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.