Random things I keep Forgetting Flashcards

1
Q

Which of the following is true of the Insuring Agreement?

A
The promise to indemnify an insured for a covered cause of loss

B
It lists the policy premium amount

C
It provides the name and address of the insured and the name of the insurer

D
It provides the policy conditions

A

A
The promise to indemnify an insured for a covered cause of loss

The insuring agreement is the company’s commitment (promise) of protection to the insured. It specifies the types of property covered, and the perils insured against.

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2
Q

All of the following are true regarding the structure of a property policy, except:

A
The insured’s duties in case of loss are found in the Insuring Agreement

B
The Declarations include the insured’s name, policy period, policy limits and the amount of premium

C
The bankruptcy condition does not relieve the insurer of its duties or obligations under the policy

D
The Exclusions itemize the perils not covered

A

A
The insured’s duties in case of loss are found in the Insuring Agreement

The Conditions list the general rules and duties in the event of a loss under the policy.

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3
Q

Which of the following methods of writing insurance is used to provide insurance on properties at different locations, using a single policy, and a single limit of insurance?

A
Unified

B
Scheduled

C
Listed

D
Blanket

A

D
Blanket

Blanket insurance covers more than one item of property on one policy for a single amount of insurance, which applies to each item as needed.

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4
Q

Under the Other Insurance condition, when two property policies cover the same property, how is a loss apportioned?

A
Each policy will pay an equal share of the loss

B
Each policy will share proportionately according to the total insurance

C
Neither policy will pay because of overinsurance

D
The first policy will pay up to its limits; then the second policy acts as excess coverage

A

B
Each policy will share proportionately according to the total insurance

For a property policy, the Other Insurance clause generally states that two policies covering the same loss will pay proportionally to their limits of insurance.

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5
Q

Under the Other Insurance condition, when two property policies cover the same property, how is a loss apportioned?

A
Each policy will pay an equal share of the loss

B
Each policy will share proportionately according to the total insurance

C
Neither policy will pay because of overinsurance

D
The first policy will pay up to its limits; then the second policy acts as excess coverage

A

B
Each policy will share proportionately according to the total insurance

For a property policy, the Other Insurance clause generally states that two policies covering the same loss will pay proportionally to their limits of insurance.

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6
Q

All of the following statements regarding the property policy structure are correct, except:

A
The Declarations Page lists other parties having an insurable interest in the property

B
The Insuring Agreement describes the perils that are covered under the policy

C
Additional Coverages are added to the policy for an additional premium

D
The insured’s duties and obligations are listed in the Conditions section

A

C
Additional Coverages are added to the policy for an additional premium

Additional Coverages are automatically included without an additional premium.

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7
Q

The transfer of the right of recovery from the insured to the insurance company is called:

A
Subrogation

B
Hold harmless

C
Assignment

D
Indemnity

A

A
Subrogation

Subrogation allows the insurer to take legal action against the negligent third party.

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8
Q

Which of the following is true of the Insuring Agreement?

A
It provides the name and address of the insured and the name of the insurer

B
It provides the policy conditions

C
It lists the policy premium amount

D
The promise to indemnify an insured for a covered cause of loss

A

D
The promise to indemnify an insured for a covered cause of loss

The insuring agreement is the company’s commitment (promise) of protection to the insured. It specifies the types of property covered, and the perils insured against.

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9
Q

When firefighters extinguish a house fire with water, the water damage is considered a(n):

A
Loss that will be subrogated to the fire department

B
Indirect loss

C
Consequential Loss

D
Direct loss

A

D
Direct loss

Water damage is a direct loss to the property.

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10
Q

Most liability policies do not provide coverage for:

A
Special damages

B
General damages

C
Compensatory damages

D
Punitive damages

A

D
Punitive damages

Punitive damages are awarded to punish and discourage a wrongdoer from repeating negligent acts. Most liability policies do not provide coverage for punitive damages.

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11
Q

The formal statement an insured provides to an insurer, including all the details an insurer needs to assess its liability following a loss, is known as a:

A
Certificate of insurance

B
Proof of loss

C
Binder

D
Notice of loss

A

B
Proof of loss

A proof of loss is a formal statement made by the insured and provided to the insurer that provides necessary details for the insurer to determine its liability under a policy.

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12
Q

Policy A provides liability coverage to Fred’s Grocery up to $500,000. Policy B provides coverage for the same risks up to $1.5 million. Both policies pay on a pro rata basis. If Fred’s Grocery is determined to have a legal liability of $400,000 to a claimant who was injured on the property, how much will Policy A pay?

A
$500,000

B
$100,000

C
$50,000

D
$400,000

A

B
$100,000

Pro rata liability requires that each policy pays no more than its share of the loss. The total insured amount carried by Fred’s Grocery is $2 million ($500,000 + $1.5 million). Policy A’s share of that amount is 25% ($500,000 ÷ $2 million). Therefore, its share of any loss would be 25% of the loss amount. 25% of $400,000 is $100,000.

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13
Q

Which of the following is not true about a Reciprocal Insurance Company?

A
If funds are insufficient to pay claims, the subscribers are assessed for additional premium

B
Each subscriber assumes a share of the risk of all other subscribers

C
Reciprocal companies may only transact liability insurance

D
It allows individuals and corporations to exchange insurance on one another’s risks

A

C
Reciprocal companies may only transact liability insurance

Reciprocals, unlike Risk Retention Groups, are not restricted on the type of insurance they transact.

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14
Q

Which of the following is a characteristic of a Mutual Insurance Company?

A
Stockholders have ownership

B
Members are provided insurance by the company

C
Dividends are returned profits

D
A policyholder is a voting member on the Board of Directors

A

B
Members are provided insurance by the company

A mutual insurer is owned by its members (not stockholders) and dividends are a return of unused premium (not a return of profit). Although policyholders are the owners of a mutual insurer, they are not voting members of the Board of Directors. Members are provided insurance by the company.

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15
Q

What is it called when insureds with less desirable risks seek insurance coverage to a greater extent than insureds with average risks?

A
Adverse selection

B
Estoppel

C
Law of Large Numbers

D
Sharing

A

A
Adverse selection

Adverse selection is the tendency of risks more prone to loss to seek greater than average coverage.

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16
Q

Which of the following vehicles is covered by Liability coverage under the Personal Auto Policy?

A
Uninsured owned vehicle

B
Motorcycle

C
Non-owned golf cart

D
Company car

A

C
Non-owned golf cart

Non-owned golf carts are exempted from the exclusion on off-road vehicles, and liability arising from their use would be covered under the policy.

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17
Q

The Limited Mexico coverage provides coverage for how many miles into Mexico?

A
25 miles

B
50 miles

C
10 miles

D
100 miles

A

A
25 miles

The limit is 25 miles and the endorsement also applies only if the insured’s visit to Mexico is for 10 days or less.

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18
Q

On the Personal Auto Policy, the Collision coverage provides payment for losses:

A
To your car, but only if you are legally liable

B
To your car, and regardless of liability

C
To the car you run into, regardless of liability

D
To your car and the car you run into

A

Nice try! The correct answer was B.

Collision coverage only applies to a vehicle of the insured and is applied regardless of fault. (Damage to another vehicle would fall under Liability coverage.)

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19
Q

Which statement is true of medical payments in a Personal Auto Policy?

A
Medical expenses include insured’s injuries that result from racing activity

B
Medical payments are provided by Part A

C
Expenses for medical services sustained by the insured are covered

D
Medical expenses are paid only when the insured is legally liable

A

C
Expenses for medical services sustained by the insured are covered

Coverage applies to any occupant of the insured vehicle and also to members of the insured’s household as pedestrians when struck by a motor vehicle or as an occupant of another person’s vehicle.

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20
Q

Policyholder N insures an owner-occupied home under a Special Form Dwelling Policy with a limit of $100,000. If the dwelling is damaged in a fire, what is the limit of insurance that will apply to Coverage E - Additional Living Expense?

A
$10,000

B
$20,000

C
$40,000

D
$50,000

A

B
$20,000

The Coverage E is 20% of Coverage A.

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21
Q

Any person violating a cease and desist order in South Carolina must pay a fine of up to ____________.

A
$1,000 (up to $5,000 if the violation is willful)

B
$5,000 (up to $10,000 if the violation is willful)

C
$2,500 ($5,000 if the violation is willful)

D
$2,000 (up to $10,00 if the violation is willful)

A

C
$2,500 ($5,000 if the violation is willful)

Any person, other than an insurer or an HMO, violating a cease and desist order may be fined up to $2,500, have their license suspended or revoked, or both. If the violation is willful, the fine may be up to $5,000.

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22
Q

An alarm system installed in a home is considered which of the following ways to manage risk?

A
Reduction

B
Transfer

C
Avoidance

D
Retention

A

A
Reduction

The home alarm system may reduce the chance of loss, but not entirely prevent it.

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23
Q

In South Carolina, how many years would a misdemeanor conviction keep someone from being licensed?

A
5

B
2

C
10

D
3

A

A:5

Before issuing or renewing a license, the Director must find that the applicant has not been convicted of a misdemeanor involving dishonesty, breach of trust, or other financial- or insurance-related crimes within the last 5 years.

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24
Q

Including debris removal, what is the maximum an HO-3 policy with a Coverage A amount of $250,000 will pay if a detached garage burns down?

A
$25,000

B
$1,250

C
$26,250

D
$250,000

A

C
$26,250

Coverage B, which covers structures that are not attached, is automatically issued for 10% of Coverage A. This means the Coverage B total is $25,000, and the policy allows for an additional 5% for debris removal: $25,000 + 5% or $1,250 = $26,250.

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25
Q

First Aid Expenses under the Homeowners Policy would cover:

A
A neighbor who gets injured while helping the insured install a carpet

B
The Named Insured while on or off the premises

C
Members of the insured’s family while on or off the premises

D
Nonfamily residents of the household while on the premises

A

A
A neighbor who gets injured while helping the insured install a carpet

First Aid Expenses coverage applies to first aid to others caused by Bodily Injury covered under the policy, but does not pay for first aid to an insured.

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26
Q

S carries a Personal Auto Policy with Liability limits of 50/100/25. What is the maximum the policy will pay if S struck another vehicle causing injury to the occupants as follows: Driver - $70,000; Passenger 1-$30,000; Passenger 2-$50,000 and property damage to the other vehicle - $20,000?

A

$120,000

Coverage is as follows: Driver - $50,000; Passenger 1 - $30,000; Passenger 2 - $20,000, since the policy will only pay $50,000 per person and a total of $100,000 per accident. The property damage is fully covered, totaling $120,000.

27
Q

Policyholder J has a no-fault auto policy. Upon being hit by a driver that ran a stop light, J suffers a broken leg. Whose insurance company will pay for J’s injury?

A
J’s insurer

B
The insurer of the at-fault driver

C
J’s and the negligent driver’s insurer will share the loss

D
The court will determine which insurer is responsible

A

A
J’s insurer

Under no-fault insurance, the injured party collects insurance benefits from his/her own insurance as if it were first-party coverage, eliminating the need to determine negligence or legal liability.

28
Q

Who are the members of the South Carolina Wind and Hail Association?

A
Private insurers in this State

B
Private producers licensed in this State

C
Insureds in the coastal area

D
Private producers licensed in the coastal area

A

A
Private insurers in this State

Every private insurer of property must be a SCWHUA member in order to transact insurance business in this State.

29
Q

In South Carolina, a producer’s license continues for _____ years, unless revoked or suspended, as long as the producer meets continuing education requirements and pays the renewal fee.

A

A producer’s license continues for 2 years, unless revoked or suspended, as long as the producer meets continuing education requirements and pays the biennial renewal fee.

30
Q

Under South Carolina’s Dwelling Endorsements - Special Provisions (DP 01 39), loss to glass or safety glazing material is covered, if directly caused by:

A
Hail

B
Earth movement

C
Fire

D
Wind

A

B
Earth movement

Under South Carolina’s Dwelling Endorsements - Special Provisions (DP 01 39), loss to glass or safety glazing material is covered, if directly caused by earth movement.

31
Q

Two individuals want to purchase insurance policies from the same producer. They both have low-risk careers, come from the same class, and encounter similar hazards. However, the producer knew one of the individuals and offered that individual a lower rate. What is this an example of?

A
Prohibited Inducement

B
Unfair discrimination

C
Rebating

D
False financial statements

A

B
Unfair discrimination

Discriminating between individuals of the same class and risk, involving the same hazards, in the amount of premiums or rates is unfair discrimination.

32
Q

In South Carolina, optional _________ coverage must be offered up to the insured’s limit of liability, in the event damages are sustained in excess of an at-fault driver’s liability limits.

A
Personal Injury

B
Underinsured Motorist

C
Uninsured Motorist

D
Bodily Injury

A

B
Underinsured Motorist

In South Carolina, optional underinsured motorist coverage must be offered up to the insured’s limit of liability, in the event damages are sustained in excess of an at-fault driver’s liability limits. Bodily Injury and Uninsured Motorist are both required coverage.

33
Q

The insurer’s promise to pay a covered loss and the insured’s payment of the first premium are examples of:

A
Consideration

B
Legal Purpose

C
Acceptance

D
Offer

A

A
Consideration

Consideration is the term used to describe the rights, money, promises, or property exchanged between the parties as part of a contract transaction.

34
Q

The Gramm-Leach-Bliley Act was responsible for which of the following?

A
Enforcement of fraudulent insurance acts

B
Regulation of investment companies

C
Deregulation of the trucking industry

D
Establishment of privacy protection for consumers

A

Establishment of privacy protection for consumers

The Gramm-Leach-Bliley Act also allowed the merger of banks, securities companies, and insurance companies.

35
Q

The uncertainty of loss from fire, wind, or hail is a type of:

A
Physical hazard

B
Speculative risk

C
Risk retention

D
Pure risk

A

D
Pure risk

There is no chance of gain from exposure to a risk of loss by fire, wind, or hail.

36
Q

Which of the following statements is not correct regarding rates and premiums?

A
Rates may only be excessive if the insurer is making up for lost reserves

B
Rates are considered inadequate when they do not cover projected losses and expenses

C
The rate is the amount charged for a particular unit of insurance

D
A premium is the total cost for the amount of insurance purchased

A

A
Rates may only be excessive if the insurer is making up for lost reserves

Rates may not be excessive or unfairly discriminatory for any reason.

37
Q

K makes a statement on the insurance application, which becomes part of the contract, that K has an alarm system. Having the alarm system qualifies K for a premium discount. This statement is considered a:

A
Provision

B
Warranty

C
Representation

D
Endorsement

A

B
Warranty

A warranty is a statement that is guaranteed to be true, as opposed to a representation of something that is true to the best of one’s knowledge.

38
Q

An agent has authority to do all of the following, except:

A
Solicit applications on the insurer’s behalf

B
Represent the insured’s interest

C
Appoint a solicitor as his or her representative

D
Countersign insurance contracts

A

B
Represent the insured’s interest

An agent is primarily the representative of an insurer.

39
Q

Which of the following is stated in the Insuring Agreement?

A
The perils insured against

B
The perils excluded by the policy

C
The Other Insurance provision

D
The location of insured property and the named insured’s mailing address

A

A
The perils insured against

The Insuring Agreement states the insurance company’s promise to pay the insured, including the exact perils insured against by the policy.

40
Q

Which type of construction material has a fire-resistance rating between one and two hours for walls, floors and roofs?

A
Fire Resistive

B
Modified Fire Resistive

C
Noncombustible

D
Joisted Masonry

A

B
Modified Fire Resistive

To be classified Modified Fire Resistive, the materials used in the walls, floors, and roof of a structure must have a fire resistive rating of at least 1 hour, but less than 2 hours.

41
Q

All of the following are true of negligence, except:

A
It is a type of tort

B
It does not require a duty to be owed

C
It does not include breach of contract

D
It is the failure to use ordinary care

A

B
It does not require a duty to be owed

For an act to be negligent, the injured party must prove the alleged wrongdoer owed a duty to the injured party or to the public.

42
Q

Which term describes the equal sharing of a loss by two or more insurers until the loss is paid, or until each insurer has exhausted its limits of insurance, whichever comes first?

A
Primary insurance

B
Excess insurance

C
Contribution by equal shares

D
Pro rata liability

A

C
Contribution by equal shares

Under contribution by equal shares, each insurer pays an equal amount to the loss settlement until the loss is paid, or until each insurer has exhausted its limits of insurance, whichever comes first.

43
Q

P’s liability policy has the following limits: $50,000 per person, $250,000 per occurrence, and $400,000 aggregate. During the policy period, the policy paid out $250,000 in liability claims. If P suffers another loss of $250,000 during the same policy period, how much will the policy pay?

A
$150,000

B
$50,000

C
$400,000

D
$250,000

A

A
$150,000

Because the policy has an aggregate limit of $400,000 during the policy period, and has already paid out $250,000, the most it will pay for the remainder of the period is $150,000, regardless of the amount of loss.

44
Q

H’s liability policy has the following limits: $35,000 per person, $350,000 per occurrence, and $2,000,000 aggregate. This year, three claimants file in the amount $15,000, $30,000, and $45,000. How much will the policy pay?

A
$90,000

B
$35,000

C
$350,000

D
$80,000

A

D
$80,000

The per person limit prevents the policy from paying any more than $35,000 per person. Therefore, the $15,000 and $30,000 claims will be paid in full, but the $45,000 claim will only be paid up to the per person limit of $35,000.

45
Q

Which of the following statements about the DP-3 Policy is false?

A
Losses to the dwelling are paid on a replacement cost basis

B
The dwelling and contents are both covered on an open perils basis

C
The insured dwelling must be used principally for dwelling purposes

D
Mobile homes are not eligible

A

B
The dwelling and contents are both covered on an open perils basis

Only the dwelling is covered on an open perils basis.

46
Q

Which of the following property is not covered under Coverage A of a Dwelling Policy?

A
The land on which the dwelling is located

B
Fire or lightning damage to outdoor television antennas

C
Outdoor equipment on the location used to service the dwelling

D
Materials for repairing the dwelling, located on the described location

A

A
The land on which the dwelling is located

Land is not covered under the Dwelling program.

47
Q

Which of the following is false regarding the Broad Theft Endorsement under the Dwelling Policy?

A
It includes vandalism resulting from theft

B
Only on-premises coverage is available

C
It applies only to owner-occupied structures

D
It may be added to any of the Dwelling forms

A

B
Only on-premises coverage is available

The Broad Form Theft Endorsement is attached to owner-occupied Dwelling policies to provide theft coverage for the owner-occupant’s personal property. On-premises and off-premises coverage is available.

48
Q

Which of the following is true concerning the Home Day Care Coverage Endorsement to the Homeowners Policy?

A
It extends Section II coverages to the insured’s home day care business

B
It covers injury to an employee, as well as attendees, arising out of day care operations

C
It covers injury to attendees while loading or unloading them from draft or saddle animals

D
It provides Commercial General Liability coverage for the day care operation

A

A
It extends Section II coverages to the insured’s home day care business

The Home Day Care Coverage Endorsement extends the coverage of the Homeowners Section II to the Day Care Business.

49
Q

Of the following statements concerning Homeowners policies, which is correct?

A
Coverage is not provided to a garage rented for private garage purposes

B
Dwellings under construction are covered for theft

C
Borrowed property meets the definition of contents

D
Coverage is provided to property of boarders not related to the insured

A

C
Borrowed property meets the definition of contents

Coverage C covers property owned or used by the insured, including property owned by others.

50
Q

In respect to Section II of a Homeowners Policy, all of the following are true, except:

A
Bodily injury or property damage arising from a vehicle used to assist the handicapped, such as a wheelchair, is covered

B
Individual and family cemetery plots qualify as an insured location

C
Damage to Property of Others pays up to $1,000 per occurrence

D
Section II losses are subject to a standard $250 deductible

A

D
Section II losses are subject to a standard $250 deductible

Section II losses are not subject to a deductible.

51
Q

All of the following statements are correct about a Homeowners Policy, except:

A
Home schooling is covered under a Homeowners Policy

B
Coverage D of a Homeowners Policy includes loss of income from an incidental business

C
A Homeowners Policy will not cover theft of a boat away from premises

D
Coverage D of a Homeowners Policy covers additional living expenses

A

B
Coverage D of a Homeowners Policy includes loss of income from an incidental business

Coverage D does not cover loss of income from an incidental business.

52
Q

Under a Homeowners Policy, how much coverage is provided for theft or unauthorized use of a credit card?

A
$1,000

B
$500

C
$2,500

D
The Coverage C Limit of Insurance

A

B
$500

The Credit Card, Fund Transfer Card, Forgery and Counterfeit Money Additional Coverage provide $500 coverage for unauthorized use of Credit and Fund Transfer Cards.

53
Q

Which statement is true concerning Section II of a Homeowners Policy?

A
Damage to Property of Others coverage is provided up to a specified limit regardless of negligence

B
Medical payments will pay for a maximum of 1 year from the date of the accident

C
Medical payments coverage is available for the insured and resident relatives

D
Medical payments coverage is not available for a residence employee

A

A
Damage to Property of Others coverage is provided up to a specified limit regardless of negligence

Damage to Property of Others pays up to $1,000 regardless of whether the insured is liable or not.

54
Q

All of the following are considered part of the consideration of an insurance contract, except:

A
Issuance of the policy

B
Payment of the initial premium

C
The insurer’s promise to indemnify in the event of loss

D
The payment of a claim for the insured

A

A
Issuance of the policy

The issuance of a policy is not part of the consideration of an insurance contract. It is part of the agreement (acceptance).

55
Q

Which of the following parties may assign a standard property policy?

A
The insurer

B
The bailee

C
The insured with prior written permission of the insurer

D
The first named insured

A

C
The insured with prior written permission of the insurer

The insured can only assign or transfer rights of ownership with prior written consent of the insurer.

56
Q

Which of the following is not a condition found in an insurance policy?

A
Assignment

B
Subrogation

C
Liberalization

D
Insuring Agreement

A

D
Insuring Agreement

The Insuring Agreement is a Section of the policy, separate and distinct from the policy conditions.

57
Q

K owns several buildings at different locations with each one insured on a separate policy. Which of the following methods of writing insurance does this describe?

A
Agreed Value

B
Scheduled

C
Specific Limit

D
Blanket

A

C
Specific Limit

Since each property is covered under a separate policy, each with a unique coverage limit, each property is written on a specific limit basis. A loss to any one property would not affect the policies covering the other properties.

58
Q

H’s liability policy has the following limits: $35,000 per person, $350,000 per occurrence, and $2,000,000 aggregate. This year, three claimants file in the amount $15,000, $30,000, and $45,000. How much will the policy pay?

A
$90,000

B
$80,000

C
$35,000

D
$350,000

A

B
$80,000

The per person limit prevents the policy from paying any more than $35,000 per person. Therefore, the $15,000 and $30,000 claims will be paid in full, but the $45,000 claim will only be paid up to the per person limit of $35,000.

59
Q

Which description applies to general damages?

A
Damages to the general public rather than to a specific party

B
Those damages that can be documented

C
General damages include punitive damages

D
Compensation to an injured party for pain, suffering, mental anguish, disfigurement and similar types of losses

A

D
Compensation to an injured party for pain, suffering, mental anguish, disfigurement and similar types of losses

General damages are damages that are likely to continue into the future, and where it is difficult to put a final figure on the losses.

60
Q

All of the following statements are correct regarding Coverage E, except:

A
Additional living expenses include the boarding of pets

B
Additional living expense coverage is available if the dwelling is uninhabitable

C
Coverage applies to the extent of the insured’s normal standard of living

D
Coverage E is available under all Dwelling policy forms

A

D
Coverage E is available under all Dwelling policy forms

Coverage E - Additional Living Expense is not included on the DP-1 form.

61
Q

Of the Dwelling Policy forms, which one would cover an owned mobile home permanently affixed to a foundation?

A
DP-3

B
DP-1, 2, or 3

C
DP-1

D
DP-2

A

C
DP-1

A mobile home is only eligible for coverage under the DP-1.

62
Q
A

D
Access prevented by a civil authority because of a neighboring location’s direct loss by a peril covered under the insured’s policy

Coverage D – Fair Rental Value includes coverage for the indirect loss of access prevented by a civil authority due to the direct loss of a neighboring property by a covered peril. Coverage D will not provide coverage for lease cancellation. Additional living expenses are provided by Coverage E.

63
Q

Policyholder L owns a dwelling, and rents the detached garage to tenants. The premises are insured under a DP-3 with a Coverage A limit of $100,000. How much is the detached garage insured for if damaged by a covered claim?

A
$5,000

B
$50,000

C
$20,000

D
$10,000

A

D
$10,000

The Coverage B limit of insurance is 10% of the Coverage A limit.