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

SectionWeightObjectives
Insurance Regulation6%- Licensing Requirements
  • 1. Bond and Fingerprinting
    • 2. Qualifications and Application
      - License Maintenance
      • 1. Assumed Names and Reporting
        • 2. Renewal and Changes
          - Claim Settlement Regulations
          • 1. Unfair Claim Practices
            • 2. Consumer Privacy
              - Disciplinary Actions
              • 1. Penalties and Cease and Desist Orders
                • 2. Suspension and Revocation
                  Homeowners Policy10%- 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
                          - Liability Coverages
                          • 1. Personal Liability
                            • 2. Medical Payments to Others
                              - Selected Endorsements
                              • 1. New York Special Provisions
                                • 2. Earthquake, Identity Fraud and Home Business
                                  - Coverage Forms
                                  • 1. HO-8
                                    • 2. HO-2 through HO-6
                                      Dwelling Policy6%- Exclusions, Conditions and Endorsements
                                      • 1. New York and Selected Endorsements
                                        • 2. General Exclusions and Conditions
                                          - Property Coverages
                                          • 1. Dwelling and Other Structures
                                            • 2. Personal Property and Loss of Use
                                              - Coverage Forms and Perils
                                              • 1. Covered Perils
                                                • 2. Basic, Broad and Special Forms
                                                  Adjusting Losses11%- Property and Liability Losses
                                                  • 1. Coverage Verification and Loss Evaluation
                                                    • 2. Estimates, Depreciation and Salvage
                                                      - Claim Settlement
                                                      • 1. Subrogation, Appraisal and Arbitration
                                                        • 2. Negotiation and Releases
                                                          - Claim Investigation
                                                          • 1. Claim Reporting and Documentation
                                                            • 2. Evidence and Witness Statements
                                                              - Role of the Adjuster
                                                              • 1. Independent, Staff and Public Adjusters
                                                                • 2. Duties and Responsibilities
                                                                  Commercial Package Policy38%- Commercial Policy Components
                                                                  • 1. Common Policy Declarations
                                                                    • 2. Common Policy Conditions
                                                                      - Commercial Inland Marine
                                                                      • 1. Contractors Equipment and Installation Floaters
                                                                        • 2. Accounts Receivable and Valuable Papers
                                                                          • 3. Marine Definition and Conditions
                                                                            • 4. Jewelers Block, Signs and Electronic Data Processing
                                                                              - Transportation Coverages
                                                                              • 1. Transit Coverage
                                                                                • 2. Common Carrier Legal Liability
                                                                                  • 3. Motor Truck Cargo
                                                                                    Accident and Health Insurance Basics6%- Accident and Health Claims
                                                                                    • 1. Investigation and Payment of Claims
                                                                                      • 2. Notice and Proof of Loss
                                                                                        - Limited Policies
                                                                                        • 1. Hospital, Dental and Vision Coverage
                                                                                          • 2. Accident-Only and Specified Disease
                                                                                            - Types of Coverage
                                                                                            • 1. Accidental Injury and Sickness
                                                                                              • 2. Disability, Medical and Long-Term Care
                                                                                                Medical Reports and Terminology4%- Injuries, Diseases and Medical Tests
                                                                                                • 1. Common Injuries and Diseases
                                                                                                  • 2. Diagnostic Tests
                                                                                                    - 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 Effects Floater
                                                                                                            • 1. Coverage and Loss Settlement
                                                                                                              - Personal Articles Floater
                                                                                                              • 1. Scheduled Personal Property
                                                                                                                - Personal Property Floater
                                                                                                                • 1. Coverage and Eligible Property
                                                                                                                  Insurance Basics6%- Insurance Contracts
                                                                                                                  • 1. Representations, Warranties and Concealment
                                                                                                                    • 2. Elements and Characteristics
                                                                                                                      - Insurance Principles
                                                                                                                      • 1. Causes and Valuation of Loss
                                                                                                                        • 2. Hazards, Negligence and Liability
                                                                                                                          • 3. Insurable Interest and Indemnity
                                                                                                                            - Policy Structure
                                                                                                                            • 1. Subrogation, Salvage and Loss Settlement
                                                                                                                              • 2. Limits, Deductibles and Other Insurance
                                                                                                                                • 3. Declarations, Conditions and Exclusions

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                                                                                                                                  Insurance Licensing NewYorkIndependent General Adjuster (Series 17-70) Sample Questions (Q69-Q74):

                                                                                                                                  NEW QUESTION # 69
                                                                                                                                  Which of the following does NOT constitute an element of acceptance of a settlement offer to a claimant?

                                                                                                                                  Answer: A

                                                                                                                                  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 # 70
                                                                                                                                  Which of the following is an exclusion on the Businessowners Policy (BOP) under the liability section?

                                                                                                                                  Answer: A

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is A - Liquor liability. The Businessowners liability section includes a Liquor Liability exclusion addressing bodily injury or property damage for which an insured may be held liable because of causing or contributing to intoxication, furnishing alcoholic beverages to underage or intoxicated persons, or violating laws concerning the sale, gift, distribution, or use of alcoholic beverages.
                                                                                                                                  Under the standard BOP formulation, the exclusion principally applies when the named insured is engaged in the business of manufacturing, distributing, selling, serving, or furnishing alcoholic beverages. Thus, it should not be interpreted as eliminating every alcohol-related incident for every BOP insured. Host-liquor situations may remain covered when the insured is not engaged in the liquor business, subject to the actual form.
                                                                                                                                  Options B, C, and D identify important liability exposures ordinarily included within the BOP's liability framework. Products and completed operations liability is part of the business liability protection, while personal and advertising injury is a separate liability coverage component subject to its own exclusions.
                                                                                                                                  The Series 17-70 examination outline expressly requires knowledge of the Businessowners Liability Coverage Form-Coverages and Exclusions. It also separately identifies Liquor Liability as a specialty liability subject.
                                                                                                                                  Therefore, among the listed choices, Liquor Liability is the correct exclusion.


                                                                                                                                  NEW QUESTION # 71
                                                                                                                                  What is the policy limit for personal liability supplement under Coverage L of a dwelling policy?

                                                                                                                                  Answer: C

                                                                                                                                  Explanation:
                                                                                                                                  The correct examination answer is B - $100,000. A standard Dwelling Policy primarily provides property insurance; personal liability protection is added through the Personal Liability Supplement. Under that supplement, Coverage L - Personal Liability responds when an insured becomes legally liable for bodily injury or property damage caused by a covered occurrence. Coverage M separately provides Medical Payments to Others. The Series 17-70 outline expressly identifies the Personal Liability Supplement as a tested Dwelling Policy endorsement.
                                                                                                                                  The traditional standard limit associated with Coverage L in licensing material is $100,000 per occurrence.
                                                                                                                                  Policy analyses of the ISO dwelling liability supplement also illustrate Coverage L using a $100,000 limit.
                                                                                                                                  A technical distinction is important for claims practice: the actual contractual limit is ultimately the amount shown in the policy declarations or Personal Liability Schedule. Therefore, higher limits may be purchased when offered by the insurer. The question is testing the standard/default licensing-exam limit rather than asserting that every dwelling liability supplement is permanently restricted to $100,000.
                                                                                                                                  Coverage L also generally includes the insurer's defense obligation in addition to covered damages, subject to the policy's exclusions and conditions.
                                                                                                                                  Therefore, the required answer is B.


                                                                                                                                  NEW QUESTION # 72
                                                                                                                                  A Public Employee Bond would be REQUIRED for which town employee?

                                                                                                                                  Answer: B

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is C - Treasurer. A Public Official or Public Employee Bond guarantees the faithful and honest performance of duties by a public official or employee, particularly where the position involves custody, control, collection, or disbursement of public funds.
                                                                                                                                  Treasurers are among the classic positions requiring public official bonds because they exercise direct fiduciary responsibility over governmental money. Surety industry guidance specifically identifies treasurers, tax collectors, clerks, and similar public officials as common positions for which statutory public-official bonds are required. The Surety Association's classification material likewise specifically identifies treasurers and tax collectors as public officials with bonding exposures.
                                                                                                                                  A truck driver, lifeguard, or librarian may certainly be a municipal employee, but those occupations do not inherently involve the fiduciary custody and accounting of public funds that makes a Treasurer the clear examination answer. A particular jurisdiction could impose bonding requirements on additional positions, but that does not alter the general surety principle tested here.
                                                                                                                                  Public official bonds protect the governmental entity and ultimately the public rather than functioning as conventional liability insurance for the official.
                                                                                                                                  The Series 17-70 surety material requires knowledge of official bonds, public employee bonds, fidelity obligations, principals, obligees, and sureties.
                                                                                                                                  Therefore, C is correct.


                                                                                                                                  NEW QUESTION # 73
                                                                                                                                  Under Other States Workers' Compensation Insurance, coverage ONLY applies if the states are listed on the

                                                                                                                                  Answer: D

                                                                                                                                  Explanation:
                                                                                                                                  The correct answer is D - declarations page. More precisely, the standard Workers Compensation and Employers Liability Policy refers to the Information Page, which performs the declarations-page function for this policy.
                                                                                                                                  Under Part Three - Other States Insurance, the employer may receive workers compensation and employers liability protection in qualifying states not listed under the primary-state portion of the policy. The New York Compensation Insurance Rating Board expressly provides that states where Other States coverage is to apply must be listed in Item 3.C. of the Information Page.
                                                                                                                                  Because "Information Page" is not offered among the four answer choices, declarations page is the intended and technically equivalent examination response.
                                                                                                                                  Option A is incorrect because merely mentioning a state in an application does not activate contractual coverage. Option B contains the insurer's broad promise but does not identify the states selected for Other States protection. Option C is not the standard policy mechanism used for this purpose.
                                                                                                                                  The Series 17-70 outline expressly includes Part Three - Other States Insurance, along with Parts One through Six of the standard Workers Compensation and Employers Liability policy.
                                                                                                                                  Therefore, D is correct.


                                                                                                                                  NEW QUESTION # 74
                                                                                                                                  ......

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