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

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

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                                                                                                                                  Insurance Licensing NewYorkIndependent General Adjuster (Series 17-70) Sample Questions (Q40-Q45):

                                                                                                                                  NEW QUESTION # 40
                                                                                                                                  Under an HO-6 policy, Coverage A - Dwelling applies to all of the following EXCEPT

                                                                                                                                  Answer: D

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is B - unattached appliances. The HO-6 Condominium Unit-Owners form uses Coverage A differently from an ordinary homeowners dwelling form. Coverage A applies to qualifying alterations, appliances, fixtures, and improvements that are part of the building, together with specified items of real property pertaining exclusively to the residence premises and property for which the insured has insurance responsibility under the condominium association agreement.
                                                                                                                                  Current judicial reproduction of condominium-policy language confirms that Coverage A includes
                                                                                                                                  "alterations, appliances, fixtures and improvements" that are part of the building on the residence premises.
                                                                                                                                  Thus, a built-in kitchen cabinet is a fixture forming part of the unit. Attached bathroom fixtures likewise constitute building fixtures. A permanently installed water heater serving the unit can also qualify as building property depending on ownership and association responsibility.
                                                                                                                                  An unattached appliance, however, ordinarily remains personal property rather than a building fixture. Such property is generally analyzed under Coverage C - Personal Property, not Coverage A. The key examination distinction is whether the property has become part of the building or remains movable personal property.
                                                                                                                                  The Series 17-70 outline specifically requires knowledge of HO-2 through HO-6, definitions, Coverage A - Dwelling, Coverage C - Personal Property, and other Section I property coverages.


                                                                                                                                  NEW QUESTION # 41
                                                                                                                                  Under a Homeowners policy, which of the following is an insured location?

                                                                                                                                  Answer: C

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is A - Cemetery plots of any insured. The standardized Homeowners definition of
                                                                                                                                  "insured location" is broader than the residence premises alone. It includes several specifically described locations connected with an insured, one of which is an individual or family cemetery plot or burial vault of an insured.
                                                                                                                                  Published homeowners policy language reproduced in judicial decisions expressly lists individual or family cemetery plots or burial vaults of an insured within the definition of insured location.
                                                                                                                                  An airport is not automatically an insured location merely because an insured happens to be present there.
                                                                                                                                  Similarly, an office building used for business is not brought within the homeowners insured-location definition solely because an insured works there. Farmland is particularly important because homeowners wording generally includes vacant land other than farm land owned by or rented to an insured. Thus, farmland does not qualify under that provision.
                                                                                                                                  The definition is especially significant for Section II liability coverage, because certain premises-related bodily injury or property damage exposures depend on whether a location qualifies as an insured location.
                                                                                                                                  The official Series 17-70 outline tests Homeowners definitions, the HO-2 through HO-6 forms, Section II liability coverages, exclusions, and conditions.
                                                                                                                                  Therefore, A is the only listed location expressly recognized by standard homeowners wording.


                                                                                                                                  NEW QUESTION # 42
                                                                                                                                  The Commercial Inland Marine Conditions Form, when attached to the Commercial Inland Marine Coverage Section, provides which of the following?

                                                                                                                                  Answer: C

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is A - the insured party's duties in the event of a loss. The Commercial Inland Marine Conditions Form (CM 00 01) supplies common conditions applicable to qualifying Commercial Inland Marine coverage forms. One of its central provisions is Duties in the Event of Loss.
                                                                                                                                  Those duties include notifying law enforcement when a law may have been broken, giving the insurer prompt notice of the loss, describing the property involved, explaining how, when, and where the loss occurred, protecting property from further damage, preserving damaged property for examination when feasible, providing requested inventories and records, submitting to examination under oath when required, and cooperating with the insurer.
                                                                                                                                  Option B is incorrect because the conditions form does not itself create a generic transportation-and- communication coverage grant. Specific inland marine coverage forms insure particular property classes or transportation exposures. Option C is too broad; coverage depends on the individual inland marine form and applicable exclusions. Option D is not the principal function of CM 00 01.
                                                                                                                                  The official Series 17-70 outline explicitly includes CM 00 01 - Commercial Inland Marine Conditions within its Commercial Package Policy material.
                                                                                                                                  Therefore, A is correct.


                                                                                                                                  NEW QUESTION # 43
                                                                                                                                  Which of the following is covered by the Causes of Loss - Special Form under commercial property?

                                                                                                                                  Answer: C

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is D - Windstorm. The Commercial Property Causes of Loss - Special Form is written on an open-perils basis. Instead of providing coverage only for specifically named perils, it defines covered causes of loss broadly as risks of direct physical loss unless the cause is expressly excluded or limited.
                                                                                                                                  Windstorm is not generally excluded by the standard Special Form and is therefore ordinarily covered. By contrast, the form expressly excludes smog and includes broad water exclusions encompassing flood, surface water, waves, tides, and mudslide or mudflow. The actual ISO-derived Special Form wording identifies those exclusions directly. New York case law applying the Special Form likewise recognizes flood and mudslide
                                                                                                                                  /mudflow within the standard water exclusion.
                                                                                                                                  This illustrates the key distinction between Basic, Broad, and Special Causes of Loss forms. With a named- peril form, the insured generally begins by demonstrating that a listed peril caused the damage. With Special Form coverage, direct physical loss is presumptively within the broad coverage grant unless an exclusion or limitation applies.
                                                                                                                                  An adjuster must therefore examine the causal mechanism and then determine whether a Special Form exclusion applies.
                                                                                                                                  Among the four choices, Windstorm is the covered cause of loss.
                                                                                                                                  Therefore, D is correct.


                                                                                                                                  NEW QUESTION # 44
                                                                                                                                  Regarding insurance coverage for employment practices exposures, which one of the following statements is TRUE?

                                                                                                                                  Answer: B

                                                                                                                                  Explanation:
                                                                                                                                  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.


                                                                                                                                  NEW QUESTION # 45
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