CISR - Commercial Casualty II - Study
Guide Questions with answers
State workers compensation laws are a no fault system. T/F - - True
-Employer purchase of workers compensation insurance is voluntary in all states
but Texas and New Jersey. T/F - - False
It is mandatory in all states but Texas and New Jersey.
-One advantage of workers compensation insurance for employers is predictable
costs. T/F - - True
-List four states that workers compensation is a monopolistic state fund. - - North
Dakota, Ohio, Wyoming, Washington
-List two states where workers comp insurance is elective. - - Texas and New
Jersey
-Things listed in Item 1 of the Information page (Dec Page) of a workers
compensation policy. - - The employers type of organization
-Things listed in Item 2 of the Information page (Dec Page) of a workers
compensation policy. - - Policies Effective Date and Expiration Date
-Things listed in Item 3 of the Information page (Dec Page) of a workers
compensation policy. - - the list of states in which an insured has or expects to
have operations
description of the employers liability coverage
details the limits of insurance for employers liability
-Things listed in Item 4 of the Information page (Dec Page) of a workers
compensation policy. - - provides information used to calculate an estimated
premium
-What is the difference between item 3.A. and 3.C. ? - - Item 3.A. triggers Workers
Compensation Insurance for the state or states listed in which the policyholder has
ongoing operations. In item 3.C., all the other states in the U.S., except those shown
in item 3.A. and the monopolistic states, are shown or listed to trigger Other States
Insurance for claims that could be made in that state by employees who are there
on a temporary basis. For example, in item 3.C., a business located only in
Oklahoma might have listed: "All states except OK, ND, OH, WA, WY."
-What is the experience modifier and what is its purpose? - - The experience
modifier reflects employers claims experience, that is, the frequency and severity,
, or cost, of claims. The experience modifier—a value that is normally more or less
than 1.0—is used to calculate an employer's premium
-What is the general purpose of section A of the workers compensation coverage
page? - - Explains the policy's role as an insurance contract
-What is the general purpose of section B of the workers compensation coverage
page? - - Clarifies who is insured
-What is the general purpose of section C of the workers compensation coverage
page? - - Describes workers compensation law
-What is the general purpose of section D of the workers compensation coverage
page? - - Explains in which states coverage applies
-What is the general purpose of section E of the workers compensation coverage
page? - - Explains in which states coverage applies, Identifies workplace locations
where coverage applies
-Explain what Paragraph C. in the General Section of the Workers Compensation
and Employers Liability Insurance Policy does not apply to. - - Paragraph C. does
not focus on federal workers or federal workers compensation laws.
-Part ______________________________ of the Workers Compensation Insurance Form
outlines how the ______________________________ applies. It applies to a bodily injury
by ______________________________, or a bodily injury by disease, that occurred
______________________________ the policy period and which was
______________________________ by the conditions of employment. - - One,
Insurance,
Accident,
During,
Caused or Aggrevated
-Medical - - reasonable and necessary treatment for an injury
-Disability - - compensation for types of permanent injury, compensation for lost
wages
-Rehabilitation - - restoration of an employee's physical capacity
-Death - - financial support for beneficiaries
-What are the medical and disability benefits that are associated with workers
compensation based on? What are their time limits? - - Workers compensation
would pay medical costs for all reasonable injuries, with no time limit. Disability
benefits are based on an injured employee's income and are limited to the extent of
their disability.
-Summarize the purpose of paragraph B. in Part One of the Workers Compensation
and Employers Liability Insurance Policy. - - Following the workers compensation
Guide Questions with answers
State workers compensation laws are a no fault system. T/F - - True
-Employer purchase of workers compensation insurance is voluntary in all states
but Texas and New Jersey. T/F - - False
It is mandatory in all states but Texas and New Jersey.
-One advantage of workers compensation insurance for employers is predictable
costs. T/F - - True
-List four states that workers compensation is a monopolistic state fund. - - North
Dakota, Ohio, Wyoming, Washington
-List two states where workers comp insurance is elective. - - Texas and New
Jersey
-Things listed in Item 1 of the Information page (Dec Page) of a workers
compensation policy. - - The employers type of organization
-Things listed in Item 2 of the Information page (Dec Page) of a workers
compensation policy. - - Policies Effective Date and Expiration Date
-Things listed in Item 3 of the Information page (Dec Page) of a workers
compensation policy. - - the list of states in which an insured has or expects to
have operations
description of the employers liability coverage
details the limits of insurance for employers liability
-Things listed in Item 4 of the Information page (Dec Page) of a workers
compensation policy. - - provides information used to calculate an estimated
premium
-What is the difference between item 3.A. and 3.C. ? - - Item 3.A. triggers Workers
Compensation Insurance for the state or states listed in which the policyholder has
ongoing operations. In item 3.C., all the other states in the U.S., except those shown
in item 3.A. and the monopolistic states, are shown or listed to trigger Other States
Insurance for claims that could be made in that state by employees who are there
on a temporary basis. For example, in item 3.C., a business located only in
Oklahoma might have listed: "All states except OK, ND, OH, WA, WY."
-What is the experience modifier and what is its purpose? - - The experience
modifier reflects employers claims experience, that is, the frequency and severity,
, or cost, of claims. The experience modifier—a value that is normally more or less
than 1.0—is used to calculate an employer's premium
-What is the general purpose of section A of the workers compensation coverage
page? - - Explains the policy's role as an insurance contract
-What is the general purpose of section B of the workers compensation coverage
page? - - Clarifies who is insured
-What is the general purpose of section C of the workers compensation coverage
page? - - Describes workers compensation law
-What is the general purpose of section D of the workers compensation coverage
page? - - Explains in which states coverage applies
-What is the general purpose of section E of the workers compensation coverage
page? - - Explains in which states coverage applies, Identifies workplace locations
where coverage applies
-Explain what Paragraph C. in the General Section of the Workers Compensation
and Employers Liability Insurance Policy does not apply to. - - Paragraph C. does
not focus on federal workers or federal workers compensation laws.
-Part ______________________________ of the Workers Compensation Insurance Form
outlines how the ______________________________ applies. It applies to a bodily injury
by ______________________________, or a bodily injury by disease, that occurred
______________________________ the policy period and which was
______________________________ by the conditions of employment. - - One,
Insurance,
Accident,
During,
Caused or Aggrevated
-Medical - - reasonable and necessary treatment for an injury
-Disability - - compensation for types of permanent injury, compensation for lost
wages
-Rehabilitation - - restoration of an employee's physical capacity
-Death - - financial support for beneficiaries
-What are the medical and disability benefits that are associated with workers
compensation based on? What are their time limits? - - Workers compensation
would pay medical costs for all reasonable injuries, with no time limit. Disability
benefits are based on an injured employee's income and are limited to the extent of
their disability.
-Summarize the purpose of paragraph B. in Part One of the Workers Compensation
and Employers Liability Insurance Policy. - - Following the workers compensation
