UPDATED ACTUAL Exam Questions and
CORRECT Answers
T/F Workers comp laws are a no-fault system? - CORRECT ANSWER - True, it doesn't
matter who was at fault in a WC claim
Which states are WC insurance not mandatory? - CORRECT ANSWER - Texas
New Jersey
What is a monopolistic state fund? - CORRECT ANSWER - Where the state owns and
operates their own WC insurance facility
What are the 4 states that are monopolistic states? - CORRECT ANSWER - North Dakota
Ohio
Washington
Wyoming
What are Employee advantages of WC policy? - CORRECT ANSWER - Defined benefits
if injured on the job
Benefits regardless of negligence
Some benefits last a lifetime
What are Employer advantages of WC policy? - CORRECT ANSWER - No lawsuits from
injured employees
Cost of insurance is predictable
tangible benefit to employees
, There are 4 items on the Information Page of a WC policy. What does each section show? -
CORRECT ANSWER - Item 1 - Employers type of business, name, and address
Item 2 - Policy period
Item 3 - WC coverage, EL coverage, endorsements, States business is conducted, and states
where insured does not operate
Item 4 - Premium calculations
What's is the difference between Item 3A and 3C of the information page of a WC policy? -
CORRECT ANSWER - 3A shows the state the insured has operations in
3C lists all states the insured does not have operations in
What is an experience modifier and what is its purpose? - CORRECT ANSWER - It
reflects the employers claim experience, including the Frequency and cost of claims. If it is over
1, there have been higher claims, if it is less than 1, there have been fewer claims. This is used to
calculate an employers premium
The WC policy has 5 general sections in it's entirety. These sections are A-E. Briefly list what
each section is for. - CORRECT ANSWER - A - Explains the policies role as an insurance
contract and how it applies
B - Clarifies who is an insured
C - Described workers compensation law
D - Explains in which states coverage applies
E - Identifies workplace locations where coverage applies
There are 3 main parts we discussed about a WC/EL policy. What are they? - CORRECT
ANSWER - WC Insurance
EL Insurance
Other States Insurance
There are 4 different types of WC benefits in a claim. What are they? - CORRECT
ANSWER - Medical - Reasonable and necessary injury treatment with no time limit