Insurance Basics: Coverage and Loss Definitions
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Questions and Answers

What is included in the definition of 'Loss' as per the content?

  • Financial loss from legal services and court fees
  • Loss due to accidents involving other motor vehicles
  • Damage due to theft or conversion caused by you or your employees (correct)
  • Theft or loss from natural disasters like fire or flood
  • Which of the following is NOT considered an insured for loss to customer's autos?

  • The insured individual
  • The shareholders acting within their duties
  • The partners in a partnership
  • Independent contractors hired by the insured (correct)
  • What kind of equipment is excluded from coverage unless permanently installed in a customer's auto?

  • Sound-receiving equipment like radios
  • Air conditioning units
  • GPS navigation devices
  • Sound-reproducing equipment like tape decks (correct)
  • Which of the following expenses are NOT categorized as supplementary payments?

    <p>Claims for personal injury (A)</p> Signup and view all the answers

    When the deducible is paid by the insurer, what is required from the insured?

    <p>Partial reimbursement of the deductible portion paid (B)</p> Signup and view all the answers

    What happens to the policy if it violates specific Federal or State laws?

    <p>The policy will be null and void for violations. (A)</p> Signup and view all the answers

    What is the significance of Columbia Casualty Company being a Surplus Lines insurer?

    <p>It is exempt from certain state filing requirements. (C)</p> Signup and view all the answers

    For which circumstances may insurance be purchased from non-admitted insurers in Alaska?

    <p>When the required class of insurance is unavailable from admitted insurers. (C)</p> Signup and view all the answers

    Who is responsible for compliance with surplus lines stamping requirements?

    <p>The insurance Producer. (C)</p> Signup and view all the answers

    What does the term 'exempt from applicable state laws and regulations' mean for this policy?

    <p>The policy forms and rates do not need state approval. (D)</p> Signup and view all the answers

    What is stated about the policy premium shown on the Declarations of the Policy?

    <p>It does not include any applicable taxes and/or fees. (C)</p> Signup and view all the answers

    What must occur before issuing a renewal policy in Alaska?

    <p>Remarketing of the policy is required. (D)</p> Signup and view all the answers

    What is the purpose of the schedule mentioned in ITEM NINE?

    <p>To detail covered autos furnished to specific operators. (C)</p> Signup and view all the answers

    Which of the following classifications is not mentioned in relation to operators?

    <p>Class III Operator (B)</p> Signup and view all the answers

    Which component is responsible for covering medical expenses based on the content?

    <p>Auto Medical Payments (D)</p> Signup and view all the answers

    What does PIP stand for in the context provided?

    <p>Personal Injury Protection (D)</p> Signup and view all the answers

    What type of loss is covered under the specified cause of loss?

    <p>Comprehensive damage from theft or vandalism (C)</p> Signup and view all the answers

    What is likely not included in the declarations for medical payment coverage?

    <p>Vehicle identification information (C)</p> Signup and view all the answers

    Which of the following does the term 'Auto Medical Payments' specifically indicate?

    <p>Medical costs incurred from injuries after an auto accident. (B)</p> Signup and view all the answers

    Which element is likely crucial for determining the premium rates according to the content?

    <p>Vehicle model year (A)</p> Signup and view all the answers

    What aspect is not likely covered under collision premium?

    <p>Comprehensive losses from non-collision incidents (A)</p> Signup and view all the answers

    What does the total premiums for all specified autos include?

    <p>All listed coverages for specified autos (A)</p> Signup and view all the answers

    Which organization issued the policy number AYN737204340?

    <p>Columbia Casualty Company (D)</p> Signup and view all the answers

    Which premium type is specifically noted for nonfranchised dealers?

    <p>Covered autos liability (A)</p> Signup and view all the answers

    What is a feature of the medical expense coverage described?

    <p>Applicable only in Virginia (B)</p> Signup and view all the answers

    What date is listed as the policy effective date?

    <p>03/01/2023 (C)</p> Signup and view all the answers

    In what context is the term 'specified causes of loss' used?

    <p>As part of comprehensive coverage (D)</p> Signup and view all the answers

    What is the stated total premium formula for covered auto liability?

    <p>Number of trips multiplied by trip distance (C)</p> Signup and view all the answers

    Which of the following is NOT a component of the premium structure mentioned?

    <p>Health insurance payments (C)</p> Signup and view all the answers

    What geographical limitation is noted in the coverage?

    <p>Property protection insurance in Michigan only (D)</p> Signup and view all the answers

    What is the maximum distance mentioned for driver trips in the policy?

    <p>200 miles (B)</p> Signup and view all the answers

    What is meant by an 'insured contract'?

    <p>A contract where an insured agrees to indemnify or repay someone else (A)</p> Signup and view all the answers

    Which scenario is excluded from coverage under an insured contract?

    <p>Bodily injury to domestic employees not entitled to workers' compensation (A)</p> Signup and view all the answers

    What can the 'insured' be held liable for under workers' compensation laws?

    <p>Any obligation for workers' compensation related expenses (C)</p> Signup and view all the answers

    Which of the following is a condition for fellow employee coverage?

    <p>The injury must arise during the course of employment (B)</p> Signup and view all the answers

    Which individuals are specifically included in fellow employee liability coverage?

    <p>Family members of a fellow employee injured on the job (D)</p> Signup and view all the answers

    What does 'property damage' entail under the discussed coverage?

    <p>Damage to property owned, rented, or occupied by the insured (A)</p> Signup and view all the answers

    What happens if the bodily injury occurs to a domestic employee entitled to workers' compensation?

    <p>The liability is not covered under insured contracts (B)</p> Signup and view all the answers

    In which situation would coverage for care, custody, or control apply?

    <p>When property rented or occupied by the insured is damaged (D)</p> Signup and view all the answers

    What defines a 'domestic employee' in the context of the coverage form?

    <p>A person engaged in household or domestic work at a residence (A)</p> Signup and view all the answers

    Flashcards

    Non-Admitted Insurance

    A type of insurance coverage that may be purchased when the full amount, kind, or class of insurance cannot be obtained from admitted insurers in a particular state.

    Surplus Lines Insurer

    An insurer that is not authorized to do business in a particular state.

    State Guaranty Fund

    A state-run fund that protects policyholders in case an admitted insurer becomes insolvent.

    Remarketing

    The process of seeking insurance coverage from other insurers before renewing a policy with a non-admitted insurer.

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    OFAC Exclusionary Policy Language

    Federal regulations that prohibit transactions with individuals or entities on a list of Specially Designated Nationals and Blocked Persons, often associated with terrorism.

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    Null and Void Clause

    A policy provision that makes certain coverage void if it violates applicable laws or regulations.

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    Producer Responsibility

    Compliance with surplus lines stamping requirements, payment of surplus lines taxes and fees are the responsibility of the insurance producer or broker.

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    Auto Insurance Coverage

    A set of insurance coverages that protect against financial losses related to a vehicle.

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    Liability Insurance

    Insurance Coverage that protects against financial losses due to bodily injuries or property damage caused by an insured driver, regardless of fault.

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    Personal Injury Protection (PIP)

    Insurance Coverage that protects against medical expenses incurred by the insured driver and passengers in an accident, regardless of fault.

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    Employee Indemnification

    A situation where a person is legally responsible for the injuries or damages caused by someone else.

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    Added Personal Injury Protection

    Optional Insurance Coverage that extends coverage for specific events beyond the standard Personal Injury Protection (PIP) limits.

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    Employer's Liability

    A situation where a person is legally responsible for damages or injuries caused by their employees while working.

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    Employee Injury Exclusion

    This coverage excludes injuries to an employer's employees that occur during the normal course of their work.

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    Collision Coverage

    Insurance Coverage that protects against damages to an insured vehicle caused by a collision with another vehicle or object but not from other scenarios.

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    Family Member Injury

    Injuries to a worker's family members caused by an incident related to the employee's work.

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    Comprehensive Coverage

    Insurance Coverage that protects against damages to an insured vehicle caused by non-collision events like theft, vandalism, or natural disasters.

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    Fellow Employee Injury

    Injury to a fellow employee that happens while they're working.

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    Person Or Organization (Insurance)

    The person or organization to whom a covered vehicle has been furnished.

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    Fellow Employee Family Member Injury

    Injury to a fellow employee's family member that happens as a result of a work-related incident.

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    Number of Driver Trips

    The number of trips a driver makes to deliver or pick up vehicles.

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    Property Damage Exclusion

    Damage to property owned, rented, or occupied by the insured.

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    Covered Autos Liability Premium

    The insurance premium associated with the delivery of automobiles.

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    Franchised vs. Non-Franchised Dealers

    An insurance category that separates dealers based on whether or not they are franchised.

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    Covered Pollution Cost or Expense

    Costs associated with cleaning up pollution or contamination caused by the insured.

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    Domestic Employee Exception

    This exclusion doesn't apply to domestic employees who don't qualify for workers' compensation.

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    Domestic Employee Injury Exclusion

    This exclusion applies to injuries to domestic employees that occur while they're working.

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    Schedule of Covered Autos

    A schedule that details vehicles covered by insurance for individuals or entities other than Class I or Class II operators and those insured on a specified car basis.

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    Class I or Class II Operators

    A Class I operator is usually a large corporation or government entity that owns and operates a large fleet of vehicles. Class II operators are smaller entities that manage a fleet of vehicles.

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    Vehicle Description

    This refers to the specific details about a vehicle, including its make, model, year, and vehicle identification number (VIN).

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    Cost New

    Cost New refers to the estimated price to replace the vehicle if it were completely destroyed.

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    Class Code

    A Class code is a numerical designation used for classifying vehicles based on their type, use, and risk for insurance purposes.

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    Premium-Limits and Deductibles

    This refers to the various insurance coverages, including liability protection for damage to others (liability premium), protection against damage to your own vehicle (comprehensive and collision), and personal injury protection (PIP) which is also related to Medical Payments.

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    Liability Premium

    The cost you pay for the liability coverage, which protects you if you injure someone or damage their property in an accident.

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    PIP Premium

    This refers to personal injury protection (PIP) coverage, which helps pay for medical expenses and other expenses related to injuries in an accident.

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    Deductible (Collision and Comprehensive)

    Deductible is the amount you pay out-of-pocket before the insurance company starts covering the rest. This typically applies to collision and comprehensive coverage.

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    Limit of Insurance

    The maximum amount an insurer will pay for a covered loss, regardless of the actual cost of the loss.

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    Insured

    An individual or entity covered by an insurance policy.

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    Supplementary Payments

    Payments made by an insurer in addition to the primary coverage, such as expenses incurred in settling a claim.

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    Coverage Exhaustion

    When the total amount paid out for covered losses reaches the policy's limit, the insurer's responsibility to defend or settle further claims ends.

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    Deductible

    The amount an insured is required to pay out-of-pocket before the insurance policy starts covering losses.

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    Study Notes

    Insurance Policy Information

    • Columbia Casualty Company is the insurer
    • Policy coverage is provided by the company in the declarations
    • PDP Group, Inc. is the producer
    • Amynta Dealer Solutions is the agent of record

    Addresses and Contact Information

    • Columbia Casualty Company: 151 N. Franklin St, Chicago, IL 60606
    • PDP Group, Inc.: 10909 McCormick Rd, Hunt Valley, MD 21031
    • Amynta Dealer Solutions: 10801 Mastin Blvd., Suite 1070, Overland Park, KS 66210
    • Toll-Free Phone Number for Broadspire: 1-866-830-2383
    • Email for claim reporting: [email protected]
    • Phone for claim reporting: (888) 501-9301
    • Fax for claim reporting: (800) 245-9927
    • Email for general claims inquiries: [email protected]

    Claim Reporting Procedures

    • Immediately report new claims to the specified email address or phone number
    • Provide claim number (or report as new)
    • Include your name, contact info, and position with the named insured
    • State the date of loss
    • Provide policy number and insured name
    • Include details of the loss
    • Broadspire is the third-party claim reporting company

    Policyholder Notice - OFAC Requirements

    • CNA is committed to proper business conduct in the fight against terrorism.
    • Comply with U.S. Department of Treasury OFAC requirements (economic sanctions).
    • Policies may include exclusionary language for dealings with sanctioned entities or countries.

    Forms Applicable to All Coverage Parts

    • Policy includes forms applicable to all coverage parts; these numbers should be listed by the policyholder.
    • Policy signed by Chairman and Secretary

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    Description

    Test your knowledge on the definitions and nuances of insurance coverage, particularly related to losses and supplementary payments. This quiz covers key terms, exclusions, and state regulations that impact insurance policies. Ideal for students or professionals in the insurance field.

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