NY Independent General Adjuster (2025) EXAM
QUESTIONS AND ALL CORRECT ANSWERS 100%
SOLVED AND GUARANTEED SUCCESS!!
2 types of insures offer insurance plans - (ANSWER)1. commercial insurance
companies
2. health and managed care service providers
claims- health insurance - (ANSWER)vary from one type of product to the next
reimbursement vs valued - (ANSWER)reimbursement: contracts base the amount
of benefit on the loss that is actually incurred
Valued contracts pay a stipulated sum as set forth in the contract, w/o regard for
actual expenses
Normal reinstatement period - (ANSWER)3 years from the date of lapse
insurer does not notify the insured of its decisions within how many days of the
date of application for reinstatement, the policy is automatically reinstated -
(ANSWER)45 days
free-look period (lets policyowners return the policy to the insurer within a
limited time and receive a full refund of all premiums and fee paid) begins when?
- (ANSWER)10 days- when the policy is delivered to the policyowner
,probationary period in health insurance - (ANSWER)exclude coverage if illness-
related losses only, accident-related losses are covered
probationary period in health insurance exist for how long - (ANSWER)its a
limited time after a policy is first issued, while the elimination period is imposed
from the moment the policy is issued
guaranteed renewable policy - medical expense/long-term care - (ANSWER)the
insurer guarantees that, during the guaranteed renewable period, it will cancel
the policy, through it does have the right to increase premiums
dwelling 1 - (ANSWER)Fire, lighting and internal explosion and v&mm
Optional extended windstorm, explosion, riot, aircraft vehicle smoke volcanic
eruption
principal sum - (ANSWER)the benefit payable for accidental death
capital sum - (ANSWER)the benefit payable in the event of accidental
dismemberment
hospitalization - (ANSWER)not required to be eligible for critical illness benefit
payments
blanket insurance - (ANSWER)covers participants only when they are actively
participating in the covered activity
,dental indemnity plan - (ANSWER)freedom to choose any dentist or dental care
provider
prepaid dental plan - (ANSWER)functions much like a health maintenance
organization (HMO), which also operate on a prepayment-for-service model
Skeletal system - (ANSWER)comprised of bones as well as the tendons, ligaments
and cartilage that connect them
soft tissue injuries - (ANSWER)occur when muscles, ligaments or tendons are
damaged, typically from a sprain, strain or overuse of part of the body
nervous system - (ANSWER)includes the brain, spinal cord sensory organs, and all
of the nerves that connect these organs with the rest of the body
traumatic brain injury - (ANSWER)the function of the brain is disrupted by a blow
to the head, while an acquired brain injury is caused by conditions such as
strokes, aneurysms, meningitis, brain tumors or anoxia
Tachycardia, atherosclerosis and coronary - (ANSWER)thrombosis are medical
conditions that affect the heart
, Magnetic resonance imaging (MRI) - (ANSWER)a test procedure that uses a
strong magnetic field and radio waves to take detailed pictures of organs, soft
tissues, bones, and other structures inside the body
computerized tomograph - (ANSWER)diagnostic imaging test that combines x-ray
images with the aid of a computer to generate cross-sectional views and
sometimes three-dimensional images of the body internal structure
Electromyogaphy (EMG) - (ANSWER)diagnostic procedure that is used to evaluate
the bodys nerve and muscle function, while an electrocardiogram (EKG or CG) is
medical test that records the hearts electrical activity and checks for any
problems
electronencephalograph - (ANSWER)is medical test that measure the electrical
activity of a persons brain
parties protected by a property and casualty - (ANSWER)insurance policy include
the first named insured, named insureds, insureds, additional insureds and
secured creditors
Policy Period - (ANSWER)property and casualty insurance policies usually provide
coverage only during a specific time period
territory provision - (ANSWER)specifies that coverage applies to losses within the
US and its possessions, Puerto Rico, and Canada
QUESTIONS AND ALL CORRECT ANSWERS 100%
SOLVED AND GUARANTEED SUCCESS!!
2 types of insures offer insurance plans - (ANSWER)1. commercial insurance
companies
2. health and managed care service providers
claims- health insurance - (ANSWER)vary from one type of product to the next
reimbursement vs valued - (ANSWER)reimbursement: contracts base the amount
of benefit on the loss that is actually incurred
Valued contracts pay a stipulated sum as set forth in the contract, w/o regard for
actual expenses
Normal reinstatement period - (ANSWER)3 years from the date of lapse
insurer does not notify the insured of its decisions within how many days of the
date of application for reinstatement, the policy is automatically reinstated -
(ANSWER)45 days
free-look period (lets policyowners return the policy to the insurer within a
limited time and receive a full refund of all premiums and fee paid) begins when?
- (ANSWER)10 days- when the policy is delivered to the policyowner
,probationary period in health insurance - (ANSWER)exclude coverage if illness-
related losses only, accident-related losses are covered
probationary period in health insurance exist for how long - (ANSWER)its a
limited time after a policy is first issued, while the elimination period is imposed
from the moment the policy is issued
guaranteed renewable policy - medical expense/long-term care - (ANSWER)the
insurer guarantees that, during the guaranteed renewable period, it will cancel
the policy, through it does have the right to increase premiums
dwelling 1 - (ANSWER)Fire, lighting and internal explosion and v&mm
Optional extended windstorm, explosion, riot, aircraft vehicle smoke volcanic
eruption
principal sum - (ANSWER)the benefit payable for accidental death
capital sum - (ANSWER)the benefit payable in the event of accidental
dismemberment
hospitalization - (ANSWER)not required to be eligible for critical illness benefit
payments
blanket insurance - (ANSWER)covers participants only when they are actively
participating in the covered activity
,dental indemnity plan - (ANSWER)freedom to choose any dentist or dental care
provider
prepaid dental plan - (ANSWER)functions much like a health maintenance
organization (HMO), which also operate on a prepayment-for-service model
Skeletal system - (ANSWER)comprised of bones as well as the tendons, ligaments
and cartilage that connect them
soft tissue injuries - (ANSWER)occur when muscles, ligaments or tendons are
damaged, typically from a sprain, strain or overuse of part of the body
nervous system - (ANSWER)includes the brain, spinal cord sensory organs, and all
of the nerves that connect these organs with the rest of the body
traumatic brain injury - (ANSWER)the function of the brain is disrupted by a blow
to the head, while an acquired brain injury is caused by conditions such as
strokes, aneurysms, meningitis, brain tumors or anoxia
Tachycardia, atherosclerosis and coronary - (ANSWER)thrombosis are medical
conditions that affect the heart
, Magnetic resonance imaging (MRI) - (ANSWER)a test procedure that uses a
strong magnetic field and radio waves to take detailed pictures of organs, soft
tissues, bones, and other structures inside the body
computerized tomograph - (ANSWER)diagnostic imaging test that combines x-ray
images with the aid of a computer to generate cross-sectional views and
sometimes three-dimensional images of the body internal structure
Electromyogaphy (EMG) - (ANSWER)diagnostic procedure that is used to evaluate
the bodys nerve and muscle function, while an electrocardiogram (EKG or CG) is
medical test that records the hearts electrical activity and checks for any
problems
electronencephalograph - (ANSWER)is medical test that measure the electrical
activity of a persons brain
parties protected by a property and casualty - (ANSWER)insurance policy include
the first named insured, named insureds, insureds, additional insureds and
secured creditors
Policy Period - (ANSWER)property and casualty insurance policies usually provide
coverage only during a specific time period
territory provision - (ANSWER)specifies that coverage applies to losses within the
US and its possessions, Puerto Rico, and Canada
