Shared Flashcard Set

Details

Chapter 6
Tx Claims Adjuster Exam
95
Insurance
Not Applicable
10/21/2015

Additional Insurance Flashcards

 


 

Cards

Term
Many property insurance forms cover many perils,  coverage for ______ is excluded from all of them.
Definition
flood
Term
Flood
Definition
is defined as a general and temporary condition of partial or complete inundation by water of what is normally dry land.
Term
A flood
Definition
brings water, mud, contaminants and high pressure into a building and can result in a building's total destruction.
Term
The market for flood insurance among private insurers is characterized by _______ ________.
Definition
adverse selection.
Term
Adverse selection occurs
Definition
when only those with a high probability of experiencing loss are interested in purchasing insurance.
Term
The devastation floods prompted Congress to act in _____ to develop a _________ _______ ________ ________.
Definition
1968; National Flood Insurance Program
Term
___________ _____________ ______________ ____________ (_____) underwrites all flood coverage.
Definition
Federal Emergency Management Agency (FEMA)
Term
In 1983, private insurers began participating in a ______ _____ _______ (____) program to increase the base and geographic distribution of flood insurance and to improve service and claims handling.
Definition
Write Your Own (WYO)
Term
A WYO company
Definition
sells flood policies under its own name, collects premiums, services the policyholders, adjusts the claims, and pays the loses.
Term
FEMA reinsures _____ of these losses.
Definition
100%
Term
Homeowners and Commercial Property insurance ______ coverage for damage due to _________.
Definition
excludes, flooding
Term
Many people don't think they need flood insurance
Definition
because they believe federal disaster assistance will bail them out.
Term
Flood are
Definition
not always declared a federal disaster area.
Term
Federal aid is usually
Definition
in the form of a loan which must be paid back with interest.
Term
Flood insurance
Definition
pays for all covered losses and that money doesn't have to be paid back.
Term
In __________ ________ _______ _______ _______, defined by the ________ ________ _________ ___ of 1973, flood insurance is _______.
Definition
Special High Flood Risk Zones, Flood Disaster Protection Act (FDPA), mandatory
Term
If the owner does not purchase a policy for his property, his lender is ________ to do so and pass the cost along.
Definition
required
Term
Even in ____ _____ ______, it's a good idea to purchase flood insurance for the reasons stated above.
Definition
low risk zones
Term
A Special Flood Hazard Area (SFHA)
Definition
is defined as a location having special flood, mudflow or erosion problems.
Term
Zones are rated by ______ based on their relative risk of flooding.
Definition
FEMA
Term
High risk zones are labled "____" or on the coast "___".
Definition
"A", "V"
Term
Moderate to low risk area are rated:
Definition
"B, C and X"
Term
Special Hazard Zones have ______ _______ ________ assignment which greatly effect insurance rates.
Definition
Base Flood Elevation
Term
The Base Flood Elevation
Definition
measures the base flood elevation in feet in relation to national benchmark data.
Term
Under the _______ ______ ________ ________ (_____), individuals and businesses are able to purchase flood insurance at rates subsidized by the federal government.
Definition
National Flood Insurance Program (NFIP)
Term
________ determines the risk of flood in various locations across the United States.
Definition
FEMA
Term
The areas are mapped and assigned a ______ ______ _______.
Definition
flood risk category
Term
The risk of flood is based on many factors, including:
Definition
past history of flooding and hydraulic and hydrologic studies.
Term
In certain risk categories assigned by _____, known as _____ _____ ______ ______, homeowners and business are required to purchase flood insurance if they use ______ _______ __________ for their buildings and property.
Definition
FEMA, Special Flood Hazard Areas, federally guaranteed financing
Term
Many private lenders also ______ flood insurance as a condition of a loan to businesses and homeowners in the higher risk flood zones as well.
Definition
require
Term
In order to purchase flood insurance, a __________ must agree to participate in the _______ _______ ______ _______.
Definition
community, National Flood Insurance Program
Term
The community must _____ with land use and flood control measures.
Definition
comply
Term
When a community first agrees to participate in the program, _______ _______ of flood insurance coverage may be purchased.
Definition
limited amounts
Term
Once the community meets the program's flood control standards and a _______ _______ ______ ________ is completed, _____ limits of insurance are available.
Definition
detailed flood risk study, higher
Term
Most flood insurance is purchased directly through the _____.
Definition
NFIP (National Flood Insurance Program)
Term
All ______ and ______ agents are eligible to write directly with the NFIP.
Definition
Property, Casualty
Term
Private insurers are offered ________ to provide flood insurance as well.
Definition
incentives
Term
The federal government
Definition
reinsures the policies issued by private insurers for 100
% of the loss.
Term
The private insurers:
Definition
  • sell the policies
  • collect premiums
  • process claims
  • provide servicing of the policies
Term
You can purchase flood coverage at ____ ____.
Definition
any time
Term
There is a _____ day writing period after you've applied and paid the premium before the policy is effective, with the following exceptions:
Definition

30

  1. If the intial purchase of flood insurance is in connection with the making, increasing, extending or renewing of a loan, there is no waiting period. The coverage becomes effective at the time of the loan, provided application and payment of premium is made at or prior to loan closing.
  2. If the intial purchase of flood insurance is made during the 13-month period following the effective date of a revised flood map for a community, their is a one day waitiing period. This only applies where the Flood Insurance Rate Map (FIRM) is revised to show the building to be in a SFHA when it had not been in an SFHA. The policy does not cover a "loss in progress", defined by the NFIP as a loss occuring as of 12:01 am on the first day of the policy term. In addition, you cannot increase the amount of insurance coverage you have during a loss in progress.
  3.  
Term
The policy term for NFIP policies is ____ ____.
Definition
one year
Term
A _________ _________ _________ ___________ whose property has been determined not to be in a special hazard area after the map revision of a _______ __ ________ ________ under part ____ of this subchapter may ____ the policy within the current policy year.
Definition
Standard Flood Insurance Policyholder, Letter of Map Amendment, 70, cancel
Term
A Standard Flood Insurance Policyholder may cancel having a term of ____ years on an anniversary date, where the reason for the cancellation is that a policy of flood insurance has been obtained or is being obtained in ________ for the NFIP policy and the NFIP obtains a written _________ in the cancellation from any mortgage of which the NFIP has actual notice, or the policyholder has extinguishing the mortgage debt and is no longer required by the mortgagee to maintain the coverage. In such event, the premium refund shall be ____ ____ but with retention of the _______ ________.
Definition
three, substitiution, concurrence, pro rata, expense constant.
Term
The Flood Policy has Four Sections:
Definition
  1. Dwelling
  2. Contents
  3. Debris Removal
  4. Increased Cost of Compliance (ICC)
Term
Dwelling
Definition
the main structure and dwelling extensions and additions to the building are covered. The 10% other structure coverage limite automatically applies to fllod policies.
Term
Contents
Definition
personal property is covered under the flood policy. Personal property must be contained in a fully enclosed building on the residence premises or secured against floating out of a partially enclosed building in order for the coverage to apply.
Term
Debris Removal
Definition
pays for all reasonable incurred expenses and the policyholder's labor to remove debris that was caused by the flood. This includes removing debris that floats onto the insured location and to debris of insured property that has floated onto other properties.
Term
Increased Cost of Compliance (ICC)
Definition

provides coverage up to $30,000.00 to do one of the following things:

  • The reasonable cost to demolish your home
  • The reasonable cost to elevate your home

The order for ___ to apply, the dwelling has to be substantially damaged (51% or more of the dwelling is destroyed).

Term
Flood insurance protects two types of insurable property:
Definition
building and contents.
Term
Neither building or contents insurable property covers ___ ______ _____ ______.
Definition
the land they occupy.
Term
The NFIP's Dwelling Form offers coverage for :
Definition
  1. Building/Structure Property, up to $250,000.
  2. Personal Property (Contents), up to $100,000.
Term
Building/ Structure coveragre includes:
Definition
  • The insured building and its foundation
  • The electrical and plumbing system
  • Central air conditioning equipment, furnaces, and water heaters
  • Refrigerators, cooking stoves, and built-in applicances such as dishwashers
  • Permanently installed carpeting over unfinished flooring.
Term
Personal Property/ Contents coverage includes:
Definition
  • Clothing, furniture, and electronic equipment
  • Curtains
  • Portable and window air conditioning units
  • Portable microwaves and dishwashers
  • Carpeting that is not attached to the building
  • Washers, dryers.
Term
What is not insured by either Building Property or Personal Property coverage:
Definition
  1. Personal property not inside a fully enclosed building
  2. A building, and personal property in it, located entirely in, on, or over water
  3. Personal property located in, on, or over water
  4. Recreational vehicles other than travel trailers, whether affixed to a permanent foundation or on wheels
  5. Self-propelled vehicles or machines, including their parts and equipment. However, we do cover self-propelled vehicles or machines not licensed for use on public roads that are:  A.) Used mainly to service the described location.    B.) Designed and used to assist handicapped persons, while the vehicles or machines are inside a building at the described location.
  6. Land, land values, lawns, trees, shrubs, plants, crops, or animals.
  7. Accounts, bills, coins, currency, deeds, evidences of debt, medals, money, stored value cards, postage stamps, securities, buillion, manuscripts, or other valuable papers
  8. Underground structures and equipment, including wells, septic tanks, and septic systems
  9. Walkways, decks, driveways, patios, and other surfaces, all whether protected by a roof or not, located outside the perimeter, exterior walls of the insured building or the building in which the insured unit is located
  10. Containers, including related equipment, such as but not limited to, tanks containing gases or liquids
  11. Buildings or units and their contents if more than 49 percent of the actual cash value of the building or unit is below ground, unless the lowest level is at or above the base flood elevation and is below ground by reason of earth having been used as insulation material.
  12. Fences, retaining walls, seawalls, bulkheads, piers, bridges, and docks
  13. Aircraft or watercraft, or their furnishings and equipment
  14. Hot tubs and spas that are not bathroom fixtures, and swimming pools
  15. Property not eligible for flood insurance pursuant to the provisions of the Coastal Barrier Resources Act.
  16. Personal property you own in common with other unit owners comprising the membership of a condominium association
Term
The policy pays only for direct physical loss by or from flood so the following items are excluded:
Definition
  1. Loss of revenue or profits
  2. Loss of access to the insured property or described location
  3. Loss of use of the insured property or described location
  4. Loss from interruption of business or production
  5. Any additional living expenses incurred while the insured building is being repaired or is unable to be occupied for any reason
  6. The cost of complying with any ordinance or law requiring or regulating the construction, demolition, remodeling, renovation or repair of property, including removal of any resulting debris, except for eligible activities covered under the Increased Cost of Compliance
  7. Any other economic loss
Term
The value (valuation) of flood damage in the Dwelling Form is based on their ________ ______ _______ (___) or _______ _____ ________ (___).
Definition
Replacement Cost Value (RCV), Actual Cash Value (ACV)
Term
Replacement Cost Value
Definition
is the cost to replace that part of a buildiing that is damaged without depreciation.
Term
To be eligible for replacement cost, three conditions must be met:
Definition
  1. The building must be a single-family dwelling
  2. The building must be your primary residence, meaning you live there at least 80% of the year
  3. The building coverage is at least 80% of the full replacement cost of the building, or is the maximum amount available for the property under the National Flood Insurance Program.
Term
Actual Cash Value
Definition
is the replacement cost value at the time of loss, less the value of its physical depreciation.
Term
Some structure items such as carpeting are always adjusted on an _____ _____ _____ ______. For example, wall to wall carpeting could lose between _______ of its value each year, depending on the quality of the carpeting. The _______ would be factored in the adjustment.
Definition
actual cash value basis, 10-14%, depreciation
Term
Personal Property (Contents) is always settled at _____ _____ _______.
Definition
Actual Cash Value
Term
Most NFIP policies include ____ coverage, which applies when flood damages are severe.
Definition
ICC
Term
ICC coverage provides up to _________ of the cost to elevate, demolish, or relocate your home.
Definition
$30,000
Term
If your community declares your home "_________ _______" or "___________ _______" by a flood, it will _____ you to bring your home up to current community standards.
Definition
substantially damaged, repetitively damaged, require
Term
The total amount of your building claim and ICC claim ___ _____ the maximum limit for Building Property coverage(________ for a single-family home). Having an ICC claim ____ ____ ______ a Personal Property claim ( up to ________), which is paid separately.
Definition
can't exceed, $250,000, does not affect, $100,000
Term
The __________ will apply separately to Building and Personal Property claims.
Definition
deductibles
Term
The _______ _________ will be applied to the total building portion of the claim and the _______ _______ ________ will be taken from the personal property portion. The typical deductible under a Flood policy is ______.
Definition
building deductible, personal property deductible, $500.00
Term
Basement
Definition
Any area of a building which has its flood subgrade (below ground) on all sides.
Term
Condominium Association
Definition

The entity made up of the unit owner responsible for the maintenance and operation of:

  1. Common elements owned in the undivided shares by unit owners
  2. Other real property in which the unit owner have use rights, where membership in the entity is a required condition of unit ownership
Term
Dwelling
Definition
A building designed for use as a residence for no more than four families or a single-family unit in a building under a condominium.
Term
Enclosure
Definition
That portion of an elevated building below the lowest elevated floor that is either partially or fully shut-in by rigid walls.
Term
Elevated Building
Definition
A non-basement building that has its lowest elevated floor raised above the ground level by foundation walls, shear walls, posts, piers, pilings, or columns.
Term
Grandfathering
Definition
An exemption based on circumstances previously existing. Under the NFIP, buildings located in Emergency Program communities and Pre-Flood Insurance Rate Map buildings in the Regular Program are eligible for subsidized floor insurance rates.
Term
Natural Grade
Definition
The grade unaffected by construction techniques such as fill, landscaping, or berming.
Term
New Construction
Definition
Buildings for which the "Start of Construction" commenced on or after the effective date of any initial FIRM or after Decemeber 31, 1974, whichever is later, including any subsequent improvements.
Term
Post FIRM Construction
Definition
Construction or substantial improvement that started on or after the effective date of the initial Flood Insurance Rate Map (FIRM) of the community or after December 31, 1974, whichever is later.
Term
Pre-FIRM Construction
Definition
Construction or substantial improvement which started on or before December 31, 1974, or before the effective date of the initial Flood Insurance Rate Map (FIRM) of the community, whichever is later.
Term
Write Your Own (WYO) Program
Definition
a cooperative undertaking of the insurance industry and the Federal Emergency Management Agency begun in October 1983. The ______ _______ operates within the context of the NFIP and involves private insurance carriers who issue and service National Flood Insurance Program policies.
Term
The Texas Windstorm Insurance Association (TWIA)
Definition
is the state's insurer of last resort for wind and hail coverage in the fourteen (14) coastal counties and parts of Harris County. __________ provides wind and hail coverage when insurance companies exclude it from their homeowners and other property policies sold to coastal residents.
Term
TWIA is a "____" of all property and causalty insurance companies ______ to write coverage in Texas.
Definition
pool, authorized
Term
TWIA provides ______ ______ and _____ insurance for ______ ______ property owners who might otherwise be left ________.
Definition
basic wind, hail, Gulf Coast, uninsured
Term
When risk is higher and traditional markets withdraw, _____ absorbs policies no longer written by other carriers. Because they are a provider of _____ _____ , it is very likely that they will not have the ____ extensive coverage or the _____ prices.
Definition
TWIA, last resort, most, lowest
Term
Farm and Ranch Owner's Policy
Definition
is intended for the family farm, a Texas Farm & Ranch Owner's policy (either basic perils "Form A" or broad perils "Form B" is a coordinated package providing both personal and agricultural business insurance protection. Coverage typically includes the farmhouse, personal contents, loss of use, and personal and farm liability. Coverage can be extended to add farm structures (barns, workshops, etc.) scheduled agricultural equipment (tractors etc.) and the risk of animal loss from collision.
Term
Commercial Package Policy
Definition
Commercial insurance policies can be used for Farm/Ranch business. A business insurance "________ ______" can be custom tailored to fit the needs of most agricultural businesses. Protection can be offered for Farm Liability plus Farm/ Ranch equipment, buildings, and other property risks. Generally, commercial insurance contracts are used in situations that don't include an on-site farm or ranch owner or for larger agricultural operations.
Term
Commercial General Liability
Definition
This commercial insurance policy is often used in farm/ ranch situation in which the main concern is the premise liability risk for the property owner of rural land. An example would be the landowner has leased the property for cattle grazing. The farmer would have their own insurance to cover the risks of the cattle operation but the landowner would have a ________ _______ ________ contract to protect them from liability risks involving their land ownership.
Term
Mobile homeowners insurance
Definition
was written historically on a monoline form (coverage on the property only) similar to the dwelling policy form written on other houses. With the advent of package policy forms in the 1950's, the policy was changed to a multiline form resembling the regular homeowners package policy form.
Term
Monoline mobile homeowners policies had one important distinction in that any structure attached to the mobile home had to be added by _________.
Definition
endorsement
Term
Mobile Home insurance coverage
Definition
The mobile homeowners form may be written on an open perils basis, and the coverage on the building (the mobile home) is settled on a replacement cost basis. Additional items of property attached to the mobile home are covered on an ACV basis.
Term
Unique characteristics of the mobile homeowners form:
Definition
  1. Mobile home coverage Section A- applies to the building (mobile home), attached structures, utility tanks, and permanently installed items, such as appliances, dressers and cabinets, floor coverings, and similar property if installed on a permanent basis. A home must have a minimum footprint of 10 by 40 feet to be covered.
  2. Mobile home coverage Section B- for other structures is similar to the homeowners form.
  3. Mobile home coverage Section C- for personal property generally is written with a limit equal to 40% of Coverage A rather than the 50% specified for homeowners coverage.
  4. Mobile home coverage Section D- loss of use is 20% of Coverage A
  5. The pair and set clause is expanded to include panels as a series of pieces or panels.
  6. Removal coverage is expanded to provide up to $500 for reasonable expenses incurred in moving the mobile home when threatened by a covered peril.
  7. The ordinance or law additional coverage (to cover increased costs of repair or reconstruction resulting from zoning laws or building ordinances that require upgrades after a loss) does not apply to mobile home policies.
Term
Personal Watercraft Coverage
Definition
The homeowners policy limits watercraft liability and medical payments to others to personal boats and motors within certain length or horsepower guidelines. Because boats and boating property are covered only against a limited number of named perils, broader protecton is provided. As an alternative endorsement to the homeowners policy, the following stand-a-alone policies are available.
Term
Boat owners insurance:
Definition
  1. It provides coverage for smaller boats used on inland waterways.
  2. Coverage is provided for physical damage (to the insured boat) only.
Term
Yacht policy
Definition
is usually sold as a package policy for larger boats containing both physical damage and liability coverage in order to protect a yacht/ pleasure vessel.
Term
Perils covered under a yacht policy:
Definition
  1. Other coverages that can be added to include damage caused by windstorm, flood, and collapse of a building.
  2. Shoring, which can be caused during a windstorm or bad weather.
Term
Property covered under a yacht policy:
Definition
  1. Coverage is provided for the hull, sails, spars, tackle, machinery, boats, and furniture on a yacht.
  2. Coverage may also be extended to cover a boat trailer.
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