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Exam (elaborations)

Florida certified adjuster practice exam

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Jerome was shopping at ABC Imports when a light fixture fell from the ceiling and hit him on the head. Jerome's injuries resulted in an extended hospital stay, so he sued ABC Imports and was awarded $400,000. Assuming ABC Imports carries a CGL with a General Aggregate of $750,000 and a per occurrence limit of $250,000, what is the maximum that ABC's insurer will pay for Jerome's injuries? - answer-$250,000 When is a self-insured retention applied in an umbrella policy? - answer-When the umbrella policy covers a loss that is excluded by primary policies Dr. Smith has a claims-made malpractice insurance policy with a policy period from June 30, 2006 to June 30, 2007. Which claim would trigger this policy? - answer-A claim filed on January 13, 2007 for surgery performed on June 28, 2005 David just opened his own consulting business, and has taken on several new clients. He's having difficulty managing his schedule on top of all the other responsibilities related to owning his own business, so he hires Tina via contract to work as his full-time office manager for $15 per hour. According to the definitions in David's Commercial General Liability policy, which of the following best describes Tina? - answer-Employee While Andrea was grocery shopping in BB Mart, the large Dairy sign fell off the wall and landed on her. Because of her extensive injuries, Andrea sued BB Mart and was awarded $375,000 in damages. BB Mart's Commercial General Liability policy has a general aggregate limit of $1,000,000 and a per occurrence limit of $300,000. What is BB Mart's general aggregate limit after the claim for Andrea's injuries is paid? - answer-$700,000 One day, a customer at Jim's tire sales was severely injured when Iraq of tires collapsed and fell on her. Later, the customer filed a lawsuit against him for $750,000. Jim has a commercial general liability policy, but the limit for this type of loss is only $500,000. Not wanting to use his entire limit on this one claim, Jim tries to use his excess liability policy first, which has a limit of $1,000,000so he can retain most of the aggregate limit in his base policy. Unfortunately for Jim, this is not possible because: - answer-An excess liability policy pays only after the policy limit has been exhausted Dr. Jones' current occurrence malpractice policy is in effect from July 1, 2005 through July 1, 2006. Which lawsuit would trigger this malpractice insurance policy? - answer-A man sues Dr. Jones on July 26, 2009 for a damaging knee surgery performed on March 3, 2006 Craig is just starting out with his business. He needs an insurance policy to cover his liability against any unknown defects within his products. Of the four types of CGL policies listed below, which offers the best coverage for Craig's business, regardless of when a claim is filed? - answer-Occurrence policy Phil heads over to visit his friend Josh, who is sick with the flu. While at the house, Josh fails to cover his mouth when he coughs and Phil ends up contacting the flu. Fill files a claim with Josh is insured for medical expenses and lost income I feel is out sick from work. The insured denies the claim because: - answer-A disease transmitted from the insured to a third-party is excluded Farmer Bob would like to sell his recent harvest of lettuce to a local wholesaler. The wholesaler agrees, but only if Bob can prove he has insurance protection in the event that his lettuce causes people to become ill. What type of insurance does Bob need in this situation? - answer-Farm Product Liability insurance Farmer Jane had an MPCI policy in place when her wheat field was ruined by a hail storm. Jane promptly plowed up the wheat and planted a cover crop. Two days later she filed a claim with her insurer. The claim was denied. What might be the reason for the denial? - answer-Jane did not leave samples of the destroyed crop for the adjuster to examine In Florida, what are the basic limits of liability for coverage E and coverage F in a homeowners policy? - answer-Coverage E: $100,000 per occurrence; Coverage F: $1,000 per person Farmer Scott owns a farm and raises goats, producing a lot of manure. Occasionally, after a strong rain, some of the waist washes into a nearby river. Which insurance coverage can protect Scott from any liability caused by the goat waste runoff? - answer-Farm pollution liability Joe (the principal) is handling the disbursement of a deceased executive's estate, and he is required to carry a bond guaranteeing such work. The surety company requires one of its accountants to be a second signer on the disbursement checks that Joe writes. In this case, the surety has established: - answer-Joint control XYZ Films is getting ready to shoot a new Western film. As with most film productions, XYZ Films uses a surety bond from ABC Bonds to help protect the distributor's financial investment in the movie. Because of the magnitude of the budget for the film, ABC Bonds has XYZ Films secure a/an ___ to act as a co-signer. - answer-Indemnitor All of the following causes of loss are excluded from coverage in an equipment breakdown protection coverage form, EXCEPT: - answer-Mechanical failure When one of Frank's ovens breaks down at his wholesale bakery, it causes a dip in production that drastically affectsThe bottom line of the business. Luckily for Frank, he has an equipment breakdown protection coverage form that can help cover the cost of repairing the expensive oven. While policy coverage can help pay for the cost associated with making temporary Repairs and speeding up the permit repairs? - answer-Expediting expenses Under the Longshore and Harbor workers Compensation act, how much would the surviving spouse of a disease worker received in benefits? - answer-50% of the deceased workers average weekly wage Which of the following states takes a "monopolistic" approach to Worker's Compensation insurance? - answer-Wyoming An explosion takes place at Acme manufacturing plant. Four employees are injured. Gina broke her leg and has third degree burns on 10% of her body. George's left leg is hurt so seriously that it later needs to be amputated. Taylor is permanently blind in one eye, and Jason has third degree burns on 15% of his body. Which of these employees is eligible for Permanent Total disability benefits? - answer-George Workers' Compensation insurance can provide compensation for all of the following, EXCEPT: - answer-Lost vacation time States that have special legislation that requires Worker's Compensation coverage to be provided exclusively by the states Worker's Comp. programs are: - answer-Monopolistic Bonnie's PAP includes Comprehensive coverage. Which of the following losses could this coverage pay for? - answer-Bonnie's car catches fire Ron's truck experiences a mechanical breakdown and he has it towed to an auto repair facility. Upon further examination of Ron's claim, his mechanical breakdown insurance provider denies coverage. Which of the following would be a valid reason for this denial? - answer-Ron has been hauling a large boat, which overloaded the vehicle and caused the breakdown Stan has a personal auto policy to cover his two vehicles, but he recently purchased a custom built motorcycle as well. Which type of endorsement will Stan need to cover the

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Florida Certified Adjuster
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Institution
Florida certified adjuster
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Florida certified adjuster

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Uploaded on
February 19, 2025
Number of pages
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Written in
2024/2025
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FLORIDA CERTIFIED ADJUSTER PRACTICE
EXAM WITH ANSWERS

Jane has $150,000 homeowners policy with a 3% percentage deductible. One night, In
oven fire destroys her kitchen, causing $50,000 in damage. How much of the damage
falls under Janes responsibility? - answer-$4,500

Xavier owns a small insurance company. Recently the company want to bid to ensure a
new housing development in Omaha, Nebraska. His company can handle any claims
that arise, but if a series of tornadoes were to tear through the area and destroy the
entire development, Xavier's company would suffer financially. Which type of insure
could help Xavier's company protect itself the most from this potential loss? - answer-A
re-insurer

Which of the following situations does NOT involve an instance of "pure risk?" - answer-
Loss of money invested in the stock market

Which of the following is an insurable risk? - answer-A football stadium

A lightning strike causes one of those storage buildings on John's farm to burn to the
ground, added by the fuel tanks he kept in the building. John knows he wasn't
supposed to store any fuel in the building, so he kept that piece of information to
himself when he files a claim. John's ensure made and I his claim based on his: -
answer-Concealment

Chain shed burned to the ground during a tornado, when the Highwinds break a wall of
the shed, knocking over a lantern inside. What is the proximate cause of the loss? -
answer-Wind

Kevin plays in a brass band using two rare antique Alexander tubas. Since they are no
longer produced, the value of the tubas is difficult to determine. Which type of policy
would best indemnify Kevin in this event that his two boys were damaged, lost, or
stolen? - answer-Agreed value policy

Which settlement option is most often use when the claimant misses work because of a
bodily injury, but a settlement has not been reached? - answer-Advance payment
settlement

Adjuster Andy is trying to determine a final settlement amount for Stacy's claim. Stacy's
house was destroyed in a house fire and it will cost $185,000 to rebuild it. Stacy's
homeowner policy has a limit of $178,000 and $1800 deductible. Typically, how much
would adjuster Andy calculate Stacy's final settlement amount to be - answer-$178,000

,Stephanie is in the process of addressing George's auto claim. Currently she is
interviewing Shana, who witnessed George's accident and stopped to help. In what
stage of the claim process is Stephanie currently working? - answer-Investigation

If a claimant has a history of similar claims, that could mean: - answer-It is important to
investigate for fraud

If an insurer is unwilling to pay what the claimant is asking, the adjuster must: - answer-
Negotiate a settlement

An insurance adjuster acts as a fiduciary agent for her employer. Which of the following
statements is FALSE about the adjuster's role as a fiduciary agent? - answer-The
adjuster may not give the claimant materials showing how he came up with the
settlement amount

A staff adjuster is a: - answer-Salaried employee working for only one insurer

Marlene has been living in her $120,000 home for 31 years. Because she has paid off
the mortgage, she decides to save some money on her monthly insurance premiums by
reducing her homeowners coverage to $40,000. After a severe hail storm totals her
roof, her adjuster estimates the damage at $12,000. Assuming the insure imposes the
standard coinsurance penalty, and ignoring the deductible, how much will Marlene
receive in the settlement amount? - answer-$5,000

Craig has an HO-3 policy covering his primary residence with a Coverage A limit of
$250,000, Coverage B limit of $25,000, and a Coverage C limit of $150,000. Craig also
has a cabin on the lake, which was burglarized. The thieves stole much of the cabin's
contents, for a total loss of $18,500. Ignoring any deductibles, how much will Craig's
HO-3 policy pay for this claim? - answer-$15,000

Stan built a porch for his home three years ago at a cost of $10,000. The value of the
porch has depreciated by $6,000, and it would cost $12,000 to replace it today. After
Stan's porch burnt down during a BBQ today, how much would a Standard Fire Policy
indemnify Stan for his porch? - answer-$6,000

Which of the following statements is NOT true of endorsements? - answer-And
endorsed policy will always provide more coverage than an unendorsed policy

In a dwelling policy, how much will the Fire Department Service charge coverage pay? -
answer-Up to $500 if the fire department charges for responding to a covered peril

Bill's new home is in the final stages of construction, and he has purchased an HO-2
policy to ensure his financial interest in the property. This morning, Bill's contractor calls
to tell him that an electrical fire has destroyed his new kitchen, and all of the crown
molding that was supposed to be installed today has been stolen. It will be $15,000 to
rebuild the kitchen and another $4,200 to replace the trim. How will Bill's ensure

, respond when he files a claim? - answer-His insurer will pay $15,000 for a build the
kitchen and nothing for the stolen trim

Which of the following statements about the original standard fire policy is FALSE? -
answer-It was the first multi-line policy, combining both Physical Damage and Liability
coverages

During a severe wind storm, a large tree in Jeff's yard was blown down in two large
bushes were ripped from the ground. Jeff has an HO-3. What is the maximum amount
that Jeff can receive for the replacement of the tree and bushes that were damaged by
the wind storm? - answer-$0

For loss settlement purposes, most homeowners policies: - answer-Pay for damages to
personal property at actual cash value, and damages to structures at replacement cost

Tim's $2500 boat trailer was stolen from his driveway. Ignoring any deductibles, how
much contingency for his stolen trailer when he files a claim against his homeowners
policy? - answer-$1,500

Helen's business is growing rapidly, so she decided to add an annex onto her office
and hire another worker. While under construction, a storm blows down most of the
annex structure, forcing Helen to restart from scratch. Her commercial policy provides
insurance coverage equal to 75% of the property value, despite the fact that her policy
requires 80% coverage to be fully insured. Which coverage extension could help Helen
rebuild at replacement cost? - answer-None - Extensions are only available at the
policyholder maintains the minimum level of insurance of 80% to value

A fire burns down Jenny's hardware, leaving virtually nothing salvageable. Which of the
following items would not be covered under coverage A of the building and personal
property coverage form in her commercial property policy? - answer-An employees
laptop what she uses for work

What BOP endorsement would cover accompanies lost business income and extra
expense due to loss of electrical service? - answer-Utility time element

When the high-pressure feeder malfunction at the ACME paper mill, The resulting
explosion severely damaged the mill and shut down operations for almost 2 months.
Once the repairs are finished, the city inspector comes out to inspect the work and finds
that the required scrubber needs to be replaced in order to meet current Industry safety
standards. Which coverage could help ACME with this added expense? - answer-Law
and ordinance coverage

According to the commercial property policy, a commercial building is considered
vacant if less than ___ of the available square footage is occupied for ___ consecutive
days. - answer-31%, 60

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