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

SectionWeightObjectives
Topic 1: Adjusting Losses11%- Property and Liability Losses
  • 1. Estimates, Depreciation and Salvage
    • 2. Coverage Verification and Loss Evaluation
      - Claim Investigation
      • 1. Claim Reporting and Documentation
        • 2. Evidence and Witness Statements
          - Claim Settlement
          • 1. Subrogation, Appraisal and Arbitration
            • 2. Negotiation and Releases
              - Role of the Adjuster
              • 1. Independent, Staff and Public Adjusters
                • 2. Duties and Responsibilities
                  Topic 2: Medical Reports and Terminology4%- Medical Terminology
                  • 1. Medical Specialties
                    • 2. Prefixes, Suffixes and Abbreviations
                      - Injuries, Diseases and Medical Tests
                      • 1. Diagnostic Tests
                        • 2. Common Injuries and Diseases
                          - Basic Human Anatomy
                          • 1. Skeletal, Nervous and Respiratory Systems
                            • 2. Cardiovascular and Abdominal Systems
                              Topic 3: 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. Dwelling and Other Structures
                                        • 2. Personal Property and Loss of Use
                                          Topic 4: Insurance Regulation6%- Disciplinary Actions
                                          • 1. Suspension and Revocation
                                            • 2. Penalties and Cease and Desist Orders
                                              - Claim Settlement Regulations
                                              • 1. Consumer Privacy
                                                • 2. Unfair Claim Practices
                                                  - License Maintenance
                                                  • 1. Assumed Names and Reporting
                                                    • 2. Renewal and Changes
                                                      - Licensing Requirements
                                                      • 1. Bond and Fingerprinting
                                                        • 2. Qualifications and Application
                                                          Topic 5: 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. Common Carrier Legal Liability
                                                                        • 2. Transit Coverage
                                                                          • 3. Motor Truck Cargo
                                                                            Topic 6: Accident and Health Insurance Basics6%- 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
                                                                                    - Accident and Health Claims
                                                                                    • 1. Investigation and Payment of Claims
                                                                                      • 2. Notice and Proof of Loss
                                                                                        Topic 7: Personal Inland Marine13%- Personal Property Floater
                                                                                        • 1. Coverage and Eligible Property
                                                                                          - Personal Articles Floater
                                                                                          • 1. Scheduled Personal Property
                                                                                            - Personal Effects Floater
                                                                                            • 1. Coverage and Loss Settlement
                                                                                              Topic 8: Homeowners Policy10%- Liability Coverages
                                                                                              • 1. Personal Liability
                                                                                                • 2. Medical Payments to Others
                                                                                                  - Coverage Forms
                                                                                                  • 1. HO-8
                                                                                                    • 2. HO-2 through HO-6
                                                                                                      - Property Coverages
                                                                                                      • 1. Dwelling, Other Structures and Personal Property
                                                                                                        • 2. Loss of Use and Additional Coverages
                                                                                                          - Perils, Exclusions and Conditions
                                                                                                          • 1. Exclusions and Conditions
                                                                                                            • 2. Perils Insured Against
                                                                                                              - Selected Endorsements
                                                                                                              • 1. New York Special Provisions
                                                                                                                • 2. Earthquake, Identity Fraud and Home Business
                                                                                                                  Topic 9: Insurance Basics6%- Policy Structure
                                                                                                                  • 1. Declarations, Conditions and Exclusions
                                                                                                                    • 2. Subrogation, Salvage and Loss Settlement
                                                                                                                      • 3. Limits, Deductibles and Other Insurance
                                                                                                                        - Insurance Principles
                                                                                                                        • 1. Causes and Valuation of Loss
                                                                                                                          • 2. Insurable Interest and Indemnity
                                                                                                                            • 3. Hazards, Negligence and Liability
                                                                                                                              - 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 (Q83-Q88):

                                                                                                                                  NEW QUESTION # 83
                                                                                                                                  If insurance is used to establish proof of financial responsibility to comply with the Motor Carrier Act of 1980, what endorsement can be used?

                                                                                                                                  Answer: B

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is B - MCS-90 endorsement. The MCS-90 is the federally prescribed endorsement attached to a motor carrier's liability insurance policy to demonstrate compliance with applicable public- liability financial-responsibility requirements.
                                                                                                                                  The Federal Motor Carrier Safety Administration identifies Form MCS-90 as the Endorsement for Motor Carrier Policies of Insurance for Public Liability under Sections 29 and 30 of the Motor Carrier Act of 1980.
                                                                                                                                  FMCSA further states that the endorsement is required under 49 CFR §387.15 for motor carriers subject to the applicable federal financial-responsibility rules.
                                                                                                                                  The MCS-90 is attached to the carrier's liability policy rather than to a specific individual vehicle. Its purpose is to assure payment, within the federally required limits, of qualifying final judgments for public liability arising from negligence in the operation, maintenance, or use of covered motor vehicles.
                                                                                                                                  The Additional Insured-Lessor endorsement deals with leased-vehicle relationships. The Individual Named Insured endorsement addresses particular personal-type coverage needs under commercial auto forms. The Mobile Equipment endorsement addresses equipment that otherwise falls outside ordinary automobile classifications.
                                                                                                                                  The Series 17-70 commercial-auto material includes Motor Carrier coverage, federal financial responsibility, endorsements, liability limits, and commercial automobile forms.
                                                                                                                                  Therefore, MCS-90, option B, is the required endorsement.


                                                                                                                                  NEW QUESTION # 84
                                                                                                                                  The liability section of a businessowners policy (BOP) covers which of the following?

                                                                                                                                  Answer: D

                                                                                                                                  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 # 85
                                                                                                                                  Steve was involved in an automobile accident. He does NOT agree with the settlement offer by the insurer. Which common policy provision allows Steve to dispute the settlement offer?

                                                                                                                                  Answer: D

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is D - Arbitration. Arbitration is a dispute-resolution mechanism in which a disagreement is submitted to a neutral arbitrator or arbitration panel rather than being resolved solely through continued negotiations between the parties. Depending on the insurance coverage and policy provision involved, arbitration may be used to resolve specified disputes concerning entitlement to recovery, damages, or other issues identified in the contract or applicable law.
                                                                                                                                  The question states that Steve rejects the insurer's settlement offer and asks which common policy provision provides a mechanism for disputing the settlement. Of the available choices, arbitration is the only recognized dispute-resolution provision.
                                                                                                                                  A preferred settlement is not a standard policy dispute mechanism. A competitive bid is an estimating or procurement technique and does not determine contractual disputes between an insured and insurer. A market value clause concerns valuation methodology and does not itself create a formal procedure for resolving a contested settlement.
                                                                                                                                  An adjuster must also distinguish arbitration from appraisal. Appraisal is commonly designed to resolve disputes solely over the amount of property loss, whereas arbitration can address disputes according to the scope established by the applicable contract or statute.
                                                                                                                                  Series 17-70 reference topics: Auto Insurance - Claim Settlement, Arbitration, Appraisal, Loss Valuation, and Dispute Resolution.


                                                                                                                                  NEW QUESTION # 86
                                                                                                                                  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 # 87
                                                                                                                                  Regarding insurance coverage for employment practices exposures, which one of the following statements is TRUE?

                                                                                                                                  Answer: C

                                                                                                                                  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 # 88
                                                                                                                                  ......

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