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Texas Insurance Law and Adjuster Regulation
Q1: An independent adjuster in Texas receives a notice that their license is expiring next
month. What is the standard requirement to maintain an active license?
A. Submit a new application and pass the state exam again.
B. Complete 24 hours of approved continuing education, including 2 hours of ethics, before
the expiration date. [CORRECT]
C. Pay a late fee and complete 12 hours of continuing education after the expiration date.
D. Obtain a sponsoring insurance company's written approval.
Correct Answer: B
Rationale: This choice is correct because Texas law requires all licensed adjusters to
complete 24 hours of approved continuing education, including 2 hours of ethics, prior to
their license expiration date to maintain active status.
Q2: A policyholder files a first-party claim, and the insurer acknowledges receipt. Under the
Texas Prompt Payment of Claims Act, how many days does the insurer generally have to
accept or reject the claim after receiving all requested items?
A. 10 business days
B. 15 business days [CORRECT]
C. 30 calendar days
D. 45 calendar days
Correct Answer: B
Rationale: The best answer is 15 business days, as this aligns with the Texas Prompt
Payment of Claims Act, which mandates that insurers must accept or reject a claim within
this timeframe after receiving all required documentation.
Q3: Which of the following actions by an adjuster would most likely be considered an unfair
claims settlement practice under Texas law?
A. Requesting a sworn proof of loss within the policy's specified timeframe.
B. Failing to promptly provide a reasonable explanation for the denial of a claim. [CORRECT]
C. Recommending a specific, reputable restoration vendor to the insured.
D. Closing a file after the statute of limitations has expired without payment.
Correct Answer: B
Rationale: This matches the principle that failing to provide a prompt, reasonable
explanation for a claim denial is explicitly defined as an unfair claims settlement practice by
the Texas Department of Insurance.
,Q4: A non-resident adjuster wishes to obtain a Texas adjuster license. Their home state does
not license adjusters. What must they do to qualify?
A. They cannot obtain a Texas license under any circumstances.
B. They must designate Texas as their Designated Home State (DHS) and meet all Texas
licensing requirements. [CORRECT]
C. They only need to pass the Texas exam, waiving the pre-licensing education.
D. They must secure a job offer from a Texas-based insurance carrier first.
Correct Answer: B
Rationale: This choice is correct because individuals residing in states that do not license
adjusters can designate Texas as their Designated Home State, provided they fulfill all
standard Texas pre-licensing and examination requirements.
Q5: An adjuster changes their residential address. Within how many days must they notify
the Texas Department of Insurance (TDI) of this change?
A. 10 days
B. 30 days [CORRECT]
C. 60 days
D. 90 days
Correct Answer: B
Rationale: This aligns with TDI regulations, which require licensees to update their contact
information, including residential and mailing addresses, within 30 days of the change.
Q6: What is the primary distinction between an independent adjuster and a public adjuster
in Texas?
A. Independent adjusters represent the insured, while public adjusters represent the
insurer.
B. Independent adjusters represent the insurer, while public adjusters represent the
insured. [CORRECT]
C. Independent adjusters only handle auto claims, while public adjusters handle property
claims.
D. Public adjusters are salaried employees of the insurance company.
Correct Answer: B
Rationale: The best answer is that independent adjusters represent the insurance
company's interests, whereas public adjusters are hired by and represent the policyholder's
interests in a claim.
Q7: An adjuster is offered an expensive gift basket by a roofing contractor who frequently
receives referrals from the adjuster's firm. What is the most ethical and compliant action?
A. Accept the gift but do not refer the contractor to any new clients.
B. Decline the gift to avoid any appearance of a conflict of interest or violation of anti-
rebating laws. [CORRECT]
C. Accept the gift and share it with the entire office staff.
D. Report the contractor to the Texas Department of Insurance immediately.
Correct Answer: B
Rationale: This choice is correct because accepting valuable gifts from vendors can create a
conflict of interest and may violate ethical guidelines and anti-rebating statutes, making it
safest to politely decline.
, Q8: Which of the following is a mandatory component of the Texas All-Lines Adjuster pre-
licensing education?
A. A 40-hour course covering property, casualty, and workers' compensation fundamentals.
[CORRECT]
B. A 20-hour course focused exclusively on automobile liability.
C. A 10-hour course on insurance marketing and sales.
D. A 50-hour internship with a licensed adjusting firm.
Correct Answer: A
Rationale: This matches the principle that Texas requires a comprehensive 40-hour pre-
licensing education course for the All-Lines Adjuster license to ensure competency across
property, casualty, and workers' compensation.
Q9: If an adjuster knowingly makes a false statement on a claim report to benefit the
insured, what is the most severe potential consequence?
A. A verbal warning from their employing firm.
B. A civil penalty and potential revocation of their adjuster license. [CORRECT]
C. A requirement to retake the state licensing exam.
D. A temporary suspension of the insured's policy.
Correct Answer: B
Rationale: The best answer is a civil penalty and potential license revocation, as knowingly
making false statements constitutes fraud, which TDI treats with severe disciplinary action,
including license revocation.
Q10: A claimant is frustrated with the handling of their claim and wants to file a complaint
against the adjuster. Where should they be directed?
A. The local police department.
B. The Texas Department of Insurance (TDI) Consumer Protection division. [CORRECT]
C. The National Association of Insurance Commissioners (NAIC) headquarters.
D. The adjuster's personal attorney.
Correct Answer: B
Rationale: This choice is correct because the TDI Consumer Protection division is the
designated state regulatory body responsible for investigating consumer complaints
regarding insurance practices and adjuster conduct.
Q11: Under Texas law, when is an adjuster permitted to negotiate a settlement on behalf of
an insurer?
A. Only after a lawsuit has been formally filed.
B. When they hold an active, applicable adjuster license and have been authorized by the
insurer. [CORRECT]
C. Whenever they have more than five years of industry experience.
D. Only if they are a licensed attorney in the state of Texas.
Correct Answer: B
Rationale: This aligns with the principle that an adjuster must possess a valid, active license
for the specific line of insurance and have explicit authorization from the insurer to
negotiate settlements on its behalf.