COMMERCIAL CASUALTY II – CISR
EXAM
What are the 4 types of benefits provided by WC? - ANSWERS-1. Medical
Expense
2. Disability Income
3. Rehabilitation Expenses
4. Death Benefits
What states do not require employers to carry WC insurance? - ANSWERS-
New Jersey & Texas
If NJ rejects WC, then must purchase employers liabiltiy
What is the definition of a monopolistic state? - ANSWERS-a state where
employer can purchase WC only from the state.
the 4 states are: North Dakota, Ohio, Washington & Wyoming
True or False - Monopolistic States Fund provides employers liability insurance
- ANSWERS-False
What is the most important item in the WC information - ANSWERS-Item 3
•Item 3.A Workers Compensation Insurance(mono. states cannot be listed here)
•Item 3.B Employers Liability Insurance
,•Item 3.C Other States Insurance
•Item 3.D Endorsements and schedules
What does Item 3.B. of WC information page list? - ANSWERS-example:
1. $100,000 (bodily injury by accident) Each Accident
2. $500,000 (bodily injury by disease) Policy Limit
3. $100,000 (bodily injury by disease) Each Employee
What does item 3.C. Trigger? - ANSWERS-Other States Insurance.
Policy responds as if the 3.C. state were in 3.A. state (mono. states cannot be
listed in 3.C.
What is the purpose of item 3.D? - ANSWERS-policy endorsements/schedule
are listed in this section
What does Item 4 of information Page Entail? - ANSWERS-WC and EL rating
data
What does item 1 of information page entail? - ANSWERS-Name insured,
entity, mailing and work locations
What does item 2 of information page entail? - ANSWERS-Policy period
explain paraghraph A of WC insurance applies? - ANSWERS-This is the
insuring agreement
for workers compensation insurance, which says the Policy will pay for:
, -Bodily injury by accident occurring during the policy period
-Bodily injury by disease caused by or aggravated by conditions of employment
explain paragraph B of WC insuring agreement? - ANSWERS-Paragraph B. We
Will Pay informs us that the insurer will "pay promptly when due the benefits
required...by the workers compensation law".
The named insured has this coverage for those states listed in Item 3.A. of the
Information Page of the Policy.
What does paragraph CDE of WC insuring agreement explain? - ANSWERS-
address the right and duty to defend, supplementary payments and other
insurance provisions.
explain "Payments you must make" in part one of WC insurance - ANSWERS-
You means - employer
1. Payments required because of the serious and willful misconduct of the
named insured.
2. Payments required for an employee who the named insured knowingly hired
in violation of law.
3. Payments required when the named insured failed to comply with a health or
safety law or
regulation.
EXAM
What are the 4 types of benefits provided by WC? - ANSWERS-1. Medical
Expense
2. Disability Income
3. Rehabilitation Expenses
4. Death Benefits
What states do not require employers to carry WC insurance? - ANSWERS-
New Jersey & Texas
If NJ rejects WC, then must purchase employers liabiltiy
What is the definition of a monopolistic state? - ANSWERS-a state where
employer can purchase WC only from the state.
the 4 states are: North Dakota, Ohio, Washington & Wyoming
True or False - Monopolistic States Fund provides employers liability insurance
- ANSWERS-False
What is the most important item in the WC information - ANSWERS-Item 3
•Item 3.A Workers Compensation Insurance(mono. states cannot be listed here)
•Item 3.B Employers Liability Insurance
,•Item 3.C Other States Insurance
•Item 3.D Endorsements and schedules
What does Item 3.B. of WC information page list? - ANSWERS-example:
1. $100,000 (bodily injury by accident) Each Accident
2. $500,000 (bodily injury by disease) Policy Limit
3. $100,000 (bodily injury by disease) Each Employee
What does item 3.C. Trigger? - ANSWERS-Other States Insurance.
Policy responds as if the 3.C. state were in 3.A. state (mono. states cannot be
listed in 3.C.
What is the purpose of item 3.D? - ANSWERS-policy endorsements/schedule
are listed in this section
What does Item 4 of information Page Entail? - ANSWERS-WC and EL rating
data
What does item 1 of information page entail? - ANSWERS-Name insured,
entity, mailing and work locations
What does item 2 of information page entail? - ANSWERS-Policy period
explain paraghraph A of WC insurance applies? - ANSWERS-This is the
insuring agreement
for workers compensation insurance, which says the Policy will pay for:
, -Bodily injury by accident occurring during the policy period
-Bodily injury by disease caused by or aggravated by conditions of employment
explain paragraph B of WC insuring agreement? - ANSWERS-Paragraph B. We
Will Pay informs us that the insurer will "pay promptly when due the benefits
required...by the workers compensation law".
The named insured has this coverage for those states listed in Item 3.A. of the
Information Page of the Policy.
What does paragraph CDE of WC insuring agreement explain? - ANSWERS-
address the right and duty to defend, supplementary payments and other
insurance provisions.
explain "Payments you must make" in part one of WC insurance - ANSWERS-
You means - employer
1. Payments required because of the serious and willful misconduct of the
named insured.
2. Payments required for an employee who the named insured knowingly hired
in violation of law.
3. Payments required when the named insured failed to comply with a health or
safety law or
regulation.
