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Insurance Licensing NY-Independent-General-Adjuster Exam Syllabus Topics:

SectionWeightObjectives
Personal Inland Marine13%- Personal Effects Floater
  • 1. Coverage and Loss Settlement
    - Personal Property Floater
    • 1. Coverage and Eligible Property
      - Personal Articles Floater
      • 1. Scheduled Personal Property
        Accident and Health Insurance Basics6%- Accident and Health Claims
        • 1. Investigation and Payment of Claims
          • 2. Notice and Proof of Loss
            - Limited Policies
            • 1. Accident-Only and Specified Disease
              • 2. Hospital, Dental and Vision Coverage
                - Types of Coverage
                • 1. Disability, Medical and Long-Term Care
                  • 2. Accidental Injury and Sickness
                    Homeowners Policy10%- Coverage Forms
                    • 1. HO-2 through HO-6
                      • 2. HO-8
                        - 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
                                - Liability Coverages
                                • 1. Personal Liability
                                  • 2. Medical Payments to Others
                                    - Property Coverages
                                    • 1. Loss of Use and Additional Coverages
                                      • 2. Dwelling, Other Structures and Personal Property
                                        Dwelling Policy6%- Exclusions, Conditions and Endorsements
                                        • 1. New York and Selected Endorsements
                                          • 2. General Exclusions and Conditions
                                            - Property Coverages
                                            • 1. Dwelling and Other Structures
                                              • 2. Personal Property and Loss of Use
                                                - Coverage Forms and Perils
                                                • 1. Basic, Broad and Special Forms
                                                  • 2. Covered Perils
                                                    Insurance Basics6%- Insurance Contracts
                                                    • 1. Representations, Warranties and Concealment
                                                      • 2. Elements and Characteristics
                                                        - Policy Structure
                                                        • 1. Subrogation, Salvage and Loss Settlement
                                                          • 2. Limits, Deductibles and Other Insurance
                                                            • 3. Declarations, Conditions and Exclusions
                                                              - Insurance Principles
                                                              • 1. Insurable Interest and Indemnity
                                                                • 2. Hazards, Negligence and Liability
                                                                  • 3. Causes and Valuation of Loss
                                                                    Adjusting Losses11%- Role of the Adjuster
                                                                    • 1. Duties and Responsibilities
                                                                      • 2. Independent, Staff and Public Adjusters
                                                                        - Claim Investigation
                                                                        • 1. Claim Reporting and Documentation
                                                                          • 2. Evidence and Witness Statements
                                                                            - Claim Settlement
                                                                            • 1. Subrogation, Appraisal and Arbitration
                                                                              • 2. Negotiation and Releases
                                                                                - Property and Liability Losses
                                                                                • 1. Coverage Verification and Loss Evaluation
                                                                                  • 2. Estimates, Depreciation and Salvage
                                                                                    Medical Reports and Terminology4%- Basic Human Anatomy
                                                                                    • 1. Cardiovascular and Abdominal Systems
                                                                                      • 2. Skeletal, Nervous and Respiratory Systems
                                                                                        - Medical Terminology
                                                                                        • 1. Prefixes, Suffixes and Abbreviations
                                                                                          • 2. Medical Specialties
                                                                                            - Injuries, Diseases and Medical Tests
                                                                                            • 1. Common Injuries and Diseases
                                                                                              • 2. Diagnostic Tests
                                                                                                Insurance Regulation6%- Licensing Requirements
                                                                                                • 1. Qualifications and Application
                                                                                                  • 2. Bond and Fingerprinting
                                                                                                    - Disciplinary Actions
                                                                                                    • 1. Suspension and Revocation
                                                                                                      • 2. Penalties and Cease and Desist Orders
                                                                                                        - License Maintenance
                                                                                                        • 1. Assumed Names and Reporting
                                                                                                          • 2. Renewal and Changes
                                                                                                            - Claim Settlement Regulations
                                                                                                            • 1. Unfair Claim Practices
                                                                                                              • 2. Consumer Privacy
                                                                                                                Commercial Package Policy38%- Transportation Coverages
                                                                                                                • 1. Motor Truck Cargo
                                                                                                                  • 2. Transit Coverage
                                                                                                                    • 3. Common Carrier Legal Liability
                                                                                                                      - Commercial Policy Components
                                                                                                                      • 1. Common Policy Conditions
                                                                                                                        • 2. Common Policy Declarations
                                                                                                                          - Commercial Inland Marine
                                                                                                                          • 1. Marine Definition and Conditions
                                                                                                                            • 2. Jewelers Block, Signs and Electronic Data Processing
                                                                                                                              • 3. Accounts Receivable and Valuable Papers
                                                                                                                                • 4. Contractors Equipment and Installation Floaters

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                                                                                                                                  Insurance Licensing NewYorkIndependent General Adjuster (Series 17-70) 認定 NY-Independent-General-Adjuster 試験問題 (Q89-Q94):

                                                                                                                                  質問 # 89
                                                                                                                                  Regarding insurance coverage for employment practices exposures, which one of the following statements is TRUE?

                                                                                                                                  正解:B

                                                                                                                                  解説:
                                                                                                                                  The correct answer is C. Employment Practices Liability Insurance (EPLI) is specifically designed to address claims arising from wrongful employment-related conduct. Core exposures include wrongful termination, workplace discrimination, sexual harassment, retaliation, and other specified employment practices. Current EPLI coverage descriptions expressly identify discrimination, harassment, and wrongful termination as principal covered allegations.
                                                                                                                                  Option A is incorrect because EPLI may be written as a standalone policy or incorporated within broader management-liability programs. It is not restricted to being an endorsement to Directors and Officers insurance.
                                                                                                                                  Option B is incorrect because the standard Commercial General Liability policy is not basic professional or employment-practices liability insurance. In fact, many employment-related practices exposures are specifically excluded or inadequately addressed under conventional CGL coverage.
                                                                                                                                  Option D concerns occupational bodily injury. An employee physically injured in the course of employment would ordinarily look to Workers Compensation and Employers Liability, not EPLI. EPLI primarily addresses wrongful employment decisions and conduct rather than workplace accident injuries.
                                                                                                                                  The adjuster must therefore distinguish an employment-practices wrongful act from an employment-related bodily injury. One is principally a management/professional liability exposure; the other is a Workers Compensation/employers liability exposure.
                                                                                                                                  Therefore, C accurately describes the purpose of EPLI.


                                                                                                                                  質問 # 90
                                                                                                                                  Which of the following would be considered an unforeseen act which causes bodily harm?

                                                                                                                                  正解:C

                                                                                                                                  解説:
                                                                                                                                  The correct answer is C - Accidental injury. An accidental injury results from an unintended or unforeseen event producing bodily harm. This characteristic distinguishes an accident from deliberate conduct or an intentionally produced injury. New York's accident-insurance framework treats accident coverage as insurance for death, dismemberment, disability, medical care, or similar loss caused by an accident or specified types of accidents. DFS also requires accident-only policies to make clear that benefits relate to a covered accident, rather than sickness generally.
                                                                                                                                  Options B and D involve intentional self-harm and therefore do not satisfy the ordinary accidental-event concept stated in the question. A suicide attempt is intentionally undertaken even though the eventual degree of injury may not have been intended. A deliberate self-inflicted injury is expressly intentional by definition.
                                                                                                                                  Alcohol abuse is also not itself an unforeseen accidental act producing bodily injury. Although an accident might occur while a person is intoxicated, the abuse itself is not synonymous with an accidental injury and coverage would depend on the actual policy wording and circumstances.
                                                                                                                                  For examination purposes, the defining characteristics are unexpectedness, lack of intent, and resulting bodily harm.
                                                                                                                                  Series 17-70 reference topics: Other Coverages - Accident and Health Concepts, Accidental Injury, Accident-Only Coverage, and Exclusions for Intentional Injury.


                                                                                                                                  質問 # 91
                                                                                                                                  Which liability policy is BEST suited to protect someone who manages private pensions and employee benefits plans?

                                                                                                                                  正解:C

                                                                                                                                  解説:
                                                                                                                                  The correct answer is C - Fiduciary Liability. Individuals who exercise discretionary authority or control over employee benefit plans, including private pension or retirement plans, can have fiduciary responsibilities under ERISA. Fiduciary liability insurance is specifically designed to address claims alleging breaches in those responsibilities, including improper plan administration, imprudent investment decisions, failure to follow plan documents, conflicts of interest, or other alleged fiduciary misconduct.
                                                                                                                                  Travelers explains that persons who manage retirement or health plans or control plan assets may be fiduciaries and may face personal liability for breach of fiduciary duty. Chubb similarly identifies employee welfare and retirement plan fiduciary liability as a specialized exposure that conventional Directors and Officers coverage may not adequately address.
                                                                                                                                  Errors and Omissions insurance addresses professional service errors more generally. Malpractice is associated primarily with designated professional practices such as medicine or law. Directors and Officers insurance principally protects corporate directors and officers against wrongful acts arising from organizational management, but it is not the dedicated coverage for ERISA fiduciary exposures.
                                                                                                                                  The Series 17-70 outline expressly lists Fiduciary Liability under Specialty Liability Insurance.
                                                                                                                                  Therefore, C provides the most directly applicable protection.


                                                                                                                                  質問 # 92
                                                                                                                                  Under a Crop-Hail insurance policy, which of the following is true?

                                                                                                                                  正解:D

                                                                                                                                  解説:
                                                                                                                                  The correct answer is C - it covers only damage to the insured crop. Crop-Hail insurance is a specialized form of property insurance written on specifically identified growing crops. Standard crop-hail terminology defines an insured crop as a crop described in the Schedule of Insurance for which a specific amount of insurance and premium has been established. Loss adjustment therefore focuses on direct damage to the scheduled crop resulting from insured causes of loss.
                                                                                                                                  Option D is incorrect because Crop-Hail is not automatically an all-weather policy. Hail is the fundamental peril, and policies commonly include or permit additional named perils such as fire or lightning. Wind protection frequently requires a separate endorsement, and frost is not universally included. Current agricultural insurance products specifically describe wind as an additional endorsement to underlying Crop- Hail coverage.
                                                                                                                                  Option A is too broad because coverage does not necessarily attach simply when seed is placed in the ground; the effective date, crop condition, and applicable policy provisions govern attachment. Option B is not a universal defining rule of Crop-Hail coverage.
                                                                                                                                  Crop-Hail should also be distinguished from federally supported Multiple Peril Crop Insurance, which addresses a much broader range of production risks.
                                                                                                                                  Therefore, C is correct.


                                                                                                                                  質問 # 93
                                                                                                                                  Which of the following exposures would be necessary to purchase a garage coverage form?

                                                                                                                                  正解:C

                                                                                                                                  解説:
                                                                                                                                  The correct examination answer is D - Franchise auto dealer. The traditional ISO Garage Coverage Form was developed specifically for automobile dealerships and related garage operations because such businesses combine exposures arising from owned autos, customers' autos, premises operations, products/completed operations, and automobile liability.
                                                                                                                                  Under the legacy Garage Coverage Form used in the Series 17-70 commercial-auto syllabus, franchised and nonfranchised automobile dealerships are classic eligible garage operations. The Series 17-70 outline expressly identifies the Garage Coverage Form, Garagekeepers Coverage, liability coverage, physical damage, exclusions, conditions, and definitions as tested commercial-auto subjects.
                                                                                                                                  A moving company is ordinarily handled through commercial auto/motor-carrier arrangements. An auto-parts store does not automatically create the combined dealership exposure contemplated by a garage form. A purely self-service carwash also does not present the same dealer exposure identified by the question.
                                                                                                                                  There is an edition issue worth understanding: ISO replaced the dealer portion of the older CA 00 05 Garage Coverage Form with the modern CA 00 25 Auto Dealers Coverage Form beginning with its 2013 commercial- auto revision. Current Auto Dealers eligibility expressly includes franchised automobile dealerships. The Series 17-70 outline, however, explicitly tests the 2010 commercial-auto Garage form.
                                                                                                                                  Therefore, for this examination, D is correct.


                                                                                                                                  質問 # 94
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