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NJ Property, Casualty, and Auto Licensing Exam Questions and Answers (Graded A)

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Insuring Agreement - ANSWER-company's obligation to pay, includes the perils and coverage for specific or named peril policies Exclusions - ANSWER-what the policy will not pay for Definitions - ... ANSWER-names of the persons insured in addition to the named insured are listed here, along with any other (blank) of terms in the policy Additional Coverage - ANSWER-coverages under a policy that are provided by the insurer at no extra cost Casualty Policies - ANSWER-defense costs over and above liability limits, post-judgement interest, bail bonds and appeal bonds Property Policies - ANSWER-debris removal, falls within the insured dwelling limit and cannot exceed the limit Binder - ANSWER-temporary proof of coverage before policy is issued (oral is good for 10 days, written for 60 days) Bodily Injury and Property Damage Coverage Amounts - ANSWER-Minimum: 15k per person/30k per accident/5k for property; Max is $500k Auto - Personal Assigned Risk Policy - ANSWER-PAIP; standard risk 0 points, non-standard risk 1-8 points, assigned risk 9 points. (blank) classification runs for 3 years Auto - Commercial Assigned Risk Policy - ANSWER-CAIP; assigned risk policy for commercial vehicles, including private vehicles owned by the business Personal Injury Protection - ANSWER-PIP or No-Fault, NJ Representations Act; mandatory, encourage the insured to recover under his/her own policy, tries to reduce premiums and hasten settlements through avoidance of lengthy litigation that would normally be the case. The benefits of the standard policy are statutory and therefor minimal Fire - ANSWER-A named peril policy. (blank) policies must be filed with the DOBI commissioner before use and must provide a fairly uniform look, and provide ample space for coverage, limits, rates, policy inception, and expiration dates Friendly Fire - ANSWER-fire is within it's intended confines (not covered) Hostile Fire - ANSWER-fire is outside it's intended confines Covered Fire Perils - ANSWER-fire - hostile, lightening, debris removal, theft within first 5 days Excluded Fire Perils - ANSWER-theft (after first 5 days of fire), neglect that gives rise to proximate cause of fire, war, government action, fire - friendly Fair Plan - ANSWER-(blank) policies are designed to prevent redlining in urban areas: improve property conditions from an availability standpoint, stabilize the property insurance market, provide coverage for risks which insurance cannot be obtained in the open market $1.5 million - ANSWER-FAIR Plan max limit Covered FAIR Plan Perils - ANSWER-FAIR: fire, lightening, debris removal Excluded FAIR Plan Perils - ANSWER-FAIR: burglary damage, flood, farms (farms are not urban) Dwelling Policy - ANSWER-1st party coverage only, not necessary to be owner-occupied, no more than 4 families or 5 roomers Basic Peril Coverage - DP1 - ANSWER-basic peril coverage - named perils - most basic dwelling policy Broad Peril Coverage - DP2 - ANSWER-named perils, but more perils than DP1 Special Peril Coverage - DP3 - ANSWER-ALL-RISK on dwelling unless specifically excluded and BROAD on contents or personal property Coverage A - ANSWER-dwelling + attached structures - no co-insurance requirement unlike homeowners policy Coverage B - ANSWER-detached structures - limited to 10% of coverage A amount Coverage C - ANSWER-personal property - limited to 50% of coverage A amount / 10% of secondary insurance Coverage D - ANSWER-fair rental value - limited to 10% of coverage A amount Coverage E - ANSWER-additional living expense - limited to 20% of coverage A amount Boat Owner's Policy - ANSWER-similar to auto insurance policy, except that PIP or "no-fault" is not available. damage from waves is referred to as "hull-damage" and is covered. no workers' compensation coverage Yacht Owner's Policy - ANSWER-for boats that ply international waters, high seas, and engage in commercial fishing. workers' compensation coverage is included Flood Insurance Policy - ANSWER-operated by HUD to provide coverage in flood-prone areas for one-family residential homes, commercial buildings, and house contents. basic policy covers loss due to flood, inundation of tidal waters, mudslide, and soil erosion. can request additional coverage at any time, but there is a 30 day waiting perod before the insurance can go into effect Flood Insurance Policy Exclusions - ANSWER-landslide, damage from water main breakage, sewer main breakage, and wind-driven rain. not a general flood condition (your house is the only one that is flooded but your neighbor's houses are not - your house is not covered) Personal Injury - ANSWER-defamation (slander-oral, libel-written), false arrest or imprisonment, wrongful eviction, invasion of privacy, copyright infringement, industrial espionage - do not confuse with bodily injury Advertising Liability - ANSWER-injury arising from advertising activities, libel in an advertisement, and misrepresentation of a competitor Contractual Liability - ANSWER-coverage is restricted to those that are automatically covered; Lease, Easement, Agreement to indemnity municipality, Side track also known as spur agreement for a rail road loading facility, and Elevator maintenance or L.E.A.S.E Medical Payments - ANSWER-party must incur and report (blank) within 1 year, must arise from business operations on or off premises. max amount is $5,000 Occurrence Basis - ANSWER-incident must have occurred during the policy period, report of incident may be made after the policy period Claims-made Basis - ANSWER-Incident must have happened during the policy period, and not before a retroactive date arising from an arbitrary period of time incorporated in the policy that can be made longer by additional premium Extended Reporting Period - ANSWER-basic - 60 days after expiration date if occurrence is within policy period, but was unknown/unreported Supplemental Basis of Claim - ANSWER-provides coverage for claims resulting from occurrences before the inception date but after the retroactive date (max is 3 years) Business Income Coverage Form - ANSWER-net loss of profit during interruption of business i.e. the restoration period. starts on date of loss and ends on expected date of restoration as determined by the insurance company Extra Expense Coverage Form - ANSWER-appropriate for business that cannot afford to shut down or they might permanently lose their client base (newspapers, magazines, banks, dairies, dry cleaners, potato chip manufacturers) Special Multi-Peril Policy - ANSWER-SMP; a policy for a small business that is not a package, the insured selects what is needed and pays for each part separately Nationwide Inland Marine Policy - ANSWER-covers property that has no fixed location - property in transit, imports and exports, domestic shipments, means of transportation, communication - bridges, tunnels, transmission lines etc. Buildings, skyscrapers, and cement mixers are NOT covered Ocean Marine Policy - ANSWER-covers property at sea, international waters, or high sea Destruction Policy - ANSWER-covers moneys and securities on and off the premises; dishonest acts of customers (shop-lifting) and mysterious disappearance Workers' Compensation Policy - ANSWER-covers all active employees whose sickness or injury arises out of the course of the employer's business, whether or not on the premises Assumption of Risk - ANSWER-by taking the job, the employee assumed the risk, known and unknown Contributory Negligence - ANSWER-the relative negligence of the plaintiff and defendant contributed to the injury or sickness Fellow Servant Negligence - ANSWER-an employer was not liable because the sickness or injury was the result or a fellow servant or co-employee's acts Aggregate Limit - ANSWER-total amount of coverage available for all claims during a policy period, e.g. $1 million per year Insurance Limit - ANSWER-limit of an insurance policy is its policy limit e.g. $100,000 per incident Penalty - ANSWER-limit of a bond - fidelity or surety bond Warranty - ANSWER-A pledge, a promise, a guaranty - what one is warranting must be true in all aspects - existence of a sprinkler system, security guard, or limitation of boat usage Representation - ANSWER-true to the best of one's belief and knowledge. answers to questions on an insurance application and proof of loss are (blank)s. Material Fact - ANSWER-something done or existed of such importance whose disclosure would alter the underwriter's decision or loss settlement. e.g. brother is a convicted arsonist and he lives with insured, if insured told the insurance company about him, they would not write the policy Concealment - ANSWER-act of not disclosing a material fact; would void a policy Peril - ANSWER-cause of a possible loss - fire, lightening, etc Hazard - ANSWER-any condition that may cause or increase the chance of loss from a covered peril Physical Hazard - ANSWER-hazards - broken sidewalk & faulty wiring Moral Hazard - ANSWER-hazards - character defect such as dishonesty, arsonist, etc Morale Hazard - ANSWER-hazards - indifference, "i don't care", business owner places expensive computer on the edge of a table and does not care if it falls because it is covered Inherent Vice - ANSWER-natural ability of the property to self-destruct e.g. wear-and-tear is not covered Theft - ANSWER-stealing of property without visible signs of forcible entry or robbery. can be all by itself, or can be included in robbery or burglary Burglary - ANSWER-theft of articles where forcible entry or exit is evident Premises Burglary - ANSWER-premises must be closed/locked for there to be a claim for (blank) Vacant - ANSWER-totally empty, commercial coverage void after 60 days, home owners coverage void after 30 days, fire is always covered Unoccupied - ANSWER-no occupants, but furnishings remain. same coverage rules at vacant - if you go away for 60 days on vacation from your business or 30 days away from your home, you need additional coverage Robbery and Safe - ANSWER-there is a threat of violence or actual violence involved in the theft; gold coins are covered Barratry - ANSWER-criminal acts by a ship's master or crew Inchmaree - ANSWER-negligence of a ship's captain or crew members - includes navigational errors Moral Responsibiity - ANSWER-a homeowner borrows a neighbor's lawnmower and damages is by striking a rock while using it. the homeowner can request up to $500 from the insurance company to pay the neighbor Event or Accident - ANSWER-1. definite time and place 2. neither expected nor intended 3. results in bodily injury or property damage 4. sudden, unforeseen, fortuitous. (blank)s must occur during the policy period but may be reported after the policy expires Occurrence - ANSWER-accident + continuous and repeated exposure to injurious conditions. example: fumes over an extended time caused death, working with asbestos. (blank) must occur during the policy but may be reported after the policy expires Statute of Limitations - ANSWER-the time period after the incident during which one is allowed to use Direct Loss - ANSWER-(blank) happening immediately and direction from a hazard that has been insured against e.g. wind knocks down a lamp; the lamp starts a fire and the damage resulting from the fireman putting out the fire , all give rise to (blank) Indirect Loss - ANSWER-(blank) resulting from a peril, but not resulting directly and immediately from the peril e.g. loss of income during restoration period - usually covered by an endorsement Proof of Loss - ANSWER-insured must fill this out and submit to the insurance company within 60 days: describe what happened, demand for payment, provide supporting proof Fair Value Reporting - ANSWER-insured must report true value of inventory every 30 days, if the inventory is underreported the insured is penalized Actual Cash Value - ANSWER-old for old - replacement cost less depreciation e.g. personal property or contents Pair and Set Clause - ANSWER-provision specifies that the loss of one item of a set or pair does not constitute or represent the loss of the entire set or pair. states that when a single piece of a set is lost, the value is based on the reduced value of the set. the company may pay difference in value - not more than 50% but less than 100% of the actual loss Arbitration - ANSWER-when a carrier and an insured cannot agree as to whether there is coverage or not. also uninsured motorist/under insured motorist settlement disputes are settled through (blank) Appraisal - ANSWER-used when a carried and an insured cannot agree to the amount of the loss. if not settlement, each party selects their own appraisers who settle the dispute. if they cannot agree, both appraisers select an 'umpire', generally the appraisers resolve the settlement Commercial Insurance Deregulation - ANSWER-attempts to prevent monopolies, increase efficiency and encourage price competition Fair Credit Reporting Act - ANSWER-customer must sign a disclosure statement notifying him that the insurance may use outside source to verify information. carriers must keep this for 5 years Right of Salvage - ANSWER-insurer's right to take ownership of property for which it has paid the insured for total loss Salvage - ANSWER-insurance company retains the insured property after paying a total loss Abandonment - ANSWER-relinquishment or surrender to an insurance company of all rights and interests in an insured property Jettisoning - ANSWER-under an ocean marine policy - throw some cargo overboard to save the ship from sinking. all cargo owners share in a loss, not just the cargo owner whose cargo was (blank)ed to save the vessel Subrogation - ANSWER-the assignment to an insurance company of the insured's rights of recovery against a third party. after paying a first party loss, the carrier stands in the shoes of the insured and can recover from the negligent third party whatever the insured can recover Deductible - ANSWER-specific amount insured is required to pay of the loss - can be a percentage of the loss Flat Deductible - ANSWER-definite amount e.g. $500 deductible on property damage, personal auto, and collision and comprehensive Disappearing Deductible - ANSWER-the higher the covered loss the smaller the deductible; usually associated with commercial policies Ceding Company - ANSWER-in reinsurance, the company that wrote the original risk Assuming company - ANSWER-in reinsurance, the company assuming the risk Retrocession - ANSWER-an arrangement between re-insurers to cede risks, which requires the prior approval of DOBI. the DOBI must also give prior written approval for the reinsurer to do business in NJ Proximate Cause - ANSWER-immediate cause that is natural and continuous, unbroken by any intervening cause i.e. wind-driven rain Negligence - ANSWER-failure to act as a responsible, prudent person would Tort - ANSWER-a civil wrong that is not a wrong arising from non performance of a contract (contract violation) Bodily Injury - ANSWER-sickness, injury, death as well as pain and suffering Firefighter's Injuries - ANSWER-workers' compensation provided by the municipality will pay for medical expenses of an injured voluntary fireman for injuries arising out of a firefighter's efforts to put out the fire in a house. the homeowner can request the insurance company pay up to $500 to the volunteer fire department Errors and Omissions - ANSWER-professional liability: non-medical professionals, agents, brokers, attorneys and accountants Malpractice - ANSWER-professional liability: medical professionals doctors, nurses Comparative Negligene - ANSWER-statutory defense; compares the negligence of the plaintiff and the defendant Wrongful death - ANSWER-statutory defense; survivors have the right of recovery against the wrongdoer Insurable Interest - ANSWER-the insured must have suffered a financial loss at the time of the loss for the loss to be covered, loss has to be unintended unforeseen and results in a reduction in economic value Indemnity - ANSWER-payment of an amount to offset all or part of a loss. pro-rata insurance occurs when there are multiple policies for the same location. no company will pay more than it's pro-rated share, thereby upholding the principal of (blank) "back to where you started" Liberalization - ANSWER-new and improved coverage extended automatically to the insured by the insurer without any additional charge Restoration - ANSWER-returns the insured back to where he or she was prior to the loss. insured cannot recover more than the actual loss, assuming the actual loss is more than the policy limit Co-insurance - ANSWER-provision requiring a specific amount of insurance based on the value of the insured property - at least 80% of replacement cost. assures the property is adequately insured at the time of the loss Other Insurance - ANSWER-e.g $80k property insured by A for $40k, B for $30k, and C for $10k/ B's share of the loss would be 3/8ths. no one carrier will pay more than its prorated shares even if the other carriers cannot or will not pay Messenger - ANSWER-an employee who performs duties outside the premises Custodian - ANSWER-an employee who works inside the premises - cannot be a security guard or janitor Watchman - ANSWER-an employee who guards property on premises and has no other duty Worker's Compensation Claim Defenses - ANSWER-major deviation, intentionally self-inflicted, disease must be unique or particular to occupation, intoxication, fighting, adequately trained Insured - ANSWER-All persons covered by the policy Named Insured - ANSWER-The first one named, he/she is responsible for paying premiums and requesting changes to coverage Inland Marine Personal Floaters - ANSWER-all risk - valuable property associated with family and home life Commercial Floaters - ANSWER-covers motor truck cargo, bailees customers' goods, contractors' equipment, etc Fidelity Bond - ANSWER-a form of insurance that covers policyholders for losses that they incur as a result of fraudulent acts by specified individuals. usually insures a business for losses caused by the dishonest acts of it's employees Surety Bond - ANSWER-contract among at least 3 parties; the obligee - party who is the recipient of an obligation, the principal - the primary party who will be performing the contractual obligation, the surety - who assures the obligee that the principal can perform the task Business Owners Policy - ANSWER-BOP; designed to cover small and medium size business with small liability exposure - typically small and medium size apartment, office and mercantile risks Earthquake Policy - ANSWER-covers damage resulting from earthquakes and earth movement resulting from volcanic eruptions. damage from initial shock plus aftershocks during the following 168 hours is treated as one occurrence Commercial General Liability - ANSWER-CGL; 3rd party liability only, is designed to cover the liability of large businesses with large liability exposures. liability on or off the business premises is covered $200 - ANSWER-limit: money, notes, bullion $500 - ANSWER-limit: fire department charges, credit cards - unauthorized use $1,000 - ANSWER-limit: securities, jewelry - mysterious disappearance excluded, condo loss assessments coverage, watercraft - rowboats, canoes, boats <25ft $1,000 any one item - 5% of coverage A - ANSWER-limit: trees, plants, and shrubs $2,000 - ANSWER-limit: firearms $2,500 or $250 in off-premises - ANSWER-limit: business property $2,500 - ANSWER-limit: silverware theft, landlord's furnishings Homeowners Policy - ANSWER-1st and 3rd party coverage. the property must be owner-occupied. no more than 2 families under a standard policy HO-1 - ANSWER-basic peril coverage - named perils - most basic homeowners policy HO-2 - ANSWER-broad peril coverage - named perils but more perils than HO-1 HO-3 - ANSWER-special peril coverage - all risk on dwelling and broad on contents, ACV settlement HO-4 - ANSWER-contents only - renters/contents policy HO-5 - ANSWER-comprehensive: all risk on dwellings, all risk on contents unless excluded HO-6 - ANSWER-condo owners - same as renters plus $1,000 for condo loss assessments and pro-rated share of unsatisfied judgements HO-8 - ANSWER-historical - settlement is ACV basis vs. replacement cost for dwellings Medical Expenses - ANSWER-doctors, x-rays, rehabilitation, ambulance, diagnostics, transportation back and forth for treatment; hospital expenses - room and board, operating room charges, drugs and supplies; must be personal and incurred within 3 years of accident. $250 deductible, 80/20 co-payment up to $5,000; $250,000 limit Essential Services - ANSWER-services not performed for income (care of family, household, etc) - $12/day or $4,380 in one year Income Continuation - ANSWER-Income - $100/wk, $5,200 limit Survivor Benefits - ANSWER-$5,200 plus $4,380 if insured used to provide essential services Funeral Expenses - ANSWER-Expense: $1,000 Policy Cancellation - Short Rate - ANSWER-refund basis when insured cancels the policy. penalty is incurred and insured gets short end of the deal Policy Cancellation - Pro-Rata Basis - ANSWER-refund basis when insurer cancels policy, insured does not suffer a penalty PAP - ANSWER-Personal Automobile Policy Private Passenger Autos - ANSWER-4 wheels, designed/licensed for use on public highways - no company cars, private pick up trucks and vans under 10,000lbs - no company owned vehicles, trailers Non-Owned Vehicle - ANSWER-not furnished for regular use of insured, e.g. car borrowed for convenience because insured's own vehicle is blocked in Temporary Substitute - ANSWER-primary vehicle is out of service due to breakdown, repair, service or loss Leased Vehicles - ANSWER-lease agreements must be more than 6 months Collision - ANSWER-with another object that is not an animal, and upsets - the car rolls over Comprehensive (other than collision) - ANSWER-OTC; all risks, but there must be an injured peril (not just car failure) including fire, glass breakage, falling objects, damage to car by thief etc Uninsured Motorists - ANSWER-Mandatory; UM; same as 3rd party liability limits $15,000 per person/$30,000 per accident/$5,000 property Under Insured Motorists - ANSWER-Optional; UIM; must be offered over and above policy limits, and can be up to liability limits Stock Company - ANSWER-owned by shareholders who elect directors Mutual Company - ANSWER-owned by policyholders who elect directors Pure Risk - ANSWER-passively incurred - insurable since there is only a chance of loss Speculative Risk - ANSWER-actively incurred - uninsurable, unknown chance of loss Duties of Risk Manager - ANSWER-risk identification and risk evaluation Ways to Manage Risk - ANSWER-assume the risk (SIR - self-insured retention), transfer the risk (insurance - primary and then excess), avoid the risk, reduce the potential risk Adverse Selection - ANSWER-demand for insurance (either the propensity to buy insurance or the quantity purchased, or both) is positively correlated with the individuals risk of loss e.g. higher risks buy more insurance Contract - ANSWER-considerations, offer and acceptance, competent parties, legal purpose, legal in form, equal knowledge Considerations - ANSWER-contract: promise for a promise e.g. a premium for covering a covered loss Offer and Acceptance - ANSWER-contract: application and issuance of policy and constructive delivery Competent Parties - ANSWER-contract: e.g. minors, insane, intoxicated, enemy, aliens are not considered (blank) Legal Purpose - ANSWER-contract: must be a contract that is legal Legal in Form - ANSWER-contract: an activity that is legal Equal Knowledge - ANSWER-contract: of all material and relevant facts on both sides Declarations - ANSWER-name and address, amount of premium, endorsements - list of them, policy period, limits $ 18 - ANSWER-age to apply for license 20 hours - ANSWER-_____ hours prelicensing education required for each line of authority 60 days - ANSWER-temp work authority valid ____ days 2 years - ANSWER-_____ years to apply for license after completing prelicensing education/producer licensing valid/ 1 year - ANSWER-____ year to apply for license after passing licensing examination/renew lapsed license without written exam 180 days - ANSWER-temporary license valid for ______ days 24 hours - ANSWER-CE hours required every 2 years 3 hours - ANSWER-CE hours required in professional ethics 10 days - ANSWER-producer license must submit renewal application before _____ days 90 days - ANSWER-for nonresident licensee to notify dept of intent to qualify as resident ____ days 5 years - ANSWER-producer with revoked license can reapply for a new license after ____ years/to keep records of financial transactions after termination of coverage 30 days - ANSWER-____ days to report change of mailing address or of business address or name/to report opening or closing of a branch office 15 days - ANSWER-____ days for insurers to notify commissioner of cancelled agency contract 5 business days - ANSWER-_____ days for premiums to be remitted to the insurer or the insured/producer must report claims to the insurer after receipt of notice of claim 10 calendar days - ANSWER-producer must deliver policies to the insured after receiving them in ____ days 15 calendar days - ANSWER-producer must reply in writing to inquiries from commissioner within ____ days $1,000 Fine - ANSWER-fine $ per violation for unintentional violations of fair methods of competition or fair trade practice laws $5,000 fine - ANSWER-fine $ per violation for willful violations or fair methods or competition or fair trade practice laws/fine $ for each violation of cease and desist orders/fine $ for 1st violation insurance law $10,000 fine - ANSWER-fine $ for subsequent violations of an insurance law $15,000 fine - ANSWER-max fine $ for violation of the N [Show More]

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