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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Dwelling and Homeowners Insurance | - New York specific endorsements - Homeowners property coverage - Homeowners liability coverage - Dwelling policies - Personal liability supplement - Standard Fire Policy - Personal umbrella policies | |
| Topic 2: Commercial Property | - Commercial Package Policy - Commercial property forms and endorsements - Commercial property coverage - Businessowners Policy - Commercial General Liability | |
| Topic 3: Claims Adjustment Procedures | - Non-waiver agreements - Negotiation - Settlement procedures - Arbitration - Advance payments - Draft authority - Mediation - Appraisal - Coverage problems - Subrogation procedures - Reservation of rights letters - Alternative dispute resolution - Competitive estimates - Releases - Execution of releases - Claims adjustment procedures | |
| Topic 4: Insurance Principles and Concepts | - Warranties - Representations and misrepresentations - Fraud - Insurance principles and concepts - Morale hazards - Hazards - Waiver and estoppel - Insurance contracts - Physical hazards - Insurable interest - Concealment - Moral hazards | |
| Topic 5: Insurance Regulation | - Bond requirements - License renewal - Qualifications - Licensing requirements - Temporary adjuster permits - Licensing process - Fingerprinting - License maintenance and duration | |
| Topic 6: Commercial Package Policy | 38% | - First named insured - Monoline versus package policies - Common policy declarations - Common policy conditions - Components of a commercial policy |
| Topic 7: Other Property and Liability Coverages | - Commercial automobile - Excess liability - Ocean marine - Workers compensation - Crime insurance - Flood insurance - Surety and fidelity bonds - Inland marine - Aviation insurance - Personal automobile | |
| Topic 8: New York Unfair Claim Settlement and Prohibited Practices | - Unfair claim settlement practices - Insurance fraud and false statements - New York claim settlement laws and regulations - Terrorism Risk Insurance Act - Consumer privacy requirements - New York cybersecurity regulation |
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NEW QUESTION # 65
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 # 66
Long-term care policies cover expenses for care when the insured CANNOT perform all of the following activities of daily living EXCEPT
Answer: A
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 # 67
An Individual Fidelity Bond protects a businessowner from economic losses caused by
Answer: C
Explanation:
The correct answer is A - the dishonest actions of a specific employee. Fidelity insurance protects an employer against direct financial loss resulting from dishonest acts committed by employees. The defining feature of an Individual Fidelity Bond is that it applies to a specifically identified or named individual rather than to all employees or an entire class of positions.
Federal surety definitions describe an individual fidelity bond as protection against dishonesty with respect to a named individual. By contrast, a blanket fidelity bond covers all qualifying employees, while a blanket position or scheduled-position bond can apply according to the positions occupied rather than solely to a single named person.
Option B therefore more closely resembles a blanket or collective arrangement. Option C suggests multiple employees scheduled under one bond and therefore describes a scheduled-name concept rather than an individual fidelity bond. Option D concerns misconduct by an external supplier; fidelity coverage is principally designed around dishonest acts of covered employees, not ordinary breach of contract by third- party vendors.
Typical covered dishonest acts can include theft, embezzlement, fraudulent conversion, or other dishonest conduct satisfying the policy's definition and intent requirements.
The Series 17-70 surety/crime curriculum requires candidates to distinguish individual, schedule, position, and blanket fidelity bonds.
Therefore, A is correct.
NEW QUESTION # 68
When investigating a liability claim against your insured, the insured calls you and requests that you deny the claim because the insured believes the claim lacks merit. As the adjuster you CANNOT
Answer: B
Explanation:
The correct answer is B. An independent adjuster's claim decision must be based on the policy, facts, evidence, applicable law, and authority received from the insurer, not merely on the insured's preference that a third-party claim be rejected. An insured's assertion that a claim is meritless is relevant information, but it does not substitute for an objective investigation.
New York Regulation 64 establishes prompt and fair claims-handling standards. DFS states that insurers should assist in claim processing, obtain verification where reasonably necessary, clearly communicate positions on disputed matters, and respond promptly to interested parties. DFS also identifies unfair claims settlement practices as prohibited conduct.
Accordingly, the adjuster may inform the insurer of the insured's position, making A permissible. The adjuster can also decline to follow an unsupported instruction to deny the claim, so C is permissible. Contacting the claimant to investigate the circumstances is an appropriate fact-development step, making D permissible.
What the adjuster cannot properly do is deny liability simply because the insured wants a denial. Such action would bypass the required investigation and professional evaluation.
The Series 17-70 outline specifically tests the adjuster's role, duties and responsibilities, claim investigation, liability-loss investigation procedures, verification, and settlement procedures.
NEW QUESTION # 69
Which of the following is a type of adjuster report?
Answer: D
Explanation:
The correct answer is B - Interim Report. An interim report is a recognized claims-adjusting report used when an investigation or adjustment cannot yet be finalized. It updates the insurer concerning the current status of the claim, additional evidence obtained, developments since the preliminary report, revised reserves, outstanding documentation, coverage issues, recovery possibilities, or other material facts.
A strong example appears in FEMA's current NFIP Claims Manual. When an adjuster cannot complete the claim within the prescribed period following the preliminary report, an Interim Report is submitted and additional interim reports continue until the assignment can be concluded.
Option A is overly generic and is not the recognized report classification intended by the question. Option C, an appraisal report, may exist in valuation contexts but is not the standard adjuster-progress report being tested. Option D is incorrect because professional adjuster reporting should be factual and evidence-based rather than subjective.
The Series 17-70 examination framework places substantial emphasis on claims adjustment procedures, gathering evidence, loss valuation, coverage analysis, settlement procedures, and professional claim handling.
Accordingly, an Interim Report is the recognized adjuster report among the choices.
NEW QUESTION # 70
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