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

SectionWeightObjectives
Medical Reports and Terminology4%- 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
          - Medical Terminology
          • 1. Prefixes, Suffixes and Abbreviations
            • 2. Medical Specialties
              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
                    Commercial Package Policy38%- Transportation Coverages
                    • 1. Common Carrier Legal Liability
                      • 2. Transit Coverage
                        • 3. Motor Truck Cargo
                          - Commercial Inland Marine
                          • 1. Accounts Receivable and Valuable Papers
                            • 2. Contractors Equipment and Installation Floaters
                              • 3. Marine Definition and Conditions
                                • 4. Jewelers Block, Signs and Electronic Data Processing
                                  - Commercial Policy Components
                                  • 1. Common Policy Declarations
                                    • 2. Common Policy Conditions
                                      Insurance Basics6%- Insurance Principles
                                      • 1. Causes and Valuation of Loss
                                        • 2. Hazards, Negligence and Liability
                                          • 3. Insurable Interest and Indemnity
                                            - Policy Structure
                                            • 1. Limits, Deductibles and Other Insurance
                                              • 2. Subrogation, Salvage and Loss Settlement
                                                • 3. Declarations, Conditions and Exclusions
                                                  - Insurance Contracts
                                                  • 1. Elements and Characteristics
                                                    • 2. Representations, Warranties and Concealment
                                                      Insurance Regulation6%- 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. Consumer Privacy
                                                                • 2. Unfair Claim Practices
                                                                  - Licensing Requirements
                                                                  • 1. Bond and Fingerprinting
                                                                    • 2. Qualifications and Application
                                                                      Dwelling Policy6%- Coverage Forms and Perils
                                                                      • 1. Basic, Broad and Special Forms
                                                                        • 2. Covered Perils
                                                                          - Exclusions, Conditions and Endorsements
                                                                          • 1. General Exclusions and Conditions
                                                                            • 2. New York and Selected Endorsements
                                                                              - Property Coverages
                                                                              • 1. Personal Property and Loss of Use
                                                                                • 2. Dwelling and Other Structures
                                                                                  Accident and Health Insurance Basics6%- Accident and Health Claims
                                                                                  • 1. Notice and Proof of Loss
                                                                                    • 2. Investigation and Payment of Claims
                                                                                      - Limited Policies
                                                                                      • 1. Accident-Only and Specified Disease
                                                                                        • 2. Hospital, Dental and Vision Coverage
                                                                                          - Types of Coverage
                                                                                          • 1. Disability, Medical and Long-Term Care
                                                                                            • 2. Accidental Injury and Sickness
                                                                                              Homeowners Policy10%- Liability Coverages
                                                                                              • 1. Medical Payments to Others
                                                                                                • 2. Personal Liability
                                                                                                  - Property Coverages
                                                                                                  • 1. Loss of Use and Additional Coverages
                                                                                                    • 2. Dwelling, Other Structures and Personal Property
                                                                                                      - Perils, Exclusions and Conditions
                                                                                                      • 1. Perils Insured Against
                                                                                                        • 2. Exclusions and Conditions
                                                                                                          - Coverage Forms
                                                                                                          • 1. HO-8
                                                                                                            • 2. HO-2 through HO-6
                                                                                                              - Selected Endorsements
                                                                                                              • 1. New York Special Provisions
                                                                                                                • 2. Earthquake, Identity Fraud and Home Business
                                                                                                                  Adjusting Losses11%- Claim Settlement
                                                                                                                  • 1. Subrogation, Appraisal and Arbitration
                                                                                                                    • 2. Negotiation and Releases
                                                                                                                      - Claim Investigation
                                                                                                                      • 1. Evidence and Witness Statements
                                                                                                                        • 2. Claim Reporting and Documentation
                                                                                                                          - 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

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                                                                                                                                  Insurance Licensing NewYorkIndependent General Adjuster (Series 17-70) Sample Questions (Q99-Q104):

                                                                                                                                  NEW QUESTION # 99
                                                                                                                                  A deli customer died from food poisoning because the chicken salad was not prepared correctly. Which type of loss is this an example of?

                                                                                                                                  Answer: A

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is A - Bodily injury. Commercial General Liability terminology defines "bodily injury" broadly to include bodily injury, sickness, or disease sustained by a person, including death resulting from any of these. Food poisoning from improperly prepared chicken salad constitutes sickness or disease affecting a person's body; because the customer dies as a result, the resulting death remains within the bodily-injury definition.
                                                                                                                                  This scenario may also implicate the products-completed operations hazard, because the allegedly defective or contaminated food caused injury after being provided to the customer. Nevertheless, the question asks for the type of loss, not which CGL hazard classification applies. The loss is therefore bodily injury.
                                                                                                                                  Property damage refers to physical injury to tangible property or qualifying loss of use and does not describe injury or death to a human being. "Health injury" is not the standardized CGL category used for this coverage.
                                                                                                                                  Personal and advertising injury concerns specifically defined offenses such as false arrest, malicious prosecution, wrongful eviction, certain privacy violations, and specified publication-related offenses-not physical illness from contaminated food.
                                                                                                                                  The Series 17-70 outline expressly covers CGL bodily injury and property damage liability, premises and operations, and products-completed operations.


                                                                                                                                  NEW QUESTION # 100
                                                                                                                                  What is the MINIMUM dollar limit that applies to Workers' Compensation Coverage under Part One of the policy?

                                                                                                                                  Answer: A

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is C. Part One - Workers Compensation Insurance does not operate with a conventional policy liability limit such as $100,000 or $500,000. Instead, the insurer agrees to pay the workers' compensation benefits that the employer is required to provide under the workers' compensation law applicable to a state listed in the policy.
                                                                                                                                  The New York Compensation Insurance Rating Board states this directly: there is no limit of liability in the Standard Policy for Part One - Workers' Compensation; the contract provides all benefits required by the applicable workers' compensation law.
                                                                                                                                  Options A and B are therefore incorrect because they resemble liability-limit amounts rather than statutory Workers Compensation Part One benefits. Option D is also incorrect. The Information Page identifies the relevant states and other policy data, but it does not transform Part One into a fixed-dollar-limit coverage.
                                                                                                                                  This must also be distinguished from Part Two - Employers Liability Insurance, where limits of liability are relevant. New York has additional state-specific rules concerning employers liability, but those should not be confused with the statutory-benefit structure of Part One.
                                                                                                                                  The Series 17-70 outline expressly tests the Workers Compensation and Employers Liability policy, including Part One-Workers Compensation Insurance and Part Two-Employers Liability Insurance.
                                                                                                                                  Therefore, C is correct.


                                                                                                                                  NEW QUESTION # 101
                                                                                                                                  What is NOT covered in the Farm Liability Coverage Form?

                                                                                                                                  Answer: A

                                                                                                                                  Explanation:
                                                                                                                                  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.


                                                                                                                                  NEW QUESTION # 102
                                                                                                                                  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 # 103
                                                                                                                                  Charges for transporting a person injured in an aircraft accident by ambulance are covered under

                                                                                                                                  Answer: B

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is A - medical payments. Aircraft Medical Payments coverage is designed to pay specified reasonable medical expenses resulting from bodily injury sustained in connection with a covered aircraft accident, generally without requiring a determination of legal liability.
                                                                                                                                  Aviation insurance guidance specifically identifies ambulance expenses among the costs payable under Aircraft Medical Payments coverage. AOPA explains that aircraft medical-payments protection can pay expenses including ambulance, surgical, dental, professional nursing, and related medical costs for qualifying injuries involving the insured aircraft. Standard aircraft liability wording likewise describes Medical Payments coverage as including necessary medical, surgical, ambulance, hospital, professional nursing, and funeral services, subject to the stated policy terms and limits.
                                                                                                                                  A deductible, option B, is an amount retained by the insured and therefore is not a coverage category paying transportation charges. Premiums, option C, are the consideration paid for insurance. Fiduciary liability, option D, addresses breaches of fiduciary duties and has no connection with emergency medical transportation following an aircraft accident.
                                                                                                                                  Medical Payments should also be distinguished from Aircraft Bodily Injury Liability. Liability coverage depends upon legal responsibility, whereas medical-payments protection is generally intended to fund relatively immediate medical expenses without first establishing negligence.
                                                                                                                                  Therefore, A is correct.


                                                                                                                                  NEW QUESTION # 104
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