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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Medical Reports and Terminology | 4% | - Basic Human Anatomy
|
| Topic 2: Commercial Package Policy | 38% | - Commercial Policy Components
|
| Topic 3: Adjusting Losses | 11% | - Role of the Adjuster
|
| Topic 4: Insurance Basics | 6% | - Insurance Contracts
|
| Topic 5: Accident and Health Insurance Basics | 6% | - Accident and Health Claims
|
| Topic 6: Insurance Regulation | 6% | - Licensing Requirements
|
| Topic 7: Personal Inland Marine | 13% | - Personal Effects Floater
|
| Topic 8: Homeowners Policy | 10% | - Liability Coverages
|
| Topic 9: Dwelling Policy | 6% | - Exclusions, Conditions and Endorsements
|
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NEW QUESTION # 62
If a licensee has been found to have committed any fraudulent or dishonest practice, the Superintendent may do all of the following EXCEPT
Answer: A
Explanation:
The verified answer is D - withhold the licensee's commissions and/or fees. New York Insurance Law §2110 authorizes the Superintendent of Financial Services to refuse renewal, revoke, or suspend an insurance producer's, consultant's, adjuster's, or other covered license when the licensee has used fraudulent, coercive, or dishonest practices or engaged in specified misconduct.
New York law also authorizes monetary penalties. Insurance Law §2127 permits the Superintendent, in lieu of license revocation or suspension in qualifying proceedings, to impose a monetary penalty. Thus, A and B clearly represent recognized regulatory sanctions.
Option D is the required exception because withholding commissions or fees otherwise earned by a licensee is not listed as the Article 21 disciplinary sanction for fraudulent or dishonest practice. Regulatory action may affect the person's continuing authority to transact insurance and can include suspension, revocation, nonrenewal, and statutory penalties, but it does not operate simply by confiscating the licensee's compensation.
The video's use of "Insurance Commissioner" should also be corrected for New York: the appropriate regulator is the Superintendent of Financial Services.
The Series 17-70 outline tests licensing, disciplinary actions, penalties, suspension, revocation, and prohibited fraudulent or dishonest conduct.
Therefore, D is the verified answer.
NEW QUESTION # 63
A broken bone is the same as a
Answer: D
Explanation:
The correct answer is A - fracture. A fracture is the medical term for a break in a bone. The break may be complete or partial and can be classified in numerous ways, including open versus closed, displaced versus nondisplaced, transverse, oblique, comminuted, stress, or other fracture patterns. MedlinePlus expressly identifies a fracture as a break in a bone and lists "broken bone" as an alternative description.
A dislocation differs because it involves bones being forced out of their normal relationship at a joint. A sprain involves ligaments, while a strain typically involves muscles or tendons. Although a serious traumatic event can produce more than one of these injuries simultaneously-for example, a fracture-dislocation-they remain medically distinct conditions.
For an independent general adjuster, accurate medical terminology is important when reviewing bodily injury claims. A diagnosis of fracture may affect emergency treatment, immobilization, surgery, rehabilitation, duration of disability, medical expenses, and the eventual evaluation of damages. The adjuster should therefore distinguish structural injury to bone from injuries involving joints, ligaments, muscles, and tendons.
Accordingly, the medical equivalent of a broken bone is a fracture, making A the only correct choice.
NEW QUESTION # 64
What percentage of loss of wages is covered under Personal Injury Protection (PIP)?
Answer: C
Explanation:
The correct answer is C - 80%. New York's mandatory No-Fault system, formally established under the Comprehensive Motor Vehicle Insurance Reparations Act, provides Personal Injury Protection benefits for qualifying basic economic loss resulting from a motor vehicle accident.
New York Department of Financial Services guidance states specifically that Basic No-Fault coverage pays
80% of lost earnings from work, subject to a maximum payment of $2,000 per month for up to three years from the date of the accident. Applicable statutory offsets may reduce the amount payable, including qualifying Workers Compensation, New York disability, or federal Social Security disability benefits.
PIP also includes reasonable and necessary accident-related medical and rehabilitation expenses, specified other necessary expenses, and a death benefit, all subject to the statutory structure and the basic No-Fault limit.
The Series 17-70 official outline directly identifies the Comprehensive Motor Vehicle Insurance Reparations Act (PIP), medical expenses, rehabilitation, loss of earnings, funeral expenses, substitution services, OBEL, and additional PIP as examination content.
Option D is incorrect because No-Fault does not replace 100% of wages. Options A and B understate the statutory percentage.
Accordingly, the New York PIP wage-loss percentage tested by this question is 80%, making C correct.
NEW QUESTION # 65
Which of the following is an example of an unfair claim settlement practice?
Answer: B
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 # 66
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 # 67
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