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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Dwelling and Homeowners Insurance | - Personal umbrella policies - Homeowners property coverage - Homeowners liability coverage - Personal liability supplement - Dwelling policies - Standard Fire Policy - New York specific endorsements | |
| Topic 2: New York Unfair Claim Settlement and Prohibited Practices | - Insurance fraud and false statements - Terrorism Risk Insurance Act - Unfair claim settlement practices - New York claim settlement laws and regulations - New York cybersecurity regulation - Consumer privacy requirements | |
| Topic 3: Other Property and Liability Coverages | - Aviation insurance - Commercial automobile - Flood insurance - Inland marine - Workers compensation - Excess liability - Ocean marine - Crime insurance - Surety and fidelity bonds - Personal automobile | |
| Topic 4: Commercial Package Policy | 38% | - Components of a commercial policy - Monoline versus package policies - Common policy conditions - Common policy declarations - First named insured |
| Topic 5: Commercial Property | - Commercial property coverage - Businessowners Policy - Commercial property forms and endorsements - Commercial Package Policy - Commercial General Liability | |
| Topic 6: Claims Adjustment Procedures | - Alternative dispute resolution - Advance payments - Negotiation - Competitive estimates - Subrogation procedures - Execution of releases - Claims adjustment procedures - Arbitration - Settlement procedures - Releases - Reservation of rights letters - Coverage problems - Mediation - Non-waiver agreements - Draft authority - Appraisal | |
| Topic 7: Insurance Regulation | - Licensing requirements - Qualifications - Fingerprinting - Temporary adjuster permits - License renewal - Licensing process - Bond requirements - License maintenance and duration | |
| Topic 8: Insurance Principles and Concepts | - Morale hazards - Warranties - Concealment - Insurance principles and concepts - Representations and misrepresentations - Insurable interest - Moral hazards - Fraud - Hazards - Waiver and estoppel - Insurance contracts - Physical hazards |
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NEW QUESTION # 43
If a businessowner has a loss, which of the following will the insurer REQUIRE from the insured to assist in the business interruption portion of the claim?
Answer: C
Explanation:
The correct answer is A. A business interruption or Business Income claim requires documentary evidence sufficient to establish what the business would probably have earned had the covered loss not occurred.
Financial records are therefore indispensable. Relevant documentation commonly includes profit-and-loss statements, sales records, payroll information, general ledgers, prior financial statements, income-tax returns, and associated tax schedules.
The standard Business Income coverage conditions authorize the insurer, as often as reasonably required, to examine the insured's books and records and make copies. This enables the adjuster to reconstruct historical income, determine continuing and noncontinuing expenses, identify trends, evaluate the period of restoration, and calculate the actual Business Income loss.
An examination under oath can also be required during a claim investigation, but it is not the best answer to what specifically assists with the business interruption calculation. Furniture and fixture inventories principally support physical property claims. An onsite inspection likewise assists investigation but does not provide the financial evidence needed to quantify lost earnings.
The official Series 17-70 outline specifically tests Business Income/Extra Expense, Business Interruption/time element, and the insured's duty to produce books and records after loss.
NEW QUESTION # 44
The final step of the claims process usually involves which of the following?
Answer: C
Explanation:
The correct answer is A. After coverage has been verified, the loss investigated, evidence gathered, damages measured, and applicable policy provisions applied, the claim normally advances to settlement and payment.
At this stage, the adjuster communicates the valuation and seeks resolution of the amount payable under the policy.
A contemporary claims-process description characterizes the final stage as arranging resolution: once damages and costs are established, the adjuster discusses settlement and arranges payment.
Option B is incorrect because a historical loss run is an underwriting or loss-history document, not a mandatory final step in settling an individual claim. Option C is also incorrect; insurers are subject to regulatory reporting requirements, but an adjuster does not ordinarily submit every final claim payment to the state insurance department as the concluding step of each claim. Option D occurs earlier. Reserves are established and modified throughout investigation as the expected claim cost becomes clearer.
The official Series 17-70 outline specifically identifies Claims Adjustment Procedures, Settlement Procedures, Negotiation, Releases, Advance Payments, Draft Authority, Appraisal, and Alternative Dispute Resolution.
Therefore, A accurately describes the normal final settlement phase.
NEW QUESTION # 45
Which of the following would be considered an unforeseen act which causes bodily harm?
Answer: A
Explanation:
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.
NEW QUESTION # 46
Which of the following provides high-quality magnetic images of body areas without the use of ionizing radiation?
Answer: B
Explanation:
The correct answer is C - MRI. Magnetic Resonance Imaging (MRI) produces detailed images by using a powerful magnetic field, radiofrequency energy, and computer processing. Unlike conventional X-rays and computed tomography (CAT/CT), MRI does not use ionizing radiation.
The U.S. Food and Drug Administration confirms that MR images are created without ionizing radiation and notes that MRI provides especially strong soft-tissue contrast, allowing differentiation among structures such as muscle, fat, water-containing tissues, joints, the brain, and other organs.
CAT or CT scanning, option A, uses X-ray technology and therefore involves ionizing radiation.
Conventional X-rays, option D, obviously also rely on ionizing radiation. Ultrasound, option B, does not use ionizing radiation either; it uses high-frequency sound waves. However, the question specifically asks for high-quality magnetic images, which uniquely identifies MRI among the choices.
An adjuster handling accident, disability, health, or workers compensation claims must understand diagnostic terminology because medical imaging reports may establish the existence, severity, location, and causation of an alleged injury.
The Series 17-70 outline specifically tests Understanding the Language of Medical Reports, including medical terminology and abbreviations, basic anatomy, and common injuries and diseases.
NEW QUESTION # 47
Under an HO-3 Policy, Coverage F - Medical Payments to Others applies to all of the following EXCEPT
Answer: D
Explanation:
The correct answer is C. Coverage F - Medical Payments to Others provides limited no-fault medical- expense protection for qualifying bodily injury to persons other than an insured. Coverage commonly applies to persons injured on an insured location with permission, and in specified situations involving the insured's activities, residence employees, or animals.
A special rule applies to a residence employee. Medical Payments may cover a residence employee away from the insured location when the injury arises out of or in the course of the employee's work for the insured.
However, standard HO-3 analysis excludes a residence employee's injury occurring away from the insured location when the injury is unrelated to that employment.
The nanny in option C is engaged in personal shopping, not performing duties for the insured. The necessary employment connection therefore does not exist.
The meter reader in A is injured on the insured premises, the mail carrier in B has an injury arising from the insured's dog, and the invited family friend in D is injured while on the insured location. Those scenarios fall within the general scope of Coverage F, subject to normal policy conditions and exclusions.
The Series 17-70 outline tests Homeowners Coverage F - Medical Payments to Others, definitions, exclusions, and Section II conditions.
Therefore, C is correct.
NEW QUESTION # 48
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