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

SectionWeightObjectives
Topic 1: Dwelling Policy6%- Exclusions, Conditions and Endorsements
  • 1. New York and Selected Endorsements
    • 2. General Exclusions and Conditions
      - Coverage Forms and Perils
      • 1. Basic, Broad and Special Forms
        • 2. Covered Perils
          - Property Coverages
          • 1. Dwelling and Other Structures
            • 2. Personal Property and Loss of Use
              Topic 2: Insurance Regulation6%- Licensing Requirements
              • 1. Qualifications and Application
                • 2. Bond and Fingerprinting
                  - Disciplinary Actions
                  • 1. Penalties and Cease and Desist Orders
                    • 2. Suspension and Revocation
                      - License Maintenance
                      • 1. Assumed Names and Reporting
                        • 2. Renewal and Changes
                          - Claim Settlement Regulations
                          • 1. Unfair Claim Practices
                            • 2. Consumer Privacy
                              Topic 3: Commercial Package Policy38%- Transportation Coverages
                              • 1. Transit Coverage
                                • 2. Motor Truck Cargo
                                  • 3. Common Carrier Legal Liability
                                    - Commercial Policy Components
                                    • 1. Common Policy Conditions
                                      • 2. Common Policy Declarations
                                        - Commercial Inland Marine
                                        • 1. Marine Definition and Conditions
                                          • 2. Contractors Equipment and Installation Floaters
                                            • 3. Jewelers Block, Signs and Electronic Data Processing
                                              • 4. Accounts Receivable and Valuable Papers
                                                Topic 4: Homeowners Policy10%- Property Coverages
                                                • 1. Dwelling, Other Structures and Personal Property
                                                  • 2. Loss of Use and Additional Coverages
                                                    - Coverage Forms
                                                    • 1. HO-8
                                                      • 2. HO-2 through HO-6
                                                        - Perils, Exclusions and Conditions
                                                        • 1. Exclusions and Conditions
                                                          • 2. Perils Insured Against
                                                            - Liability Coverages
                                                            • 1. Personal Liability
                                                              • 2. Medical Payments to Others
                                                                - Selected Endorsements
                                                                • 1. New York Special Provisions
                                                                  • 2. Earthquake, Identity Fraud and Home Business
                                                                    Topic 5: Insurance Basics6%- Policy Structure
                                                                    • 1. Limits, Deductibles and Other Insurance
                                                                      • 2. Declarations, Conditions and Exclusions
                                                                        • 3. Subrogation, Salvage and Loss Settlement
                                                                          - Insurance Principles
                                                                          • 1. Causes and Valuation of Loss
                                                                            • 2. Hazards, Negligence and Liability
                                                                              • 3. Insurable Interest and Indemnity
                                                                                - Insurance Contracts
                                                                                • 1. Elements and Characteristics
                                                                                  • 2. Representations, Warranties and Concealment
                                                                                    Topic 6: Adjusting Losses11%- Claim Investigation
                                                                                    • 1. Claim Reporting and Documentation
                                                                                      • 2. Evidence and Witness Statements
                                                                                        - 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 Settlement
                                                                                                • 1. Subrogation, Appraisal and Arbitration
                                                                                                  • 2. Negotiation and Releases
                                                                                                    Topic 7: 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. Cardiovascular and Abdominal Systems
                                                                                                              • 2. Skeletal, Nervous and Respiratory Systems
                                                                                                                Topic 8: Accident and Health Insurance Basics6%- Limited Policies
                                                                                                                • 1. Hospital, Dental and Vision Coverage
                                                                                                                  • 2. Accident-Only and Specified Disease
                                                                                                                    - Accident and Health Claims
                                                                                                                    • 1. Notice and Proof of Loss
                                                                                                                      • 2. Investigation and Payment of Claims
                                                                                                                        - Types of Coverage
                                                                                                                        • 1. Accidental Injury and Sickness
                                                                                                                          • 2. Disability, Medical and Long-Term Care
                                                                                                                            Topic 9: 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

                                                                                                                                  >> NY-Independent-General-Adjuster最新関連参考書 <<

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                                                                                                                                  Insurance Licensing NewYorkIndependent General Adjuster (Series 17-70) 認定 NY-Independent-General-Adjuster 試験問題 (Q38-Q43):

                                                                                                                                  質問 # 38
                                                                                                                                  A policy that limits coverage to specific causes of loss is called

                                                                                                                                  正解:A

                                                                                                                                  解説:
                                                                                                                                  The correct answer is D - named perils. A named-perils policy provides coverage only when the direct physical loss is caused by a peril specifically identified in the contract. Typical named perils can include fire, lightning, windstorm, hail, explosion, smoke, vandalism, or other causes expressly listed in the applicable form. If the cause of loss is not among the listed covered perils, coverage generally does not apply unless another provision or endorsement extends protection.
                                                                                                                                  This contrasts with an open-perils, sometimes historically called "all risk," form. An open-perils contract generally covers direct physical loss unless the cause is specifically excluded or limited. The burden of analyzing the loss therefore differs substantially between named-perils and open-perils structures.
                                                                                                                                  Option A is incorrect because exclusions remove or restrict coverage rather than define a policy that affirmatively insures only specifically listed causes. Option B concerns loss valuation rather than the scope of insured perils. Option C describes the opposite coverage approach.
                                                                                                                                  The official Series 17-70 outline specifically includes "Named perils versus special (open) perils," direct loss, consequential loss, policy structure, exclusions, and conditions as tested Insurance Basics concepts.


                                                                                                                                  質問 # 39
                                                                                                                                  Under which of the following coverage forms would a barn be covered on a Farm Policy?

                                                                                                                                  正解:D

                                                                                                                                  解説:
                                                                                                                                  The correct answer is D. Under the ISO Farm Property program, barns, outbuildings, and similar agricultural structures are insured under Coverage G - Other Farm Structures, also identified in modern forms as Coverage G - Barns, Outbuildings and Other Farm Structures. The coverage applies to qualifying farm buildings and structures when the necessary limit of insurance is shown in the declarations. Coverage G expressly encompasses structures such as barns, silos, portable farm buildings, and other qualifying outbuildings.
                                                                                                                                  The other choices correspond to different property classifications. Coverage B, Other Private Structures, concerns eligible private structures associated principally with residential rather than farming use. Coverage E, Scheduled Farm Personal Property, applies to specifically described farm personal property such as designated machinery, livestock, or equipment. Coverage F, Unscheduled Farm Personal Property, provides blanket-style protection for eligible farm personal property rather than buildings.
                                                                                                                                  The official Series 17-70 content outline directly distinguishes these categories: Coverage A-Dwellings, Coverage B-Other Private Structures, Coverage C-Household Personal Property, Coverage D-Loss of Use, Coverage E-Scheduled Farm Personal Property, Coverage F-Unscheduled Farm Personal Property, and Coverage G-Other Farm Structures.
                                                                                                                                  A barn is a structure, not personal property. Therefore, Coverage G / Other Farm Structures is the required selection.


                                                                                                                                  質問 # 40
                                                                                                                                  What is the purpose of the Insurance Frauds Prevention Act?

                                                                                                                                  正解:C

                                                                                                                                  解説:
                                                                                                                                  The correct answer is C. New York Insurance Law Article 4 is expressly titled the Insurance Frauds Prevention Act. Its legislative findings recognize that insurance transactions-including organization and licensing, issuance of policies, and the adjustment and payment of claims and losses-have potential for abuse and illegal activity. The statutory framework is intended to prevent, detect, investigate, and penalize fraudulent insurance conduct.
                                                                                                                                  Therefore, option C most accurately expresses the purpose among the available choices: protecting the insurance system and consumers from illegal and fraudulent conduct associated with policy and claim transactions.
                                                                                                                                  Option A concerns underwriting standards and risk selection rather than insurance-fraud prevention. Option B concerns insurance advertising regulation, which is governed through separate statutes and regulations.
                                                                                                                                  Option D concerns insurer financial reporting and solvency regulation, not the core purpose of Article 4.
                                                                                                                                  New York DFS emphasizes that insurance fraud affects consumers through higher premiums and costs and encourages detection and reporting of suspected fraudulent activity. Article 4 also requires reporting of suspected fraudulent insurance transactions and authorizes investigation and enforcement.
                                                                                                                                  Accordingly, C is the correct examination answer.


                                                                                                                                  質問 # 41
                                                                                                                                  What is NOT covered in the Farm Liability Coverage Form?

                                                                                                                                  正解:A

                                                                                                                                  解説:
                                                                                                                                  The correct answer is C - Injury to farm employees. The standard Farm Liability Coverage Form provides several principal liability protections. These include Coverage H - Bodily Injury and Property Damage Liability, Coverage I - Personal and Advertising Injury Liability, and Coverage J - Medical Payments.
                                                                                                                                  These correspond directly to options D, B, and A.
                                                                                                                                  In contrast, bodily injury sustained by an employee as a result of employment by the insured is generally excluded from the standard liability coverage. Standard Farm Liability wording excludes most bodily injury to an employee arising out of and in the course of employment, reflecting the principle that occupational injuries should ordinarily be handled through Workers Compensation or specialized farm-employer coverage rather than general farm liability.
                                                                                                                                  Where broader protection for farm employees is needed, specialized endorsements or separate statutory coverage may modify the exposure. An adjuster must therefore distinguish third-party farm liability from an employer's obligations to employees.
                                                                                                                                  The Series 17-70 outline specifically includes farm liability concepts and requires candidates to distinguish covered liability hazards from employee-related exclusions.
                                                                                                                                  Therefore, C is correct.


                                                                                                                                  質問 # 42
                                                                                                                                  A homeowners policy debris removal clause covers

                                                                                                                                  正解:C

                                                                                                                                  解説:
                                                                                                                                  The correct answer is D. Homeowners Debris Removal coverage does not pay merely because a tree has fallen somewhere on the residence premises. The coverage generally requires that the loss satisfy the specific policy conditions governing fallen-tree removal.
                                                                                                                                  Under standard homeowners principles, reasonable tree-removal expenses can be covered when a tree is felled by an applicable insured peril and damages a covered structure. Certain forms also provide coverage where a qualifying tree blocks a driveway or specified accessibility route. A state insurance regulator's homeowners guidance similarly explains that debris removal includes qualifying trees felled by a covered peril when they damage a covered structure or meet specified access-blocking requirements.
                                                                                                                                  Option A is much too broad because a tree falling harmlessly in the yard does not automatically generate insurance coverage. Option B is likewise incorrect because "natural disaster" is not itself a policy coverage trigger; the cause must fall within the applicable insured-peril wording. Option C confuses the tree-removal sublimit with the requirement that the tree cause a particular dollar amount of property damage. The policy does not require exactly $1,000 of structural damage.
                                                                                                                                  The Series 17-70 outline specifically tests Homeowners Additional Coverages, Perils Insured Against, Exclusions, and Conditions.
                                                                                                                                  Therefore, D is the best answer.


                                                                                                                                  質問 # 43
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