Adjuster Examination Study Outline March 2012 50 Items .

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Adjuster Examination Study OutlineMarch 2012Kentucky Property and Casualty Insurance License Exam ManualKaplan Financial Education 1st Edition 200650 ItemsUnit 1Principles of Insurance (2% of test) - 1 questionRiskManaging RiskLaw of Large NumbersElements of InsurabilityOther Insurance TermsUnit 2The Insurance Contract (2% of test) - 1 questionElements of a Valid ContractCharacteristics of an Insurance ContractParts of the Insurance ContractUnit 4The Insurance Transaction (2% of test) – 1 questionMisrepresentation, Concealment, and FraudRepresentations and WarrantiesWaiver and EstoppelUnit 5Introduction to Property Insurance (2% of your test) – 1 questionStandardized PoliciesDeclarationsInsuring AgreementExclusions and LimitationsConditionsUnit 6Introduction to Liability Insurance (4% of test) - 2 questionsLiability LossesNegligenceDefenses Against NegligenceAbsolute LiabilityVicarious LiabilityLiability InsuranceUnit 7Dwelling Insurance (2% of your test) – 1 questionThe Dwelling PolicyBasic Form (DP-1)Broad Form (DP-2) and Special Form (DP-3)Unit 8Homeowners Insurance (12% of test) - 6 questionsThe Homeowners PolicySection I–PropertySection II - LiabilityHomeowners Endorsements

Unit 9Personal Auto Insurance (10% of test) – 5 questionsDefinitionsPart A - Liability CoveragePart B - Medical Payments CoveragePart C - Uninsured Motorists CoveragePart D - Coverage for Damage to Your AutoParts E and F - ConditionsUnderinsured Motorists CoveragePersonal Auto Policy EndorsementsNo Fault InsuranceUnit 10Miscellaneous Personal Insurance (4% of test) - 2 questionsFlood InsuranceEarthquake InsuranceMobile Home InsurancePersonal Inland Marine InsurancePersonal Watercraft InsurancePersonal Umbrella InsuranceFAIR PlansUnit 11The Commercial Package Policy (2% of test) – 1 questionEligible CoveragesCommon Policy DeclarationsCommon Policy ConditionsUnit 12The Businessowners Policy (2% of test) - 1 questionEligibility, Policy OrganizationProperty CoverageLiability and Medical Expenses CoverageConditionsEndorsementsUnit 13Commercial Property Insurance (2% of test) - 1 questionCommercial Property Coverage PartBuilding and Personal Property Coverage FormBuilders Risk Coverage FormCondominium Coverage FormsBusiness Income Coverage FormsCauses of Loss FormsEndorsementsUnit 15Commercial General Liability Insurance (4% of test) - 2 questionsBusiness Liability ExposuresCommercial General Liability Coverage PartOccurrence and Claims-Made FormsCoverage A - Bodily Injury and Property Damage LiabilityCoverage B - Personal and Advertising Injury LiabilityCoverage A and B Supplementary PaymentsCoverage C - Medical PaymentsWho is an InsuredLimits of InsuranceConditionsOther Commercial General Liability Coverage Forms andEndorsements

Unit 17Commercial Crime Insurance (2% of test) - 1 questionTypes of Crime FormsDefinitionsInsuring Agreements and EndorsementsExclusionsConditionsFidelity BondsUnit 18Workers' Compensation (2% of test) - 1 questionWorkers’ Compensation LawsFundingWorkers' Compensation and Employers Liability PolicyFederal Workers’ Compensation LawsUnit 19Miscellaneous Commercial Insurance (2% of test) - 1 questionFarm InsuranceBoiler and Machinery InsuranceAviation InsuranceProfessional Liability InsuranceEmployment Practices Liability InsuranceDifference in Conditions InsuranceCommercial Umbrella InsuranceSurety BondsFederal Terrorism Risk Insurance Act of 2002 (Extension Act of 2007)CROP REFERENCESCrop-Hail Policy General Provisions 2011 - NCIS 3Crop-Hail Insurance Kentucky Amendatory Endorsement 2009 - NCIS 3KYOptional Fire and Lightning Coverage on Crops Planted in Small Grain Crop, Stubble or Residue 2007 – NCIS 457Crop-Hail Policy Jacket 2010 - NCIS 5Crop-Hail Policy Basic Form Special Provisions Kentucky 2007 - NCIS 616KCrop-Hail Policy - Unharvested and Harvested Tobacco Form Special Provisions Kentucky 2005 - NCIS 641KCommon Crop Insurance Policy, Basic Provisions - Reinsured Version (11-BR)FCIC 98-041 - Coarse Grains Crop ProvisionsFCIC 09-CAT - Multiple Peril Catastrophic Risk Protection EndorsementCrop-Hail (4% of test) – 2 questionsPolicy Provisions of Crop-HailCrop-Hail ProvisionsCrop-Hail Basic Policy Special Provisions KentuckyKentucky Crop-Hail EndorsementsCoverage Available Multiple Peril Crop Insurance (MPCI)Claim Settlement

CLAIM BASICSClaims Continuing Education CourseKaplan Financial Education3rd Edition 2006Unit 1Unit 2Unit 3Unit 4Unit 5Adjuster Claims (14% of test) – 7 questionsThe Claims FunctionClaim Handling SkillsClaim InvestigationClaim Evaluation and DispositionEthical Issues in Claim HandlingKRS 342 and Guidebook to Workers’ Compensation Kentucky 2008 Workers’ Compensation (10% of test) – 5 questionsState Administration of Workers’ CompensationEmployer-Employee RelationshipOccupations Covered/Occupations ExcludedWhich Employers Must Be CoveredVoluntary CoverageCoverage OptionsCompulsory vs. ElectiveWho is an EmployeeOfficers/Sole ProprietorsLoaned/Leased EmployeesUp-the-Ladder DoctrineCompensable Injuries/Disease/Cumulative TraumaDetermining What is CompensableCompensable DiseasesCumulative Trauma InjuriesTypes of DisabilityStandards for DisabilityDefinitionsSpecial DefensesBenefits ProvidedWhen Benefits are Due; When Benefits EndMedical BenefitsRehabilitationDeath Medical and Burial BenefitIncome Benefits (formulas)Protection of Benefits from CreditorsOffsets (Social Security/Disability)Black Lung (Pneumoconiosis) ProvisionsSpecial Fund/AssessmentsClaims Investigation and HandlingFirst Reports, Other Reporting to OWCStatute of LimitationsBasis for Denial/ReductionIndemnity and SubrogationWrongful Discharge/ADA ProvisionsParts of PolicyCoveragesExclusionsEndorsements

Insurance CodeKentucky Law (16% of test) – 8 questionsScope, General Definitions, and Provisions KRS 304.1Adjuster Licensing Applicable LawsDefinitions KRS 304.9-020Change of Address KRS 304.9-200License Renewal KRS 304.9-260Continuing Education KRS 304.9-295Adjuster’s License: Qualifications; Examination; CatastropheAdjustments KRS 304.9-430Public Adjuster KRS 304.9-430(12)Apprentice KRS 304.9-432Suspension or Revocation of License KRS 304.9-440Reporting of Criminal or Administrative Actions KRS 304.9-467Prohibited Practices in Replacement or Repair of Automobile Glass;Penalties KRS 304.9-470Unfair Practices KRS 304.12-010Unfair Claims Settlement Practices KRS 304.12-230; 806 KAR 12:095Time of Payment of Claims KRS 304.12-235Insurance Contract KRS 304.14Motor Vehicle Insurance No-Fault KRS 304.39Insurance Fraud KRS 304.47Workers’ Compensation Unfair Claims Settlement 803 KAR 25:240

CLAIM BASICS Claims Continuing Education Course Kaplan Financial Education 3rd Edition 2006 Adjuster Claims (14% of test) – 7 questions Unit 1 The Claims Function Unit 2 Claim Handling Skills Unit 3 Claim Investigation Unit 4 Claim Evaluation and Disposition Unit 5 Ethical Issues in Claim Handling KRS 342 and Guideboo

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