ADJUSTERS LAWS & REGULATIONS
QUESTIONS WITH CORRECT
ANSWERS!!
What is the expiration date of an adjuster's license? - ANSWERlicense will expire on
October 1st of the second calendar year after its issue.
Penalty for Failure to Make Payment of Compensation - ANSWERCommissioner
may issue a $2,500 fine to insurer who fails to pay the claim within 21 days after
notice of a claim has been received.
Are contractors liable for subcontractors? - ANSWERA contractor who subcontracts
all or any part of a contract must bear the liability of the subcontractor of that contract
for the payment of compensation under this chapter to the employees of the
subcontractor, unless the subcontractor has secured the payment of compensation
as provided for in this chapter.
How many hours does an adjuster need to take to fulfill the Continuing Education
requirements? - ANSWER20 hours
Adjusters with workers compensation authority must complete 10 hours of workers
compensation and 10 hours of multi-line.
Adjusters without workers compensation need 20 hours of multi-line credits.
When can the Commissioner suspend & revoke an adjusters license? Value of fine?
- ANSWERCommissioner may revoke license after notice and hearing and issue a
fine up to $2500.
When can the Commissioner issue a Cease and Desist order?
How many days notice must be given to the adjuster before a hearing? - ANSWERIf
the Commissioner has reason to believe an adjuster is using unfair and deceptive
practices, he may serve that person with charges and a notice of hearing.
Notice must be given 10 days before the hearing.
If adjuster is found to be in violation, the Commissioner will issue a Cease and Desist
Order.
, What is the penalty for violating a Cease and Desist Order - ANSWERCommissioner
may suspend, revoke, or refuse to renew the license of that person.
What is the punishment for a person who misrepresents his identity and acts like an
adjuster?
Is this a felony or misdemeanor? - ANSWERPerson may be suspended, have his
license revoked and a fine of $2,500.
A natural person - misdemeanor
Any other person - felony
What are three unfair claim settlement practices. - ANSWERMisrepresenting facts
Failing to acknowledge and act promptly with respect to claims
Failing to have a prompt investigation of the claim
The insurer must pay the claimant within ___ days,
If insurer fails to make payment of compensation within that time, the commissioner
will issue a civil penalty up to $______ - ANSWER21 days
$2,500
What does exclusive remedy mean. - ANSWERAn employee accepts the provisions
of worker compensation and waives all rights of action against the employer.
A spouse of the employee will also have no action against them.
Employment Covered
Employee - ANSWERAny person in the service of an employer
Are executive officers and members of LLCs excluded? - ANSWERAny Corp. or LLC
may exclude up to three executive officers or members from the compulsive
coverage requirements.
No exclusion will be valid unless properly filed with the commissioner
Injury or Personal Injury - ANSWERMeans accidental injury or death arising out of
and in the course of employment, or any occupational disease.
NOT disease / death from stress without physical manifestation
mental injury from discipline
work evaluation, termination
job transfer, layoff, demotion, or any similar action, taken in good faith by the
employer.