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

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

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                                                                                                                                  Insurance Licensing NewYorkIndependent General Adjuster (Series 17-70) Sample Questions (Q93-Q98):

                                                                                                                                  NEW QUESTION # 93
                                                                                                                                  The liability section of a businessowners policy (BOP) covers which of the following?

                                                                                                                                  Answer: B

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is D - Customer injured on the business premises. The Businessowners Policy liability section protects an eligible business against covered legal liability for bodily injury, property damage, and personal and advertising injury arising from covered business operations. A customer who is injured on the insured premises represents a classic premises-liability exposure.
                                                                                                                                  Option A concerns first-party property damage to the insured building. A roof damaged by a covered windstorm would therefore be analyzed under the BOP property section, not business liability coverage.
                                                                                                                                  Option B is incorrect because bodily injury to an employee arising out of and in the course of employment is generally excluded from ordinary BOP business liability coverage and is instead addressed by Workers Compensation and Employers Liability insurance.
                                                                                                                                  Option C is also incorrect in the ordinary BOP liability form because bodily injury arising from ownership, maintenance, or use of autos is subject to the policy's auto exclusion. Commercial auto exposures typically require separate Business Auto coverage or an applicable BOP endorsement for limited hired/nonowned auto liability.
                                                                                                                                  The official Series 17-70 blueprint expressly tests the Businessowners liability coverage form, coverages, exclusions, who is an insured, limits, general conditions, and hired/nonowned auto endorsements.
                                                                                                                                  Therefore, D is correct.


                                                                                                                                  NEW QUESTION # 94
                                                                                                                                  What percentage of loss of wages is covered under Personal Injury Protection (PIP)?

                                                                                                                                  Answer: D

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is C - 80%. New York's mandatory No-Fault system, formally established under the Comprehensive Motor Vehicle Insurance Reparations Act, provides Personal Injury Protection benefits for qualifying basic economic loss resulting from a motor vehicle accident.
                                                                                                                                  New York Department of Financial Services guidance states specifically that Basic No-Fault coverage pays
                                                                                                                                  80% of lost earnings from work, subject to a maximum payment of $2,000 per month for up to three years from the date of the accident. Applicable statutory offsets may reduce the amount payable, including qualifying Workers Compensation, New York disability, or federal Social Security disability benefits.
                                                                                                                                  PIP also includes reasonable and necessary accident-related medical and rehabilitation expenses, specified other necessary expenses, and a death benefit, all subject to the statutory structure and the basic No-Fault limit.
                                                                                                                                  The Series 17-70 official outline directly identifies the Comprehensive Motor Vehicle Insurance Reparations Act (PIP), medical expenses, rehabilitation, loss of earnings, funeral expenses, substitution services, OBEL, and additional PIP as examination content.
                                                                                                                                  Option D is incorrect because No-Fault does not replace 100% of wages. Options A and B understate the statutory percentage.
                                                                                                                                  Accordingly, the New York PIP wage-loss percentage tested by this question is 80%, making C correct.


                                                                                                                                  NEW QUESTION # 95
                                                                                                                                  Hired and Non-owned Auto Liability Endorsement covers which of the following?

                                                                                                                                  Answer: B

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is A. The Hired Auto and Non-Owned Auto Liability endorsement extends a Businessowners Policy's liability protection to specified automobile exposures that otherwise fall within the BOP's auto exclusion.
                                                                                                                                  A non-owned auto is generally an automobile the business does not own, lease, hire, rent, or borrow but that is used in connection with the business. An employee's personally owned automobile being used for company business is the classic example. New York BOP rating material describes Non-Owned Auto Liability as protection for automobiles not owned, borrowed, or hired by the insured, while court decisions applying the endorsement confirm coverage for bodily injury or property damage arising from use of qualifying non- owned autos in the business.
                                                                                                                                  Technically, the endorsement principally protects the business's liability arising from that use; it should not be interpreted as automatically providing personal liability or physical-damage protection to the employee-owner of the vehicle.
                                                                                                                                  Options B, C, and D involve a company-owned automobile. A business-owned van or auto normally requires appropriate commercial automobile insurance and does not become a hired or non-owned auto simply because an employee or customer is driving it.
                                                                                                                                  The Series 17-70 outline specifically includes Businessowners coverage and associated liability concepts.
                                                                                                                                  Therefore, A is correct.


                                                                                                                                  NEW QUESTION # 96
                                                                                                                                  A broken bone is the same as a

                                                                                                                                  Answer: B

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is A - fracture. A fracture is the medical term for a break in a bone. The break may be complete or partial and can be classified in numerous ways, including open versus closed, displaced versus nondisplaced, transverse, oblique, comminuted, stress, or other fracture patterns. MedlinePlus expressly identifies a fracture as a break in a bone and lists "broken bone" as an alternative description.
                                                                                                                                  A dislocation differs because it involves bones being forced out of their normal relationship at a joint. A sprain involves ligaments, while a strain typically involves muscles or tendons. Although a serious traumatic event can produce more than one of these injuries simultaneously-for example, a fracture-dislocation-they remain medically distinct conditions.
                                                                                                                                  For an independent general adjuster, accurate medical terminology is important when reviewing bodily injury claims. A diagnosis of fracture may affect emergency treatment, immobilization, surgery, rehabilitation, duration of disability, medical expenses, and the eventual evaluation of damages. The adjuster should therefore distinguish structural injury to bone from injuries involving joints, ligaments, muscles, and tendons.
                                                                                                                                  Accordingly, the medical equivalent of a broken bone is a fracture, making A the only correct choice.


                                                                                                                                  NEW QUESTION # 97
                                                                                                                                  A producer is REQUIRED to report to the Commissioner any criminal prosecution taken in any jurisdiction against him within how many days of the initial pre-trial hearing date?

                                                                                                                                  Answer: A

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is B - 30 days. New York Insurance Law §2110(j) requires a licensee subject to Article
                                                                                                                                  21 to report any criminal prosecution taken against the licensee in any jurisdiction within 30 days of the initial pretrial hearing date. The report must include the initial complaint, the resulting order, and other relevant legal documents.
                                                                                                                                  New York DFS enforcement actions continue to apply this requirement directly. DFS has disciplined licensees, including independent adjusters, for failing to notify the Department within the required 30-day period following the initial pretrial hearing date.
                                                                                                                                  There is one terminology point to correct for New York examination purposes: the statute requires notification to the Superintendent of Financial Services, not a "Commissioner." The 30-day answer, however, remains unchanged.
                                                                                                                                  Do not confuse criminal-prosecution reporting with the separate requirement under §2110(i) for administrative actions. Administrative actions taken in another jurisdiction or by another governmental agency must generally be reported within 30 days of the final disposition of that matter.
                                                                                                                                  Series 17-70 reference topics: Insurance Regulation - Licensing, Maintenance of License, Disciplinary Actions, Reporting Requirements, and New York Insurance Law §2110.


                                                                                                                                  NEW QUESTION # 98
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