2024-2025 Actual Exam from Credible Sources
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A New York adjuster commits an act of insurance fraud addressed by the Federal
Insurance Fraud Act. The fraud does not affect the financial stability of the company.
What is the maximum time the adjuster may be confined to prison? - CORRECT
ANSWER: 10 years is correct.
EXPLANATION:
This type of offense carries up to a 10 year sentence. The sentence is increased to 15
years if it affects the financial stability of the insurer.
A New York licensee subject to an administrative action in another jurisdiction or
governmental agency must report such action to the Superintendent within: -
CORRECT ANSWER: The Superintendent must be notified within 30 days of the final
disposition of the matter.
All of the following are reasons that an adjuster should keep very detailed log notes,
EXCEPT: - CORRECT ANSWER: To produce notes that will support a fraudulent denial
of claims. .
The adjuster's log notes are used to determine negligent parties, to assist in detecting
fraud, to become a part of the claims file, and to be used in future proceedings. The log
notes are not intended to produce a fraudulent record to deny a claim.
An insurance professional that is accused of dishonesty or breach of trust involving
interstate commerce under Title 18 Section 1033 of the United State Code, will be
prosecuted by: - CORRECT ANSWER: The U.S. Attorney general..
, EXPLANATION:
This breach of trust or dishonesty involving interstate commerce is a violation of USC
1033 and therefore prosecuted by the United States Attorney General's office.
Coach Joe loans his car, covered under a personal auto policy, to assistant coach Tom
to take several members of the Lake Recreation Swim Team home after a meet. In the
event of an accident, the liability section of the personal auto policy would cover all of
the following, EXCEPT: - CORRECT ANSWER: The auto manufacturer. .
EXPLANATION:
Coach Joe is covered because he owns the car. Assistant coach Tom is covered
because he had Joe's permission to drive his car. Lake Recreation Swim Team is also
an insured but only with respect to legal responsibilities for acts or omissions of a
person for whom coverage is afforded.
David has damaged his vehicle by striking a tree. He can: - CORRECT ANSWER: I.
Take the car to a repair garage recommended by the insurer.
II. Take the car to a garage of his choice.
III. Accept payment based on the adjuster's estimate.
The correct answer is: I, II and III.
The choice belongs to the David, the insured
Driver 1 and Driver 2 are in an accident. Driver 2 has the following damages:
Property Damage - $1,000
Rental Car Expense - $500
Emergency Room Expense - $400
Lost Wages - $300