Valid NY-Independent-General-Adjuster Test Preparation - Exam NY-Independent-General-Adjuster Lab Questions

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

SectionWeightObjectives
Adjusting Losses11%- Claim Investigation
  • 1. Evidence and Witness Statements
    • 2. Claim Reporting and Documentation
      - Role of the Adjuster
      • 1. Duties and Responsibilities
        • 2. Independent, Staff and Public Adjusters
          - Property and Liability Losses
          • 1. Estimates, Depreciation and Salvage
            • 2. Coverage Verification and Loss Evaluation
              - Claim Settlement
              • 1. Subrogation, Appraisal and Arbitration
                • 2. Negotiation and Releases
                  Commercial Package Policy38%- Transportation Coverages
                  • 1. Motor Truck Cargo
                    • 2. Common Carrier Legal Liability
                      • 3. Transit Coverage
                        - Commercial Policy Components
                        • 1. Common Policy Declarations
                          • 2. Common Policy Conditions
                            - Commercial Inland Marine
                            • 1. Jewelers Block, Signs and Electronic Data Processing
                              • 2. Marine Definition and Conditions
                                • 3. Contractors Equipment and Installation Floaters
                                  • 4. Accounts Receivable and Valuable Papers
                                    Homeowners Policy10%- Perils, Exclusions and Conditions
                                    • 1. Perils Insured Against
                                      • 2. Exclusions and Conditions
                                        - Coverage Forms
                                        • 1. HO-8
                                          • 2. HO-2 through HO-6
                                            - Property Coverages
                                            • 1. Loss of Use and Additional Coverages
                                              • 2. Dwelling, Other Structures and Personal Property
                                                - Selected Endorsements
                                                • 1. New York Special Provisions
                                                  • 2. Earthquake, Identity Fraud and Home Business
                                                    - Liability Coverages
                                                    • 1. Medical Payments to Others
                                                      • 2. Personal Liability
                                                        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
                                                                    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
                                                                                    Dwelling Policy6%- Property Coverages
                                                                                    • 1. Dwelling and Other Structures
                                                                                      • 2. Personal Property and Loss of Use
                                                                                        - Coverage Forms and Perils
                                                                                        • 1. Basic, Broad and Special Forms
                                                                                          • 2. Covered Perils
                                                                                            - Exclusions, Conditions and Endorsements
                                                                                            • 1. New York and Selected Endorsements
                                                                                              • 2. General Exclusions and Conditions
                                                                                                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. Hazards, Negligence and Liability
                                                                                                          • 3. Insurable Interest and Indemnity
                                                                                                            - Insurance Contracts
                                                                                                            • 1. Representations, Warranties and Concealment
                                                                                                              • 2. Elements and Characteristics
                                                                                                                Personal Inland Marine13%- Personal Articles Floater
                                                                                                                • 1. Scheduled Personal Property
                                                                                                                  - Personal Effects Floater
                                                                                                                  • 1. Coverage and Loss Settlement
                                                                                                                    - Personal Property Floater
                                                                                                                    • 1. Coverage and Eligible Property
                                                                                                                      Medical Reports and Terminology4%- Medical Terminology
                                                                                                                      • 1. Medical Specialties
                                                                                                                        • 2. Prefixes, Suffixes and Abbreviations
                                                                                                                          - Basic Human Anatomy
                                                                                                                          • 1. Cardiovascular and Abdominal Systems
                                                                                                                            • 2. Skeletal, Nervous and Respiratory Systems
                                                                                                                              - Injuries, Diseases and Medical Tests
                                                                                                                              • 1. Common Injuries and Diseases
                                                                                                                                • 2. Diagnostic Tests

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                                                                                                                                  Insurance Licensing NewYorkIndependent General Adjuster (Series 17-70) Sample Questions (Q105-Q110):

                                                                                                                                  NEW QUESTION # 105
                                                                                                                                  The liability section of a businessowners policy (BOP) covers which of the following?

                                                                                                                                  Answer: D


                                                                                                                                  NEW QUESTION # 106
                                                                                                                                  Long-term care policies cover expenses for care when the insured CANNOT perform all of the following activities of daily living EXCEPT

                                                                                                                                  Answer: B

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is B - Shopping. Long-term care insurance commonly uses the insured's inability to perform specified Activities of Daily Living (ADLs) as a benefit eligibility trigger. New York DFS identifies the principal ADLs as dressing, eating, bathing, toileting, continence, and transferring. Most long-term care policies require inability to perform a specified number of these activities without substantial assistance before benefits become payable, subject to the contract's precise benefit trigger.
                                                                                                                                  Bathing, option A, is a recognized ADL. Toileting, option C, is also a recognized ADL. Transferring, option D, refers generally to the ability to move into or out of a bed, chair, or similar position and is another standard ADL.
                                                                                                                                  Shopping, by contrast, is generally classified as an Instrumental Activity of Daily Living (IADL). IADLs involve more complex activities necessary for independent community living, such as shopping, housekeeping, transportation, managing finances, meal preparation, and telephone use. New York health guidance similarly distinguishes shopping as an instrumental activity rather than a basic ADL.
                                                                                                                                  Therefore, shopping is the activity that does not belong to the standard basic ADL group.
                                                                                                                                  Series 17-70 reference topics: Other Coverages - Long-Term Care Insurance, Benefit Triggers, Activities of Daily Living, and Eligibility for Benefits.


                                                                                                                                  NEW QUESTION # 107
                                                                                                                                  Accident-only policies commonly include benefits due to losses related to

                                                                                                                                  Answer: B

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is C. Accident-only insurance is a limited form of accident and health coverage in which benefits are triggered by an accident or specified category of accidental event, rather than by sickness generally. The NAIC defines an accident as an unexpected event or circumstance without deliberate intent and describes accident-only insurance as coverage for death, dismemberment, disability, hospital treatment, or medical care caused or necessitated by an accident or specified kinds of accidents.
                                                                                                                                  Option A is incorrect because illness is not converted into an accident simply because its onset is unexpected.
                                                                                                                                  Coverage for sickness belongs to health or medical insurance provisions unless specifically included by another policy form. Option B, congenital diseases, similarly concerns medical conditions rather than accidental occurrences. Option D is too broad because the mere absence of intentional conduct does not automatically satisfy the policy's definition of an accidental injury or covered accident. There must be the required causal connection to an insured accidental event.
                                                                                                                                  The Series 17-70 content outline expressly tests Accidental Injury, classes of accident and health coverage, limited policies, and specifically Accident-Only coverage.
                                                                                                                                  Accordingly, a fortuitous, unexpected accidental event is the operative trigger, making C the correct answer.


                                                                                                                                  NEW QUESTION # 108
                                                                                                                                  Which of the following does NOT constitute an element of acceptance of a settlement offer to a claimant?

                                                                                                                                  Answer: D

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is C. A valid acceptance of an ordinary settlement offer must generally constitute unconditional assent to the offer's terms. Under the traditional common-law mirror-image principle, an alleged acceptance that changes, qualifies, or makes acceptance contingent upon an additional term is ordinarily treated as a counteroffer rather than acceptance of the original offer. Cornell's Legal Information Institute describes the mirror-image rule as requiring unconditional assent without modifications.
                                                                                                                                  Therefore, there is no rule allowing the accepting party to add "one contingent stipulation" while still necessarily creating an acceptance. Even one material condition may prevent formation of the settlement on the original terms.
                                                                                                                                  Option A is an element of proper acceptance. Option B is also correct because acceptance must ordinarily be manifested or communicated through an appropriate word, act, or other authorized method. Option D reflects the principle that the offeree-the person to whom the offer was made-is the party possessing the power to accept it. Cornell notes that an offer grants the offeree the power to accept and create a binding agreement.
                                                                                                                                  Settlement agreements are contracts, so ordinary principles of offer, acceptance, consideration, authority, and mutual assent apply.
                                                                                                                                  Accordingly, C is the statement that does not constitute a proper element of acceptance.


                                                                                                                                  NEW QUESTION # 109
                                                                                                                                  A homeowners policy debris removal clause covers

                                                                                                                                  Answer: D

                                                                                                                                  Explanation:
                                                                                                                                  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.


                                                                                                                                  NEW QUESTION # 110
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