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All of the following statements about the settlement of a claim are true EXCEPT


A) The insurance policy usually has a provision specifying how a notice of loss is to be made to the insurance company.
B) One step in the investigation of a claim is to determine whether the policy was in force when the loss occurred.
C) The adjuster must file the proof of loss,which is a sworn statement supporting his or her decision regarding a claim.
D) A policy provision may determine how disputes over claim settlements are resolved.

E) C) and D)
F) A) and B)

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C

The process of transferring risk to the capital markets through the use of financial instruments such as bonds,futures contracts,and options is known as


A) consolidation of risk.
B) avoidance of risk.
C) securitization of risk.
D) compartmentalization of risk.

E) A) and B)
F) A) and C)

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Insurers obtain data that can be used to determine rates from


A) pricing pools.
B) insurance advisory organizations.
C) banks.
D) reciprocal exchanges.

E) A) and B)
F) B) and C)

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Functions of an insurance company's legal department include which of the following? I.Lobbying for legislation favorable to the insurance industry. II.Drafting policy provisions.


A) I only
B) II only
C) both I and II
D) neither I nor II

E) A) and B)
F) None of the above

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New Liability Insurance Company began operations last year and has been very successful.The company's ability to grow is being restricted by an accounting rule that requires insurers to realize acquisition expenses immediately,while not realizing premiums received as income until some time has passed.Reinsurance is often used in such cases for which of the following purposes?


A) to stabilize profitability
B) to reduce the unearned premium reserve
C) to provide protection against catastrophic losses
D) to withdraw from a line of business or territory

E) B) and D)
F) B) and C)

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The primary function of an actuary is to


A) adjust claims.
B) determine premium rates.
C) negotiate reinsurance treaties.
D) invest insurance company assets.

E) B) and D)
F) None of the above

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Which of the following statements about claim settlement is (are) true? I.The fair payment of claims requires an insurer to adopt a very liberal claims policy. II.To prevent lawsuits,an insurer should provide no personal assistance to a claimant other than that which is required by contractual obligations.


A) I only
B) II only
C) both I and II
D) neither I nor II

E) A) and C)
F) None of the above

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State insurance regulators require LMN Life Insurance Company to maintain a separate account.The assets in the separate account would support the liabilities for which of the following products?


A) term life insurance
B) whole life insurance
C) fixed annuity
D) variable life insurance

E) C) and D)
F) None of the above

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Jonathan purchased a homeowners policy from Alpha Insurance Company.As Alpha was concerned about a high level of homeowners claims,it purchased excess-of-loss reinsurance with Beta Reinsurance.Beta agreed to pay all homeowners claims in excess of $10 million.Which of the following statements is true?


A) If Jonathan has a claim,Beta will adjust the claim.
B) Beta receives a fixed percentage of the homeowners premiums written by Alpha.
C) If any claims occur,Beta must pay a portion of each claim.
D) If Alpha's loss experience is favorable,Beta will not have to pay any losses.

E) B) and D)
F) B) and C)

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Morgan was hired by an insurance company after she graduated from college.Upon completion of a training program,Morgan was assigned to a territory where she adjusts claims of the insurer's policyowners.Morgan is a(n)


A) public adjuster.
B) staff claims representative.
C) agent.
D) independent adjuster.

E) None of the above
F) A) and C)

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B

Easy Pay Insurance Company may require insureds who suffer a loss to submit a sworn statement to substantiate that a loss occurred and to describe the conditions under which the loss occurred.This sworn statement is called a(n)


A) binder.
B) proof of loss.
C) inspection report.
D) notice of loss.

E) A) and B)
F) A) and C)

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Amy heads the legal staff of a large property and liability insurance company.Amy's staff is likely involved in which of the following activities?


A) reviewing investment options for the insurer's assets
B) reviewing language and policy provisions in insurance contracts
C) calculating premiums to be charged for the insurer's products
D) reviewing applications to determine if the company should insure the risk

E) All of the above
F) A) and B)

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Antonio is a claims adjuster for LMN Insurance Company.After the insurer is notified that there has been a loss,Antonio meets with the insured.The first step in the claims process that Antonio should follow is to


A) determine the amount of the loss.
B) attempt to deny the claim regardless of whether he believes the claim is covered.
C) verify that a covered loss has occurred.
D) delay paying the claim if the claim is covered.

E) B) and D)
F) C) and D)

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A group of small insurance companies joined together so that they could jointly provide reinsurance on larger risks.This organization of insurers formed to provide the capacity needed to reinsure larger risks is called a


A) reinsurance pool.
B) ceding company.
C) surplus share reinsurance treaty.
D) special purpose reinsurance vehicle.

E) A) and B)
F) B) and C)

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Granite Insurance Company entered into a treaty reinsurance agreement with Rock Solid Reinsurance (RSR) .Granite's retention limit is $400,000 and RSR agreed to provide reinsurance for up to $2.0 million.If Granite writes an $800,000 policy,RSR is responsible for 50 percent of the losses.If Granite insures a $1.6 million risk,RSR is responsible for 75 percent of any losses.What type of reinsurance arrangement did Granite enter into with RSR?


A) facultative reinsurance
B) surplus share reinsurance
C) reinsurance pool
D) excess of loss reinsurance

E) A) and C)
F) All of the above

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All of the following statements about life insurance company investments are true EXCEPT


A) Funds for these investments are derived primarily from premium income,investment earnings,and maturing investments that must be reinvested.
B) Income from these investments reduces the cost of insurance.
C) A primary objective in making these investments is safety of principal.
D) The majority of these investments are short-term investments.

E) A) and B)
F) A) and C)

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Which of the following statements is (are) true about life insurance company investments? I.The majority of life insurance company general account assets are invested in bonds. II.The majority of life insurance company separate account assets are invested in stocks.


A) I only
B) II only
C) both I and II
D) neither I nor II

E) A) and C)
F) A) and B)

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ABC Insurance Company entered into a reinsurance agreement with XYZ Reinsurance.Under the contract,XYZ Re has no liability unless ABC's loss ratio exceeds 85 percent for the year.XYZ Re agreed to pay all losses in excess of the 85 percent loss ratio.ABC Insurance Company is using reinsurance to


A) stabilize profits.
B) reduce the unearned premium reserve.
C) provide large risk capacity.
D) retire from a line or territory.

E) None of the above
F) B) and D)

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Pac-Coast Insurance (PCI) concentrates its underwriting activities in California.The company is concerned that if a catastrophic earthquake occurs,it might threaten the solvency of the company.To address this risk,PCI issued some debt securities.If a catastrophic earthquake occurs,PCI does not have to repay the full amount borrowed or pay interest.The securities PCI issued are called


A) catastrophe futures contracts.
B) interest rate swaps.
C) catastrophe bonds.
D) contingent options contracts.

E) A) and B)
F) All of the above

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C

Which of the following statements about reinsurance is true?


A) A reinsurer may not purchase reinsurance.
B) The reinsurer is the first insurer that provides claims services to the insured after a loss occurs.
C) The amount of insurance transferred to a reinsurer is called the net retention.
D) The insurer transferring business to a reinsurer is called the ceding company.

E) All of the above
F) None of the above

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