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Insurance History and Regulation: Insurance - ANSWERS-Coverage by contract
whereby one party undertakes to indemnity (hold harmless) or guarantee another
against loss by a specified contingency or peril.
Insurance History and Regulation: NAIC - ANSWERS-An organization whose purpose
is to organize the regulatory and supervisory efforts of the various state insurance
commissioners from around the United States.
Licensing Requirements: Name the 6 licensing requirements according to the Texas
Statutes for a Texas Adjuster License? - ANSWERS-1) must be at least 18 years of age
or older
2) must be trustworthy
3) must reside in the state practicing in or in one that has reciprocity
4) must submit appropriate application and fees to the state of Texas
5) must complete an approved pre-licensing course
,6) must successfully pass a state approved examination
Licensing Requirements: Persons holding which 2 designations are exempt from the
requirements of an adjuster's license examination? - ANSWERS-chartered property
casualty underwriter or associate in claims
Licensing Requirements: list the 3 adjuster licenses available in Texas - ANSWERS-1)
all-lines adjuster 2) property & casualty adjuster 3) Worker's Compensation Adjuster
Licensing Requirements: How many CE hours are required every two years? -
ANSWERS-24 hours (at least 12 of them must be from classroom equivalent approved
courses)
Licensing Requirements: How many of the 24 CE hours have to be Ethics or Consumer
Protection? - ANSWERS-2 hours
Licensing Requirements: How often is the Texas Adjuster's License to be renewed? -
ANSWERS-Every 2 years and the renewal date is the licensee's birthdate
Licensing Requirements: If you have an expired license of less than _________ then
you do not have to retake the exam or reapply for a new license. - ANSWERS-90 Days
Licensing Requirements: What is the fine per hour for deficient CE credits? -
ANSWERS-$50/CE hour
Licensing Requirements: What is the grace period for deficient CE hours? - ANSWERS-
there is no grace period, you would just pay a fine of $50 per hour, but you are still
required to complete all 24 of CE before your license can be renewed.
Licensing Requirements: If extra CE credits are earned above and beyond the required
number in a reporting period, can those be carried over to the next reporting period? -
ANSWERS-no -- the required 24 hours must be earned within the 2 year reporting
period
,Licensing Requirements: Name 6 reasons for an adjuster's license to be revoked -
ANSWERS-1) has communicated fraudulent information on his licensing application
2) has had his adjuster's license revoked in another state
3) has misrepresented the terms of a policy to an insured while working a claim
4) makes a false statement on a claim
5) has committed a felony
6) has committed a misdemeanor in connection with his duties as an adjuster
Protection of Consumer Interests: The Texas Department of Insurance (TDI) -
ANSWERS-Regulates the consumer interest in regard to insurance.
Protection of Consumer Interests: Head of the Texas Department of Insurance -
ANSWERS-Insurance Commissioner
Protection of Consumer Interests: Chapter 541 -Unfair and Deceptive Insurance
Practices - ANSWERS-was set up by the State of Texas to establish certain practices
which constitute unfair and/or deceptive insurance acts.
Protection of Consumer Interests: Texas Insurance Code requires what within how
many days of receipt of a claim that the insurer? - ANSWERS-within 15 days 1)
acknowledge receipt of a claim 2) begin investigation 3) request items from the
claimant.
Insurance: What is the purpose of insurance? - ANSWERS-to provide a way to spread
risk over a large group of people
Insurance: Principle of Indemnity - ANSWERS-IS AN INSURANCE PRINCIPLE
STATING THAT AN INSURED MAY NOT BE COMPENSATED BY INSURANCE
COMPANY IN AN AMOUNT EXCEEDING THE INSURED'S ECONOMIC LOSS. It is a
principle that returns the insured to their previous financial condition.
, Insurance: What are the two purposes of indemnity? - ANSWERS-1) to prevent the
insured from profiting from a loss 2) to reduce moral hazard
Insurance: what is risk? - ANSWERS-(1) the potential for a financial loss or the
statistical chance of danger from exposure to a hazard or peril (2) the uncertainty about
loss that exists whenever more than one outcome is possible
Insurance: Proximate Cause - ANSWERS-is the first event in an uninterrupted chain of
events that leads to a loss
Insurance: What are the 2 types of risk? - ANSWERS-Speculative: affords the
opportunity for gain as well as the possibility of loss
Pure: a risk where there is the potential of real loss due to exposure to a peril
Insurance: example of risk avoidance - ANSWERS-to avoid risks associated with
swimming pools, don't buy a home with a pool.
Insurance: example of risk reduction - ANSWERS-to reduce fire damage, install a
sprinkler system in home
Insurance: Example of risk retention - ANSWERS-insurance company accepts risk
when they've accepted the insured.
Insurance: example of risk transference - ANSWERS-purchasing insurance, transfers
the risk from insured to insurance company.
Insurance: what is a peril? - ANSWERS-The actual cause of a loss.
Insurance: what are the two types of perils? - ANSWERS-1) named peril -- specifies
which perils are insured against 2) open peril / all risk peril -- insures against all perils
unless specifically excluded in the policy