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

SectionWeightObjectives
Insurance Regulation6%- Claim Settlement Regulations
  • 1. Consumer Privacy
    • 2. Unfair Claim Practices
      - Disciplinary Actions
      • 1. Suspension and Revocation
        • 2. Penalties and Cease and Desist Orders
          - License Maintenance
          • 1. Assumed Names and Reporting
            • 2. Renewal and Changes
              - Licensing Requirements
              • 1. Qualifications and Application
                • 2. Bond and Fingerprinting
                  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
                              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. Accidental Injury and Sickness
                                    • 2. Disability, Medical and Long-Term Care
                                      - Limited Policies
                                      • 1. Hospital, Dental and Vision Coverage
                                        • 2. Accident-Only and Specified Disease
                                          Homeowners Policy10%- Selected Endorsements
                                          • 1. Earthquake, Identity Fraud and Home Business
                                            • 2. New York Special Provisions
                                              - Perils, Exclusions and Conditions
                                              • 1. Perils Insured Against
                                                • 2. Exclusions and Conditions
                                                  - 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. Personal Liability
                                                            • 2. Medical Payments to Others
                                                              Insurance Basics6%- Policy Structure
                                                              • 1. Declarations, Conditions and Exclusions
                                                                • 2. Subrogation, Salvage and Loss Settlement
                                                                  • 3. Limits, Deductibles and Other Insurance
                                                                    - Insurance Principles
                                                                    • 1. Hazards, Negligence and Liability
                                                                      • 2. Causes and Valuation of Loss
                                                                        • 3. Insurable Interest and Indemnity
                                                                          - Insurance Contracts
                                                                          • 1. Representations, Warranties and Concealment
                                                                            • 2. Elements and Characteristics
                                                                              Commercial Package Policy38%- Transportation Coverages
                                                                              • 1. Transit Coverage
                                                                                • 2. Common Carrier Legal Liability
                                                                                  • 3. Motor Truck Cargo
                                                                                    - Commercial Policy Components
                                                                                    • 1. Common Policy Conditions
                                                                                      • 2. Common Policy Declarations
                                                                                        - 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
                                                                                                Personal Inland Marine13%- Personal Effects Floater
                                                                                                • 1. Coverage and Loss Settlement
                                                                                                  - Personal Articles Floater
                                                                                                  • 1. Scheduled Personal Property
                                                                                                    - Personal Property Floater
                                                                                                    • 1. Coverage and Eligible Property
                                                                                                      Adjusting Losses11%- 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
                                                                                                              - Role of the Adjuster
                                                                                                              • 1. Duties and Responsibilities
                                                                                                                • 2. Independent, Staff and Public Adjusters
                                                                                                                  - Claim Settlement
                                                                                                                  • 1. Subrogation, Appraisal and Arbitration
                                                                                                                    • 2. Negotiation and Releases
                                                                                                                      Medical Reports and Terminology4%- Injuries, Diseases and Medical Tests
                                                                                                                      • 1. Common Injuries and Diseases
                                                                                                                        • 2. Diagnostic Tests
                                                                                                                          - Medical Terminology
                                                                                                                          • 1. Prefixes, Suffixes and Abbreviations
                                                                                                                            • 2. Medical Specialties
                                                                                                                              - Basic Human Anatomy
                                                                                                                              • 1. Skeletal, Nervous and Respiratory Systems
                                                                                                                                • 2. Cardiovascular and Abdominal Systems

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

                                                                                                                                  NEW QUESTION # 40
                                                                                                                                  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: C

                                                                                                                                  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 # 41
                                                                                                                                  A commercial umbrella policy provides coverage in which of the following situations?

                                                                                                                                  Answer: A

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is D. A commercial umbrella policy provides an additional layer of liability insurance above specified underlying policies, such as Commercial General Liability, Business Auto Liability, or Employers Liability. For a loss covered by both the underlying policy and umbrella, the umbrella generally begins responding after the applicable underlying limits have been exhausted by covered loss, subject to the umbrella's terms, limits, exclusions, and attachment requirements.
                                                                                                                                  Travelers describes umbrella coverage as providing additional limits for types of losses covered by primary policies, while excess liability functions as another layer over primary protection. The Series 17-70 outline specifically tests commercial umbrella coverage, underlying limits, excess coverage, stand-alone coverage, and follow-form concepts.
                                                                                                                                  Option A is incorrect because an umbrella ordinarily does not automatically drop down merely because an underlying insurer becomes insolvent; insolvency treatment depends on the umbrella's exact wording. Option B refers to a personal-auto exposure rather than the commercial liability structure asked about. Option C is incorrect because a loss still within the retained underlying limit is principally the responsibility of the underlying insurer or insured retention.
                                                                                                                                  Thus, once the required underlying policy limits have been exhausted by covered claims, the umbrella layer can attach.
                                                                                                                                  Therefore, D is correct.


                                                                                                                                  NEW QUESTION # 42
                                                                                                                                  What is the MINIMUM dollar limit that applies to Workers' Compensation Coverage under Part One of the policy?

                                                                                                                                  Answer: B

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is C. Part One - Workers Compensation Insurance does not operate with a conventional policy liability limit such as $100,000 or $500,000. Instead, the insurer agrees to pay the workers' compensation benefits that the employer is required to provide under the workers' compensation law applicable to a state listed in the policy.
                                                                                                                                  The New York Compensation Insurance Rating Board states this directly: there is no limit of liability in the Standard Policy for Part One - Workers' Compensation; the contract provides all benefits required by the applicable workers' compensation law.
                                                                                                                                  Options A and B are therefore incorrect because they resemble liability-limit amounts rather than statutory Workers Compensation Part One benefits. Option D is also incorrect. The Information Page identifies the relevant states and other policy data, but it does not transform Part One into a fixed-dollar-limit coverage.
                                                                                                                                  This must also be distinguished from Part Two - Employers Liability Insurance, where limits of liability are relevant. New York has additional state-specific rules concerning employers liability, but those should not be confused with the statutory-benefit structure of Part One.
                                                                                                                                  The Series 17-70 outline expressly tests the Workers Compensation and Employers Liability policy, including Part One-Workers Compensation Insurance and Part Two-Employers Liability Insurance.
                                                                                                                                  Therefore, C is correct.


                                                                                                                                  NEW QUESTION # 43
                                                                                                                                  In order to provide coverage for land-based maritime employees, which endorsement MUST be added to the standard Workers' Compensation Policy?

                                                                                                                                  Answer: B

                                                                                                                                  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 # 44
                                                                                                                                  Which of the following is an example of an unfair claim settlement practice?

                                                                                                                                  Answer: A

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is A. New York Insurance Law §2601 identifies specified conduct as unfair claim settlement practices when performed without just cause with sufficient frequency to constitute a general business practice. One expressly identified practice is failing to attempt in good faith to effectuate prompt, fair, and equitable settlements of claims in which liability has become reasonably clear. Deliberately or unjustifiably delaying such a settlement therefore falls directly within the regulatory concept tested by this question.
                                                                                                                                  Option C describes the opposite behavior. Insurers are expected to adopt and implement reasonable standards for prompt claim investigation and settlement. Failure to establish reasonable standards may itself support an unfair-practices finding.
                                                                                                                                  Option D is likewise inconsistent with an unfair-practice answer because accurate disclosure of relevant coverage or settlement provisions promotes informed claim handling. Misrepresentation or improper withholding of material policy information, rather than appropriate disclosure, raises regulatory concerns.
                                                                                                                                  Option B does not describe an unfair claim settlement practice on the facts given.
                                                                                                                                  The official New York Series 17-70 blueprint specifically includes Claim Settlement Laws and Regulations- Regulation 64, Part 216, and Unfair Claim Practices-Insurance Law §2601 under Insurance Regulation.
                                                                                                                                  Accordingly, the conduct in A is the regulatory violation contemplated by the question.


                                                                                                                                  NEW QUESTION # 45
                                                                                                                                  ......

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