CISR - Commercial Casualty II - Study Guide Questions With Accurate Solutions

CISR - Commercial Casualty II - Study
Guide Questions With Accurate
Solutions

State workers compensation laws are a no fault system. T/F - ANSWER-True



Employer purchase of workers compensation insurance is voluntary in all states but
Texas and New Jersey. T/F - ANSWER-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 - ANSWER-True



List four states that workers compensation is a monopolistic state fund. - ANSWER-
North Dakota, Ohio, Wyoming, Washington



List two states where workers comp insurance is elective. - ANSWER-Texas and New
Jersey



Things listed in Item 1 of the Information page (Dec Page) of a workers compensation
policy. - ANSWER-The employers type of organization



Things listed in Item 2 of the Information page (Dec Page) of a workers compensation
policy. - ANSWER-Policies Effective Date and Expiration Date

,Things listed in Item 3 of the Information page (Dec Page) of a workers compensation
policy. - ANSWER-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. - ANSWER-provides information used to calculate an estimated premium



What is the difference between item 3.A. and 3.C. ? - ANSWER-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? - ANSWER-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?
- ANSWER-Explains the policy's role as an insurance contract



What is the general purpose of section B of the workers compensation coverage page?
- ANSWER-Clarifies who is insured

, What is the general purpose of section C of the workers compensation coverage page?
- ANSWER-Describes workers compensation law



What is the general purpose of section D of the workers compensation coverage page?
- ANSWER-Explains in which states coverage applies



What is the general purpose of section E of the workers compensation coverage page?
- ANSWER-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. - ANSWER-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. - ANSWER-
One,

Insurance,

Accident,

During,

Caused or Aggrevated



Medical - ANSWER-reasonable and necessary treatment for an injury



Disability - ANSWER-compensation for types of permanent injury, compensation for lost
wages