Adjuster Pro - Insurance Adjuster Test
What is insurance? ✔️Ans - protection against financial loss
what is a premium ✔️Ans - a scheduled amount to be paid for an
insurance policy.
What are premiums used for ✔️Ans - premiums are collected into a
"pool" or "reserve to pay out claimants when needed.
how can insurance companies afford to pay for an individuals catastrophic
loss? ✔️Ans - the insurer collects premiums from all policy holders and
uses them to pay out the claims of a few.
what is Indemnity ✔️Ans - payment for damages, that is not more or less
than the amount caused by the damage.
principle of idemnity ✔️Ans - insurance will pay no more or less than the
actual financial loss suffered
indemnification may also include ✔️Ans - repairs to property
reimbursement for additional living expenses
rental cars and hotels
costs directly associated with a loss
4 Parts of Legal Contract ✔️Ans - 1. Agreement
2. Consideration
3. Competent Parties
4. Legal Purpose
legal contract - agreement ✔️Ans - mutual intent by offeror and offeree
six special characteristics of insurance contracts ✔️Ans - 1. Personal
2. adhesion
3. utmost good faith
4. aleatory
5. unilateral
6. conditional
,what kind of contract is an insurance policy? ✔️Ans - Personal contract
what is a contract of adhesion ✔️Ans - the insured must accept the entire
contract with all of its terms and conditions
Utmost Good Faith ✔️Ans - An obligation to act in complete honesty and
to disclose all relevant facts.
Aleatory Contract ✔️Ans - a contract where the values exchanged may
not be equal but depend on an uncertain event
Unilateral Contract ✔️Ans - insurance agrees that they must pay in event
of a claim. the insured can stop paying premiums at any point.
only the insurer has promised to perform an action.
Conditional Contract ✔️Ans - A type of an agreement in which both
parties must perform certain duties and follow rules of conduct to make the
contract enforceable.
Acronym for the four sections of an Insurance policy ✔️Ans - DICE
D - declarations page
I - Insuring Agreement
C- Conditions
E - Exclusions
Decelerations section ✔️Ans - Always the first section - establishes the
following
Names of both parties
Policy number
Location and description of insured item
Dates of the policy
Amount and limit of coverage
Deductible
Premium
Definitions section ✔️Ans - Defines terms used to write policy including
"collusion" "decay" "like kind and quality"
Includes important language for adjusters to know
, Insuring agreement section ✔️Ans - What is covered and how
Which causes of loss are covered
Any services provided
Any exclusions to coverage
The maximum limit of policy coverage in dollars
Conditions section ✔️Ans - Insurer specifies any limits or qualifications
the policy holder must meet
Exclusions section ✔️Ans - losses for which the insured is not covered
for
Endorsements ✔️Ans - Provision that modifies the coverage of the
original contract
Add or subtract coverage
Synonyms - rider, addendum, attachment
Certificate of Insurance ✔️Ans - A legal document that indicates that an
insurance policy has been issued, and that states both the amounts and types
of insurance provided.
Characteristics of social insurance ✔️Ans - Non profit
Mandatory participation
Benefits prescribed by law
Designed to meet needs of public
Government has monopoly
Private Insurers ✔️Ans - Sell insurance based on needs and preferences
Wide variety of products
Exist to generate a profit
Insured party voluntarily participate
Stock Insurance Companies ✔️Ans - Always for profit
Publicly traded
Stockholder provide capital and participate in profit or losses
"Non participation" insurers - no dividends go to policy holders
Mutual Insurance Company ✔️Ans - No shareholders
What is insurance? ✔️Ans - protection against financial loss
what is a premium ✔️Ans - a scheduled amount to be paid for an
insurance policy.
What are premiums used for ✔️Ans - premiums are collected into a
"pool" or "reserve to pay out claimants when needed.
how can insurance companies afford to pay for an individuals catastrophic
loss? ✔️Ans - the insurer collects premiums from all policy holders and
uses them to pay out the claims of a few.
what is Indemnity ✔️Ans - payment for damages, that is not more or less
than the amount caused by the damage.
principle of idemnity ✔️Ans - insurance will pay no more or less than the
actual financial loss suffered
indemnification may also include ✔️Ans - repairs to property
reimbursement for additional living expenses
rental cars and hotels
costs directly associated with a loss
4 Parts of Legal Contract ✔️Ans - 1. Agreement
2. Consideration
3. Competent Parties
4. Legal Purpose
legal contract - agreement ✔️Ans - mutual intent by offeror and offeree
six special characteristics of insurance contracts ✔️Ans - 1. Personal
2. adhesion
3. utmost good faith
4. aleatory
5. unilateral
6. conditional
,what kind of contract is an insurance policy? ✔️Ans - Personal contract
what is a contract of adhesion ✔️Ans - the insured must accept the entire
contract with all of its terms and conditions
Utmost Good Faith ✔️Ans - An obligation to act in complete honesty and
to disclose all relevant facts.
Aleatory Contract ✔️Ans - a contract where the values exchanged may
not be equal but depend on an uncertain event
Unilateral Contract ✔️Ans - insurance agrees that they must pay in event
of a claim. the insured can stop paying premiums at any point.
only the insurer has promised to perform an action.
Conditional Contract ✔️Ans - A type of an agreement in which both
parties must perform certain duties and follow rules of conduct to make the
contract enforceable.
Acronym for the four sections of an Insurance policy ✔️Ans - DICE
D - declarations page
I - Insuring Agreement
C- Conditions
E - Exclusions
Decelerations section ✔️Ans - Always the first section - establishes the
following
Names of both parties
Policy number
Location and description of insured item
Dates of the policy
Amount and limit of coverage
Deductible
Premium
Definitions section ✔️Ans - Defines terms used to write policy including
"collusion" "decay" "like kind and quality"
Includes important language for adjusters to know
, Insuring agreement section ✔️Ans - What is covered and how
Which causes of loss are covered
Any services provided
Any exclusions to coverage
The maximum limit of policy coverage in dollars
Conditions section ✔️Ans - Insurer specifies any limits or qualifications
the policy holder must meet
Exclusions section ✔️Ans - losses for which the insured is not covered
for
Endorsements ✔️Ans - Provision that modifies the coverage of the
original contract
Add or subtract coverage
Synonyms - rider, addendum, attachment
Certificate of Insurance ✔️Ans - A legal document that indicates that an
insurance policy has been issued, and that states both the amounts and types
of insurance provided.
Characteristics of social insurance ✔️Ans - Non profit
Mandatory participation
Benefits prescribed by law
Designed to meet needs of public
Government has monopoly
Private Insurers ✔️Ans - Sell insurance based on needs and preferences
Wide variety of products
Exist to generate a profit
Insured party voluntarily participate
Stock Insurance Companies ✔️Ans - Always for profit
Publicly traded
Stockholder provide capital and participate in profit or losses
"Non participation" insurers - no dividends go to policy holders
Mutual Insurance Company ✔️Ans - No shareholders
