Florida Claims Adjuster Exam
Frank owned a home that was destroyed by a hurricane. Both ABC and XYZ Banks were
listed as additional interests on his homeowner policy. The insurance company will make a
payment to:
A. The first mortgagee, ABC
B. The Insured
C. Jointly to ABC and XYZ
D. All listed interests - ANSD. All listed interests
Remember that the insurer is not responsible to know the degrees of interest. In the event of
a loss, one payment is made by the insurer and it is up to the additional interests on working
out their share.
Insurance applies separately to each insured as if other insureds did not exist. This is
defined as:
A. Severability
B. Conditional
C. Warranty
D. None of the above - ANSA. Severability
Property insurance policies usually contain a(n) __________ clause, stating the insured
cannot dump damaged property on the insurer and demand its full value:
A. Pro Rata
B. Abandonment
C. Liberalization
D. All of the above - ANSB. Abandonment
A(n) __________ is one wherein economic loss would be suffered from an adverse
happening to the subject:
A. Conditional Contract
B. Personal Contract
C. Economic Contract
D. Insurable Interest - ANSD. Insurable Interest
States that if the insurer adopts a revision which would broaden coverage without additional
premium within some period of time prior to the policy period or during the policy period, the
insured receives the benefit of such broadened coverage.
A. Cancellation Clause
B. Policy Period
C. Pro Rata
D. Liberalization - ANSD. Liberalization
The time frame is typically 60 days.
,The __________ states that when there is an unbroken connection between an occurrence
and damage that grows out of the occurrence, then the resultant damage is all a part of the
occurrence.
A. Doctrine of Proximate Cause
B. Doctrine of Perils & Hazards
C. Insurance Policy Handbook
D. Doctrine of Property Insurance - ANSA. Doctrine of Proximate Cause
For example, if a property insurance policy covers the peril of fire but further damage is
caused by smoke, water used to extinguish, and the process of moving property away - fire
is considered to be the *proximate cause* of all of the damage.
The Loss Settlement Valuation that subtracts an allowance for depreciation is defined as?
A. Actual Cash Value
B. Replacement Cost
C. "Old for New"
D. None of the Above - ANSA. Actual Cash Value
A policy condition, either based on information in the insured's application or inserted by the
insurer, is defined as:
A. Warranty
B. Misrepresentation
C. Concealment
D. None of the Above - ANSA. Warranty
The following are basic characteristics of a property or liability insurance contract, except:
A. Personal Contract
B. Conditional Contract
C. Loss of Settlement Contract
D. Contract of Adhesion - ANSC. Loss of Settlement Contract
The Insurer's responsibility to pay for a property loss may be conditioned on the insured
having used reasonable means to avoid the loss, to protect the property against further loss,
and to give the insurer proof of the loss is defined as?
A. Conditional Contract
B. Adhesion Contract
C. Indemnity Contract
D. All of the Above - ANSA. Conditional Contract
"may be conditioned"
Which of the following is not one of the "Thresholds" in the "No-Fault" law?
A. Death of the Insured
B. Temporary Injury of the Insured
C. A permanent loss of a bodily function
D. Permanent scarring on the face of the insured - ANSB. Temporary Injury of the Insured
Also included: permanent injury other than scarring and disfigurement
Under Mechanical Breakdown Coverage, new cars are eligible for service up to:
A. 36 Months/36,000 Miles
,B. 24 Months/36,000 Miles
C. 12,000 Months/12,000 Miles
D. 12 Months/36,000 Miles - ANSA. 36 Months/36,000 Miles
Used vehicles: 12 Months/12,000 Miles
If financial responsibility doesn't exist at the time of an accident, which of the following things
must happen to avoid penalties?
A. The legally valid claims of others must be satisfied (up to 10/20/10)
B. The owner and operator must provide certification of future responsibility for future
accidents
C. Both A & B
D. None of the Above - ANSC. Both A & B
As to required proof for future accidents by purchase of auto liability insurance, the insurer
must make a filing (Form SR-22) certifying that coverage is in effect, and this certification
must remain on file for __________ years:
A. 1
B. 3
C. 4
D. 2 - ANSB. 3
The Business Automobile Policy includes all of the following coverage forms except:
A. The Garage Coverage Form
B. The Trailer Interchange Coverage Form
C. The Truckers Coverage Form
D. The Business Auto Coverage Form - ANSB. The Trailer Interchange Coverage Form
Personal Injury Protection, or PIP, has a __________ per person, per accident limit.
A. 10,000
B. 20,000
C. 1,000
D. Depends on the damaged property - ANSA. 10,000
Used to insure businesses engaged in selling, servicing, repairing, parking or storing
automobiles:
A. Servicing Coverage Form
B. Garage Coverage Form
C. Truckers Coverage Form
D. None of the Above - ANSB. Garage Coverage Form
The following examples are referred to as __________ liability limits: 25/50/25 or 10/20/10.
A. Split
B. Single
C. Straight
D. None of the Above - ANSA. Split
10/20/10 =
10,000 per person injured
20,000 all injuries combined
, 10,000 property damage
Example of straight liability limit = $30,000
Jeremy has a not at fault accident. If he has PIP with a $1,000 deductible, how much can he
expect his PIP coverage to pay toward his medical bills that total $3,000?
A. $1,600
B. $1,000
C. $2,400
D. $3,000 - ANSA. $1,600
3000 (bills) - 1000 (deductible) =
2000 x .80 (eighty percent)
Frank has a not-at-fault accident, he has basic PIP, no deductible and Med pay of $5,000.
How much will his Med Pay contribute to medical bills of $15,000?
A. $15,000
B. $5,000
C. $3,000
D. $0, Frank is not-at-fault - ANSB. $5,000
Medical Payment limits apply per person; Frank will receive full amount towards medical
bills.
Which of the following is not one of the rating factors for a Homeowner's Policy?
A. Type of Construction
B. Location of Risk
C. Age & Gender of Insured
D. Proximity to Fire Department - ANSC. Age & Gender of Insured
On a Homeowner's Policy, covers items that are not permanently attached to the dwelling.
This is defined as:
A. Other Structures
B. Excess Structures
C. Personal Property
D. Dwelling - ANSA. Other Structures
Examples include sheds, fences, pool houses, detached car ports, etc.
A lender has an insurable interest in a home and finds protection in the:
A. Loss Payee Clause
B. Mortgagee Clause
C. Lender Clause
D. Additional Insured Clause - ANSB. Mortgagee Clause
Mortgagee - Homeowner's policy
Loss Payee - Automobile policy
Which of the following forms is "all-risk" on the dwelling policy?
A. DP-1, or the Basic Form
B. DP-2, or the Broad
C. DP-3, or the Special Form
D. None of the Above - ANSC. DP-3, or the Special Form
Frank owned a home that was destroyed by a hurricane. Both ABC and XYZ Banks were
listed as additional interests on his homeowner policy. The insurance company will make a
payment to:
A. The first mortgagee, ABC
B. The Insured
C. Jointly to ABC and XYZ
D. All listed interests - ANSD. All listed interests
Remember that the insurer is not responsible to know the degrees of interest. In the event of
a loss, one payment is made by the insurer and it is up to the additional interests on working
out their share.
Insurance applies separately to each insured as if other insureds did not exist. This is
defined as:
A. Severability
B. Conditional
C. Warranty
D. None of the above - ANSA. Severability
Property insurance policies usually contain a(n) __________ clause, stating the insured
cannot dump damaged property on the insurer and demand its full value:
A. Pro Rata
B. Abandonment
C. Liberalization
D. All of the above - ANSB. Abandonment
A(n) __________ is one wherein economic loss would be suffered from an adverse
happening to the subject:
A. Conditional Contract
B. Personal Contract
C. Economic Contract
D. Insurable Interest - ANSD. Insurable Interest
States that if the insurer adopts a revision which would broaden coverage without additional
premium within some period of time prior to the policy period or during the policy period, the
insured receives the benefit of such broadened coverage.
A. Cancellation Clause
B. Policy Period
C. Pro Rata
D. Liberalization - ANSD. Liberalization
The time frame is typically 60 days.
,The __________ states that when there is an unbroken connection between an occurrence
and damage that grows out of the occurrence, then the resultant damage is all a part of the
occurrence.
A. Doctrine of Proximate Cause
B. Doctrine of Perils & Hazards
C. Insurance Policy Handbook
D. Doctrine of Property Insurance - ANSA. Doctrine of Proximate Cause
For example, if a property insurance policy covers the peril of fire but further damage is
caused by smoke, water used to extinguish, and the process of moving property away - fire
is considered to be the *proximate cause* of all of the damage.
The Loss Settlement Valuation that subtracts an allowance for depreciation is defined as?
A. Actual Cash Value
B. Replacement Cost
C. "Old for New"
D. None of the Above - ANSA. Actual Cash Value
A policy condition, either based on information in the insured's application or inserted by the
insurer, is defined as:
A. Warranty
B. Misrepresentation
C. Concealment
D. None of the Above - ANSA. Warranty
The following are basic characteristics of a property or liability insurance contract, except:
A. Personal Contract
B. Conditional Contract
C. Loss of Settlement Contract
D. Contract of Adhesion - ANSC. Loss of Settlement Contract
The Insurer's responsibility to pay for a property loss may be conditioned on the insured
having used reasonable means to avoid the loss, to protect the property against further loss,
and to give the insurer proof of the loss is defined as?
A. Conditional Contract
B. Adhesion Contract
C. Indemnity Contract
D. All of the Above - ANSA. Conditional Contract
"may be conditioned"
Which of the following is not one of the "Thresholds" in the "No-Fault" law?
A. Death of the Insured
B. Temporary Injury of the Insured
C. A permanent loss of a bodily function
D. Permanent scarring on the face of the insured - ANSB. Temporary Injury of the Insured
Also included: permanent injury other than scarring and disfigurement
Under Mechanical Breakdown Coverage, new cars are eligible for service up to:
A. 36 Months/36,000 Miles
,B. 24 Months/36,000 Miles
C. 12,000 Months/12,000 Miles
D. 12 Months/36,000 Miles - ANSA. 36 Months/36,000 Miles
Used vehicles: 12 Months/12,000 Miles
If financial responsibility doesn't exist at the time of an accident, which of the following things
must happen to avoid penalties?
A. The legally valid claims of others must be satisfied (up to 10/20/10)
B. The owner and operator must provide certification of future responsibility for future
accidents
C. Both A & B
D. None of the Above - ANSC. Both A & B
As to required proof for future accidents by purchase of auto liability insurance, the insurer
must make a filing (Form SR-22) certifying that coverage is in effect, and this certification
must remain on file for __________ years:
A. 1
B. 3
C. 4
D. 2 - ANSB. 3
The Business Automobile Policy includes all of the following coverage forms except:
A. The Garage Coverage Form
B. The Trailer Interchange Coverage Form
C. The Truckers Coverage Form
D. The Business Auto Coverage Form - ANSB. The Trailer Interchange Coverage Form
Personal Injury Protection, or PIP, has a __________ per person, per accident limit.
A. 10,000
B. 20,000
C. 1,000
D. Depends on the damaged property - ANSA. 10,000
Used to insure businesses engaged in selling, servicing, repairing, parking or storing
automobiles:
A. Servicing Coverage Form
B. Garage Coverage Form
C. Truckers Coverage Form
D. None of the Above - ANSB. Garage Coverage Form
The following examples are referred to as __________ liability limits: 25/50/25 or 10/20/10.
A. Split
B. Single
C. Straight
D. None of the Above - ANSA. Split
10/20/10 =
10,000 per person injured
20,000 all injuries combined
, 10,000 property damage
Example of straight liability limit = $30,000
Jeremy has a not at fault accident. If he has PIP with a $1,000 deductible, how much can he
expect his PIP coverage to pay toward his medical bills that total $3,000?
A. $1,600
B. $1,000
C. $2,400
D. $3,000 - ANSA. $1,600
3000 (bills) - 1000 (deductible) =
2000 x .80 (eighty percent)
Frank has a not-at-fault accident, he has basic PIP, no deductible and Med pay of $5,000.
How much will his Med Pay contribute to medical bills of $15,000?
A. $15,000
B. $5,000
C. $3,000
D. $0, Frank is not-at-fault - ANSB. $5,000
Medical Payment limits apply per person; Frank will receive full amount towards medical
bills.
Which of the following is not one of the rating factors for a Homeowner's Policy?
A. Type of Construction
B. Location of Risk
C. Age & Gender of Insured
D. Proximity to Fire Department - ANSC. Age & Gender of Insured
On a Homeowner's Policy, covers items that are not permanently attached to the dwelling.
This is defined as:
A. Other Structures
B. Excess Structures
C. Personal Property
D. Dwelling - ANSA. Other Structures
Examples include sheds, fences, pool houses, detached car ports, etc.
A lender has an insurable interest in a home and finds protection in the:
A. Loss Payee Clause
B. Mortgagee Clause
C. Lender Clause
D. Additional Insured Clause - ANSB. Mortgagee Clause
Mortgagee - Homeowner's policy
Loss Payee - Automobile policy
Which of the following forms is "all-risk" on the dwelling policy?
A. DP-1, or the Basic Form
B. DP-2, or the Broad
C. DP-3, or the Special Form
D. None of the Above - ANSC. DP-3, or the Special Form
