Property and Casualty Exam – Flashcards

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the one basic characteristic of any type of insurance is that the insured is returned to the same status that existed prior to the loss, but without a chance for gain or profit
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true
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which of the following coverages does an open peril policy provide?
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perils other than those specifically named as being excluded
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determine the actual cash value in the following situation: original price of office equiptment when purchased 8 years ago- 9,000. depreciated amount at time of fire-5,000 current replacement cost 12,000
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7,000
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liquor liability
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need for a dram shot, liquor, or package store
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inherent vice or defect
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iron rusting, milk going sour, rubber breaking down are all inherent vices
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how is hitting an animal on the road covered?
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other than collision otc
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medicare supplement insurance
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aka medical gap insurance. must include core benefits
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ordinance or law
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an endorsement for building code upgrades
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loss sustained/discovery forms under crime coverage
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loss is for later than the policy period. discovery is for before the policy (loss is later, discovery before)
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designated brush fire or civil unrest areas
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qualifying areas under the fair plan
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stop loss provision
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used in health insurance to limit the maximum amount of money the insured would have to pay out of pocket on a health claim in any particular claim
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shortages of inventory
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under crime insurance the employee dishonesty endorsement never covers
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can the mortgagee still collect if the insured burns their house down
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yes, the mortgage clause is a standard provision
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otc covers
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earthquake, flood, hail, theft, hitting an animal, gunshots (no collision or upset)
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law of large numbers
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the greater the number of insured the more accurately the prediction
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where does a driver have coverage?
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U.S. Canada and US possessions eg puerto rico, guam
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what is excluded under commercial general liability?
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pollution-with the exception of fuel spilled during normal operations. Pollution is normally covered under cpp or builders risk
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what is the midi-tail on claims made?
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provides 5 years coverage for something reported during minitail
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speculative risk
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chance for loss or gain
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commercial package
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modular policy
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Binder
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a temp insuring contract (written or oral)
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Hazard
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anything that increases a chance for loss
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OTC
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anything causing loss or damage to the car, except collision
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you have liability only and borrow a car and collide with another. which pays?
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the borrowed cars insurance is primary
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basic broad special: which has the broadest coverage?
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special
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gap insurance
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pays the difference between the amount an insurer pays on a totaled car and the amount owed on the loan or lease
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eligibility/enrollment period
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used in life and health group benefits without having to prove insurability
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symbol 9
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non-owned autos
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the lender on a home is called
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mortgagee or mortgage holder
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multiple employer trust
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a legal entity of small biz owners grouped together to buy insurance
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what percentage must vacant for a building to be called vacant?
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70%
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size limits for business owners policy
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6 stories, 100,000 sq feet on offices, 25,000 sq feet and 3 million dollars gross sales for mercantile space (store)
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Dp-1 covers
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fire, lightning, and internal explosion
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dp1, 2, 3 all dwelling forms cover?
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loss of rental income
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third party
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the injured party. to whom liability insurance pays claims
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Personal property
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property that can move eg furniture, clothes, paintings, etc
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why is yacht like ocean marine, even though yacht is a personal line?
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the structure of the policy is the same; hull covers damage to the vessel. P and C covers liability and workers comp. A yacht policy can be used for organized racing while ocean marine cannot.
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Medical Payments in boat owners insurance covers?
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covers medical payments and injury for insured and others on a personal boat. does not cover business use or competitive racing.
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Protection and Indemnity on Ocean Marine or Yacht
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Liability and workers comp. portion of ocean marine or yacht policies.
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code section 770
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when buying property that is financed, a lender cannot force the purchaser to buy insurance from a particular agent or broker
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part of protection and indemnity
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worker compensation in a yacht policy
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elimination period
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used in disability income health insurance. that time period benefits are not paid. also called the waiting period
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did over should
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did over should is the fraction of the loss the company pays. the remaining is paid by the insured.( take what they did carry over what they should have carried.
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Occupational disability income contract
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a disability income policy that will pay benefits whether on or off the job.
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Guaranteed renewable insurance contract
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a life or health insurance policy that cannot be changed except for the rate.
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does the fair plan cover vandalism and mischief
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yes, during civil unrest ( riots) you will need it.
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Misc Vehicle
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Motorcycle atvs (not autos, not mobile equiptment)
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Open Peril
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all perils except those specifically excluded.
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Whats the penalty for not carrying the amount required in a coinsurance clause?
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you become a coinsurer and pay a portion of the loss
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Consequential loss
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a consequence of a direct loss eg. a store loses business income after a fire.
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personnel loss
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loss of an employee
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do corporations have absolute liability?
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Yes
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What is embezzlement?
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employee dishonesty, which is not covered by a crime policy unless an employee dishonesty form is attatched. (does not cover shortages of inventory).
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Deductible
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a specified amount of money that is paid by the insurer; pays money on the claim.
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What has a single limit?
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Property Damage
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Substandard Risk
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classification of risk that is more than the normal acceptable risk
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The fair plan
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Distributes the risk among companies
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Commercial Package
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Common Conditions, Common Dec, and two or more modules equal.
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What is not considered transacting?
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establishing a list of clients
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What has a seperate aggregate limit under commercial general liability?
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products completed
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Full tail optional or exteneded coverage on claims made commecial general liability
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unlimited duration for reporting costs extra
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Comparative Negligence
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You can file a claim, but damages are reduced based on that party's negligence
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Contributory Negligence
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a person cannot file or collect if he/she is at all negligent
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Indemnify
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to restore one to there previous financial condition that existed prior to the loss
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Mexican Liability Endorsement
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Excess liability for accidents within 25 miles of the U.S. Border (trips of 10 days or less)
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Section 2 on Homeowners Policy
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Liability and medical payments. paid to others only
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selling price
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market value
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where are covered perils listed
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Declarations page
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Exclusions
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things that arent covered
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where are excluded perils listed?
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exclusions are found in the cause of loss form
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coordination of benefits
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discourages multiple payments for the same claim under two or more policies
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what are common things not covered by the basic dwelling policy dp1?
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no burglary, no falling objects, no collapse, no coverage e, additional living expenses
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boat coverage is strucured like?
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Auto insurance
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NFIP (flood insurance) is only found where?
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participating communities, areas designated on a flood map
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where does the insurer make promises?
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insuring clause. aka insuring agreement
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which NFIP coverage pays more to the insured, the standard or emergency?
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Standard
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Tort
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a wrongful act other than breach of contract or a crime
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Non-admitted Insurer
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an insurer that is not licensed to business in a particular state. (a surplus lines broker works with non-admitted carriers)
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number of days to notify an insurer to add collision to a new car replacing a a car that only had liability?
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4 days
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pure risk
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chance of loss
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any occupation
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definition for being totally disabled in a disability income policy. person cannot perform any occupation he/she is qualified
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for what amount can a binder be written for?
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1 million dollars
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Minimum limits for low cost auto insurance
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10/20/3
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what are special damages for?
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time away from work is special. going to the doctor is special.
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starr
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share, transfer, avoid, retain, reduce (ways to manage risk)
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who needs professional liability insurance?
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doctors, architects, lawyers, and accountants
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purpose of insurance
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to transfer the risk
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retroactive date
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the first date an occurrence would be covered under a claim made commercial general liability policy
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parking lots, dealerships, and repair garages need
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garagekeepers
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subrogate
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the insured transfers the right to sue to the insurance company
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how much coverage does a dwelling policy give for personal property away from the premises?
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10%
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Collision
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colliding with another car, an object or upset (rolling)
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peril is
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the cause of loss
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pure risk
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the insured only has a chance of loss, never gain
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dp1 ho 1 and ho 8
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basic
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in a contract "you" indicates
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the insured
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would otc cover a laptop or briefcase stolen from my car?
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personal property is usually not covered
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disability income insurance
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type of health insurance that pays a monthly income to the insured if he/she is sick or injured and cannot work. Pays partial portion
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cargo insurance covers
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merchandise being shipped
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what is the mini-tail on claims made commercial general liability?
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automatically gives 60 days to report a claim after the policy period
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pre-existing condition
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a health condition or sickness that occurred prior to the issuing of a health policy
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hull covers
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physical damage to insured's ship or yacht
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endorsement
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written agreement attached to a policy to add or subtract insurance coverages
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broad form of coverage for personal property of a condo owner
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h06
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physical hazard
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disctinct characteristics arising from material, structural, or operational features that increase a chance for loss ie being next to a nuclear power plant
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workers comp insurance
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insurance purchased by employers to cover their employees in case a worker is hurt on the job
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renters
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h04
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a, b, and c in a homeowners policy are?
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a=dwelling, b=other structures, c=personal property
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in a contract who is we?
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the insurer
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standard risk
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classification of risk that is normal
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risk
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uncertainty of loss. a risk must be uncertain to be insurable
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raising the deductible
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lowers the premium because small claims are eliminated
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is a building under constructin vacant?
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no
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repair, replace, acv
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the amount a company pays on a damaged or stolen vehicle whatever is less
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insurable interest
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financial interest
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a,b,c of commecial liability cgl are:
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a-bodily injury and property damage, b-personal and advertising injury, c-medical payments
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underwriter
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a person whos job it is to assess risk and determine classification of the insured. (an agent is a field underwriter)
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noncontributory benefits
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a life or health insurance plan that an employer provides for employees in which the employee does not pay any part of the premium
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minimum good driver discount
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20%
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a vehicle for hire, to transport people eg limo
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livery
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dwelling or homeowners which has broader coverage?
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homeowners
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acv
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replacement cost-depreciation
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pays excess liability amounts
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umbrella after underlying policy or retention is paid. liability only; does not cover property
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lowering the deductible
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raises premium bcs small claims are covered
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morbidity table
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a table that shows the average number of sickeness's or accidents at various ages
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experience rating
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method used to determine rate based on insureds loss experience
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is an object falling from an airplane covered?
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under extended coverages
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vicarious liability
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someone not directly involved but still held responsible. an employer has vicarious liability for employees
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symbol 4
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owned autos, other than private passenger vehicles
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yacht is personal line but is structured like?
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ocean marine
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blanket insurance
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used with large groups where the members change frequently and are not individually names. eg schools, campgrounds, churches
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group insurance
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life or health insurance provided for large numbers of people who have something in common, such as the same employer
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broker
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a person who represents the client in transaction: property and casualty only
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h02,46
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broad forms also dp2 and mobile home policies
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replacement cost
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the cost to replace without deduction for depreciation. not what someone paid for it
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will the cost of sandbaggin a home be covered?
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yes the insured does not have to bear the cost
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