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

SectionWeightObjectives
Topic 1: Medical Reports and Terminology4%- Injuries, Diseases and Medical Tests
  • 1. Common Injuries and Diseases
    • 2. Diagnostic Tests
      - Medical Terminology
      • 1. Medical Specialties
        • 2. Prefixes, Suffixes and Abbreviations
          - Basic Human Anatomy
          • 1. Skeletal, Nervous and Respiratory Systems
            • 2. Cardiovascular and Abdominal Systems
              Topic 2: Commercial Package Policy38%- Commercial Policy Components
              • 1. Common Policy Conditions
                • 2. Common Policy Declarations
                  - Transportation Coverages
                  • 1. Transit Coverage
                    • 2. Common Carrier Legal Liability
                      • 3. Motor Truck Cargo
                        - Commercial Inland Marine
                        • 1. Marine Definition and Conditions
                          • 2. Jewelers Block, Signs and Electronic Data Processing
                            • 3. Contractors Equipment and Installation Floaters
                              • 4. Accounts Receivable and Valuable Papers
                                Topic 3: Adjusting Losses11%- Role of the Adjuster
                                • 1. Independent, Staff and Public Adjusters
                                  • 2. Duties and Responsibilities
                                    - Claim Settlement
                                    • 1. Negotiation and Releases
                                      • 2. Subrogation, Appraisal and Arbitration
                                        - Claim Investigation
                                        • 1. Claim Reporting and Documentation
                                          • 2. Evidence and Witness Statements
                                            - Property and Liability Losses
                                            • 1. Estimates, Depreciation and Salvage
                                              • 2. Coverage Verification and Loss Evaluation
                                                Topic 4: Homeowners Policy10%- Property Coverages
                                                • 1. Loss of Use and Additional Coverages
                                                  • 2. Dwelling, Other Structures and Personal Property
                                                    - Liability Coverages
                                                    • 1. Personal Liability
                                                      • 2. Medical Payments to Others
                                                        - Selected Endorsements
                                                        • 1. Earthquake, Identity Fraud and Home Business
                                                          • 2. New York Special Provisions
                                                            - Perils, Exclusions and Conditions
                                                            • 1. Exclusions and Conditions
                                                              • 2. Perils Insured Against
                                                                - Coverage Forms
                                                                • 1. HO-8
                                                                  • 2. HO-2 through HO-6
                                                                    Topic 5: Personal Inland Marine13%- Personal Property Floater
                                                                    • 1. Coverage and Eligible Property
                                                                      - Personal Effects Floater
                                                                      • 1. Coverage and Loss Settlement
                                                                        - Personal Articles Floater
                                                                        • 1. Scheduled Personal Property
                                                                          Topic 6: Insurance Basics6%- Insurance Contracts
                                                                          • 1. Representations, Warranties and Concealment
                                                                            • 2. Elements and Characteristics
                                                                              - Insurance Principles
                                                                              • 1. Hazards, Negligence and Liability
                                                                                • 2. Causes and Valuation of Loss
                                                                                  • 3. Insurable Interest and Indemnity
                                                                                    - Policy Structure
                                                                                    • 1. Subrogation, Salvage and Loss Settlement
                                                                                      • 2. Declarations, Conditions and Exclusions
                                                                                        • 3. Limits, Deductibles and Other Insurance
                                                                                          Topic 7: Insurance Regulation6%- Disciplinary Actions
                                                                                          • 1. Suspension and Revocation
                                                                                            • 2. Penalties and Cease and Desist Orders
                                                                                              - Licensing Requirements
                                                                                              • 1. Bond and Fingerprinting
                                                                                                • 2. Qualifications and Application
                                                                                                  - Claim Settlement Regulations
                                                                                                  • 1. Unfair Claim Practices
                                                                                                    • 2. Consumer Privacy
                                                                                                      - License Maintenance
                                                                                                      • 1. Assumed Names and Reporting
                                                                                                        • 2. Renewal and Changes
                                                                                                          Topic 8: Dwelling Policy6%- Property Coverages
                                                                                                          • 1. Personal Property and Loss of Use
                                                                                                            • 2. Dwelling and Other Structures
                                                                                                              - Coverage Forms and Perils
                                                                                                              • 1. Covered Perils
                                                                                                                • 2. Basic, Broad and Special Forms
                                                                                                                  - Exclusions, Conditions and Endorsements
                                                                                                                  • 1. New York and Selected Endorsements
                                                                                                                    • 2. General Exclusions and Conditions
                                                                                                                      Topic 9: Accident and Health Insurance Basics6%- Accident and Health Claims
                                                                                                                      • 1. Investigation and Payment of Claims
                                                                                                                        • 2. Notice and Proof of Loss
                                                                                                                          - Types of Coverage
                                                                                                                          • 1. Disability, Medical and Long-Term Care
                                                                                                                            • 2. Accidental Injury and Sickness
                                                                                                                              - Limited Policies
                                                                                                                              • 1. Hospital, Dental and Vision Coverage
                                                                                                                                • 2. Accident-Only and Specified Disease

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                                                                                                                                  Insurance Licensing NewYorkIndependent General Adjuster (Series 17-70) Sample Questions (Q26-Q31):

                                                                                                                                  NEW QUESTION # 26
                                                                                                                                  At the insurer's request, an insured must assist the insurer in

                                                                                                                                  Answer: C

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is A. Liability insurance policies impose an assistance and cooperation condition on the insured. Under the traditional policy wording, the insured must cooperate with the insurer and, when requested, assist in the conduct of suits and in enforcing rights of contribution or indemnity against persons or organizations that may be liable to the insured for the covered injury or damage. Courts reproducing standard liability-policy language confirm this contractual obligation.
                                                                                                                                  Option B conflicts with another fundamental liability-policy condition: an insured generally may not voluntarily make payments, assume obligations, or incur expenses without the insurer's consent, except for specifically permitted expenses such as immediate first aid under applicable forms. Unauthorized voluntary payments can prejudice the insurer's contractual control of the claim.
                                                                                                                                  Option C is imprecise. Although an insured can be required to assist the insurer in making settlements, the insurer normally controls settlement negotiations within the authority granted by the liability contract. The question asks for the specific duty expressed in standard cooperation language, making A the precise choice.
                                                                                                                                  Paying legal bills, option D, is likewise not the insured's cooperation obligation where covered defense costs are contractually borne by the insurer.
                                                                                                                                  The Series 17-70 outline expressly includes duties after loss, subrogation, third-party provisions, settlement procedures, and subrogation procedures.


                                                                                                                                  NEW QUESTION # 27
                                                                                                                                  A deli customer died from food poisoning because the chicken salad was not prepared correctly. Which type of loss is this an example of?

                                                                                                                                  Answer: C

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is A - Bodily injury. Commercial General Liability terminology defines "bodily injury" broadly to include bodily injury, sickness, or disease sustained by a person, including death resulting from any of these. Food poisoning from improperly prepared chicken salad constitutes sickness or disease affecting a person's body; because the customer dies as a result, the resulting death remains within the bodily-injury definition.
                                                                                                                                  This scenario may also implicate the products-completed operations hazard, because the allegedly defective or contaminated food caused injury after being provided to the customer. Nevertheless, the question asks for the type of loss, not which CGL hazard classification applies. The loss is therefore bodily injury.
                                                                                                                                  Property damage refers to physical injury to tangible property or qualifying loss of use and does not describe injury or death to a human being. "Health injury" is not the standardized CGL category used for this coverage.
                                                                                                                                  Personal and advertising injury concerns specifically defined offenses such as false arrest, malicious prosecution, wrongful eviction, certain privacy violations, and specified publication-related offenses-not physical illness from contaminated food.
                                                                                                                                  The Series 17-70 outline expressly covers CGL bodily injury and property damage liability, premises and operations, and products-completed operations.


                                                                                                                                  NEW QUESTION # 28
                                                                                                                                  If a licensee has been found to have committed any fraudulent or dishonest practice, the Superintendent may do all of the following EXCEPT

                                                                                                                                  Answer: A

                                                                                                                                  Explanation:
                                                                                                                                  The verified answer is D - withhold the licensee's commissions and/or fees. New York Insurance Law §2110 authorizes the Superintendent of Financial Services to refuse renewal, revoke, or suspend an insurance producer's, consultant's, adjuster's, or other covered license when the licensee has used fraudulent, coercive, or dishonest practices or engaged in specified misconduct.
                                                                                                                                  New York law also authorizes monetary penalties. Insurance Law §2127 permits the Superintendent, in lieu of license revocation or suspension in qualifying proceedings, to impose a monetary penalty. Thus, A and B clearly represent recognized regulatory sanctions.
                                                                                                                                  Option D is the required exception because withholding commissions or fees otherwise earned by a licensee is not listed as the Article 21 disciplinary sanction for fraudulent or dishonest practice. Regulatory action may affect the person's continuing authority to transact insurance and can include suspension, revocation, nonrenewal, and statutory penalties, but it does not operate simply by confiscating the licensee's compensation.
                                                                                                                                  The video's use of "Insurance Commissioner" should also be corrected for New York: the appropriate regulator is the Superintendent of Financial Services.
                                                                                                                                  The Series 17-70 outline tests licensing, disciplinary actions, penalties, suspension, revocation, and prohibited fraudulent or dishonest conduct.
                                                                                                                                  Therefore, D is the verified answer.


                                                                                                                                  NEW QUESTION # 29
                                                                                                                                  Under an equipment breakdown coverage form, a breakdown would include

                                                                                                                                  Answer: C

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is C - Explosion of a pressure vessel. Equipment Breakdown insurance evolved from traditional boiler and machinery coverage and protects against specified accidental failures involving mechanical, electrical, and pressure equipment. Boilers and pressure vessels remain central examples of covered equipment.
                                                                                                                                  Travelers identifies boilers and pressure vessels among equipment insured by equipment-breakdown coverage and explains that such coverage can protect against losses associated with explosions, mechanical failures, and electrical arcing. IRMI likewise describes boiler or pressure-vessel explosion as a traditional equipment- breakdown exposure.
                                                                                                                                  The other choices describe conditions that ordinarily do not independently satisfy the definition of a covered breakdown. Wear and tear represents gradual deterioration rather than a sudden accidental equipment event.
                                                                                                                                  Leakage at valves or fittings is commonly specifically distinguished from breakdown. The functioning or failure characteristics of protective or safety devices also require analysis under the precise form and generally do not constitute the intended qualifying breakdown in this question.
                                                                                                                                  Equipment Breakdown insurance is especially important because standard commercial property forms may exclude or restrict losses caused by mechanical breakdown, electrical disturbance, or certain pressure- equipment events.
                                                                                                                                  Series 17-70 reference topics: Other Coverages - Equipment Breakdown, Property Exposures, Causes of Loss, Exclusions, and Specialized Commercial Coverages.


                                                                                                                                  NEW QUESTION # 30
                                                                                                                                  In order to provide coverage for land-based maritime employees, which endorsement MUST be added to the standard Workers' Compensation Policy?

                                                                                                                                  Answer: C

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is D - U.S. Longshore and Harbor Workers Compensation Endorsement. The Longshore and Harbor Workers' Compensation Act (LHWCA) is a federal workers' compensation statute covering qualifying maritime employees such as longshore workers, harbor workers, ship repairers, shipbuilders, and shipbreakers who satisfy the Act's coverage requirements.
                                                                                                                                  For New York workers' compensation insurance, the New York Compensation Insurance Rating Board expressly states that U.S. Longshore and Harbor Workers' Compensation Act insurance is provided by attaching the Longshore and Harbor Workers' Compensation Act Coverage Endorsement, WC 00 01 06 A, to the standard Workers Compensation and Employers Liability Insurance Policy.
                                                                                                                                  Option B, the Federal Employers' Liability Act endorsement, addresses railroad employment exposures governed by FELA rather than longshore employment. Maritime Coverage endorsements relate principally to certain admiralty-law liabilities and should not be confused with the specific federal statutory workers' compensation coverage required by the LHWCA.
                                                                                                                                  The distinction between seamen and land-based maritime workers is particularly important: qualifying vessel crew may fall under different maritime remedies, whereas qualifying shoreside maritime workers are the principal concern of the LHWCA.
                                                                                                                                  Series 17-70 reference topics: Workers Compensation - Federal Workers Compensation Laws, LHWCA, Workers Compensation Policy, Employers Liability, and Federal Endorsements.


                                                                                                                                  NEW QUESTION # 31
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