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

SectionWeightObjectives
Topic 1: Insurance Basics6%- Insurance Contracts
  • 1. Representations, Warranties and Concealment
    • 2. Elements and Characteristics
      - Policy Structure
      • 1. Limits, Deductibles and Other Insurance
        • 2. Subrogation, Salvage and Loss Settlement
          • 3. Declarations, Conditions and Exclusions
            - Insurance Principles
            • 1. Hazards, Negligence and Liability
              • 2. Insurable Interest and Indemnity
                • 3. Causes and Valuation of Loss
                  Topic 2: Commercial Package Policy38%- Commercial Inland Marine
                  • 1. Marine Definition and Conditions
                    • 2. Accounts Receivable and Valuable Papers
                      • 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 3: 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. Medical Specialties
                                              • 2. Prefixes, Suffixes and Abbreviations
                                                Topic 4: Dwelling Policy6%- Property Coverages
                                                • 1. Personal Property and Loss of Use
                                                  • 2. Dwelling and Other Structures
                                                    - Exclusions, Conditions and Endorsements
                                                    • 1. General Exclusions and Conditions
                                                      • 2. New York and Selected Endorsements
                                                        - Coverage Forms and Perils
                                                        • 1. Basic, Broad and Special Forms
                                                          • 2. Covered Perils
                                                            Topic 5: 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
                                                                    - 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
                                                                            - Coverage Forms
                                                                            • 1. HO-2 through HO-6
                                                                              • 2. HO-8
                                                                                Topic 6: Accident and Health Insurance Basics6%- Limited Policies
                                                                                • 1. Hospital, Dental and Vision Coverage
                                                                                  • 2. Accident-Only and Specified Disease
                                                                                    - Types of Coverage
                                                                                    • 1. Disability, Medical and Long-Term Care
                                                                                      • 2. Accidental Injury and Sickness
                                                                                        - Accident and Health Claims
                                                                                        • 1. Notice and Proof of Loss
                                                                                          • 2. Investigation and Payment of Claims
                                                                                            Topic 7: 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
                                                                                                  Topic 8: Insurance Regulation6%- License Maintenance
                                                                                                  • 1. Assumed Names and Reporting
                                                                                                    • 2. Renewal and Changes
                                                                                                      - Licensing Requirements
                                                                                                      • 1. Bond and Fingerprinting
                                                                                                        • 2. Qualifications and Application
                                                                                                          - Disciplinary Actions
                                                                                                          • 1. Penalties and Cease and Desist Orders
                                                                                                            • 2. Suspension and Revocation
                                                                                                              - Claim Settlement Regulations
                                                                                                              • 1. Unfair Claim Practices
                                                                                                                • 2. Consumer Privacy
                                                                                                                  Topic 9: Adjusting Losses11%- Claim Settlement
                                                                                                                  • 1. Subrogation, Appraisal and Arbitration
                                                                                                                    • 2. Negotiation and Releases
                                                                                                                      - 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
                                                                                                                              - Role of the Adjuster
                                                                                                                              • 1. Independent, Staff and Public Adjusters
                                                                                                                                • 2. Duties and Responsibilities

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                                                                                                                                  Insurance Licensing NewYorkIndependent General Adjuster (Series 17-70) Sample Questions (Q88-Q93):

                                                                                                                                  NEW QUESTION # 88
                                                                                                                                  An insured that is covered on a business automobile policy would like to get physical damage coverage for a forklift used at their facility. Which endorsement can be used to insure this covered automobile?

                                                                                                                                  Answer: B

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is B - Mobile equipment endorsement. A forklift is ordinarily classified as mobile equipment, rather than an "auto," because it is principally designed for use off public roads or for operations at a premises. Consequently, it does not automatically fall within the standard Business Auto Coverage Form's normal treatment of covered autos.
                                                                                                                                  A Mobile Equipment endorsement permits specifically described mobile equipment to be treated as a covered auto for the coverages scheduled in the endorsement. Depending on the form and selections, this can extend Physical Damage coverage to the equipment. Forklifts are specifically recognized as classic examples of mobile equipment.
                                                                                                                                  The Miscellaneous Type Vehicle endorsement is primarily associated with personal auto treatment of specialized vehicles and is not the appropriate commercial solution here. The Truckers Coverage Form addresses motor-carrier/trucking exposures. The Drive Other Car endorsement extends specified commercial- auto protections to certain individuals when they use nonowned autos and has nothing to do with insuring a business-owned forklift.
                                                                                                                                  The Series 17-70 outline directly tests Commercial Auto, Business Auto, Physical Damage Coverage, Definitions, and the Mobile Equipment endorsement. The New York examination outline identifies mobile equipment specifically among the selected commercial-auto endorsements.
                                                                                                                                  Thus, B is the technically correct selection.


                                                                                                                                  NEW QUESTION # 89
                                                                                                                                  Under the Businessowners Policy (BOP), business income loss coverage begins after a covered loss has occurred and continues for a MAXIMUM of

                                                                                                                                  Answer: C

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is D - 12 consecutive months. Under the ISO Businessowners Coverage Form applicable to the form generation tested by this examination material, Business Income coverage pays the actual loss of Business Income sustained during the applicable period of restoration, subject to the contractual maximum of
                                                                                                                                  12 consecutive months after the date of direct physical loss or damage. Policy schedules describing BP 00 03 likewise identify Business Income and Extra Expense as actual-loss-sustained coverage not exceeding 12 consecutive months.
                                                                                                                                  Business Income protection is intended to place the insured, within policy limitations, in approximately the financial position it would have occupied had the covered interruption not occurred. It generally incorporates net income that would have been earned plus continuing normal operating expenses, subject to the particular form.
                                                                                                                                  Options A, B, and C materially understate the maximum period prescribed by the BOP wording tested here.
                                                                                                                                  They should not be confused with separate time restrictions that may apply to specific additional coverages, waiting periods, extended business income provisions, payroll limitations, or endorsements.
                                                                                                                                  The Series 17-70 official outline assigns a specific section to the Businessowners (2010) Policy, including property coverage, additional coverages, causes of loss, exclusions, loss conditions, and definitions.
                                                                                                                                  Therefore, the examination answer is D.


                                                                                                                                  NEW QUESTION # 90
                                                                                                                                  A limit of insurance that determines the maximum amount that can be paid out annually is

                                                                                                                                  Answer: B

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is C - an aggregate limit. An aggregate limit establishes the maximum amount an insurer will pay for all covered claims subject to that aggregate during the applicable policy period, ordinarily one year. The Hartford describes an aggregate limit as the maximum amount an insurer pays for all claims during the policy period.
                                                                                                                                  This must be distinguished from an occurrence limit, which caps the amount payable for one occurrence. For example, a liability policy might provide a $1 million each-occurrence limit and a $2 million general aggregate. Multiple individually covered occurrences can therefore consume the aggregate until the total available limit has been exhausted.
                                                                                                                                  A single limit generally refers to one combined limit rather than separate limits for different components, such as bodily injury and property damage. "Face amount" is terminology more commonly associated with life insurance or other contracts stating a specified benefit amount and does not describe an annual liability ceiling.
                                                                                                                                  The official Series 17-70 outline specifically tests policy limits, per-occurrence limits, per-person limits, general and products/completed-operations aggregate limits, single/split limits, and combined single limits.
                                                                                                                                  Thus, when the question asks for the limit controlling the maximum cumulative payout during the annual policy period, aggregate limit is the precise insurance term.
                                                                                                                                  Therefore, C is correct.


                                                                                                                                  NEW QUESTION # 91
                                                                                                                                  An Individual Fidelity Bond protects a businessowner from economic losses caused by

                                                                                                                                  Answer: B

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is A - the dishonest actions of a specific employee. Fidelity insurance protects an employer against direct financial loss resulting from dishonest acts committed by employees. The defining feature of an Individual Fidelity Bond is that it applies to a specifically identified or named individual rather than to all employees or an entire class of positions.
                                                                                                                                  Federal surety definitions describe an individual fidelity bond as protection against dishonesty with respect to a named individual. By contrast, a blanket fidelity bond covers all qualifying employees, while a blanket position or scheduled-position bond can apply according to the positions occupied rather than solely to a single named person.
                                                                                                                                  Option B therefore more closely resembles a blanket or collective arrangement. Option C suggests multiple employees scheduled under one bond and therefore describes a scheduled-name concept rather than an individual fidelity bond. Option D concerns misconduct by an external supplier; fidelity coverage is principally designed around dishonest acts of covered employees, not ordinary breach of contract by third- party vendors.
                                                                                                                                  Typical covered dishonest acts can include theft, embezzlement, fraudulent conversion, or other dishonest conduct satisfying the policy's definition and intent requirements.
                                                                                                                                  The Series 17-70 surety/crime curriculum requires candidates to distinguish individual, schedule, position, and blanket fidelity bonds.
                                                                                                                                  Therefore, A is correct.


                                                                                                                                  NEW QUESTION # 92
                                                                                                                                  An insurance contract is a contract of utmost good faith because the insurer relies on the truthfulness of the applicant and the insured relies on the insurer's promise to

                                                                                                                                  Answer: B

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is C - pay the claims. Insurance contracts traditionally incorporate the doctrine of utmost good faith, sometimes expressed by the Latin term uberrimae fidei. The insurance transaction depends heavily on truthful and complete disclosure because the applicant possesses material information concerning the risk, while the insured depends upon the insurer to perform its contractual obligations when an insured loss occurs.
                                                                                                                                  The Series 17-70 official outline expressly identifies utmost good faith, representations, misrepresentations, warranties, concealment, fraud, waiver, and estoppel as legal concepts affecting insurance contracts.
                                                                                                                                  The applicant's obligation is therefore to make truthful representations concerning matters material to underwriting and coverage. Correspondingly, after a covered loss and satisfaction of applicable policy conditions, the insurer must honor its contractual promise to indemnify or otherwise provide the benefits specified by the policy.
                                                                                                                                  Option A is incomplete because simply issuing a policy does not capture the insurer's principal performance obligation after coverage attaches. Filing regulatory reports is a statutory or administrative responsibility and is not the reciprocal contractual promise on which the insured relies. Charging a fair premium is also not the defining reciprocal duty in the doctrine being tested.
                                                                                                                                  Accordingly, the insured relies on the insurer's promise to pay valid covered claims according to the contract, making C correct.


                                                                                                                                  NEW QUESTION # 93
                                                                                                                                  ......

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