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CIC Insurance Company Operations Study Guide Exam Questions and Complete Solutions Graded A+

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Premises - Answer: Arises out of injury or property damage because of the ownership, maintenance, or use of a specific location Operations - Answer: Arises out of exposures that typically occur away from the premises of the business Products - Answer: Caused by defects in product design, manufacturing, or the failure to sufficiently warn or explain the safe use of the product to consumers Environmental Impairment - Answer: Occurs when the operations or products of a business creates pollutants that may cause harm Bailee - Answer: Exists as a direct result of possessing another person's property Identifying liability exposures is important when selecting the type(s) of liability insurance a business may need. If a customer gets injured at a retail store when a store display falls on them, the store can be held liable. What category of liability exposure is this? Explain your answer. - Answer: This situation represents a premises liability exposure, as it arises out of the use of the retail store. Name the four elements that must be present in order for negligence to occur: - Answer: A duty owed to others 2. A breach of that duty owed 3. Injury or damages 4. A proximate cause between the breach of duty and the damages A business keeps a tiger in a cage on their property as a customer attraction. One day, the tiger escapes its cage and injures several people. Even though the store owner followed the safety regulations for dangerous animals, he could still be held liable. What type of legal liability is this? Explain your answer. - Answer: This situation represents strict/absolute liability, as the tiger an inherently dangerous activity or exposure. Strict liability can be imposed regardless of the degree of negligence or care exercised by the owner. Luigi's Pizza incentivizes their drivers to complete all deliveries in under 45 minutes. One of their drivers, Jeff, caused an accident by running a red light. The injured party sued Luigi's Pizza and the court has ordered Luigi to pay the following damages: • $120,000 towards the plaintiff's medical expenses, vehicle replacement, and loss of earnings while they were unable to work • $80,000 for pain and suffering During the lawsuit, it was discovered that prior to his employment, Jeff already had a suspended license due to a DUI and leaving the scene of an accident. Luigi failed to run motor vehicle reports on any of their drivers. The court has determined Luigi's business practices to be reckless and has awarded an additional $200,000 to the plaintiff. Directions: Explain the types of damages that will be covered by Luigi's liability insurance policy. - Answer: $120,000 for the plaintiff's medical expenses, vehicle replacement, and loss of earnings would be considered special compensatory damages; and $80,000 for pain and suffering would be general compensatory damages; both of which are payable under the CGL policy. The additional $200,000 are punitive damages and may not be payable by insurance in all states. ------ liability is caused by ongoing activities such as construction, processing, or servicing things on someone else's property. - Answer: operations The relationship that exists between and Employer/Employee, or between an Owner/ Contractor presents a form of ----- liability. - Answer: vicarious ----- liability is caused by defects in product design, manufacturing, or the failure to sufficiently warn or explain the safe use of the product to consumers. - Answer: products A retail store's mannequin falling onto a customer is an example of ----- liability - Answer: premises Libel, slander, and false arrest are all examples of a(n) - Answer: intentional tort. ----- liability arises out of the injury and/or damage caused by defective or improper workmanship, after the work has been completed. - Answer: Completed operations Losses are compensated to an injured party for by the liable person paying a sum of money to the claimant. ----- are specific dollar amounts that cover the costs of medical bills, lost income, rehabilitation expenses, or the repair or replacement of property - Answer: special damages Anyone who offers specialized services from their unique knowledge and training can be subject to - Answer: professional liability For ----- to occur, four elements must be present: a duty owed to others; a breach of the duty owed; the existence of injury or damages; and a proximate cause. - Answer: negligence If a tiger were to escape its cage an injure others, it is likely the tiger's owner could be held to a(n) ----- standard based upon the law - Answer: strict liability Used to automatically include persons or organizations to meet written contract requirements without having to request additional insured status on an individual basis - Answer: Automatic Insured A person who is not an employee, and who donates his or her work, and is not paid a fee, salary, or other compensation by the named insured or anyone else for work performed for the named insured - Answer: Volunteer Worker A third party with an existing business relationship with the named insured - Answer: Additional Insured The individual or company designated by name in the policy. May be a sole proprietorship, partnership, corporation or another type of entity - Answer: Named Insured Cooper and Wilson Interiors is a partnership insured under an unendorsed CGL policy. Mr. Cooper, spouse of one of the partners, was assisting a client when he accidentally dropped a piece of statuary on the customer's foot. Mr. Cooper was eventually sued by the injured customer. Directions: Explain whether the CGL will provide any defense to Mr. Cooper in the lawsuit. - Answer: The definition of "insured" includes spouses of partners while acting with respect to the conduct of the named insured's business. Acme Timber & Lumber Supply has one receptionist, Linda, who is away on maternity leave for six weeks. During her absence, all receptionist duties are handled by Jessica, who is employed by Man-Power Employee Services. The employee leasing agreement states that Jessica is only to perform reception duties. Directions: Explain whether Jessica would be considered an employee under the Commercial General Liability Policy - Answer: Because the leasing agreement limits Jessica's job duties specifically to reception, and because she is filling in for only a specified period of time, Jessica is a "temporary worker" and does not meet the definition of an employee under the policy. Milano Beauty is a high-end salon that offers makeup and hair styling services for special events. Their primary location is a storefront in the mall that has been converted into a cosmetology studio

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Institution
CIC Commercial Casualty Institute
Module
CIC Commercial Casualty Institute

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CIC Insurance Company
Operations Study Guide
Exam Questions and
Complete Solutions
Graded A+
Denning [Date] [Course title]

,Explain the difference between strategy, strategic planning, and strategic plan - Answer: -strategy:
thoughtful, deliberate plan of action; chooses to be clear about the company's direction in relation to
what is happening in a dynamic environment; answers the question "how?" as in how will we achieve
our aim of creating and nurturing a successful insurance company

-strategic planning: the process used to create the strategic plan; runs an ERM analysis, which
determines risk and opportunities; conducts a SWOT analysis and helps answer these questions-- where
are we now? where are we going? how will we get there?

-strategic plan: the formulated roadmap that describes how the company executes its chosen strategy;
provides answers from initial SWOT; includes values, vision, and mission statements



what are the questions the EMT must answers before it starts the strategic planning process? And what
sources of info will be needed to answer these questions? - Answer: Three questions: What are we
now? Where are we going? How will we get there?



Sources of Info: Organizational values, market trends, regulatory guidelines, competitive analysis, risk
appetite



What tools can executive management team use to identify marketplace readiness and value
propositions to determine capital structure, surplus requirements, and investment sources? think
memory aid strategic mgmt FIE - Answer: strategy formulation, strategy implementation, strategy
evaluation



identify and describe the primary company structures and characteristics - Answer: 1. stock insurance
company: owned by stockholders (investors), primary objective is profit, ease of capitalization, mergers
and acquisitions easier, branding is easier, more pressure on topline growth



2. mutual insurance company: owned by policyholders, provides coverage at or near the cost of doing
business, profits used to pay dividends or used to reduce future premiums, focus is on bottom line
results, less pressure on day-to-day results, usually very stable, expansion more difficult because surplus
must be built over time, mergers and acquisitions more difficult



3. reciprocal insurance company: interinsurance exchange- individuals or organizations joined together,
subscribers insure one another, less pressure on profits because they operate close to the cost of doing
business, easier to capitalize, usually offer single line of business, subscribers make premium deposits,
managed by an attorney in fact, state insurance regulation may be less strict, difficult to raise additional
capital

,4. hybrid structures: use of holding companies to own and operate different company structures, can be
made up of stock, mutual, reciprocal, and other company structures



what are the two approaches the lead to the construction of the company's culture, describe each -
Answer: 1. passive approach- culture created over time. employees observe behavior and values of
mgmt and fellow employees functioning in self protective mode. few or no standards regarding work
behavior; higher levels of instability and inconsistency, turnover high, low job satisfaction



2. active approach- deliberate culture creation, leadership models behaviors that create the desired
culture, set stage for success by establishing solid foundation, positive employee engagement, customer
retention, growth targets become more in sync



describe the distinct purpose of each kind of statement: values, vision, and mission - Answer: -values
statement: a statement of commonly held, core values, that define the who of the organization. it often
is referred to as company's code of conduct; describes the central theme, or top priorities, of the
organization's culture "who" of the organization



-vision statement: the light that guides the company to its hopes and ambitions for the future; are the
foundation for the development and implementation of a long-term strategic plan "what do we want to
be when we grow up"



-mission statement: short but powerful statement regarding the reason an organization exists; it is the
why statement that states a company's core purpose and overall goal; it generally deals with the here
and now; identifies a company's operational goal, meaning the products it provides, the market(s) it
serves and geographical territories; what the organization needs to do in the moment to achieve vision;
"why"



What are the 3 duties of the board of directors - Answer: duty of care-- must make prudent decisions
using due diligence, gathering all relevant facts before making decisions



duty of loyalty-- keep interest of the organization the primary focus, may include disclosure of conflicts
of interest

, duty of obedience-- must be careful to follow the organization's bylaws, stated purpose, and applicable
laws



what are typical board committees - Answer: audit committee

nominating committee

governance committee

finance committee



typical executive positions you find in the insurance company - Answer: CEO, CFO, President, VP Claims,
VP sales and marketing, Chief Underwriting Officer, Chief Claims Officer



What is the relationship between a company's risk tolerance and risk appetite and the EMT's decision-
making process? - Answer: Risk Tolerance: The maximum amount of risk a person or organization is
willing to assume



Risk Appetite: The maximum amount of risk the organization is willing to accept while striving to meet
its strategic and tactical plans



what business decisions result from risk appetite - Answer: -single line or multiline-- are you going to
focus on one line of business and become and expert and risk losing the market, or choose to have
balance it needs to survive during market changes as it is rare two or more lines of insurance will be
affected in any given market cycle, expense may be greater as may need multiple uw teams for example



-specialist or generalist-- focus only on few types of risk or write all different types of businesses rather
than focusing on specific types



-geographic footprint-- where do you want to write, a single state or multiple states where it wants to
sell or will it start in one state and expand over time



-reception by distribution-- how receptive are agents in the area to new companies, consider regulatory
and judicial environments

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