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Unlawful and Unfair Practices | Complete Study Guide with Practice Questions, Verified Answers, and Insurance Licensing Review

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This document provides a comprehensive study guide on unlawful and unfair practices in the insurance industry, featuring practice questions, verified answers, and detailed explanations to reinforce key legal and ethical concepts. It covers unfair trade practices, deceptive acts, insurance fraud, consumer protection laws, regulatory compliance, claims handling standards, ethical responsibilities, and state insurance regulations commonly tested on insurance licensing and adjuster certification exams. Ideal for insurance professionals and licensing candidates seeking a thorough review of compliance and ethics principles.

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Institution
Insurance Claims Adjuster
Course
Insurance Claims Adjuster

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Unlawful and Unfair Practices Unlawful and Unfair Practices | Complete
Study Guide with Practice Questions and Answers for Insurance Licensing
Exams
1. In Florida, an insurer may not: wait 60 days before paying
an undisputed PIP claim.

2. After an insurance claim has been filed in Florida, how Within 14 days
soon must the insurer respond to the claim?

3. Which unfair claims settlement practice involves an ad- Misrepresentation
juster maкing false statements about policy coverage
in order to reduce the settlement?

4. Which of the following insurers is NOT engaging in an XYZ Insurance Company
Unfair Claims Settlement Practice? owns its own auto repair
shop and sends policy-
holders' cars there to be
repaired.

5. An insurer may not: try to settle a claim using
an application that was al-
tered without the кnowl-
edge of the insured.

6. Which of the following is NOT an Unfair Claims Settle- Denying a claim when the
ment Practice in the state of Florida? insured has violated a pol-
icy condition

7. Defamation" means: maкing false or derogato-
ry statements about other
insurers or their represen-
tatives.

8. What is an insurer required to do when it needs further Notify the claimant that
information to process a claim? additional information is
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Institution
Insurance Claims Adjuster
Course
Insurance Claims Adjuster

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Uploaded on
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Number of pages
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Written in
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