Heather Donaldson
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Licensure Insurance (Quizzes) Quiz on Code and Ethics Quiz, created by Heather Donaldson on 21/07/2016.

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Heather Donaldson
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Code and Ethics Quiz

Question 1 of 50

1

According to the CA Department of Insurance which term means "mandatory"?

Select one of the following:

  • Oath

  • May

  • Warranty

  • Shall

Explanation

Question 2 of 50

1

According to the CA Department of Insurance, which term means "permissive"?

Select one of the following:

  • Oath

  • Shall

  • May

  • Twisting

Explanation

Question 3 of 50

1

When advertising on the internet in CA, an agent or broker must provide all the following except:

Select one of the following:

  • Name of the licensee

  • Office address

  • Expiration Date of the license

  • License number

Explanation

Question 4 of 50

1

Why is having a large number of similar exposure units important to insurers?

Select one of the following:

  • Te greater the number insured, the more premium is collected to offset fixed costs.

  • The insurer increases its market share with every insured.

  • The greater the number insured, the greater the amount of premiums collected to help cover losses.

  • The greater the number of insured's, the more accurately the insurer can predict losses and set appropriate premiums.

Explanation

Question 5 of 50

1

When a mutual insurance company changes to a stock insurance company, it is referred to as:

Select one of the following:

  • Mutualization

  • Stock split

  • Stock buy out

  • Demutualization (or conversion)

Explanation

Question 6 of 50

1

Which of the following describes an insurer who has enough financial resources only to provide for all its liabilities and for all reinsurance of all outstanding risks?

Select one of the following:

  • Guaranteed

  • Insolvent

  • Solvent

  • Non-participating

Explanation

Question 7 of 50

1

According to the California Insurance Code, and insurance policy must specify all of the following EXCEPT:

Select one of the following:

  • The perils insured against

  • The financial rating of the insurer

  • The property or life being insured

  • The policy period

Explanation

Question 8 of 50

1

According to the CA Department of Insurance fraudulent is consider:

Select one of the following:

  • Misdemeanor

  • A forgiveness

  • Infraction

  • Felony

Explanation

Question 9 of 50

1

According to the CA Insurance Code, what must appear on a notice of claim form given to an insured?

Select one of the following:

  • Telephone number of the Department of Insurance

  • Information regarding the Arson Bureau

  • Information regarding an insurance claims analyst bureau

  • A notice stating that any person who knowingly presents a false, or fraudulent claim, is guilty of a crime, and may be subject to fines and confinement in state prison.

Explanation

Question 10 of 50

1

According to Proposition 103, the commissioner of insurance became an elected official. The commissioner may serve:

Select one of the following:

  • As many terms for which he is elected

  • One term only

  • Two consecutive terms (8 years)

  • No mention is made in the insurance code as to term limits

Explanation

Question 11 of 50

1

All of the following are valid reasons for the insurance commissioner to deny the application for an insurance license EXCEPT:

Select one of the following:

  • Applicant does not have a good business reputation

  • Applicant is not properly qualified to perform

  • Applicant does not have a CA business address

  • Applicant lack integrity

Explanation

Question 12 of 50

1

With whom are policy forms filed?

Select one of the following:

  • Insurance Services Office (ISO)

  • Department of Insurance (DOI)

  • National Council on Compensation Insurance (NCCI)

  • Internal Revenue Service (IRS)

Explanation

Question 13 of 50

1

Records of an agent or broker must be available to the commissioner:

Select one of the following:

  • At all times

  • Only after written notice from the commissioner

  • 15 days after the license is issued

  • Never

Explanation

Question 14 of 50

1

How long must an agent maintain records sold in CA?

Select one of the following:

  • 10 years

  • 6 years

  • 5 years

  • 2 years

Explanation

Question 15 of 50

1

An applicant for an insurance license had another professional license revoked. What would the commissioner most likely do?

Select one of the following:

  • Nothing, it did not involve insurance

  • Deny the application without a hearing

  • Take it under advisement

  • Deny after a hearing

Explanation

Question 16 of 50

1

When may an agent transact for an insurance company?

Select one of the following:

  • When the agent receives the action notice

  • When the commissioner receives the application

  • When the appointing company signs the action notice of appointment

  • At the beginning of the fiscal year

Explanation

Question 17 of 50

1

In the CA Insurance Code there is a definition that reads, in short, "...a person who offers to advise for a fee, any insured having interest in life or disability insurance contracts..." This is a:

Select one of the following:

  • An insurance broker paid on a fee for service

  • A solictor

  • A life and disability analyst

  • A Claims adjuster

Explanation

Question 18 of 50

1

If a licensee wants to terminate and surrender his license, what must he do?

Select one of the following:

  • Destroy the original license

  • Destroy the original and notify the commissioner

  • Deliver the license to the commissioner

  • Nothing

Explanation

Question 19 of 50

1

What must an insurer do, who accepts an application from an agent who is not appointed by that insurer, if they subsequently will issue a policy based on that application?

Select one of the following:

  • The agent must become an employee of that insurer within 30 days or re-submit the application

  • Add the agent's name on the company's list of approved agents

  • Send the agent an employment approval notice within 30 days of policy issuance

  • Forward to the insurance commissioner a notice of appointment within 14 days of receipt of the application

Explanation

Question 20 of 50

1

Who is allowed to work with non-admitted carriers when the insurance cannot be found in the ordinary market?

Select one of the following:

  • Non-ordinary companies

  • Health only agents

  • Surplus lines brokers

  • Gap insurances

Explanation

Question 21 of 50

1

Why is having a large number of similar exposure units important to insurers?

Select one of the following:

  • The greater the number insured, the more premium is collected to offset fixed costs.

  • The insurer increases its market share with every insured.

  • The greater the number insured, the greater the amount of premiums collected to help cover losses.

  • The greater the number of insured's, the more accurately the insurer can predict losses and set appropriate premiums.

Explanation

Question 22 of 50

1

When an agent accepts premium from the insured and uses the money for personal gain, it is considered:

Select one of the following:

  • Theft

  • Fraud

  • Concealment

  • Misrepresentation

Explanation

Question 23 of 50

1

An act which requires a reporting agency to take action if a consumer complains about inaccurate information is:

Select one of the following:

  • EPO

  • Medical Information Act

  • Fair Credit Act

  • COBRA

Explanation

Question 24 of 50

1

In insurance terms, a representation can be considered:

Select one of the following:

  • An absolute fact

  • An implied warranty

  • An express warranty

  • None of the above

Explanation

Question 25 of 50

1

When may a representation be withdrawn?

Select one of the following:

  • At any time as long as all parties agree

  • It cannot be withdrawn

  • Only before the insurance is in effect

  • Only after the policy is in effect

Explanation

Question 26 of 50

1

CA insurance code requires television commercial selling term life insurance to an individual 55 or older must inform the consumer that:

Select one of the following:

  • Passin a physical exam is a requirement for benefits

  • Anyone who purchases term life insurance who's 55 or older will receive a senior discount

  • Benefits and limitations should be considered prior to purchase

  • All answers are correct

Explanation

Question 27 of 50

1

Any person who meets with a senor at the seniors home, is required to deliver a notice in writing to the seniors home. They must receive this notice prior to the intitial meeting within how many days of the meeting?

Select one of the following:

  • 12 hours prior to the meeting

  • 6 hours prior to the meeting

  • No notice is required

  • No less than 24 hours

Explanation

Question 28 of 50

1

An employee tripped over her shoelace at work and suffered an injury. This injury would be covered by:

Select one of the following:

  • Commercial general liability

  • Disability insurance

  • Workers compensation

  • Premises and operations coverage form

Explanation

Question 29 of 50

1

Under workers compensation medical payments, which is correct?

Select one of the following:

  • There is at time limit for medical payments but no dollar limit

  • There is a dollar limit but no time limit

  • There is both a time limit and a dollar limit

  • There is no time or dollar limit on medical payments

Explanation

Question 30 of 50

1

Workers compensation Part 1 covers:

Select one of the following:

  • Retirement benefits

  • All sums the insurer is legally obligated to pay under common law

  • All sums the insurer is required to pay by state law

  • All costs of the employee required by state fund

Explanation

Question 31 of 50

1

To what does 24-hour coverage refer?

Select one of the following:

  • It is medical coverage which provides around the clock protection.

  • It is the joint issuance of a worker's compensation policy with a disability insurance policy or other medical coverage for non-occupational injuries and illnesses.

  • It refers to the fact that a person needs 24 hour nursing care

  • It means that there is a waiting period of 24 hours before coverage begins.

Explanation

Question 32 of 50

1

The insurance commissioner:

Select one of the following:

  • Is appointed by the governer

  • Is elected by the state legislature

  • Is appointed by the state attorney general

  • Is elected by the public

Explanation

Question 33 of 50

1

All of the following might make an agent act unethically EXCEPT:

Select one of the following:

  • Being mostly concerned about earnings

  • Associating with unethical agents

  • Being pressured as production is not up to quota

  • Placing clients' interests first

Explanation

Question 34 of 50

1

The insurance code definition of an "insurance broker" is:

Select one of the following:

  • Someone paid to transact insurance on behalf of another person but not on behalf of the insurer.

  • Someone appointed by a fire and casualty broker-agent (employer) receiving commissions from the employer, transacting insurance with the insurers the employer represents an acting on behalf of the clients.

  • Any agent that writes more difficult to place business with specialty insurers who have appointed him

  • Someone appointed to transact insurance with admitted insurers and receives commissions from them, but acts on behalf of the clients.

Explanation

Question 35 of 50

1

An agent held one appointment with an insurance company. The appointment was terminated. What is correct?

Select one of the following:

  • The license is active until the end of the term.

  • The license is inactive.

  • The agent must be re-appointed by the same company.

  • The agent is required to have another action notice of appointment filed within 30 days.

Explanation

Question 36 of 50

1

What must an insurer do who accepts an application from an agent who is not specifically appointed by that insurer and subsequently issues a policy based on that application?

Select one of the following:

  • The agent must become an employee of that insurer within 30 days or re-submit the application

  • Add the agent's name on the company's list of approved agents

  • Send the agent an employment approval notice within 30 days of policy issuance

  • Forward to the insurance commissioner a notice of appointment within 14 days of receipt of the application.

Explanation

Question 37 of 50

1

Lou Jones, who has earned the CPCU designation, holds individual licenses as insurance agent and broker. He employs two solicitors in his agency. Which of the following is a true statement about names?

Select one of the following:

  • He can use Lou Jones Insurance Company

  • He can use Lou Jones and Company

  • He can use Lou Jones, CPCU, AAI, on his insurance stationary and other forms

  • All answers are correct

Explanation

Question 38 of 50

1

Under worker's compensation, a disability that is a permanent physical impairment leaving the individual incapable of performing the previous regular occupation, but capable of performing some other type of work, is a:

Select one of the following:

  • Permanent total disability

  • Permanent partial disability

  • Temporary total disability

  • Temporary partial disability

Explanation

Question 39 of 50

1

Benefits under workers compensation would include:

Select one of the following:

  • Rehabilitation

  • Medical costs

  • Loss of time

  • All answers are correct

Explanation

Question 40 of 50

1

Worker's compensation laws require the employer to pay benefits to a worker who is injured in the course of his employment. The employee is covered:

Select one of the following:

  • Only if they injury is the result of the employer's fault or negligence.

  • If the injury is the fault or negligence of the employer or any other employee.

  • If the injury is the fault or result of negligence of the employer or any other person

  • Without regard to fault or negligence of the employer or any other person

Explanation

Question 41 of 50

1

Which of the following is not a federal government program?

Select one of the following:

  • Flood insurance

  • Federal Deposit Insurance Corporation

  • Federal Crop Insurance

  • Workers Compensation

Explanation

Question 42 of 50

1

The purpose of the CA Life and Health guarantee Association is:

Select one of the following:

  • It helps small insurers with less capital to compete with larger insurers.

  • To protect life policy holders and/or insured's when any member insurer becomes insolvent.

  • To guarantee that any promises made by any insurer's sales or marketing units are fulfilled.

  • (Subject to certain limitations) to protect life and health policy holders and/or insured's when member insurers become insolvent.

Explanation

Question 43 of 50

1

Under Tort Law, a person can face a claim for legal liability on the basis of all of the following EXCEPT:

Select one of the following:

  • Absolute liability

  • Intentional tort

  • Negligence

  • Breach of Contract

Explanation

Question 44 of 50

1

A wrongful act other than a crime or breach of contract is a:

Select one of the following:

  • Tort

  • Proximate cause

  • Liability

  • Hazard

Explanation

Question 45 of 50

1

What can an insurer do when a fraudulent and intentional omission is committed on the part of the insured proving a warranty false?

Select one of the following:

  • Have the insured imprisoned for up to 6 months

  • Rescind the contract

  • Force the insured to pay a fine

  • Force the commissioner to fine and imprison the insured

Explanation

Question 46 of 50

1

Under which circumstances does a party involved in a contract of insurance need to communicate information based solely on his judgment?

Select one of the following:

  • Never

  • Only when asked

  • Only when relevant to the matter in question

  • Always

Explanation

Question 47 of 50

1

Neglecting to communicate that which a party knows, and ought to communicate, so that the other party may make a sound decision is known as:

Select one of the following:

  • Concealment

  • Material Information

  • Boycottingg

  • None of the above

Explanation

Question 48 of 50

1

An act which requires a reporting agency to take action if a consumer complains about inaccurate information is:

Select one of the following:

  • EPO

  • Medical Information Act

  • Fair Credit Act

  • COBRA

Explanation

Question 49 of 50

1

A person who acts in a capacity that requires an active license without having a valid license is guilty of a:

Select one of the following:

  • Fraud

  • Misdemeanor

  • Felony

  • Misrepresentation

Explanation

Question 50 of 50

1

The mathematical rule that states that as the number of individual but similar exposure units increase, the easier it is to predict the losses is which of the following:

Select one of the following:

  • Insurance interest standard

  • Contract law

  • The law of large numbers

  • Materiality

Explanation