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| Section | Weight | Objectives |
|---|
| Commercial Package Policy | 38% | - Commercial Policy Components
- 1. Common Policy Conditions
- 2. Common Policy Declarations
- Transportation Coverages
- 1. Common Carrier Legal Liability
- 2. Transit Coverage
- 3. Motor Truck Cargo
- Commercial Inland Marine
- 1. Accounts Receivable and Valuable Papers
- 2. Marine Definition and Conditions
- 3. Contractors Equipment and Installation Floaters
- 4. Jewelers Block, Signs and Electronic Data Processing
|
| Personal Inland Marine | 13% | - Personal Property Floater
- 1. Coverage and Eligible Property
- Personal Articles Floater
- 1. Scheduled Personal Property
- Personal Effects Floater
- 1. Coverage and Loss Settlement
|
| Adjusting Losses | 11% | - Property and Liability Losses
- 1. Estimates, Depreciation and Salvage
- 2. Coverage Verification and Loss Evaluation
- Role of the Adjuster
- 1. Duties and Responsibilities
- 2. Independent, Staff and Public Adjusters
- Claim Settlement
- 1. Subrogation, Appraisal and Arbitration
- 2. Negotiation and Releases
- Claim Investigation
- 1. Evidence and Witness Statements
- 2. Claim Reporting and Documentation
|
| Insurance Basics | 6% | - Insurance Contracts
- 1. Elements and Characteristics
- 2. Representations, Warranties and Concealment
- Insurance Principles
- 1. Causes and Valuation of Loss
- 2. Insurable Interest and Indemnity
- 3. Hazards, Negligence and Liability
- Policy Structure
- 1. Subrogation, Salvage and Loss Settlement
- 2. Declarations, Conditions and Exclusions
- 3. Limits, Deductibles and Other Insurance
|
| Homeowners Policy | 10% | - Coverage Forms
- 1. HO-2 through HO-6
- 2. HO-8
- Liability Coverages
- 1. Medical Payments to Others
- 2. Personal Liability
- Perils, Exclusions and Conditions
- 1. Perils Insured Against
- 2. Exclusions and Conditions
- Selected Endorsements
- 1. New York Special Provisions
- 2. Earthquake, Identity Fraud and Home Business
- Property Coverages
- 1. Loss of Use and Additional Coverages
- 2. Dwelling, Other Structures and Personal Property
|
| Dwelling Policy | 6% | - Exclusions, Conditions and Endorsements
- 1. New York and Selected Endorsements
- 2. General Exclusions and Conditions
- Coverage Forms and Perils
- 1. Covered Perils
- 2. Basic, Broad and Special Forms
- Property Coverages
- 1. Dwelling and Other Structures
- 2. Personal Property and Loss of Use
|
| Medical Reports and Terminology | 4% | - Medical Terminology
- 1. Prefixes, Suffixes and Abbreviations
- 2. Medical Specialties
- Injuries, Diseases and Medical Tests
- 1. Diagnostic Tests
- 2. Common Injuries and Diseases
- Basic Human Anatomy
- 1. Cardiovascular and Abdominal Systems
- 2. Skeletal, Nervous and Respiratory Systems
|
| Insurance Regulation | 6% | - License Maintenance
- 1. Assumed Names and Reporting
- 2. Renewal and Changes
- Licensing Requirements
- 1. Bond and Fingerprinting
- 2. Qualifications and Application
- Claim Settlement Regulations
- 1. Unfair Claim Practices
- 2. Consumer Privacy
- Disciplinary Actions
- 1. Suspension and Revocation
- 2. Penalties and Cease and Desist Orders
|
| Accident and Health Insurance Basics | 6% | - Accident and Health Claims
- 1. Notice and Proof of Loss
- 2. Investigation and Payment of Claims
- Limited Policies
- 1. Hospital, Dental and Vision Coverage
- 2. Accident-Only and Specified Disease
- Types of Coverage
- 1. Accidental Injury and Sickness
- 2. Disability, Medical and Long-Term Care
|
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Insurance Licensing NewYorkIndependent General Adjuster (Series 17-70) Sample Questions (Q74-Q79):
NEW QUESTION # 74
Under a Homeowners Policy, coverage up to $500 is provided for the insured's legal obligation to pay losses in all of the following situations EXCEPT
- A. the dishonesty of an insured.
- B. theft of a credit card.
- C. the insured's acceptance in good faith of counterfeit money.
- D. forgery or alteration of the insured's check.
Answer: A
Explanation:
The correct answer is B - the dishonesty of an insured. Under the Homeowners 2011 framework tested by Series 17-70, an Additional Coverage addresses Credit Card, Electronic Fund Transfer Card or Access Device, Forgery, and Counterfeit Money. Traditional ISO homeowners wording provides up to $500 for specified losses involving unauthorized use of covered cards or access devices, forgery or alteration of checks and similar negotiable instruments, and acceptance in good faith of counterfeit U.S. or Canadian paper currency.
However, the coverage does not protect an insured against losses caused by the dishonesty of an insured. Such a result would conflict with the basic insurance principle that intentional dishonest acts of an insured are not transformed into fortuitous insured losses.
Option A is within the purpose of the coverage when the credit card is stolen and subsequently used without authorization, subject to policy conditions. Option C is specifically contemplated by forgery coverage, and option D is expressly part of counterfeit-money protection.
The official New York Series 17-70 outline identifies the Homeowners (2011) Policy, including Section I property coverages, Additional Coverages, exclusions, conditions, and selected endorsements.
Therefore, B is the required answer.
NEW QUESTION # 75
What is the purpose of the Insurance Frauds Prevention Act?
- A. Identify the requirements that underwriters need to follow in order to evaluate risk.
- B. Regulates the use of advertising an insurer can use when selling insurance products.
- C. Requires an insurer to publicly disclose its capital reserves for each fiscal year.
- D. Protects the consumer against illegal activity in the issuance of policies and payment of claims.
Answer: D
Explanation:
The correct answer is C. New York Insurance Law Article 4 is expressly titled the Insurance Frauds Prevention Act. Its legislative findings recognize that insurance transactions-including organization and licensing, issuance of policies, and the adjustment and payment of claims and losses-have potential for abuse and illegal activity. The statutory framework is intended to prevent, detect, investigate, and penalize fraudulent insurance conduct.
Therefore, option C most accurately expresses the purpose among the available choices: protecting the insurance system and consumers from illegal and fraudulent conduct associated with policy and claim transactions.
Option A concerns underwriting standards and risk selection rather than insurance-fraud prevention. Option B concerns insurance advertising regulation, which is governed through separate statutes and regulations.
Option D concerns insurer financial reporting and solvency regulation, not the core purpose of Article 4.
New York DFS emphasizes that insurance fraud affects consumers through higher premiums and costs and encourages detection and reporting of suspected fraudulent activity. Article 4 also requires reporting of suspected fraudulent insurance transactions and authorizes investigation and enforcement.
Accordingly, C is the correct examination answer.
NEW QUESTION # 76
What is the policy limit for personal liability supplement under Coverage L of a dwelling policy?
- A. $50,000
- B. $100,000
- C. $200,000
- D. $150,000
Answer: B
Explanation:
The correct examination answer is B - $100,000. A standard Dwelling Policy primarily provides property insurance; personal liability protection is added through the Personal Liability Supplement. Under that supplement, Coverage L - Personal Liability responds when an insured becomes legally liable for bodily injury or property damage caused by a covered occurrence. Coverage M separately provides Medical Payments to Others. The Series 17-70 outline expressly identifies the Personal Liability Supplement as a tested Dwelling Policy endorsement.
The traditional standard limit associated with Coverage L in licensing material is $100,000 per occurrence.
Policy analyses of the ISO dwelling liability supplement also illustrate Coverage L using a $100,000 limit.
A technical distinction is important for claims practice: the actual contractual limit is ultimately the amount shown in the policy declarations or Personal Liability Schedule. Therefore, higher limits may be purchased when offered by the insurer. The question is testing the standard/default licensing-exam limit rather than asserting that every dwelling liability supplement is permanently restricted to $100,000.
Coverage L also generally includes the insurer's defense obligation in addition to covered damages, subject to the policy's exclusions and conditions.
Therefore, the required answer is B.
NEW QUESTION # 77
Which of the following is an example of an unfair claim settlement practice?
- A. Disclosing the settlement terms and provisions of the contract of insurance.
- B. Delaying the settlement of claims submitted in which liability has become clear.
- C. Adopting and implementing standards to settle claims in a timely manner.
- D. Replacing a policy when it is in the best interest of the insured.
Answer: B
Explanation:
The correct answer is A. New York Insurance Law ยง2601 identifies specified conduct as unfair claim settlement practices when performed without just cause with sufficient frequency to constitute a general business practice. One expressly identified practice is failing to attempt in good faith to effectuate prompt, fair, and equitable settlements of claims in which liability has become reasonably clear. Deliberately or unjustifiably delaying such a settlement therefore falls directly within the regulatory concept tested by this question.
Option C describes the opposite behavior. Insurers are expected to adopt and implement reasonable standards for prompt claim investigation and settlement. Failure to establish reasonable standards may itself support an unfair-practices finding.
Option D is likewise inconsistent with an unfair-practice answer because accurate disclosure of relevant coverage or settlement provisions promotes informed claim handling. Misrepresentation or improper withholding of material policy information, rather than appropriate disclosure, raises regulatory concerns.
Option B does not describe an unfair claim settlement practice on the facts given.
The official New York Series 17-70 blueprint specifically includes Claim Settlement Laws and Regulations- Regulation 64, Part 216, and Unfair Claim Practices-Insurance Law ยง2601 under Insurance Regulation.
Accordingly, the conduct in A is the regulatory violation contemplated by the question.
NEW QUESTION # 78
Fair rental value is found under which coverage part of a dwelling policy?
- A. Coverage E.
- B. Coverage B.
- C. Coverage C.
- D. Coverage D.
Answer: D
Explanation:
The correct answer is C - Coverage D. Under the standard Dwelling Property Policy, Coverage D - Fair Rental Value protects the insured against qualifying loss of rental income when covered damage makes property rented or held for rental unfit for its normal use.
Fair Rental Value represents the fair rental amount of the affected portion of the described location, reduced by expenses that do not continue while the property is uninhabitable. Payment generally continues for the shortest reasonable period required to repair or replace the damaged property. Standard dwelling-policy analysis expressly identifies Fair Rental Value as Coverage D.
Coverage B concerns Other Structures, while Coverage C covers Personal Property. Coverage E is Additional Living Expense, which principally protects an owner-occupant when a covered loss causes necessary increases in living expenses. Fair Rental Value and Additional Living Expense are related time-element protections but serve different financial interests.
For adjusters, this distinction is important because a landlord's lost rental income must be evaluated separately from physical building damage. The adjuster must determine rental value, expenses that ceased, the covered cause of loss, and the reasonable restoration period.
Therefore, Fair Rental Value is found under Coverage D, making option C correct.
NEW QUESTION # 79
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