Insurance Exam Misc.

BIG AFFECT

-BURGLARY,
-ICE AND SNOW WEIGHT,
-GLASS BREAKAGE,
-ACCIDENTAL DISCHARGE OF WATER,
-FALLING,
-FREEZING,
-ELECTRICAL CURRENT,
-COLLAPSE,
-TEARING APART

CANHAM

Calculable
Affordable
Non-catastrophic
Homogeneous
Accidental
Measurable

WCSHAVVER

wind
civil commotion
smoke
hail
aircraft
vehicles
volcanic eruption
explosion
riot

STARR method of handling risk

Sharing
Transfer
Avoidance
Retention
Reduction

Fraternal Insurer

provides insurance and other benefits
must be a member of the society to get the benefits

Adverse Selection

- Not wanted by insurers
- tendency for high risk individuals
- high risk = higher rate of refusal

Stock Insurer

A company owned by stockholders
-dividend is not guaranted

Mutual Insurer

An insurer that is owned by its policyholders and formed as a corporation for the purpose of providing insurance to them.

Reciprocal Insurers

unincorporated groups of people that provide insurance for one another through individual indemnity agreements

CLOAC (elements of a legal contract)

-Consideration
-Legal Purpose
-Offer
-Acceptance
-Competent Parties

Policy Sections (DICEE)

Declarations
Insuring Agreements
Conditions
Endorsements
Exclusions

Insuring Agreement

The promise to pay and list of perils covered

Declarations

who, what, when, where, and how much

pro rata

To charge at a proportional rate

FCRA (Fair Credit Reporting Act)

-All Insurers and producers must comply
-Notice to the applicant within 3 days after report was required
-Maximum penalty - $5,000, 1 yr in prison, or both

Basic Perils (Property)

Fire, Lightning, Internal Explosions
Extended Perils: WCSHAVVER + V&MM

Broad Perils (Property)

All of basic and extended perils + BIG AFFECT

Broad Peril Exclusions

- Weight of ice, snow, or falling objects on awnings, fences, patios, swimming pools, docks, and retaining walls
- Accidental discharge over water from continuous leaking
- Flooding from river or lake
- Burglary if property vacant more than 60 consecutive

Special/Open Peril Coverage

all risks of direct physical loss, except those specifically excluded

Special/Open Exclusions

Flooding, Earthquake, Intentional Damage, Losses due to enforcement of building codes, damage caused by power interruption occurring off premises, Government Seizure

Actual Cash Value (ACV)

a claim settlement method in which the insured receives payment based on the current replacement cost of a damaged or lost item, less depreciation

tort

A civil wrong causing loss to someone else

Vicarious Liability

Legal doctrine under which a party can be held liable for the wrongful actions of another party.

Dwelling Policy Eligibility

- 1 to 4 unit dwelling with boarders
- Vacation dwellings
- Rental dwellings
- Dwellings under construction (endorsement)
- Mobile homes (endorsement)
- Farm dwellings NOT eligible

Dwelling Coverages

Coverage A - Dwelling,
Coverage B - Other structures,
Coverage C - Personal property,
Coverage D - Fair rental value, and
Coverage E - Additional living expenses (included in DP2 and DP3; need endorsement for DP1)

DP-1

Basic Perils - fire, lightning, internal explosion
WCSHAVVER (extra premium)
V&MM (extra premium)

DP-2

Broad form
-covers all basic + WCSHAVVER & V&MM
-+ BIG AFFECT

DP-2: Broad Exclusions

-Weight of ice, snow , or falling objects on awnings , fences, patios, swimming pools, docks, and retaining walls
-Accidental discharge over water from continuous leaking
-Flood
-Burglary if property vacant (60 consecutive days)

DP-3 Special Form

covers the dwelling and other structures on an open perils basis, except for the perils specifically excluded.

DP-3 Exclusions

- Intentional Damage
-Theft
-Freezing of plumbing
-Wear and Tear
-Foundations

General Exclusions in All Dwelling Policies

-ordinance or law
-Earthquake
-Flood
-War
-Nuclear
-Intentional losses
-Government seizure

Coverage L (Dwelling related)

Personal Liability coverage for Dwelling

Coverage M (dwelling)

Medical Payments
- 3 years
- on and off premises

Additional (Supplementary) Coverages - BAILED

Bonds
Aid (First aid)
Interest
Lost Earning
Expenses
Defense

Homeowners Coverages

HO-2 - Broad
HO-3 - Special/open
HO-4 - Tenants or renters
HO-5 - Comprehensive
HO-6 - Condo Owners
HO-8 - Modified Form

Damage Caused by Burglars is included in which Dwelling forms?

ONLY Dp-2 (broad) and Dp-3 (special)

All Homeowners forms provide identical ____________

Liability coverage

Auto Coverage Parts

Part A - Liability
Part B - Medical Payments
Part C - Uninsured Motorist
Part D - Coverage for damage to your auto (Property)

According to the out-of-state coverage provision in a personal auto policy, while temporarily driving out of state the insurer will pay ________________________

The higher the amount of the insureds policy limit or the states minimum liability requirements

How many days will newly acquired property, except fine art, be covered under a personal articles floater?

30 days

Self-Insured Retention Limits work like _____________

a deductible

The Assignment Clause

Sometimes referred to as the transfer of rights and duties; states that the insureds rights and duties cannot be transferred without written consent of the insurance company