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Exam (elaborations)

WV Adjuster License - Part I: General Insurance Laws and Regulations Exam 2025 Questions and Answers

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WV Adjuster License - Part I: General Insurance Laws and Regulations Exam 2025 Questions and Answers

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WV Adjuster License - Part I: General
Insurance Laws and Regulations Exam
2025 Questions and Answers


Adjuster - --Answer --Any individual who, for compensation, fee or

commission, investigates and settles claims arising under property, casualty or

surety insurance contracts, on behalf of either the insurer or insured. The term

"adjuster" includes public adjusters, company adjusters and crop adjusters unless

specified otherwise.


Company adjuster - --Answer --Means an adjuster representing the interests

of the insurer, including an independent contractor and a salaried employee of the

insurer.


Crop adjuster - --Answer --Means a person who adjusts crop insurance

claims under the federal crop insurance program administered by the United States

Department of Agriculture.


Emergency adjuster - --Answer --Means a person who is authorized by the

Commissioner to perform adjusting activities in West Virginia.



....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1

,Home state - --Answer --Means the District of Columbia or any state or

territory of the United States in which an adjuster maintains his or her principal

place of residence or business and in which he or she is licensed to act as a resident

adjuster. If a persons principal place of residence or business does not license

adjusters for the type of adjuster license sought in this state, he or she may

designate as his or her home state any state in which he or she has such a license.


Insurance emergency - --Answer --Means a temporary situation declared by

the Commissioner when he or she finds that there is an inadequate number of

licensed adjusters to meet the demands of the public.


Public adjuster - --Answer --Means an independent contractor representing

solely financial interests of the insured named in the policy.


Application for License - --Answer --Application for an adjuster license

must be made to the Commissioner on forms prescribed by him or her and must

contain information and be accompanied by supporting documents as the

Commissioner may require. The fee for an adjuster license is $25.00 and must be

submitted with the application.


Standards of conduct - --Answer --An adjuster may not give legal advice and

may not deal directly with any policyholder or claimant who is represented by legal

counsel without the consent of the legal counsel involved.




....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2

,An adjuster must identify himself or herself as an independent contractor and, if

applicable, identify his or her employer when dealing with any policyholder or

claimant.




An adjuster may not have any financial interest in any adjustment or acquire for

himself or herself any interest or title in salvage, without first receiving written

authority from the principal.


Conflict prohibited - --Answer --The Commissioner will license an

individual as a company adjuster, public adjuster, or crop adjuster. An individual

may be licensed concurrently under separate licenses but may not act as an adjuster

representing the interests of the insured and the insurer with respect to the same

claim.


License exemption - --Answer --No person may in WV act as or hold

himself out to be an adjuster unless then licensed to do so.




As used in this section, the term "person" does not include those persons located

in an office of an insurer outside the state of WV who adjuster claims solely by




....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3

, telephone, fax, US mail and electronic mail and who do not physically enter the

state of WV in the course of adjusting claims.




The definition of adjuster does not include, and an adjuster license will not be

required, of the following:

-An attorney at law admitted to practice in this state, when acting in their

professional capacity as an attorney.

-A person employed solely to obtain facts surrounding a claim or the furnish

technical assistance to a licensed company adjuster.

-An individual who is employed to investigate suspected fraudulent insurance

claims but who does not adjust losses or determine claim payments.

-A person who solely performs executive, administrative, managerial, or clerical

duties or any combination thereof and who does not investigate, negotiate, or

settle claims with policyholders, claimants, or their legal representative.

-A person who adjusts life, accident and sickness, annuity or disability insurance

claims.

-A person who adjusts claims for licensed farmers' mutual fire insurance

companies.




....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4

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