property she’d like to insure. What term does Alice use to refer to the subject of insurance?

A

Risk The term, risk, is used to refer to the person, property, or activity that is insured.

23
Q

Todd’s home is insured by a dwelling policy on a DP-3 Special Form. When a tree falls on the roof of his house, what valuation method does the insurance company use to settle the loss to the dwelling?

A

Replacement value. The DP-3 Special Form settles losses to the dwelling and other structures on a replacement value basis.

24
Q

Which of the following is not a class of legal wrong?

A

Punitive damages Punitive damages are not a class of legal wrong; they are amounts a party is required to pay as punishment for committing a civil wrong.

25
Q

When Mr. and Mrs. Unger lived in New Hampshire, they didn’t buy earthquake insurance because they believed they were unlikely to suffer an earthquake loss. When they moved to California, however, they bought earthquake coverage immediately because of their high exposure to earthquakes in that state. What underwriting principal do their actions characterize?

A

Adverse selection

26
Q

Astrid’s car overturned on the highway after sliding on ice. Under what coverage will her personal auto policy pay for damage to the car?

A

Collision

27
Q

Dane needs to know if a car he just bought will be covered automatically by his BAP when Symbol 7 is used for liability coverage. His insurance agent tells him all of the following EXCEPT:

A

Symbol 7 provides automatic coverage. When Symbol 7 is used for a particular coverage, a newly acquired auto will be included for that coverage only if the insurer already provides that coverage for all autos the named insured owns, or the auto replaces one previously owned and insured for the same coverage. The insured must inform the insurer within 30 days after acquiring the new auto that coverage is desired on it.

28
Q

Ira’s business auto policy has a Symbol 1 designation next to the liability coverage in the Declarations. Diana’s BAP has a Symbol 7 designation next to her liability coverage. Would either policy cover claims for bodily injury or property damage to third parties for a hired auto?

A

Only Ira would be covered.If liability is covered under Symbol 1, claims for bodily injury or property damage to third parties are covered for any auto, whether owned, hired or non-owned. If liability is covered under Symbol 7, the insured would need Symbol 8 to cover hired autos.

29
Q

One of Vincent’s business associates has requested a document that shows evidence Vincent has a certain type of insurance coverage in place. The document must show the name of Vincent’s insurance company, the type of coverage that is in place, and the limits of liability. What type of document does Vincent need?

A

A certificate of insurance is a document issued as evidence that a certain type of insurance has been purchased by a particular party. For example, a homeowner may request that a plumber provide a certificate of insurance before beginning work in her kitchen.

30
Q

Roberts Credit Union purchased a standard Financial Institution Bond. The fidelity insuring agreement of this bond only provides coverage for dishonest acts relating to what peril?

A

Embezzlement. The fidelity insuring agreement of a financial institution bond only covers losses related to embezzlement.

31
Q

Wanda is governed by the Health Insurance Portability and Accountability Act (HIPAA), which requires her to protect the privacy of the health information she’s given by her clients and individuals applying for insurance. Which of the following types of property and casualty insurance is not subject to HIPAA?

A

Fire insurance
Property and casualty insurance that involves the underwriting or settling of bodily injury or workers compensation claims are subject to HIPAA.

32
Q

Fire is a named peril that may be designated as ‘friendly’ or ‘hostile.’ Which of the following is least likely to be a friendly fire?

A

A fire in a forestA friendly fire is one that burns where it was intended to burn. The courts generally designate fires as either “friendly” or “hostile” and find coverage only for hostile fires.

33
Q

Maker Manufacturing submits a claim under its Equipment Breakdown policy for damage to its computer system. If the insurer pays the claim, which of the following occurrences caused the loss?

A

Electrical arcing
Electrical arcing is not an excluded peril on an Equipment Breakdown policy.

34
Q

Which of the following is not a standard flood insurance policy coverage form?
Homeowners Form
IncorrectDwelling Form
General Property Form
Residential Condominium Building Association Policy Form

A

Homeowners Form
The standard flood insurance policy coverage forms are the dwelling, general property, and residential condominium building association policy forms.

35
Q

All of the following are considered employees while performing consulting services for the insured EXCEPT: Paul, an independent contractor
IncorrectArlene, a former employee of the insured
Josie, a partner of the insured
Matthew, a manager in the insured’s company

A

Paul, an independent contractor
Former employees, partners, directors, trustees, and limited liability company members and managers are considered employees while performing consulting services for the insured. Independent contractors are not considered employees of the insured business. Instead, they are self-employed.

36
Q

Clearwater Rafting has been unable to secure liability insurance and approaches you for assistance. Before you are able to secure coverage in the surplus lines market, what must you do?

A

Conduct a diligent search of the admitted market
Before surplus lines insurance can be written, a diligent search of the admitted market must be conducted to show that coverage is not available.

37
Q

Jack takes his computer to Atlas Computer Repair to have it repaired. The computer is damaged while at the repair shop. Atlas tells Jack that his homeowners coverage will cover Atlas since Atlas is a third party beneficiary of the policy. What provision in Jack’s homeowners policy will eliminate coverage in this situation?

A

No benefit to bailee clause. The no benefit to bailee provision preempts coverage for outside parties who are bailees. A bailee is a person or organization that holds another party’s personal property for a certain purpose (usually for their mutual benefit). The bailee must obtain coverage through its own insurance or pay for a loss out of its own pocket.

38
Q

The standard workers compensation policy is divided into three coverage parts, which consist of all of the following protections for employers EXCEPT:
Workers compensation insurance
IncorrectOther states insurance
Employers liability
General liability insurance

A

General liability insurancePart One, Workers Compensation Insurance, covers statutory benefits payable under the laws of the states specified in the policy. Part Two, Employers Liability, covers liability claims by employees or dependents that are outside the protection of the workers compensation law. Part Three, Other States Insurance, covers liabilities payable under the workers compensation statutes of specified additional states.

39
Q

Abbey’s station wagon was stolen on July 6th and she immediately reported the theft to her insurer. Her business auto policy’s physical damage coverage will pay for transportation expenses. She rents a replacement auto for $25 a day and keeps it until July 29th, when her stolen auto is returned to her. What is the maximum amount her insurer will pay for this transportation expense?

A

$420 (21 days x $20) The BAP’s physical damage coverage covers temporary transportation expenses up to $20 a day with a $600 total limit following the total theft of a private passenger auto. The period during which this coverage extension applies begins 48 hours after the auto is stolen and ends when the insurance company pays for the loss or when the stolen auto is returned to the owner’s use.

40
Q

Someone broke into Mr. Johnson’s house and stole $5,000 worth of firearms. What Coverage C special limit of liability applies to the loss?

A

2,500The Coverage C Special Limit of liability applying to loss by theft of firearms is $2,500.

41
Q

Jim’s Auto has a garage policy with garagekeepers liability. Because Jim’s Auto has not purchased one of the two direct coverage options, on what basis will the garagekeepers liability coverage pay if a customer’s car is damaged by a neighbor’s falling tree?

A

It won’t pay
In order for the garagekeepers liability coverage to apply, the insured must be legally liable for the loss.

42
Q

Which of the following businesses is not eligible for coverage on a BOP?

A

Auto body shopBusinesses that are not eligible for coverage on a BOP include auto repair or service stations, car dealerships, bars and pubs, manufacturers, amusement parks, and financial institutions.