FLORIDA CLAIMS ADJUSTER PRACTICE
EVALUATION 2026 QUESTION BANK FULL
SOLUTION SET
◉ Applies only to a BI or PD which occurs on or after the retroactive
date, and for which the claim is received or recorded by an insured
or the company during the policy period.
Answer: Claims-Made
Retroactive date is stated in Declarations and will normally be same
date as issuing company's first claims-made effective date for
insured.
◉ All of the following are components of Workers Compensation,
except:
A. Up to $750,000 in Death Benefits
B. Reimbursement for Medical Expenses incurred
C. Reimbursement for lost wages on percentage basis
D. Funeral costs up to $7,500.
Answer: Up to $750,000 in Death Benefits
Compensation for death is payable if death results within one year of
an accident or if it follows disability within five years of accident.
,◉ The following are classes of disability, except:.
Answer: Temporary Full
Also included: Temporary Partial
◉ The measure to determine disability benefits is the __________ of
the employee at the time of injury:.
Answer: Average Weekly Wage
Disability - incapacity due to injury to earn same or any other
employment wages that employee was receiving at time of injury.
◉ Mandatory for risks exceeding certain annual premiums,
recognizes the prior loss experience of the risk and applies either a
debit for unfavorable experience or a credit for better-than-expected
loss results. This is defined as:.
Answer: The Experience Rating Plan
This, along with Retrospective Rating Plan, is a manual rating
process until premiums reach a certain level.
◉ Under workers compensations, a rate is charged for every
__________ of payroll to employees..
,Answer: $100
The National Council on Compensation Insurance enforces this
rating.
◉ Under Workers Compensation, Part Four Your Duties if Injuries
Occur, an employer is required to:
A. Provide the names/addresses of injured persons and witnesses
B. Promptly provide any legal papers
C. Cooperate and assist as insurer requests
D. All of the Above.
Answer: All of the Above
Also included: immediate contact with insurer, providing immediate
medical or other services, do nothing to interfere with insured's
right of recovery, make no voluntary payments or assume any
obligation except at employer's own cost.
◉ Under Workers Compensation, Employers Liability includes:
A. Claims by others for the liabilities to insureds employees
, B. Claims by relatives of injured employees for consequential
damages
C. Claims made by employees that are not subject to Workers Comp
Laws
D. All of the Above.
Answer: All of the Above
◉ Samantha eats uncooked chicken at a local barbecue joint and
becomes violently ill. Which of the following workers compensation
benefits would pay for this occurrence?
A. A products and completed operations form
B. A premises and operations form
C. An owners and contractors protective liability form
D. None of the Above.
Answer: None of the Above
Samantha is not an employee of the barbecue joint; Workers Comp
does not apply.
◉ An optional alternative providing for adjustment of premium after
expiration, based on a guaranteed basic premium to the insurer to
which is added the actual losses incurred by the insured. This is
defined as:.
EVALUATION 2026 QUESTION BANK FULL
SOLUTION SET
◉ Applies only to a BI or PD which occurs on or after the retroactive
date, and for which the claim is received or recorded by an insured
or the company during the policy period.
Answer: Claims-Made
Retroactive date is stated in Declarations and will normally be same
date as issuing company's first claims-made effective date for
insured.
◉ All of the following are components of Workers Compensation,
except:
A. Up to $750,000 in Death Benefits
B. Reimbursement for Medical Expenses incurred
C. Reimbursement for lost wages on percentage basis
D. Funeral costs up to $7,500.
Answer: Up to $750,000 in Death Benefits
Compensation for death is payable if death results within one year of
an accident or if it follows disability within five years of accident.
,◉ The following are classes of disability, except:.
Answer: Temporary Full
Also included: Temporary Partial
◉ The measure to determine disability benefits is the __________ of
the employee at the time of injury:.
Answer: Average Weekly Wage
Disability - incapacity due to injury to earn same or any other
employment wages that employee was receiving at time of injury.
◉ Mandatory for risks exceeding certain annual premiums,
recognizes the prior loss experience of the risk and applies either a
debit for unfavorable experience or a credit for better-than-expected
loss results. This is defined as:.
Answer: The Experience Rating Plan
This, along with Retrospective Rating Plan, is a manual rating
process until premiums reach a certain level.
◉ Under workers compensations, a rate is charged for every
__________ of payroll to employees..
,Answer: $100
The National Council on Compensation Insurance enforces this
rating.
◉ Under Workers Compensation, Part Four Your Duties if Injuries
Occur, an employer is required to:
A. Provide the names/addresses of injured persons and witnesses
B. Promptly provide any legal papers
C. Cooperate and assist as insurer requests
D. All of the Above.
Answer: All of the Above
Also included: immediate contact with insurer, providing immediate
medical or other services, do nothing to interfere with insured's
right of recovery, make no voluntary payments or assume any
obligation except at employer's own cost.
◉ Under Workers Compensation, Employers Liability includes:
A. Claims by others for the liabilities to insureds employees
, B. Claims by relatives of injured employees for consequential
damages
C. Claims made by employees that are not subject to Workers Comp
Laws
D. All of the Above.
Answer: All of the Above
◉ Samantha eats uncooked chicken at a local barbecue joint and
becomes violently ill. Which of the following workers compensation
benefits would pay for this occurrence?
A. A products and completed operations form
B. A premises and operations form
C. An owners and contractors protective liability form
D. None of the Above.
Answer: None of the Above
Samantha is not an employee of the barbecue joint; Workers Comp
does not apply.
◉ An optional alternative providing for adjustment of premium after
expiration, based on a guaranteed basic premium to the insurer to
which is added the actual losses incurred by the insured. This is
defined as:.
