Bubba Brooks Final Examination
69 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

The Commissioner is elected/appointed for how long?

4 years

Define Risk, Loss, Peril & Hazard.

Risk is the uncertainty of loss. Loss is a reduction in quality, quantity, or value. Peril is the cause of loss. Hazard is anything that increases the chance of loss due to a peril.

Name the assigned Risk pool for: Workers Compensation, Homeowners, and Automobile.

  • National Council on Compensation Insurance (NCCI) (correct)
  • Georgia Fair Act (Fair) (correct)
  • Georgia AIP (correct)
  • None of the above
  • Define the Four Hazards.

    <p>Physical, Moral, Morale, and Legal hazards.</p> Signup and view all the answers

    Define the Law of Large Numbers and a Homogeneous Exposure Unit.

    <p>The Law of Large Numbers states that as the number of exposures increases, the predictability of losses also increases. A Homogeneous Exposure Unit is a group of individuals or objects with similar risks.</p> Signup and view all the answers

    Which is the Proximate Cause: A tornado hits Savannah, knocks down a power line. The power line lands on a car full of drunks and lights them up, causing the driver to run into the back of a truck loaded with live alligators, who get angry and rip off the driver's legs and eats them. The alligators die of toxic alcohol consumption poisoning and the gator owner sues everyone.

    <p>The tornado</p> Signup and view all the answers

    When is Insurable Interest measured in Life Insurance vs. P&C?

    <p>Life insurance is based upon policy Effective Dates. P&amp;C is time of Loss.</p> Signup and view all the answers

    Explain the difference between Fiduciary and Utmost Good Faith.

    <p>Fiduciary means trust and confidence, especially in the handling of money. Utmost Good Faith means that when entering a contract, both parties will act honestly and disclose all material facts.</p> Signup and view all the answers

    Insurance is defined as:

    <p>Sharing Losses and transferring risk.</p> Signup and view all the answers

    Explain Indemnify, Indemnity, and Indemnification.

    <p>Indemnity is the promise to pay proceeds; Indemnify is the act of paying; Indemnification is making whole without a gain, essentially the same as Indemnity.</p> Signup and view all the answers

    Define Controlled Business. What percentage?

    <p>Controlled Business refers to insurance policies purchased by family members, co-workers, and employees. The percentage of controlled business in an insurer's book of business cannot exceed 25%. This rule helps to prevent insurers from being too reliant on a small group of individuals for their revenue.</p> Signup and view all the answers

    What is the purpose of the Georgia FAIR Plan?

    <p>The Georgia FAIR Plan provides insurance to individuals who have been denied coverage through traditional insurance markets due to high risk.</p> Signup and view all the answers

    Explain the Essential Elements of an Insurance Contract.

    <p>These elements include Agreement (also called Offer and Acceptance), Consideration (an exchange of value), Conditions (terms and restrictions), and Legal Purpose (ensuring the contract serves a valid purpose).</p> Signup and view all the answers

    What is the contract named that is one of chance?

    <p>Aleatory</p> Signup and view all the answers

    What is the contract named that is an act for a promise?

    <p>Unilateral</p> Signup and view all the answers

    Representation vs. Warranty vs. Misrepresentation.

    <p>A representation is a statement believed to be true, a warranty is a guarantee that is true. Misrepresentation is a false statement delivered with the intention to deceive. It is not always a lie, but it always involves a false statement, which is important in underwriting.</p> Signup and view all the answers

    Any ambiguity between an insured and an insurer, in court, would usually favor which part? What is the contract called? (aka) Unclear Contract Provisions.

    <p>The insured (policyholder). This is known as the Adhesion contract.</p> Signup and view all the answers

    What is the difference between material facts and concealment?

    <p>A material fact is information that the insurer needs to know to underwrite the policy properly. Concealment is the failure to disclose known material facts.</p> Signup and view all the answers

    When would counter offer and invitation to make an offer occur?

    <p>During the agreement stage, when the insurer rejects the original offer but makes a counter offer.</p> Signup and view all the answers

    Define the doctrines of Waiver, Oral Evidence Rule, Parol Evidence Rule, Estoppel, and the Entire Contract.

    <p>Waiver is a relinquishment of a known right. Oral evidence is not admissible in court if a contract is clear, unambiguous, and complete. Parol evidence similarly cannot be used to contradict a written contract. Estoppel prevents a party from denying a claim based on their prior actions. The entire contract rule states that the policy document itself, along with any attached application, represents the complete and final agreement between the parties.</p> Signup and view all the answers

    What is the Guaranty Association?

    <p>The Guaranty Association is a safety net that protects policyholders when an insurer becomes insolvent (unable to pay claims). It also specifies how compensation should be paid when an insured files a claim.</p> Signup and view all the answers

    What are the Code Violation Penalties?

    <p>The penalties include a Cease and Desist order, a fine of $1,000 for unknown violations, $5,000 for known violations, and probation for one year.</p> Signup and view all the answers

    What are the additional penalties for violating a Cease and Desist?

    <p>The additional penalties include a fine of up to $10,000 and suspension or revocation of the license.</p> Signup and view all the answers

    If less that 36 months insured, when can an insurer cancel and/or non-renew a PAP?

    <p>Any Felony</p> Signup and view all the answers

    Explain the difference between a license being revoked, suspended, and put on probation?

    <p>A revoked license means that the license is permanently canceled, and the individual cannot write insurance for the specified period (typically 5 years). A suspended license means that the individual cannot write insurance for a shorter period (typically 3 months to a year). Probation means that the license is still active, but the individual is monitored closely by the regulator and may face further penalties if they violate the rules.</p> Signup and view all the answers

    When does a license have to be renewed? What is shown on a license?

    <p>An insurance license needs to be renewed every two years, typically on the month of the licensee's birth. The license will display the licensee's name, address, type of license, expiration date, and any other conditions attached to the license.</p> Signup and view all the answers

    Who can bind coverage?

    <p>Most P&amp;C agents can bind coverage, but not all agents. This ability is typically limited to a period of 90 days.</p> Signup and view all the answers

    What is the purpose of rate regulation?

    <p>The main purpose of rate regulation is to ensure that insurance rates are fair and reasonable. This means that they are neither excessive (too high) nor inadequate (too low), and they must be applied in a non-discriminatory manner.</p> Signup and view all the answers

    If the Commissioner believes you are guilty of an Unfair trade practice, what is the first procedure he takes?

    <p>The first procedure the Commissioner will take is to issue a Cease and Desist order.</p> Signup and view all the answers

    Name the requirements to be able to get a premium reduction for defensive driving?

    <p>The requirements to be able to get a premium reduction for defensive driving include completing a defensive driving school program, being on the honor roll or dean's list, being single, and being under the age of 25.</p> Signup and view all the answers

    What's the difference between a resident and a nonresident license?

    <p>A resident license is issued to someone who resides in the state for more than 6 months and has made the state their home of record. A nonresident license is issued to someone who does not consider the state their primary residence but conducts business there.</p> Signup and view all the answers

    What's a reciprocal license?

    <p>Reciprocal licenses recognize the validity of licenses issued in other states. This means that states agree to treat each other's licenses as valid, allowing individuals to operate in multiple jurisdictions despite holding a license from a specific state.</p> Signup and view all the answers

    Define "Insurer's Capacity".

    <p>Insurer's Capacity refers to the maximum amount of insurance that a particular insurer is legally authorized to write in a given state.</p> Signup and view all the answers

    What kind of hazard is it when Hot Wires are exposed and hanging from a ceiling?

    <p>A physical hazard.</p> Signup and view all the answers

    Explain 7-10-50-50-20. What are the fines for the violation of the F.C.R.A of 1971?

    <p>The fines for violating the Fair Credit Reporting Act (FCRA) vary depending on the nature of the violation. For example, a violation that involves providing false information to a consumer reporting agency (CRA) could result in a fine of up to $7,000, while a violation that involves knowingly reporting false information about a consumer could result in a fine of up to $10,000. The penalty for a violation that involves disclosing a consumer's credit information without their consent could be a fine of up to $50,000. Finally, a violation that involves a knowing violation of the FCRA for the purpose of obtaining a job or credit could be a fine of up to $50,000. Individuals found guilty of such violations could also face up to 2 years in federal prison.</p> Signup and view all the answers

    What are the consumer's rights?

    <p>Consumers have the right to be notified within three days of any request for an investigative consumer report and they must be provided with the report within 5 days of the request or when first requested.</p> Signup and view all the answers

    Who is a mortgagee, a mortgagor, an oblige, and obligor?

    <p>The bank providing the mortgage loan.</p> Signup and view all the answers

    What's a special multi peril policy?

    <p>A Special Multi-Peril Policy (SMP) is a type of insurance that provides coverage for various perils, often called a Commercial Package Policy.</p> Signup and view all the answers

    What's a mulity peril policy?

    <p>Any property policy that provides coverage for more than one peril is a Multi-Peril Policy.</p> Signup and view all the answers

    Who signs the counter signature when required?

    <p>A licensed resident insurance agent signs the counter signature, confirming their involvement and approval of the policy.</p> Signup and view all the answers

    HO and Farm Property: How much for Theft loss of credit cards?

    <p>The theft loss of credit cards is covered up to $500 with a zero deductible under a Homeowners or Farm Property policy.</p> Signup and view all the answers

    What is usual procedure after an employee is caught stealing money from his employer?

    <p>The standard procedure is for the employee to be terminated.</p> Signup and view all the answers

    Who qualifies for a license?

    <p>Individuals can qualify for an insurance license by fulfilling the following criteria: being a resident of the state for at least six months, and being at least 18 years of age.</p> Signup and view all the answers

    Who gets a temporary license? For how long?

    <p>Individuals seeking a temporary license can obtain one for a period of 6 months and it can be renewed three times, extending coverage to a maximum of 15 months. Individuals relocating from another state can apply for a temporary license and receive one for 90 days.</p> Signup and view all the answers

    To be a Self-Insurer, a person must meet what two requirements?

    <p>Individuals seeking to become self-insured must demonstrate that they have enough financial resources to cover potential claims and must be capable of complying with the law of large numbers.</p> Signup and view all the answers

    Tell all you know about a Surplus Lines Broker.

    <p>Surplus lines brokers specialize in placing insurance coverage for risks that traditional insurance markets are unwilling to insure, often for higher values or specialized scenarios. Typical examples include flood insurance exceeding the limits of the National Flood Insurance Program (NFIP). Surplus lines brokers often use a network of non-admitted insurers, operating outside of traditional insurance regulations.</p> Signup and view all the answers

    What is the 'Access to Records: Corrections Notice'?

    <p>The insured has 60 days to make corrections to their records after receiving a notice from the state.</p> Signup and view all the answers

    Who pays the expenses if a person is examined by the Insurance Department AFTER AN ALLEGATION BUT IS NOT AT FAULT?

    <p>The state will pay the expenses if an insured is examined by the Insurance Department after an allegation but is not at fault.</p> Signup and view all the answers

    If you receive the proposed report after the exam, what action can the person take?

    <p>The person can appeal the proposed report within 30 days.</p> Signup and view all the answers

    Can Commissioner's order be appealed? Where? Who can appeal?

    <p>Yes, a Commissioner's order can be appealed in the superior court of Fulton County. The person who filed the initial case or any interested party (known as an intervenor) can appeal the decision.</p> Signup and view all the answers

    Define the three major Landmark cases.

    <p>The three major landmark court cases are <em>Paul v. Virginia</em>, <em>Southeastern Underwriters Association (S.E.U.A.)</em>, and <em>McCarran-Ferguson Act</em>. These court cases impacted the legal landscape of the insurance industry by defining the scope of state versus federal authority in regulating the insurance business.</p> Signup and view all the answers

    Name the 'Prohibited Combinations of Insurance'.

    <p>These prohibited combinations of insurance include <em>Lloyd's of London</em>, <em>Title Insurers</em>, and <em>Reciprocals</em>.</p> Signup and view all the answers

    Does a Limited Subagent need a License and/or Exam?

    <p>Limited subagents are typically required to hold a license and complete a 20-hour training course. The exam requirement is typically waived.</p> Signup and view all the answers

    What coverage would an Agent have under E&O?

    <p>Agents generally have Errors &amp; Omissions (E&amp;O) coverage to protect themselves from liability for honest mistakes or errors made in providing insurance advice or services.</p> Signup and view all the answers

    Honest Mistakes or errors. Directors and Officers (D&O) covers the Board of Directors if they are sued by the stockholders.

    <p>The Directors &amp; Officers (D&amp;O) liability insurance policy provides coverage for directors and officers of a company to protect them from lawsuits that might arise from their decisions made while acting in their role within the company.</p> Signup and view all the answers

    A. Domestic Insurers must be examined at least once every 5 years by the Commissioner. B. Rating Organizations to be examined every 5 years or As deemed Necessary. C. Record of C.E.C. hours must be kept for at least 5 years. D. Advertising file kept for 4 years. E. Record of Procured Coverages must be kept for at least 5 years. F. Record of Replacements 3 years. G. Agent's License 2. H. Agency License 2.

    <p>True</p> Signup and view all the answers

    An open end contract is used by Assessment Issuers. What does it mean?

    <p>Assessment Issuers use an open end contract which allows them to adjust the premium charged for the policy, typically to make up for any shortfalls in revenue or to account for increased claims costs.</p> Signup and view all the answers

    What is the responsibility of an Attorney-in-Fact?

    <p>An Attorney-in-Fact manages a reciprocal insurance exchange. They are responsible for overseeing the day-to-day operations of the reciprocal, including claims handling, underwriting, and financial management.</p> Signup and view all the answers

    What kind of company is the Lloyd's of London, a stock or mutual or reciprocal?

    <p>Reciprocal</p> Signup and view all the answers

    Explain my magnificent acronym, ABC PIG FARM.

    <p>This acronym is a mnemonic device for remembering various types of coverage commonly offered under commercial general liability (CGL) policies. The letters represent: A - Automobile, B - Boiler and Machinery, C - Crime, P - Property, I - Inland Marine, G - General Liability, F - Farm coverages.</p> Signup and view all the answers

    Explain transfer of rights vs. transfer of rights of recovery.

    <p>These concepts are related to insurance contracts. A transfer of rights refers to transferring ownership of the policy or the policy benefits to a third party. This typically involves a change in ownership or beneficiary designation. A transfer of rights of recovery involves transferring the right to pursue legal action or collect compensation from a third party, which is often seen in subrogation. The insurer may choose to sue the at-fault party who caused the initial loss, even though they paid out to their insured.</p> Signup and view all the answers

    A CPP must have four components. Name them.

    <p>The four components of a Commercial Package Policy (CPP) are Declarations, Conditions, Coverages, and Endorsements.</p> Signup and view all the answers

    Name the CGL 2 major sub-lines. Losses are covered in which sections?

    <p>The two major sub-lines for Commercial General Liability (CGL) policies are Premises/Operations and Products/Completed Operations. A CGL policy can provide coverage for losses that arise out of these various operations.</p> Signup and view all the answers

    Explain the Retroactive Date Rule on a CGL.

    <p>The Retroactive Date rule in a CGL policy specifies that a claim may be advanced for an insured who wasn't covered under the policy before, but only with their written consent. This rule is designed to prevent retroactive coverage that is not intended. The policyholder must also make the request officially, and the changes are typically tied to a clear reason, such as a change in carriers, change in coverage for the insured's business, or a failure to disclose material facts. The policyholder must also ensure the current insurer is informed about any critical changes in the insured's operations.</p> Signup and view all the answers

    Once in effect, may an ERP be canceled?

    <p>False</p> Signup and view all the answers

    What is the difference between Mini, Midi, and Full tail coverage? Are they written on both a Claims Made and Occurrence form?

    <p>Mini Tail coverage provides limited coverage for claims reported within 60 days after the policy's expiration date; Midi Tail coverage provides extended coverage for claims reported within 5 years of the policy's expiration date; Full Tail coverage provides unlimited coverage for any claims reported after the policy expires, regardless of when the incident occurred. It's important to note that these coverage options can be applied to both Claims Made and Occurrence forms of coverage. The choice depends on the specific needs of the policyholder and the type of insurance being purchased.</p> Signup and view all the answers

    Where is the coverage territory for a CGL?

    <p>Coverage provided under a Commercial General Liability (CGL) policy typically extends to all territories within the United States.</p> Signup and view all the answers

    Is an Employee a Named Insured on a Comprehensive Personal Liability Policy?

    <p>False</p> Signup and view all the answers

    Who is an "Other Insured" on a CGL?

    <p>In a CGL (Commercial General Liability) policy, &quot;Other Insured&quot; is typically used to describe individuals or entities, such as spouses, directors, or stockholders who are not named insureds but are covered by the policy under certain conditions. This can be beneficial for business owners who wish to expand coverage to additional parties beyond the direct named insured.</p> Signup and view all the answers

    Study Notes

    Bubba Brooks Final Examination

    • The Commissioner is elected for 4 years.

    Risk, Loss, Peril, and Hazard

    • Risk is uncertainty of loss.
    • Loss is reduction in quality, quantity, or value.
    • Hazard increases the chance of loss due to a peril.

    Risk Pools

    • Workers Compensation - NCCI National Council on Compensation Insurance
    • Homeowners - Georgia Fair Act (fair) access to insurance requirements
    • Automobile - Georgia AIP

    Four Hazards

    • Physical, Moral, Morale, Legal

    Law of Large Numbers and Homogeneous Exposure Unit

    • Larger numbers increase predictability.
    • More accurate predictions with large numbers.

    Proximate Cause

    • A tornado hits Savannah, knocks down a power line
    • The power line lands on a car, leading to alligator attacks on the driver. The alligator owner sues everyone.
    • Tornado is proximate cause.

    Insurable Interest

    • In life insurance- measured by effective policy dates
    • In property and casualty - measured at time of loss

    Fiduciary vs. Utmost Good Faith

    • Fiduciary - trust and confidence in handling money
    • Utmost good faith - honest actions in a contract.

    Insurance Definition

    • Sharing losses and transferring risk.
    • Indemnification - making one whole without a gain, same as indemnity..

    Controlled Business

    • Family, coworkers, and employees buying insurance cannot collectively represent over 25% of the total

    Georgia FAIR Plan

    • Provides insurance for those with high risk and difficulty getting other coverage

    Insurance Contract Elements

    • Agreement, Consideration, Conditions, Legal Purpose.

    Contract Types

    • Aleatory - contracts of chance
    • Unilateral - contracts made for a promise

    Representation vs. Warranty vs. Misrepresentation

    • Representation-statements believed true
    • Warranty -guaranteed to be true
    • Misrepresentation- a false statement that may not always be a lie

    Ambiguity in Contracts

    • Contracts with ambiguity favor the insured.
    • Unclear contract provisions

    Material Facts vs. Concealment

    • Material facts - facts the underwriter needs to know
    • Concealment - Failure to disclose known material facts.

    Counter Offer and Invitation

    • Counter offer occurs during the agreement stage when insurer rejects the original offer and makes an alternative.
    • Invitation happens in the agreement stages.

    Guaranty Association

    • Insolvency pool funded by different states, up to $300,000 payout (life insurance cash, up to $100,000) if insurer becomes insolvent and insured files a claim.

    Code Violation Penalties

    • Cease and desist order
    • $1000 unknown, $5,000 known
    • Probation for one year

    License Violation Penalties

    • Up to one year imprisonment or 500 fine

    Additional Penalties

    • Up to 10000 fine
    • License suspension or revocation

    Cancellation/Non-Renewal of a PAP (Policy)

    • Insurers can cancel a policy if less than 36 months insured, for any felony.

    License Renewal

    • Licenses need renewal every 2 years. Specific information is on license.

    Rate Regulation Purpose

    • To ensure rates are not excessive, inadequate, or unfairly discriminatory.

    Unfair Trade Practice

    • Commissioner investigates if an unfair trade practice happens to the insurer.
    • First procedure- cease and desist.

    Defensive Driving Requirements

    • Defensive driving school, Dean's list, Honor roll and being under 25 years old.

    Resident vs. Nonresident Licenses

    • Residency in a state for at least 6 months qualifies as a resident license.
    • Nonresident writes insurance in other states.

    Insurer's Capacity

    • The maximum an insurer is allowed to write by a state.

    Hot Wires Hazard

    • Physical hazard

    Consumer Rights

    • Notification within 3 days of request
    • Reporting within 5 days of receipt

    Mortgagee, Mortgagor, Obligee, and Obligor

    • Mortgagee - bank that receives the bond
    • Mortgagor - person who pays the bond
    • Obligee - person who receives funds
    • Obligor - entity providing the funds/bond

    Multi-Peril Policies

    • Commercial Package Policy and multi-peril policy (old names).
    • Policies covering numerous types of peril.

    Property Loss for Credit Cards

    • Up to $500 with no deductible.

    Employee Misappropriation Procedure

    • Termination.

    License Requirements

    • Resident for 6 months, age 18.

    Temporary Licenses

    • 6 months, three renewals, 90 day processing to get Georgia resident

    Surplus Lines Broker

    • Selling excess/unavailable insurance from other companies.
    • Flood insurance examples

    Access to Records:Corrections

    • Agent has 60 days to fix the problem.

    Insurance Department Expenses

    • State covers costs

    Insurance Claim Appeals

    • Appeal possible, 30 days.
    • Superior Fulton County Court, person filing case, and/or intervenor.

    Landmark Cases

    • Paul vs. Virginia (or Paul Virginia)
    • Southeastern Underwriters.
    • McCarran-Ferguson Act defines insurance industry control

    Prohibited Combinations of Insurance

    • Lloyds (stock company for title insurance)
    • Reciprocals

    Limited Subagent License/Exam

    • Yes, 20 hours of training.

    Agent Coverage (E.&O.)

    • Agents have coverage.

    Domestic Insurers Examination

    • Examined every 5 years by the Commissioner.
    • Rating Organizations examined every 5 or as necessary.
    • Records kept for 4 to 5 years (specific types)

    Assessment Issuers

    • Can charge more if needed.

    Attorney in Fact

    • Manages the reciprocal

    Insurance Company Structures

    • Stock, Mutual, or Reciprocal (Not insurance company).
    • ABC PIG FARM example.

    Transfer of Rights and Rights of Recovery

    • Assignment and subrogation.

    Coverage Components in a CPP

    • Declarations, conditions

    Coverage Sub-Lines For CGL

    • Premises & operations
    • Products & completed operations

    Retroactive Dates Rule

    • Policy can advance date with written consent
    • Changes in carrier or exposure

    CGL Coverage Territories

    • US and all territories

    Employee as Named Insured

    • Employee not a named insured in Personal Liability policy.

    Other Insured in CGL

    • Spouse, directors, stockholders

    CGL Liquor Liability Standard

    • No host liquor liability coverage if it is not included in policy.

    Four Classes of Inland Marine

    • Transportation, shipments.
    • Commercial Property, Float.
    • Personal Property, Float.

    Cancellation Provisions (PAP, HO, Commercial, Workers Comp)

    • Various provisions exist; specific details not stated.

    FAIR Premium

    • Fair access insurance.

    Claim Made vs. Occurrence

    • Claims made, claim is made
    • Occurrence, during policy period when
    • claim or damage occurs.

    Blanket Coverage

    • Single amount for multiple locations.

    Burden of Proof

    • Insured, for name perils
    • Insurer, for all risk

    Intervening Clause, Assumption of Risk, Contributory Negligence, Comparative Negligence, Last Clear Chance Rule

    • Intervening Clause - cause of the accident
    • Assumption of Risk - accepting a risk
    • Contributory Negligence - failure to act reasonably
    • Comparative Negligence - both parties are fault
    • Last Clear Chance Rule - last chance to avoid risk

    Sublimits

    • Limits placed on certain things.

    Acronyms (DICE, etc)

    • Declarations, Insuring agreement, Conditions, Exclusions, endorsements, definitions.

    Concealment/Fraud Provisions

    • Voiding entire policy if intentional misrepresentation.

    Appraisal Conditions

    • Policyholder can get adjuster if disagreement.

    Mortgage Clause

    • Establishes rights of mortgagee (loan company)

    Lease Clause

    • Specifies responsibilities of landlord/tenant

    Vacant vs. Unoccupied

    • Vacant: No contents.
    • Unoccupied: Contents, no people.

    Demolition Cost Endorsement Demolition Clause

    • Demolition clause specifically excludes demolition costs
    • Endorsement covers demolition payments

    Dwelling Policy Optional Theft/Personal Liability

    • Policy covers personal liability, Theft. Includes additional Dwelling Policy.

    Dwelling Policy Deductible

    • $250.

    Inflation Guard Endorsement

    • Raises premium every 3 years, 6% and 8% annually.

    Workers Compensation Coverage Acquisition

    • Private insurers, self-insurers, and NCCI (National Council on Compensation Insurance) provide coverage.

    Workers Compensation Benefits

    • Medical, income, partial disability, scheduled injury, death benefits, rehabilitation.

    Second Injury Fund

    • Treats second injury as the first, to discourage hiring with preexisting disabilities.
    • Employer rates does not increase.
    • Georgia is Elective law, not Compulsory.

    Disability Time Limits/Waiting Period

    • 7 days waiting,
    • retroactive days,
    • effective day

    Non-Covered Circumstances for Agent's E&O

    • Intentional acts, but not other bodily injuries

    Umbrella Policy Purpose

    • Pays excess over underlying or limits.
    • Must have existing underlying policy.

    Ocean Marine Covers

    • Hull (ship)
    • Cargo
    • Freight
    • Product Liability

    Warehouse to Warehouse Clause (Ocean Marine)

    • Coverage from point A to point B even when off the ship.

    CGL Coverage Coverages (Miscellaneous)

    • Includes breaking of shafts, bursting of boilers (etc)
    • Negligence covers average loss to cargo (average shared)

    Small Business Definition (in B&M policies).

    • No specific size definition is given.

    Bi-Aviation Insurance

    • Including passengers
    • Associated aviation underwriters
    • US aircraft insurance group
    • Lloyds
    • Hangarkeepers coverage.

    What is Insured in HO-8, HO-4, HO-7?

    • Not clearly specified in the text, just mention various types of homeowners polices.

    Flood Policy Covers/Does Not Cover

    • Generally covers water damage due to flood.
    • Excludes tidal waves, landslides, septic tank backup, wharves, rising waters, and loss along shoreline.

    Commercial Glass (Coverage)

    • Does not cover frames.

    Loss Conditions

    • Insurer has 60 days to submit request to insured to prove/provide proof of loss.
    • Insurer has 30 days to take action after receiving proof loss.

    Duplicate Coverage

    • Two or more policies of the same thing will not be paid twice.

    Commercial Causes of Loss

    • Includes Basic, Broad, Special, and Earthquake risks.

    Indemnity Principle Violation

    • Paying more on claim than to restore or reimburse.

    Additional Builder's Risk Covers

    • Debris up to 25% of loss amounts
    • Loss to property up to 30 days
    • Fire department, up to $1000 expenses (etc.)
    • Extracting pollutants from land/water up to $10000.

    CGL Contractual Agreements

    • Lease of premises
    • Sidetrack
    • Elevator maintenance
    • Easement/license agreements
    • Ordinance obligations for indemnification by municipality
    • Tort liability (if any) by insured. (etc.).
    • Specific coverages for varied types of loss.

    Claim Trigger

    • Varies by condition (unclear in document.)

    Omnibus Clause Coverage

    • Covers named insured and family members, but doesn't name them on the declarations.

    Eligible Vehicles in PAP

    • Vehicles listed on declarations.
    • Trailer, newly acquired, replacement, and non-owned temporary substitutes.

    Ineligible Risks (BOP)

    • Bars, grills, restuarants, auto-dealers, and service operations, service stations, banks, financials, institutions, Savings & Loans, Places of amusement, fairs, circus, arcade, Hospitals (drug stores are acceptable).

    Additional BOP Coverages

    • Debris removal,
    • Removal (first 30 days),
    • Fire department, service charges up to $1000,
    • Business income,
    • Extra expenses
    • Pollutant clean up/removal

    Covered Auto and Non-Owned Auto Impact

    • Damages incurred from the upset of vehicle or impact with another vehicle.

    Outdoor Signs, coverage form, etc.

    • Covered, for $1000-unattached.
    • Covered, up to $2500 if attached..

    Co-insurance Clauses

    • 50%
    • 80%
    • 100% (stated).

    Business Income/Extra Expense Coverage (BOP)

    • Renewal expiry at midnight, June 30th if not renewed.

    Pollution Cost Endorsement

    • Paying for primary cause, if the insured caused pollution, they would pay for primary.
    • This is covered separately.

    Liability Assumed by Contract (BOP)

    • Covers liability and extra expenses if a specific contract requires it. (see BB-91).

    E&O, Professional Liability

    • Various risks, including professional liability (workers comp, umbrella not clearly defined in original document.)

    Miscellaneous Insurance Coverage Questions

    • Comprehensive personal liability issues/various.
    • Liability and coverage details discussed in detail throughout the document.

    Flood Insurance Coverage

    • Covers flood damage, not other types of disaster.

    Who Regulates Flood issues?

    • FEMA, HUD, State of Georgia (etc.).

    Types of Insurance Policies

    • Monoline, and Package.

    Interline Endorsement

    • Multiple coverage sections within a policy (for example).

    Commercial Glass Coverage

    • Does not cover frames.

    Policy Terms (Loss Conditions)

    • Insurers have up to 60 days of time, or 30 if proof of loss is provided.

    Commercial General Liability (CGL) Coverage

    • Includes coverage for property loss (or damage from) subcontractors to the owner or contractor's damages.

    Farm Property's Medical Payments

    • Covers ranch hands and other employees if they are harmed while working on a farm.

    DP & HO Watercraft Coverage

    • Only rowboats (specified size motor) and canoes are covered.

    Crime Coverage (Various)

    • Burglary, Robbery, Theft, Custodian, Messenger, Extortion, Invitee, and Safe Burglary,

    (Etc. specifics on different situations).

    Fidelity/Surety Bond Protections

    • Protects from dishonesty or fraudulent activities.

    Inland Marine Deductible

    • $250

    Multiple Covering Coverages (Inland Marine)

    • Pays the actual loss amount if multiple coverages apply - pays no more than the actual loss.

    Accounts Receivable Coverage

    • Covers financial losses from damage to the accounts.

    Jewelers Block Coverage

    • Covers inventory of jewelry, customer's jewelry, the store's diamonds.
    • Includes coverage for special equipment (during events like Grammys or Oscars.

    Boiler and Machinery Coverage

    • Covers property damage, extra expenses, interruption of business.

    Suspension Provisions (B&M)

    • Immediate suspension is allowed, without notice, for a variety of reasons.
    • Policy endorsed will remove suspensions.

    Small Business Definitions (B&M)

    • Varies depending upon the policy involved.

    Aviation Insurance

    • Including or excluding passengers specifics, Us aircraft insurance and related types of insurance.

    Miscellaneous Coverage Details

    • Various policy types/coverages discussed (e.g. Physical Hazard, morale hazard).
    • Specific elements of different types of insurance.

    Flood/Earthquake (etc)

    • Covers or does not cover flood, earthquake losses, etc.

    Collision, and other types of losses

    • Specific types/details, definitions of these.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Description

    Test your knowledge on risk management and insurance concepts covered in the Bubba Brooks course. This examination includes topics such as hazards, insurable interest, and the Law of Large Numbers. Prepare to assess your understanding of the principles that guide the insurance industry.

    More Like This

    Personal Finance Insurance Concepts
    36 questions

    Personal Finance Insurance Concepts

    ManeuverableForgetMeNot2590 avatar
    ManeuverableForgetMeNot2590
    Use Quizgecko on...
    Browser
    Browser