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Essential Legal and Insurance Terminology
Mar 9, 2025
Key Legal and Insurance Concepts
Consideration in Legal Terms
Definition
: Something of value given in exchange for a promise.
Correct Option
: B. Consideration
Ocean Marine Policy: Particular Average
Definition
: A loss that may occur during ocean transportation.
Characteristics
: Not covering entire cargo value, involves partial loss.
Types of Adjusters
Public Adjuster
: Hired by the insured.
Independent Adjusters
: Not directly employed by insurance companies.
Auto Insurance Coverage
Coverage Start Date
: Begins from the date specified in the policy.
Scenario
: Paul is not protected as the coverage starts on August 18th, not on the date of payment.
Indemnity in Insurance
Definition
: Compensation for damages equal to the amount of damage, neither more nor less.
Revoking an Adjuster's License
Conditions
: Not until a hearing is held.
Insurance Policy Structure
Sections NOT Included
: Grocery store (C is incorrect).
Appraiser Limitations
Not Permitted Task
: Appraising betterment of a vehicle.
Insurance Adjuster Essentials
Not Essential
: Commercial driver's license.
Representation of Hazards
Not a Hazard
: Fire that destroys personal property is a result, not a potential hazard.
Utmost Good Faith
Definition
: Responsibility to act honestly and provide all relevant facts.
Law of Large Numbers
Concept
: Combining multiple risks into a single group reduces uncertainty and loss.
Terrorist Act Classification
Definition
: Violent act dangerous to human life and property.
Business Owners Policy (BOP)
Not Protected by BOP
: Credit Union.
Errors and Omissions Insurance
Not Eligible
: Dentists.
Revoking Insurance Policy
Condition Not Applicable
: The age of the insured.
Contacting for Insurance Issues
Action
: Contact the state insurance commissioner.
Mutual Agreement
Concept
: Agreement between offeror and offeree.
Policy Components
Insuring Agreement
: Includes commitments provided by insurer.
Public Adjusters Compensation
Typical Basis
: Fee basis, usually around 10%.
Employer Liability
Type
: Vicarious liability through employees.
Duration for Insurer's Record Request
Allowed Duration
: Three years.
Policy Limits
Definition
: Cap on insurance coverage for a policy period.
Immediate Contact Rule
Requirement
: Insurer must acknowledge claim receipt within 15 days.
Contract Types
Insurance Policy
: Typically a unilateral contract.
Damage Coverage for Rental Car in NY
Correct Option
: Must be purchased from rental agency.
Insurance Regulation Oversight
Regulatory Body
: State Department of Insurance.
Auto Policy Coverage
Covered Event
: Lightning is covered under other than collision.
Homeowner's Insurance
Typical Coverage
: Fire damage is covered.
Texas Insurance Law
Non-Required Action Within 15 Days
: Payment of settlement amount.
Policy Writing Definitions
Key Section
: Definition section for essential terminology.
Independent Adjusters Categories
Excluded Category
: Public adjuster.
Declaratory Decision Provider
Provider
: The court.
Insurance Contract Responsibility
Maximum Responsibility
: Policy limits.
Settlement for Misplaced Items
Possible Offer
: Pay a portion of the total value.
Post-Loss Obligations
Not Required
: Being unbothered or forcing payment.
Characteristics of Insurance Contracts
Exclusion
: None of the mentioned options are non-characteristics.
Purpose of Premiums
Primary Use
: Fund operations and create a pool.
Terrorism Risk Insurance Act
Coverage Requirement
: Losses over five million dollars.
Medical Payment Protection
Non-Qualified
: Tenants under HO policy.
Severe Storm Adjusters
Typically Handled By
: Independent adjusters.
Reservation of Rights Letter
Primary Reason
: Insured isn't required to sign it.
Catastrophic Loss Coverage
Coverage Method
: Insurer collects premiums from all policyholders.
Reducing Small Claims
Technique
: A deductible.
Liberalization Clause
Purpose
: Automatically update policy if coverage scope expands.
Medical Payments Claim Deadline
Timeframe
: Three years.
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